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This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The data carried in the three Maternity and Children's Secondary Uses Data Sets which support the National Service Framework for Children Young People and Maternity Services Data Sets (Maternity Services Secondary Uses Data Set, Children’s and Young People’s Health Services Secondary Uses Data Set and Child and Adolescent Mental Health Services Secondary Uses Data Set) must be structured in a particular way for submission nationally.The data carried in the three Maternity and Children's Secondary Uses Data Sets (Maternity Services Secondary Uses Data Set, Children’s and Young People’s Health Services Secondary Uses Data Set and Child and Adolescent Mental Health Services Secondary Uses Data Set) must be structured in a particular way for submission nationally. Data items in the files, including the items in the header records, are tilde-delimited (~ character).

Each data set submission file of data is structured in the following way:

• Data Set File Header Row
• Data Set Segment Row(s)
• Data Set File Footer Row

See below for the file structure for each data set row:

• Data Set File Header Row

This contains information about the submission file, and is structured as follows, for all three data sets:

DATA SET ROW TYPE (MATERNITY AND CHILDRENS DATA SETS) (note - always value HDR in a file header row)

DATA SET IDENTIFIER (MATERNITY AND CHILDRENS DATA SETS)

DATA SET VERSION NUMBER

ORGANISATION CODE (CODE OF PROVIDER)

REPORTING PERIOD START DATE

REPORTING PERIOD END DATE

DATE AND TIME DATA SET CREATED

DATA SET SEGMENT RECORDS TOTAL

The Data Set File Header row is present only once, as the first record in the submission file.

• Data Set Segment Row

This contains Segment type and PATIENT identification information followed by segment content data items, and is structured as follows:

DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES SECONDARY USES DATA SET) or DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET) or DATA SET SEGMENT IDENTIFIER (CHILDREN AND YOUNG PEOPLES HEALTH SERVICES SECONDARY USES DATA SET)

This is followed in the same row by the segment content data items, which vary depending on which segment is being submitted. This structure is repeated for each data record within the file.

• Data Set File Footer Row

This contains some of the same information as the Data Set File Header row, plus a count of all segment records within the file, as a data quality check, and is structured as follows:

DATA SET ROW TYPE (MATERNITY AND CHILDRENS DATA SETS) (note - always value TRL in a file footer row)

DATA SET IDENTIFIER (MATERNITY AND CHILDRENS DATA SETS)

DATA SET VERSION NUMBER

ORGANISATION CODE (CODE OF PROVIDER)

REPORTING PERIOD START DATE

REPORTING PERIOD END DATE

DATE AND TIME DATA SET CREATED

DATA SET SEGMENT RECORDS TOTAL

The Data Set File Footer Row is present only once, as the last record in the submission file.

The following table is effective from 3rd November 2008 onwards after the relevant section of the Mental Health Act 2007 comes into force, and sets out the relationship between Parts and Sections of the Mental Health Act 1983 (amended by the Crime (Sentences) Act 1997 and the Mental Health Act 2007), and specifies how the codes in Category of Patient, MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE, Status Of Patient Included in the Psychiatric Census and MENTAL HEALTH ACT 2007 MENTAL CATEGORY interrelate.The following table is effective from 3rd November 2008 onwards after the relevant section of the Mental Health Act 2007 comes into force, and sets out the relationship between Parts and Sections of the Mental Health Act 1983 (amended by the Crime (Sentences) Act 1997 and the Mental Health Act 2007), and specifies how the codes in CATEGORY OF PATIENT, MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE, STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS and MENTAL HEALTH ACT 2007 MENTAL CATEGORY interrelate.

The underlying MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE of an Adult Mental Health Care Spell will be carried through a period of Supervised Community Treatment although the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION will be suspended during that period.

The following table is effective prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force, and sets out the relationship between Parts and Sections of the Mental Health Act 1983 (amended by the Crime (Sentences) Act 1997), and specifies how the codes in Category of Patient, MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE, Status Of Patient Included in the Psychiatric Census and MENTAL CATEGORY interrelate.The following table is effective prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force, and sets out the relationship between Parts and Sections of the Mental Health Act 1983 (amended by the Crime (Sentences) Act 1997), and specifies how the codes in CATEGORY OF PATIENT, MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE, STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS and MENTAL CATEGORY interrelate.

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This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
A and E ARRIVAL MODE CODE is the same as attribute A AND E ARRIVAL MODE.ACCIDENT AND EMERGENCY ARRIVAL MODE CODE is the same as attribute A AND E ARRIVAL MODE.

A and E ARRIVAL MODE CODE replaces A and E ARRIVAL MODE and should be used for all new and developing data sets and for XML messages.ACCIDENT AND EMERGENCY ARRIVAL MODE CODE replaces A and E ARRIVAL MODE and should be used for all new and developing data sets and for XML messages.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes: 
A and E ATTENDANCE CATEGORY CODE is the same as attribute A AND E ATTENDANCE CATEGORY. ACCIDENT AND EMERGENCY ATTENDANCE CATEGORY CODE is the same as attribute A AND E ATTENDANCE CATEGORY.

A FIRST ATTENDANCE is the first or only attendance for the same incident, which may be an injury or occurrence of a condition; a follow-up attendance is a visit to the same department for the same incident as the first visit within the episode. If a PATIENT has a recurring condition, such as epilepsy, or a tendency for joints to dislocate, there would be a new FIRST ATTENDANCE each time that the PATIENT presents with the condition.

A subsequent attendance may not always be a follow-up attendance. It could qualify as an attendance at a consultant out-patient clinic and if so, it needs to be recorded appropriately.

A and E ATTENDANCE CATEGORY CODE replaces A and E ATTENDANCE CATEGORY and should be used for all new and developing data sets and for XML messagesACCIDENT AND EMERGENCY ATTENDANCE CATEGORY CODE replaces A and E ATTENDANCE CATEGORY and should be used for all new and developing data sets and for XML messages

Notes:
A and E ATTENDANCE DISPOSAL CODE is the same as attribute A AND E ATTENDANCE DISPOSAL.ACCIDENT AND EMERGENCY ATTENDANCE DISPOSAL CODE is the same as attribute A AND E ATTENDANCE DISPOSAL.

A and E ATTENDANCE DISPOSAL CODE replaces A and E ATTENDANCE DISPOSAL and should be used for all new and developing data sets and for XML messages.ACCIDENT AND EMERGENCY ATTENDANCE DISPOSAL CODE replaces A and E ATTENDANCE DISPOSAL and should be used for all new and developing data sets and for XML messages.

Notes: 
See ADMINISTRATIVE CATEGORY.Notes:

This data element is used to record the ADMINISTRATIVE CATEGORY at the start of the Hospital Provider Spell and is used to derive the 'Category of Patient' for HES.ADMINISTRATIVE CATEGORY (ON ADMISSION) is the same as data element ADMINISTRATIVE CATEGORY.

ADMINISTRATIVE CATEGORY (ON ADMISSION) is used to record the ADMINISTRATIVE CATEGORY at the start of the Hospital Provider Spell and is used to derive the 'CATEGORY OF PATIENT' for Hospital Episode Statistics (HES).

The PATIENT's ADMINISTRATIVE CATEGORY may change during an episode or spell.
For example, the PATIENT may opt to change from NHS to private health care.

The ADMINISTRATIVE CATEGORY (AT START OF EPISODE) is recorded per episode.ADMINISTRATIVE CATEGORY (ON ADMISSION) will be replaced with ADMINISTRATIVE CATEGORY CODE (ON ADMISSION), which should be used for all new and developing data sets and for XML messages.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
ADMINISTRATIVE CATEGORY CODE (ON ADMISSION) is the same as data element ADMINISTRATIVE CATEGORY CODE.

ADMINISTRATIVE CATEGORY CODE (ON ADMISSION) is used to record the ADMINISTRATIVE CATEGORY CODE at the start of the Hospital Provider Spell and is used to derive the 'CATEGORY OF PATIENT' for Hospital Episode Statistics (HES). 

ADMINISTRATIVE CATEGORY CODE (ON ADMISSION) replaces ADMINISTRATIVE CATEGORY (ON ADMISSION) and should be used for all new and developing data sets and for XML messages.

Attribute:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
DATA SET IDENTIFIER (MATERNITY AND CHILDRENS DATA SETS) is the identifier for the three Maternity and Children's Secondary Uses Data Sets which support the National Service Framework for Children Young People and Maternity Services.DATA SET IDENTIFIER (MATERNITY AND CHILDRENS DATA SETS) is the identifier for the three Maternity and Children's Secondary Uses Data Sets.

Permitted National Codes:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
DATA SET ROW TYPE (MATERNITY AND CHILDRENS DATA SETS) is the identifier of the type of row of data carried in a data submission file for one of the three Maternity and Children's Secondary Uses Data Sets which support the National Service Framework for Children Young People and Maternity Services (Maternity Services Secondary Uses Data Set, Children and Young People's Health Services Secondary Uses Data Set or Child and Adolescent Mental Health Services Secondary Uses Data Set).DATA SET ROW TYPE (MATERNITY AND CHILDRENS DATA SETS) is the identifier of the type of row of data carried in a data submission file for one of the three Maternity and Children's Secondary Uses Data Sets (Maternity Services Secondary Uses Data Set, Children and Young People's Health Services Secondary Uses Data Set or Child and Adolescent Mental Health Services Secondary Uses Data Set). 

See Maternity and Childrens Data Sets Submission Requirements for usage requirements.

Permitted National Codes:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET) is the segment identifier for the Child and Adolescent Mental Health Services Secondary Uses Data Set, which is one of the three Maternity and Children's Secondary Uses Data Sets which support the National Service Framework for Children Young People and Maternity Services.DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET) is the segment identifier for the Child and Adolescent Mental Health Services Secondary Uses Data Set, which is one of the three Maternity and Children's Secondary Uses Data Sets.

The segment identifiers can be found on The NHS Information Centre for health and social care website at: http://www.ic.nhs.uk/services/datasets/document-downloads/child-and-adolescent-mental-health-service-secondary-use-data-set.The segment identifiers can be found on The NHS Information Centre for health and social care website.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
DATA SET SEGMENT IDENTIFIER (CHILDREN AND YOUNG PEOPLES HEALTH SERVICES SECONDARY USES DATA SET) is the segment identifier for the National Children's and Young People's Health Services Secondary Uses Data Set, which is one of the three Maternity and Children's Secondary Uses Data Sets which support the National Service Framework for Children Young People and Maternity Services.DATA SET SEGMENT IDENTIFIER (CHILDREN AND YOUNG PEOPLES HEALTH SERVICES SECONDARY USES DATA SET) is the segment identifier for the National Children's and Young People's Health Services Secondary Uses Data Set, which is one of the three Maternity and Children's Secondary Uses Data Sets..

The segment identifiers can be found on The NHS Information Centre for health and social care website at: http://www.ic.nhs.uk/services/datasets/document-downloads/children-and-young-peoples-health-service-secondary-use-data-set.The segment identifiers can be found on The NHS Information Centre for health and social care website.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES SECONDARY USES DATA SET) is the segment identifier for the Maternity Services Secondary Uses Data Set, which is one of the three Maternity and Children's Secondary Uses Data Sets which support the National Service Framework for Children Young People and Maternity Services.DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES SECONDARY USES DATA SET) is the segment identifier for the Maternity Services Secondary Uses Data Set, which is one of the three Maternity and Children's Secondary Uses Data Sets.

The segment identifiers can be found on The NHS Information Centre for health and social care website at: http://www.ic.nhs.uk/services/datasets/document-downloads/maternity.The segment identifiers can be found on The NHS Information Centre for health and social care website.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
DATA SET SEGMENT RECORDS TOTAL is the total number of segment records within a file submission for one of the three Maternity and Children's Secondary Uses Data Sets which support the National Service Framework for Children Young People and Maternity Services (Maternity Services Secondary Uses Data Set, Childrens and Young People's Health Services Secondary Uses Data Set or Child and Adolescent Mental Health Services Secondary Uses Data Set).DATA SET SEGMENT RECORDS TOTAL is the total number of segment records within a file submission for one of the three Maternity and Children's Secondary Uses Data Sets (Maternity Services Secondary Uses Data Set, Childrens and Young People's Health Services Secondary Uses Data Set or Child and Adolescent Mental Health Services Secondary Uses Data Set).

The DATA SET SEGMENT RECORDS TOTAL Data Element flows in the Data Set File Header and Footer. See Maternity and Childrens Data Sets Submission Requirements for further details.

This is the ICD code of the condition giving rise to death as recorded on the death certificate.DEATH CAUSE CODE (CONDITION) is the ICD code of the condition giving rise to death as recorded on the death certificate.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

DEATH CAUSE ICD CODE (CONDITION) is the same as attribute DEATH CAUSE CODE.

DEATH CAUSE ICD CODE (CONDITION) is the ICD code of the condition giving rise to death as recorded on the death certificate.

DEATH CAUSE ICD CODE (CONDITION) replaces DEATH CAUSE CODE (CONDITION) and should be used for all new and developing data sets and for XML messages.

This data element is also known by these names:

Context	Alias
plural	DEATH CAUSE ICD CODES (CONDITION)

Attribute:

This data element is effective for PATIENTS detained prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force, which abolishes the Mental Health Act 1983 MENTAL CATEGORIES.  For PATIENTS detained from 3rd November 2008, the MENTAL HEALTH ACT 2007 MENTAL CATEGORY data element should be used.

MENTAL CATEGORY may continue to be used for historical purposes for any PATIENT last detained prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force.  In these circumstances MENTAL CATEGORY will flow in the CDS V6 Type 170 - Admitted Patient Care - Detained and/or Long Term Psychiatric Census CDS, and the Mental Health Minimum Data Set.  In these circumstances MENTAL CATEGORY will flow in the CDS V6 Type 170 - Admitted Patient Care - Detained and/or Long Term Psychiatric Census CDS.

MENTAL CATEGORY will be replaced with MENTAL CATEGORY CODE, which should be used for all new and developing data sets and for XML messages.

In the case of maternity PATIENTS, the use being made of the delivery facilities is also used in this derivation.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
PATIENT CLASSIFICATION CODE is derived from the ADMISSION METHOD, INTENDED MANAGEMENT and the duration of stay of the PATIENT.

The duration of stay is derived by subtracting the date of admission from the date of discharge.

In the case of maternity PATIENTS, the use being made of the delivery facilities is also used in this derivation.

PATIENT CLASSIFICATION CODE replaces PATIENT CLASSIFICATION and should be used for all new and developing data sets and for XML messages.

This data element is also known by these names:

Context	Alias
plural	PATIENT CLASSIFICATION CODES

Attribute:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

PERSON INITIAL (FIRST) is the first initial of the PATIENT's first name.

This data element is also known by these names:

Context	Alias
plural	PERSON INITIALS (FIRST)