NHS Information Authority

Data Standards Programme

The seven Source of Referral attributes were previously associated with the episode of care rather than the actual referral. This DSCN corrects the anomaly. Please note that the source of referral attributes have been moved to REFERRAL REQUEST and not deleted from the data standards.

The relationship between OUT-PATIENT APPOINTMENT CONSULTANT and CONSULTANT OUT-PATIENT EPISODE has now become optional (see DSCN 08/2002), as an episode cannot exist until the attendance takes place. Therefore, an OUT-PATIENT APPOINTMENT may not have an associated REFERRAL REQUEST until the attendance takes place. The relationship between OUT-PATIENT APPOINTMENT and PLANNED SERVICE TO BE PROVIDED has therefore been made mandatory, so that all OUT-PATIENT APPOINTMENTS are associated with the original REFERRAL REQUEST.

ACCIDENT AND EMERGENCY EPISODE

Attributes of this Class are:

K		START DATE
	O	A+E INCIDENT LOCATION TYPE
		A+E PATIENT GROUP
	O	END DATE
		SOURCE OF REFERRAL FOR A+E

ACCIDENT AND EMERGENCY EPISODE

Each ACCIDENT AND EMERGENCY EPISODE

K	must be related to one and only one ACCIDENT AND EMERGENCY DEPARTMENT
K	must be related to one and only one PATIENT
	must be associated as one and only one SERVICE PROVIDED
	may be related to one or more ACCIDENT AND EMERGENCY ATTENDANCE
	may be related to one or more DECISION TO ADMIT

COMMUNITY EPISODE

Attributes of this Class are:

K		EPISODE NUMBER
	O	END DATE
	O	REVIEW PLANNED DATE
		SOURCE OF REFERRAL FOR COMMUNITY
		START DATE

CONSULTANT OUT-PATIENT EPISODE

Attributes of this Class are:

K		EPISODE NUMBER
	O	END DATE
	O	FUNCTIONAL DEFICIENCY
	O	FUNCTIONAL DEFICIENCY CAUSE
		SOURCE OF REFERRAL FOR OUT-PATIENTS
		START DATE
	O	SUPRA SERVICE TYPE

DENTAL EPISODE

Attributes of this Class are:

K		EPISODE NUMBER
	O	END DATE
	O	EPISODE COMPLETION INDICATOR
		GENERAL DENTAL SERVICE INDICATOR
		SOURCE OF REFERRAL FOR COMMUNITY DENTAL
		START DATE

DRUG MISUSE EPISODE

Attributes of this Class are:

K		EPISODE NUMBER
	O	END DATE
		SOURCE OF REFERRAL FOR DRUG MISUSE
		START DATE

DRUG MISUSE EPISODE

Each DRUG MISUSE EPISODE

K	must be related to one and only one DRUG MISUSE FACILITY
	must be for one and only one DRUG MISUSER
	must be associated as one and only one SERVICE PROVIDED
	must be related to one or more SUBSTANCE MISUSED
	may be if contact by a community psychiatric nurse, within one and only one COMMUNITY EPISODE
	may be related to one or more DRUG MISUSER PRESCRIBING PLAN

MENTAL HEALTH CARE SPELL

Attributes of this Class are:

	O	END DATE
	O	MENTAL HEALTH CARE ASSESSMENT DATE
		only if spell initiated by a referral for assessment
	O	MENTAL HEALTH CARE SPELL END CODE
	O	PATIENT INFORMED OF OUTCOME DATE
		only if spell initiated by a referral for assessment
		SOURCE OF REFERRAL FOR MENTAL HEALTH
		START DATE

OUT-PATIENT APPOINTMENT

Each OUT-PATIENT APPOINTMENT

K	must be related to one and only one OUT-PATIENT CLINIC
K	must be related to one and only one PATIENT
	may be related to one and only one PLANNED SERVICE TO BE PROVIDED
	must be associated with the original one and only one PLANNED SERVICE TO BE PROVIDED

PROFESSIONAL STAFF GROUP EPISODE

Attributes of this Class are:

K		PROFESSIONAL STAFF GROUP EPISODE NUMBER
	O	EPISODE DURATION
		speech and language therapy only
	O	FUNCTIONAL DEFICIENCY
	O	FUNCTIONAL DEFICIENCY CAUSE
	O	REVIEW PLANNED DATE
		SOURCE OF REFERRAL FOR PROF STAFF GROUP
		START DATE

REFERRAL REQUEST

Attributes of this Class are:

K		REQUEST NUMBER
	O	COLPOSCOPY REFERRAL INDICATION
		colposcopy only
	O	COMMISSIONER REFERENCE NUMBER
	O	OUT-PATIENT CLINIC REFERRING INDICATOR
		if referral request from an out-patient clinic
		OUT-PATIENT REFERRAL INDICATOR
		PRIORITY TYPE
		REFERRAL DATE
	O	REFERRAL REQUEST CANCELLED DATE
		REFERRAL REQUEST RECEIVED DATE
		SERVICE TYPE REQUESTED
	O	SOURCE OF REFERRAL FOR A+E
		if request is for care by an ACCIDENT AND EMERGENCY DEPARTMENT
	O	SOURCE OF REFERRAL FOR COMMUNITY
		if request is for care by a COMMUNITY NURSE STAFF GROUP
	O	SOURCE OF REFERRAL FOR COMMUNITY DENTAL
		if request is for care by a Community Dental Service
	O	SOURCE OF REFERRAL FOR DRUG MISUSE
		if request is for care at a DRUG MISUSE FACILITY
	O	SOURCE OF REFERRAL FOR MENTAL HEALTH
		if request is for care from specialist mental care services
	O	SOURCE OF REFERRAL FOR OUT-PATIENTS
		if request is for care to be provided as an out-patient
	O	SOURCE OF REFERRAL FOR PROF STAFF GROUP
		if request is for care by a PROFESSIONAL STAFF GROUP SERVICE
	O	SUPRA SERVICE TYPE

SERVICE PROVIDED

Each SERVICE PROVIDED

K	must be a treatment or service provided by one and only one HEALTH CARE PROVIDER
	may be part of one and only one HEALTH AUTHORITY PROGRAMME
	or may be related to one and only one SURVEILLANCE PROGRAMME STAGE
	may be related to one or more GROUP SESSION
	or may be related to one or more HEALTH PROMOTION OTHER ACTIVITY
	or may be related to one or more PERSON IN A CONTACT TRACING PROGRAMME
	or may be related to one or more PERSON IN A SCREENING PROGRAMME
	may be related to one or more ACCIDENT AND EMERGENCY DEPARTMENT
	may be related to one or more ACCIDENT AND EMERGENCY EPISODE
	may be related to one or more ADMINISTRATIVE CATEGORY IN EPISODE
	may be related to one or more ADMINISTRATIVE CATEGORY IN SPELL
	may be related to one or more AMBULANCE SERVICE
	may be provided as one or more ANTI-CANCER DRUG PROGRAMME
	may be related to one or more AUDIOLOGY ATTENDANCE
	may be provided within one and only one CARE PLAN
	may be provided as one or more CARE PROGRAMME APPROACH EPISODE
	may be for care responsibility part of one and only one CARE SPELL
	may be related to one or more CLINICAL INTERVENTION
	may be related to one or more CLINIC ATTENDANCE NON-CONSULTANT
	may be related to one or more COMMUNITY EPISODE
	may be provided as one or more CONSULTANT EPISODE (ACUTE HOME-BASED)
	may be related to one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
	may be provided as one or more CONSULTANT OUT-PATIENT EPISODE
	may be related to one or more DENTAL EPISODE
	may be related to one or more DENTAL STAFF MEMBER IN PROGRAMME
	may be related to one or more DOMICILIARY CONSULTATION
	may be related to one or more DRUG MISUSE EPISODE
	may be related to one or more ELECTIVE ADMISSION LIST ENTRY
	may be related to one or more FACE TO FACE CONTACT OPTICAL
	may be provided as one or more FACE TO FACE CONTACT SOCIAL WORKER
	may be related to one or more FAMILY PLANNING DOMICILIARY VISIT
	may be related to one or more HEALTH PROMOTION ACTIVITY HIV AND AIDS
	may be related to one or more HEALTHY PERSON STAY
	may be related to one or more HOME ASSESSMENT VISIT
	may be related to one or more HOME DIALYSIS EPISODE
	may be provided as one or more HOME HELP VISIT
	may be related to one or more IMMUNISATION PROGRAMME FOR PERSON
	may be related to one or more LABOUR AND DELIVERY
	may be related to one or more LITHOTRIPSY COURSE ATTENDANCE
	may be provided in one and only one LOCATION
	may be related to one or more MATERNITY DOMICILIARY VISIT
	may be related to one or more MIDWIFE EPISODE
	may be related to one or more NHS SERVICE AGREEMENT CHANGE
	may be related to one or more NURSE OR MIDWIFE CONTACT
	may be related to one or more NURSING EPISODE
	may be provided as one or more NURSING HOME STAY (CONSULTANT CARE)
	may be related to one or more NURSING HOME STAY (NURSING CARE)
	may be related to one or more OUT-PATIENT CLINIC
	may be related to one or more OVERSEAS VISITOR STATUS
	may be provided as one or more PALLIATIVE CARE EPISODE
	may be related to one or more PATIENT JOURNEY
	may be related to one or more PERSON IN ADVICE AND SUPPORT PROGRAMME
	may be related to one or more PERSON IN A SURVEILLANCE STAGE
	may be related to one or more PERSON OBSERVATION
	may be providing one or more PERSON SMOKING CESSATION EPISODE
	may be related to one or more POST MORTEM
	may be related to one or more PROFESSIONAL STAFF GROUP EPISODE
	may be related to one or more PROFESSIONAL STAFF GROUP SERVICE
	may be related to one or more RADIOTHERAPY TREATMENT COURSE
	may be initiated by one and only one REFERRAL REQUEST
	may be provided as one or more REGULAR ATTENDER EPISODE
	may be related to one or more REQUEST FOR DIAGNOSTIC TEST
	may be provided as one or more RESIDENTIAL CARE OR GROUP HOME STAY
	may be subdivided into one or more SERVICE PROVIDED
	may be a subdivision of one or more SERVICE PROVIDED
	may be related to one or more SERVICE PROVIDED UNDER AGREEMENT
	may be provided at one or more SERVICE PROVISION POINT
	may be related to one or more SERVICE REPORTED
	may be reported by one and only one SERVICE REPORT HEADER
	may be provided as one or more SHELTERED WORK ATTENDANCE
	may be part of one and only one SMOKING CESSATION SERVICE
	may be provided as one or more SOCIAL SERVICES STATUTORY ASSESSMENT
	may be related to one or more VASECTOMY PERFORMED
	may be related to one or more WARD ATTENDANCE
	may be related to one or more WARD STAY

GN040 Services Provided by Hospitals

 GN040 Services Provided by Hospitals 

GN060 Services Provided by Non-Hospital Services

 GN060 Services Provided by Non-Hospital Services 

KC56 Patient Care in the Community - District Nursing

 KC56 Patient Care in the Community - District Nursing 

KC57 Patient Care in the Community - Community Psychiatric Nursing

 KC57 Patient Care in the Community - Community Psychiatric Nursing 

KC58 Patient Care in the Community - Community Learning Disability Nursing

 KC58 Patient Care in the Community - Community Learning Disability Nursing 

KC59 Patient Care in the Community - Specialist Care Nursing

 KC59 Patient Care in the Community - Specialist Care Nursing 

KC64A CDS: Part 1 Screening Programmes and Part 2 Preventative Programmes

 KC64A CDS: Part 1 Screening Programmes and Part 2 Preventative Programmes 

KC64B CDS: Part 3 Patient Care and Part 4 Epidemiology

 KC64B CDS: Part 3 Patient Care and Part 4 Epidemiology 

MS030 GP Hospital Communication Messages - Referral Requests

 MS030 GP Hospital Communication Messages - Referral Requests 

Please address enquiries about this DSCN to:-

Data Standards Team
NHS Information Authority
Aqueous II
Aston Cross
Rocky Lane
Birmingham
B6 5RQ

Tel: 0121 333 0333