Change Request: CP1111

Change Request

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference:	Change Request 1111
Version No:	1.0
Subject:	Update Patch
Effective Date:	Immediate
Reason for Change:	Change to Data Standards
Publication Date:	3 November 2009

Background:

This patch corrects the following items in the NHS Data Model and Dictionary:

updates amended DSCN and other website links
adds missing hyperlinks
expands abbreviations
updates Relationships
updates CDS 6 type 190 - the link to MARITAL STATUS should be PERSON MARITAL STATUS
removes incorrect text from the Class ELECTIVE ADMISSION LIST ENTRY
corrects the "attribute link names" on the Classes ACTIVITY DATE TIME and CARE PLAN to match the correct attribute names
corrects the Hospital Episode Statistic names "APLOCID" to "ACPLOCID" and "OPERATN" to "OPERTN"
corrects the links in the Attribute "Activity Group Type"
updates the text on the Data Element "Arrival Time"

Summary of changes:

Diagrams
ACTIVITY	Changed Diagram
PATIENT PATHWAY	Changed Diagram

Data Set
CDS V6 TYPE 190	Changed Description
HES - CDS DATA ITEMS CROSS REFERENCED BY HES ITEM - TABLE 2	Changed Description
HES - CDS DATA ITEMS CROSS REFERENCED BY HES NAME - TABLE 1	Changed Description

Supporting Information
MENTAL HEALTH CARE WITHOUT PATIENT CONSENT renamed from MHC WITHOUT PATIENT CONSENT	Changed Name, Aliases
PUBLICATION INFORMATION CONTACT DETAILS	Changed Description
WHAT'S NEW: SEPTEMBER 2009	Changed Description

Class Definitions
ACCOMMODATION STATUS	Changed Relationships
ACTIVITY DATE TIME	Changed Attributes
ALCOHOL STATUS	Changed Relationships
ASPIRIN THERAPY LOCATION	Changed Relationships
BLEED COMPLICATION	Changed Relationships
CARE PLAN	Changed Attributes
ELECTIVE ADMISSION LIST ENTRY	Changed Description
ETHNIC CATEGORY	Changed Relationships
JOINT REPLACEMENT REVISION CLASSIFICATION	Changed Relationships
LANGUAGE CLASSIFICATION	Changed Relationships
LEGAL STATUS CLASSIFICATION	Changed Relationships
ORGANISATION	Changed Relationships
PATIENT CLINICAL GROUP	Changed Relationships
PERFORMANCE STATUS	Changed Relationships
PERSON GENDER	Changed Relationships
PERSON MARITAL STATUS	Changed Relationships
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION	Changed Relationships
SARCOMA PREDISPOSING CONDITION	Changed Relationships
SERVICE REQUEST	Changed Relationships
SEXUAL ORIENTATION	Changed Relationships
SKIN LYMPHOMA MORPHOLOGY	Changed Relationships

Attribute Definitions
ACTIVITY GROUP TYPE	Changed Description
MULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER)	Changed Aliases

Data Elements
ARRIVAL TIME	Changed Description
DELIVERY METHOD	Changed Description, linked Attribute
GENERAL MEDICAL PRACTITIONER (SPECIFIED)	Changed Description
HRG DOMINANT GROUPING VARIABLE-PROCEDURE	Changed Description
PATIENT CLASSIFICATION	Changed Description
PRIMARY OPERATION (OPCS-4)	Changed Description
PRIMARY PROCEDURE (OPCS)	Changed Description
PROCEDURE CODING	Changed Description
REFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION)	Changed linked Attribute
REFERRER CODE	Changed Description
TOTAL INFORMAL ADMISSIONS (FEMALE)	Changed Description
TOTAL INFORMAL ADMISSIONS (MALE)	Changed Description
TOTAL INFORMAL PATIENTS (FEMALE)	Changed Description
TOTAL INFORMAL PATIENTS (MALE)	Changed Description
TOTAL NUMBER OF LEGAL STATUS CLASSIFICATION CHANGES FOR TYPE	Changed Description

Date:	3 November 2009
Sponsor:	Richard Kavanagh, NHS Connecting for Health

Note: New text is shown with a blue background. Deleted text is crossed out. Retired text is shown in grey. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.

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ACTIVITY

Change to Diagram: Changed Diagram

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PATIENT PATHWAY

Change to Diagram: Changed Diagram

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CDS V6 TYPE 190

Change to Data Set: Changed Description

CDS V6 TYPE 190 - ADMITTED PATIENT CARE - UNFINISHED GENERAL EPISODE CDS

The Admitted Patient Care Unfinished General Episode Commissioning Data Set Type carries the data for an Unfinished General Consultant/ Midwife/ Nurse Episode.

It covers all NHS and private Admitted Patient Care (day case and inpatient) activity taking place in any acute, community, psychiatric NHS Trust or Primary Care Trust or other NHS hospital under the care of a consultant, midwife or nurse. Additionally, NHS funded Admitted Patient Care taking place in non-NHS hospitals and institutions is required.

An Unfinished General Episode Commissioning Data Set record is required for all Unfinished General Episodes at midnight on 31 March each year. Unfinished General Episode Commissioning Data Set records are also required for short-stay informal psychiatric patients who are resident in hospital or on leave of absence (home leave) on 31 March and who have been in hospital for less than 12 months.

The CDS TYPE 190 consists of the following CDS Data Groups:
INTERCHANGE, MESSAGE and CDS TRANSACTION HEADERS and TRAILERS (shown independently)
PATIENT PATHWAY
PATIENT IDENTITY
PATIENT CHARACTERISTICS
HOSPITAL PROVIDER SPELL
CONSULTANT EPISODE
CRITICAL CARE PERIOD
GP REGISTRATION
REFERRAL
EAL ENTRY
HEALTHCARE RESOURCE GROUP

The markers in the columns "OPT, U/A and HES" indicate the NHS recommendations for the inclusion of data:
M = Mandatory - data must be included where available
O = Optional - data need not be included
* = Must Not Be Used
R in the column headed U/A indicates the data is required in the Unfinished Episode / Annual Census of Unfinished Episode record and on an End of Year Census record.
An entry in the column headed HES indicates that the data element is extracted from the SUS database for Hospital Episode Statistics. Data extracted for Hospital Episode Statistics purposes contains some derived items. The CDS/HES Cross Reference Tables show these derivations.

CDS V6 TYPE 190 - THE UNFINISHED GENERAL EPISODE CDS

CDS DATA GROUP: PATIENT PATHWAY: To carry the details of the Patient Pathway. One optional occurrence of this Group is permitted.
Opt	CDS data element	U/A	HES
O	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
O	PATIENT PATHWAY IDENTIFIER
O	ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
O	REFERRAL TO TREATMENT STATUS
O	REFERRAL TO TREATMENT PERIOD START DATE
O	REFERRAL TO TREATMENT PERIOD END DATE
*	LEAD CARE ACTIVITY INDICATOR (Not defined or approved by the Information Standards Board for Health and Social Care)

CDS DATA GROUP: PATIENT IDENTITY: To carry the identity details of the Patient. One occurrence of this Group is permitted.
Opt	CDS data element	U/A	HES
M	LOCAL PATIENT IDENTIFIER	R	•
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)	R
M	NHS NUMBER	R	•
M	NHS NUMBER STATUS INDICATOR	R	•
O	PATIENT NAME	R
O	PATIENT USUAL ADDRESS	R
M	POSTCODE OF USUAL ADDRESS	R	•
M	ORGANISATION CODE (PCT OF RESIDENCE)	R	•
M	PERSON BIRTH DATE (from Commissioning Data Set version 6-1 onwards)	R	•

Note:
For Security Issues and Patient Confidentiality, the PATIENT NAME and PATIENT USUAL ADDRESS (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS NUMBER is present, even if the NHS NUMBER is not verified.

For patients with sensitive conditions (as defined in Security Issues and Patient Confidentiality), all patient identifiable information must be removed from Commissioning Data Set records. This includes LOCAL PATIENT IDENTIFIER, NHS NUMBER, PATIENT NAME, PATIENT USUAL ADDRESS, POSTCODE OF USUAL ADDRESS, and PERSON BIRTH DATE.

CDS DATA GROUP: PATIENT CHARACTERISTICS: To carry the characteristics of the Patient. One occurrence of this Group is permitted.
M	PERSON BIRTH DATE (Commissioning Data Set version 6-0 only)	R	•
M	PERSON GENDER CURRENT	R	•
O	CARER SUPPORT INDICATOR	R	•
M	ETHNIC CATEGORY	R	•
M	~~MARITAL STATUS~~ ~~(psychiatric patients only)~~	R	•
M	PERSON MARITAL STATUS (psychiatric patients only)	R	•
M	LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) (psychiatric patients only)	R	•

CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Admission Characteristics: To carry the details of the Spell containing the Episode. One occurrence of this Group is permitted.
M	HOSPITAL PROVIDER SPELL NUMBER	R	•
M	ADMINISTRATIVE CATEGORY (ON ADMISSION)	R	•
M	PATIENT CLASSIFICATION	R	•
M	ADMISSION METHOD (HOSPITAL PROVIDER SPELL)	R	•
M	SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)	R	•
M	START DATE (HOSPITAL PROVIDER SPELL)	R	•
M	AGE ON ADMISSION	R	•

CDS DATA GROUP: HOSPITAL PROVIDER SPELL - Discharge Characteristics: To carry the discharge details of the Spell containing the Episode. One occurrence of this Group is permitted.
M	DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)	•
M	DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)	•
O	DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL)	•
M	DISCHARGE DATE (HOSPITAL PROVIDER SPELL)	•

CDS DATA GROUP: CONSULTANT EPISODE - Activity Characteristics: To carry the details of the Episode undergone by the Patient. One occurrence of this Group is permitted.
M	EPISODE NUMBER	R	•
M	LAST EPISODE IN SPELL INDICATOR	R	•
*	ADMINISTRATIVE CATEGORY (AT START OF EPISODE) (Not defined or approved by the Information Standards Board for Health and Social Care)	R	•
M	OPERATION STATUS	R	•
O	NEONATAL LEVEL OF CARE	R	•
O	FIRST REGULAR DAY OR NIGHT ADMISSION	R	•
M	PSYCHIATRIC PATIENT STATUS	R	•
*	LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE) (Not defined or approved by the Information Standards Board for Health and Social Care) (psychiatric patients only)	R	•
M	START DATE (EPISODE) This is the mandatory date used to derive the *mandatory* CDS ACTIVITY DATE	R	•
M	END DATE (EPISODE)		•
M	AGE AT CDS ACTIVITY DATE		•

CDS DATA GROUP: CONSULTANT EPISODE - Service Agreement Details: To carry the details of the Service Agreement for the Episode.
M	COMMISSIONING SERIAL NUMBER	R	•
O	NHS SERVICE AGREEMENT LINE NUMBER	R
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER	R
M	ORGANISATION CODE (CODE OF PROVIDER)	R	•
M	ORGANISATION CODE (CODE OF COMMISSIONER)	R	•

CDS DATA GROUP: CONSULTANT EPISODE - Person Group (Consultant): To carry the details of the responsible Consultant, Midwife or Nurse. One occurrence of this Group is permitted.
M	CONSULTANT CODE	R	•
M	MAIN SPECIALTY CODE	R	•
M	TREATMENT FUNCTION CODE	R	•

CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (ICD): To carry the details of the ICD Diagnoses.
M	DIAGNOSIS SCHEME IN USE
M	PRIMARY DIAGNOSIS (ICD)	•
M	SECONDARY DIAGNOSIS (ICD) (Multiple occurrences may be recorded)	•

CDS DATA GROUP: CONSULTANT EPISODE Clinical Diagnosis Group (READ): To carry the details of the READ Diagnoses.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (READ)
O	SECONDARY DIAGNOSIS (READ) (Multiple occurrences may be recorded)

CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities.
M	PROCEDURE SCHEME IN USE
M M	PRIMARY PROCEDURE (OPCS) PROCEDURE DATE	• •
M M	(Multiple occurrences of this sub-group may be recorded) PROCEDURE (OPCS) PROCEDURE DATE	• •

CDS DATA GROUP: CONSULTANT EPISODE - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities.
O	PROCEDURE SCHEME IN USE
O O	PRIMARY PROCEDURE (READ) PROCEDURE DATE
O O	(Multiple occurrences of this sub-group may be recorded) PROCEDURE (READ) PROCEDURE DATE

CDS DATA GROUP: CONSULTANT EPISODE - Location Group At Start Of Episode: To carry the details of the location at the start of the Episode. One occurrence of this Group is permitted.
M	LOCATION CLASS	R
M	SITE CODE (OF TREATMENT)	R	•
O	LOCATION TYPE This is currently for piloting purposes	R
O	INTENDED CLINICAL CARE INTENSITY	R	•
O	AGE GROUP INTENDED	R	•
O	SEX OF PATIENTS	R	•
O	WARD DAY PERIOD AVAILABILITY	R	•
O	WARD NIGHT PERIOD AVAILABILITY	R	•

CDS DATA GROUP: CONSULTANT EPISODE - Location Group Of Ward Stay: To carry the details of one or more Ward Stays. Up to 97 occurrences of this Group are permitted.
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list under review
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
O	START DATE
O	END DATE

CDS DATA GROUP: CONSULTANT EPISODE - Location Group At End Of Episode: To carry the details of the location at the end of the Episode. One occurrence of this Group is permitted.
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT)
*	LOCATION TYPE Definition and value list under review
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY

CDS DATA GROUP: NEONATAL CRITICAL CARE PERIOD: To carry the details of the first 9 Critical Care Periods for Neonatal Critical Care. See CRITICAL CARE PERIOD The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode. The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present. Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.

CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL CARE - Admission Characteristics To carry the details of the Admission to Adult Neonatal Care. One occurrence is permitted for each Critical Care Period recorded.
M	CRITICAL CARE LOCAL IDENTIFIER	R	•
M	CRITICAL CARE START DATE	R	•
M	CRITICAL CARE START TIME	R	•
M	CRITICAL CARE UNIT FUNCTION	R	•
M	GESTATION LENGTH (AT DELIVERY)		•

CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL DAILY CARE - Activity Characteristics To carry the details of the Neonatal Critical Care Activity. Up to 999 daily occurrences per Critical Care Period are supported.
M	ACTIVITY DATE (CRITICAL CARE)	R	•
O	PERSON WEIGHT	R	•
M	CRITICAL CARE ACTIVITY CODE (up to 20 Codes may be recorded per daily occurrence)	R	•
M	HIGH COST DRUGS (OPCS) (up to 20 Codes may be recorded per daily occurrence)	R	•

CDS DATA GROUP: CRITICAL CARE PERIOD - NEONATAL CARE - Discharge Characteristics To carry the details of the Discharge from Neonatal Critical Care. One occurrence of this Group is permitted.
M	CRITICAL CARE DISCHARGE DATE	R	•
M	CRITICAL CARE DISCHARGE TIME	R	•

CDS DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD: To carry the details of the first 9 Critical Care Periods for Paediatric Critical Care. See CRITICAL CARE PERIOD The Critical Care Period may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Episode. The data elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present. Where applicable, Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.

CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Admission Characteristics To carry the details of the Admission to Paediatric Critical Care. One occurrence is permitted for each Critical Care Period recorded.
M	CRITICAL CARE LOCAL IDENTIFIER	R	•
M	CRITICAL CARE START DATE	R	•
M	CRITICAL CARE START TIME	R	•
M	CRITICAL CARE UNIT FUNCTION	R	•

CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC DAILY CARE - Activity Characteristics To carry the details of the Paediatric Critical Care Activity. Up to 999 daily occurrences per Critical Care Period are supported.
M	ACTIVITY DATE (CRITICAL CARE)	R	•
M	CRITICAL CARE ACTIVITY CODE (up to 20 Codes may be recorded per daily occurrence)	R	•
M	HIGH COST DRUGS (OPCS) (up to 20 Codes may be recorded per daily occurrence)	R	•

CDS DATA GROUP: CRITICAL CARE PERIOD - PAEDIATRIC CARE - Discharge Characteristics To carry the details of the Discharge from Paediatric Critical Care. One occurrence of this Group is permitted for each Critical Care Period.
M	CRITICAL CARE DISCHARGE DATE	R	•
M	CRITICAL CARE DISCHARGE TIME	R	•

CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE: To carry the details of the first 9 Critical Care Periods for Adult Critical Care. See CRITICAL CARE PERIOD Where there are multiple Critical Care Periods within the Consultant Episode then only the first 9 Critical Care Periods should be included. The Critical Care Period may overlap Consultant/ Midwife/ Nurse Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Consultant/ Midwife/ Nurse Episode. CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present. Support Days and Critical Care Level Days should only be entered when the Critical Care Period is finished and the CRITICAL CARE DISCHARGE DATE is entered. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.

CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Admission Characteristics To carry the details of the Admission to Adult Critical Care. One occurrence is permitted for each Critical Care Period recorded.
M	CRITICAL CARE LOCAL IDENTIFIER	R	•
M	CRITICAL CARE START DATE	R	•
O	CRITICAL CARE START TIME	R	•
M	CRITICAL CARE UNIT FUNCTION	R	•
O	CRITICAL CARE UNIT BED CONFIGURATION		•
O	CRITICAL CARE ADMISSION SOURCE		•
O	CRITICAL CARE SOURCE LOCATION		•
O	CRITICAL CARE ADMISSION TYPE		•

CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Activity Characteristics To carry the details of the Adult Critical Care Activity. Up to 9 occurrences are supported.
M	ADVANCED RESPIRATORY SUPPORT DAYS	•
M	BASIC RESPIRATORY SUPPORT DAYS	•
M	ADVANCED CARDIOVASCULAR SUPPORT DAYS	•
M	BASIC CARDIOVASCULAR SUPPORT DAYS	•
M	RENAL SUPPORT DAYS	•
M	NEUROLOGICAL SUPPORT DAYS	•
O	GASTRO-INTESTINAL SUPPORT DAYS	•
M	DERMATOLOGICAL SUPPORT DAYS	•
M	LIVER SUPPORT DAYS	•
O	ORGAN SUPPORT MAXIMUM	•
M	CRITICAL CARE LEVEL 2 DAYS	•
M	CRITICAL CARE LEVEL 3 DAYS	•

CDS DATA GROUP: CRITICAL CARE PERIOD - ADULT CARE - Discharge Characteristics To carry the details of the Discharge from Adult Critical Care. One occurrence of this Group is permitted.
M	CRITICAL CARE DISCHARGE DATE	R	•
M	CRITICAL CARE DISCHARGE TIME	R	•
O	CRITICAL CARE DISCHARGE READY DATE	R	•
O	CRITICAL CARE DISCHARGE READY TIME	R	•
O	CRITICAL CARE DISCHARGE STATUS	R	•
O	CRITICAL CARE DISCHARGE DESTINATION	R	•
O	CRITICAL CARE DISCHARGE LOCATION	R	•

CDS DATA GROUP: GP REGISTRATION: To carry the Patient's General Medical Practitioner and General Practice details. One occurrence of this Group is permitted.
O	GENERAL MEDICAL PRACTITIONER (SPECIFIED)	R	•
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)	R	•

CDS DATA GROUP: REFERRAL: To carry the details of the referrer. One occurrence of this Group is permitted.
M	REFERRER CODE	R	•
M	REFERRING ORGANISATION CODE	R	•

CDS DATA GROUP: ELECTIVE ADMISSION LIST: To carry the details of the Elective Admission List Entry. One occurrence of this Group is permitted.
M	DURATION OF ELECTIVE WAIT	R	•
M	INTENDED MANAGEMENT	R	•
M	DECIDED TO ADMIT DATE	R	•
O	EARLIEST REASONABLE OFFER DATE	R	•

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Activity Characteristics: To carry the details of the Healthcare Resource Group. One occurrence of this Group is permitted.
O	HEALTHCARE RESOURCE GROUP CODE		•
O	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER		•

CDS DATA GROUP: HEALTHCARE RESOURCE GROUP - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. One Procedure, either OPCS or READ, may be specified.
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE		•

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HES - CDS DATA ITEMS CROSS REFERENCED BY HES ITEM - TABLE 2

Change to Data Set: Changed Description

HES / CDS Data Elements cross referenced by HES Item - Table 2

CDS Type key:

G = General Episode
D = Delivery Episode
B = Birth Episode
PC = Detained and or Long Term Psychiatric Census
OD = Other Delivery
OB = Other Birth

• = Mandatory for this CDS Type
O = Optional for this CDS Type

HES Item	HES Name	CDS Data Element	CDS TYPE
			G	D	B	PC	OD	OB
ADMINISTRATIVE CATEGORY (on admission)	ADMINCAT	ADMINISTRATIVE CATEGORY (on admission)	•	•	•	•
ADMISSION METHOD (HOSPITAL PROVIDER SPELL)	ADMIMETH	ADMISSION METHOD (HOSPITAL PROVIDER SPELL)	•	•	•	•
AGE AT CENSUS	CENSAGE	AGE AT CENSUS				•
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY	DELPREAN	ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY		•	•		•	•
ANAESTHETIC GIVEN POST LABOUR OR DELIVERY	DELPOSAN	ANAESTHETIC GIVEN POST LABOUR OR DELIVERY		•	•		•	•
~~AUGMENTED CARE LOCAL IDENTIFIER~~	~~APLOCID~~	~~AUGMENTED CARE PERIOD LOCAL IDENTIFIER~~	O	O	O
AUGMENTED CARE LOCAL IDENTIFIER	ACPLOCID	AUGMENTED CARE PERIOD LOCAL IDENTIFIER	O	O	O
AUGMENTED CARE LOCATION	ACPLOC	AUGMENTED CARE LOCATION	•	•	•
AUGMENTED CARE OUTCOME INDICATOR	ACPOUT	AUGMENTED CARE OUTCOME INDICATOR	•	•	•
AUGMENTED CARE PERIOD DISPOSAL	ACPDISP	AUGMENTED CARE PERIOD DISPOSAL	•	•	•
AUGMENTED CARE PERIOD NUMBER	ACPN	AUGMENTED CARE PERIOD NUMBER	•	•	•
AUGMENTED CARE PERIOD SOURCE	ACPSOUR	AUGMENTED CARE PERIOD SOURCE	•	•	•
AUGMENTED CARE PLANNED INDICATOR	ACPPLAN	AUGMENTED CARE PLANNED INDICATOR	•	•	•
BIRTH DATE	DOB	BIRTH DATE	•	•	•	•	•	•
BIRTH DATE (BABY)	DOBBABY	BIRTH DATE (BABY)		•			•
BIRTH DATE (MOTHER)	MOTDOB	BIRTH DATE (MOTHER)			•			•
BIRTH ORDER	BIRORDER	BIRTH ORDER		•	•		•	•
BIRTH WEIGHT	BIRWEIT	BIRTH WEIGHT		•	•		•	•
CARER SUPPORT INDICATOR	CARERSI	CARER SUPPORT INDICATOR	O		O	O
CATEGORY OF PATIENT	CATEGORY	Not in CDS
CODE OF GP PRACTICE (REGISTERED GMP)	GPPRAC	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)	O	O	O	O	O	O
COMMISSIONING SERIAL NUMBER	CSNUM	COMMISSIONING SERIAL NUMBER	•	•	•	•	•	•
CONSULTANT CODE	CONSULT	CONSULTANT CODE	•	•	•	•
DATE DETENTION COMMENCED	DETNDATE	DATE DETENTION COMMENCED				•
DECIDED TO ADMIT DATE	ELECDATE	DECIDED TO ADMIT DATE (for this provider)	•			•
DELIVERY METHOD	DELMETH	DELIVERY METHOD		•	•		•	•
DELIVERY PLACE CHANGE REASON	DELCHANG	DELIVERY PLACE CHANGE REASON		•	•		•	•
DELIVERY PLACE TYPE (ACTUAL)	DELPLACE	DELIVERY PLACE TYPE (ACTUAL)		•	•		•	•
DELIVERY PLACE TYPE (INTENDED)	DELINTEN	DELIVERY PLACE TYPE (INTENDED)		•	•		•	•
DETAINED AND OR LONG TERM PSYCHIATRIC CENSUS DATE	CENDATE	DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE				•
DISCHARGE DATE (HOSPITAL PROVIDER SPELL)	DISDATE	DISCHARGE DATE (HOSPITAL PROVIDER SPELL)	•	•	•
DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)	DISDEST	DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)	•	•	•
DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)	DISMETH	DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)	•	•	•
DURATION OF CARE TO PSYCHIATRIC CENSUS DATE	CENDUR	DURATION OF CARE TO PSYCHIATRIC CENSUS DATE				•
DURATION OF DETENTION	DETDUR	DURATION OF DETENTION				•
DURATION OF ELECTIVE WAIT	ELECDUR	DURATION OF ELECTIVE WAIT	•			•
END DATE (AUGMENTED CARE PERIOD)	ACPEND	END DATE (AUGMENTED CARE PERIOD)	•	•	•
END DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE)	EPIEND	END DATE (EPISODE)	•	•	•
EPISODE NUMBER	EPIORDER	EPISODE NUMBER	•	•	•	•
EPISODE STATUS	EPISTAT	Not in CDS
EPISODE TYPE	EPITYPE	Not in CDS
ETHNIC CATEGORY	ETHNOS	ETHNIC CATEGORY	•	•	O	•	•	O
FIRST ANTENATAL ASSESSMENT DATE	ANASDATE	FIRST ANTENATAL ASSESSMENT DATE		•	•		•	•
FIRST REGULAR DAY OR NIGHT ADMISSION	FIRSTREG	FIRST REGULAR DAY OR NIGHT ADMISSION	•
GESTATION LENGTH	GESTAT	GESTATION LENGTH		•	•		•	•
GMP (CODE OF REGISTERED OR REFERRING GMP)	REGGMP	GENERAL MEDICAL PRACTITIONER (SPECIFIED)	•	•	•	•	•	•
HEALTHCARE RESOURCE GROUP CODE	HRGNHS	HEALTHCARE RESOURCE GROUP CODE	•	•	•	•
HEALTHCARE RESOURCE GROUP CODE - VERSION NUMBER	HRGNHSVN	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER	•	•	•	•
HIGH DEPENDENCY CARE LEVEL DAYS	DEPDAYS	HIGH DEPENDENCY CARE LEVEL DAYS	•	•	•
HOSPITAL PROVIDER SPELL NUMBER	PROVSPNO	HOSPITAL PROVIDER SPELL NUMBER	•	•	•	•
HRG DOMINANT GROUPING VARIABLE - PROCEDURE	DOMPROC	HRG DOMINANT GROUPING VARIABLE-PROCEDURE	O	O	O	O
INTENDED MANAGEMENT	INTMANIG	INTENDED MANAGEMENT	•			•
INTENSIVE CARE LEVEL DAYS	INTDAYS	INTENSIVE CARE LEVEL DAYS	•	•	•
LABOUR OR DELIVERY ONSET METHOD	DELONSET	LABOUR OR DELIVERY ONSET METHOD		•	•		•	•
LAST EPISODE IN SPELL INDICATOR	SPELEND	LAST EPISODE IN SPELL INDICATOR	•	•	•
LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)	LEGLSTAT	LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)				•
LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)	LEGLCAT	LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)	•	•		•
LIVE OR STILL BIRTH	BIRSTATE	LIVE OR STILL BIRTH		•	•		•	•
LOCAL PATIENT IDENTIFIER	LOPATID	LOCAL PATIENT IDENTIFIER	•	•	•	•	•	•
MAIN SPECIALTY CODE	MAINSPEF	MAIN SPECIALTY CODE	•	•	•	•
MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD)	ACPSPEF	MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD)	•	•	•
MARITAL STATUS	MARSTAT	MARITAL STATUS	•	•		•	•
MENTAL CATEGORY	MENTCAT	MENTAL CATEGORY				•
NEONATAL LEVEL OF CARE	NEOCARE	NEONATAL LEVEL OF CARE	•		•
NHS NUMBER	NEWNHSNO	NHS NUMBER	•	•	O	O	•	O
NHS NUMBER STATUS INDICATOR	NHSNOIND	NHS NUMBER STATUS INDICATOR	•	•	•	•	•	•
NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE	NUMACP	NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE	•	•	•
NUMBER OF BABIES	NUMBABY	NUMBER OF BABIES		•	•		•	•
NUMBER OF ORGAN SYSTEMS SUPPORTED (for intensive care level only)	ORGSUP	NUMBER OF ORGAN SYSTEMS SUPPORTED	•	•	•
~~OPERATION (OPCS-4)~~	~~OPERATN2~~ ~~- OPERATN12~~	~~PROCEDURE (OPCS)~~	•	•	•
OPERATION (OPCS-4)	OPERTN2 - OPERTN12	PROCEDURE (OPCS)	•	•	•
OPERATION STATUS (per episode)	OPERSTAT	OPERATION STATUS (per episode)	•	•	•
ORGANISATION CODE (CODE OF COMMISSIONER)	PURCODE	ORGANISATION CODE (CODE OF COMMISSIONER)	•	•	•	•	•	•
ORGANISATION CODE (CODE OF PROVIDER)	PROCODE	ORGANISATION CODE (CODE OF PROVIDER)	•	•	•	•	•	•
ORGANISATION CODE (PCT OF RESIDENCE)	PCTR	ORGANISATION CODE (PCT OF RESIDENCE)	•	•	•	•	•	•
PATIENT CLASSIFICATION	CLASSPAT	PATIENT CLASSIFICATION	•	•	•	•
POSTCODE OF USUAL ADDRESS	HOMEADD	POSTCODE OF USUAL ADDRESS	•	•	•	•	•	•
PREGNANCY TOTAL PREVIOUS PREGNANCIES	NUMPREG	PREGNANCY TOTAL PREVIOUS PREGNANCIES		•			•
PRIMARY (ICD-10)	CENDIAG1	PRIMARY DIAGNOSIS (ICD)				•
PRIMARY (ICD-10)	DIAG_1	PRIMARY DIAGNOSIS (ICD)	•	•	•
~~PRIMARY OPERATION (OPCS-4)~~	~~OPERATN1~~	~~PRIMARY OPERATION (OPCS-4)~~	•	•	•
PRIMARY OPERATION (OPCS-4)	OPERTN1	PRIMARY OPERATION (OPCS-4)	•	•	•
PRIMARY PROCEDURE DATE	OPDATE1	PROCEDURE DATE	•	•	•
PSYCHIATRIC PATIENT STATUS	ADMISTAT	PSYCHIATRIC PATIENT STATUS	•	•		•
RECORD TYPE	RECTYPE	Not in CDS
REFERRER CODE	REFERRER	REFERRER CODE	•	•	•	•
REFERRING ORGANISATION CODE	REFERORG	REFERRING ORGANISATION CODE	•	•	•	•
~~RESUCITATION METHOD~~	~~BIRRESUS~~	~~RESUSCITATION METHOD~~		•	•		•	•
RESUSCITATION METHOD	BIRRESUS	RESUSCITATION METHOD		•	•		•	•
SECOND - TWELFTH OPERATION DATE	OPDATE2 - OPDATE 12	PROCEDURE DATE	•	•	•
SECONDARY (ICD-10)	CENDIAG3 - CENDIAG14	SECONDARY DIAGNOSIS (ICD)				•
SECONDARY (ICD-10)	DIAG_3 - DIAG_14	SECONDARY DIAGNOSIS (ICD)	•	•	•
SEX	SEX	SEX	•	•	•	•	•	•
SEX (BABY)	SEXBABY	SEX (BABY)		•			•
SITE CODE (OF TREATMENT) (at start of episode)	SITETRET	SITE CODE (OF TREATMENT)	•	•	•	•
SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)	ADMISORC	SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)	•	•	•	•
START DATE (AUGMENTED CARE PERIOD)	ACPSTAR	START DATE (AUGMENTED CARE PERIOD)	•	•	•
START DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE)	EPISTART	START DATE (EPISODE)	•	•	•	•
START DATE (HOSPITAL PROVIDER SPELL)	ADMIDATE	START DATE (HOSPITAL PROVIDER SPELL)	•	•	•	•
STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS	CENSAT	STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS				•
STATUS OF PERSON CONDUCTING DELIVERY	DELSTAT	STATUS OF PERSON CONDUCTING DELIVERY		•	•		•	•
TREATMENT FUNCTION CODE	TRETSPEF	TREATMENT FUNCTION CODE	•	•	•	•
WARD TYPE AT PSYCHIATRIC CENSUS DATE	CENWARD	Not in CDS
WARD TYPE AT START OF EPISODE	WARDSTRT	Not in CDS

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HES - CDS DATA ITEMS CROSS REFERENCED BY HES NAME - TABLE 1

Change to Data Set: Changed Description

HES / CDS Data Elements cross referenced by HES Name - Table 1

CDS Type key:

G = General Episode
D = Delivery Episode
B = Birth Episode
PC = Detained and or Long Term Psychiatric Census
OD = Other Delivery
OB = Other Birth

• = Mandatory for this CDS Type
O = Optional for this CDS Type

HES Name	HES Item	CDS Data Element	CDS TYPE
			G	D	B	PC	OD	OB
ACPDISP	AUGMENTED CARE PERIOD DISPOSAL	AUGMENTED CARE PERIOD DISPOSAL	•	•	•
ACPEND	END DATE (AUGMENTED CARE PERIOD)	END DATE (AUGMENTED CARE PERIOD)	•	•	•
ACPLOC	AUGMENTED CARE LOCATION	AUGMENTED CARE LOCATION	•	•	•
ACPLOCID	AUGMENTED CARE LOCAL IDENTIFIER	AUGMENTED CARE PERIOD LOCAL IDENTIFIER	O	O	O
ACPN	AUGMENTED CARE PERIOD NUMBER	AUGMENTED CARE PERIOD NUMBER	•	•	•
ACPOUT	AUGMENTED CARE OUTCOME INDICATOR	AUGMENTED CARE OUTCOME INDICATOR	•	•	•
ACPPLAN	AUGMENTED CARE PLANNED INDICATOR	AUGMENTED CARE PLANNED INDICATOR	•	•	•
ACPSOUR	AUGMENTED CARE PERIOD SOURCE	AUGMENTED CARE PERIOD SOURCE	•	•	•
ACPSPEF	MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD)	MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD)	•	•	•
ACPSTAR	START DATE (AUGMENTED CARE PERIOD)	START DATE (AUGMENTED CARE PERIOD)	•	•	•
ADMIDATE	START DATE (HOSPITAL PROVIDER SPELL)	START DATE (HOSPITAL PROVIDER SPELL)	•	•	•	•
ADMIMETH	ADMISSION METHOD (HOSPITAL PROVIDER SPELL	ADMISSION METHOD (HOSPITAL PROVIDER SPELL)	•	•	•	•
ADMINCAT	ADMINISTRATIVE CATEGORY (on admission)	ADMINISTRATIVE CATEGORY (on admission)	•	•	•	•
ADMISORC	SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)	SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)	•	•	•	•
ADMISTAT	PSYCHIATRIC PATIENT STATUS	PSYCHIATRIC PATIENT STATUS	•	•		•
ANASDATE	FIRST ANTENATAL ASSESSMENT DATE	FIRST ANTENATAL ASSESSMENT DATE		•	•		•	•
~~APLOCID~~	~~AUGMENTED CARE LOCAL IDENTIFIER~~	~~AUGMENTED CARE PERIOD LOCAL IDENTIFIER~~	O	O	O
BIRORDER	BIRTH ORDER	BIRTH ORDER		•	•		•	•
BIRRESUS	RESUSCITATION METHOD	RESUSCITATION METHOD		•	•		•	•
BIRSTATE	LIVE OR STILL BIRTH	LIVE OR STILL BIRTH		•	•		•	•
BIRWEIT	BIRTH WEIGHT	BIRTH WEIGHT		•	•		•	•
CATEGORY	CATEGORY OF PATIENT	Not in CDS
CARERSI	CARER SUPPORT INDICATOR	CARER SUPPORT INDICATOR	O		O	O
CENDATE	DETAINED AND OR LONG TERM PSYCHIATRIC CENSUS DATE	DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE				•
CENDIAG1	PRIMARY (ICD-10)	PRIMARY DIAGNOSIS (ICD)				•
CENDIAG3 – CENDIAG14	SECONDARY (ICD-10)	SECONDARY DIAGNOSIS (ICD)				•
CENDUR	DURATION OF CARE TO PSYCHIATRIC CENSUS DATE	DURATION OF CARE TO PSYCHIATRIC CENSUS DATE				•
CENSAGE	AGE AT CENSUS	AGE AT CENSUS				•
CENSAT	STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS	STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS				•
CENWARD	WARD TYPE AT PSYCHIATRIC CENSUS DATE	Not in CDS				•
CLASSPAT	PATIENT CLASSIFICATION	PATIENT CLASSIFICATION	•	•	•	•
CONSULT	CONSULTANT CODE	CONSULTANT CODE	•	•	•	•
CSNUM	COMMISSIONING SERIAL NUMBER	COMMISSIONING SERIAL NUMBER	•	•	•	•	•	•
DELCHANG	DELIVERY PLACE CHANGE REASON	DELIVERY PLACE CHANGE REASON		•	•		•	•
DELINTEN	DELIVERY PLACE TYPE (INTENDED)	DELIVERY PLACE TYPE (INTENDED)		•	•		•	•
DELMETH	DELIVERY METHOD	DELIVERY METHOD		•	•		•	•
DELONSET	LABOUR OR DELIVERY ONSET METHOD	LABOUR OR DELIVERY ONSET METHOD		•	•		•	•
DELPLACE	DELIVERY PLACE TYPE (ACTUAL)	DELIVERY PLACE TYPE (ACTUAL)		•	•		•	•
DELPOSAN	ANAESTHETIC GIVEN POST LABOUR OR DELIVERY	ANAESTHETIC GIVEN POST LABOUR OR DELIVERY		•	•		•	•
DELSTAT	STATUS OF PERSON CONDUCTING DELIVERY	STATUS OF PERSON CONDUCTING DELIVERY		•	•		•	•
DEPDAYS	HIGH DEPENDENCY CARE LEVEL DAYS	HIGH DEPENDENCY CARE LEVEL DAYS	•	•	•
DELPREAN	ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY	ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY		•	•		•	•
DETDUR	DURATION OF DETENTION	DURATION OF DETENTION				•
DETNDATE	DATE DETENTION COMMENCED	DATE DETENTION COMMENCED				•
DIAG_1	PRIMARY (ICD-10)	PRIMARY (ICD-10)	•	•	•
DIAG_3 - DIAG_14	SECONDARY (ICD-10)	SECONDARY DIAGNOSIS (ICD)	•	•	•
DISDATE	DISCHARGE DATE (HOSPITAL PROVIDER SPELL)	DISCHARGE DATE (HOSPITAL PROVIDER SPELL)	•	•	•
DISDEST	DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)	DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)	•	•	•
DISMETH	DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)	DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)	•	•	•
DOB	BIRTH DATE	BIRTH DATE	•	•	•	•	•	•
DOBBABY	BIRTH DATE (BABY)	BIRTH DATE (BABY)		•			•
DOMPROC	HRG DOMINANT GROUPING VARIABLE - PROCEDURE	HRG DOMINANT GROUPING VARIABLE-PROCEDURE	O	O	O	O
ELECDATE	DECIDED TO ADMIT DATE	DECIDED TO ADMIT DATE (for this provider)	•			•
ELECDUR	DURATION OF ELECTIVE WAIT	DURATION OF ELECTIVE WAIT	•			•
EPIEND	END DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE)	END DATE (EPISODE)	•	•	•
EPIORDER	EPISODE NUMBER	EPISODE NUMBER	•	•	•	•
EPISTART	START DATE (CONSULTANT, NURSE OR MIDWIFE EPISODE)	START DATE (EPISODE),	•	•	•	•
EPISTAT	EPISODE STATUS	Not in CDS
EPITYPE	EPISODE TYPE	Not in CDS
ETHNOS	ETHNIC CATEGORY	ETHNIC CATEGORY	•	•	O	•	•	O
FIRSTREG	FIRST REGULAR DAY OR NIGHT ADMISSION	FIRST REGULAR DAY OR NIGHT ADMISSION	•
GESTAT	GESTATION LENGTH	GESTATION LENGTH		•	•		•	•
GPPRAC	CODE OF GP PRACTICE (REGISTERED GMP)	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)	O	O	O	O	O	O
HOMEADD	POSTCODE OF USUAL ADDRESS	POSTCODE OF USUAL ADDRESS	•	•	•	•	•	•
HRGNHS	HEALTHCARE RESOURCE GROUP CODE	HEALTHCARE RESOURCE GROUP CODE	•	•	•	•
HRGNHSVN	HEALTHCARE RESOURCE GROUP CODE - VERSION NUMBER	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER	•	•	•	•
INTDAYS	INTENSIVE CARE LEVEL DAYS	INTENSIVE CARE LEVEL DAYS	•	•	•
INTMANIG	INTENDED MANAGEMENT	INTENDED MANAGEMENT	•			•
LEGLCAT	LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)	LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)	•	•		•
LEGLSTAT	LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)	LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)				•
LOPATID	LOCAL PATIENT IDENTIFIER	LOCAL PATIENT IDENTIFIER	•	•	•	•	•	•
MAINSPEF	MAIN SPECIALTY CODE	MAIN SPECIALTY CODE	•	•	•	•
MARSTAT	MARITAL STATUS	MARITAL STATUS	•	•		•	•
MENTCAT	MENTAL CATEGORY	MENTAL CATEGORY				•
MOTDOB	BIRTH DATE (MOTHER)	BIRTH DATE (MOTHER)			•			•
NEOCARE	NEONATAL LEVEL OF CARE	NEONATAL LEVEL OF CARE	•		•
NEWNHSNO	NHS NUMBER	NHS NUMBER	•	•	O	•	O	O
NHSNOIND	NHS NUMBER STATUS INDICATOR	NHS NUMBER STATUS INDICATOR	•	•	•	•	•	•
NUMACP	NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE	NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE	•	•	•
NUMBABY	NUMBER OF BABIES	NUMBER OF BABIES		•	•		•	•
NUMPREG	PREGNANCY TOTAL PREVIOUS PREGNANCIES	PREGNANCY TOTAL PREVIOUS PREGNANCIES		•			•
OPDATE1	PRIMARY PROCEDURE DATE	PROCEDURE DATE	•	•	•
OPDATE2 OPDATE 12	SECOND - TWELFTH OPERATION DATE	PROCEDURE DATE	•	•	•
~~OPERATN1~~	~~PRIMARY OPERATION (OPCS-4)~~	~~PRIMARY PROCEDURE (OPCS)~~	•	•	•
~~OPERATN2~~ ~~- OPERATN12~~	~~OPERATION (OPCS-4)~~	~~PROCEDURE (OPCS)~~	•	•	•
OPERTN1	PRIMARY OPERATION (OPCS-4)	PRIMARY PROCEDURE (OPCS)	•	•	•
OPERTN2 - OPERTN12	OPERATION (OPCS-4)	PROCEDURE (OPCS)	•	•	•
OPERSTAT	OPERATION STATUS (per episode)	OPERATION STATUS (per episode)	•	•	•
ORGSUP	NUMBER OF ORGAN SYSTEMS SUPPORTED (for intensive care level only)	NUMBER OF ORGAN SYSTEMS SUPPORTED (for intensive care level only)	•	•	•
PCTR	ORGANISATION CODE (PCT OF RESIDENCE)	ORGANISATION CODE (PCT OF RESIDENCE)	•	•	•	•	•	•
PROCODE	ORGANISATION CODE (CODE OF PROVIDER)	ORGANISATION CODE (CODE OF PROVIDER)	•	•	•	•	•	•
PROVSPNO	HOSPITAL PROVIDER SPELL NUMBER	HOSPITAL PROVIDER SPELL NUMBER	•	•	•	•
PURCODE	ORGANISATION CODE (CODE OF COMMISSIONER)	ORGANISATION CODE (CODE OF COMMISSIONER)	•	•	•	•	•	•
RECTYPE	RECORD TYPE	Not in CDS
REFERORG	REFERRING ORGANISATION CODE	REFERRING ORGANISATION CODE	•	•	•	•
REFERRER	REFERRER CODE	REFERRER CODE	•	•	•	•
REGGMP	GMP (CODE OF REGISTERED OR REFERRING GMP)	GENERAL MEDICAL PRACTITIONER (SPECIFIED)	•	•	•	•	•	•
SEX	SEX	SEX	•	•	•	•	•	•
SEXBABY	SEX (BABY)	SEX (BABY)		•			•
SITETRET	SITE CODE (OF TREATMENT) (at start of episode)	SITE CODE (OF TREATMENT) (at start of episode)	•	•	•	•
SPELEND	LAST EPISODE IN SPELL INDICATOR	LAST EPISODE IN SPELL INDICATOR	•	•	•
TRETSPEF	TREATMENT FUNCTION CODE	TREATMENT FUNCTION CODE	•	•	•	•
WARDSTRT	WARD TYPE AT START OF EPISODE	Not in CDS

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MENTAL HEALTH CARE WITHOUT PATIENT CONSENT renamed from MHC WITHOUT PATIENT CONSENT

Change to Supporting Information: Changed Name, Aliases

Changed Name from Data_Dictionary.NHS_Business_Definitions.M.MHC_Without_Patient_Consent to Data_Dictionary.NHS_Business_Definitions.M.Mental_Health_Care_Without_Patient_Consent
Alias Changes
Name Old Value New Value
plural MHC Without Patients Consent Mental Health Care Without Patients Consent

Name	Old Value	New Value
plural	MHC Without Patients Consent	Mental Health Care Without Patients Consent

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PUBLICATION INFORMATION CONTACT DETAILS

Change to Supporting Information: Changed Description

General Enquiries about the NHS Data Model and Dictionary:
NHS Data Model and Dictionary Service
NHS Connecting for Health
Princes Exchange
Princes Square
Leeds
LS1 4HY
Email: datastandards@nhs.net
NHS Data Model and Dictionary Service Website: http://www.connectingforhealth.nhs.uk/systemsandservices/data/datamodeldictionary
Information Standards Board for Health and Social Care:
Information Standards Board for Health and Social Care
Princes Exchange
Princes Square
Leeds
LS1 4HY
~~Internet:~~ ~~http://www.isb.nhs.uk/~~
~~Hospital Episode Statistics~~ ~~(HES):~~
~~Website:~~ ~~HES online~~
~~Queries:~~ ~~HES queries~~
~~Clinical Coding general enquiries:~~
~~International Classification of Diseases (ICD-10);~~
~~OPCS-4 Classification of Interventions and Procedures;~~
~~Clinical Terms (The Read Codes);~~
~~SNOMED CT (Systematised Nomenclature of Medicine Clinical Terms)~~
~~For all general enquiries, contact:~~
~~NHS Connecting for Health~~
~~Data Standards and Products Help Desk~~
~~E-mail:~~ ~~datastandards@nhs.net~~
~~Website:~~ ~~http://www.connectingforhealth.nhs.uk/systemsandservices/data/clinicalcoding/~~
- ~~Electronic copies of~~ ~~International Classification of Diseases (ICD-10)~~ ~~Volumes 1, 2 and 3~~
  - ~~The ICD-10 metadata file and its specification;~~
  - ~~The ICD-10 Codes and Titles (on diskette);~~
  - ~~The ICD-10 Tables of Equivalence (on diskette);~~
- ~~OPCS-4 Classification of Interventions and~~ ~~Procedures~~;
  - ~~OPCS-4 Codes and Titles;~~
  - ~~OPCS-4 metadata file;~~
  - ~~OPCS-4 Tables of Coding Equivalence;~~
  - ~~Electronic format of Index and Tabular List of OPCS-4;~~
- ~~Clinical Terms (The Read Codes)~~ ~~and~~ ~~SNOMED CT® (Systematised Nomenclature of Medicine Clinical Terms)~~ ~~are released to licensees every six months (March and September) via the Terminology Reference Data Update Distribution Service (TRUD).~~
  ~~Information on the Terminology Reference Data Update Distribution Service (TRUD) can be found at:~~ ~~https://www.uktcregistration.nss.cfh.nhs.uk/trud/~~
  ~~Hard copy versions of ICD-10 and the Tabular List of OPCS-4 are available from The Stationery Office (formerly HMSO).~~
~~Organisation Data Service~~ ~~Queries:~~
~~Organisation Data Service~~
~~Hexagon House~~
~~Pynes Hill~~
~~Rydon Lane~~
~~Exeter~~
~~Devon EX2 5SE~~
~~exeter.helpdesk@nhs.net~~
~~Tel: 01392 251 289~~
~~Organisation Data Service~~ ~~website pages:~~
- ~~NHSnet pages where data is published:~~ ~~http://nww.connectingforhealth.nhs.uk/ods/~~
- ~~Public domain pages:~~ ~~http://www.nhs.uk/ods/~~
- ~~Information pages on the NHS Connecting for Health website:~~
  ~~http://www.connectingforhealth.nhs.uk/systemsandservices/data/standards/ods/index_html~~
~~Information on the Terminology Reference Data Update Distribution Service can be found at:~~ ~~https://www.uktcregistration.nss.cfh.nhs.uk/trud/~~
~~Postcodes:~~
~~Postcode and Geographic Area Queries~~
~~All Fields Postcode Directory~~
~~Areas of Residence Classification~~
~~NHS Organisation Manual~~
~~1991 Frozen Postcode File~~
~~Communal Establishment File~~
~~Office for National Statistics~~ ~~Geography Customer Services Unit~~
~~Office for National Statistics~~
~~Segensworth Road~~
~~Titchfield~~
~~Fareham~~
~~Hants~~
~~PO15 5RR~~
~~Tel: 01329 813243 or 813477~~
~~Fax: 01329 813383~~
~~e-mail:~~ ~~ons.geography@ons.gov.uk~~
~~Internet:~~ ~~http://www.statistics.gov.uk~~
Internet: http://www.isb.nhs.uk/
Hospital Episode Statistics (HES):
Website: HES online
Queries: HES queries
Clinical Coding general enquiries:
International Classification of Diseases (ICD-10);
OPCS-4 Classification of Interventions and Procedures;
Clinical Terms (The Read Codes);
SNOMED CT (Systematised Nomenclature of Medicine Clinical Terms)
For all general enquiries, contact:
NHS Connecting for Health
Data Standards and Products Help Desk
E-mail: datastandards@nhs.net
Website: http://www.connectingforhealth.nhs.uk/systemsandservices/data/clinicalcoding/
- Electronic copies of International Classification of Diseases (ICD-10) Volumes 1, 2 and 3
  - The ICD-10 metadata file and its specification;
  - The ICD-10 Codes and Titles (on diskette);
  - The ICD-10 Tables of Equivalence (on diskette);
- OPCS-4 Classification of Interventions and Procedures;
  - OPCS-4 Codes and Titles;
  - OPCS-4 metadata file;
  - OPCS-4 Tables of Coding Equivalence;
  - Electronic format of Index and Tabular List of OPCS-4;
- Clinical Terms (The Read Codes) and SNOMED CT® (Systematised Nomenclature of Medicine Clinical Terms) are released to licensees every six months (March and September) via the Terminology Reference Data Update Distribution Service (TRUD).
  Information on the Terminology Reference Data Update Distribution Service (TRUD) can be found at: https://www.uktcregistration.nss.cfh.nhs.uk/trud/
  Hard copy versions of ICD-10 and the Tabular List of OPCS-4 are available from The Stationery Office (formerly HMSO).
Organisation Data Service Queries:
Organisation Data Service
Hexagon House
Pynes Hill
Rydon Lane
Exeter
Devon EX2 5SE
exeter.helpdesk@nhs.net
Tel: 01392 251 289
Organisation Data Service website pages:
- NHSnet pages where data is published: http://nww.connectingforhealth.nhs.uk/ods/
- Public domain pages: http://www.nhs.uk/ods/
- Information pages on the NHS Connecting for Health website:
  http://www.connectingforhealth.nhs.uk/systemsandservices/data/standards/ods/index_html
Information on the Terminology Reference Data Update Distribution Service can be found at: https://www.uktcregistration.nss.cfh.nhs.uk/trud/
Postcodes:
Postcode and Geographic Area Queries
All Fields Postcode Directory
Areas of Residence Classification
NHS Organisation Manual
1991 Frozen Postcode File
Communal Establishment File
Office for National Statistics Geography Customer Services Unit
Office for National Statistics
Segensworth Road
Titchfield
Fareham
Hants
PO15 5RR
Tel: 01329 813243 or 813477
Fax: 01329 813383
e-mail: ons.geography@ons.gov.uk
Internet: http://www.statistics.gov.uk

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WHAT'S NEW: SEPTEMBER 2009

Change to Supporting Information: Changed Description

Release: September 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR1065 (1 October 2009) -~~ ~~DSCN 15/2009~~ ~~Data Standards: Organisation Data Service – Local Health Boards~~
CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service – Local Health Boards

Release: June 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR1014 (1 June 2009) -~~ ~~DSCN 13/2009~~ ~~Religious and Other Belief System Affiliation~~
~~CR1074 (Immediate) -~~ ~~DSCN 12/2009~~ ~~Data Standards: Care Quality Commission~~
~~CR1056 (Immediate) -~~ ~~DSCN 11/2009~~ ~~Data Standards: NHS Data Model and Dictionary Maintenance Update~~
~~CR1072 (1 December 2009) -~~ ~~DSCN 10/2009~~ ~~Data Standards: National Radiotherapy Data Set~~
~~CR1073 (Immediate) -~~ ~~DSCN 09/2009~~ ~~Central Returns: Diagnostic Waiting Times and Activity Data Set~~
~~CR1066 (Immediate) -~~ ~~DSCN 08/2009~~ ~~Data Standards: NHS Prescription Services and NHS Dental Services~~
~~CR1047 (1 April 2011) -~~ ~~DSCN 07/2009~~ ~~Data Standards: Diabetic Retinopathy Screening Dataset v3.6~~
~~CR1059 (Immediate) -~~ ~~DSCN 06/2009~~ ~~Data Standard: National Workforce Data Set v2.1~~
~~CR914 (April 2008 (Retrospective)) -~~ ~~DSCN 05/2009~~ ~~NHS Stop Smoking Services Quarterly Monitoring Return~~
~~CR899 (Immediate) -~~ ~~DSCN 02/2009~~ ~~NHS Data Model and Dictionary Maintenance Update~~
CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
CR1047 (1 April 2011) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6
CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update

Release: March 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR1001 (1 April 2009) -~~ ~~DSCN 03/2009~~ ~~Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)~~
~~CR1017 (1 April 2009) -~~ ~~DSCN 25/2008~~ ~~Critical Care Minimum Data Set~~
~~CR1002 (1 April 2009) -~~ ~~DSCN 24/2008~~ ~~Data Standards: Introduction of Commissioning Dataset Version 6.1~~
~~CR1016 (Immediate) -~~ ~~DSCN 23/2008~~ ~~4 Byte Version of the Read Codes - Withdrawal~~
CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

Release: December 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR1022 (1 January 2009) -~~ ~~DSCN 29/2008~~ ~~Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing~~
~~CR901 (Immediate) -~~ ~~DSCN 28/2008~~ ~~Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS)~~
~~CR843 (1 April 2009) -~~ ~~DSCN 22/2008~~ ~~Data Standards: National Radiotherapy Data Set~~
~~CR1011 (1 January 2009) -~~ ~~DSCN 20/2008~~ ~~Data Standards: National Cancer Waiting Times Minimum Data Set~~
CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS)
CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set

Release: November 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR1026 (3 November 2008) -~~ ~~DSCN 21/2008~~ ~~Information Standard: Mental Health Act 2007 Mental Category~~
CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR1018 (Immediate) -~~ ~~DSCN 19/2008~~ ~~Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)~~
~~CR956 (1 September 2008) -~~ ~~DSCN 18/2008~~ ~~Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset~~
~~CR861 (Immediate) -~~ ~~DSCN 16/2008~~ ~~Central Return: Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)~~
~~CR964 (Immediate) -~~ ~~DSCN 14/2008~~ ~~Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset~~
~~CR965 (Immediate) -~~ ~~DSCN 13/2008~~ ~~Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract~~
~~CR879 (Immediate) -~~ ~~DSCN 12/2008~~ ~~Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)~~
CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
CR861 (Immediate) - DSCN 16/2008 Central Return: Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR502 (Immediate) -~~ ~~DSCN 10/2008~~ ~~Data Standards: National Workforce Data Definitions (v2.0)~~
~~CR910 (1 April 2008) -~~ ~~DSCN 08/2008~~ ~~Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets~~
~~CR900 (Immediate) -~~ ~~DSCN 07/2008~~ ~~Data Standards: Inter-Provider Transfer Administrative Minimum Data Set~~
~~CR934 (1 April 2008) -~~ ~~DSCN 06/2008~~ ~~Data Standards: Mental Health Minimum Data Set (version 3.0)~~
~~CR935 (Immediate) -~~ ~~DSCN 05/2008~~ ~~Data Standards: 18 Weeks Rules Suite~~
~~CR925 (1 September 2008) -~~ ~~DSCN 04/2008~~ ~~Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard~~
~~CR942 (1 June 2008) -~~ ~~DSCN 03/2008~~ ~~General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract~~
CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
CR942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract

Release: February 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR812 (Immediate) -~~ ~~DSCN 01/2008~~ ~~Central Return: Diagnostics Waiting Times Census Data Set~~
~~CR881 (31 December 2007) -~~ ~~DSCN 42/2007~~ ~~Central Return: Referral To Treatment Summary Patient Tracking List~~
~~CR904 (Immediate) -~~ ~~DSCN 41/2007~~ ~~Data Standards: Admission Intended Procedure Update~~
~~CR824 (1 February 2008) -~~ ~~DSCN 39/2007~~ ~~Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)~~
CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR919 (Immediate) -~~ ~~DSCN 38/2007~~ ~~Data Standards: Mental Health Minimum Data Set Schema~~
~~CR814 (1 April 2008) -~~ ~~DSCN 37/2007~~ ~~Data Standards: Introduction of Mental Health Minimum Data Set version 2.1~~
~~CR930 (31 December 2007) -~~ ~~DSCN 35/2007~~ ~~Data Standards: A correction to the version 6 Commissioning Data Set schema~~
~~CR834 (Immediate) -~~ ~~DSCN 34/2007~~ ~~Data Standards: Referral Request Received Date~~
~~CR875 (Immediate) -~~ ~~DSCN 33/2007~~ ~~Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs~~
~~CR880 (Immediate) -~~ ~~DSCN 29/2007~~ ~~Data Standards: Amendments to Doctor Index Number (DIN) Description~~
CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR845 (Immediate) -~~ ~~DSCN 28/2007~~ ~~Data Standards: Treatment Function Code (Referral to Treatment Period)~~
~~CR831 (1 October 2007) -~~ ~~DSCN 27/2007~~ ~~Data Standards: Update to Commissioning Data Set XML Schema v5~~
~~CR825 (1 October 2007) -~~ ~~DSCN 16/2007~~ ~~Data Standards: Source of Referral for Outpatients (18 Weeks)~~
CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR799 (31 December 2007) -~~ ~~DSCN 18/2007~~ ~~Data Standards: Introduction of Commissioning Data Set Version 6~~
~~CR833 (Immediate) -~~ ~~DSCN 17/2007~~ ~~Data Standards: Introduction of Commissioning Data Set validation table~~
~~CR801 (Immediate) -~~ ~~DSCN 15/2007~~ ~~Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return~~
CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR800 (31 December 2007) -~~ ~~DSCN 14/2007~~ ~~Commissioning Data Set Schema Version 6-0~~
~~CR856 (1 October 2007) -~~ ~~DSCN 13/2007~~ ~~Data Standards: Discharge Ready Date~~
~~CR869 (Immediate) -~~ ~~DSCN 12/2007~~ ~~Data Standards: Update to Clinical Coding Introduction~~
~~CR827 (1 October 2007) -~~ ~~DSCN 09/2007~~ ~~Data Standards: Earliest Reasonable Offer Date~~
~~CR817 (1 October 2007) -~~ ~~DSCN 08/2007~~ ~~Data Standards: Introduction of Age into Commissioning Data Sets~~
~~CR849 (May 2007) -~~ ~~DSCN 07/2007~~ ~~National Administrative Codes Service: Introduction of new identification codes for Dental Consultants~~
~~CR822 (Immediate) -~~ ~~DSCN 06/2007~~ ~~Data Standards: Update to Organisation Codes~~
~~CR850 (Immediate) -~~ ~~DSCN 05/2007~~ ~~National Administrative Codes Service: Amendments to Default Codes~~
~~CR786 (1 April 2007) -~~ ~~DSCN 04/2007~~ ~~Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return~~
CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR811 (Immediate) -~~ ~~DSCN 03/2007~~ ~~Diagnostic Waiting Times and Activity~~
~~CR826 (1 October 2007) -~~ ~~DSCN 02/2007~~ ~~Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods~~
~~CR813 (1 April 2007) -~~ ~~DSCN 01/2007~~ ~~Paediatric Critical Care Minimum Data Set~~
~~CR768 (1 January 2007) -~~ ~~DSCN 18/2006~~ ~~Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods~~
~~CR798 (6 November 2006) -~~ ~~DSCN 19/2006~~ ~~Commissioning Data Set (CDS) Version 5 XML Message Schema~~
~~CR776 (1 October 2006) -~~ ~~DSCN 05/2006~~ ~~Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes~~
CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
CR776 (1 October 2006) - DSCN 05/2006 Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes

Release: September 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR795 (31 October 2006) -~~ ~~DSCN 22/2006~~ ~~Organisation Codes / Organisation Site Codes~~
~~CR792 (1 April 2007) -~~ ~~DSCN 15/2006~~ ~~Neonatal Critical Care~~
~~CR719 (1 April 2006) -~~ ~~DSCN 09/2006~~ ~~Measuring and Recording of Waiting Times~~
~~CR791 (1 April 2007) -~~ ~~DSCN 13/2006~~ ~~Priority Type~~
~~CR774 (1 September 2006) -~~ ~~DSCN 12/2006~~ ~~Person Marital Status~~
CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
CR791 (1 April 2007) - DSCN 13/2006 Priority Type
CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR764 (1 April 2006) -~~ ~~DSCN 08/2006~~ ~~Diagnostics waiting times and activity~~
CR764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
Correction to menu structure to include Critical Care Minimum Data Set

Release: April 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR608 (1 October 2006) -~~ ~~DSCN 07/2006~~ ~~Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.~~
~~CR756 (1 September 2005) -~~ ~~DSCN 19/2005~~ ~~PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors~~
~~CR724 (1 April 2006) -~~ ~~DSCN 13/2005~~ ~~Critical Care Minimum Data Set~~
~~CR754 (1 April 2006) -~~ ~~DSCN 17/2005~~ ~~Treatment Function and Main Specialty Code Revisions~~
~~CR763 (1 April 2006) -~~ ~~DSCN 20/2005~~ ~~New Treatment Functions for therapy services and anticoagulant service~~
~~CR767 (Immediate) -~~ ~~DSCN 02/2006~~ ~~Referral Request Received Date~~
~~CR690 (1 September 2005) -~~ ~~DSCN 16/2005~~ ~~Marital Status~~
CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
CR690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

~~CR555 (1 April 2005) -~~ ~~DSCN 11/2005~~ ~~Data Standards: COVER - Hepatitis B immunisation for babies~~
~~CR715 (Immediate) -~~ ~~DSCN 10/2005~~ ~~Data Standards: Treatment Function Codes - correction and clarification of names and descriptions~~
~~CR706 (1 April 2005) -~~ ~~DSCN 09/2005~~ ~~Data Standards: Cancer Registration Data Set~~
~~CR691 (1 July 2005) -~~ ~~DSCN 06/2005~~ ~~Data Standards: NSCAG Commissioner Code~~
CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

~~For all Data Set Change Notices, see the~~ ~~Data Set Change Notice (DSCN) Website~~For all Data Set Change Notices, see the Data Set Change Notice (DSCN) Website

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ACCOMMODATION STATUS

Change to Class: Changed Relationships

Each ACCOMMODATION STATUS

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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ACTIVITY DATE TIME

Change to Class: Changed Attributes

Attributes of this Class are:

K		ACTIVITY DATE TIME TYPE
		~~ACTIVITY START DATE~~
		ACTIVITY DATE
		~~ACTIVITY START TIME~~
		ACTIVITY TIME

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ALCOHOL STATUS

Change to Class: Changed Relationships

Each ALCOHOL STATUS

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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ASPIRIN THERAPY LOCATION

Change to Class: Changed Relationships

Each ASPIRIN THERAPY LOCATION

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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BLEED COMPLICATION

Change to Class: Changed Relationships

Each BLEED COMPLICATION

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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CARE PLAN

Change to Class: Changed Attributes

Attributes of this Class are:

K		CARE PLAN NUMBER
		CANCER CARE PLAN INTENT
		CARE PLAN AGREED DATE
		CARE PLAN TYPE
		~~MULTIDISCIPLINARY TEAM DISCUSSION DATE~~
		MULTIDISCIPLINARY TEAM DISCUSSION DATE CANCER
		NO CANCER TREATMENT REASON
		PATIENT ON IMMUNOSUPPRESSIVE THERAPY
		PRIMARY CARE COMMUNICATION SENT DATE
		RECURRENCE INDICATOR
		SOCIAL WORKER INVOLVEMENT INDICATOR
		~~SOCIAL WORKER INVOLVEMENT INDICATOR1~~

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ELECTIVE ADMISSION LIST ENTRY

Change to Class: Changed Description

An entry on an ELECTIVE ADMISSION LIST denoting a PATIENT for whom the DECISION TO ADMIT has been made.

Being placed on the ELECTIVE ADMISSION LIST will result in an ELECTIVE ADMISSION LIST ENTRY. When the ELECTIVE ADMISSION LIST ENTRY is first recorded, the ORIGINAL DECIDED TO ADMIT DATE should be recorded as the same as the DECIDED TO ADMIT DATE of the first DECISION TO ADMIT.

It is possible for a PATIENT to have more than one ELECTIVE ADMISSION LIST ENTRY, either for a different condition or for the same condition where two or more admissions are required.

Only one ELECTIVE ADMISSION LIST ENTRY should be made in the event of the intention to perform two or more procedures during one admission.

~~To monitor key targets it is necessary for the~~ ~~Health Care Provider~~ ~~responsible for the~~ ~~ELECTIVE ADMISSION LIST, to record the date of any previous~~ ~~OFFERS OF ADMISSION~~ ~~for the same condition, which was made by a previous~~ ~~Health Care Provider~~ ~~and then cancelled byc50b81d3-375d-11d6-a913-c6794ab2cd13 them on the day of or after admission for non-medical reasons.~~To monitor key targets it is necessary for the Health Care Provider responsible for the ELECTIVE ADMISSION LIST, to record the date of any previous OFFERS OF ADMISSION for the same condition, which was made by a previous Health Care Provider and then cancelled by them on the day of or after admission for non-medical reasons.

The ELECTIVE ADMISSION LIST ENTRY is removed from the WAITING LIST when the PATIENT is admitted or removed for other specified reasons. ELECTIVE ADMISSION LIST REMOVAL REASON records the method of removal from the list and ELECTIVE ADMISSION LIST REMOVAL DATE records the removal date.

Once removed from the ELECTIVE ADMISSION LIST, the PATIENT ceases to be waiting for admission and all associated OFFERS OF ADMISSION become inactive.

Note: An ELECTIVE ADMISSION LIST ENTRY must be related to a DECISION TO ADMIT.

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ETHNIC CATEGORY

Change to Class: Changed Relationships

Each ETHNIC CATEGORY

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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JOINT REPLACEMENT REVISION CLASSIFICATION

Change to Class: Changed Relationships

Each JOINT REPLACEMENT REVISION CLASSIFICATION

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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LANGUAGE CLASSIFICATION

Change to Class: Changed Relationships

Each LANGUAGE CLASSIFICATION

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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LEGAL STATUS CLASSIFICATION

Change to Class: Changed Relationships

Each LEGAL STATUS CLASSIFICATION

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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ORGANISATION

Change to Class: Changed Relationships

Each ORGANISATION

	may be a supplier of one or more ACTIVITY
	may be the originator of one or more CARE PLAN
	may be the employer of one or more CARE PROFESSIONAL ORGANISATION
	may be related to one or more CLINICAL INVESTIGATION SERVICE PROVIDER
	may be contacted by one or more COMMUNICATION CONTACT INFORMATION
	may be the operator and manager of one or more DEPARTMENT
	~~may be the subject of one or more~~ ~~ELECTIVE ADMISSION LIST~~
	may be the employer of one or more EMPLOYEE IN ORGANISATION
	may be agreeing to one or more EMPLOYEE PLAN
	may be the resident in one or more GEOGRAPHIC AREA
	may be NULL one or more GEOGRAPHIC AREA ASSOCIATION
	may be the subject of one or more GMP CLAIM FOR PAYMENT OR REIMBURSEMENT
	may be the recipient of one or more GMP CLAIM FOR PAYMENT OR REIMBURSEMENT
	may be the payee of one or more GMP PAYMENT OR REIMBURSEMENT
	may be the lead for one or more HEALTH PROGRAMME
	may be the creator and updater of one or more LOCATION
	may be commissioner of one or more NHS SERVICE AGREEMENT
	may be playing one or more ORGANISATION ACTIVITY ROLE
	may be the owner of one or more ORGANISATION DEPARTMENT
	may be recorded as one or more ORGANISATION REGISTRATION
	may be the second party in one or more ORGANISATION RELATIONSHIP
	may be the first party in one or more ORGANISATION RELATIONSHIP
	may be related to one or more ORGANISATION REPORTING PERIOD
	may be operator or manager of one or more ORGANISATION SITE
	may be the registered organisation for one or more PATIENT ORGANISATION
	may be the issuer of the identifier of one or more PATIENT PATHWAY
	may be NULL one or more PERSON OR ORGANISATION ADDRESS
	may be the holder of one or more PHARMACEUTICAL PRODUCT STOCK
	may be intending to provide one or more PLANNED ACTIVITY
	may be controller of one or more POSITION
	may be fund holder of one or more POSITION NON-NHS FUNDING
	may be the place of treatment for one or more PRIOR NOTIFICATION LIST ENTRY
	may be the subject of one or more PRIOR NOTIFICATION LIST FOR CYTOLOGY
	may be play a role within one or more PROVIDER IN SERVICE AGREEMENT
	may be qualification awarding body one or more QUALIFICATION
	may be holder of one or more REGISTER
	may be give one or more RIGHT OF ADMISSION
	may be request one or more SERVICE REPORT
	may be receive a copy of one or more SERVICE REPORT
	may be issue one or more SERVICE REPORT
	may be the originator of one or more SERVICE REQUEST
	may be the subject of one or more SINGLE SEX ACCOMMODATION TARGET
	may be provider of one or more TRAINING ACTIVITY
	may be the recipient of one or more TRANSPORT REQUEST
	may be the responsible owner organisation of one or more WAITING LIST
	may be the receiver of one or more WRITTEN COMPLAINT

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PATIENT CLINICAL GROUP

Change to Class: Changed Relationships

Each PATIENT CLINICAL GROUP

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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PERFORMANCE STATUS

Change to Class: Changed Relationships

Each PERFORMANCE STATUS

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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PERSON GENDER

Change to Class: Changed Relationships

Each PERSON GENDER

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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PERSON MARITAL STATUS

Change to Class: Changed Relationships

Each PERSON MARITAL STATUS

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION

Change to Class: Changed Relationships

Each RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION

	must be in one and only one RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP
	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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SARCOMA PREDISPOSING CONDITION

Change to Class: Changed Relationships

Each SARCOMA PREDISPOSING CONDITION

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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SERVICE REQUEST

Change to Class: Changed Relationships

Each SERVICE REQUEST

K	must be for one and only one PATIENT
	must be made by one and only one CARE PROFESSIONAL ORGANISATION
	or must be made by one and only one ORGANISATION
	or may be the reason for one or more TRANSPORT REQUIREMENT
	must be made to one and only one CARE PROFESSIONAL ORGANISATION
	or must be made to one and only one SERVICE POINT
	must be part of one and only one PATIENT PATHWAY
	must be categorised by one and only one TREATMENT FUNCTION
	may be resultant in one or more APPOINTMENT
	may be the result of one and only one CARE ACTIVITY
	may be the initiator of one or more CARE ACTIVITY
	~~may be the result of one and only one~~ ~~CLINICAL INTERVENTION~~
	~~may be for one or more~~ ~~CLINICAL INTERVENTION~~
	may be the result of one and only one DECISION TO REFER
	may be offered from one and only one HEALTH PROGRAMME
	may be the reason for one or more PLANNED ACTIVITY
	may be the main one linked to one or more SERVICE REQUEST RELATIONSHIP
	may be a subsequent one in one or more SERVICE REQUEST RELATIONSHIP

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SEXUAL ORIENTATION

Change to Class: Changed Relationships

Each SEXUAL ORIENTATION

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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SKIN LYMPHOMA MORPHOLOGY

Change to Class: Changed Relationships

Each SKIN LYMPHOMA MORPHOLOGY

	~~may be category for one or more~~ ~~CATEGORY VALUED PERSON OBSERVATION~~
	may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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ACTIVITY GROUP TYPE

Change to Attribute: Changed Description

One of the business definitions listed in the ACTIVITY GROUP class as a type of this class.

Consultant Episode (Hospital Provider) has four 'sub types' (General, Birth, Delivery and Detained and Long Term Psychiatric Patient Census) which form four individual ACTIVITY GROUP TYPE values.

National Codes:

01	Accident And Emergency Episode
02	Acute Myocardial Infarction Care Spell
03	Augmented Care Period - Retired CP724
04	Breast Cancer Care Spell
05	Cancer Care Spell
06	Care Home Stay (Consultant Care)
07	Care Home Stay (Midwife Care)
08	Care Home Stay (Nursing Care)
09	Care Home Stay (Residential)
10	Care Programme Approach Episode
11	Colorectal Cancer Care Spell
12	Community Episode
13	Consultant Episode (Acute Home-Based)
14	Consultant Episode (Hospital Provider)
15	Consultant Out-Patient Episode
16	Dental Episode
17	Drug Misuse Episode
18	Genitourinary Episode
19	Head And Neck Cancer Care Spell
20	Home Dialysis Episode
21	Hospital Provider Spell
22	Lung Cancer Care Spell
23	Mental Health Care Spell
23	~~MHC Without Patient Consent~~
24	Midwife Episode
25	Neonatal Level Of Care Period
26	Nursing Episode
27	Palliative Care Episode
28	PERSON STOP SMOKING EPISODE
29	Pregnancy Episode
30	Professional Staff Group Episode
31	Regular Attender Episode
32	Road Traffic Accident Treatment
33	Sarcoma Care Spell
34	Skin Cancer Care Spell
35	Supervised Discharge Episode
36	Supervision Register Episode
37	Upper GI Cancer Care Spell
38	Urological Cancer Care Spell
39	Ward Stay
40	Hospital Stay
41	Care Spell
42	CRITICAL CARE PERIOD
43	PATIENT PATHWAY
44	REFERRAL TO TREATMENT PERIOD
45	Active Monitoring
46	Supervised Community Treatment Recall
47	Supervised Community Treatment
48	Mental Health Care Without Patient Consent

Note: The list is not in alphabetical order.

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MULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER)

Change to Attribute: Changed Aliases

Alias Changes
Name Old Value New Value
plural MULTIDISCIPLINARY TEAM DISCUSSION DATES MULTIDISCIPLINARY TEAM DISCUSSION DATES (CANCER)

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ARRIVAL TIME

Change to Data Element: Changed Description

Format/length:	see TIME
HES item:
National Codes:
Default Codes:

Notes:
The time of arrival in the Accident And Emergency Department or for Urgent Transport Requests this records the time the vehicle arrives at the specified destination. The time should be recorded using the 24 hour clock.

~~ARRIVAL TIME~~ ~~is the same as attribute~~ ~~ACTIVITY TIME~~ of ~~ACTIVITY DATE TIME~~ ~~where the~~ ~~ACTIVITY DATE TIME TYPE~~ ~~is National Code 02 '~~~~Arrival Date~~'.ARRIVAL TIME is the same as attribute ACTIVITY TIME of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 55 'Arrival Time'.

Accident And Emergency Department is a DEPARTMENT where the DEPARTMENT TYPE is National Code 01 'Accident And Emergency Department'.

Urgent Transport Request is a TRANSPORT REQUEST where the TRANSPORT REQUEST TYPE is National Code 02 'Urgent Transport Request'.

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DELIVERY METHOD

Change to Data Element: Changed Description, linked Attribute

Format/length:	n1
HES item:	DELMETH
~~National Codes:~~	~~Click on the attribute tab to display the attribute that contains the National Codes.~~
National Codes:	See DELIVERY METHOD
Default Codes:

Notes:
Additional National Code guidance not contained in the attribute definition is given below. It is shown in italics.

0	Spontaneous vertex (normal vaginal delivery, occipitoanterior)
1	Spontaneous other cephalic (cephalic vaginal delivery with abnormal presentation of head at delivery, without instruments, with or without manipulation)
2	Low forceps, not breech (e.g. forceps, low application, without manipulation. Includes forceps delivery not otherwise specified)
3	Other forceps, not breech (e.g. forceps with manipulation. Includes high forceps and mid forceps)
4	Ventouse, vacuum extraction
5	Breech (spontaneous delivery assisted or unspecified. Includes partial breech extraction)
6	Breech extraction (not otherwise specified. Includes total breech extraction and version with breech extraction)
7	Elective caesarean section (caesarean section before, or at onset of, labour)
8	Emergency caesarean section
9	Other than those specified above (e.g. application of weight to leg in breech delivery. Includes destructive operation to facilitate delivery and other surgical or instrumental delivery)

Without extending the width of this field to two characters it is not possible to accommodate a value of 'Not known', therefore the use of 8 and 9 in this field represent exceptions to the general rule.

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DELIVERY METHOD

Change to Data Element: Changed Description, linked Attribute

DELIVERY METHOD

Attribute:

DELIVERY METHOD

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GENERAL MEDICAL PRACTITIONER (SPECIFIED)

Change to Data Element: Changed Description

Format/length:	an8
HES item:	REGGMP
National Codes:
Default Codes:	G9999998 - General Medical Practitioner PPD Code not known
	~~R9999981 - Referrer other than General Medical Practitioner, General Dental Practitioner or Consultant~~
	Other GP Codes
	A9999998 - Ministry of Defence Doctor

Notes:
This is the code of the GENERAL MEDICAL PRACTITIONER specified by the PATIENT.

This is a GENERAL MEDICAL PRACTITIONER within the General Medical Practitioner Practice that the PATIENT is registered.

The General Medical Council allocates all doctors a GENERAL MEDICAL COUNCIL REFERENCE NUMBER on their first contact with the General Medical Council.
Note - when a doctor is registered to practise medicine in the United Kingdom, their details will appear on the "General Medical Council List of Registered Medical Practitioners" (LRMP).

If an NHS doctor chooses to enter general practice, a further number is allocated, the DOCTOR INDEX NUMBER, by the Health and Social Care Information Centre. This number is passed to the Primary Care Trust requesting the number who then liaise with NHS Prescription Services on the issue of prescription pads etc. NHS Prescription Services use the number to derive the GENERAL MEDICAL PRACTITIONER PPD CODE by prefixing it with the character 'G' and adding a check digit at the end.

The GENERAL MEDICAL PRACTITIONER code is an eight character alphanumeric code, see PERSON IDENTIFIER and GENERAL MEDICAL PRACTITIONER PPD CODE.

~~When a locum refers, use the code of the~~ ~~GENERAL PRACTITIONER~~ ~~for whom the locum is acting.~~ ~~See~~ ~~GENERAL MEDICAL PRACTITIONER PPD CODE~~.

For GENERAL PRACTITIONERS working in hospitals, the following codes should be used:

	if the GENERAL PRACTITIONER is working as an assistant, use the code of the responsible GENERAL MEDICAL PRACTITIONER (SPECIFIED);
	if the GENERAL PRACTITIONER is working as a GENERAL MEDICAL PRACTITIONER (SPECIFIED), use the GENERAL PRACTITIONER's GENERAL MEDICAL COUNCIL REFERENCE NUMBER.

Whilst Ministry of Defence doctors provide general medical services to their communities, they are not GENERAL MEDICAL PRACTITIONERS and should not be recorded as Registered GENERAL MEDICAL PRACTITIONERS. They can refer (REFERRER CODE).

For the Organisation Data Service contact details, see Contact Details.

GMP (CODE OF REGISTERED OR REFERRING GMP) DESCRIPTION REPLACED 1 JUNE 2008.

This is the code of the GENERAL MEDICAL PRACTITIONER (GMP) with whom the PATIENT is registered.

A doctor receives a GENERAL MEDICAL COUNCIL REFERENCE NUMBER on qualification. If he/she then chooses to enter general practice, a further number is allocated (the DOCTOR INDEX NUMBER) by the Health and Social Care Information Centre. This number is passed to the Primary Care Trust (PCT) requesting the number who then liaise with the NHS Business Services Authority Prescription Pricing Division on the issue of prescription pads etc. The NHS Business Services Authority Prescription Pricing Division use the number to derive the GENERAL MEDICAL PRACTITIONER PPD CODE by prefixing it with the character 'G' and adding a check digit at the end. The GENERAL MEDICAL PRACTITIONER code linked to his/her main practice is included on the National Administrative Codes Service (NACS) CD-ROM and the NACS NHSnet website.

The GENERAL MEDICAL PRACTITIONER code is an eight character alphanumeric code, see PERSON IDENTIFIER and GENERAL MEDICAL PRACTITIONER PPD CODE.

When a locum refers, use the code of the GENERAL PRACTITIONER for whom the locum is acting. See GENERAL MEDICAL PRACTITIONER PPD CODE.

For GENERAL PRACTITIONERS working in hospitals, the following codes should be used:

-	if the GENERAL PRACTITIONER is working as an assistant, use the code of the responsible consultant;
-	if the GENERAL PRACTITIONER is working as a consultant, use the GENERAL PRACTITIONER's GENERAL MEDICAL COUNCIL REFERENCE NUMBER.

Whilst Ministry of Defence (MoD) doctors provide general medical services to their communities, they are not GENERAL MEDICAL PRACTITIONERS and should not be recorded as Registered GENERAL MEDICAL PRACTITIONERS. They can refer (REFERRER CODE).

For the National Administrative Codes Service (NACS) contact details, see Contact Details.

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HRG DOMINANT GROUPING VARIABLE-PROCEDURE

Change to Data Element: Changed Description

Format/length:	annn
HES item:
National Codes:
Default Codes:

Notes:
The National Schedule of Reference Costs, developed by the Department of Health, uses Healthcare Resource Groups as the basis for costing in-patient and day case services. Healthcare Resource Groups are derived from existing Commissioning Data Set data items using an algorithm and a software package developed by the Health and Social Care Information Centre .

The HRG DOMINANT GROUPING VARIABLE-PROCEDURES is a field derived by the Healthcare Resource Group Acute Inpatient Grouper. It represents the procedure that the Healthcare Resource Group grouping algorithm has identified as having the greatest effect upon the resources consumed by a PATIENT. It is required for the production of the National Schedule of Reference Costs reports.

The HRG DOMINANT GROUPING VARIABLE-PROCEDURES have the same data format, rules and attributes as OPCS-4 codes for Patient Procedure, see also PROCEDURE CODING.

DSCN 08/2000 includes HRG DOMINANT GROUPING VARIABLE-PROCEDURES in the Commissioning Data Set to standardise the handling of this data item within the Commissioning Data Set and the Secondary Uses Service database. It is mandatory from 01/10/2001.

Patient Procedure is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure'.

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PATIENT CLASSIFICATION

Change to Data Element: Changed Description

Format/length:	n1
HES item:	CLASSPAT
~~National Codes:~~	~~Click on the attribute tab to display the attribute that contains the National Codes.~~
National Codes:	See PATIENT CLASSIFICATION
Default Codes:	8 - Not applicable

Notes:
PATIENT CLASSIFICATION 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.

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PRIMARY OPERATION (OPCS-4)

Change to Data Element: Changed Description

Format/length:	an4
~~HES item:~~	~~OPERATN1~~
HES item:	OPERTN1
National Codes:
Default Codes:

Notes:
See PROCEDURE CODING for details on coding.

'Primary' is a classification of PATIENT PROCEDURE CODING SIGNIFICANCE of INTERVENTION CLASSIFICATION ASSOCIATION for the OPCS-4 code of an OPERATIVE PROCEDURE.

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PRIMARY PROCEDURE (OPCS)

Change to Data Element: Changed Description

Format/length:	an4
~~HES item:~~
HES item:	OPERTN1
National Codes:
Default Codes:

Notes:
See PROCEDURE CODING for details on coding.

'Primary' is a classification of PATIENT PROCEDURE CODING SIGNIFICANCE of INTERVENTION CLASSIFICATION ASSOCIATION for the OPCS-4 code of an OPERATIVE PROCEDURE.

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PROCEDURE CODING

Change to Data Element: Changed Description

Format/length:	annn for OPCS-4, an7 for Clinical Terms (The Read Codes)
~~HES item:~~	~~OPERATN~~
HES item:	OPERTN
National Codes:
Default Codes:	X998 - Out-patient procedure carried out but no appropriate OPCS-4 code available
	X999 - No out-patient procedure carried out

Notes:

This is a CLINICAL CLASSIFICATION CODE.

See OPCS Classification of Interventions and Procedures for Classification of Surgical Operations and Procedures (OPCS-4) and Read Coded Clinical Terms.

Record any operative procedures carried out, such as an endoscopy or electro-convulsive therapy (ECT), as part of the current consultant episode.

Clinical Terms (The Read Codes) (an7) may be used as an optional addition to OPCS-4.

The recording of procedures using OPCS-4 is now optional for the Out-Patient/Ward Attenders Commissioning Data Set. If required, a default code may be used in the first procedure field and subsequent procedure fields space-filled.

Where providers locally use OPCS-4 codes with a fifth character added, this should be removed before inclusion in the Commissioning Data Set.

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REFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION)

Change to Data Element: Changed linked Attribute

~~REFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION)~~

Attribute:

~~REFERRAL DATE (retired)~~

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REFERRER CODE

Change to Data Element: Changed Description

Format/length:	an8
HES item:	REFERRER
National Codes:
Default Codes:	C9999998 - Consultant General Medical Council (GMC) number not known
	CD999998 - Dental Consultant: General Medical Council (GMC) number/ General Dental Council (GDC) number not known
	D9999998 - Dentist, Dental Practice Board (DPB) number not known
	R9999981 - Referrer other than General Medical Practitioner, General Dental Practitioner or Consultant
	X9999998 - Not applicable, e.g. patient has self-presented or not known

Notes:
This requires the code of the PERSON making the referral. This will normally be a CARE PROFESSIONAL - a GENERAL MEDICAL PRACTITIONER or a CONSULTANT.

The intention is for this item to reflect the actual (true) referrer. For example, following a GENERAL MEDICAL PRACTITIONER referral, a CONSULTANT may subsequently refer the PATIENT to another CONSULTANT within the Hospital Provider Spell. The code of the CONSULTANT making the referral and the CONSULTANTS ORGANISATION should be recorded in the Commissioning Data Set (CDS) rather than the code of the GENERAL MEDICAL PRACTITIONER referrer. ~~This also applies where a CONSULTANT refers an NHS~~ ~~PATIENT~~ ~~to another doctor for NHS-commissioned treatment at another~~ ~~NHS Trust, a non-NHS provider, or an overseas provider.~~ This also applies where a CONSULTANT refers an NHS PATIENT to another doctor for NHS-commissioned treatment at another NHS Trust, a non-NHS provider, or an overseas provider. Where the CONSULTANT CODE is not known, the default value C9999998 should be used.

In all other cases, the code of the referring GENERAL MEDICAL PRACTITIONER should be recorded, if applicable. When a locum refers, use the code of the GENERAL PRACTITIONER for whom the locum is acting. See GENERAL MEDICAL PRACTITIONER PPD CODE.

See CONSULTANT CODE and GENERAL MEDICAL PRACTITIONER (SPECIFIED) for the codes available for CONSULTANTS and GENERAL MEDICAL PRACTITIONERS and GENERAL DENTAL PRACTITIONERS and Ministry of Defence (MoD) Doctors.

If the REFERRER CODE is not known or not applicable e.g., the PATIENT has self-presented, the default code (X9999998) should be used.

Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.

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TOTAL INFORMAL ADMISSIONS (FEMALE)

Change to Data Element: Changed Description

Format/length:	n10
HES item:
National Codes:
Default Codes:

Notes:
The total number of female PATIENTS informally detained under the Mental Health Act and admitted to a Hospital Provider Spell during the REPORTING PERIOD.

It excludes transfers between Health Care Providers and between Hospital Sites of the same Health Care Provider which initiate a new Hospital Provider Spell where the LEGAL STATUS CLASSIFICATION CODE is unchanged but includes such transfers where the LEGAL STATUS CLASSIFICATION CODE does change.

It excludes admissions where the PATIENT is being treated under an active Supervised Community Treatment and/or subject of a Supervised Community Treatment Recall.

1.	It is a count of the total number of admissions for all PATIENTS within the Health Care Provider where:
	a.	the Hospital Provider Spell has a Start Date on or after the REPORTING PERIOD START DATE and the Start Date is before or on the REPORTING PERIOD END DATE
		and
		where the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell
	and
	b.	the PERSON PROPERTY EFFECTIVE DATE for the LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the same as the Start Date of the Hospital Provider Spell i.e. the LEGAL STATUS CLASSIFICATION should be recorded when the PATIENT was admitted.
	and
	c.	the LEGAL STATUS CLASSIFICATION CODE is National Code 01 'Informal'
	and
	d.	the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 2 'Female'
		and
		the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current'
2.	Where no admissions match these criteria then TOTAL INFORMAL ADMISSIONS (FEMALE) should be set to zero.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Hospital Provider Spells, Hospital Stays, Consultant Episodes (Hospital Provider), Care Home Stays (Consultant Care), Supervised Community Treatment and Supervised Community Treatment Recall are the same as ~~ACTIVITY GROUP~~ ~~where the~~ ~~ACTIVITY GROUP TYPE~~ ~~identifies the specific spell, episode or stay type.~~Hospital Provider Spells, Hospital Stays, Consultant Episodes (Hospital Provider), Care Home Stays (Consultant Care), Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

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TOTAL INFORMAL ADMISSIONS (MALE)

Change to Data Element: Changed Description

Format/length:	n10
HES item:
National Codes:
Default Codes:

Notes:
The total number of male PATIENTS informally detained under the Mental Health Act and admitted to a Hospital Provider Spell during the REPORTING PERIOD.

It excludes admissions where the PATIENT is being treated under an active Supervised Community Treatment and/or subject of a Supervised Community Treatment Recall.

1.	It is a count of the total number of admissions for all PATIENTS within the Health Care Provider where:
	a.	the Hospital Provider Spell has a Start Date on or after the REPORTING PERIOD START DATE and the Start Date is before or on the REPORTING PERIOD END DATE
		and
		~~where the~~ ~~Hospital Provider Spell~~ ~~contains at least one~~ ~~Consultant Episode (Hospital Provider)~~ ~~where the main~~ ~~TREATMENT FUNCTION~~ ~~of the~~ ~~CONSULTANT~~ ~~is for a mental illness~~ ~~MAIN SPECIALTY. The mental illness~~ ~~MAIN SPECIALTY CODES~~ ~~being 700, 710, 711, 712, 713 and 715. This includes both~~ ~~Hospital Stays~~ ~~and~~ ~~Care Home Stays (Consultant Care)~~ ~~within the~~ ~~Hospital Provider Spell~~l
		where the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell
	and
	b.	the PERSON PROPERTY EFFECTIVE DATE for the LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the same as the Start Date of the Hospital Provider Spell i.e. the LEGAL STATUS CLASSIFICATION should be recorded when the PATIENT was admitted.
	and
	c.	the LEGAL STATUS CLASSIFICATION CODE is National Code 01 'Informal'
	and
	d.	the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 1 'Male'
		and
		the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current'
2.	Where no admissions match these criteria then TOTAL INFORMAL ADMISSIONS (MALE) should be set to zero.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

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TOTAL INFORMAL PATIENTS (FEMALE)

Change to Data Element: Changed Description

Format/length:	n10
HES item:
National Codes:
Default Codes:

Notes:
The total number of female PATIENTS informally detained under the Mental Health Act resident with a current Hospital Provider Spell as at the REPORTING PERIOD END DATE.

1.	It is a count of the total number of PATIENTS resident with a Hospital Provider Spell within the Health Care Provider at the REPORTING PERIOD END DATE where:
	a.	the Hospital Provider Spell has a Start Date on or before the REPORTING PERIOD END DATE
		and
		~~the~~ ~~Hospital Provider Spell~~ ~~has no recorded~~ ~~Discharge Date~~ ~~i.e. the~~ ~~Hospital Provider Spelll is still active~~
		the Hospital Provider Spell has no recorded Discharge Date i.e. the Hospital Provider Spell is still active
		or
		the Discharge Date is after the REPORTING PERIOD END DATE i.e. the Hospital Provider Spell was active as at the REPORTING PERIOD END DATE
	and
	b.	the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell.
	and
	c.	the current LEGAL STATUS CLASSIFICATION CODE is National Code 01 'Informal'
	and
	d.	the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 2 'Female'
		and
		the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current'
2.	Where no patients match these criteria then TOTAL INFORMAL PATIENTS (FEMALE) should be set to zero.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Discharge Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 09 'Discharge Date' for the ACTIVITY GROUP.

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TOTAL INFORMAL PATIENTS (MALE)

Change to Data Element: Changed Description

Format/length:	n10
HES item:
National Codes:
Default Codes:

Notes:
The total number of male PATIENT informally detained under the Mental Health Act resident with a current Hospital Provider Spell as at the REPORTING PERIOD END DATE.

1.	It is a count of the total number of PATIENTS resident with a Hospital Provider Spell within the Health Care Provider at the REPORTING PERIOD END DATE where:
	a.	the Hospital Provider Spell has a Start Date on or before the REPORTING PERIOD END DATE
		and
		the Hospital Provider Spell has no recorded Discharge Date i.e. the Hospital Provider Spell is still active
		or
		the Discharge Date is after the REPORTING PERIOD END DATE i.e. the Hospital Provider Spell was active as at the REPORTING PERIOD END DATE
	and
	b.	the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell.
	and
	c.	the current LEGAL STATUS CLASSIFICATION CODE is National Code 01 'Informal'
	and
	d.	the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 1 'Male'
		and
		the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current'
2.	Where no patients match these criteria then TOTAL INFORMAL PATIENTS (MALE) should be set to zero.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Discharge Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 09 'Discharge Date' for the ACTIVITY GROUP.

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TOTAL NUMBER OF LEGAL STATUS CLASSIFICATION CHANGES FOR TYPE

Change to Data Element: Changed Description

Format/length:	n10
HES item:
National Codes:
Default Codes:

Notes:
The total number of changes of LEGAL STATUS CLASSIFICATION CODE for PATIENTS detained under the Mental Health Act and with a Hospital Provider Spell during the REPORTING PERIOD for a LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE.

Where the PATIENT has been discharged from a Hospital Provider Spell during the REPORTING PERIOD, the LEGAL STATUS CLASSIFICATION CODE at the Discharge Date for the Hospital Provider Spell should be treated as National Code 01 'Informal'.

All changes from one LEGAL STATUS CLASSIFICATION CODE to another that is not individually specified in LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE should be aggregated to LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE classification value 27 'LEGAL STATUS CLASSIFICATION CODE All other changes not specified'.

It only includes changes from LEGAL STATUS CLASSIFICATION CODE National Code 19 'Formally detained under Mental Health Act 135' and 20 'Formally detained under Mental Health Act 136' where the admission to the Hospital Provider Spell was to a Hospital Site.

It excludes any changes in Hospital Provider Spells where the admission is under an active Supervised Community Treatment and/or subject of a Supervised Community Treatment Recall.

1.	It is a count of the total number of changes of LEGAL STATUS CLASSIFICATION CODE for all PATIENTS within the Health Care Provider for a given LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE where:
	a.	the Hospital Provider Spell has a Start Date on or before the REPORTING PERIOD END DATE
		and
		the Hospital Provider Spell has no recorded Discharge Date i.e. the Hospital Provider Spell is still active
		or
		~~the recorded~~ ~~Discharge Date~~ ~~is after the~~ ~~REPORTING PERIOD END DATE~~ ~~i.e. the~~ ~~Hospital Provider Spelll was active as at the~~ ~~REPORTING PERIOD END DATE~~
		the recorded Discharge Date is after the REPORTING PERIOD END DATE i.e. the Hospital Provider Spell was active as at the REPORTING PERIOD END DATE
		or
		the recorded Discharge Date is after the REPORTING PERIOD START DATE and before or on the REPORTING PERIOD END DATE i.e. the Hospital Provider Spell was active during the REPORTING PERIOD
	and
	b.	the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell.
		~~Note: for~~ ~~LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE~~ ~~set value 06 and 13, and 18 only include changes from~~ ~~LEGAL STATUS CLASSIFICATION CODE~~ ~~National Code 20~~ ~~'Formally detained under Mental Health Act 136'~~ ~~where the admission to the~~ ~~Hospital Provider Spelll was to a~~ ~~Hospital Stay~~.
		Note: for LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE set value 06 and 13, and 18 only include changes from LEGAL STATUS CLASSIFICATION CODE National Code 20 'Formally detained under Mental Health Act 136' where the admission to the Hospital Provider Spell was to a Hospital Stay.
		Note: for LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE set value 27 only include changes from LEGAL STATUS CLASSIFICATION CODE National Code 19 'Formally detained under Mental Health Act 135' where the admission to the Hospital Provider Spell was to a Hospital Stay.
	and
	c.	the PERSON PROPERTY EFFECTIVE DATE for the change to LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is on or after the REPORTING PERIOD START DATE and is on or before the REPORTING PERIOD END DATE
		and
		~~the~~ ~~PERSON PROPERTY EFFECTIVE DATE~~ ~~for the change from~~ ~~LEGAL STATUS CLASSIFICATION CODE~~ ~~of LEGAL STATUS CLASSIFICATION is the latest preceding the~~ ~~PERSON PROPERTY EFFECTIVE DATE~~ ~~for the change to~~ ~~LEGAL STATUS CLASSIFICATION CODE~~ of ~~LEGAL STATUS CLASSIFICATION~~ ~~and is for the same~~ ~~Hospital Provider Spell~~l
		the PERSON PROPERTY EFFECTIVE DATE for the change from LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the latest preceding the PERSON PROPERTY EFFECTIVE DATE for the change to LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION and is for the same Hospital Provider Spell
	and
	d.	the from and to LEGAL STATUS CLASSIFICATION CODES corresponds to the LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE
2.	Where no changes match these criteria then TOTAL NUMBER OF LEGAL STATUS CLASSIFICATION CHANGES FOR TYPE should be set to zero.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' for the ACTIVITY GROUP.

Discharge Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 09 'Discharge Date' for the ACTIVITY GROUP.

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