Mental Health Minimum Data Set Overview

The Mandatory or Required (M/R/O) column indicates the recommendation for the inclusion of data:

M = Mandatory: This data element is mandatory, the message will be rejected if this data element is absent
R = Required: This data is required as part of NHS business rules and must be included where available or applicable
O = Optional: the flow of this data is optional. It should be included at the discretion of the submitting organisation and their commissioners as required for local purposes. 

Care Home Registration is an ORGANISATION REGISTRATION.

The registration of an establishment registered with the Care Quality Commission as a  Care Home.

Any establishment in which treatment or nursing (or both) are provided for PERSONS liable to be detained under the Mental Health Act 1983 cannot be registered as a Care Home and is either a NHS hospital or must be registered as an independent hospital.

• Acute Myocardial Infarction
• Cancer Registration
• Child and Adolescent Mental Health
• Children’s and Young People’s Health
• Diabetes (Summary Core)
• Genitourinary Medicine Clinic Activity
• Improving Access to Psychological Therapies
• Maternity
• Mental Health (V4-0)
• National Cancer
• National Cancer Waiting Times Monitoring
• National Joint Registry
• Radiotherapy
• Sexual and Reproductive Health Activity
• 
  Message Documentation
• Maternity and Childrens Data Sets Submission Requirements
• 
  
• Supporting Information
Supporting Information
• Mental Health Act Table

The General Medical Council List of Registered Medical Practitioners (LRMP) is a list of all doctors who are registered to practise in the UK (including GENERAL MEDICAL PRACTITIONERS)The General Medical Council List of Registered Medical Practitioners (LRMP) is a list of all doctors who are registered to practise in the UK (including GENERAL MEDICAL PRACTITIONERS).

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.
For further information on doctor registration, see the General Medical Council website..

The General Medical Council List of Registered Medical Practitioners provides details of:

• the doctor's reference number, name, any former name, gender
• year and place of primary medical degree
• registration status
• date of registration
• entry in the GP/Specialist Register
• any publicly available fitness to practise history since 20 October 2005

The Mixed-Sex Accommodation Data Set collects performance information on a monthly basis from Health Care Providers of NHS funded care, including independent sector and social enterprise/voluntary organisations, on the number of occurrences of breaches of the sleeping accommodation guidance. However the count of occurrences of breaches exclude private and self-funded PATIENTS in NHS Health Care Providers.

A breach occurs at the point a PATIENT is admitted to mixed-sex accommodation or moves to mixed-sex accommodation from Same Sex Accommodation.

Breaches of bathroom accommodation, including situations where a PATIENT must pass through opposite gender areas to reach their own facilities, and no provision of women-only lounges in mental health units, must be recorded at organisation level, and plans put in place to deal with the problem. However these types of breaches are not reported in the Mixed-Sex Accommodation Data Set.

Further guidance on the recognising and reporting of breaches is available  at: Department of Health Publications.Further guidance on the recognising and reporting of breaches is available on the Department of Health Website. 
This is a link to the Chief Nursing Officer letter, the link will be updated to the Department of Health guidance when this becomes available.

Collection and Submission of the Mixed-Sex Accommodation Data Set

• The Mixed-Sex Accommodation Data Set is a monthly provider based return.
• Provider returns must be submitted by the 7th working day for the previous calendar month.
• The data is submitted via Unify2, the Department of Health online data collection system. Health Care Providers enter their data onto Unify2 using an upload facility.

Note: The first provider submission is due by 12 January 2011 for the breaches that occur in the month of December 2010.

The Organisation Data Service is provided by NHS Connecting for Health. It is responsible for the publication of all ORGANISATION and practitioner codes and for the national policy and standards with regard to the majority of ORGANISATION CODES. These code standards form part of the NHS data standards. NHS Connecting for Health is also responsible for the day-to-day operation of the Organisation Data Service and for its overall development. It is supported by a number of agencies throughout the UK; for instance, the NHS Prescription Services and the NHS Dental Services.

The Organisation Data Service is also responsible for the ongoing maintenance of and practitioner information on to the ORGANISATION and PERSON nodes of the Spine Directory Service, the central repository of data for use within the various systems and services maintained and provided by NHS Connecting for Health.

The products the Organisation Data Service maintain includes:

• the authoritative national lists for a wide range of NHS ORGANISATIONS and medical practitioners of interest to the NHS;
• the allocation of the NHS standard identification codes for these ORGANISATIONS and practitioners;
• a change history record for these ORGANISATIONS and certain of these practitioners;
• additional reference data about each of the ORGANISATIONS and practitioners;
• details of the relationships between these ORGANISATIONS and practitioners;
• details of the GEOGRAPHIC AREAS covered by some of these ORGANISATIONS, defined in terms of POSTCODES;
• all ORGANISATION and Health CARE PROFESSIONAL codes on the Spine Directory Service.

The Organisation Data Service distributes:

• Organisation Codes Data:

a set of files mostly in standard formats, holding national reference data of ORGANISATIONS, practitioners and POSTCODES for use in NHS administrative functions: especially in processing central returns, PATIENT administration, commissioning and message handling. These are published on the NHSnet on a monthly basis (http://nww.connectingforhealth.nhs.uk/ods/). They are also made available to named recipients both inside the NHS and to others licensed to use this data in support of the NHS, through the online Technology Reference Data Update Distribution Service (TRUD). A subset of the data is also published on the NHS Choices website. A subset of the data is also published on the NHS Choices website.

• The ODS Access Database:

a Microsoft Access database containing frequently used data and a number of pre-defined enquiries. The database is available for download from the NHSnet and from Technology Reference Data Update Distribution Service (TRUD) and is updated monthly.

• The ODS Newsletter:

a document distributed with each quarterly data issue through both the NHSnet pages and the Technology Reference Data Update Distribution Service (TRUD), describing developments and issues related to the Organisation Data Service.

• The NHS Safe Haven Directory:

a directory distributed with each monthly data issue through both the NHSnet pages and the Technology Reference Data Update Distribution Service (TRUD), that lists all the Safe Haven contacts and addresses set up to receive and hold confidential PATIENT data in the NHS, updated monthly.

• Postcode and related data supplied by the Office for National statistics:

the Office for National Statistics  supplies files containing all POSTCODES in the UK with details of their GEOGRAPHIC AREA information, such as map reference, Local Authority and Strategic Health Authority. The Organisation Data Service makes these files available on a quarterly basis from the NHSnet and Technology Reference Data Update Distribution Service (TRUD).

The Organisation Data Service provides:

• Central allocation of new or revised codes;
• Help, advice and query resolution on the content and use of the national reference data;
• Development of the NHS standards in this area;
• Further development of the range of national reference data.

The Department of Health requires the mandatory collection of information on the SERVICES provided by  Sexual and Reproductive Health Services (formerly Family Planning Clinics) in order to monitor the implementation of the Government's strategy to reduce the number of teenage pregnancies.

The Sexual and Reproductive Health Activity Data Set will provide essential data to support and monitor the delivery of a number of key Government National Strategies aimed at reducing teenage pregnancies in England and improving sexual health. These strategies include:

• National Strategy for Sexual Health and HIV
  Department for Education PSA target to reduce under 18 conceptions by 50 per cent by 2010
• Improved access to Contraception Services as undertaken in the Care Quality Commission in 2006/07 and 2007/08
• The National Teenage Pregnancy Strategy
• The National Standards, Local Action: Health and Social Care Standards and Planning Framework (2004)

Improving Sexual and Reproductive Health Services and encouraging young people to seek advice are important aspects of the Teenage Pregnancy Strategy. England's under 18 conception rate is 41.7 per 1000 and has fallen by 10.7 per cent since the launch of the Teenage Pregnancy strategy. The under 16 rate is 8.3 per 1000 and has fallen by 6.4 per cent over the same period. Statistics published in February 2009 by the Office for National Statistics show that in 2007 the under 18 conception rate rose by 2.6 per cent. Despite the rise in national figures in 2007, the long-term trend is still downward.

The success of the Teenage Pregnancy strategy relies on all local areas applying it effectively. However, there is still significant variation at a local level, with some areas achieving reductions of over 30 per cent, whereas in other areas, rates have increased.

Monitoring of the Teenage Pregnancy strategy is being undertaken partly through a National Indicator Set, which was issued in November 2001. This includes indicators on the provision of Sexual and Reproductive Health Service in accordance with Best Practice Guidance and the uptake of these by under 18 year olds. The Sexual and Reproductive Health Activity Data Set will provide data needed for these indicators.

The Best Practice Guidance on Sexual and Reproductive Health Service provision is concerned with the Sexual and Reproductive Health Services  for young people under the age of 25, and this is reflected in this return. The guidance, to be published in 2009, will highlight the access to the full range of CONTRACEPTION as key to good Sexual and Reproductive Health Service provision as a means of reducing unplanned conceptions and repeat abortions.

The introduction of the requirements in this Data Set will replace the existing KT31 return and are necessary to modernise this collection, make the data more relevant and rationalise certain data items. Improving the quality of commissioning is a key feature of the Government's health reform agenda and it has been highlighted that effective commissioning will have extensive information requirements. The purpose of this revised collection is to enable monitoring of activity at PRIMARY CARE TRUST LEVEL to enable commissioners to understand which of their population groups are accessing Sexual and Reproductive Health Services and the SERVICES they are receiving. The purpose of this revised collection is to enable monitoring of activity at Primary Care Trust level to enable commissioners to understand which of their population groups are accessing Sexual and Reproductive Health Services and the SERVICES they are receiving. The Sexual and Reproductive Health Activity Data Set covers only face to face contacts with the Sexual and Reproductive Health Service whether in a clinic setting, in the PATIENT's home or an alternative location.

DATA EXTRACT SPECIFICATION

Description: The Sexual and Reproductive Health Activity Data Set return includes individual face to face PATIENT ACTIVITY provided by Sexual and Reproductive Health Services in clinics and non-clinic venues (e.g. outreach facilities or domiciliary visits). Also included are Sexual and Reproductive Health Services provided by non - NHS clinics funded wholly or in part by the NHS (e.g. Brook). It does not include those provided by CONSULTANTS in Outpatient Clinics or those provided by GENERAL MEDICAL PRACTITIONERS.`

Data collected will be used by the NHS, Care Quality Commission, Department of Health and other appropriate ORGANISATIONS to support the monitoring of the National Strategies on Sexual and Reproductive Health Services, service provision, benchmarking and develop commissioning. The existing KT31 Central Return Form will remain in operation alongside the Sexual and Reproductive Health Activity Data Set until such time as the Department of Health notify ORGANISATIONS that it will be discontinued.

Time period: The extract will cover one financial quarter.

Frequency: Extracts will run quarterly, 6 weeks after the end of the quarter.

Format: Data returned should be formatted to a comma separated variable (CSV) or in a MS Excel file. The data variables should be transmitted in the order specified in the Sexual and Reproductive Health Activity Data Set.

Transmission: Data collated by the Primary Care Trust will be submitted via an on-line process to The NHS Information Centre for health and social care.

NHS Connecting for Health is the host of the UK Terminology Centre which is a member of the International Health Terminology Standards Development Organisation.

The core activities of the UK Terminology Centre are:

• Product Development
• Technical Infrastructure and
• Product Support

The UK Terminology Centre's responsibilities include:

• Being the primary point of liaison with the International Health Terminology Standards Development Organisation (IHTSDO) with regard to all aspects of the management of the Terminology Products within the UK
• Establishing and maintaining processes for distributing and sub-licensing the Terminology Products within the UK
• Being the principal contact point within the UK for contact in relation to the Terminology Products, including sub-licensing, technical support; and obtaining updates and enhancements to the Terminology Products ensuring that any products and their releases that the Member deploys within its jurisdiction that are based on the IHTSDO’s Terminology Products, are prepared, checked and managed in conformance with the IHTSDO’s standards
• Maintaining a record of problems and other issues reported within the UK in connection with the Terminology Products
• Documenting, submitting and supporting requests (to the IHTSDO) for proposed updates and enhancements to the Terminology Products
• Monitoring the distribution and applications of the IHTSDO’s Terminology Products, Trade Marks and other Intellectual Property within the UK and reporting to the IHTSDO
• Maintaining the UK National extension to SNOMED CT® (Systematised Nomenclature of Medicine Clinical Terms) and co-ordinate its release with the International Terminology Products. The combined International Release and local extension is known as the National Release
• Creation, maintenance, co-ordination and release of UK sub-sets (reference sets) and other UK derivative works
• Managing UK National release content requests
• Administration for the UK Health Terminology Governance Board (organise meetings; distribute papers; minutes, etc)

For further information on the UK Terminology Centre, see the UK Terminology website.For further information on the UK Terminology Centre, see the UK Terminology website. 

Release: June 2011

• CR1256 (Immediate) - DDCN 1256/2011 School Definitions
• CR1117 (26 August 2011) - ISB ISB 0090 Amd 94/2010 Organisation Data Service Identification Codes for Local Authorities in England and Wales
• CR1251 (Immediate) - DDCN 1251/2011 Change to the Format/Length of Weekly Hours Worked
• CR1243 (Immediate) - DDCN 1243/2011 National Interim Clinical Imaging Procedure (NICIP) Code Set

Release: April 2011

• CR1154 (1 April 2011) - ISB 0011 Amd 87/2010 Mental Health Minimum Data Set Version 4.0
• CR1234 (Immediate) - DDCN 1234/2011 Technology Reference Data Update Distribution Service (TRUD)
• CR1168 (Immediate) - ISB 0097 Amd 140/2010 Genitourinary Medicine Access Monthly Monitoring Data Set Amendments - Removal of Human Immunodeficiency Virus data

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

• CR1050 (1 April 2012) - ISB 1520 Amd 51/2010 Improving Access to Psychological Therapies Data Set

Release: March 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1224 (1 April 2011) - ISB 0092 Amd 02/20110 Commissioning Data Set Schema Version 6-1-1
• CR1223 (Immediate) - DDCN 1223/2011 Updates to Family Planning References
• CR1225 (Immediate) - DDCN 1225/2011 Practitioners with Special Interests
• CR1216 (1 April 2011) - ISB 0028 Amd 170/2010 Changes to Treatment Function Codes
• CR1203 (1 April 2011) - ISB 0084 Amd 150/2010 Introduction of OPCS Classification of Interventions and Procedures Version 4.6

Release: January 2011

• CR1116 (1 April 2010) - ISB 0003 Amd 79/2010 Immunisation Programmes Activity Data Set (KC50)
• CR1112 (1 April 2010) - ISB 1511 Amd 26/2010 NHS Continuing Healthcare and NHS Funded Nursing Care
• CR1068 (Immediate) - ISB 0133 Amd 161/2010 Change To Central Return: Human Papillomavirus (HPV) Immunisation Programme - Vaccine Monitoring Minimum Data Set
• CR1211 (Immediate) - DDCN 1211/2010 Commissioning Data Set Addressing Grid / Organisation Code (Code of Commissioner) Update

Release: December 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1175 (1 April 2011) - ISB 1518 Amd 166/2010 Changes to Sexual and Reproductive Health Activity Data Set
• CR1198 (Immediate) - ISB 1067 Amd 165/2010 National Workforce Data Set
• CR1207 (01 December 2010) - ISB 1573 Amd 168/2010 Mixed-Sex Accommodation
• CR1149 (01 January 2011) - ISB 0139 Amd 99/2010 GUMCAD: Change to Genitourinary (GU) Episode Types

Release: November 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1119 (Immediate) - DDCN 1119/2010 Organisation Codes Update 
• CR1192 (Immediate) - DDCN 1192/2010 Change of name for "Health Solution Wales"
• CR1199 (Immediate) - DDCN 1199/2010 General Pharmaceutical Council and Royal Pharmaceutical Society of Great Britain Update
• CR1189 (Immediate) - DDCN 1189/2010 National Institute for Health and Clinical Excellence
• CR1187 (Immediate) - DDCN 1187/2010 Introduction of the Department for Education

Release: September 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1128 (Immediate) - DDCN 1128/2010 Changes to reporting procedures for Overseas Visitors from the European Economic Area and Switzerland
• CR1173 (Immediate) - DDCN 1173/2010 Care Quality Commission Update
• CR1143 (Immediate) - DDCN 1143/2010 General Pharmaceutical Council
• CR1061 (1 October 2010) - ISB 0092/2010 CDS Type 20: Out-patient: Retirement of Default Codes for Out-patient Procedures
• CR1133 (Immediate) - ISB 00289/2010 National Specialty List

Release: August 2010

• The August 2010 Release introduces the NHS Data Model and Dictionary Help Pages.

Release: July 2010

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

• CR1134 (Immediate - ISB 1067/2010 Amd 109/2010 National Workforce Data Set
• CR1082 (Immediate) - ISB 0153/2010 Critical Care Minimum Data Set
• CR1121 (Immediate) - DSCN 17/2010 Retirement of Data Standard KC60 Central Return

Release: May 2010

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

• CR957 (Immediate) - DSCN 19/2010 Central Returns: KA34 Ambulance Services

Release: March 2010

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

• CR1123 (1 April 2010) - DSCN 18/2010 Information Standards Notice (ISN)
• CR1139 (Immediate) - DSCN 16/2010 Person Weight
• CR1130 (Immediate) - DSCN 15/2010 Change of name for "The NHS Information Centre for health and social care"
• CR1013 (April 2010) - DSCN 14/2010 Sexual and Reproductive Health Activity Dataset (SRHAD)
• CR1125 (Immediate) - DSCN 13/2010 NHS Data Model and Dictionary Maintenance Update - Policy Definitions
• CR1122 (Immediate) - DSCN 11/2010 Changes to Family Planning References

Release: January 2010

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

• CR1115 (Immediate) - DSCN 10/2010 Data Standards: Updating of e-Government Interoperability Framework and Government Data Standards Catalogue References

Release: December 2009

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

• CR1100 (Immediate) - DSCN 25/2009 NHS Prescription Services Update
• CR1045 (1 December 2009) - DSCN 17/2009 Referral to Treatment Clock Stop Administrative Event
• CR1003 (1 December 2009) - DSCN 16/2009 Commissioning Data Sets: Mandation of 18 Week Referral To Treatment Data Items

Release: November 2009

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

• CR1113 (Immediate) - DSCN 24/2009 Information Standards Board for Health and Social Care Update
• CR1087 (Immediate) - DSCN 23/2009 Health Professions Council Update
• CR1081 (Immediate) - DSCN 22/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
• CR1019 (27 November 2009) - DSCN 21/2009 Data Standards: Organisation Data Service (ODS) - Optical Sites and Optical Headquarters
• CR1034 (27 November 2009) - DSCN 20/2009 Data Standards: Organisation Data Service (ODS) - Care Homes in England and Wales and their Headquarters

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

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

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)
• CR976 (31 March 2009) - DSCN 26/2008 Subject: KP90 - Admissions, Changes in Status and Detentions under the Mental Health Act
• 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 

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

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)

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

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)

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

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)

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

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

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

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

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
• 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

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

For all Information Standards Notices and Data Set Change Notices, see the Information Standards Board for Health and Social Care Website

Subtypes of CLINICAL CLASSIFICATION include:

READ CLASSIFICATION
OPERATIVE PROCEDURE

A classification for CLINICAL INTERVENTIONS and PERSON PROPERTIESA classification for CLINICAL INTERVENTIONS and PERSON PROPERTIES.

A result of a single clinical investigation including all essential or useful relevant data.A result of a single Clinical Investigation including all essential or useful relevant data.

Note: A CLINICAL INVESTIGATION RESULT ITEM includes all useful information in connection with an investigation result (e.g. numerical value, date and time of clinical investigation etc.); this corresponds to what is normally called a 'line' on a paper report.

References:
The Version 1.0 Trial NHS Standard EDIFACT Messages for Radiology Requests and Reports, 14.3.95
The Version 1.0 Trial NHS Standard EDIFACT Messages for GP-Hospital Communications - 17.5.95

A subtype of CARE PROFESSIONAL.

A practising MIDWIFE means a registered MIDWIFE.

A PERSON who has given notice of her intention to practise to the local supervising authority in every area that she intends to practise in and who has updated her practise in accordance with the standards published by the Nursing and Midwifery Council and who:A PERSON who has given notice of their intention to practise to the local supervising authority in every area that they intend to practise in and who has updated their practise in accordance with the standards published by the Nursing and Midwifery Council and who:

1. is in attendance upon a woman and baby during the antenatal, intranatal or postnatal period;  or
2. holds a post for which a midwifery qualification is required.

To be eligible to practise as a MIDWIFE a PERSON must:

• hold a midwifery qualification;
• have current registration as a MIDWIFE with the Nursing and Midwifery Council: and
• have met the Nursing and Midwifery Council standards for updating her midwifery practice.

A subtype of CLINICAL CLASSIFICATION.

A unique code identifying an operation which can be performed on a PATIENT. The coding structure is provided by the Office for National Statistics and defined in the OPCS Operations Classification, 4th Revision. The coding structure is provided by the Office for National Statistics and defined in the OPCS Classification of Interventions and Procedures, 4th Revision.

PROFESSIONAL REGISTRATION is the registration of a PERSON with a PROFESSIONAL REGISTRATION BODY.

The PERSON may have several PROFESSIONAL REGISTRATION TYPES HELD recorded for a PROFESSIONAL REGISTRATION each of which will be separately identified by its PROFESSIONAL REGISTRATION TYPE.The PERSON may have several PROFESSIONAL REGISTRATION TYPES HELD recorded for a PROFESSIONAL REGISTRATION each of which will be separately identified by its PROFESSIONAL REGISTRATION TYPE. This may be due to more than one registration type being able to be held concurrently or that each registration type awarded supersedes the previous one.

The PROFESSIONAL REGISTRATION TYPE HELD EFFECTIVE START DATE and the PROFESSIONAL REGISTRATION TYPE HELD EFFECTIVE END DATE records the effective period of the PROFESSIONAL REGISTRATION TYPE HELD. Where no PROFESSIONAL REGISTRATION TYPE HELD EFFECTIVE END DATE is recorded then the PROFESSIONAL REGISTRATION TYPE HELD is still current.

In specific professions, an EMPLOYEE must have successfully completed a recognised or accredited training programme and applied to the relevant PROFESSIONAL REGISTRATION BODY in order to be registered as able to practice. This registration is recorded by a PROFESSIONAL REGISTRATION for each PROFESSIONAL REGISTRATION TYPE held by the EMPLOYEE.

A PROFESSIONAL REGISTRATION has to be maintained on a regular basis in line with the requirements of the PROFESSIONAL REGISTRATION BODY.

For certain POSITIONS within an ORGANISATION it is mandatory for the EMPLOYEE to hold a PROFESSIONAL REGISTRATION TYPE HELD of a given PROFESSIONAL REGISTRATION TYPE or from a list of PROFESSIONAL REGISTRATION TYPES (as multiple PROFESSIONAL REGISTRATION TYPES may be acceptable for the POSITION).

The type of LOCATION for an ACTIVITY:

• where PATIENTS are seen
• where SERVICES are provided or
• from which requests for SERVICES are sent.

ACTIVITY LOCATION TYPE CODE replaces LOCATION TYPE CODE and should be used for all new and developing data sets and for XML messages.

National Codes:

This records the reason why a PATIENT was removed from the ELECTIVE ADMISSION LIST.

National Codes:

A classification of an ELECTIVE ADMISSION LIST ENTRY.

National Codes:

Note that regular day and night admissions should be counted as planned after the first admission, with PATIENT placed on the ELECTIVE ADMISSION LIST between admissions. The date of the DECISION TO ADMIT for regular day and night admissions is the date when arrangements were made for the next admission. It is often the date when the PATIENT was last discharged from hospital.

The outcome of an eligibility check for the application for a sight test or spectacles.

Classification:

An indication of whether or not the CLINICAL INTERVENTION is an OPERATIVE PROCEDURE.An indication of whether the CLINICAL INTERVENTION is an OPERATIVE PROCEDURE.

National Codes:

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

An indication of whether the PATIENT has a history of a medical condition, for example Angina, Acute Myocardial Infarction, Human Papillomavirus (HPV) etc.An indication of whether a PERSON PROPERTY, for example PATIENT DIAGNOSIS, is recorded as part of the PATIENT's history.

National Codes:

The type of delay to a REFERRAL REQUEST.

National Codes:

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

A and E ARRIVAL MODE will be replaced by A and E ARRIVAL MODE CODE, which should be used for all new and developing data sets and for XML messages.

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

A and E ATTENDANCE DISPOSAL will be replaced with A and E ATTENDANCE DISPOSAL CODE, which should be used for all new and developing data sets and for XML messages.

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

Notes:
BODY MASS INDEX (BMI) records the Body Mass Index of the PERSON.

BODY MASS INDEX replaces PERSON OBSERVATION (BMI) and should be used for all new and developing data sets and for XML messages.

Notes:
CLINICAL INTERVENTION DATE (CANCER IMAGING) is the same as Clinical Intervention Date.

Clinical Intervention Date is an ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 34 'Clinical Intervention Date'

Notes:
This is the Clinical Intervention Date of the CLINICAL INTERVENTION with FIRST CANCER DIAGNOSTIC TEST of classification a. CLINICAL INTERVENTION DATE (FIRST DIAGNOSTIC TEST) is the Clinical Intervention Date of the CLINICAL INTERVENTION with FIRST CANCER DIAGNOSTIC TEST of classification a. 'first diagnostic test' resulting from the REFERRAL REQUEST.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Clinical Intervention Date is an ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 34 'Clinical Intervention Date'

For a REFERRAL REQUEST, a contact address is specifically for that referral. This allows any correspondence about the referral to be directed appropriately. The CORRESPONDENCE ADDRESS need not be the initiator's practice address.

Notes:
DELAY REASON REFERRAL TO TREATMENT (CANCER) is the same as attribute DELAY REASON TO TREATMENT (CANCER).

It is an optional data element and should only be present if a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT (CANCER) has been recorded where the DELAY REASON INDICATOR is classification b. 'delay between urgent GP referral and date of first definitive treatment'.

Cancer Care Spell Delay is a REFERRAL DELAY where REFERRAL DELAY TYPE is National Code 01 'Cancer Care Spell Delay'.

Notes:

The prescribed number of fields of a Teletherapy Treatment Course .

Notes:
ORGANISATION CODE (CODE OF COMMISSIONER) is the ORGANISATION CODE of the ORGANISATION commissioning health care.

This should always be the ORGANISATION CODE of the original commissioner for Commissioning Data Sets to support Payment by Results.

The Department of Health document "Who pays? Establishing the Responsible Commissioner" sets out a framework for establishing responsibility for commissioning an individual's care within the NHS, (i.e. determining who pays for a PATIENT’s care.) The guidance is set out in three sections:

1. Section 1: Establishing who pays - sets out the key principles
2. Section 2: Applying the key principles - gives further details about a number of services and situations where further clarification of how the key principles are applied may be helpful
3. Section 3: Exceptions to the key principles - outlines the exceptions to the key principles e.g. prisoners, continuing care arrangements.

Note: There is no obligation for a PERSON to state their place of residence (particularly where an issue of security arises).
Enquiries relating to this document should be directed to the Department of Health, see the Department of Health website for contact details.

The following sections, provide guidance as to which code(s) should be used as the ORGANISATION CODE (CODE OF COMMISSIONER).

General Medical Practitioner Practice Registration (England):

• Where the PATIENT is registered with a General Medical Practitioner Practice, the ORGANISATION CODE (CODE OF COMMISSIONER) will be the 3 digit ORGANISATION CODE of the Primary Care Trust or Care Trust that holds the contract with that General Medical Practitioner Practice.
• If a PATIENT is not registered with a General Medical Practitioner Practice, the ORGANISATION CODE (CODE OF COMMISSIONER) is derived from the PATIENT's POSTCODE OF USUAL ADDRESS, where they reside within the boundary of a:
  • Primary Care Trust
  • Care Trust
  • Local Health Board (Wales)
  • Scottish Health Board
  • Local Commissioning Group (Northern Ireland)  Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009
  • Primary Healthcare Directorate (Isle of Man).
• 
  
• If a PATIENT is not registered with a General Medical Practitioner Practice and is unable to give an ADDRESS, the ORGANISATION CODE (CODE OF COMMISSIONER) will be the ORGANISATION CODE of the ORGANISATION where the unit providing the treatment is located.

General Medical Practitioner Practice Registration (Wales, Scotland and Northern Ireland):

• For PATIENTS who are resident in England but registered with a General Medical Practitioner Practice in Wales, Scotland or Northern Ireland, the ORGANISATION CODE (CODE OF COMMISSIONER) is the English Primary Care Trust or Care Trust in whose area the PATIENT is resident.

PATIENTS from the Channel Islands:

• The bilateral healthcare agreement between the United Kingdom and the Channel Islands terminated on 31st March 2009.
• Channel Islands visitors to England are therefore liable for the same NHS charges as visitors from any other non-European Economic Area (EEA) country that the United Kingdom has no bilateral agreement with.
• As with all PATIENTS who are Overseas Visitors seeking NHS hospital care in England, they are identified by the OVERSEAS VISITORS STATUS CLASSIFICATION to establish whether they are exempt from payment or liable for fees.
• The Department of Health document Termination of bilateral healthcare agreement with the Channel Islands details these changes.

Overseas PATIENTS: charge-exempt:

• PATIENTS are identified by the OVERSEAS VISITORS STATUS CLASSIFICATION where the National Code is either 1 'Exempt from payment - subject to reciprocal health agreement' or 2 'Exempt from payment - other'.
• PATIENT ACTIVITY is funded via the main (host) commissioner - normally the Primary Care Trust or Care Trust with the highest value of NHS SERVICE AGREEMENTS with the ORGANISATION providing the treatment.
• National Commissioning Group is also responsible for charge-exempt Overseas Visitors who require services covered by the National Commissioning Group commissioning arrangements and funded through the National Commissioning Group central budget.

PATIENTS - liable for charges (Overseas and Private):

• PATIENTS who are Overseas Visitors are identified by the OVERSEAS VISITORS STATUS CLASSIFICATION where the National Code is 4 'To pay all fees'.
• Private PATIENTS are identified by the ADMINISTRATIVE CATEGORY CODE 02 'Private patient, one who uses accommodation or services authorised under section 65 and/or section 66 of the NHS Act 1977 (Section 7(10) of Health and Medicine Act 1988 refers) as amended by section 26 of the National Health Service and Community Care Act 1990'.

VPP00 'Private PATIENTS / Overseas Visitor liable for charge' should be used as the ORGANISATION CODE (CODE OF COMMISSIONER) for these PATIENTS.

Prisoners:

• Since April 2003, GP Practice registration (if any) is disregarded for PERSONS who are detained in prison in England. The Primary Care Trust or Care Trust in which the prison is located is responsible for commissioning NHS services for those prisoners, including NHS dental services.
• For those usually resident outside the United Kingdom, the responsible commissioner will be the Primary Care Trust or Care Trust in which the prison is located.
• PERSONS usually resident overseas held in English prisons are exempt from charges for NHS hospital treatment. There is no centrally held budget for this group and costs should be borne by the Primary Care Trust or Care Trust in which the prison is located.

Ministry of Defence:

• Upon enlistment, Primary Care Trusts and Care Trusts are required to de-register members of the British Armed Forces from their General Medical Practitioner Practice registration list and they should not be able to re-register until they have been discharged. During this time, the Ministry of Defence is responsible for their primary medical services which has specific contractual and entitlement arrangements with the NHS.
• This does not apply to dependants of British Armed Forces members, who can remain registered with a General Medical Practitioner Practice.
• XMD00 'Commissioner Code for Ministry of Defence (MoD) Healthcare' should be used as the ORGANISATION CODE (CODE OF COMMISSIONER) for members of British Armed Forces (not dependants).

Specialised Commissioning (England):

• For episodes funded directly by the National Commissioning Group (NCG), code YDD82 'Episodes funded directly by the National Commissioning Group for England' should be used as the ORGANISATION CODE (CODE OF COMMISSIONER).
• Charge-exempt Overseas Visitors who require SERVICES covered by the  National Commissioning Group arrangements are funded through the National Commissioning Group.

Notes:
ORGANISATION CODE (PROVIDER DECISION TO TREAT (CANCER)) is the same as the attribute ORGANISATION CODE.

This is the ORGANISATION CODE of the ORGANISATION acting as Health Care Provider where the decision to treat the PATIENT was made which initiated a Cancer Care Plan with one or more Planned Cancer Treatments. The Planned Cancer Treatment may be planned and provided by a different Health Care Provider. The code may be derived automatically by NHS IT systems.

Cancer Care Plan is a CARE PLAN where CARE PLAN TYPE is National Code 01 - Cancer Care Plan.

Planned Cancer Treatment is a PLANNED ACTIVITY where PLANNED ACTIVITY TYPE is National Code 02 - Cancer Treatment.

Notes:
ORGANISATION CODE (PROVIDER FIRST SEEN) is the same as the attribute ORGANISATION CODE.

This is the ORGANISATION CODE of the ORGANISATION acting as a Health Care Provider where the PATIENT is first seen. That is the Health Care Provider at the first Out-Patient Attendance Consultant, Imaging or Radiodiagnostic Event, CLINICAL INTERVENTION, Hospital Provider Spell, Accident and Emergency Attendance or Screening Test whichever is the earlier SERVICE related to the initial REFERRAL REQUEST.

This may be the same Health Care Provider as for ORGANISATION CODE (PROVIDER FIRST CANCER SPECIALIST) if the PATIENT was first seen by the appropriate specialist for cancer.

The code may be derived automatically by NHS IT systems.

Out-Patient Attendance Consultant is a CARE CONTACT where CARE CONTACT TYPE is National Code 27 'Out-Patient Attendance Consultant'.

Imaging or Radiodiagnostic Event is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 16 'Image or Radiodiagnostic Event'.

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

Accident and Emergency Attendance is a CARE CONTACT where CARE CONTACT TYPE is National Code 01 'Accident and Emergency Attendance'.

Screening Test is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.

Notes:
This is the same as the attribute ORGANISATION CODE.

This is the code of the ORGANISATION that is receiving the PATIENT from another Health Care Provider.

Notes:
This is the PERSON SCORE for an APPOINTMENT where the ASSESSMENT TOOL TYPE is "Patient Health Questionnaire".This is the PERSON SCORE for an APPOINTMENT where the ASSESSMENT TOOL TYPE is "Patient Health Questionnaire-9".

The score will be between 00 and 27.

If one or two values are missing from the score, then they can be substituted with the average score of the non-missing items. Questionnaires with more than two missing values should be disregarded.

For Commissioning Data Set functionality see ADDRESS FORMAT CODE.

If PATIENTS usually resident elsewhere are staying in hotels, hostels or other residential establishments for a short term, say a week, they should be recorded as staying at their usual place of residence. However if long term, such as at boarding school, the school address must be recorded. University students may nominate either their home address or the address of their university accommodation. However if long term, such as at boarding school, the school ADDRESS must be recorded. University students may nominate either their home ADDRESS or the ADDRESS of their university accommodation.

Where PATIENTS are not capable of supplying this information, because of age or mental illness, for example, then the person responsible for the PATIENT, such as a parent or guardian, should nominate the usual address.Where PATIENTS are not capable of supplying this information, because of age or mental illness, for example, then the PERSON responsible for the PATIENT, such as a parent or guardian, should nominate the usual address.

PATIENTS not able to provide an address should be asked for their most recent address. If this cannot be established, record the address as `No fixed abode' or 'Address unknown'.PATIENTS not able to provide an ADDRESS should be asked for their most recent ADDRESS. If this cannot be established, record the ADDRESS as 'No fixed abode' or 'Address unknown'. These PATIENTS are regarded as resident in the local geographical district for commissioning purposes.

For birth episodes this should refer to the mother's usual place of residence.

The format of 5 lines of an35 conforms to ADDRESS FORMAT TYPE 'Unstructured Format'.The format of 5 lines of an35 conforms to ADDRESS FORMAT TYPE 'Unstructured Format'. The format refers to the physical layout of the address, not the logical layout, and does not require intelligent intervention when splitting the text string into lines. For example:

The PATIENT's name and address should be withheld from any commissioning record which contains a valid NHS NUMBER.The PATIENT's name and ADDRESS should be withheld from any commissioning record which contains a valid NHS NUMBER.

It records the mother's usual address within:PATIENT USUAL ADDRESS (MOTHER) is the PATIENT USUAL ADDRESS where it relates to the mother of the PATIENT.

Use in the Commissioning Data Set:

PATIENT USUAL ADDRESS (MOTHER) records the mother's usual address within:

• CDS V6 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set
• CDS V6 Type 150 - Admitted Patient Care - Other Birth Event Commissioning Data Set and
• CDS V6 Type 180 - Admitted Patient Care - Unfinished Birth Episode Commissioning Data Set.

The POSTCODE of the ADDRESS nominated by the PATIENT with ADDRESS ASSOCIATION TYPE 'Main Permanent Residence' or 'Other Permanent Residence'.The POSTCODE of the ADDRESS nominated by the PATIENT with ADDRESS ASSOCIATION TYPE 'Main Permanent Residence' or 'Other Permanent Residence'.

If a PATIENT has no fixed abode this should be recorded with the appropriate code (ZZ99 3VZ).

For PATIENTS who are Overseas Visitors, the POSTCODES OF USUAL ADDRESS field must show the relevant country pseudo postcode commencing ZZ99 plus space followed by a numeric, then an alpha character, then a Z. For example, ZZ99 6CZ is the pseudo-postcode for India. Pseudo-Country postcodes can be found in the NHS Postcode Directory.

The 8 characters field allows a space to be inserted to differentiate between the inward and outward segments of the code, enabling full use to be made of Royal Mail postcode functionality.  See NHS Postcode Directory and Contact Details.

The e-Government Interoperability Framework (e-GIF) standard POSTCODE should be used for all new and developing systems and for XML messages.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.1, Agreed 1 September 2002.
Further information can be found on the Cabinet Office website.

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. Where the CONSULTANT CODE is not known, the Organisation Data Service Default Code 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 GENERAL MEDICAL PRACTITIONER PPD CODE of the GENERAL PRACTITIONER for whom the locum is acting.

See CONSULTANT CODE and GENERAL MEDICAL PRACTITIONER (SPECIFIED) for the codes available for CONSULTANTS and GENERAL MEDICAL PRACTITIONERS and GENERAL DENTAL PRACTITIONERS.

If the REFERRER CODE is not known or not applicable e.g., the PATIENT has self-presented, the Organisation Data Service Default Code (X9999998) should be used.

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

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

Notes:
SERUM CHOLESTEROL LEVEL is the Serum Cholesterol Level of a PATIENT measured in 'mmol/L (millimoles per litre)'.

SERUM CHOLESTEROL LEVEL replaces PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) and should be used for all new and developing data sets and for XML messages.

Notes:
This is the same as attribute SEXUAL AND REPRODUCTIVE HEALTH CARE ACTIVITY. This indicates all other ACTIVITY provided and carried out by the Sexual and Reproductive Health Services at the point of contact/attendance.SEXUAL AND REPRODUCTIVE HEALTH CARE ACTIVITY is the same as attribute SEXUAL AND REPRODUCTIVE HEALTH CARE ACTIVITY.

This indicates all other ACTIVITY provided and carried out by the Sexual and Reproductive Health Services at the point of contact/attendance.

Notes:
This is the TREATMENT FUNCTION under which the PATIENT is treated. It may be the same as the MAIN SPECIALTY CODE or a different TREATMENT FUNCTION which will be the CARE PROFESSIONAL's treatment interest.

Midwife Episodes and Nursing Episodes may use any appropriate TREATMENT FUNCTION CODE . The pseudo CONSULTANT MAIN SPECIALTY CODE of 950 for nurses must only be used for MAIN SPECIALTY CODE. The code 560 Midwife Episode can be used both as a MAIN SPECIALTY and a TREATMENT FUNCTION.

The default codes 199 and 499 are only applicable for overseas health care providers.

TREATMENT FUNCTION CODE will be replaced with ACTIVITY TREATMENT FUNCTION CODE, which should be used for all new and developing data sets and for XML messages.

Midwife Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 24 'Midwife Episode'.

Nursing Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 26 'Nursing Episode'.