NHS Connecting for Health
NHS Data Model and Dictionary Service
| Reference: | Change Request 1308 |
| Version No: | 1.0 |
| Subject: | May 2012 Release Patch |
| Effective Date: | Immediate |
| Reason for Change: | Patch |
| Publication Date: | 23 May 2012 |
Background:
This patch updates the NHS Data Model and Dictionary in preparation for the May 2012 Release and includes:
- What's New amended to include Change Requests incorporated since the last version of the NHS Data Model and Dictionary was published
- Activity Date Time Items updated to make them consistent
- Missing hyperlinks added
- Email addresses and website links updated
- Html format corrected.
To view a demonstration on "How to Read an NHS Data Model and Dictionary Change Request", visit the NHS Data Model and Dictionary help pages at: http://www.datadictionary.nhs.uk/Flash_Files/changerequest.htm.
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Summary of changes:
| Date: | 23 May 2012 |
| 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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Change to Data Set: Changed Description
CDS V6 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set Overview
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| CDS TYPE V6 120 - FINISHED BIRTH EPISODE COMMISSIONING DATA SET | |
| FUNCTION: To support the details of a Finished Birth Episode. |
| Notation | DATA GROUP: CDS V6 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 001 - Commissioning Data Set Interchange Header One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 003 - Commissioning Data Set Message Header One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED |
| Notation | DATA GROUP: CDS V6 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL | ||
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol. | |
| M | 1..1 | DATA GROUP: CDS V6 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| OR |
| Notation | DATA GROUP: CDS V6 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL | |
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol. |
| M | 1..1 | DATA GROUP: CDS V6 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: PATIENT PATHWAY | ||
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the Patient Pathway. | |
| M | 1..1 | DATA GROUP: PATIENT PATHWAY IDENTITY | Rules | |||
| M Or M | 1..1 1..1 | UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) Or PATIENT PATHWAY IDENTIFIER | F F I2 | |||
| M | 1..1 | ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) | F I2 | |||
| M | 1..1 | DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICS | Rules | |||
| M | 1..1 | REFERRAL TO TREATMENT STATUS | V | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD START DATE | F S13 | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD END DATE | F S13 | |||
| X | 0..1 | Data Element Components | Rules | ||||
| X | 0..1 | LEAD CARE ACTIVITY INDICATOR | N2 | ||||
| Notation | DATA GROUP: PATIENT IDENTITY | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the personal details of the Patient (the Baby). See Note: S3 in Commissioning Data Set Business Rules. | |
| One of the following DATA GROUPS must be used: |
| 1..1 | DATA GROUP: WITHHELD IDENTITY STRUCTURE (Birth Episode) Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 90 (Patient identity withheld from submission) NOTE - NHS NUMBER STATUS INDICATOR 90 IS NOT APPROVED BY THE INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE AND THEREFORE THIS STRUCTURE SHOULD NOT BE USED | ||||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| OR |
| 1..1 | DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 01 (Number present and verified) | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| OR |
| 1..1 | DATA GROUP: UNVERIFIED IDENTITY STRUCTURE Must be used for all other values of the NHS NUMBER STATUS INDICATOR NOT included in the above | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| O | 0..1 | PATIENT NAME - PERSON NAME STRUCTURED OR PATIENT NAME - PERSON NAME UNSTRUCTURED | F S3 | ||
| R | 0..1 | Data Element Components | Rules | ||
| R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| Notation | DATA GROUP: PATIENT CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the characteristics of the Patient (the Baby). | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | PERSON BIRTH DATE (Commissioning Data Set Version 6-0 only) | F S3 S12 | ||
| R | 0..1 | PERSON GENDER CURRENT | V H4 | ||
| R | 0..1 | ETHNIC CATEGORY | V | ||
| R | 0..1 | LIVE OR STILL BIRTH | V | ||
| R | 0..1 | BIRTH WEIGHT | F | ||
| Notation | DATA GROUP: HOSPITAL PROVIDER SPELL - ADMISSION CHARACTERISTICS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the admission details of the Hospital Provider Spell containing the Episode. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | HOSPITAL PROVIDER SPELL NUMBER | F H4 | ||
| R | 0..1 | ADMINISTRATIVE CATEGORY (ON ADMISSION) | V | ||
| R | 0..1 | PATIENT CLASSIFICATION | V H4 | ||
| R | 0..1 | ADMISSION METHOD (HOSPITAL PROVIDER SPELL) | V | ||
| R | 0..1 | SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) | V H4 | ||
| M | 1..1 | START DATE (HOSPITAL PROVIDER SPELL) | F H4 S13 | ||
| M | 1..1 | AGE ON ADMISSION | F H4 | ||
| Notation | DATA GROUP: HOSPITAL PROVIDER SPELL - DISCHARGE CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the discharge details of the Hospital Provider Spell containing the Episode. | |
| R | 0..1 | Data Element Components | Rules | ||
| R | 0..1 | DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) | V H4 | ||
| R | 0..1 | DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) | V H4 | ||
| O | 0..1 | DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL) | F S13 | ||
| R | 0..1 | DISCHARGE DATE (HOSPITAL PROVIDER SPELL) | F S13 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - ACTIVITY CHARACTERISTICS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the details of the Patient's Episode (the Baby). | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | EPISODE NUMBER | F H4 | ||
| R | 0..1 | LAST EPISODE IN SPELL INDICATOR | V | ||
| X | 0..1 | ADMINISTRATIVE CATEGORY (AT START OF EPISODE) | N2 | ||
| R | 0..1 | OPERATION STATUS | V | ||
| O | 0..1 | NEONATAL LEVEL OF CARE | V H4 | ||
| M | 1..1 | START DATE (EPISODE) | F H4 S13 | ||
| M | 1..1 | END DATE (EPISODE) | F H4 S1 S13 | ||
| M | 1..1 | AGE AT CDS ACTIVITY DATE | F H4 | ||
| Notation | DATA GROUP: SERVICE AGREEMENT DETAILS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Service Agreement. | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | COMMISSIONING SERIAL NUMBER | F | ||
| O | 0..1 | NHS SERVICE AGREEMENT LINE NUMBER | F | ||
| O | 0..1 | PROVIDER REFERENCE NUMBER | F | ||
| R | 0..1 | COMMISSIONER REFERENCE NUMBER | F | ||
| R | 0..1 | ORGANISATION CODE (CODE OF PROVIDER) | F H4 S8 | ||
| R | 0..1 | ORGANISATION CODE (CODE OF COMMISSIONER) | F S8 | ||
| Notation | DATA GROUP: BIRTH EPISODE- PERSON GROUP (CONSULTANT) | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Responsible Care Professional. | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | CONSULTANT CODE | F | ||
| R | 0..1 | MAIN SPECIALTY CODE | V H4 | ||
| R | 0..1 | TREATMENT FUNCTION CODE | V H4 | ||
| Notation | DATA GROUP: BIRTH EPISODE - CLINICAL DIAGNOSIS GROUP (ICD) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the ICD coded Clinical Diagnoses. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | DIAGNOSIS SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY DIAGNOSIS | Rules | ||
| M | 1..1 | PRIMARY DIAGNOSIS (ICD) | F H4 | ||
| R | 0..* | DATA GROUP: SECONDARY DIAGNOSES | Rules | ||
| M | 1..1 | SECONDARY DIAGNOSIS (ICD) | F H4 | ||
| Notation | DATA GROUP: BIRTH EPISODE - CLINICAL DIAGNOSIS GROUP (READ) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the READ coded Clinical Diagnoses. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | DIAGNOSIS SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY DIAGNOSIS | Rules | ||
| M | 1..1 | PRIMARY DIAGNOSIS (READ) | F | ||
| O | 0..* | DATA GROUP: SECONDARY DIAGNOSES | Rules | ||
| M | 1..1 | SECONDARY DIAGNOSIS (READ) | F | ||
| Notation | DATA GROUP: BIRTH EPISODE - CLINICAL ACTIVITY GROUP (OPCS) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the OPCS coded Clinical Activities. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | PROCEDURE SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY PROCEDURE | Rules | ||
| M | 1..1 | PRIMARY PROCEDURE (OPCS) | F H4 | ||
| R | 0..1 | PROCEDURE DATE | F S13 | ||
| R | 0..* | DATA GROUP: SECONDARY PROCEDURES | Rules | ||
| M | 1..1 | PROCEDURE (OPCS) | F H4 | ||
| M | 1..1 | PROCEDURE DATE | F I1 S13 | ||
| Notation | DATA GROUP: BIRTH EPISODE - CLINICAL ACTIVITY GROUP (READ) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the READ coded Clinical Activities. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | PROCEDURE SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY PROCEDURE | Rules | ||
| M | 1..1 | PRIMARY PROCEDURE (READ) | F | ||
| R | 0..1 | PROCEDURE DATE | F S13 | ||
| O | 0..* | DATA GROUP: SECONDARY PROCEDURES | Rules | ||
| M | 1..1 | PROCEDURE (READ) | F | ||
| M | 1..1 | PROCEDURE DATE | F I1 S13 | ||
| Notation | DATA GROUP: LOCATION GROUP (AT START OF EPISODE) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Location at the Start Of Episode. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | I2 | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| Notation | DATA GROUP: LOCATION GROUP (AT WARD STAY) | |
| Group Status O | Group Repeats 0..97 | FUNCTION: To carry the details of the Location at a Ward Stay. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| O | 0..1 | START DATE | F S13 | ||
| O | 0..1 | END DATE | F S13 | ||
| Notation | DATA GROUP: LOCATION GROUP (AT END OF EPISODE) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the Location at the End Of Episode. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| Notation | DATA GROUP: BIRTH EPISODE - NEONATAL CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Neonatal Care facilities. |
| M | 1..1 | DATA GROUP: NEONATAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| M | 1..1 | GESTATION LENGTH (AT DELIVERY) | V | ||
| M | 1..999 | DATA GROUP: NEONATAL DAILY CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| M | 1..1 | ACTIVITY DATE (CRITICAL CARE) | F S13 | ||
| R | 0..1 | PERSON WEIGHT | F | ||
| M | 1..20 | CRITICAL CARE ACTIVITY CODE | V N4 | ||
| R | 0..20 | HIGH COST DRUGS (OPCS) | F N4 | ||
| R | 0..1 | DATA GROUP: NEONATAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| Notation | DATA GROUP: BIRTH EPISODE - PAEDIATRIC CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Paediatric Care facilities. |
| M | 1..1 | DATA GROUP: PAEDIATRIC CRITICAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| M | 1..999 | DATA GROUP: PAEDIATRIC DAILY CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| M | 1..1 | ACTIVITY DATE (CRITICAL CARE) | F S13 | ||
| M | 1..20 | CRITICAL CARE ACTIVITY CODE | V N4 | ||
| R | 0..20 | HIGH COST DRUGS (OPCS) | F N4 | ||
| R | 0..1 | DATA GROUP: PAEDIATRIC CRITICAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| Notation | DATA GROUP: BIRTH EPISODE - ADULT CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Adult Care facilities. |
| M | 1..1 | DATA GROUP: ADULT CRITICAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| O | 0..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| O | 0..1 | CRITICAL CARE UNIT BED CONFIGURATION | V | ||
| O | 0..1 | CRITICAL CARE ADMISSION SOURCE | V | ||
| O | 0..1 | CRITICAL CARE SOURCE LOCATION | V | ||
| O | 0..1 | CRITICAL CARE ADMISSION TYPE | V | ||
| M | 1..1 | DATA GROUP: ADULT CRITICAL CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| R | 0..1 | ADVANCED RESPIRATORY SUPPORT DAYS | F H4 | ||
| R | 0..1 | BASIC RESPIRATORY SUPPORT DAYS | F H4 | ||
| R | 0..1 | ADVANCED CARDIOVASCULAR SUPPORT DAYS | F H4 | ||
| R | 0..1 | BASIC CARDIOVASCULAR SUPPORT DAYS | F H4 | ||
| R | 0..1 | RENAL SUPPORT DAYS | F H4 | ||
| R | 0..1 | NEUROLOGICAL SUPPORT DAYS | F H4 | ||
| O | 0..1 | GASTRO-INTESTINAL SUPPORT DAYS | F | ||
| R | 0..1 | DERMATOLOGICAL SUPPORT DAYS | F H4 | ||
| R | 0..1 | LIVER SUPPORT DAYS | F H4 | ||
| O | 0..1 | ORGAN SUPPORT MAXIMUM | V | ||
| R | 0..1 | CRITICAL CARE LEVEL 2 DAYS | F H4 | ||
| R | 0..1 | CRITICAL CARE LEVEL 3 DAYS | F H4 | ||
| R | 0..1 | DATA GROUP: ADULT CRITICAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE READY DATE | F S13 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE READY TIME | F S14 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE STATUS | V | ||
| O | 0..1 | CRITICAL CARE DISCHARGE DESTINATION | V | ||
| O | 0..1 | CRITICAL CARE DISCHARGE LOCATION | V | ||
| Notation | DATA GROUP: GP REGISTRATION | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the Patient's General Medical Practitioner and the General Practice details. |
| R | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | GENERAL MEDICAL PRACTITIONER (SPECIFIED) | F | ||
| R | 0..1 | GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) | F | ||
| Notation | DATA GROUP: REFERRER | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Referrer. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | REFERRER CODE | F | ||
| R | 0..1 | REFERRING ORGANISATION CODE | F | ||
| Notation | DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Pregnancy. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NUMBER OF BABIES | V | ||
| Notation | DATA GROUP: ANTENATAL CARE - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Antenatal Care. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | FIRST ANTENATAL ASSESSMENT DATE | F S13 | ||
| Notation | DATA GROUP: ANTENATAL CARE - PERSON GROUP (RESPONSIBLE CLINICIAN) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the General Medical Practitioner responsible for the Antenatal Care. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE) | F | ||
| O | 0..1 | GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE) | F | ||
| Notation | DATA GROUP: ANTENATAL CARE - LOCATION GROUP - DELIVERY PLACE INTENDED | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Intended Delivery Location. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| R | 0..1 | DELIVERY PLACE CHANGE REASON | V | ||
| R | 0..1 | DELIVERY PLACE TYPE (INTENDED) | V | ||
| Notation | DATA GROUP: LABOUR/DELIVERY - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Labour/Delivery. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY | V | ||
| R | 0..1 | ANAESTHETIC GIVEN POST LABOUR OR DELIVERY | V | ||
| O | 0..1 | GESTATION LENGTH (LABOUR ONSET) | V | ||
| R | 0..1 | LABOUR OR DELIVERY ONSET METHOD | V | ||
| R | 0..1 | DELIVERY DATE | F S13 | ||
| Notation | DATA GROUP: BIRTH OCCURRENCE - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Birth Occurrence. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | BIRTH ORDER | F | ||
| R | 0..1 | DELIVERY METHOD | V | ||
| R | 0..1 | GESTATION LENGTH (ASSESSMENT) | V | ||
| R | 0..1 | RESUSCITATION METHOD | V | ||
| R | 0..1 | STATUS OF PERSON CONDUCTING DELIVERY | V | ||
| Notation | DATA GROUP: DELIVERY OCCURRENCE PERSON IDENTITY - MOTHER | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: | |
| One of the following DATA GROUPS must be used: |
| 1..1 | DATA GROUP: WITHHELD IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 90 (Patient identity withheld from submission) NOTE - NHS NUMBER STATUS INDICATOR 90 IS NOT APPROVED BY THE INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE AND THEREFORE THIS STRUCTURE SHOULD NOT BE USED | ||||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (MOTHER) | V | ||
| R | 0..1 | ORGANISATION CODE (PCT OF RESIDENCE (MOTHER)) | F | ||
| OR |
| 1..1 | DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 01 (Number present and verified) | ||||
| O | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE (MOTHER) | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER (MOTHER) | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER)) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER (MOTHER) | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (MOTHER) | V | ||
| M | 1..1 | POSTCODE OF USUAL ADDRESS (MOTHER) | F S3 | ||
| M | 1..1 | ORGANISATION CODE (PCT OF RESIDENCE (MOTHER)) | F | ||
| R | 0..1 | PERSON BIRTH DATE (MOTHER) (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| OR |
| 1..1 | DATA GROUP: UNVERIFIED IDENTITY STRUCTURE Must be used for all other values of the NHS NUMBER STATUS INDICATOR NOT included in the above | ||||
| O | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER (MOTHER) | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER)) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NHS NUMBER (MOTHER) | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (MOTHER) | V | ||
| O | 0..1 | PATIENT USUAL ADDRESS (MOTHER) - ADDRESS STRUCTURED (Label format Postal Address) OR PATIENT USUAL ADDRESS (MOTHER) - ADDRESS UNSTRUCTURED (Character string) | F S3 | ||
| R | 0..1 | Data Element Components | Rules | ||
| R | 0..1 | POSTCODE OF USUAL ADDRESS (MOTHER) | F S3 | ||
| R | 0..1 | ORGANISATION CODE (PCT OF RESIDENCE (MOTHER)) | F | ||
| R | 0..1 | PERSON BIRTH DATE (MOTHER) (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| Notation | DATA GROUP: DELIVERY OCCURRENCE - PERSON CHARACTERISTICS - MOTHER | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the characteristics of the Baby's Mother (Commissioning Data Set Version 6-0 only) |
| R | 0..1 | Data Element Components | Rules | ||
| R | 0..1 | PERSON BIRTH DATE (MOTHER) (Commissioning Data Set Version 6-0 only) | F S3 S12 | ||
| Notation | DATA GROUP: DELIVERY OCCURRENCE - LOCATION GROUP - DELIVERY PLACE ACTUAL | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Actual Delivery Location. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| R | 0..1 | DELIVERY PLACE TYPE (ACTUAL) | V | ||
| Notation | DATA GROUP: HEALTHCARE RESOURCE GROUP - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Healthcare Resource Group. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | HEALTHCARE RESOURCE GROUP CODE | F I3 | ||
| R | 0..1 | HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER | F I3 | ||
| Notation | DATA GROUP: HEALTHCARE RESOURCE GROUP - CLINICAL ACTIVITY | |
| Group Status O | Group Repeats 0..1 | FUNCTION: 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 Data Group referring to HRG Dominant Grouping Variable - Procedure should be omitted. |
| R | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | PROCEDURE SCHEME IN USE | V I3 | ||
| O | 0..1 | HRG DOMINANT GROUPING VARIABLE-PROCEDURE | F I3 | ||
| Notation | DATA GROUP: CDS V6 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..* | DATA GROUP: CDS V6 Type 004 - Commissioning Data Set Message Trailer One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 002 - Commissioning Data Set Interchange Trailer One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
Change to Data Set: Changed Description
CDS V6 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set Overview
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| CDS V6 TYPE 130 - FINISHED GENERAL EPISODE COMMISSIONING DATA SET | |
| FUNCTION: To support the details of a Finished General Episode. |
| Notation | DATA GROUP: CDS V6 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 001 - Commissioning Data Set Interchange Header One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..* | DATA GROUP: CDS V6 Type 003 - Commissioning Data Set Message Header One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED |
| Notation | DATA GROUP: CDS V6 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL | ||
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol. | |
| M | 1..1 | DATA GROUP: CDS V6 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| OR |
| Notation | DATA GROUP: CDS V6 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL | |
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol. |
| M | 1..1 | DATA GROUP: CDS V6 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: PATIENT PATHWAY | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Patient Pathway. This Group must be present if the record relates to a Referral To Treatment Period Included In 18 Weeks Target. | |
| M | 1..1 | DATA GROUP: PATIENT PATHWAY IDENTITY | Rules | |||
| M Or M | 1..1 1..1 | UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) Or PATIENT PATHWAY IDENTIFIER | F F I2 | |||
| M | 1..1 | ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) | F I2 | |||
| M | 1..1 | DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICS | Rules | |||
| M | 1..1 | REFERRAL TO TREATMENT STATUS | V | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD START DATE | F S13 | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD END DATE | F S13 | |||
| X | 0..1 | Data Element Components | Rules | ||||
| X | 0..1 | LEAD CARE ACTIVITY INDICATOR | N2 | ||||
| Notation | DATA GROUP: PATIENT IDENTITY | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the Identity of the Patient. See Note: S3 in Commissioning Data Set Business Rules. | |
| One of the following DATA GROUPS must be used: |
| 1..1 | DATA GROUP: WITHHELD IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 90 (Patient identity withheld from submission) NOTE - NHS NUMBER STATUS INDICATOR 90 IS NOT APPROVED BY THE INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE AND THEREFORE THIS STRUCTURE SHOULD NOT BE USED | ||||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| R | 0..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| OR |
| 1..1 | DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 01 (Number present and verified) | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| M | 1..1 | POSTCODE OF USUAL ADDRESS | F S3 | ||
| M | 1..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| OR |
| 1..1 | DATA GROUP: UNVERIFIED IDENTITY STRUCTURE Must be used for all other values of the NHS NUMBER STATUS INDICATOR NOT included in the above | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| O | 0..1 | PATIENT NAME - PERSON NAME STRUCTURED Or PATIENT NAME - PERSON NAME UNSTRUCTURED | F S3 | ||
| O | 0..1 | PATIENT USUAL ADDRESS - ADDRESS STRUCTURED (Label format Postal Address) Or PATIENT USUAL ADDRESS - ADDRESS UNSTRUCTURED (Character string) | F S3 | ||
| R | 0..1 | Data Element Components | Rules | ||
| R | 0..1 | POSTCODE OF USUAL ADDRESS | F S3 | ||
| R | 0..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| Notation | DATA GROUP: PATIENT CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the characteristics of the Patient. | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | PERSON BIRTH DATE (Commissioning Data Set Version 6-0 only) | F S3 S12 | ||
| R | 0..1 | PERSON GENDER CURRENT | V H4 | ||
| O | 0..1 | CARER SUPPORT INDICATOR | V | ||
| R | 0..1 | ETHNIC CATEGORY | V | ||
| R | 0..1 | PERSON MARITAL STATUS | V N1 | ||
| R | 0..1 | LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) | V N1 | ||
| Notation | DATA GROUP: HOSPITAL PROVIDER SPELL - ADMISSION CHARACTERISTICS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the admission details of the Hospital Provider Spell containing the Episode. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | HOSPITAL PROVIDER SPELL NUMBER | F H4 | ||
| R | 0..1 | ADMINISTRATIVE CATEGORY (ON ADMISSION) | V | ||
| R | 0..1 | PATIENT CLASSIFICATION | V H4 | ||
| R | 0..1 | ADMISSION METHOD (HOSPITAL PROVIDER SPELL) | V | ||
| R | 0..1 | SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) | V H4 | ||
| M | 1..1 | START DATE (HOSPITAL PROVIDER SPELL) | F H4 S13 | ||
| M | 1..1 | AGE ON ADMISSION | F H4 | ||
| Notation | DATA GROUP: HOSPITAL PROVIDER SPELL - DISCHARGE CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the discharge details of the Hospital Provider Spell containing the Episode. | |
| R | 0..1 | Data Element Components | Rules | ||
| R | 0..1 | DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) | V H4 | ||
| R | 0..1 | DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) | V H4 | ||
| O | 0..1 | DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL) | F S13 | ||
| R | 0..1 | DISCHARGE DATE (HOSPITAL PROVIDER SPELL) | F S13 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - ACTIVITY CHARACTERISTICS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the details of the Patient's Finished Episode. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | EPISODE NUMBER | F H4 | ||
| R | 0..1 | LAST EPISODE IN SPELL INDICATOR | V | ||
| X | 0..1 | ADMINISTRATIVE CATEGORY (AT START OF EPISODE) | N2 | ||
| R | 0..1 | OPERATION STATUS | V | ||
| O | 0..1 | NEONATAL LEVEL OF CARE | V H4 | ||
| O | 0..1 | FIRST REGULAR DAY OR NIGHT ADMISSION | V | ||
| R | 0..1 | PSYCHIATRIC PATIENT STATUS | V | ||
| X | 0..1 | LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE) | N1 N2 | ||
| M | 1..1 | START DATE (EPISODE) | F S13 | ||
| M | 1..1 | END DATE (EPISODE) | F H4 S1 S13 | ||
| M | 1..1 | AGE AT CDS ACTIVITY DATE | F H4 S8 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - SERVICE AGREEMENT DETAILS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Service Agreement. | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | COMMISSIONING SERIAL NUMBER | F | ||
| O | 0..1 | NHS SERVICE AGREEMENT LINE NUMBER | F | ||
| O | 0..1 | PROVIDER REFERENCE NUMBER | F | ||
| R | 0..1 | COMMISSIONER REFERENCE NUMBER | F | ||
| R | 0..1 | ORGANISATION CODE (CODE OF PROVIDER) | F H4 S8 | ||
| R | 0..1 | ORGANISATION CODE (CODE OF COMMISSIONER) | F S8 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - PERSON GROUP (CONSULTANT) | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Responsible Care Professional. | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | CONSULTANT CODE | F | ||
| R | 0..1 | MAIN SPECIALTY CODE | V H4 | ||
| R | 0..1 | TREATMENT FUNCTION CODE | V H4 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the ICD coded Clinical Diagnoses. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | DIAGNOSIS SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY DIAGNOSIS | Rules | ||
| M | 1..1 | PRIMARY DIAGNOSIS (ICD) | F H4 | ||
| R | 0..* | DATA GROUP: SECONDARY DIAGNOSES | Rules | ||
| R | 0..1 | SECONDARY DIAGNOSIS (ICD) | F H4 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (READ) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the READ coded Clinical Diagnoses. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | DIAGNOSIS SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY DIAGNOSIS | Rules | ||
| M | 1..1 | PRIMARY DIAGNOSIS (READ) | F | ||
| O | 0..* | DATA GROUP: SECONDARY DIAGNOSES | Rules | ||
| R | 0..1 | SECONDARY DIAGNOSIS (READ) | F | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL ACTIVITY GROUP (OPCS) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the OPCS coded Clinical Activities. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | PROCEDURE SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY PROCEDURE | Rules | ||
| M | 1..1 | PRIMARY PROCEDURE (OPCS) | F H4 | ||
| R | 0..1 | PROCEDURE DATE | F S13 | ||
| R | 0..* | DATA GROUP: SECONDARY PROCEDURES | Rules | ||
| M | 1..1 | PROCEDURE (OPCS) | F H4 | ||
| M | 1..1 | PROCEDURE DATE | F I1 S13 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL ACTIVITY GROUP (READ) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the READ coded Clinical Activities. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | PROCEDURE SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY PROCEDURE | Rules | ||
| M | 1..1 | PRIMARY PROCEDURE (READ) | F | ||
| R | 0..1 | PROCEDURE DATE | F S13 | ||
| O | 0..* | DATA GROUP: SECONDARY PROCEDURES | Rules | ||
| M | 1..1 | PROCEDURE (READ) | F | ||
| M | 1..1 | PROCEDURE DATE | F I1 S13 | ||
| Notation | DATA GROUP: LOCATION GROUP (AT START OF EPISODE) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Location at the Start Of Episode. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| Notation | DATA GROUP: LOCATION GROUP (AT WARD STAY) | |
| Group Status R | Group Repeats 0..97 | FUNCTION: To carry the details of one or more Ward Stays. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| O | 0..1 | START DATE | F S13 | ||
| O | 0..1 | END DATE | F S13 | ||
| Notation | DATA GROUP: LOCATION GROUP (AT END OF EPISODE) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Location at the End Of Episode. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| Notation | DATA GROUP: NEONATAL CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Neonatal Care facilities. |
| M | 1..1 | DATA GROUP: NEONATAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| M | 1..1 | GESTATION LENGTH (AT DELIVERY) | V | ||
| M | 1..999 | DATA GROUP: NEONATAL DAILY CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| M | 1..1 | ACTIVITY DATE (CRITICAL CARE) | F S13 | ||
| R | 0..1 | PERSON WEIGHT | F | ||
| M | 1..20 | CRITICAL CARE ACTIVITY CODE | V N4 | ||
| R | 0..20 | HIGH COST DRUGS (OPCS) | F N4 | ||
| R | 0..1 | DATA GROUP: NEONATAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| Notation | DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Paediatric Care facilities. |
| M | 1..1 | DATA GROUP: PAEDIATRIC CRITICAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| M | 1..999 | DATA GROUP: PAEDIATRIC DAILY CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| M | 1..1 | ACTIVITY DATE (CRITICAL CARE) | F S13 | ||
| M | 1..20 | CRITICAL CARE ACTIVITY CODE | V N4 | ||
| R | 0..20 | HIGH COST DRUGS (OPCS) | F N4 | ||
| R | 0..1 | DATA GROUP: PAEDIATRIC CRITICAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| Notation | DATA GROUP: ADULT CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Adult Care facilities. |
| M | 1..1 | DATA GROUP: ADULT CRITICAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| O | 0..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| O | 0..1 | CRITICAL CARE UNIT BED CONFIGURATION | V | ||
| O | 0..1 | CRITICAL CARE ADMISSION SOURCE | V | ||
| O | 0..1 | CRITICAL CARE SOURCE LOCATION | V | ||
| O | 0..1 | CRITICAL CARE ADMISSION TYPE | V | ||
| M | 1..1 | DATA GROUP: ADULT DAILY CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| R | 0..1 | ADVANCED RESPIRATORY SUPPORT DAYS | F H4 | ||
| R | 0..1 | BASIC RESPIRATORY SUPPORT DAYS | F H4 | ||
| R | 0..1 | ADVANCED CARDIOVASCULAR SUPPORT DAYS | F H4 | ||
| R | 0..1 | BASIC CARDIOVASCULAR SUPPORT DAYS | F H4 | ||
| R | 0..1 | RENAL SUPPORT DAYS | F H4 | ||
| R | 0..1 | NEUROLOGICAL SUPPORT DAYS | F H4 | ||
| O | 0..1 | GASTRO-INTESTINAL SUPPORT DAYS | F | ||
| R | 0..1 | DERMATOLOGICAL SUPPORT DAYS | F H4 | ||
| R | 0..1 | LIVER SUPPORT DAYS | F H4 | ||
| O | 0..1 | ORGAN SUPPORT MAXIMUM | V | ||
| R | 0..1 | CRITICAL CARE LEVEL 2 DAYS | F H4 | ||
| R | 0..1 | CRITICAL CARE LEVEL 3 DAYS | F H4 | ||
| R | 0..1 | DATA GROUP: ADULT CRITICAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE READY DATE | F S13 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE READY TIME | F S14 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE STATUS | V | ||
| O | 0..1 | CRITICAL CARE DISCHARGE DESTINATION | V | ||
| O | 0..1 | CRITICAL CARE DISCHARGE LOCATION | V | ||
| Notation | DATA GROUP: GP REGISTRATION | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the Patient's General Medical Practitioner and the General Practice details. |
| R | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | GENERAL MEDICAL PRACTITIONER (SPECIFIED) | F | ||
| R | 0..1 | GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) | F | ||
| Notation | DATA GROUP: REFERRER | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Referrer. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | REFERRER CODE | F | ||
| R | 0..1 | REFERRING ORGANISATION CODE | F | ||
| Notation | DATA GROUP: ELECTIVE ADMISSION LIST ENTRY | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Elective Admission List Entry. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | DURATION OF ELECTIVE WAIT | F | ||
| R | 0..1 | INTENDED MANAGEMENT | V | ||
| R | 0..1 | DECIDED TO ADMIT DATE | F S13 | ||
| O | 0..1 | EARLIEST REASONABLE OFFER DATE | F S13 | ||
| Notation | DATA GROUP: HEALTHCARE RESOURCE GROUP - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Healthcare Resource Group. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | HEALTHCARE RESOURCE GROUP CODE | F I3 | ||
| R | 0..1 | HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER | F I3 | ||
| Notation | DATA GROUP: HEALTHCARE RESOURCE GROUP - CLINICAL ACTIVITY | |
| Group Status O | Group Repeats 0..1 | FUNCTION: 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 Data Group referring to HRG Dominant Grouping Variable - Procedure should be omitted. |
| R | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | PROCEDURE SCHEME IN USE | V I3 | ||
| O | 0..1 | HRG DOMINANT GROUPING VARIABLE-PROCEDURE | F I3 | ||
| Notation | DATA GROUP: CDS V6 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..* | DATA GROUP: CDS V6 Type 004 - Commissioning Data Set Message Trailer One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 002 - Commissioning Data Set Interchange Trailer One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
Change to Data Set: Changed Description
CDS V6 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set Overview
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| CDS V6 TYPE 140 - FINISHED DELIVERY EPISODE COMMISSIONING DATA SET | |
| FUNCTION: To support the details of a Finished Delivery Episode. |
| Notation | DATA GROUP: CDS V6 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 001 - Commissioning Data Set Interchange Header One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..* | DATA GROUP: CDS V6 Type 003 - Commissioning Data Set Message Header One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED |
| Notation | DATA GROUP: CDS V6 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL | ||
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol. | |
| M | 1..1 | DATA GROUP: CDS V6 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| OR |
| Notation | DATA GROUP: CDS V6 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL | |
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol. |
| M | 1..1 | DATA GROUP: CDS V6 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: PATIENT PATHWAY | ||
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the Patient Pathway. | |
| M | 1..1 | DATA GROUP: PATIENT PATHWAY IDENTITY | Rules | |||
| M Or M | 1..1 1..1 | UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) Or PATIENT PATHWAY IDENTIFIER | F F | |||
| M | 1..1 | ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) | F I2 | |||
| M | 1..1 | DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICS | Rules | |||
| M | 1..1 | REFERRAL TO TREATMENT STATUS | V | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD START DATE | F S13 | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD END DATE | F S13 | |||
| X | 0..1 | Data Element Components | Rules | ||||
| X | 0..1 | LEAD CARE ACTIVITY INDICATOR | N2 | ||||
| Notation | DATA GROUP: PATIENT IDENTITY | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the Identity of the Patient (the Mother). See Note: S3 in Commissioning Data Set Business Rules. | |
| One of the following DATA GROUPS must be used: |
| 1..1 | DATA GROUP: WITHHELD IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 90 (Patient identity withheld from submission) NOTE - NHS NUMBER STATUS INDICATOR 90 IS NOT APPROVED BY THE INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE AND THEREFORE THIS STRUCTURE SHOULD NOT BE USED | ||||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| R | 0..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| OR |
| 1..1 | DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 01 (Number present and verified) | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| M | 1..1 | POSTCODE OF USUAL ADDRESS | F S3 | ||
| M | 1..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| OR |
| 1..1 | DATA GROUP: UNVERIFIED IDENTITY STRUCTURE Must be used for all other values of the NHS NUMBER STATUS INDICATOR NOT included in the above | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| O | 0..1 | PATIENT NAME - PERSON NAME STRUCTURED Or PATIENT NAME - PERSON NAME UNSTRUCTURED | F S3 | ||
| O | 0..1 | PATIENT USUAL ADDRESS - ADDRESS STRUCTURED (Label format Postal Address) Or PATIENT USUAL ADDRESS - ADDRESS UNSTRUCTURED (Character string) | F S3 | ||
| R | 0..1 | POSTCODE OF USUAL ADDRESS | F S3 | ||
| R | 0..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| R | 0..1 | R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 |
| Notation | DATA GROUP: PATIENT CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the characteristics of the Patient (the Mother). | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | PERSON BIRTH DATE (Commissioning Data Set Version 6-0 only) | F S3 S12 | ||
| R | 0..1 | PERSON GENDER CURRENT | V H4 | ||
| O | 0..1 | CARER SUPPORT INDICATOR | V | ||
| R | 0..1 | ETHNIC CATEGORY | V | ||
| R | 0..1 | PERSON MARITAL STATUS | V N1 | ||
| R | 0..1 | LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) | V N1 | ||
| Notation | DATA GROUP: DELIVERY CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the delivery characteristics of the Patient (the Mother). | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | PREGNANCY TOTAL PREVIOUS PREGNANCIES | V | ||
| Notation | DATA GROUP: HOSPITAL PROVIDER SPELL - ADMISSION CHARACTERISTICS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the admission details of the Hospital Provider Spell containing the Episode. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | HOSPITAL PROVIDER SPELL NUMBER | F H4 | ||
| R | 0..1 | ADMINISTRATIVE CATEGORY (ON ADMISSION) | V | ||
| R | 0..1 | PATIENT CLASSIFICATION | V H4 | ||
| R | 0..1 | ADMISSION METHOD (HOSPITAL PROVIDER SPELL) | V H4 | ||
| R | 0..1 | SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) | V H4 | ||
| M | 1..1 | START DATE (HOSPITAL PROVIDER SPELL) | F H4 S13 | ||
| M | 1..1 | AGE ON ADMISSION | F H4 | ||
| Notation | DATA GROUP: HOSPITAL PROVIDER SPELL - DISCHARGE CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the discharge details of the Hospital Provider Spell containing the Episode. | |
| R | 0..1 | Data Element Components | Rules | ||
| R | 0..1 | DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) | V H4 | ||
| R | 0..1 | DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) | V H4 | ||
| O | 0..1 | DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL) | F S13 | ||
| R | 0..1 | DISCHARGE DATE (HOSPITAL PROVIDER SPELL) | F S13 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CHARACTERISTICS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the details of the Patient's Episode. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | EPISODE NUMBER | F H4 | ||
| R | 0..1 | LAST EPISODE IN SPELL INDICATOR | V | ||
| X | 0..1 | ADMINISTRATIVE CATEGORY (AT START OF EPISODE) | N2 | ||
| R | 0..1 | OPERATION STATUS | V | ||
| R | 0..1 | PSYCHIATRIC PATIENT STATUS | V | ||
| X | 0..1 | LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE) | N1 N2 | ||
| M | 1..1 | START DATE (EPISODE) | F H4 S13 | ||
| M | 1..1 | END DATE (EPISODE) | F H4 S1 S13 | ||
| M | 1..1 | AGE AT CDS ACTIVITY DATE | F H4 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - SERVICE AGREEMENT DETAILS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Service Agreement. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | COMMISSIONING SERIAL NUMBER | F | ||
| O | 0..1 | NHS SERVICE AGREEMENT LINE NUMBER | F | ||
| O | 0..1 | PROVIDER REFERENCE NUMBER | F | ||
| R | 0..1 | COMMISSIONER REFERENCE NUMBER | F | ||
| R | 0..1 | ORGANISATION CODE (CODE OF PROVIDER) | F H4 S8 | ||
| R | 0..1 | ORGANISATION CODE (CODE OF COMMISSIONER) | F S8 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - PERSON GROUP (CONSULTANT) | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Responsible Care Professional. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | CONSULTANT CODE | F | ||
| R | 0..1 | MAIN SPECIALTY CODE | V H4 | ||
| R | 0..1 | TREATMENT FUNCTION CODE | V H4 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the ICD coded Clinical Diagnoses. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | DIAGNOSIS SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY DIAGNOSIS | Rules | ||
| M | 1..1 | PRIMARY DIAGNOSIS (ICD) | F H4 | ||
| R | 0..* | DATA GROUP: SECONDARY DIAGNOSES | Rules | ||
| M | 1..1 | SECONDARY DIAGNOSIS (ICD) | F H4 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (READ) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the READ coded Clinical Diagnoses. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | DIAGNOSIS SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY DIAGNOSIS | Rules | ||
| M | 1..1 | PRIMARY DIAGNOSIS (READ) | F | ||
| O | 0..* | DATA GROUP: SECONDARY DIAGNOSES | Rules | ||
| M | 1..1 | SECONDARY DIAGNOSIS (READ) | F | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL ACTIVITY GROUP (OPCS) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the OPCS coded Clinical Activities. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | PROCEDURE SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY PROCEDURE | Rules | ||
| M | 1..1 | PRIMARY PROCEDURE (OPCS) | F H4 | ||
| R | 0..1 | PROCEDURE DATE | F S13 | ||
| R | 0..* | DATA GROUP: SECONDARY PROCEDURES | Rules | ||
| M | 1..1 | PROCEDURE (OPCS) | F H4 | ||
| M | 1..1 | PROCEDURE DATE | F I1 S13 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL ACTIVITY GROUP (READ) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the READ coded Clinical Activities. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | PROCEDURE SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY PROCEDURE | Rules | ||
| M | 1..1 | PRIMARY PROCEDURE (READ) | F | ||
| R | 0..1 | PROCEDURE DATE | F S13 | ||
| O | 0..* | DATA GROUP: SECONDARY PROCEDURES | Rules | ||
| M | 1..1 | PROCEDURE (READ) | F | ||
| M | 1..1 | PROCEDURE DATE | F I1 S13 | ||
| Notation | DATA GROUP: LOCATION GROUP (AT START OF EPISODE) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Location at the Start Of Episode. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| Notation | DATA GROUP: LOCATION GROUP (AT WARD STAY) | |
| Group Status O | Group Repeats 0..97 | FUNCTION: To carry the details of the Location at a Ward Stay. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| O | 0..1 | START DATE | F S13 | ||
| O | 0..1 | END DATE | F S13 | ||
| Notation | DATA GROUP: LOCATION GROUP (AT END OF EPISODE) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the Location at the End Of Episode. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - PAEDIATRIC CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Paediatric Care facilities. |
| M | 1..1 | DATA GROUP: PAEDIATRIC CRITICAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| M | 1..999 | DATA GROUP: PAEDIATRIC DAILY CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| M | 1..1 | ACTIVITY DATE (CRITICAL CARE) | F S13 | ||
| M | 1..20 | CRITICAL CARE ACTIVITY CODE | F N4 | ||
| R | 0..20 | HIGH COST DRUGS (OPCS) | F N4 | ||
| R | 0..1 | DATA GROUP: PAEDIATRIC CRITICAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - ADULT CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Adult Care facilities. |
| M | 1..1 | DATA GROUP: ADULT CRITICAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| O | 0..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| O | 0..1 | CRITICAL CARE UNIT BED CONFIGURATION | V | ||
| O | 0..1 | CRITICAL CARE ADMISSION SOURCE | V | ||
| O | 0..1 | CRITICAL CARE SOURCE LOCATION | V | ||
| O | 0..1 | CRITICAL CARE ADMISSION TYPE | V | ||
| M | 1..1 | DATA GROUP: ADULT CRITICAL CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| R | 0..1 | ADVANCED RESPIRATORY SUPPORT DAYS | F H4 | ||
| R | 0..1 | BASIC RESPIRATORY SUPPORT DAYS | F H4 | ||
| R | 0..1 | ADVANCED CARDIOVASCULAR SUPPORT DAYS | F H4 | ||
| R | 0..1 | BASIC CARDIOVASCULAR SUPPORT DAYS | F H4 | ||
| R | 0..1 | RENAL SUPPORT DAYS | F H4 | ||
| R | 0..1 | NEUROLOGICAL SUPPORT DAYS | F H4 | ||
| O | 0..1 | GASTRO-INTESTINAL SUPPORT DAYS | F | ||
| R | 0..1 | DERMATOLOGICAL SUPPORT DAYS | F H4 | ||
| R | 0..1 | LIVER SUPPORT DAYS | F H4 | ||
| O | 0..1 | ORGAN SUPPORT MAXIMUM | V | ||
| R | 0..1 | CRITICAL CARE LEVEL 2 DAYS | F H4 | ||
| R | 0..1 | CRITICAL CARE LEVEL 3 DAYS | F H4 | ||
| R | 0..1 | DATA GROUP: ADULT CRITICAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE READY DATE | F S13 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE READY TIME | F S14 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE STATUS | V | ||
| O | 0..1 | CRITICAL CARE DISCHARGE DESTINATION | V | ||
| O | 0..1 | CRITICAL CARE DISCHARGE LOCATION | V | ||
| Notation | DATA GROUP: GP REGISTRATION | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the Patient's General Medical Practitioner and the General Practice details. |
| M | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | GENERAL MEDICAL PRACTITIONER (SPECIFIED) | F | ||
| R | 0..1 | GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) | F | ||
| Notation | DATA GROUP: REFERRER | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Referrer. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | REFERRER CODE | F | ||
| R | 0..1 | REFERRING ORGANISATION CODE | F | ||
| Notation | DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Pregnancy. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NUMBER OF BABIES | V | ||
| Notation | DATA GROUP: ANTENATAL CARE - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Antenatal Care. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | FIRST ANTENATAL ASSESSMENT DATE | F S13 | ||
| Notation | DATA GROUP: ANTENATAL CARE - PERSON GROUP (RESPONSIBLE CLINICIAN) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the General Medical Practitioner responsible for the Antenatal Care. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE) | F | ||
| O | 0..1 | GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE) | F | ||
| Notation | DATA GROUP: ANTENATAL CARE - LOCATION GROUP - DELIVERY PLACE INTENDED | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Intended Delivery Location. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| R | 0..1 | DELIVERY PLACE CHANGE REASON | V | ||
| R | 0..1 | DELIVERY PLACE TYPE (INTENDED) | V | ||
| Notation | DATA GROUP: LABOUR/DELIVERY - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Labour/Delivery. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY | V | ||
| R | 0..1 | ANAESTHETIC GIVEN POST LABOUR OR DELIVERY | V | ||
| O | 0..1 | GESTATION LENGTH (LABOUR ONSET) | V | ||
| R | 0..1 | LABOUR OR DELIVERY ONSET METHOD | V | ||
| R | 0..1 | DELIVERY DATE | F S13 | ||
| Notation | DATA GROUP: BIRTH OCCURRENCE | ||||||||||
| FUNCTION: To carry the details of up to 9 Birth Occurrences - one per Baby. | |||||||||||
| R | 0..1 | DATA GROUP: BIRTH OCCURRENCE - ACTIVITY CHARACTERISTICS. | Rules | ||||||||
| R | 0..1 | BIRTH ORDER | F | ||||||||
| R | 0..1 | DELIVERY METHOD | V | ||||||||
| R | 0..1 | GESTATION LENGTH (ASSESSMENT) | V | ||||||||
| R | 0..1 | RESUSCITATION METHOD | V | ||||||||
| R | 0..1 | STATUS OF PERSON CONDUCTING DELIVERY | V | ||||||||
| DATA GROUP: PERSON GROUP - BABY FUNCTION: To carry the Identity of the Baby. One of the following DATA GROUPS must be used: | |||||||||||
| M | 1..1 | DATA GROUP: WITHHELD IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR (BABY) Code Value = 90 (Patient identity withheld from submission) NOTE - NHS NUMBER STATUS INDICATOR 90 IS NOT APPROVED BY THE INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE AND THEREFORE THIS STRUCTURE SHOULD NOT BE USED | Rules | ||||||||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (BABY) | V | ||||||||
| R | 0..1 | PERSON BIRTH DATE (BABY) (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||||||||
| OR | |||||||||||
| M | 1..1 | DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR (BABY) Code Value = 01 (Number present and verified) | |||||||||
| O | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE (BABY) | Rules | ||||||||
| M | 1..1 | LOCAL PATIENT IDENTIFIER (BABY) | F S3 | ||||||||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY)) | F | ||||||||
| M | 1..1 | Data Element Components | Rules | ||||||||
| M | 1..1 | NHS NUMBER (BABY) | F S3 | ||||||||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (BABY) | V | ||||||||
| R | 0..1 | PERSON BIRTH DATE (BABY) (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||||||||
| OR | |||||||||||
| M | 1..1 | DATA GROUP: UNVERIFIED IDENTITY STRUCTURE Must be used for all other values of the NHS NUMBER STATUS INDICATOR (BABY) NOT included in the above | |||||||||
| O | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||||||||
| M | 1..1 | LOCAL PATIENT IDENTIFIER (BABY) | F S3 | ||||||||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY)) | F | ||||||||
| M | 1..1 | Data Element Components | Rules | ||||||||
| R | 0..1 | NHS NUMBER (BABY) | F S3 | ||||||||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (BABY) | V | ||||||||
| R | 0..1 | Data Element Components | Rules | ||||||||
| R | 0..1 | PERSON BIRTH DATE (BABY) (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||||||||
| Notation | DATA GROUP: BIRTH OCCURRENCE - PERSON CHARACTERISTICS - BABY | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the characteristics of the Baby. |
| M | 1..1 | Data Element Components | Rules | ||||||||
| R | 0..1 | PERSON BIRTH DATE (BABY) (Commissioning Data Set Version 6-0 only) | F S3 S12 | ||||||||
| R | 0..1 | PERSON GENDER CURRENT (BABY) | V | ||||||||
| R | 0..1 | LIVE OR STILL BIRTH | V | ||||||||
| R | 0..1 | BIRTH WEIGHT | F | ||||||||
| Notation | DATA GROUP: BIRTH OCCURRENCE - LOCATION GROUP - DELIVERY PLACE ACTUAL | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Actual Birth Location. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| R | 0..1 | DELIVERY PLACE TYPE (ACTUAL) | V | ||
| Notation | DATA GROUP: HEALTHCARE RESOURCE GROUP - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Healthcare Resource Group. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | HEALTHCARE RESOURCE GROUP CODE | F I3 | ||
| R | 0..1 | HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER | F I3 | ||
| Notation | DATA GROUP: HEALTHCARE RESOURCE GROUP - CLINICAL ACTIVITY | |
| Group Status O | Group Repeats 0..1 | FUNCTION: 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 Data Group referring to HRG Dominant Grouping Variable - Procedure should be omitted. |
| M | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | PROCEDURE SCHEME IN USE | V I3 | ||
| O | 0..1 | HRG DOMINANT GROUPING VARIABLE-PROCEDURE | F I3 | ||
| Notation | DATA GROUP: CDS V6 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..* | DATA GROUP: CDS V6 Type 004 - Commissioning Data Set Message Trailer One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 002 - Commissioning Data Set Interchange Trailer One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
Change to Data Set: Changed Description
CDS V6 Type 160 - Admitted Patient Care - Other Delivery Event Commissioning Data Set Overview
Click CDS V6 Type 160 - Admitted Patient Care - Other Delivery Event Commissioning Data Set for a "Full Screen" view.
In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button.
| CDS V6 TYPE 160 - OTHER DELIVERY EVENT COMMISSIONING DATA SET | |
| FUNCTION: To support the details for an Other Delivery. |
| Notation | DATA GROUP: CDS V6 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 001 - Commissioning Data Set Interchange Header One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..* | DATA GROUP: CDS V6 Type 003 - Commissioning Data Set Message Header One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED |
| Notation | DATA GROUP: CDS V6 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL | ||
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol. | |
| M | 1..1 | DATA GROUP: CDS V6 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| OR |
| Notation | DATA GROUP: CDS V6 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL | |
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol. |
| M | 1..1 | DATA GROUP: CDS V6 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: PATIENT PATHWAY | ||
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the Patient Pathway. | |
| M | 1..1 | DATA GROUP: PATIENT PATHWAY IDENTITY | Rules | |||
| M Or M | 1..1 1..1 | UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) Or PATIENT PATHWAY IDENTIFIER | F F I2 | |||
| M | 1..1 | ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) | F I2 | |||
| M | 1..1 | DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICS | Rules | |||
| M | 1..1 | REFERRAL TO TREATMENT STATUS | V | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD START DATE | F S13 | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD END DATE | F S13 | |||
| X | 0..1 | Data Element Components | Rules | ||||
| X | 0..1 | LEAD CARE ACTIVITY INDICATOR | N2 | ||||
| Notation | DATA GROUP: PATIENT IDENTITY | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the Identity of the Patient (the Mother). See Note: S3 in Commissioning Data Set Business Rules. | |
| One of the following DATA GROUPS must be used: |
| 1..1 | DATA GROUP: WITHHELD IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 90 (Patient identity withheld from submission) NOTE - NHS NUMBER STATUS INDICATOR 90 IS NOT APPROVED BY THE INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE AND THEREFORE THIS STRUCTURE SHOULD NOT BE USED | ||||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| R | 0..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| OR |
| 1..1 | DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 01 (Number present and verified) | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| M | 1..1 | POSTCODE OF USUAL ADDRESS | F S3 | ||
| M | 1..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| OR |
| 1..1 | DATA GROUP: UNVERIFIED IDENTITY STRUCTURE Must be used for all other values of the NHS NUMBER STATUS INDICATOR NOT included in the above | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| O | 0..1 | PATIENT NAME - PERSON NAME STRUCTURED Or PATIENT NAME - PERSON NAME UNSTRUCTURED | F S3 | ||
| O | 0..1 | PATIENT USUAL ADDRESS - ADDRESS STRUCTURED (Label format Postal Address) Or PATIENT USUAL ADDRESS - ADDRESS UNSTRUCTURED (Character string) | F S3 | ||
| R | 0..1 | POSTCODE OF USUAL ADDRESS | F S3 | ||
| R | 0..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| R | 0..1 | R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 |
| Notation | DATA GROUP: PATIENT CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the characteristics of the Patient (the Mother). | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | PERSON BIRTH DATE (Commissioning Data Set Version 6-0 only) | F S3 S12 | ||
| R | 0..1 | PERSON GENDER CURRENT | V H4 | ||
| O | 0..1 | CARER SUPPORT INDICATOR | V | ||
| R | 0..1 | ETHNIC CATEGORY | V | ||
| R | 0..1 | PERSON MARITAL STATUS | V N1 | ||
| Notation | DATA GROUP: DELIVERY CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the delivery characteristics of the Patient (the Mother). | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | PREGNANCY TOTAL PREVIOUS PREGNANCIES | V | ||
| Notation | DATA GROUP: GP REGISTRATION | |||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the Patient's General Medical Practitioner and the General Practice details. | ||
| R | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | GENERAL MEDICAL PRACTITIONER (SPECIFIED) | F | ||
| R | 0..1 | GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) | F | ||
| Notation | DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Pregnancy. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NUMBER OF BABIES | V | ||
| Notation | DATA GROUP: ANTENATAL CARE - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Antenatal Care. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | FIRST ANTENATAL ASSESSMENT DATE | F S13 | ||
| Notation | DATA GROUP: ANTENATAL CARE - PERSON GROUP (RESPONSIBLE CLINICIAN) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the General Medical Practitioner responsible for the Antenatal Care. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE) | F | ||
| O | 0..1 | GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE) | F | ||
| Notation | DATA GROUP: ANTENATAL CARE - LOCATION GROUP - DELIVERY PLACE INTENDED | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Intended Delivery Location. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| R | 0..1 | DELIVERY PLACE CHANGE REASON | V | ||
| R | 0..1 | DELIVERY PLACE TYPE (INTENDED) | V | ||
| Notation | DATA GROUP: LABOUR/DELIVERY - ACTIVITY CHARACTERISTICS | |
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the details of the Labour/Delivery. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY | V | ||
| R | 0..1 | ANAESTHETIC GIVEN POST LABOUR OR DELIVERY | V | ||
| O | 0..1 | GESTATION LENGTH (LABOUR ONSET) | V | ||
| R | 0..1 | LABOUR OR DELIVERY ONSET METHOD | V | ||
| M | 1..1 | DELIVERY DATE | F S1 S13 | ||
| M | 1..1 | AGE AT CDS ACTIVITY DATE | F H4 | ||
| Notation | DATA GROUP: LABOUR/DELIVERY SERVICE AGREEMENT DETAILS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Service Agreement for the Delivery. | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | COMMISSIONING SERIAL NUMBER | F | ||
| O | 0..1 | NHS SERVICE AGREEMENT LINE NUMBER | F | ||
| O | 0..1 | PROVIDER REFERENCE NUMBER | F | ||
| R | 0..1 | COMMISSIONER REFERENCE NUMBER | F | ||
| R | 0..1 | ORGANISATION CODE (CODE OF PROVIDER) | F H4 S8 | ||
| R | 0..1 | ORGANISATION CODE (CODE OF COMMISSIONER) | F S8 | ||
| Notation | DATA GROUP: BIRTH OCCURRENCE - ONE FOR EACH BABY IN THE DELIVERY | ||||||||||
| Group Status R | Group Repeats 0..9 | FUNCTION: To carry the details of up to 9 Birth Occurrences - one per Baby. | |||||||||
| R | 0..1 | DATA GROUP: BIRTH OCCURRENCE - ACTIVITY CHARACTERISTICS. | Rules | ||||||||
| R | 0..1 | BIRTH ORDER | F | ||||||||
| R | 0..1 | DELIVERY METHOD | V | ||||||||
| R | 0..1 | GESTATION LENGTH (ASSESSMENT) | V | ||||||||
| R | 0..1 | RESUSCITATION METHOD | V | ||||||||
| R | 0..1 | STATUS OF PERSON CONDUCTING DELIVERY | V | ||||||||
| DATA GROUP: PERSON GROUP - BABY FUNCTION: To carry the Identity of the Baby. One of the following DATA GROUPS must be used: | |||||||||||
| M | 1..1 | DATA GROUP: WITHHELD IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR (BABY) Code Value = 90 (Patient identity withheld from submission) NOTE - NHS NUMBER STATUS INDICATOR 90 IS NOT APPROVED BY THE INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE AND THEREFORE THIS STRUCTURE SHOULD NOT BE USED | Rules | ||||||||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (BABY) | V | ||||||||
| R | 0..1 | PERSON BIRTH DATE (BABY) (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||||||||
| OR | |||||||||||
| M | 1..1 | DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR (BABY) Code Value = 01 (Number present and verified) | |||||||||
| O | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE (BABY) | Rules | ||||||||
| M | 1..1 | LOCAL PATIENT IDENTIFIER (BABY) | F S3 | ||||||||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY)) | F | ||||||||
| M | 1..1 | Data Element Components | Rules | ||||||||
| M | 1..1 | NHS NUMBER (BABY) | F S3 | ||||||||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (BABY) | V | ||||||||
| R | 0..1 | PERSON BIRTH DATE (BABY) (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||||||||
| OR | |||||||||||
| M | 1..1 | DATA GROUP: UNVERIFIED IDENTITY STRUCTURE Must be used for all other values of the NHS NUMBER STATUS INDICATOR (BABY) NOT included in the above | |||||||||
| O | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||||||||
| M | 1..1 | LOCAL PATIENT IDENTIFIER (BABY) | F S3 | ||||||||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY)) | F | ||||||||
| M | 1..1 | Data Element Components | Rules | ||||||||
| R | 0..1 | NHS NUMBER (BABY) | F S3 | ||||||||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (BABY) | V | ||||||||
| R | 0..1 | Data Element Components | Rules | ||||||||
| R | 0..1 | PERSON BIRTH DATE (BABY) (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||||||||
| Notation | DATA GROUP: BIRTH OCCURRENCE - PERSON CHARACTERISTICS - BABY | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the characteristics of the Baby. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | PERSON BIRTH DATE (BABY) (Commissioning Data Set Version 6-0 only) | F S3 S12 | ||
| R | 0..1 | PERSON GENDER CURRENT (BABY) | V | ||
| R | 0..1 | LIVE OR STILL BIRTH | V | ||
| R | 0..1 | BIRTH WEIGHT | F | ||
| Notation | DATA GROUP: BIRTH OCCURRENCE - LOCATION GROUP - DELIVERY PLACE ACTUAL | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Actual Birth Location. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| R | 0..1 | DELIVERY PLACE TYPE (ACTUAL) | V | ||
| Notation | DATA GROUP: CDS V6 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..* | DATA GROUP: CDS V6 Type 004 - Commissioning Data Set Message Trailer One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 002 - Commissioning Data Set Interchange Trailer One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
Change to Data Set: Changed Description
CDS V6 Type 180 - Admitted Patient Care - Unfinished Birth Episode Commissioning Data Set Overview
Click CDS V6 Type 180 - Admitted Patient Care - Unfinished Birth Episode Commissioning Data Set for a "Full Screen" view.
In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button.
| CDS V6 TYPE 180 - UNFINISHED BIRTH EPISODE COMMISSIONING DATA SET | |
| FUNCTION: To support the details of an Unfinished Birth Episode. |
| Notation | DATA GROUP: CDS V6 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 001 - Commissioning Data Set Interchange Header One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..* | DATA GROUP: CDS V6 Type 003 - Commissioning Data Set Message Header One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED |
| Notation | DATA GROUP: CDS V6 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL | ||
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol. | |
| M | 1..1 | DATA GROUP: CDS V6 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| OR |
| Notation | DATA GROUP: CDS V6 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL | |
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol. |
| M | 1..1 | DATA GROUP: CDS V6 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: PATIENT PATHWAY | ||
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the Patient Pathway. | |
| M | 1..1 | DATA GROUP: PATIENT PATHWAY IDENTITY | Rules | |||
| M Or M | 1..1 1..1 | UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) Or PATIENT PATHWAY IDENTIFIER | F F I2 | |||
| M | 1..1 | ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) | F I2 | |||
| M | 1..1 | DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICS | Rules | |||
| M | 1..1 | REFERRAL TO TREATMENT STATUS | V | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD START DATE | F S13 | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD END DATE | F S13 | |||
| X | 0..1 | Data Element Components | Rules | ||||
| X | 0..1 | LEAD CARE ACTIVITY INDICATOR | N2 | ||||
| Notation | DATA GROUP: PATIENT IDENTITY | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the personal details of the Patient (the Baby). See Note: S3 in Commissioning Data Set Business Rules. | |
| One of the following DATA GROUPS must be used: |
| 1..1 | DATA GROUP: WITHHELD IDENTITY STRUCTURE (Birth Episode) Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 90 (Patient identity withheld from submission) NOTE - NHS NUMBER STATUS INDICATOR 90 IS NOT APPROVED BY THE INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE AND THEREFORE THIS STRUCTURE SHOULD NOT BE USED | ||||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| OR |
| 1..1 | DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 01 (Number present and verified) | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| OR |
| 1..1 | DATA GROUP: UNVERIFIED IDENTITY STRUCTURE Must be used for all other values of the NHS NUMBER STATUS INDICATOR NOT included in the above | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| O | 0..1 | PATIENT NAME - PERSON NAME STRUCTURED Or PATIENT NAME - PERSON NAME UNSTRUCTURED | F S3 | ||
| R | 0..1 | Data Element Components | Rules | ||
| R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| Notation | DATA GROUP: PATIENT CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the characteristics of the Patient (the Baby). | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | PERSON BIRTH DATE (Commissioning Data Set Version 6-0 only) | F S3 S12 | ||
| R | 0..1 | PERSON GENDER CURRENT | V H4 | ||
| R | 0..1 | ETHNIC CATEGORY | V | ||
| R | 0..1 | LIVE OR STILL BIRTH | V | ||
| R | 0..1 | BIRTH WEIGHT | F | ||
| Notation | DATA GROUP: HOSPITAL PROVIDER SPELL - ADMISSION CHARACTERISTICS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the admission details of the Hospital Provider Spell containing the Episode. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | HOSPITAL PROVIDER SPELL NUMBER | F H4 | ||
| R | 0..1 | ADMINISTRATIVE CATEGORY (ON ADMISSION) | V | ||
| R | 0..1 | PATIENT CLASSIFICATION | V H4 | ||
| R | 0..1 | ADMISSION METHOD (HOSPITAL PROVIDER SPELL) | V | ||
| R | 0..1 | SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) | V H4 | ||
| M | 1..1 | START DATE (HOSPITAL PROVIDER SPELL) | F H4 S13 | ||
| M | 1..1 | AGE ON ADMISSION | F H4 | ||
| Notation | DATA GROUP: HOSPITAL PROVIDER SPELL - DISCHARGE CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the discharge details of the Hospital Provider Spell containing the Episode. | |
| R | 0..1 | Data Element Components | Rules | ||
| R | 0..1 | DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) | V H4 | ||
| R | 0..1 | DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) | V H4 | ||
| O | 0..1 | DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL) | F S13 | ||
| R | 0..1 | DISCHARGE DATE (HOSPITAL PROVIDER SPELL) | F S13 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - ACTIVITY CHARACTERISTICS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the details of the Patient's Episode (the Baby). | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | EPISODE NUMBER | F H4 | ||
| R | 0..1 | LAST EPISODE IN SPELL INDICATOR | V | ||
| X | 0..1 | ADMINISTRATIVE CATEGORY (AT START OF EPISODE) | N2 | ||
| R | 0..1 | OPERATION STATUS | V | ||
| O | 0..1 | NEONATAL LEVEL OF CARE | V H4 | ||
| M | 1..1 | START DATE (EPISODE) | F H4 S1 S13 | ||
| R | 0..1 | END DATE (EPISODE) | F S13 | ||
| M | 1..1 | AGE AT CDS ACTIVITY DATE | F H4 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - SERVICE AGREEMENT DETAILS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Service Agreement. | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | COMMISSIONING SERIAL NUMBER | F | ||
| O | 0..1 | NHS SERVICE AGREEMENT LINE NUMBER | F | ||
| O | 0..1 | PROVIDER REFERENCE NUMBER | F | ||
| R | 0..1 | COMMISSIONER REFERENCE NUMBER | F | ||
| R | 0..1 | ORGANISATION CODE (CODE OF PROVIDER) | F H4 S8 | ||
| R | 0..1 | ORGANISATION CODE (CODE OF COMMISSIONER) | F S8 | ||
| Notation | DATA GROUP: PERSON GROUP (CONSULTANT) | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Responsible Care Professional. | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | CONSULTANT CODE | F | ||
| R | 0..1 | MAIN SPECIALTY CODE | V H4 | ||
| R | 0..1 | TREATMENT FUNCTION CODE | V H4 | ||
| Notation | DATA GROUP: BIRTH EPISODE - CLINICAL DIAGNOSIS GROUP (ICD) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the ICD coded Clinical Diagnoses. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | DIAGNOSIS SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY DIAGNOSIS | Rules | ||
| M | 1..1 | PRIMARY DIAGNOSIS (ICD) | F H4 | ||
| R | 0..* | DATA GROUP: SECONDARY DIAGNOSES | Rules | ||
| M | 1..1 | SECONDARY DIAGNOSIS (ICD) | F H4 | ||
| Notation | DATA GROUP: BIRTH EPISODE - CLINICAL DIAGNOSIS GROUP (READ) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the READ coded Clinical Diagnoses. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | DIAGNOSIS SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY DIAGNOSIS | Rules | ||
| M | 1..1 | PRIMARY DIAGNOSIS (READ) | F | ||
| O | 0..* | DATA GROUP: SECONDARY DIAGNOSES | Rules | ||
| M | 1..1 | SECONDARY DIAGNOSIS (READ) | F | ||
| Notation | DATA GROUP: BIRTH EPISODE - CLINICAL ACTIVITY GROUP (OPCS) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the OPCS coded Clinical Activities. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | PROCEDURE SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY PROCEDURE | Rules | ||
| M | 1..1 | PRIMARY PROCEDURE (OPCS) | F H4 | ||
| R | 0..1 | PROCEDURE DATE | F S13 | ||
| R | 0..* | DATA GROUP: SECONDARY PROCEDURES | Rules | ||
| M | 1..1 | PROCEDURE (OPCS) | F H4 | ||
| M | 1..1 | PROCEDURE DATE | F I1 S13 | ||
| Notation | DATA GROUP: BIRTH EPISODE - CLINICAL ACTIVITY GROUP (READ) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the READ coded Clinical Activities. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | PROCEDURE SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY PROCEDURE | Rules | ||
| M | 1..1 | PRIMARY PROCEDURE (READ) | F | ||
| R | 0..1 | PROCEDURE DATE | F S13 | ||
| O | 0..* | DATA GROUP: SECONDARY PROCEDURES | Rules | ||
| M | 1..1 | PROCEDURE (READ) | F | ||
| M | 1..1 | PROCEDURE DATE | F I1 S13 | ||
| Notation | DATA GROUP: LOCATION GROUP (AT START OF EPISODE) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Location at the Start Of Episode. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| Notation | DATA GROUP: LOCATION GROUP (AT WARD STAY) | |
| Group Status R | Group Repeats 0..97 | FUNCTION: To carry the details of the Location at a Ward Stay. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| O | 0..1 | START DATE | F S13 | ||
| O | 0..1 | END DATE | F S13 | ||
| Notation | DATA GROUP: LOCATION GROUP (AT END OF EPISODE) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Location at the End Of Episode. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| Notation | DATA GROUP: BIRTH EPISODE - NEONATAL CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Neonatal Care facilities. |
| M | 1..1 | DATA GROUP: NEONATAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| M | 1..1 | GESTATION LENGTH (AT DELIVERY) | V | ||
| M | 1..999 | DATA GROUP: NEONATAL DAILY CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| M | 1..1 | ACTIVITY DATE (CRITICAL CARE) | F S13 | ||
| R | 0..1 | PERSON WEIGHT | F | ||
| M | 1..20 | CRITICAL CARE ACTIVITY CODE | V N4 | ||
| R | 0..20 | HIGH COST DRUGS (OPCS) | F N4 | ||
| R | 0..1 | DATA GROUP: NEONATAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| Notation | DATA GROUP: BIRTH EPISODE - PAEDIATRIC CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Paediatric Care facilities. |
| M | 1..1 | DATA GROUP: PAEDIATRIC CRITICAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| M | 1..999 | DATA GROUP: PAEDIATRIC DAILY CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| M | 1..1 | ACTIVITY DATE (CRITICAL CARE) | F S13 | ||
| M | 1..20 | CRITICAL CARE ACTIVITY CODE | V N4 | ||
| R | 0..20 | HIGH COST DRUGS (OPCS) | F N4 | ||
| R | 0..1 | DATA GROUP: PAEDIATRIC CRITICAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| Notation | DATA GROUP: BIRTH EPISODE - ADULT CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Adult Care facilities. |
| M | 1..1 | DATA GROUP: ADULT CRITICAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| O | 0..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| O | 0..1 | CRITICAL CARE UNIT BED CONFIGURATION | V | ||
| O | 0..1 | CRITICAL CARE ADMISSION SOURCE | V | ||
| O | 0..1 | CRITICAL CARE SOURCE LOCATION | V | ||
| O | 0..1 | CRITICAL CARE ADMISSION TYPE | V | ||
| M | 1..1 | DATA GROUP: ADULT CRITICAL CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| R | 0..1 | ADVANCED RESPIRATORY SUPPORT DAYS | F H4 | ||
| R | 0..1 | BASIC RESPIRATORY SUPPORT DAYS | F H4 | ||
| R | 0..1 | ADVANCED CARDIOVASCULAR SUPPORT DAYS | F H4 | ||
| R | 0..1 | BASIC CARDIOVASCULAR SUPPORT DAYS | F H4 | ||
| R | 0..1 | RENAL SUPPORT DAYS | F H4 | ||
| R | 0..1 | NEUROLOGICAL SUPPORT DAYS | F H4 | ||
| O | 0..1 | GASTRO-INTESTINAL SUPPORT DAYS | F | ||
| R | 0..1 | DERMATOLOGICAL SUPPORT DAYS | F H4 | ||
| R | 0..1 | LIVER SUPPORT DAYS | F H4 | ||
| O | 0..1 | ORGAN SUPPORT MAXIMUM | V | ||
| R | 0..1 | CRITICAL CARE LEVEL 2 DAYS | F H4 | ||
| R | 0..1 | CRITICAL CARE LEVEL 3 DAYS | F H4 | ||
| R | 0..1 | DATA GROUP: ADULT CRITICAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE READY DATE | F S13 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE READY TIME | F S14 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE STATUS | V | ||
| O | 0..1 | CRITICAL CARE DISCHARGE DESTINATION | V | ||
| O | 0..1 | CRITICAL CARE DISCHARGE LOCATION | V | ||
| Notation | DATA GROUP: GP REGISTRATION | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the Patient's General Medical Practitioner and the General Practice details. |
| R | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | GENERAL MEDICAL PRACTITIONER (SPECIFIED) | F | ||
| R | 0..1 | GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) | F | ||
| Notation | DATA GROUP: REFERRER | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Referrer. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | REFERRER CODE | F | ||
| R | 0..1 | REFERRING ORGANISATION CODE | F | ||
| Notation | DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Pregnancy. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NUMBER OF BABIES | V | ||
| Notation | DATA GROUP: ANTENATAL CARE - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Antenatal Care. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | FIRST ANTENATAL ASSESSMENT DATE | F S13 | ||
| Notation | DATA GROUP: ANTENATAL CARE - PERSON GROUP (RESPONSIBLE CLINICIAN) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the General Medical Practitioner responsible for the Antenatal Care. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE) | F | ||
| O | 0..1 | GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE) | F | ||
| Notation | DATA GROUP: ANTENATAL CARE - LOCATION GROUP - DELIVERY PLACE INTENDED | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Intended Delivery Location. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| R | 0..1 | DELIVERY PLACE CHANGE REASON | V | ||
| R | 0..1 | DELIVERY PLACE TYPE (INTENDED) | V | ||
| Notation | DATA GROUP: LABOUR/DELIVERY - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Labour/Delivery. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY | V | ||
| R | 0..1 | ANAESTHETIC GIVEN POST LABOUR OR DELIVERY | V | ||
| O | 0..1 | GESTATION LENGTH (LABOUR ONSET) | V | ||
| R | 0..1 | LABOUR OR DELIVERY ONSET METHOD | V | ||
| R | 0..1 | DELIVERY DATE | F S13 | ||
| Notation | DATA GROUP: DELIVERY OCCURRENCE - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Delivery Occurrence. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | BIRTH ORDER | F | ||
| R | 0..1 | DELIVERY METHOD | V | ||
| R | 0..1 | GESTATION LENGTH (ASSESSMENT) | V | ||
| R | 0..1 | RESUSCITATION METHOD | V | ||
| R | 0..1 | STATUS OF PERSON CONDUCTING DELIVERY | V | ||
| Notation | DATA GROUP: BIRTH OCCURRENCE PERSON IDENTITY - MOTHER | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the Identity details of the Baby's Mother. See Note: S3 in Commissioning Data Set Business Rules. | |
| One of the following DATA GROUPS must be used: |
| 1..1 | DATA GROUP: WITHHELD IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 90 (Patient identity withheld from submission) NOTE - NHS NUMBER STATUS INDICATOR 90 IS NOT APPROVED BY THE INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE AND THEREFORE THIS STRUCTURE SHOULD NOT BE USED | ||||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (MOTHER) | V | ||
| R | 0..1 | ORGANISATION CODE (PCT OF RESIDENCE (MOTHER)) | F | ||
| OR |
| 1..1 | DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 01 (Number present and verified) | ||||
| O | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE (MOTHER) | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER (MOTHER) | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER)) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER (MOTHER) | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (MOTHER) | V | ||
| M | 1..1 | POSTCODE OF USUAL ADDRESS (MOTHER) | F S3 | ||
| M | 1..1 | ORGANISATION CODE (PCT OF RESIDENCE (MOTHER)) | F | ||
| R | 0..1 | PERSON BIRTH DATE (MOTHER) (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| OR |
| 1..1 | DATA GROUP: UNVERIFIED IDENTITY STRUCTURE Must be used for all other values of the NHS NUMBER STATUS INDICATOR NOT included in the above | ||||
| O | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER (MOTHER) | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER)) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NHS NUMBER (MOTHER) | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (MOTHER) | V | ||
| O | 0..1 | PATIENT USUAL ADDRESS (MOTHER) - ADDRESS STRUCTURED (Label format Postal Address) Or PATIENT USUAL ADDRESS (MOTHER) - ADDRESS UNSTRUCTURED (Character string) | F S3 | ||
| R | 0..1 | Data Element Components | Rules | ||
| R | 0..1 | POSTCODE OF USUAL ADDRESS (MOTHER) | F S3 | ||
| R | 0..1 | ORGANISATION CODE (PCT OF RESIDENCE (MOTHER)) | F | ||
| R | 0..1 | PERSON BIRTH DATE (MOTHER) (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| Notation | DATA GROUP: DELIVERY OCCURRENCE - PERSON CHARACTERISTICS - MOTHER | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the characteristics of the Baby's Mother (Commissioning Data Set Version 6-0 only) |
| R | 0..1 | Data Element Components | Rules | ||
| R | 0..1 | PERSON BIRTH DATE (MOTHER) (Commissioning Data Set Version 6-0 only) | F S3 S12 | ||
| Notation | DATA GROUP: DELIVERY OCCURRENCE - LOCATION GROUP - DELIVERY PLACE ACTUAL | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Actual Delivery Location. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| R | 0..1 | DELIVERY PLACE TYPE (ACTUAL) | V | ||
| Notation | DATA GROUP: HEALTHCARE RESOURCE GROUP - ACTIVITY CHARACTERISTICS | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the Healthcare Resource Group. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | HEALTHCARE RESOURCE GROUP CODE | F I3 | ||
| R | 0..1 | HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER | F I3 | ||
| Notation | DATA GROUP: HEALTHCARE RESOURCE GROUP - CLINICAL ACTIVITY | |
| Group Status O | Group Repeats 0..1 | FUNCTION: 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 Data Group referring to HRG Dominant Grouping Variable - Procedure should be omitted. |
| R | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | PROCEDURE SCHEME IN USE | V I3 | ||
| O | 0..1 | HRG DOMINANT GROUPING VARIABLE-PROCEDURE | F I3 | ||
| Notation | DATA GROUP: CDS V6 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..* | DATA GROUP: CDS V6 Type 004 - Commissioning Data Set Message Trailer One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 002 - Commissioning Data Set Interchange Trailer One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
Change to Data Set: Changed Description
CDS V6 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set Overview
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| CDS V6 TYPE 190 - UNFINISHED GENERAL EPISODE COMMISSIONING DATA SET | |
| FUNCTION: To support the details of an Unfinished General Episode. |
| Notation | DATA GROUP: CDS V6 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 001 - Commissioning Data Set Interchange Header One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..* | DATA GROUP: CDS V6 Type 003 - Commissioning Data Set Message Header One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED |
| Notation | DATA GROUP: CDS V6 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL | ||
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol. | |
| M | 1..1 | DATA GROUP: CDS V6 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| OR |
| Notation | DATA GROUP: CDS V6 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL | |
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol. |
| M | 1..1 | DATA GROUP: CDS V6 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: PATIENT PATHWAY | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Patient Pathway. This Group must be present if the record relates to a Referral To Treatment Period Included In 18 Weeks Target. | |
| M | 1..1 | DATA GROUP: PATIENT PATHWAY IDENTITY | Rules | |||
| M Or M | 1..1 1..1 | UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) Or PATIENT PATHWAY IDENTIFIER | F F I2 | |||
| M | 1..1 | ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) | F I2 | |||
| M | 1..1 | DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICS | Rules | |||
| M | 1..1 | REFERRAL TO TREATMENT STATUS | V | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD START DATE | F S13 | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD END DATE | F S13 | |||
| X | 0..1 | Data Element Components | Rules | ||||
| X | 0..1 | LEAD CARE ACTIVITY INDICATOR | N2 | ||||
| Notation | DATA GROUP: PATIENT IDENTITY | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the Identity of the Patient. See Note: S3 in Commissioning Data Set Business Rules. | |
| One of the following DATA GROUPS must be used: |
| 1..1 | DATA GROUP: WITHHELD IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 90 (Patient identity withheld from submission) NOTE - NHS NUMBER STATUS INDICATOR 90 IS NOT APPROVED BY THE INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE AND THEREFORE THIS STRUCTURE SHOULD NOT BE USED | ||||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| R | 0..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| OR |
| 1..1 | DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 01 (Number present and verified) | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| M | 1..1 | POSTCODE OF USUAL ADDRESS | F S3 | ||
| M | 1..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| OR |
| 1..1 | DATA GROUP: UNVERIFIED IDENTITY STRUCTURE Must be used for all other values of the NHS NUMBER STATUS INDICATOR NOT included in the above | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| O | 0..1 | PATIENT NAME - PERSON NAME STRUCTURED Or PATIENT NAME - PERSON NAME UNSTRUCTURED | F S3 | ||
| O | 0..1 | PATIENT USUAL ADDRESS - ADDRESS STRUCTURED (Label format Postal Address) Or PATIENT USUAL ADDRESS - ADDRESS UNSTRUCTURED (Character string) | F S3 | ||
| R | 0..1 | Data Element Components | Rules | ||
| R | 0..1 | POSTCODE OF USUAL ADDRESS | F S3 | ||
| R | 0..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| Notation | DATA GROUP: PATIENT CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the characteristics of the Patient. | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | PERSON BIRTH DATE (Commissioning Data Set Version 6-0 only) | F S3 S12 | ||
| R | 0..1 | PERSON GENDER CURRENT | V H4 | ||
| O | 0..1 | CARER SUPPORT INDICATOR | V | ||
| R | 0..1 | ETHNIC CATEGORY | V | ||
| R | 0..1 | PERSON MARITAL STATUS | V N1 | ||
| R | 0..1 | LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) | V N1 | ||
| Notation | DATA GROUP: HOSPITAL PROVIDER SPELL - ADMISSION CHARACTERISTICS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the admission details of the Hospital Provider Spell containing the Episode. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | HOSPITAL PROVIDER SPELL NUMBER | F H4 | ||
| R | 0..1 | ADMINISTRATIVE CATEGORY (ON ADMISSION) | V | ||
| R | 0..1 | PATIENT CLASSIFICATION | V H4 | ||
| R | 0..1 | ADMISSION METHOD (HOSPITAL PROVIDER SPELL) | V H4 | ||
| R | 0..1 | SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) | V H4 | ||
| M | 1..1 | START DATE (HOSPITAL PROVIDER SPELL) | F H4 S13 | ||
| M | 1..1 | AGE ON ADMISSION | F H4 | ||
| Notation | DATA GROUP: HOSPITAL PROVIDER SPELL - DISCHARGE CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the discharge details of the Hospital Provider Spell containing the Episode. | |
| R | 0..1 | Data Element Components | Rules | ||
| R | 0..1 | DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) | V H4 | ||
| R | 0..1 | DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) | V H4 | ||
| O | 0..1 | DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL) | F S13 | ||
| R | 0..1 | DISCHARGE DATE (HOSPITAL PROVIDER SPELL) | F S13 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - ACTIVITY CHARACTERISTICS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the details of the Patient's Unfinished Episode. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | EPISODE NUMBER | F H4 | ||
| R | 0..1 | LAST EPISODE IN SPELL INDICATOR | V | ||
| X | 0..1 | ADMINISTRATIVE CATEGORY (AT START OF EPISODE) | N2 | ||
| R | 0..1 | OPERATION STATUS | V | ||
| O | 0..1 | NEONATAL LEVEL OF CARE | V H4 | ||
| O | 0..1 | FIRST REGULAR DAY OR NIGHT ADMISSION | V | ||
| R | 0..1 | PSYCHIATRIC PATIENT STATUS | V | ||
| X | 0..1 | LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE) | N1 N2 | ||
| M | 1..1 | START DATE (EPISODE) | F S1 S13 | ||
| R | 0..1 | END DATE (EPISODE) | F S13 | ||
| M | 1..1 | AGE AT CDS ACTIVITY DATE | F H4 S8 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - SERVICE AGREEMENT DETAILS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Service Agreement. | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | COMMISSIONING SERIAL NUMBER | F | ||
| O | 0..1 | NHS SERVICE AGREEMENT LINE NUMBER | F | ||
| O | 0..1 | PROVIDER REFERENCE NUMBER | F | ||
| R | 0..1 | COMMISSIONER REFERENCE NUMBER | F | ||
| R | 0..1 | ORGANISATION CODE (CODE OF PROVIDER) | F H4 S8 | ||
| R | 0..1 | ORGANISATION CODE (CODE OF COMMISSIONER) | F S8 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - PERSON GROUP (CONSULTANT) | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Responsible Care Professional. | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | CONSULTANT CODE | F | ||
| R | 0..1 | MAIN SPECIALTY CODE | V H4 | ||
| R | 0..1 | TREATMENT FUNCTION CODE | V H4 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the ICD coded Clinical Diagnoses. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | DIAGNOSIS SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY DIAGNOSIS | Rules | ||
| M | 1..1 | PRIMARY DIAGNOSIS (ICD) | F H4 | ||
| R | 0..* | DATA GROUP: SECONDARY DIAGNOSES | Rules | ||
| R | 0..1 | SECONDARY DIAGNOSIS (ICD) | F H4 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (READ) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the READ coded Clinical Diagnoses. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | DIAGNOSIS SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY DIAGNOSIS | Rules | ||
| M | 1..1 | PRIMARY DIAGNOSIS (READ) | F | ||
| O | 0..* | DATA GROUP: SECONDARY DIAGNOSES | Rules | ||
| R | 0..1 | SECONDARY DIAGNOSIS (READ) | F | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL ACTIVITY GROUP (OPCS) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the OPCS coded Clinical Activities. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | PROCEDURE SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY PROCEDURE | Rules | ||
| M | 1..1 | PRIMARY PROCEDURE (OPCS) | F H4 | ||
| R | 0..1 | PROCEDURE DATE | F S13 | ||
| R | 0..* | DATA GROUP: SECONDARY PROCEDURES | Rules | ||
| M | 1..1 | PROCEDURE (OPCS) | F H4 | ||
| M | 1..1 | PROCEDURE DATE | F I1 S13 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL ACTIVITY GROUP (READ) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the READ coded Clinical Activities. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | PROCEDURE SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY PROCEDURE | Rules | ||
| M | 1..1 | PRIMARY PROCEDURE (READ) | F | ||
| R | 0..1 | PROCEDURE DATE | F S13 | ||
| O | 0..* | DATA GROUP: SECONDARY PROCEDURES | Rules | ||
| M | 1..1 | PROCEDURE (READ) | F | ||
| M | 1..1 | PROCEDURE DATE | F I1 S13 | ||
| Notation | DATA GROUP: LOCATION GROUP (AT START OF EPISODE) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Location at the Start Of Episode. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| Notation | DATA GROUP: LOCATION GROUP (AT WARD STAY) | |
| Group Status R | Group Repeats 0..97 | FUNCTION: To carry the details of one or more Ward Stays. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| O | 0..1 | START DATE | F S13 | ||
| O | 0..1 | END DATE | F S13 | ||
| Notation | DATA GROUP: LOCATION GROUP (AT END OF EPISODE) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Location at the End Of Episode. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| Notation | DATA GROUP: NEONATAL CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Neonatal Care facilities. |
| M | 1..1 | DATA GROUP: NEONATAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| M | 1..1 | GESTATION LENGTH (AT DELIVERY) | V | ||
| M | 1..999 | DATA GROUP: NEONATAL DAILY CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| M | 1..1 | ACTIVITY DATE (CRITICAL CARE) | F S13 | ||
| R | 0..1 | PERSON WEIGHT | F | ||
| M | 1..20 | CRITICAL CARE ACTIVITY CODE | V N4 | ||
| R | 0..20 | HIGH COST DRUGS (OPCS) | F N4 | ||
| R | 0..1 | DATA GROUP: NEONATAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| Notation | DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Paediatric Care facilities. |
| M | 1..1 | DATA GROUP: PAEDIATRIC CRITICAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| M | 1..999 | DATA GROUP: PAEDIATRIC DAILY CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| M | 1..1 | ACTIVITY DATE (CRITICAL CARE) | F S13 | ||
| M | 1..20 | CRITICAL CARE ACTIVITY CODE | V N4 | ||
| R | 0..20 | HIGH COST DRUGS (OPCS) | F N4 | ||
| R | 0..1 | DATA GROUP: PAEDIATRIC CRITICAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| Notation | DATA GROUP: ADULT CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Adult Care facilities. |
| M | 1..1 | DATA GROUP: ADULT CRITICAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| O | 0..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| O | 0..1 | CRITICAL CARE UNIT BED CONFIGURATION | V | ||
| O | 0..1 | CRITICAL CARE ADMISSION SOURCE | V | ||
| O | 0..1 | CRITICAL CARE SOURCE LOCATION | V | ||
| O | 0..1 | CRITICAL CARE ADMISSION TYPE | V | ||
| M | 1..1 | DATA GROUP: ADULT DAILY CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| R | 0..1 | ADVANCED RESPIRATORY SUPPORT DAYS | F H4 | ||
| R | 0..1 | BASIC RESPIRATORY SUPPORT DAYS | F H4 | ||
| R | 0..1 | ADVANCED CARDIOVASCULAR SUPPORT DAYS | F H4 | ||
| R | 0..1 | BASIC CARDIOVASCULAR SUPPORT DAYS | F H4 | ||
| R | 0..1 | RENAL SUPPORT DAYS | F H4 | ||
| R | 0..1 | NEUROLOGICAL SUPPORT DAYS | F H4 | ||
| O | 0..1 | GASTRO-INTESTINAL SUPPORT DAYS | F | ||
| R | 0..1 | DERMATOLOGICAL SUPPORT DAYS | F H4 | ||
| R | 0..1 | LIVER SUPPORT DAYS | F H4 | ||
| O | 0..1 | ORGAN SUPPORT MAXIMUM | V | ||
| R | 0..1 | CRITICAL CARE LEVEL 2 DAYS | F H4 | ||
| R | 0..1 | CRITICAL CARE LEVEL 3 DAYS | F H4 | ||
| R | 0..1 | DATA GROUP: ADULT CRITICAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE READY DATE | F S13 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE READY TIME | F S14 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE STATUS | V | ||
| O | 0..1 | CRITICAL CARE DISCHARGE DESTINATION | V | ||
| O | 0..1 | CRITICAL CARE DISCHARGE LOCATION | V | ||
| Notation | DATA GROUP: GP REGISTRATION | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the Patient's General Medical Practitioner and the General Practice details. |
| R | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | GENERAL MEDICAL PRACTITIONER (SPECIFIED) | F | ||
| R | 0..1 | GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) | F | ||
| Notation | DATA GROUP: REFERRER | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Referrer. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | REFERRER CODE | F | ||
| R | 0..1 | REFERRING ORGANISATION CODE | F | ||
| Notation | DATA GROUP: ELECTIVE ADMISSION LIST ENTRY | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Elective Admission List Entry. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | DURATION OF ELECTIVE WAIT | F | ||
| R | 0..1 | INTENDED MANAGEMENT | V | ||
| R | 0..1 | DECIDED TO ADMIT DATE | F S13 | ||
| O | 0..1 | EARLIEST REASONABLE OFFER DATE | F S13 | ||
| Notation | DATA GROUP: HEALTHCARE RESOURCE GROUP - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Healthcare Resource Group. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | HEALTHCARE RESOURCE GROUP CODE | F I3 | ||
| R | 0..1 | HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER | F I3 | ||
| Notation | DATA GROUP: HEALTHCARE RESOURCE GROUP - CLINICAL ACTIVITY | |
| Group Status O | Group Repeats 0..1 | FUNCTION: 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 Data Group referring to HRG Dominant Grouping Variable - Procedure should be omitted. |
| R | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | PROCEDURE SCHEME IN USE | V I3 | ||
| O | 0..1 | HRG DOMINANT GROUPING VARIABLE-PROCEDURE | F I3 | ||
| Notation | DATA GROUP: CDS V6 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..* | DATA GROUP: CDS V6 Type 004 - Commissioning Data Set Message Trailer One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 002 - Commissioning Data Set Interchange Trailer One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
Change to Data Set: Changed Description
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| CDS V6 TYPE 200 - UNFINISHED DELIVERY EPISODE COMMISSIONING DATA SET | |
| FUNCTION: To support the details of an Unfinished Delivery Episode. |
| Notation | DATA GROUP: CDS V6 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 001 - Commissioning Data Set Interchange Header One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..* | DATA GROUP: CDS V6 Type 003 - Commissioning Data Set Message Header One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED |
| Notation | DATA GROUP: CDS V6 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL | ||
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol. | |
| M | 1..1 | DATA GROUP: CDS V6 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| OR |
| Notation | DATA GROUP: CDS V6 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL | |
| Group Status | Group Repeats | FUNCTION: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol. |
| M | 1..1 | DATA GROUP: CDS V6 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: PATIENT PATHWAY | ||
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the Patient Pathway. | |
| M | 1..1 | DATA GROUP: PATIENT PATHWAY IDENTITY | Rules | |||
| M Or M | 1..1 1..1 | UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) Or PATIENT PATHWAY IDENTIFIER | F F I2 | |||
| M | 1..1 | ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) | F I2 | |||
| M | 1..1 | DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICS | Rules | |||
| M | 1..1 | REFERRAL TO TREATMENT STATUS | V | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD START DATE | F S13 | |||
| O | 0..1 | REFERRAL TO TREATMENT PERIOD END DATE | F S13 | |||
| X | 0..1 | Data Element Components | Rules | ||||
| X | 0..1 | LEAD CARE ACTIVITY INDICATOR | N2 | ||||
| Notation | DATA GROUP: PATIENT IDENTITY | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the Identity of the Patient (the Mother). See Note: S3 in Commissioning Data Set Business Rules. | |
| One of the following DATA GROUPS must be used: |
| 1..1 | DATA GROUP: WITHHELD IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 90 (Patient identity withheld from submission) NOTE - NHS NUMBER STATUS INDICATOR 90 IS NOT APPROVED BY THE INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE AND THEREFORE THIS STRUCTURE SHOULD NOT BE USED | ||||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| R | 0..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| OR |
| 1..1 | DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 01 (Number present and verified) | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| M | 1..1 | POSTCODE OF USUAL ADDRESS | F S3 | ||
| M | 1..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||
| OR |
| 1..1 | DATA GROUP: UNVERIFIED IDENTITY STRUCTURE Must be used for all other values of the NHS NUMBER STATUS INDICATOR NOT included in the above | ||||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F S3 | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NHS NUMBER | F S3 | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| O | 0..1 | PATIENT NAME - PERSON NAME STRUCTURED Or PATIENT NAME - PERSON NAME UNSTRUCTURED | F S3 | ||
| O | 0..1 | PATIENT USUAL ADDRESS - ADDRESS STRUCTURED (Label format Postal Address) Or PATIENT USUAL ADDRESS - ADDRESS UNSTRUCTURED (Character string) | F S3 | ||
| R | 0..1 | POSTCODE OF USUAL ADDRESS | F S3 | ||
| R | 0..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| R | 0..1 | R | 0..1 | PERSON BIRTH DATE (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 |
| Notation | DATA GROUP: PATIENT CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the characteristics of the Patient (the Mother). | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | PERSON BIRTH DATE (Commissioning Data Set Version 6-0 only) | F S3 S12 | ||
| R | 0..1 | PERSON GENDER CURRENT | V H4 | ||
| O | 0..1 | CARER SUPPORT INDICATOR | V | ||
| R | 0..1 | ETHNIC CATEGORY | V | ||
| R | 0..1 | PERSON MARITAL STATUS | V N1 | ||
| R | 0..1 | LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) | V N1 | ||
| Notation | DATA GROUP: DELIVERY CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the delivery characteristics of the Patient (the Mother). | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | PREGNANCY TOTAL PREVIOUS PREGNANCIES | V | ||
| Notation | DATA GROUP: HOSPITAL PROVIDER SPELL - ADMISSION CHARACTERISTICS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the admission details of the Hospital Provider Spell containing the Episode. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | HOSPITAL PROVIDER SPELL NUMBER | F H4 | ||
| R | 0..1 | ADMINISTRATIVE CATEGORY (ON ADMISSION) | V | ||
| R | 0..1 | PATIENT CLASSIFICATION | V H4 | ||
| R | 0..1 | ADMISSION METHOD (HOSPITAL PROVIDER SPELL) | V H4 | ||
| R | 0..1 | SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) | V H4 | ||
| M | 1..1 | START DATE (HOSPITAL PROVIDER SPELL) | F H4 S13 | ||
| M | 1..1 | AGE ON ADMISSION | F H4 | ||
| Notation | DATA GROUP: HOSPITAL PROVIDER SPELL - DISCHARGE CHARACTERISTICS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the discharge details of the Hospital Provider Spell containing the Episode. | |
| R | 0..1 | Data Element Components | Rules | ||
| R | 0..1 | DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) | V H4 | ||
| R | 0..1 | DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) | V H4 | ||
| O | 0..1 | DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL) | F S13 | ||
| R | 0..1 | DISCHARGE DATE (HOSPITAL PROVIDER SPELL) | F S13 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - ACTIVITY CHARACTERISTICS | ||
| Group Status M | Group Repeats 1..1 | FUNCTION: To carry the details of the Patient's Episode. | |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | EPISODE NUMBER | F H4 | ||
| R | 0..1 | LAST EPISODE IN SPELL INDICATOR | V | ||
| X | 0..1 | ADMINISTRATIVE CATEGORY (AT START OF EPISODE) | N2 | ||
| R | 0..1 | OPERATION STATUS | V | ||
| R | 0..1 | PSYCHIATRIC PATIENT STATUS | V | ||
| X | 0..1 | LEGAL STATUS CLASSIFICATION CODE (AT START OF EPISODE) | N1 N2 | ||
| M | 1..1 | START DATE (EPISODE) | F H4 S1 S13 | ||
| R | O..1 | END DATE (EPISODE) | F S13 | ||
| M | 1..1 | AGE AT CDS ACTIVITY DATE | F H4 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - SERVICE AGREEMENT DETAILS | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Service Agreement. | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | COMMISSIONING SERIAL NUMBER | F | ||
| O | 0..1 | NHS SERVICE AGREEMENT LINE NUMBER | F | ||
| O | 0..1 | PROVIDER REFERENCE NUMBER | F | ||
| R | 0..1 | COMMISSIONER REFERENCE NUMBER | F | ||
| R | 0..1 | ORGANISATION CODE (CODE OF PROVIDER) | F H4 S8 | ||
| R | 0..1 | ORGANISATION CODE (CODE OF COMMISSIONER) | F S8 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - PERSON GROUP (CONSULTANT) | ||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Responsible Care Professional. | |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | CONSULTANT CODE | F | ||
| R | 0..1 | MAIN SPECIALTY CODE | V H4 | ||
| R | 0..1 | TREATMENT FUNCTION CODE | V H4 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the ICD coded Clinical Diagnoses. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | DIAGNOSIS SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY DIAGNOSIS | Rules | ||
| M | 1..1 | PRIMARY DIAGNOSIS (ICD) | F H4 | ||
| R | 0..* | DATA GROUP: SECONDARY DIAGNOSES | Rules | ||
| M | 1..1 | SECONDARY DIAGNOSIS (ICD) | F H4 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (READ) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the READ coded Clinical Diagnoses. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | DIAGNOSIS SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY DIAGNOSIS | Rules | ||
| M | 1..1 | PRIMARY DIAGNOSIS (READ) | F | ||
| O | 0..* | DATA GROUP: SECONDARY DIAGNOSES | Rules | ||
| M | 1..1 | SECONDARY DIAGNOSIS (READ) | F | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL ACTIVITY GROUP (OPCS) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the OPCS coded Clinical Activities. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | PROCEDURE SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY PROCEDURE | Rules | ||
| M | 1..1 | PRIMARY PROCEDURE (OPCS) | F H4 | ||
| R | 0..1 | PROCEDURE DATE | F S13 | ||
| R | 0..* | DATA GROUP: SECONDARY PROCEDURES | Rules | ||
| M | 1..1 | PROCEDURE (OPCS) | F H4 | ||
| M | 1..1 | PROCEDURE DATE | F I1 S13 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL ACTIVITY GROUP (READ) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the READ coded Clinical Activities. |
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | PROCEDURE SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY PROCEDURE | Rules | ||
| M | 1..1 | PRIMARY PROCEDURE (READ) | F | ||
| R | 0..1 | PROCEDURE DATE | F S13 | ||
| O | 0..* | DATA GROUP: SECONDARY PROCEDURES | Rules | ||
| M | 1..1 | PROCEDURE (READ) | F | ||
| M | 1..1 | PROCEDURE DATE | F I1 S13 | ||
| Notation | DATA GROUP: LOCATION GROUP (AT START OF EPISODE) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Location at the Start Of Episode. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| Notation | DATA GROUP: LOCATION GROUP (AT WARD STAY) | |
| Group Status O | Group Repeats 0..97 | FUNCTION: To carry the details of the Location at a Ward Stay. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| O | 0..1 | START DATE | F S13 | ||
| O | 0..1 | END DATE | F S13 | ||
| Notation | DATA GROUP: LOCATION GROUP (AT END OF EPISODE) | |
| Group Status O | Group Repeats 0..1 | FUNCTION: To carry the details of the Location at the End Of Episode. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| R | 0..1 | SITE CODE (OF TREATMENT) | F | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| O | 0..1 | INTENDED CLINICAL CARE INTENSITY | V | ||
| O | 0..1 | AGE GROUP INTENDED | V | ||
| O | 0..1 | SEX OF PATIENTS | V | ||
| O | 0..1 | WARD DAY PERIOD AVAILABILITY | V | ||
| O | 0..1 | WARD NIGHT PERIOD AVAILABILITY | V | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - PAEDIATRIC CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Paediatric Care facilities. |
| M | 1..1 | DATA GROUP: PAEDIATRIC CRITICAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| M | 1..999 | DATA GROUP: PAEDIATRIC DAILY CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| M | 1..1 | ACTIVITY DATE (CRITICAL CARE) | F S13 | ||
| M | 1..20 | CRITICAL CARE ACTIVITY CODE | F N4 | ||
| R | 0..20 | HIGH COST DRUGS (OPCS) | F N4 | ||
| R | 0..1 | DATA GROUP: PAEDIATRIC CRITICAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| Notation | DATA GROUP: CONSULTANT EPISODE - ADULT CRITICAL CARE PERIOD | |
| Group Status R | Group Repeats 0..9 | FUNCTION: See CRITICAL CARE PERIOD To carry the details of the first 9 Critical Care Periods for care provided using Adult Care facilities. |
| M | 1..1 | DATA GROUP: ADULT CRITICAL CARE - ADMISSION CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE LOCAL IDENTIFIER | F | ||
| M | 1..1 | CRITICAL CARE START DATE | F H4 S13 | ||
| O | 0..1 | CRITICAL CARE START TIME | F S14 | ||
| M | 1..1 | CRITICAL CARE UNIT FUNCTION | V H4 | ||
| O | 0..1 | CRITICAL CARE UNIT BED CONFIGURATION | V | ||
| O | 0..1 | CRITICAL CARE ADMISSION SOURCE | V | ||
| O | 0..1 | CRITICAL CARE SOURCE LOCATION | V | ||
| O | 0..1 | CRITICAL CARE ADMISSION TYPE | V | ||
| M | 1..1 | DATA GROUP: ADULT CRITICAL CARE - ACTIVITY CHARACTERISTICS | Rules | ||
| R | 0..1 | ADVANCED RESPIRATORY SUPPORT DAYS | F H4 | ||
| R | 0..1 | BASIC RESPIRATORY SUPPORT DAYS | F H4 | ||
| R | 0..1 | ADVANCED CARDIOVASCULAR SUPPORT DAYS | F H4 | ||
| R | 0..1 | BASIC CARDIOVASCULAR SUPPORT DAYS | F H4 | ||
| R | 0..1 | RENAL SUPPORT DAYS | F H4 | ||
| R | 0..1 | NEUROLOGICAL SUPPORT DAYS | F H4 | ||
| O | 0..1 | GASTRO-INTESTINAL SUPPORT DAYS | F | ||
| R | 0..1 | DERMATOLOGICAL SUPPORT DAYS | F H4 | ||
| R | 0..1 | LIVER SUPPORT DAYS | F H4 | ||
| O | 0..1 | ORGAN SUPPORT MAXIMUM | V | ||
| R | 0..1 | CRITICAL CARE LEVEL 2 DAYS | F H4 | ||
| R | 0..1 | CRITICAL CARE LEVEL 3 DAYS | F H4 | ||
| R | 0..1 | DATA GROUP: ADULT CRITICAL CARE - DISCHARGE CHARACTERISTICS | Rules | ||
| M | 1..1 | CRITICAL CARE DISCHARGE DATE | F H4 S13 | ||
| M | 1..1 | CRITICAL CARE DISCHARGE TIME | F S14 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE READY DATE | F S13 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE READY TIME | F S14 | ||
| O | 0..1 | CRITICAL CARE DISCHARGE STATUS | V | ||
| O | 0..1 | CRITICAL CARE DISCHARGE DESTINATION | V | ||
| O | 0..1 | CRITICAL CARE DISCHARGE LOCATION | V | ||
| Notation | DATA GROUP: GP REGISTRATION | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the Patient's General Medical Practitioner and the General Practice details. |
| R | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | GENERAL MEDICAL PRACTITIONER (SPECIFIED) | F | ||
| R | 0..1 | GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) | F | ||
| Notation | DATA GROUP: REFERRER | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Referrer. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | REFERRER CODE | F | ||
| R | 0..1 | REFERRING ORGANISATION CODE | F | ||
| Notation | DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Pregnancy. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | NUMBER OF BABIES | V | ||
| Notation | DATA GROUP: ANTENATAL CARE - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Antenatal Care. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | FIRST ANTENATAL ASSESSMENT DATE | F S13 | ||
| Notation | DATA GROUP: ANTENATAL CARE - PERSON GROUP (RESPONSIBLE CLINICIAN) | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the General Medical Practitioner responsible for the Antenatal Care. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE) | F | ||
| O | 0..1 | GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE) | F | ||
| Notation | DATA GROUP: ANTENATAL CARE - LOCATION GROUP - DELIVERY PLACE INTENDED | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Intended Delivery Location. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| R | 0..1 | DELIVERY PLACE CHANGE REASON | V | ||
| R | 0..1 | DELIVERY PLACE TYPE (INTENDED) | V | ||
| Notation | DATA GROUP: LABOUR/DELIVERY - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Labour/Delivery. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY | V | ||
| R | 0..1 | ANAESTHETIC GIVEN POST LABOUR OR DELIVERY | V | ||
| O | 0..1 | GESTATION LENGTH (LABOUR ONSET) | V | ||
| R | 0..1 | LABOUR OR DELIVERY ONSET METHOD | V | ||
| R | 0..1 | DELIVERY DATE | F S13 | ||
| Notation | DATA GROUP: BIRTH OCCURRENCE - ONE FOR EACH BABY IN THE DELIVERY | ||||||||||
| FUNCTION: To carry the details of up to 9 Birth Occurrences - one per Baby. | |||||||||||
| R | 0..1 | DATA GROUP: DELIVERY OCCURRENCE - ACTIVITY CHARACTERISTICS. | Rules | ||||||||
| R | 0..1 | BIRTH ORDER | F | ||||||||
| R | 0..1 | DELIVERY METHOD | V | ||||||||
| R | 0..1 | GESTATION LENGTH (ASSESSMENT) | V | ||||||||
| R | 0..1 | RESUSCITATION METHOD | V | ||||||||
| R | 0..1 | STATUS OF PERSON CONDUCTING DELIVERY | V | ||||||||
| DATA GROUP: PERSON GROUP - BABY FUNCTION: To carry the Identity of the Baby. One of the following DATA GROUPS must be used: | |||||||||||
| M | 1..1 | DATA GROUP: WITHHELD IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR (BABY) Code Value = 90 (Patient identity withheld from submission) NOTE - NHS NUMBER STATUS INDICATOR 90 IS NOT APPROVED BY THE INFORMATION STANDARDS BOARD FOR HEALTH AND SOCIAL CARE AND THEREFORE THIS STRUCTURE SHOULD NOT BE USED | Rules | ||||||||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (BABY) | V | ||||||||
| R | 0..1 | PERSON BIRTH DATE (BABY) (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||||||||
| OR | |||||||||||
| M | 1..1 | DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR (BABY) Code Value = 01 (Number present and verified) | |||||||||
| O | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE (BABY) | Rules | ||||||||
| M | 1..1 | LOCAL PATIENT IDENTIFIER (BABY) | F S3 | ||||||||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY)) | F | ||||||||
| M | 1..1 | Data Element Components | Rules | ||||||||
| M | 1..1 | NHS NUMBER (BABY) | F S3 | ||||||||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (BABY) | V | ||||||||
| R | 0..1 | PERSON BIRTH DATE (BABY) (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||||||||
| OR | |||||||||||
| M | 1..1 | DATA GROUP: UNVERIFIED IDENTITY STRUCTURE Must be used for all other values of the NHS NUMBER STATUS INDICATOR (BABY) NOT included in the above | |||||||||
| O | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | Rules | ||||||||
| M | 1..1 | LOCAL PATIENT IDENTIFIER (BABY) | F S3 | ||||||||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY)) | F | ||||||||
| M | 1..1 | Data Element Components | Rules | ||||||||
| R | 0..1 | NHS NUMBER (BABY) | F S3 | ||||||||
| M | 1..1 | NHS NUMBER STATUS INDICATOR (BABY) | V | ||||||||
| R | 0..1 | Data Element Components | Rules | ||||||||
| R | 0..1 | PERSON BIRTH DATE (BABY) (From Commissioning Data Set Version 6-1 onwards) | F S3 S12 | ||||||||
| Notation | DATA GROUP: BIRTH OCCURRENCE - PERSON CHARACTERISTICS - BABY | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the characteristics of the Baby. |
| M | 1..1 | Data Element Components | Rules | ||||||||
| R | 0..1 | PERSON BIRTH DATE (BABY) (Commissioning Data Set Version 6-0 only) | F S3 S12 | ||||||||
| R | 0..1 | PERSON GENDER CURRENT (BABY) | V | ||||||||
| R | 0..1 | LIVE OR STILL BIRTH | V | ||||||||
| R | 0..1 | BIRTH WEIGHT | F | ||||||||
| Notation | DATA GROUP: BIRTH OCCURRENCE - LOCATION GROUP - DELIVERY PLACE ACTUAL | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Actual Birth Location. |
| M | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | LOCATION CLASS | V | ||
| X | 0..1 | LOCATION TYPE | N3 | ||
| R | 0..1 | DELIVERY PLACE TYPE (ACTUAL) | V | ||
| Notation | DATA GROUP: HEALTHCARE RESOURCE GROUP - ACTIVITY CHARACTERISTICS | |
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the Healthcare Resource Group. |
| R | 1..1 | Data Element Components | Rules | ||
| R | 0..1 | HEALTHCARE RESOURCE GROUP CODE | F I3 | ||
| R | 0..1 | HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER | F I3 | ||
| Notation | DATA GROUP: HEALTHCARE RESOURCE GROUP - CLINICAL ACTIVITY | |
| Group Status O | Group Repeats 0..1 | FUNCTION: 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 Data Group referring to HRG Dominant Grouping Variable - Procedure should be omitted. |
| R | 1..1 | Data Element Components | Rules | ||
| O | 0..1 | PROCEDURE SCHEME IN USE | V I3 | ||
| O | 0..1 | HRG DOMINANT GROUPING VARIABLE-PROCEDURE | F I3 | ||
| Notation | DATA GROUP: CDS V6 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..* | DATA GROUP: CDS V6 Type 004 - Commissioning Data Set Message Trailer One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| Notation | DATA GROUP: CDS V6 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER | ||
| Group Status | Group Repeats | FUNCTION: To define the mandatory identity and addressing information for a Commissioning Data Set submission . | |
| M | 1..1 | DATA GROUP: CDS V6 Type 002 - Commissioning Data Set Interchange Trailer One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
Change to Central Return Form: Changed Description
KC53: Adult Screening Programmes: Cervical Screening
Contextual OverviewThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Contextual Overview
The Department of Health, NHS Cervical Screening Programme (NHSCSP) and Strategic Health Authorities require information from Primary Care Trusts on Cervical Screening.
The information helps to monitor the process of achieving the Government's target to reduce the incidence of invasive cervical cancer and to ensure that the screening programme is managed effectively. It is used to monitor coverage by the cervical screening programme of the eligible Primary Care Trust responsible population.
Information on the return is also used in Public Expenditure Survey (PES) negotiations, resource allocation to the NHS and Departmental accountability.
Information based on the KC53 return is published annually by the Department in the Statistical Bulletin `Cervical Screening Programme'.
Completing Return KC53: Cervical Screening Programme
The Cervical Screening Programme is a programme to deliver services within a 'structured framework' to a defined target population, planned by a Primary Care Trust. The services provided to the population under this programme may be carried out by one or more Health Care Providers - NHS Trust, general medical practitioner (GMP), private or voluntary organisation or any combination of these.
Information on Cervical Screening should be readily available from the call and recall service's computerised call and recall system. A standard computer programme is provided by NHS Connecting for Health.
The return requires the ORGANISATION CODE and ORGANISATION NAME of the Primary Care Trust. It requires information about women (PERSONS) on the lists of GPs in the Primary Care Trust and women from the unregistered population who live in the geographical area for which the Primary Care Trust is responsible at 31 March. It is completed annually and submitted within two months of this date.
Change to Central Return Form: Changed Description
KC53: Adult Screening Programmes: Cervical Screening
Part F: Cervical Screening Programme - Test Recall/Status of women following most severe screening result in the yearThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part F: Cervical Screening Programme - Test Recall/Status of women following most severe screening result in the year
This part of the return collects information about the action taken following a woman's most severe test result in a year.
The women included are those who have had a Screening Test and are aged 20 to 64. The age is derived from the PERSON BIRTH DATE.
A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.
The data are based on the results of the woman's most severe test in the year and relate to Screening Tests with a Screening Test Date between 1 April - 31 March. Classifications are those of CYTOLOGY RESULT TYPE of a Request for Pathology Investigation and are in accordance with the categories shown in box 22 of HMR 101/5 Request/Report for Cervical or Vaginal Cytology.
Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'. A Request for Pathology Investigation is a DIAGNOSTIC TEST REQUEST where the DIAGNOSTIC TEST REQUEST TYPE is National Code 03 'Request for Pathology Investigation.'
Woman's most severe test result in the year
This is classified by the following CYTOLOGY RESULT TYPES:
Inadequate (cat. 1)
Negative (cat. 2)
Mild dyskaryosis (cat. 3)
Severe dyskaryosis (cat. 4)
Severe dyskaryosis/?invasive carcinoma (cat. 5)
?Glandular neoplasia (cat. 6)
Moderate dyskaryosis (cat. 7)
Borderline changes (cat. 8)The return requires a count of the CYTOLOGY SCREENING ACTION TYPE against each CYTOLOGY RESULT TYPE. The actions are classified into:
Normal (A) - Standard Primary Care Trust recall interval (Normal) (A) Suspend (S) - Refer for medical assessment or under medical treatment (Suspend) (S) Repeat (R) - Repeat at interval specified (R) The actions are based on result codes 1 to 8 from HMR 101/5, the operational document used by most laboratories for coding the results of cervical smears.
Change to Central Return Form: Changed Description
KC53: Adult Screening Programmes: Cervical Screening
Part A: Cervical Screening Programme - Status of PCT Responsible PopulationThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part A: Cervical Screening Programme - Status of PCT Responsible Population
Part A1
Part A1 of KC53 requires information on the routine recall interval in force in the Primary Care Trust for the Screening Programme. This is the CERVICAL SCREENING RECALL INTERVAL.
A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.
Part A2
Part A2 of KC53 requires information on the SCREENING STATUS of the Screening Population - the number of women in Primary Care Trusts responsible population at 31 March.
Screening Population is a HEALTH PROGRAMME POPULATION where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.
Age of woman at 31 March (column 1)
The age bands are derived from the PERSON BIRTH DATE.
Under 20 (line 0001)
20-24 (line 0002)
25-29 (line 0003)
30-34 (line 0004)
35-39 (line 0005)
40-44 (line 0006)
45-49 (line 0007)
50-54 (line 0008)
55-59 (line 0009)
60-64 (line 0010)
65-69 (line 0011)
70-74 (line 0012)
75-79 (line 0013)
80 & over (line 0014)Number of women resident in Primary Care Trust responsible population (column 2)
This is the total number of women of all ages derived from the registers maintained by the Primary Care Trust to ensure compatibility with the other data recorded on the return.
The responsible population includes:
- all patients on the lists of the GPs in the Primary Care Trust;
and
- the unregistered population who live within the geographical area for which the Primary Care Trust is responsible.
Number of women recorded as having recall ceased (columns 3, 4 and 5)
These columns do not include women with the SCREENING STATUS classification of Recall suspended.
Column 3 counts women in the Screening Programme with the SCREENING STATUS classification of Recall ceased - clinical reasons. Women no longer eligible for screening due to removal of the cervix are included.
Column 4 counts the number of women with the SCREENING STATUS classification of Recall ceased - age reasons, and column 5 counts those with the classification of Recall ceased - other reasons.
Eligible population (column 6)
This is calculated by subtracting the number of women in column 3 (i.e. women with the SCREENING STATUS classification of Recall ceased - clinical reasons) from the number in column 2 (i.e. the Primary Care Trust responsible population).
Number of women whose most recent test was no more than 5 years ago (column 7)
This is calculated from the addition of columns (2) to (5) in part A3.
Coverage (%) - less than 5 years since last adequate test (column 8)
This is calculated from columns (6) and (7) in Part A2.
Target Age Group (25-64) (line 0015)
This counts the number of women in the Screening Programme aged between 25 and 64 on 31 March (sum of lines 0003 to 0010). Coverage of the Screening Programme is based on women aged 25 to 64, and not on the NHS Cervical Screening Programme's target population of women aged 20 to 64 who are eligible to receive screening test invitations.
Total all ages (line 9999)
This is the total for all age groups counted in lines 0001 to 0014 for each category of women.
Change to Central Return Form: Changed Description
KC53: Adult Screening Programmes: Cervical Screening
Part A3: Cervical Screening Programme - Screening Status of Eligible Women at 31 March YYYYThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part A3: Cervical Screening Programme - Screening Status of Eligible Women at 31 March YYYY
This part of the return collects information specifically about the number of women screened by time since their last test. It includes all women who have had a Screening Test at any time during their life, even if the test was not part of a call and recall system, but was taken opportunistically. It does not include inadequate tests.
A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.Age of women at 31 March (column 1)
The age bands are derived from the PERSON BIRTH DATE.
Under 20 (line 0001)
20-24 (line 0002)
25-29 (line 0003)
30-34 (line 0004)
35-39 (line 0005)
40-44 (line 0006)
45-49 (line 0007)
50-54 (line 0008)
55-59 (line 0009)
60-64 (line 0010)
65-69 (line 0011)
70-74 (line 0012)
75-79 (line 0013)
80 & over (line 0014)Number of women whose most recent adequate test was in last 1.5 years (column 2)
Number of women whose most recent adequate test was more than 1.5 years but no more than 3 years ago (column 3)
Number of women whose most recent adequate test was more than 3 years but no more than 3.5 years ago (column 4)
Number of women whose most recent adequate test was more than 3.5 years but no more than 5 years ago (column 5)
Number of women whose most recent adequate test was more than 5 years but no more than 10 years ago (column 6)
Number of women whose most recent adequate test was more than 10 years but no more than 15 years ago (column 7)
Number of women whose most recent adequate test was more than 15 years ago (column 8)
The Screening Test Date should be used to derive the count of women tested in the time periods required by the return.
The Screening Test Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'.Women called but no adequate smear (column 9)
This is a count of the number of women who have been invited at any time in their lives but have no adequate smear.
Women called but never attended (column 10)
This is a count of the number of women who have been invited at any time in their lives but have never attended.
Number of women with no cytology record (column 11)
This is a count of women in the Primary Care Trust responsible population with no cervical screening history.
The responsible population includes:- all patients on the lists of the GPs in the Primary Care Trust;
and
- the unregistered population who live within the geographical area for which the Primary Care Trust is responsible.
Target Age Group (25-64) (line 0015)
This counts the number of women in the Screening Programme aged between 25 and 64 on 31 March (sum of lines 0003 to 0010). Coverage of the Screening Programme is based on women aged 25 to 64, and not on the NHS Cervical Screening Programme's target population of women aged 20 to 64 who are eligible to receive Screening Test Invitations.
A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.
Total all ages (line 9999)
This is the total for all age groups counted in lines 0001 to 0014 for each category of women.
Change to Central Return Form: Changed Description
KC53: Adult Screening Programmes: Cervical Screening
Part B: Cervical Screening Programme - Number of Women InvitedThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part B: Cervical Screening Programme - Number of Women Invited
Part B of KC53 requires age-banded data on the number of women invited for screening, The number invited relates to Screening Test Invitations with an APPOINTMENT DATE OFFERED between 1 April and 31 March. This date does not necessarily relate to a due date in the year - e.g. the Screening Test could be set to take place outside this period. Where a woman is invited on more than one occasion in the year, the last invitation is recorded on KC53.
A Screening Test Invitation is an APPOINTMENT associated with an APPOINTMENT OFFER where the APPOINTMENT CLASSIFICATION CODE is National Code 06 'Screening Test'.
A Screening Test is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.Age of woman at 31 March (column 1)
The age bands are derived from the PERSON BIRTH DATE.
Under 20 (line 0001)
20-24 (line 0002)
25-29 (line 0003)
30-34 (line 0004)
35-39 (line 0005)
40-44 (line 0006)
45-49 (line 0007)
50-54 (line 0008)
55-59 (line 0009)
60-64 (line 0010)
65-69 (line 0011)
70-74 (line 0012)
75 & over (line 0013)Call (column 2)
A count of the number of women invited for their first screen i.e. those who have never been screened before. The INVITATION TYPE of the Screening Test Invitation will have the classification First call.
Routine recall (column 3)
A count of the number of women invited for screening in the year as a result of a routine recall for screening. These women will have had a previous negative result and been recalled after the usual interval (3 to 5 years). The INVITATION TYPE of the Screening Test Invitation will have the classification Routine recall.
Surveillance (column 4)
A count of the number of women invited for early screening because of a previous abnormal screening result or following treatment for cervical abnormalities. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than three years for surveillance.
Abnormality (column 5)
A count of the number of women invited for early screening because their last smear showed some abnormality and a repeat was advised. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than three years because of abnormality.
Inadequate smear (column 6)
A count of the number of women invited for screening because their last smear was inadequate. The INVITATION TYPE of the Screening Test Invitation will have either the classification Repeat in less than three years because of inadequate smear, or the classification Technical recall (inadequate test).
Target age group (line 0014)
This counts the number of women in the Screening Programme aged between 20 and 64 on 31 March (sum of lines 0002 to 0010).
A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.
Total all ages (line 9999)
This is the total for all age groups counted in lines 0001 to 0013 for each INVITATION TYPE.
Change to Central Return Form: Changed Description
KC53: Adult Screening Programmes: Cervical Screening
Part C1: Cervical Screening Programme - Number of Women Tested - by AgeThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part C1: Cervical Screening Programme - Number of Women Tested - by Age
Part C1 of KC53 requires data on the women screened in the year, by invitation or opportunistically. The number screened relates to Screening Tests with a Screening Test Date between 1 April and 31 March. Where a woman is screened more than once in the year, for whatever reason, her INVITATION TYPE at her first Screening Test Date in the review period is to be recorded.
A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'. Screening Test Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test'.
Call (column 2)
A count of the number of women screened in the year as a result of a first call for screening within 12 months of the original invitation. These women will not have been screened before. The INVITATION TYPE of the Screening Test Invitation will have the classification First call.
A Screening Test Invitation is an APPOINTMENT associated with an APPOINTMENT OFFER where the APPOINTMENT CLASSIFICATION CODE is National Code 06 'Screening Test'.
Routine recall (column 3)
A count of the number of women screened in the year as a result of a routine recall for screening within 12 months of the recall invitation. These women will have had a previous negative result and been recalled after the usual interval (3 to 5 years). The INVITATION TYPE of the Screening Test Invitation will have the classification Routine recall.
Surveillance (column 4)
A count of the number of women screened in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years for surveillance.
Abnormality (column 5)
A count of the number of women screened in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. These women will usually have had a recent mildly abnormal smear. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years because of abnormality.
Inadequate smear (column 6)
Enter the number of women screened in the year as a result of a technical recall within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have either the classification Repeat in less than 3 years because of inadequate smear or the classification Technical recall (inadequate test).
While recall suspended (column 7)
A count of the number of women screened in the year who were suspended from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall suspended'.
A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.
While recall ceased (column 8)
A count of the number of women screened opportunistically in the year who were ceased from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall ceased'.
Not Invited by Programme (column 9)
A count of the number of women screened opportunistically during the year. This includes all women whose Recall Status was "No action", "GP not informed", "GP informed", "ZZZ GP" and those women whose Recall Status was "Final non-responder" where the initial invitation was generated more than 12 months ago. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'not invited by programme'.
Target age group (line 0014)
This counts the number of women in the Screening Programme aged between 20 and 64 on 31 March (sum of lines 0002 to 0010).
Total all women (line 9999)
This is the total for all age groups counted in lines 0001 to 0013 for each INVITATION TYPE or women who have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE recorded.
Change to Central Return Form: Changed Description
KC53: Adult Screening Programmes: Cervical Screening
Part C2: Cervical Screening Programme - Number of Women Tested - by ResultThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part C2: Cervical Screening Programme - Number of Women Tested - by Result
Part C2 of KC53 requires data on the women aged 20 - 64 screened in the year, by invitation or opportunistically. The number screened relates to Screening Tests with a Screening Test Date between 1 April and 31 March. Where a woman is screened more than once in the year, for whatever reason, her INVITATION TYPE at her first Screening Test Date in the review period is to be recorded.
A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'. Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'.
Call (column 2)
A count of the number of women screened in the year as a result of a first call for screening within 12 months of the original invitation. These women will not have been screened before. The INVITATION TYPE of the Screening Test Invitation will have the classification First call.
A Screening Test Invitation is an APPOINTMENT associated with an APPOINTMENT OFFER where the APPOINTMENT CLASSIFICATION CODE is National Code 06 'Screening Test'.
Routine recall (column 3)
A count of the number of women screened in the year as a result of a routine recall for screening within 12 months of the recall invitation. These women will have had a previous negative result and been recalled after the usual interval (3 to 5 years). The INVITATION TYPE of the Screening Test Invitation will have the classification Routine recall.
Surveillance (column 4)
A count of the number of women screened in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years for surveillance.
Abnormality (column 5)
A count of the number of women screened in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. These women will usually have had a recent mildly abnormal smear. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years because of abnormality.
Inadequate smear (column 6)
Enter the number of women screened in the year as a result of a technical recall within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have either the classification Repeat in less than 3 years because of inadequate smear or the classification Technical recall (inadequate test).
While recall suspended (column 7)
A count of the number of women screened in the year who were suspended from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall suspended'.
A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.
While recall ceased (column 8)
A count of the number of women screened opportunistically in the year who were ceased from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall ceased'.
Not Invited by Programme (column 9)
A count of the number of women screened opportunistically during the year. This includes all women whose Recall Status was "No action", "GP not informed", "GP informed", "ZZZ GP" and those women whose Recall Status was "Final non-responder" where the initial invitation was generated more than 12 months ago. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'not invited by programme'.
Result of test
This is classified by the following CYTOLOGY RESULT TYPES:
Inadequate (cat. 1) (line 0001)
Negative (cat. 2) (line 0002)
Borderline changes (cat. 8) (line 0003)
Mild dyskaryosis (cat. 3) (line 0004)
Moderate dyskaryosis (cat. 7) (line 0005)
Severe dyskaryosis (cat. 4) (line 0006)
Severe dyskaryosis/?invasive carcinoma (cat. 5) (line 0007)
?Glandular neoplasia (cat. 6) line 0008)Total women tested aged 20-64 (line 9999)
This counts the number of women in the Screening Programme aged between 20 and 64 on 31 March (sum of lines 0001 to 0008).
A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.
Change to Central Return Form: Changed Description
KC53: Adult Screening Programmes: Cervical Screening
Part C3: Cervical Screening Programme - Number of Tests - by ResultThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part C3: Cervical Screening Programme - Number of Tests - by Result
Part C3 of KC53 requires data on all tests in the review period, not limited to the target age group 20 - 64, by invitation or opportunistically. The number screened relates to Screening Tests with a Screening Test Date between 1 April and 31 March. Where a woman is screened more than once in the year, for whatever reason, her INVITATION TYPE at her first Screening Test Date in the review period is to be recorded.
A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'. Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'.
Call (column 2)
A count of the number of tests in the year as a result of a first call for screening within 12 months of the original invitation. These women will not have been screened before. The INVITATION TYPE of the Screening Test Invitation will have the classification First call.
A Screening Test Invitation is an APPOINTMENT associated with an APPOINTMENT OFFER where the APPOINTMENT CLASSIFICATION CODE is National Code 06 'Screening Test'.
Routine recall (column 3)
A count of the number of tests in the year as a result of a routine recall for screening within 12 months of the recall invitation. These women will have had a previous negative result and been recalled after the usual interval (3 to 5 years). The INVITATION TYPE of the Screening Test Invitation will have the classification Routine recall.
Surveillance (column 4)
A count of the number of tests in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years for surveillance.
Abnormality (column 5)
A count of the number of tests in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. These women will usually have had a recent mildly abnormal smear. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years because of abnormality.
Inadequate smear (column 6)
Enter the number of tests in the year as a result of a technical recall within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have either the classification Repeat in less than 3 years because of inadequate smear or the classification Technical recall (inadequate test).
While recall suspended (column 7)
A count of the number of tests in the year of women who were suspended from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'Screened while recall suspended'
A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.
While recall ceased (column 8)
A count of the number of tests in the year of women who were ceased from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall ceased'.
Not Invited by Programme (column 9)
A count of the number of opportunistic tests during the year. This includes all women whose Recall Status was "No action", "GP not informed", "GP informed", "ZZZ GP" and those women whose Recall Status was "Final non-responder" where the initial invitation was generated more than 12 months ago. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification 'not invited by programme'.
Result of test
This is classified by the following CYTOLOGY RESULT TYPES:
Inadequate (cat. 1) (line 0001)
Negative (cat. 2) (line 0002)
Borderline changes (cat. 8) (line 0003)
Mild dyskaryosis (cat. 3) (line 0004)
Moderate dyskaryosis (cat. 7) (line 0005)
Severe dyskaryosis (cat. 4) (line 0006)
Severe dyskaryosis/?invasive carcinoma (cat. 5) (line 0007)
?Glandular neoplasia (cat. 6) line 0008)Total all results (line 9999)
This counts the number of tests in the Screening Programme for all age groups on 31 March (sum of lines 0001 to 0008).
A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.
Change to Central Return Form: Changed Description
KC53: Adult Screening Programmes: Cervical Screening
Part D: Cervical Screening Programme - Result of TestThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part D: Cervical Screening Programme - Result of Test
Part D of KC53 requires age-banded data on the most severe results of cervical screening tests recorded during the year. It does not include inadequate tests. Where a woman has only one smear tested in the year which turns out to be inadequate, or more than one, all of which are inadequate, no entry is required.
The data are based on the results of the woman's most severe test in the year and relate to Screening Tests with a Screening Test Date between 1 April - 31 March. Classifications are those of CYTOLOGY RESULT TYPES of a Request for Pathology Investigation and are in accordance with the categories shown in box 22 of HMR 101/5 Request/Report for Cervical or Vaginal Cytology.
A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'. Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'.
A Request for Pathology Investigation is a DIAGNOSTIC TEST REQUEST where the DIAGNOSTIC TEST REQUEST TYPE is National Code 03 'Request for Pathology Investigation.'
Negative (column 2)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of Negative (cat. 2).
Borderline (column 3)
A count of the number of women whose most severe CYTOLOGY RESULT TYPE classification was Borderline changes (cat. 8) .
Mild dyskaryosis (column 4)
A count of the number of women whose most severe CYTOLOGY RESULT TYPE classification was Mild dyskaryosis (column 4) .
Moderate dyskaryosis (column 5)
A count of the number of women whose most severe CYTOLOGY RESULT TYPE classification was Moderate dyskaryosis (cat. 7).
Severe dyskaryosis (column 6)
A count of the number of women whose most severe CYTOLOGY RESULT TYPE classification was Severe dyskaryosis (cat. 4).
Severe dyskaryosis/?invasive carcinoma (column 7)
A count of the number of women whose most severe CYTOLOGY RESULT TYPE classification was Severe dyskaryosis/?invasive carcinoma (cat. 5).
?Glandular neoplasia (column 8)
A count of the number of women whose most severe CYTOLOGY RESULT TYPE classification was ?Glandular neoplasia (cat. 6).
Target age group (line 0014)
This counts the number of women in the Screening Programme aged between 20 and 64 on 31 March (sum of lines 0002 to 0010).
A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.
Total all ages (line 9999)
This is the total for all age groups counted in lines 0001 to 0013 for each CYTOLOGY RESULT TYPE classification.
Change to Central Return Form: Changed Description
KC53: Adult Screening Programmes: Cervical Screening
Part E: Cervical Screening Programme - Notification of Result - Waiting TimesThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part E: Cervical Screening Programme - Notification of Result - Waiting Times
This part of the return requires information on the length of time elapsing between a woman taking a smear test and when notification of the result is sent to her by the call and recall service. The national standard to be achieved is that women should be advised in writing of the result of their test four weeks from the date the test was taken. The information is used to monitor the performance of Screening Programmes and laboratories.
A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.
The return also collects information on those instances where the letter is sent directly by the laboratory or by some other agency instead of by the call and recall service.
The return counts all tests and not just those tests with the most severe result. It includes only smears taken as part of a NHS Screening Programme.
Number of weeks between date smear is taken and date result is sent from the call and recall service
This is the number of weeks between the Screening Test Date and the Screening Result Sent Date of the Screening Test, where the RESULT SENT DIRECT indicator is Yes.
A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'. Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'. Screening Result Sent Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 29 'Screening Result Sent Date'.
They are sub-divided into the following time periods:
Less than or equal to four weeks (line 0001)
> 4 weeks up to 6 weeks (line 0002)
> 6 weeks up to 8 weeks (line 0003)
> 8 weeks up to 10 weeks (line 0004)
> 10 weeks up to 12 weeks (line 0005)
> Over 12 weeks (line 0006)Number of tests (column 2)
This counts the number of Screening Tests where results were sent from the call and recall service for each time period.
Total (line 0007)
This is the total of Screening Tests for all time periods counted in lines 0001 to 0006.
Letter not sent by the call and recall service (line 0008)
This counts the number of Screening Tests where the RESULT SENT DIRECT indicator is No, indicating that the result was not sent by the call and recall service.
Change to Central Return Form: Changed Description
KC61: Pathology Laboratories - Cervical Cytology and Outcome of Gynaecological Referrals
Contextual OverviewThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Contextual Overview
The Department of Health, NHS Cervical Screening Programme (NHSCSP), Strategic Health Authorities and trusts require information from Pathology Laboratories on cervical cytology and outcome of referrals.
A Pathology Laboratory is a LABORATORY where the LABORATORY TYPE is National Code 01 'Pathology Laboratory'.The information helps to monitor the process of achieving the Government's target to reduce the incidence of invasive cervical cancer and to ensure that the screening programme is managed effectively. The information is used to ensure that the laboratory is achieving acceptable standards in examining smears in line with guidance provided by the NHS Cervical Screening Programme.
Information on the return is also used in Public Expenditure Survey (PES) negotiations, resource allocation to the NHS and Departmental accountability.
Information based on the KC61 return is published annually by the Department in the Statistical Bulletin `Cervical Screening Programme'.
Completing Return KC61: Pathology Laboratories - Cervical Cytology and Outcome of Referrals
KC61 returns are required by all Pathology Laboratories carrying out cervical cytology within NHS Health Care Providers. This applies to independently managed NHS laboratories, including cytopathology laboratories and also private laboratories if they are commissioned to report on smears for the NHS.
Each return requires the ORGANISATION CODE and ORGANISATION NAME of the NHS Trust and must be signed by a CONSULTANT in one of the Pathology MAIN SPECIALTY CODES. It also requires the pathology LABORATORY NAME and pathology LABORATORY CODE. Note that pathology LABORATORY CODES are maintained and issued by the Organisation Data Service on behalf of the NHS Cervical Screening Programme.
For the Organisation Data Service contact details, see Contact Details.
A Pathology Laboratory's KC61 return should include all the original Requests for Pathology Investigation received by that laboratory. A Request for Pathology Investigation forwarded to another laboratory should only be included in the first laboratory's return (except Part A3).
A Request for Pathology Investigation is a DIAGNOSTIC TEST REQUEST where the DIAGNOSTIC TEST REQUEST is National Code 03 'Request for Pathology Investigation'.Smears re-screened within the same Laboratory as part of internal or external quality control or for any other reason should not be included in the KC61 return. The number of requests sent to or received from another Laboratory for primary screening or other reason should be recorded in Part A3.
Where more than one slide is associated with one Request for Pathology Investigation, only the most significant CYTOLOGY RESULT TYPES may be counted for the KC61.
The return KC61 is completed annually and submitted within two months of the end of the period.
Parts A and B of the return relate to all smears reported by the laboratory where the smear was received and registered between 1 April of one year and 31 March of the following year. If this date is not recorded, the CERVICAL SMEAR EXAMINED DATE can be used as a proxy. Part C1 of the return relates to smears where the date of the smear which led to a referral fell in the first three months of the financial year (April, May and June). Part C2 is a duplicate of Part C1, but will collect data relating to gynaecological referrals from smears registered during the whole of the financial year prior to the current year.
Change to Central Return Form: Changed Description
KC61: Pathology Laboratories - Cervical Cytology and Outcome of Gynaecological Referrals
Part A1: Number of Smears Examined by Source of SmearThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part A1: Number of Smears Examined by Source of Smear
Part A1 requires data on the number of results recorded analysed by SMEAR SOURCE TYPE and CYTOLOGY RESULT TYPES and are in accordance with the categories shown in boxes 9 and 22 of HMR 101/5 Request/Report for Cervical or Vaginal Cytology.
Column 10 counts the total of cytology samples examined. These are subdivided by the test results, derived from the CYTOLOGY RESULT TYPE classifications (columns 2 - 9).
The totals are further subdivided by SMEAR SOURCE TYPE (lines 0001-0006).
Line 0007 of the return counts the combined total smears in lines 0001 and 0002 i.e. total smears examined from SMEAR SOURCE TYPE classifications of 'GENERAL MEDICAL PRACTITIONER' and 'NHS Community Clinic - this includes Sexual and Reproductive Health Clinics, well women clinics and young persons' clinics, other than those run by GENERAL MEDICAL PRACTITIONERS'.
Line 008 of the return counts the Grand Total of lines 0001 to 0006 for columns 2 to 10.
Change to Central Return Form: Changed Description
KC61: Pathology Laboratories - Cervical Cytology and Outcome of Gynaecological Referrals
Part A2: Laboratory Processing from Receipt of Smear to Authorisation of ReportThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part A2: Laboratory Processing from Receipt of Smear to Authorisation of Report
Part A2 collects information about the backlog of smears in laboratories. The laboratory which receives the original request should issue the report and include the information within this return.
Total number of smears registered
This is the total number of Pathology Laboratory Investigations received and registered in:
Quarter 1 - As at 30 June yyyy (Line 0001) Quarter 2 - As at 30 September yyyy (Line 0002) Quarter 3 - As at 31 December yyyy (Line 0003) Quarter 4 - As at 31 March yyyy (Line 0004)
A Pathology Laboratory Investigation is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 24 'Pathology Laboratory Investigation'.Number of results reported (to woman or PCT) within
The number of results reported are subdivided into the following time periods:
0-2 weeks 0-14 days (column 3) 3-4 weeks 15-28 days (column 4) 5-6 weeks 29-42 days (column 5) 7-8 weeks 43-56 days (column 6) 9-10 weeks 57-70 days (column 7) More than 10 weeks over 70 days (column 8) The interval to be reported is from the date of receipt of the smear at the laboratory, the SAMPLE RECEIPT DATE, and the date of authorisation of the final report, the PATHOLOGY RESULT REPORTED DATE (for the SAMPLE collected).
Total (line 0005)
This is the total for all time periods counted in lines 0001 to 0004.
Part A3: Requests Screened for/by Another Laboratory
Part A3 records information about which laboratories import and export smears.
Requests Sent To Another Laboratory For Screening (Line 0001)
This requires the number of Requests for Pathology Investigation where the DIAGNOSTIC TEST REQUEST for the screening is to be sent to and carried out by another Pathology Laboratory, sub-divided by details of Laboratory sent to and whether for primary screening or 'other'. 'Other' may include rapid review, checking, abnormal or clinical reporting etc.
A Pathology Laboratory is a LABORATORY where the LABORATORY TYPE is National Code 01 'Pathology Laboratory'. A Request for Pathology Investigation is a DIAGNOSTIC TEST REQUEST where the DIAGNOSTIC TEST REQUEST is National Code 03 'Request for Pathology Investigation'.Requests Received From Another Laboratory For Screening (Line 0002)
This requires the number of Requests for Pathology Investigation where the DIAGNOSTIC TEST REQUEST for the screening of the received smear has been sent from another Pathology Laboratory, sub-divided by details of Laboratory received from and whether for primary screening or 'other'. 'Other' may include rapid review, checking, abnormal or clinical reporting etc.
Part A3: Where More Than One Smear is Taken
Part A3 also requires the number of instances where a single report is derived from more than one sample.
Number of Instances Where a Single Report is Derived from More Than One Sample (Line 0003)
This requires the number of Requests for Pathology Investigation where there is more than one SAMPLE collected. Full details should be available on request.
Change to Central Return Form: Changed Description
KC61: Pathology Laboratories - Cervical Cytology and Outcome of Gynaecological Referrals
Part B: Results of Smears from GP and NHS Community Clinics Only by Age Group of WomenThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part B: Results of Smears from GP and NHS Community Clinics Only by Age Group of Women
Part B requires the results of smears examined, but only those where the SMEAR SOURCE TYPE is classified as either 'GENERAL MEDICAL PRACTITIONER' or 'NHS Community Clinic - this includes Sexual and Reproductive Health Clinics, well women clinics and young persons' clinics, other than those run by GENERAL MEDICAL PRACTITIONERS'.
Columns 2 - 9 count the number of samples examined for each CYTOLOGY RESULT TYPES and are in accordance with the categories shown in box 22 of HMR 101/5 Request/Report for Cervical or Vaginal Cytology.
These results are further broken down into age bands derived from the PERSON BIRTH DATE of the PERSON - the woman from whom the cervical smear was taken. This is the age of the woman at the date of the smear and not the woman's age on 31 March. The smears are the subject of the Request for Pathology Investigation.
A Request for Pathology Investigation is a DIAGNOSTIC TEST REQUEST where the DIAGNOSTIC TEST REQUEST is National Code 03 'Request for Pathology Investigation'.Total 20 - 64 (line 0014)
This counts the number of women in NHS Cervical Screening Programme aged between 20 and 64 on 31 March (sum of lines 0002 to 0010).
Grand Total (line 0015)
This is the total for all age groups examined in lines 0001 to 0013. This total should be the same as line 0007 in Part A1.
Change to Central Return Form: Changed Description
KC61: Pathology Laboratories - Cervical Cytology and Outcome of Gynaecological Referrals
Part C1: Outcome by 31 March yyyy for Women Recommended for Gynaecological Referral where the Smear was Registered during April- June yyyy.This return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part C1: Outcome by 31 March yyyy for Women Recommended for Gynaecological Referral where the Smear was Registered during April- June yyyy.
Part C1 requires the analysis of the number of women subsequently referred for gynaecological investigation following a smear. This is where the CYTOLOGY SCREENING ACTION TYPE of a Screening Test has a classification of Refer for medical assessment or under medical treatment (Suspend) (S). The date of the smear must be between 1 April and 30 June of the current data year. The CYTOLOGY RESULT TYPES for each woman is used to allocate her to one of appropriate subdivisions of Most significant result in columns 3 to 9.
A Screening Test is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.Note that CYTOLOGY RESULT TYPE classifications of Severe dyskaryosis (cat. 4), Severe dyskaryosis/invasive carcinom a (Cat. 5) and Glandular neoplasia (Cat. 6) are recorded separately in columns 7,8 and 9 respectively.
CYTOLOGY RESULT TYPE with a classification of Negative (cat. 2) are not counted.
The number of Most significant results in the CYTOLOGY RESULT TYPE columns (columns 3 - 9) are further analysed by the BIOPSY REFERRAL OUTCOME (lines 0001-0014). For cervical histology, biopsies are taken at colposcopy.
Note that Cervical cancer is sub-divided into 'stage 1B or worse' (line 0001) and 'stage 1A' (line 0002) and that there are four options to describe results which are not applicable or not known: 'Seen in Colposcopy - NAD no biopsy taken' (line 0009), 'Outcome known - none of the above' (line 0010), 'Seen in Colposcopy - result not known' (line 0011) and 'No outcome available' (line 0012).
Part C1 also includes the formula to calculate the Positive Predictive Value (PPV) of smears reported as moderate dyskaryosis or worse to enable the laboratory to assess whether or not they are reaching an achievable standard.
Part C1 includes the formula to calculate Lost to follow-up of smears reported as 'Seen in colposcopy - result not known' (line 0011) and 'No outcome available' (line 0012), as a percentage of the Total.
Provision has been made to record details of non-cervical cancers at the bottom of Part C1.
Change to Central Return Form: Changed Description
KC61: Pathology Laboratories - Cervical Cytology and Outcome of Gynaecological Referrals
Part C2: Retrospective CollectionThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part C2: Retrospective Collection
Outcome by 31 March yyyy for Women Recommended for Gynaecological Referral where the Smear was Registered during April yyyy - March yyyy.
Part C2 is a duplicate of Part C1 but will collect data relating to gynaecological referrals from smears registered during the whole of the financial year prior to the current year. This is where the CYTOLOGY SCREENING ACTION TYPE of a Screening Test has a classification of Refer for medical assessment or under medical treatment (Suspend) (S). The date of the smear must be between 1 April and 31 March of the previous data year. The CYTOLOGY RESULT TYPES for each woman is used to allocate her to one of appropriate subdivisions of Most significant result in columns 3 to 9.
A Screening Test is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.Note that CYTOLOGY RESULT TYPE classifications of 'Severe dyskaryosis (cat. 4)', 'Severe dyskaryosis/invasive carcinom a (Cat. 5)' and 'Glandular neoplasia (Cat. 6)' are recorded separately in columns 7,8 and 9 respectively.
CYTOLOGY RESULT TYPES with a classification of 'Negative (cat. 2)' are not counted.
The number of Most significant results in the CYTOLOGY RESULT TYPE columns (columns 3 - 9) are further analysed by the BIOPSY REFERRAL OUTCOME (lines 0001-0014). For cervical histology, biopsies are taken at colposcopy.
Note that Cervical cancer is sub-divided into 'stage 1B or worse' (line 0001) and 'stage 1A' (line 0002) and that there are four options to describe results which are not applicable or not known: 'Seen in Colposcopy - NAD no biopsy taken' (line 0009), 'Outcome known - none of the above' (line 0010), 'Seen in Colposcopy - result not known' (line 0011) and 'No outcome available' (line 0012).
Part C2 also includes the formula to calculate the Positive Predictive Value (PPV) of smears reported as moderate dyskaryosis or worse to enable the laboratory to assess whether or not they are reaching an achievable standard.
Part C2 includes the formula to calculate Lost to follow-up of smears reported as 'Seen in colposcopy - result not known' (line 0011) and 'No outcome available' (line 0012), as a percentage of the Total.
Provision has been made to record details of non-cervical cancers at the bottom of Part C2.
Change to Central Return Form: Changed Description
KC65: Colposcopy Clinics, Referrals, Treatments and Outcomes
Contextual OverviewThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Contextual Overview
The Department of Health, NHS Cervical Screening Programme (NHSCSP) and Regional Offices require information from NHS Health Care Providers on colposcopy clinic activity.
The KC65 forms part of the wider NHS Cancer Information Strategy which aims to improve the effectiveness and efficiency of care delivery for those with actual or suspected cancer, throughout the PATIENT journey.
The information is used to monitor the process of achieving the Government's target to reduce the incidence of invasive cervical cancer and to monitor the performance of colposcopy clinics on local, regional and national levels.
Information on the return is also used in Public Expenditure Survey (PES) negotiations, resource allocation to the NHS and Departmental accountability.
Information based on the KC65 return is published annually by the Department in the Statistical Bulletin Cervical Screening Programme.
Completing Return KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes
KC65 is a quarterly return with the first quarter starting on 1 April and the last quarter ending on 31 March. Returns must be submitted by the thirtieth working day after the end of the quarter.
The KC65 return requires the ORGANISATION CODE and ORGANISATION NAME of the NHS Health Care Provider - NHS Trust or Primary Care Trust - as well as the name of a contact and the contact telephone number on the front page. It must be signed and dated by the person completing the return.
The British Society for Colposcopy and Cervical Pathology has agreed a Minimum Data Set (MDS) for colposcopy services, currently being introduced into Colposcopy Clinics. The MDS meets professional requirements for audit and quality improvement as well as departmental needs, and provides the information needed to complete the KC65.
Colposcopy
Colposcopy is a Patient Procedure carried out on a woman who has been referred to a Colposcopy Clinic following a Screening Test carried out either as part of a Screening Programme or opportunistically. Alternatively the woman may be referred as a result of clinical indications.
A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.
Patient Procedure and Screening Test are both a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure' and 28 'Screening Test' respectively.
Change to Central Return Form: Changed Description
KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes
Part A - Women referred to colposcopy by result of referral smear and time from referral to first appointmentThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part A - Women referred to colposcopy by result of referral smear and time from referral to first appointment
Part A of the KC65 return is a count of the number of women referred for colposcopy. This information is used to monitor referral patterns to ensure that guidelines on referral are being followed.
A colposcopy is a Patient Procedure carried out during a Clinic Attendance Consultant or Clinic Attendance Nurse. The PATIENT will have been referred to the Colposcopy Clinic:
- following a Screening Test carried out either as part of a Screening Programme or opportunistically. or - as a result of clinical indication A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.
Patient Procedure and Screening Test are both a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure' and 28 'Screening Test' respectively.
Clinic Attendance Consultant and Clinic Attendance Nurse are both a CARE CONTACT where CARE CONTACT TYPE is National Code 06 'Clinic Attendance Consultant' and 10 'Clinic Attendance Nurse' respectively.
In cases where there is both a clinical indication and a Screening Test referral smear, the referral should be treated as clinical indication.
The data is based on the woman's first Out-Patient Appointment in the quarter regardless of whether she attended the clinic or not.
An Out-Patient Appointment is an APPOINTMENT.
Time from referral to first appointment (lines 0001 to 0005)
Lines 0001 to 0005 are counts of REFERRAL REQUESTS by the time from referral to first appointment. This should be measured from the PATHOLOGY RESULT REPORTED DATE for referrals following a screening test, and from the SERVICE REQUEST DATE for all other REFERRAL REQUESTS, to the APPOINTMENT DATE of the first Out-Patient Appointment.
For PATIENTS with a first APPOINTMENT which was cancelled by the clinic (ATTENDED OR DID NOT ATTEND was National Code 4 'Appointment cancelled or postponed by the Health Care Provider'), the time is measured from referral to the subsequent first APPOINTMENT.
Referral Indication - Result of referral smear (columns 2 to 8)
These columns count all the women with a REFERRAL REQUEST for colposcopy with a COLPOSCOPY REFERRAL INDICATION classification of 'Screening smear'. These are persons in a Screening Programme who have been given a Screening Test as part of a planned Screening Programme. It also includes women screened opportunistically, these women have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE recorded.
In addition, if a person in a Screening Programme has been suspended from the Screening Programme following colposcopy and is currently having surveillance smears as indicated by the OPPORTUNISTIC SCREENING TYPE classification of 'Screened while recall suspended', it may be that an abnormal smear will cause the woman to be re-referred to colposcopy. In this case the COLPOSCOPY REFERRAL INDICATION classification should be 'Screening smear', regardless of whether or not she has been discharged from colposcopy at this time.
The information in columns 2-8 is based on the cervical screening test results, which led to the REFERRAL REQUEST. Classifications are those of CYTOLOGY RESULT TYPES of a Request for Pathology Investigation and are in accordance with the categories shown in box 22 of HMR 101/5 Request/Report for Cervical or Vaginal Cytology.
Where the cervical screening test results which led to the REFERRAL REQUEST indicates more than one result type, the most severe result should recorded as the CYTOLOGY RESULT TYPE.
A Request for Pathology Investigation is a DIAGNOSTIC TEST REQUEST where the DIAGNOSTIC TEST REQUEST TYPE is National Code 03 'Request for Pathology Investigation'.
Inadequate (column 2)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Inadequate sample (cat.1)'.
NHS Cervical Screening Programme guidelines state the recording of three cervical screening tests with a CYTOLOGY RESULT TYPE classification of 'Inadequate sample (cat.1)' indicates referral to colposcopy however, referral to colposcopy may occur following an inadequate smear for other reasons.
Borderline changes (column 3)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Borderline changes (cat.8)'.
NHS Cervical Screening Programme guidelines state the recording of three cervical screening tests with a CYTOLOGY RESULT TYPE classification of 'Borderline changes (cat.8)' indicates referral to colposcopy however, referral to colposcopy may occur following a borderline smear for other reasons.
Mild dyskaryosis (column 4)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Mild dyskaryosis (cat.3)'.
Moderate dyskaryosis (column 5)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Moderate dyskaryosis (cat. 7), including abnormal, unclassifiable and ungraded smears'.
Severe dyskaryosis (column 6)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis (cat.4)'.
Severe dyskaryosis/invasive carcinoma (column 7)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis/?invasive carcinoma (cat.5)'.
Glandular neoplasia (column 8)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of '?Glandular neoplasia (cat.6), including adenocarcinoma'.
Referral Indication - Clinical indication (columns 9, 10)
These columns count women with a REFERRAL REQUEST for colposcopy with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication'.
Where a woman is referred with symptoms and is given a Screening Test the COLPOSCOPY REFERRAL INDICATION should still be a classification of 'Clinical indication' and not 'Screening smear'. Where no symptoms are present the COLPOSCOPY REFERRAL INDICATION should not be a classification of 'Clinical indication'.
A Screening Test is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.
Clinical Indication Urgent (column 9)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'urgent'. This is restricted to cervical lesions suspicious of cancer, or post-coital bleeding of over four weeks where the patient is aged over 35.
Clinical Indication Non-Urgent (column 10)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'non-urgent'. This includes all other symptomatic referrals for colposcopy.
Other (column 11)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Other' or with no CYTOLOGY RESULT TYPE and no COLPOSCOPY REFERRAL INDICATION.
Entries for a CYTOLOGY RESULT TYPE classification of 'Other' should only occur in exceptional circumstances. NHS Cervical Screening Programme (NHSCSP) guidelines state that all smears should be identified as belonging to one of the eight recognised category classifications of CYTOLOGY RESULT TYPE. 'Other' does not correspond to these recognised categories and should be used to record those rare cases in which a recognised category is not appropriate.
Otherwise this column should only be used in the rare situations where usual categorisation is not appropriate. Examples include women with incomplete or missing records and women who have moved from abroad.
Where an entry is present in column 11 supporting notes should be recorded in the available box on the first page of the KC65 form.
Total number referred (column 12)
This is the total of women referred for colposcopy, broken down by time from referral to first appointment
Total (line 0006)
This is the total for all women counted in columns 2 to 12.
Change to Central Return Form: Changed Description
KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes
Part B - Appointments for ColposcopyThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part B - Appointments for Colposcopy
Part B of the KC65 return is a breakdown of appointments by cancellation/non-attendance, and type of appointment. This information will allow monitoring of non-attendances, patient cancellations, and clinic cancellations.
It includes all Out-Patient Appointments with an APPOINTMENT DATE within the REPORTING PERIOD.
An Out-Patient Appointment is an APPOINTMENT.
Attendance Status
The Attendance status is derived from the value of ATTENDED OR DID NOT ATTEND for the Out-Patient Appointment.
Attended (line 0001)
The number of appointments for which ATTENDED OR DID NOT ATTEND was either National Code 5 'attended on time or, if late, before the relevant care professional was ready to see the patient', or National Code 6 'arrived late, after the relevant care professional was ready to see the patient, but was seen'.
Cancelled by patient - in advance (line 0002)
The number of appointments for which ATTENDED OR DID NOT ATTEND was National Code 2 'appointment cancelled by, or on behalf of, the patient' - before the appointment date.
Cancelled by patient - on the day (line 0003)
The number of appointments for which ATTENDED OR DID NOT ATTEND was National Code 2 'appointment cancelled by, or on behalf of, the patient' - on the appointment day.
Cancelled by Clinic (line 0004)
The number of appointments for which ATTENDED OR DID NOT ATTEND was National Code 4 'appointment cancelled or postponed by the Health Care Provider'.
DNA - no advance warning (line 0005)
The number of appointments for which ATTENDED OR DID NOT ATTEND was National Code 3 'did not attend - no advance warning given'.
DNA - arrived late (line 0006)
The number of appointments for which ATTENDED OR DID NOT ATTEND was National Code 7 'patient arrived late and could not be seen'.
DNA - left without being seen (line 0007)
The number of appointments for which ATTENDED OR DID NOT ATTEND was national Code 3 'did not attend - no advance warning given' (arrived, but did not wait to be seen).
Total (line 0008)
This is the total of all women counted in lines 0001 to 0007.
Appointment Type
Columns 2 to 4 require counts of colposcopy Out-Patient Appointments by APPOINTMENT TYPE.
An Out-Patient Appointment is an APPOINTMENT.
New (column 2)
The number of colposcopy Out-Patient Appointments which are first APPOINTMENTS.
Return for Treatment (column 3)
The number of colposcopy Out-Patient Appointments where the APPOINTMENT TYPE is National Code 01 'Treatment: An appointment specifically for treatment'.
Follow Up (column 4)
The number of colposcopy Out-Patient Appointments which are follow-up APPOINTMENTS where the APPOINTMENT TYPE is National Code 02 'Surveillance: All other appointments'.
Total (column 5)
This is the total for all women in columns 3 to 5.
Change to Central Return Form: Changed Description
KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes
Part C1 - First attendances by type of procedure and result of referralThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part C1 - First attendances by type of procedure and result of referral
Parts C1 and C2 of the KC65 return are counts of procedures undertaken at colposcopy clinics, showing the nature of treatment by result of referral. The information is used to monitor treatment patterns to ensure that treatment guidelines, such as on the number of biopsies taken, are met.
Parts C1 and C2 are identical, except that Part C1 relates to initial treatment at first attendance, and Part C2 relates to all attendances. For part C1 data is collected on the woman's first Clinic Attendance Consultant or Clinic Attendance Nurse in the REPORTING PERIOD.
Where a woman has a smear taken during the attendance the COLPOSCOPY PRIME PROCEDURE TYPE should be recorded as classification 'No treatment; no treatment received and no biopsy taken'.
Clinic Attendance Consultant and Clinic Attendance Nurse are both a CARE CONTACT where CARE CONTACT TYPE is National Code 06 'Clinic Attendance Consultant' and 10 'Clinic Attendance Nurse' respectively.
For Clinic Attendance Consultant and Clinic Attendance Nurse, a first attendance is the first in a series of the only attendance at the clinic by a patient.
The procedures undertaken in the colposcopy clinics are Patient Procedure. Only one Patient Procedure should be counted for each woman's first attendance. If more than one procedure is carried out, the most severe should be recorded for KC65.
Patient Procedure is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure'.
Result of referral smear
Lines 0001 to 0008 require data on the number of women referred for colposcopy by CYTOLOGY RESULT TYPES.
Inadequate (line 0001)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Inadequate sample (cat. 1)'.
Borderline changes (line 0002)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Borderline changes (cat. 8)'.
Mild dyskaryosis (line 0003)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Mild dyskaryosis (cat. 3)'.
Moderate dyskaryosis (line 0004)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Moderate dyskaryosis (cat. 7), including abnormal, unclassifiable and ungraded smears'.
Severe dyskaryosis (line 0005)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis (cat. 4)'.
Severe dyskaryosis/invasive carcinoma (line 0006)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis/invasive carcinoma (cat. 5)'.
Glandular neoplasia (line 0007)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Glandular neoplasia (cat. 6), including adenocarcinoma'.
Referral Indication - Clinical indication (lines 0008, 0009)
These columns count first attendances for women with a REFERRAL REQUEST for colposcopy with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication'.
Note all procedures carried out on women who have been referred to the colposcopy clinic with a REFERRAL REQUEST with a COLPOSCOPY REFERRAL INDICATION of classification Clinical indication should be recorded in this line regardless of the result of any smear taken after the referral.
Clinical Indication Urgent (line 0008)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION of classification of 'urgent'. This is restricted to cervical lesions suspicious of cancer, or post-coital bleeding of over four weeks where the patient is aged over 35.
Clinical Indication Non-Urgent (line 0009)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'non-urgent'. This includes all other symptomatic referrals for colposcopy
Other (line 0010)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'Other'.
Entries recorded in Other (line 0010) should only occur in exceptional circumstances. NHS Cervical Screening Programme (NHSCSP) guidelines state that all smears should be identified as belonging to one of the eight recognised category classifications of CYTOLOGY RESULT TYPE. Other (line 0010) does not correspond to these recognised categories and should be used to record those rare cases in which a recognised category is not appropriate. Where an entry is present in Other (line 0010) then supporting notes should be recorded in the available box on the first page of the KC65 form.
Total (line 0011)
This is the total for all women counted in columns 2 to 8.
No treatment (column 2)
This counts the number of women who received no treatment and for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'No treatment; no treatment received and no biopsy taken'.
Procedure Type
Diagnostic biopsy (punch) (column 3)
This counts the number of women who received no treatment and for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Diagnostic biopsy (punch); no treatment received and biopsy type recorded as directed biopsy or multiple directed biopsy, or any other biopsy taken for diagnostic purposes only' was recorded.
Treatment biopsy or treatment/diagnostic biopsy - Excision (column 4)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Loop/laser excision or knife cone; treatment method recorded as loop/laser excision or knife cone and biopsy type recorded as other than no biopsy. This will include LLETZ and NEEP'.
Ablation + No Biopsy taken or biopsy result not yet known (column 5)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (ii) no biopsy taken, or biopsy result not known by clinic'.
Ablation + Biopsy (column 6)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (i) biopsy result available'.
Other (column 7)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Other; treatment method recorded as other and biopsy type recorded as other than no biopsy. This will include polyp avulsion and treatment with silver nitrate'. It excludes any treatment that is not related to cervical abnormalities.
Number of first attendances (column 8)
This is the total of all first attendances (see paragraph 2), subdivided by the CYTOLOGY RESULT TYPE classifications.
Change to Central Return Form: Changed Description
KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes
Part C2 - All attendances by type of procedure and result of referralThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part C2 - All attendances by type of procedure and result of referral
Parts C1 and C2 of the KC65 return are counts of procedures undertaken at colposcopy clinics, showing the nature of treatment by result of referral. The information is used to monitor treatment patterns to ensure that treatment guidelines, such as on the number of biopsies taken, are met.
Parts C1 and C2 are identical, except that Part C1 relates to initial treatment at first attendance, and Part C2 relates to all attendances. For part C2 data is collected on each Clinic Attendance Consultant or Clinic Attendance Nurse in the REPORTING PERIOD.
Where a woman has a smear taken during the attendance the COLPOSCOPY PRIME PROCEDURE TYPE should be recorded as classification 'No treatment; no treatment received and no biopsy taken'.
Clinic Attendance Consultant and Clinic Attendance Nurse are both a CARE CONTACT where CARE CONTACT TYPE is National Code 06 'Clinic Attendance Consultant' and 10 'Clinic Attendance Nurse' respectively.
For Clinic Attendance Consultant and Clinic Attendance Nurse, a first attendance is the first in a series of the only attendance at the clinic by a patient.
The procedures undertaken in the colposcopy clinics are Patient Procedures. Only one Patient Procedure should be counted for each Clinic Attendance Consultant or Clinic Attendance Nurse. If more than one procedure is carried out, the most severe should be recorded for KC65.
Patient Procedure is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure'.
Result of referral smear
Lines 0001 to 0008 require data on the number of women referred for colposcopy by CYTOLOGY RESULT TYPES.
Inadequate (line 0001)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Inadequate sample (cat. 1)'.
Borderline changes (line 0002)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Borderline changes (cat. 8)'.
Mild dyskaryosis (line 0003)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Mild dyskaryosis (cat. 3)'.
Moderate dyskaryosis (line 0004)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Moderate dyskaryosis (cat. 7), including abnormal, unclassifiable and ungraded smears'.
Severe dyskaryosis (line 0005)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis (cat. 4)'.
Severe dyskaryosis/invasive carcinoma (line 0006)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis/invasive carcinoma (cat. 5)'.
Glandular neoplasia (line 0007)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Glandular neoplasia (cat. 6), including adenocarcinoma'.
Referral Indication - Clinical indication (lines 0008, 0009)
These columns count attendances for women with a REFERRAL REQUEST for colposcopy with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication'.
Note all procedures carried out on women who have been referred to the colposcopy clinic with a REFERRAL REQUEST with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication' should be recorded in this line regardless of the result of any smear taken after the referral.
Clinical Indication Urgent (line 0008)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'urgent'. This is restricted to cervical lesions suspicious of cancer, or post-coital bleeding of over four weeks where the patient is aged over 35.
Clinical Indication Non-Urgent (line 0009)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'non-urgent'. This includes all other symptomatic referrals for colposcopy
Other (line 0010)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Other'.
Entries recorded in Other (line 0010) should only occur in exceptional circumstances. NHS Cervical Screening Programme (NHSCSP) guidelines state that all smears should be identified as belonging to one of the eight recognised category classifications of CYTOLOGY RESULT TYPE. Other (line 0010) does not correspond to these recognised categories and should be used to record those rare cases in which a recognised category is not appropriate. Where an entry is present in Other (line 0010) then supporting notes should be recorded in the available box on the first page of the KC65 form.
Total (line 0011)
This is the total for all women counted in columns 2 to 8.
No treatment (column 2)
This counts the number of women who received no treatment and for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'No treatment; no treatment received and no biopsy taken'.
Procedure Type
Diagnostic biopsy (punch) (column 3)
This counts the number of women who received no treatment and for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Diagnostic biopsy (punch); no treatment received and biopsy type recorded as directed biopsy or multiple directed biopsy, or any other biopsy taken for diagnostic purposes only' was recorded.
Treatment biopsy or treatment/diagnostic biopsy - Excision (column 4)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Loop/laser excision or knife cone; treatment method recorded as loop/laser excision or knife cone and biopsy type recorded as other than no biopsy. This will include LLETZ and NEEP'.
Ablation + No Biopsy taken or biopsy result not yet known (column 5)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (ii) no biopsy taken, or biopsy result not known by clinic'.
Ablation + Biopsy (column 6)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (i) biopsy result available.'
Other (column 7)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE of 'Other; treatment method recorded as other and biopsy type recorded as other than no biopsy. This will include polyp avulsion and treatment with silver nitrate'. It excludes any treatment that is not related to cervical abnormalities.
Number of first attendances (column 8)
This is the total of all first attendances (see paragraph 2), subdivided by the CYTOLOGY RESULT TYPE classifications.
Change to Central Return Form: Changed Description
KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes
Part D - Cervical Biopsies, by time from biopsy to informing patient of result in writingThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part D - Cervical Biopsies, by time from biopsy to informing patient of result in writing
Part D of the KC65 return shows for each cervical biopsy the time elapsing before the woman is informed in writing of the result. The NHS Cervical Screening Programme (NHSCSP) has issued guidance on waiting times, and the information is used to monitor whether clinics are meeting these standards. The return is based upon those biopsies taken during the first month of the quarter.
The time measured in this part of the return is the interval between the PROCEDURE DATE of the colposcopy Patient Procedure at which the biopsy was taken and the Patient Informed Biopsy Result Date.
Patient Procedure is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure'. PROCEDURE DATE and Patient Informed Biopsy Result Date are both the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 48 'Procedure Date' and 24 'Patient Informed Biopsy Result Date' respectively.
Total biopsies in first month of quarter
Column 2 counts the number of biopsies taken during the first month of the quarter. These are subdivided by the waiting times in lines 0001-0005.
Less than or equal to 2 weeks (line 0001)
This counts the number of women whose waiting time was less than or equal to 14 days.
>2 weeks up to 4 weeks (line 0002)
This counts the number of women whose waiting time was more than 14 days but less than or equal to 28 days.
>4 weeks up to 8 weeks (line 0003)
This counts the number of women whose waiting time was more than 28 days but less than or equal to 56 days.
>8 weeks up to 12 weeks (line 0004)
This counts the number of women whose waiting time was more than 56 days but less than or equal to 84 days.
>12 weeks (line 0005)
This counts the number of women whose waiting time was more than 84 days.
Total (line 0006)
This is the total for all women counted in column 2.
Change to Central Return Form: Changed Description
KC65: Colposcopy Clinics, Referrals, Treatments and Outcomes
Part E - Cervical Biopsies, by type and outcomeThis return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For the latest version of the form and further details, please see, The NHS Information Centre for health and social care website.Part E - Cervical Biopsies, by type and outcome
Part E of KC65 shows the histological result BIOPSY REFERRAL OUTCOME for each cervical biopsy, which indicates whether cancer or a pre-cancerous condition has been identified from the sample taken. The information will help to monitor whether NHS Cervical Screening Programme (NHSCSP) guidance on the quality of biopsies and accuracy of diagnosis is being met.
This part of the KC65 return is based upon those biopsies taken during the first month of the quarter. Please note that the total number of biopsies recorded in Part E should equal the total number recorded in Part D as both parts relate to the same biopsies.
Column 5 counts the total number of BIOPSY REFERRAL OUTCOMES. These are analysed by biopsy type.
Biopsy Type - Diagnostic (punch) (column 2)
This counts the number of women for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Diagnostic biopsy (punch); no treatment received and biopsy type recorded as directed biopsy or multiple directed biopsy or any other biopsy taken for diagnostic purposes only' was recorded.
Biopsy Type - Excision (column 3)
This counts the number of women for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Loop/laser excision or knife cone; treatment method recorded as loop/laser excision or knife cone and biopsy type recorded as other than no biopsy. This will include LLETZ and NEEP.' was recorded.
Biopsy Type - Other (column 3)
This counts the number of women for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of other than 'Diagnostic biopsy (punch)', or 'Loop/laser excision or knife' was recorded.
Outcome (Histology result)
These results are further sub-divided by BIOPSY REFERRAL OUTCOME.
Cancer (including micro-invasive) (line 0001)
This counts women with a BIOPSY REFERRAL OUTCOME classification of 'Cancer (including micro-invasive)'.
Adenocarcinoma in situ / CGIN (line 0002)
This counts women with a BIOPSY REFERRAL OUTCOME classification of 'Adenocarcinoma in situ'.
CIN3 (line 0003)
This counts women with a BIOPSY REFERRAL OUTCOME classification of 'CIN3'.
CIN2 (line 0004)
This counts women with a BIOPSY REFERRAL OUTCOME classification of 'CIN2'.
CIN1 (line 0005)
This counts women with a BIOPSY REFERRAL OUTCOME classification of 'CIN1'.
HPV/cervicitus only (line 0006)
This counts women with a BIOPSY REFERRAL OUTCOME classification of 'HPV/cervicitus only'.
No CIN/No HPV (line 0007)
This counts women with a BIOPSY REFERRAL OUTCOME classification of 'No CIN/No HPV (normal)'.
Inadequate / unsatisfactory biopsy (line 0008)
This counts women with a BIOPSY REFERRAL OUTCOME classification of 'Inadequate/unsatisfactory biopsy'.
Result not known by clinic (line 0009)
This counts women with a BIOPSY REFERRAL OUTCOME classification of 'Result not known by clinic'.
Total (line 0010)
This is the total for all women counted in columns 2 to 5.
Data Quality Checks
The following data quality checks should be made:
Part D Part E Column 2 Line 006 = Column 4 Line 010
Change to Supporting Information: Changed Description
Blood Pressure is a PERSON PROPERTY.
A record of a PERSON's Blood Pressure which is comprised of a Systolic Pressure and a Diastolic Pressure.Blood Pressure is comprised of Systolic Pressure and Diastolic Pressure.
Change to Supporting Information: Changed Description
The Commissioning Data Set is the basic structure used for the submission of commissioning data to the Secondary Uses Service and is designed to be capable of individually conveying many different Commissioning Data Set structures, encompassing Accident and Emergency Attendances, Out-Patient Attendances, Admitted Patient Care and Elective Admission List.
Commissioning Data Set Messages have been defined in specific components known as a CDS TYPE.
Specific notation is used to indicate the requirements of the CDS-XML Message Schema Design conditions for submission of data in the Commissioning Data Sets.
The structure of the Commissioning Data Set message is shown by the use of Data Groups and Sub Groups within those Data Groups. For each Data Group, Sub Group and individual Data Element, the allowed cardinality at each level is also shown in the "Status" and "Repeats" columns.
The CDS TYPE specifications must therefore be read in this hierarchy, using the Status and Repeat conditions within the Data Groups and Sub Groups, to determine the requirements for the individual Data Elements.
Status Column Notation
The Notation used for the "STATUS" column is as follows:
| STATUS | MEANING | DESCRIPTION |
| M | MANDATORY | This signifies that the collection and submission of this Commissioning Data Set data is deemed MANDATORY and its presence is necessary for the CDS TYPE to be correctly validated and accepted for processing by the Secondary Uses Service. If a data item is shown as MANDATORY, this should also be regarded as REQUIRED by the Department of Health. In most instances, data marked as MANDATORY in a Sub Group will result in its parent Data Group also being marked as mandatory, but this is not always the case. For instance, although the Consultant Episode - Clinical Diagnosis Group (ICD) is marked as R=REQUIRED (and therefore need not actually be populated), if it is used then both the DIAGNOSIS SCHEME IN USE and the PRIMARY DIAGNOSIS (ICD) are marked as M=MANDATORY and must both be present. |
| R | REQUIRED | This signifies that the collection and submission of this Commissioning Data Set data is deemed REQUIRED by the Department of Health to comply with authorised NHS Standards, Policies and Directives. Therefore whenever a Commissioning Data Set is collected and subsequently submitted to the Secondary Uses Service, this data must be supported and populated into the relevant data sets if the data is available. Note that "temporal" conditions may mean that there are instances where this directive cannot be fulfilled. For instance in a CDS V6 Type 130 - Admitted Patient Care - Finished General Episode CDS, ICD and OPCS data elements are marked as "Required" indicating that this data should be included. However, if at the time of submission to the Secondary Uses Service this data remains incomplete (perhaps awaiting coding in the ORGANISATION), the remaining data in the CDS record should still be submitted. Once the ORGANISATION has updated its systems with the data, the CDS TYPE relating to that ACTIVITY should then be resubmitted to the Secondary Uses Service. |
| O | OPTIONAL | This signifies that the collection and submission of this Commissioning Data Set data is OPTIONAL. Its inclusion in the Commissioning Data Set is therefore determined by "local agreement" between the ORGANISATIONS exchanging the data. Note that even if marked O=OPTIONAL, any data included in a Commissioning Data Set submission to the Secondary Uses Service must comply with its specification published in the NHS Data Model and Dictionary otherwise the data may be deemed invalid and rejected. |
| X | X | This is used where the Data Element has been included in the Commissioning Data Set design, usually for pilot use, but is not yet authorised for transmission by the wider NHS. The Data Element will be in italics and not linked to the Data Element where one exists. |
Repeats Column Notation
The Notation used for the "REPEATS" column is as follows:
| REPEATS | DESCRIPTION | |
| 0..1 | This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 0 to a maximum of 1. | |
| 0..9 | This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 0 to a maximum of 9. | |
| 0..* | This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 0 to an unlimited maximum. | |
| 1..1 | This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 1 to a maximum of 1. | |
| 1..97 | This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 1 to a maximum of 97. | |
| 1..* | This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 1 to an unlimited maximum. | |
Rules Column Notation
An entry in the "Rules" column shows that a specific Rule applies to submission of an individual Data Element.
The meaning of these Rules can be found in Commissioning Data Set Business Rules.
Notation Examples
The following are examples of some common scenarios.
| EXAMPLE 1: A MANDATORY Data Group with differing Sub-Groups and component data status conditions. |
The following example shows a MANDATORY Data Group - therefore the Data Group must be present for the CDS TYPE to be validated and accepted for processing by the Secondary Uses Service. When a Data Group is used:
The following data structure is one of three options when completing the Patient Identity Data Group: |
| 1..1 | DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR Code Value = 01 = Verified | Rules | |||
| R | 0..1 | DATA GROUP: LOCAL IDENTIFIER STRUCTURE | |||
| M | 1..1 | LOCAL PATIENT IDENTIFIER | F | ||
| M | 1..1 | ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) | F | ||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | NHS NUMBER | F | ||
| M | 1..1 | NHS NUMBER STATUS INDICATOR | V | ||
| M | 1..1 | POSTCODE OF USUAL ADDRESS | S3 | ||
| M | 1..1 | ORGANISATION CODE (PCT OF RESIDENCE) | F | ||
| R | 0..1 | PERSON BIRTH DATE (Introduced in Commissioning Data Set V6-1) | F S3 | ||
EXPLANATION: The parent Data Group has a "Status" of M=MANDATORY which indicates that this Data Group must be present in the Commissioning Data Set to ensure correct validation and acceptance when submitted to the Secondary Uses Service. The parent Data Group "Repeats" = 1..1 indicates that only one occurrence of this Data Group must flow in this particular Commissioning Data Set record. |
| EXAMPLE 2: A REQUIRED Data Group with differing component data status conditions. |
The following example shows a REQUIRED Data Group. This data must be present in the relevant Commissioning Data Set if available. However, if submitted to the Secondary Uses Service, omission of this REQUIRED Data Group will not cause rejection. When the Data Group is used:
|
| Notation | DATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD) | ||||
| Group Status R | Group Repeats 0..1 | FUNCTION: To carry the details of the ICD coded Clinical Diagnoses. | |||
| M | 1..1 | Data Element Components | Rules | ||
| M | 1..1 | PROCEDURE SCHEME IN USE | V | ||
| M | 1..1 | DATA GROUP: PRIMARY DIAGNOSIS | Rules | ||
| M | 1..1 | PRIMARY DIAGNOSIS (ICD) | F H4 | ||
| O | 0..* | DATA GROUP: SECONDARY DIAGNOSES | Rules | ||
| M | 1..1 | SECONDARY DIAGNOSIS (ICD) | F H4 | ||
EXPLANATION: The Data Group "Status" = R = Required indicates that this Data Group must be populated in the relevant Commissioning Data Set if the data is available. The Data Group "Repeats" = 0..1 indicates that population of this Data Group is not necessary to enable the Commissioning Data Set to be sent to the Secondary Uses Service. If it is sent, then only one occurrence of this Data Group may flow in this particular Commissioning Data Set record. |
Change to Supporting Information: Changed Description
CDS V6 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set carries the data for a Finished Delivery Episode which is required when a delivery has resulted in a REGISTRABLE BIRTH.
This may take place in either NHS Hospitals or in non-NHS ORGANISATIONS funded by the NHS. The information is taken from the birth notification for each baby born.
In addition to Finished Delivery Episodes, Unfinished Delivery Episode Commissioning Data Set records are required for all Unfinished Delivery Episodes as at midnight on 31 March each year.
CDS V6 Type 200 - Admitted Patient Care - Unfinished Delivery Episode Commissioning Data Set should be used for the submission of this Unfinished Delivery Episode Commissioning Data Set.
To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.Data Group Overview
Data Group Overview
A high-level view of the Data Groups carried in the CDS V6 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set is shown below.
See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.
| Notation | DATA GROUP OVERVIEW: CDS V6 TYPE 140 - APC-FINISHED DELIVERY EPISODE COMMISSIONING DATA SET | ||
| Group Status | Group Repeats | FUNCTION: To support the details of a Finished Delivery Episode. | |
| M | 1..1 | DATA GROUP: CDS V6 Type 001 - Commissioning Data Set Interchange Header One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| M | 1..* | DATA GROUP: CDS V6 Type 003 - Commissioning Data Set Message Header One per Commissioning Data Set Message submitted to the Secondary Uses Service. |
| M | 1..1 | DATA GROUP: CDS TRANSACTION HEADER GROUP Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service: CDS V6 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol Or CDS V6 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol | ||
| O | 0..1 | DATA GROUP: PATIENT PATHWAY |
| M | 1..1 | DATA GROUP: PERSON GROUP (PATIENT) | ||
| M | 1..1 | DATA GROUP: PATIENT IDENTITY | ||
| R | 0..1 | DATA GROUP: PATIENT CHARACTERISTICS | ||
| R | 0..1 | DATA GROUP: DELIVERY CHARACTERISTICS | ||
| M | 1..1 | DATA GROUP: HOSPITAL PROVIDER SPELL | ||
| M | 1..1 | DATA GROUP: ADMISSION CHARACTERISTICS | ||
| R | 0..1 | DATA GROUP: DISCHARGE CHARACTERISTICS | ||
| M | 1..1 | DATA GROUP: CONSULTANT EPISODE | ||
| M | 1..1 | DATA GROUP: CHARACTERISTICS | ||
| R | 0..1 | DATA GROUP: SERVICE AGREEMENT DETAILS | ||
| R | 0..1 | DATA GROUP: PERSON GROUP (CONSULTANT) | ||
| R | 0..1 | DATA GROUP: CLINICAL DIAGNOSIS GROUP (ICD) | ||
| O | 0..1 | DATA GROUP: CLINICAL DIAGNOSIS GROUP (READ) | ||
| R | 0..1 | DATA GROUP: CLINICAL ACTIVITY GROUP (OPCS) | ||
| O | 0..1 | DATA GROUP: CLINICAL ACTIVITY GROUP (READ) | ||
| R | 0..1 | DATA GROUP: LOCATION GROUP (AT START OF EPISODE) | ||
| O | 0..97 | DATA GROUP: LOCATION GROUP (AT WARD STAY) | ||
| O | 0..1 | DATA GROUP: LOCATION GROUP (AT END OF EPISODE) | ||
| R | 0..1 | DATA GROUP: CRITICAL CARE PERIOD | ||
| R | 0..9 | DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD | ||
| R | 0..9 | DATA GROUP: ADULT CRITICAL CARE PERIOD | ||
| R | 0..1 | DATA GROUP: GP REGISTRATION | ||
| R | 0..1 | DATA GROUP: REFERRER | ||
| R | 0..1 | DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS | ||
| R | 0..1 | DATA GROUP: ANTENATAL CARE | ||
| R | 0..1 | DATA GROUP: ACTIVITY CHARACTERISTICS | ||
| R | 0..1 | DATA GROUP: PERSON GROUP (RESPONSIBLE CLINICIAN) | ||
| R | 0..1 | DATA GROUP: LOCATION GROUP (DELIVERY PLACE INTENDED) | ||
| R | 0..1 | DATA GROUP: LABOUR/DELIVERY - ACTIVITY CHARACTERISTICS |
| R | 0..9 | DATA GROUP: BIRTH OCCURRENCE (one for each Baby in the delivery) | ||
| R | 0..1 | DATA GROUP: ACTIVITY CHARACTERISTICS | ||
| R | 0..1 | DATA GROUP: PERSON IDENTITY (BABY) | ||
| R | 0..1 | DATA GROUP: PERSON CHARACTERISTICS (BABY) | ||
| R | 0..1 | DATA GROUP: LOCATION GROUP (DELIVERY PLACE ACTUAL) | ||
| O | 0..1 | DATA GROUP: HEALTHCARE RESOURCE GROUP |
| M | 1..* | DATA GROUP: CDS V6 Type 004 - Commissioning Data Set Message Trailer One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
| M | 1..1 | DATA GROUP: CDS V6 Type 002 - Commissioning Data Set Interchange Trailer One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
Change to Supporting Information: Changed Description
The Clinical Content section covers data standards which are not secondary use data sets. They may be one of the following types:
They may be one of the following types:
Change to Supporting Information: Changed Description
- Clinical Data Sets Menu
Data Set Message Versions:Diagnostic Imaging Data Set Message VersionsNHS Health Checks Data Set Message VersionsSystemic Anti-Cancer Therapy Data Set Message VersionsData Set Submission Requirements:Maternity and Childrens Data Sets Submission Requirements- Diagnostic Imaging Data Set
- NHS Health Checks Data Set
- Systemic Anti-Cancer Therapy Data Set
- Data Set Submission Requirements:
- Maternity and Childrens Data Sets
Change to Supporting Information: Changed Aliases, Description
The following table details the approved versions of the Diagnostic Imaging Data Set Messages and associated 'Useable From' and 'Useable To' dates.The following table details the approved versions of the Diagnostic Imaging Data Set Messages and associated 'Useable From' and 'Useable To' dates. It also allows download of the Diagnostic Imaging Data Set Message Schema and associated supporting documentation in zip file format.
| Diagnostic Imaging Data Set Message Version | Useable From | Usable To | Documentation |
| 1-0 | 1 April 2012 | - | DIDS XMLSchemaSpecificationPack-v1-0 and DIDS XML Schema-Release Notes-v1-0 20111202 |
Change to Supporting Information: Changed Aliases, Description
- Alias Changes
Name Old Value New Value shortname Diagnostic Imaging Data Set - Changed Description
Change to Supporting Information: Changed Description
The Diagnostic waiting times reporting of the monthly waiting times and activity reporting (DM01).
The Diagnostics Waiting Times and Activity Data Set provides definitions to support the national data collections on DIAGNOSTIC TESTS, a key element towards monitoring waits from referral to treatment. ORGANISATIONS responsible for the DIAGNOSTIC TEST activity report the DIAGNOSTIC TEST waiting times and the number of tests completed.
The distinctions between the data set groups are not absolute and some procedures could be collected under more than one of the clinical groupings. A PATIENT waiting for a diagnostic investigation should be counted only once for each test they are waiting for, wherever the test is to be performed and even if there is any additional therapeutic intervention. Each test should be identified by their OPCS Classification of Interventions and Procedures coding where applicable.
The diagnostic investigations are grouped into categories of Imaging, Physiological Measurement and Endoscopy. The data set is for the monthly return covering 15 key DIAGNOSTIC TESTS as below:
IMAGING
- Magnetic Resonance Imaging
- Computer Tomography
- Non-obstetric ultrasound
- Barium Enema
- DEXA Scan (Dual-energy X-ray absorptiometry)
PHYSIOLOGICAL MEASUREMENT
- Audiology - audiological assessments
- Cardiology - echocardiography
- Cardiology - electrophysiology
- Neurophysiology - peripheral neurophysiology
- Respiratory physiology - sleep studies
- Urodynamics - pressures & flows
ENDOSCOPY
- Colonoscopy
- Flexible sigmoidoscopy
- Cystoscopy
- Gastroscopy
How the data set is transmitted
Information is to be submitted onto the Unify2 database that has been developed and maintained by the Department of Health.Further guidance
Change to Supporting Information: Changed Description
The Diagnostic Census of the waiting times for DIAGNOSTIC TEST REQUESTS.
The Diagnostics Waiting Times Census Data Set provides definitions to support the national data collections on DIAGNOSTIC TESTS, a key element towards monitoring waits from referral to treatment. This is a census of DIAGNOSTIC TEST waiting times.
The diagnostic investigations are grouped into categories of Endoscopy, Imaging, Pathology and Physiological Measurement.
The distinctions between these groups are not absolute and some procedures could be collected under more than one of the clinical groupings. A PATIENT waiting for a diagnostic investigation should be counted only once for each test they are waiting for, wherever the test is to be performed and even if there is any additional therapeutic intervention. Each test should be identified by their OPCS Classification of Interventions and Procedures coding where applicable.
This data set is for the census covering 4 main areas of DIAGNOSTIC TESTS as below:
- Part 1 - Endoscopy
- Part 2 - Imaging
- Part 3 - Pathology
- Parts 4 to 11 - Physiological Measurement
Patient level information
Information is to be submitted onto the Unify2 database that has been developed and maintained by the Department of Health. All PATIENTS waiting for a DIAGNOSTIC TEST/procedure funded by the NHS should be included. This includes all referral routes (i.e. whether the PATIENT was referred by a GENERAL PRACTITIONER or by a hospital-based clinician or other route) and also all settings (i.e. Out-Patient Clinic, WARD, Imaging Department, GP Practice, one-stop centres etc.). It is recognised that there will be some overlap between PATIENTS reported on this census and PATIENTS reported in the inpatient and outpatient waiting times returns.How the data set is transmitted
Full guidance on Unify2 can be found at the following address:Unify2 GuidanceFull guidance on Unify2 can be found at: Unify2.
Further guidance
Guidance on extracting the data sets, including OPCS Classification of Interventions and Procedures, can be found at:Department of Health - Monthly and Biannual Diagnostics Statistics - Definitions.Guidance on extracting the data sets, including OPCS Classification of Interventions and Procedures, can be found at: Department of Health - Diagnostics.
Change to Supporting Information: Changed Description
The Information Standards Board for Health and Social Care (ISB) in England is tasked with the independent assurance and approval of information standards for adoption by the NHS and social care.
The scope of the Information Standards Board for Health and Social Care includes all information standards within the Department of Health, NHS, adult social care and those required to support approved sharing and communication with other agencies where NHS information infrastructure and systems are to be used.
The Information Standards Board for Health and Social Care will:
- Ensure that the information standards are fit for purpose, can be implemented, support interoperability between systems and are clinically safe.
- Review Department of Health, NHS and Social Care information standards to ensure that they are still appropriate and consistent (including those of its predecessor – the Committee for Regulation of Information Requirements – CRIR).
- Identify the need for future standards and, where necessary, for development of specific Department of Health, NHS and Social Care standards or sub-sets of other standards. This may include sponsoring information standards where there is no responsible party.
- Provide input into policy, to advise on impact on behalf of the informatics community.
- Undertake, from time to time, a review of the scope of the Information Standards Board for Health and Social Care remit in the light of changes in patterns of, or approaches to, service delivery, e.g. the establishment of Care Trusts.
The Information Standards Board for Health and Social Care has delegated the creation and implementation of processes for the assurance of information standards to the Information Standards Management Service (ISMS).
Further information on the Information Standards Board for Health and Social Care is available from:
Change to Supporting Information: Changed Aliases
- Alias Changes
Name Old Value New Value shortname Maternity and Childrens Data Sets
Change to Supporting Information: Changed Aliases, Description
The following table details the approved versions of the NHS Health Checks Data Set Messages and associated 'Useable From' and 'Useable To' dates. It also allows download of the NHS Health Checks Data Set Message Schema and associated supporting documentation in zip file format.
| NHS Health Checks Message Version | Useable From | Usable To | Documentation |
| 2.0.0 | 1 July 2012 | - | NHSHC-XML-Schema-2-0-0-2011-09-13 and NHSHC-XML-Schema-Release-Notes-2-0-0-2011-09-13 |
|
Change to Supporting Information: Changed Aliases, Description
- Alias Changes
Name Old Value New Value shortname NHS Health Checks Data Set - Changed Description
Change to Supporting Information: Changed Description
NHS Data Model and Dictionary:NHS Data Model and Dictionary ServiceNHS Connecting for HealthPrinces ExchangePrinces SquareLeedsLS1 4HYEmail:datastandards@nhs.netNHS Data Model and Dictionary Service Website:http://www.connectingforhealth.nhs.uk/systemsandservices/data/datamodeldictionaryInformation Standards Board for Health and Social Care:Information Standards Board for Health and Social CarePrinces ExchangePrinces SquareLeedsLS1 4HY- NHS Data Model and Dictionary:
NHS Data Model and Dictionary Service
NHS Connecting for Health
Princes Exchange
Princes Square
Leeds
LS1 4HY
Website:http://www.isb.nhs.uk/Email: datastandards@nhs.net
Information Standards Board for Health and Social Care
Princes Exchange
Princes Square
Leeds
LS1 4HYWebsite: Information Standards Board for Health and Social Care website
Website: Department of Health website
Queries: Contact Us Details
Email: dhmail@dh.gsi.gov.uk
The NHS Information Centre for health and social careWebsite: The NHS Information Centre for Health and Social Care website
Queries:Contact Us DetailsQueries: Contact UsEmail: enquiries@ic.nhs.uk
- Hospital Episode Statistics (HES):
Website:HES onlineWebsite: HES online
Queries:HES queriesQueries: HES queries
Clinical Coding general enquiries:
International Classification of Diseases (ICD)OPCS Classification of Interventions and Procedures(OPCS-4);Read Coded Clinical Terms;Systematized Nomenclature of Medicine Clinical Terms(SNOMED CT®)
For all general enquiries, contact:
NHS Connecting for HealthData Standards and Products Help Desk- Clinical Coding general enquiries:
International Classification of Diseases (ICD)
OPCS Classification of Interventions and Procedures (OPCS-4);
Read Coded Clinical Terms;
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®)Website: NHS Classifications Service website
E-mail: datastandards@nhs.net
Website:http://www.connectingforhealth.nhs.uk/systemsandservices/data/clinicalcoding/
- Organisation Data Service Queries:
Organisation Data Service
Hexagon House
Pynes Hill
Rydon Lane
Exeter
Devon EX2 5SEWebsite:
Organisation Data Service information is published:
- on the NHSnet at: http://nww.connectingforhealth.nhs.uk/ods/
- 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)
- as a subset of the data on the NHS Choices website.
Email: exeter.helpdesk@nhs.net
Telephone: 01392 251 289
Organisation Data Serviceinformation can be accessed on the following websites:
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/odsTechnology Reference Data Update Distribution Service (TRUD)websitefor data downloads.
- Postcodes:
Office for National Statistics
Website: Office for National Statistics websiteEmail: info@statistics.gov.uk
Telephone: 0845 601 3034
Fax: 01633 652747
Email:info@statistics.gov.ukNational Health Service Postcode Directory (NHSPD) Website: National Statistics Postcode Products.
Website:http://www.ons.gov.uk/ons/index.html
National Health Service Postcode Directory (NHSPD) Website:National Statistics Postcode Products
Change to Supporting Information: Changed Description
Serum Cholesterol Level is a MEASURED PERSON OBSERVATION.
Serum Cholesterol Level is the cholesterol level in a PERSON's blood.Serum Cholesterol Level is the cholesterol level in a PERSON's blood and is measured in 'mmol/L (millimoles per litre)'.
Change to Supporting Information: Changed Aliases, Description
The following table details the approved versions of the Systemic Anti-Cancer Data Set Messages and associated 'Useable From' and 'Useable To' dates.The following table details the approved versions of the Systemic Anti-Cancer Therapy Data Set Messages and associated 'Useable From' and 'Useable To' dates. It also allows download of the Systemic Anti-Cancer Data Set Message Schema and associated supporting documentation in zip file format.
| Systemic Anti-Cancer Data Set Message Version | Useable From | Usable To | Documentation |
| 1.0.0 | 01 April 2012 | - | SACT-XML Schema-2011-08-10 and SACT-XML Schema Release Notes-2011-08-10 |
Change to Supporting Information: Changed Aliases, Description
- Alias Changes
Name Old Value New Value shortname Systemic Anti-Cancer Therapy Data Set - Changed Description
Change to Supporting Information: Changed Description, Name
Release: May 2012
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- CR1215 (1 June 2012) - ISB 1067 Amd 30/2011 National Workforce Data Set
The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:
- CR1028 (1 April 2013) - ISB 1069 Amd 14/2012 Children and Young People's Health Services Data Set
- CR1029 (1 April 2013) - ISB 1072 Amd 12/2012 Child and Adolescent Mental Health Services (CAMHS) Data Set
- CR1104 (1 April 2013) - ISB 1513 Amd 13/2012 Maternity Secondary Uses Data Set
Release: March 2012
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- CR1242 (Immediate) - DDCN 1242/2012 Retirement of Mental Health Minimum Data Set Version 3
- CR1238 and CR1276 (1 April 2012) - ISB 1577 Amd 10/2011 Diagnostic Imaging Data Set and Diagnostic Imaging Data Set Message v 1-0
- CR1290 (Immediate) - DDCN 1290/2012 Data Set Notation
CR1263 (Immediate) -ISB 0090 Amd 18/2011Health and Social Care Bill Changes- CR1263 (Immediate) - ISB 0090 Amd 5/2012 Health and Social Care Bill Changes
- CR1255 (31 March 2012) - ISB 1576 Amd 08/2011 Quarterly Bed Availability and Occupancy Data Set
- CR1295 (Immediate) - Retirement of old Commissioning Data Set messages
The Information Standards Board for Health and Social Care have been involved in the redesign and retirement of the old Commissioning Data Set Pages, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.
Release: January 2012
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- CR1285 (Immediate) - DDCN 1285/2012 Elective Admission Type
- CR1252 (Immediate) - DDCN 1252/2011 Geographic Area Changes
Release: November 2011
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:CR1264 (Immediate) -ISB 1077 Amd 144/2010Automatic Identification and Data Capture (AIDC) for Patient Identification Data Set- CR1264 (Immediate) - ISB 1077 Amd 3/2012 Automatic Identification and Data Capture (AIDC) for Patient Identification Data Set
- CR1274 (Immediate) - DDCN 1274/2011 CDS Prime Recipient Identity Update
The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:
- CR1265 (1 April 2012) - ISB 1520 Amd 29/2011 Changes to the Improving Access to Psychological Therapies Data Set
Release: October 2011
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- CR1271 (Immediate) - DDCN 1271/2011 Commissioning Data Set Addressing Grid Update
- CR1268 (Immediate) - DDCN 1268/2011 Sexual Orientation Code
The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:
- CR1158 and CR1260 (1 April 2012) - ISB 1533 Amd 63/2010 Systemic Anti-Cancer Therapy Data Set and Systemic Anti-Cancer Therapy Data Set Message Schema
The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:
- CR1270 (1 July 2012) - ISB 1080 Amd 25/2011 Amendments to NHS Health Check Data Set
- CR1250 (1 July 2012) - ISB 1080 Amd 25/2011 NHS Health Checks Data Set Message Schema Version 2.0.0
Release: August 2011
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- CR1232 (Immediate) - ISB 0034 Amd 26/2006 Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) - NHS Data Model and Dictionary Overview
- CR1222 (1 April 2012) - ISB 0021 Amd 86/2010 Introduction of the International Classification of Diseases Tenth Revision 4th Edition
- CR1190 (1 September 2011) - ISB 1538 Amd 131/2010 Chlamydia Testing Activity Data Set
- CR1188 (Immediate) - Amd 85/2010 Genitourinary Medicine Clinic Activity Data Set (GUMCAD) Extension to include Enhanced Sexual Health Services (ESHS)
The following data set is initially being introduced for local use only. A future Information Standards Notice will be published to notify providers and system suppliers of the requirement to flow the data set nationally:
- CR1105 (1 April 2012) - ISB 1510 Amd 25/2010 Community Information Data Set
Release: July 2011
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- CR1249 (Immediate) - DDCN 1249/2011 General Pharmaceutical Council Registration Changes
The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:
- CR1148 (1 July 2012) - ISB 1080 Amd 129/2010 NHS Health Checks Data Set
Release: June 2011
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- CR1256 (Immediate) - DDCN 1256/2011 School Definitions
- CR1117 (26 August 2011) - 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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- 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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:- 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
- CR1069 (Immediate) - Redesign of the Commissioning Data Set Pages
The Information Standards Board for Health and Social Care have been involved in the redesign of the Commissioning Data Set Pages and are satisfied that it meets the requirements of the service, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.
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
Change to Class: Changed Attributes
| K | PERSON IDENTIFIER | |
| DRIVER NUMBER | ||
| EX BRITISH ARMED FORCES INDICATOR | ||
| LOOKED AFTER CHILD INDICATOR | ||
| NATIONAL INSURANCE NUMBER | ||
| PASSPORT NUMBER | ||
| PERSON BIRTH DATE | ||
| UNIQUE PUPIL NUMBER | ||
| UNIQUE TAX REFERENCE NUMBER | ||
Change to Class: Changed Aliases
- Alias Changes
Name Old Value New Value plural PERSON DEATH DETAILS
Change to Class: Changed Description
A list of PATIENTS waiting to receive a consultative, assessment, diagnosis, care or treatment ACTIVITY from an ORGANISATION. The list is maintained for an identified CARE PROFESSIONAL or SERVICE POINT within an ORGANISATION.
The subtypes of WAITING LIST are:
Lists can be maintained in several forms, using either computer or manual systems, including CONSULTANT' diaries. They may be kept by TREATMENT FUNCTION CODE or for an individual CARE PROFESSIONAL.
PATIENTS may appear on more than one list for the same ORGANISATION or other ORGANISATIONS at the same time unless otherwise specifed.PATIENTS may appear on more than one list for the same ORGANISATION or other ORGANISATIONS at the same time unless otherwise specified.
Change to Attribute: Changed Description
An ACTIVITY may have many dates and times associated with it but may only have one date or time of a particular type.An ACTIVITY may have many DATES and TIMES associated with it but may only have one DATE or TIME of a particular type.
National Codes:
Dates
Note: This list is not in alphabetical order.
Times
| 50 | Accident and Emergency Attendance Conclusion Time |
| 51 | Accident and Emergency Departure Time |
| 52 | Accident and Emergency Initial Assessment Time |
| 53 | Accident and Emergency Time Seen For Treatment |
| 54 | Arrival At Hospital Time (Retired April 2012) |
| 55 | ARRIVAL TIME (Retired April 2012) |
| 56 | End Time |
| 57 | Event Time |
| 58 | Initial Patient Contact Time |
| 59 | Last Dosage Time |
| 60 | Pathology Result Due Time |
| 61 | Start Time |
| 62 | Theatre Case Time In To Theatre Suite |
| 63 | Theatre Case Time Out Of Theatre |
| 64 | Theatre Case Time Out Of Theatre Suite |
| 65 | Time Seen |
| 66 | Discharge Ready Time (Retired April 2012) |
| 67 | Arrival Time At Accident and Emergency Department |
| 68 | Arrival Time For Transport Requests |
Note: This list is not in alphabetical order.
Change to Attribute: Changed Description
A classification of an ACTIVITY GROUP.A type of ACTIVITY GROUP.
National Codes:
Note:
The list is not in alphabetical order.
Change to Attribute: Changed Description
Change to Attribute: Changed Description
A classification of a CARE CONTACT.A type of CARE CONTACT.
National Codes:
Note: The list is not in alphabetical order.
Change to Attribute: Changed Description
A classification of a CATEGORY VALUED PERSON OBSERVATION.A type of CATEGORY VALUED PERSON OBSERVATION.
National Codes:
Change to Attribute: Changed Description
A classification of a CLINICAL INTERVENTION.A type of CLINICAL INTERVENTION.
National Codes:
Change to Attribute: Changed Description
The type of GEOGRAPHIC AREA.A type of GEOGRAPHIC AREA.
National Codes:
| 01 | Health Authority (HA) Area (Retired December 2011) |
| 02 | REO Area (Retired December 2011) |
| 03 | Catchment Area (Retired December 2011) |
| 04 | Enumeration District |
| 05 | Electoral Ward |
| 06 | Polling District |
| 07 | Parish |
| 08 | District |
| 09 | County |
| 10 | Mental Health Act Sector (Retired December 2011) |
| 11 | GP Practice Catchment Area |
| 12 | Metropolitan County |
| 13 | Metropolitan District |
| 14 | COUNTRY |
| 15 | Output Area |
| 16 | Lower Layer Super Output Area |
| 17 | Middle Layer Super Output Area |
| 18 | POSTCODE |
| 19 | School Catchment Area |
| 20 | Primary Care Trust Catchment Area |
| 21 | Local Authority District |
| 22 | Non-Metropolitan County |
| 23 | Non-Metropolitan District |
| 24 | Unitary Authority |
| 25 | London Borough |
| 26 | Region |
| 27 | Community |
| 28 | Electoral Division |
Change to Attribute: Changed Description
Identifies the type of MEASURED PERSON OBSERVATION being recorded as one of the NHS Business Definitions listed in the MEASURED PERSON OBSERVATION class as a type of this Class.A type of MEASURED PERSON OBSERVATION.
Each MEASURED PERSON OBSERVATION TYPE CODE must have an associated MEASUREMENT VALUE TYPE.
National Codes:
Change to Attribute: Changed Description
Identifies the type of measurement used for the MEASURED PERSON OBSERVATION being recorded.A type of measurement used for the MEASURED PERSON OBSERVATION being recorded.
The unit of measurement is based on the MEASURED PERSON OBSERVATION TYPE CODE for that MEASURED PERSON OBSERVATION.
National Codes:
| 01 | mmol/L |
| 02 | µmol/L |
| 03 | µg/L |
| 04 | µg/mmol |
| 05 | µg/ml/hr |
| 06 | µg/min |
| 07 | µg/24hr |
| 08 | Number |
| 09 | Percentage |
| 10 | Kilogram |
| 11 | Metres |
| 13 | Square Metres |
| 14 | Millilitres per Minute |
| 15 | mmHg |
| 16 | Litres |
| 17 | Beats per minute (bpm) |
| 18 | Centimetres (cm) |
Change to Attribute: Changed Aliases
- Alias Changes
Name Old Value New Value plural PERSON BIRTH DATES
Change to Attribute: Changed Aliases
- Alias Changes
Name Old Value New Value plural PERSON DEATH DATES
Change to Attribute: Changed Aliases
- Alias Changes
Name Old Value New Value plural PERSON DEATH TIMES
Change to Attribute: Changed Description
A classification which identifies the source of referral of each Accident and Emergency Episode.The source of referral of each Accident and Emergency Episode.
National Codes:
| 00 | GENERAL MEDICAL PRACTITIONER |
| 01 | Self referral |
| 02 | Local Authority Social Services |
| 03 | Emergency services |
| 04 | Work |
| 05 | Educational Establishment |
| 06 | Police |
| 07 | Health Care Provider: same or other |
| 08 | Other |
| 92 | GENERAL DENTAL PRACTITIONER |
| 93 | Community Dental Service |
References:
National Purchasing Unit for Dental Service Increment For Teaching (SIFT), 1996.
Dental SIFT: Proposals for Minimum Data Set (MDS) requirements
Change to Attribute: Changed Description
A classification which identifies the source of referral of a Mental Health Care Spell.The source of referral of a Mental Health Care Spell.
National Codes:
| Primary Health Care | |
| A1 | GENERAL MEDICAL PRACTITIONER |
| A2 | Health Visitor |
| A3 | Other Primary Health Care |
| Self Referral | |
| B1 | Self |
| B2 | Carer |
| Local Authority Services | |
| C1 | Social Services |
| C2 | Education Service |
| Employer | |
| D1 | Employer |
| Justice System | |
| E1 | Police |
| E2 | Courts |
| E3 | Probation Service |
| E4 | Prison |
| E5 | Court Liaison and Diversion Service |
| Child Health | |
| F1 | School Nurse |
| F2 | Hospital-based Paediatrics |
| F3 | Community-based Paediatrics |
| Independent/Voluntary Sector | |
| G1 | Independent sector - Medium Secure Inpatients |
| G2 | Independent Sector - Low Secure Inpatients |
| G3 | Other Independent Sector Mental Health Services |
| G4 | Voluntary Sector |
| Acute Secondary Care | |
| H1 | Accident and Emergency Department |
| H2 | Other secondary care specialty |
| Other Mental Health NHS Trust | |
| I1 | Temporary transfer from another Mental Health NHS Trust |
| I2 | Permanent transfer from another Mental Health NHS Trust |
| Internal referrals from Community Mental Health Team (within own NHS Trust) | |
| J1 | Community Mental Health Team (Adult Mental Health) |
| J2 | Community Mental Health Team (Older People) |
| J3 | Community Mental Health Team (Learning Disabilities) |
| J4 | Community Mental Health Team (Child and Adolescent Mental Health) |
| Internal referrals from Inpatient Service (within own NHS Trust) | |
| K1 | Inpatient Service (Adult Mental Health) |
| K2 | Inpatient Service (Older People) |
| K3 | Inpatient Service (Forensics) |
| K4 | Inpatient Service (Child and Adolescent Mental Health) |
| K5 | Inpatient Service (Learning Disabilities) |
| Transfer by graduation (within own NHS Trust) | |
| L1 | Transfer by graduation from Child and Adolescent Mental Health Services to Adult Mental Health Services |
| L2 | Transfer by graduation from Adult Mental Health Services to Older Peoples Mental Health Services |
| Other | |
| M1 | Asylum Services |
| M2 | NHS Direct |
| M3 | Out of Area Agency |
| M4 | Drug Action Team / Drug Misuse Agency |
| M5 | Jobcentre Plus** |
| M6 | Other service or agency |
** Note: this National Code can only be used for the Mental Health Minimum Data Set and Child and Adolescent Mental Health Services Secondary Uses Data Set, if referrals from Jobcentre Plus are accepted.
Change to Attribute: Changed Description
A classification which is used to identify the source of referral of each Consultant Out-Patient Episode.The source of referral of each Consultant Out-Patient Episode.
National Codes:
| Initiated by the CONSULTANT responsible for the Consultant Out-Patient Episode | |
| 01 | following an emergency admission |
| 02 | following a Domiciliary Consultation |
| 10 | following an Accident and Emergency Attendance (including Minor Injuries Units and Walk In Centres) |
| 11 | other - initiated by the CONSULTANT responsible for the Consultant Out-Patient Episode |
Not initiated by the CONSULTANT responsible for the Consultant Out-Patient Episode | |
| 03 | referral from a GENERAL MEDICAL PRACTITIONER |
| 92 | referral from a GENERAL DENTAL PRACTITIONER |
| 12 | referral from a General Practitioner with a Special Interest (GPwSI) or Dentist with a Special Interest (DwSI) |
| 04 | referral from an Accident and Emergency Department (including Minor Injuries Units and Walk In Centres) |
| 05 | referral from a CONSULTANT, other than in an Accident and Emergency Department |
| 06 | self-referral |
| 07 | referral from a Prosthetist |
| 13 | referral from a Specialist NURSE (Secondary Care) |
| 14 | referral from an Allied Health Professional |
| 15 | referral from an OPTOMETRIST |
| 16 | referral from an Orthoptist |
| 17 | referral from a National Screening Programme |
| 93 | referral from a Community Dental Service |
| 97 | other - not initiated by the CONSULTANT responsible for the Consultant Out-Patient Episode |
Note: The classification has been listed in logical sequence rather than numeric order.
Where a PATIENT is referred by a GENERAL PRACTITIONER acting in the capacity of a General Practitioner with a Special Interest (GPwSI), National Code 12 - 'referral from a General Practitioner with a Special Interest (GPwSI) or Dentist with a Special Interest (DwSI)' should be used.
Where a PATIENT is referred by that GENERAL PRACTITIONER acting in their capacity as an ordinary GENERAL MEDICAL PRACTITIONER, or as an ordinary GENERAL DENTAL PRACTITIONER, National Code 03 - referral from a GENERAL MEDICAL PRACTITIONER or National Code 92 - referral from a GENERAL DENTAL PRACTITIONER should be used as appropriate.
Two Week Wait Referrals made by Specialist NURSES in Primary Care, under the authority of the GENERAL MEDICAL PRACTITIONER leading their team, should continue to be classified as referrals from the GENERAL PRACTITIONER (National Code 03 - referral from a GENERAL MEDICAL PRACTITIONER). Referrals from Specialist NURSES in Secondary Care should be classified as National Code 13 - referral from a Specialist Nurse (Secondary Care).
Change to Attribute: Changed Description
The date of a request for transport.The date of a TRANSPORT REQUEST.
Change to Attribute: Changed Description
The time when a first Emergency Response, other than an Emergency Ambulance, arrives on the scene of a TRANSPORT REQUEST INCIDENT. The time should be recorded using the 24 hour clock.
The time should be recorded using the 24 hour clock.
Change to Data Element: Changed Description
| Format/Length: | an1 |
| HES Item: | |
| National Codes: | See ATTENDED OR DID NOT ATTEND |
| Default Codes: |
Notes:
Where the future attendance has been cancelled, use the appropriate value from the national codes (see ATTENDED OR DID NOT ATTEND).Use in the Future Outpatient CDS:
- Where the attendance is in the future (and has not been cancelled) use value 0 (zero) - not applicable - APPOINTMENT occurs in the future.
- Where the future attendance has been cancelled, use the appropriate value from the national codes (see ATTENDED OR DID NOT ATTEND).
ATTENDED OR DID NOT ATTEND CODE replaces ATTENDED OR DID NOT ATTEND and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Aliases
- Alias Changes
Name Old Value New Value plural BIRTH DATES
Change to Data Element: Changed Aliases
- Alias Changes
Name Old Value New Value plural BIRTH DATES (BABY)
Change to Data Element: Changed Aliases
- Alias Changes
Name Old Value New Value plural BIRTH DATES (MOTHER)
Change to Data Element: Changed Aliases, Description
| Format/Length: | n4 |
| HES Item: | BIRWEIT |
| National Codes: | |
| Default Codes: | 9999 - Not known |
Notes:
BIRTH WEIGHT is the same as attribute BIRTH WEIGHT.
The baby's Weight in grams between 0001 to 9998 grams.BIRTH WEIGHT is the baby's Weight in grammes between 0001 to 9998.
Change to Data Element: Changed Aliases, Description
- Alias Changes
Name Old Value New Value plural BIRTH WEIGHTS - Changed Description
Change to Data Element: Changed Description
| Format/Length: | n2.n1 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
BODY MASS INDEX replaces PERSON OBSERVATION (BMI) and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | max n7 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
CHEMOTHERAPY ACTUAL DOSE is the same as attribute CHEMOTHERAPY ACTUAL DOSE.
The actual Chemotherapy dose given in milligrams or other applicable unit, for example, 400 milligrams, 200 units, 1.5 grams etc.5 grammes etc.
Change to Data Element: Changed Description
| Format/Length: | n3 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
This is calculated from the Start Time and End Time of the clinical contact at an APPOINTMENT.
Change to Data Element: Changed Description
| Format/Length: | n4 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The duration of a CARE ACTIVITY in minutes, excluding any administration time prior to or after the CARE ACTIVITY and the CARE PROFESSIONAL's travelling time to the LOCATION where the CARE ACTIVITY was provided.
This is calculated from the Start Time and End Time of the CARE ACTIVITY.
Change to Data Element: Changed Description
| Format/Length: | n4 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The total duration of the direct clinical contact at CARE CONTACT in minutes, excluding any administration time prior to or after the CARE CONTACT and the CARE PROFESSIONAL's travelling time to the CARE CONTACT.
CLINICAL CONTACT DURATION OF CARE CONTACT includes the time spent on the different CARE ACTIVITIES that may be performed in a single CARE CONTACT. The duration of each CARE ACTIVITY is recorded in CLINICAL CONTACT DURATION OF CARE ACTIVITY.
CLINICAL CONTACT DURATION OF CARE CONTACT is calculated from the Start Time and End Time of the CARE CONTACT.
Change to Data Element: Changed Description
| Format/Length: | n4 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The duration of a Group Session in minutes, excluding any administration time prior to or after the Group Session and the CARE PROFESSIONAL's travelling time to the LOCATION where the Group Session was provided.
This is calculated from the Start Time and End Time of the Group Session.
Change to Data Element: Changed Description
| Format/Length: | n6 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
CLINIC ATTENDANCES (HIV) TOTAL is the total number of first and follow-up attendances where the:
| a. | CARE CONTACT TYPE is National Code 40 'Genitourinary Care Contact' | ||
| and | |||
| b. | FIRST ATTENDANCE is either: National Code 1 'First attendance face to face' or National Code 2 'Follow-up attendance face to face' | ||
| and | |||
| c. | ATTENDED OR DID NOT ATTEND is either: National Code 5 'Attended on time or, if late, before the relevant CARE PROFESSIONAL was ready to see the PATIENT' 'Attended on time' or National Code 6 'Arrived late, after the relevant CARE PROFESSIONAL was ready to see the PATIENT, but was seen' | ||
| and | |||
| d. | GENITOURINARY CONTACT TYPE CODE is National Code 06 'Human immunodeficiency virus (HIV)'. | ||
| and | |||
| e. | Genitourinary Care Contact Date is within the REPORTING PERIOD. | ||
This includes Scheduled Appointments and Unscheduled Appointments.
Change to Data Element: Changed Description
| Format/Length: | n6 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
CLINIC FIRST ATTENDANCES (HIV) TOTAL is the total number of first attendances where the:
| a. | CARE CONTACT TYPE is National Code 40 'Genitourinary Care Contact' | ||
| and | |||
| b. | FIRST ATTENDANCE is National Code 1 'First attendance face to face' | ||
| and | |||
| c. | ATTENDED OR DID NOT ATTEND is either: National Code 5 'Attended on time or, if late, before the relevant CARE PROFESSIONAL was ready to see the PATIENT' 'Attended on time' or National Code 6 'Arrived late, after the relevant CARE PROFESSIONAL was ready to see the PATIENT, but was seen' | ||
| and | |||
| d. | GENITOURINARY CONTACT TYPE CODE is National Code 06 'Human immunodeficiency virus (HIV)' | ||
| and | |||
| e. | Genitourinary Care Contact Date is within the REPORTING PERIOD. | ||
This includes Scheduled Appointments and Unscheduled Appointments.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | See DATE AND TIME |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
The DATE AND TIME a Data Set was created.DATE AND TIME DATA SET CREATED is the DATE AND TIME a data set was created.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
For the Mental Health Minimum Data Set (Version 4-0), assault is defined as:
The intentional application of force to the person of another, without lawful justification, resulting in physical injury or personal discomfort.
This data element is only reported in the Mental Health Minimum Data Set (Version 4-0) if the self-harm occurred during a Hospital Provider Spell.DATE OF ASSAULT ON PATIENT is only reported in the Mental Health Minimum Data Set (Version 4-0) if the assault occurred during a Hospital Provider Spell.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
This data element is only reported in the Mental Health Minimum Data Set (Version 4-0) if the physical restraint occurred during a Hospital Provider Spell.DATE OF PHYSICAL RESTRAINT is only reported in the Mental Health Minimum Data Set (Version 4-0) if the physical restraint occurred during a Hospital Provider Spell.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
The Mental Health Minimum Data Set (Version 4-0) uses the Mental Health Act 1983 Code of Practice definition of seclusion:
The supervised confinement of a PATIENT in a room, which may be locked. Its sole aim is to contain severely disturbed behaviour which is likely to cause harm to others.
This data element is only reported in the Mental Health Minimum Data Set (Version 4-0) if the seclusion occurred during a Hospital Provider Spell.DATE OF SECLUSION is only reported in the Mental Health Minimum Data Set (Version 4-0) if the seclusion occurred during a Hospital Provider Spell.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
For the Mental Health Minimum Data Set (Version 4-0), self-harm is defined as:
Intentional self-poisoning or injury, irrespective of the apparent purpose of the act. Self-harm includes poisoning, asphyxiation, cutting, burning and other self-inflicted injuries.
This data element is only reported in the Mental Health Minimum Data Set (Version 4-0) if the self-harm occurred during a Hospital Provider Spell.DATE OF SELF HARM is only reported in the Mental Health Minimum Data Set (Version 4-0) if the self-harm occurred during a Hospital Provider Spell.
Change to Data Element: Changed Description
| Format/Length: | n2 |
| HES Item: | |
| National Codes: | See DELAY REASON TO TREATMENT FOR CANCER |
| Default Codes: |
Notes:
A DELAY REASON (DECISION TO TREATMENT) must be present in the National Cancer Waiting Times Monitoring Data Set where a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT FOR CANCER exists.
This data can also be recorded locally for prospective PATIENTS where a full histological diagnosis confirming cancer is not yet available.
Change to Data Element: Changed Description
| Format/Length: | an255 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
This data item is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set. It is applicable and must be recorded if the existing 31-day standard (for referral to treatment) has been breached (after any days adjustments allowed in WAITING TIME ADJUSTMENT (TREATMENT) have been removed). It is the free text comment that describes why the maximum 31 day wait from CANCER TREATMENT PERIOD START DATE to TREATMENT START DATE FOR CANCER could not be met.
If DELAY REASON (DECISION TO TREATMENT) is recorded as National Code 99 'Other reason' then DELAY REASON COMMENT (DECISION TO TREATMENT) must explain the full reason for the delay.
Change to Data Element: Changed Description
| Format/Length: | an255 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
This data item is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set.DELAY REASON COMMENT (FIRST SEEN) is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set. It is applicable and must be recorded if the existing standards were breached (after any adjustments have been made).
It is the free text comment that describes why the maximum two week wait from CANCER REFERRAL TO TREATMENT PERIOD START DATE to DATE FIRST SEEN (less WAITING TIME ADJUSTMENT (FIRST SEEN)) could not be met.
See DATE FIRST SEEN for guidance on determining the appropriate first seen date.
If DELAY REASON REFERRAL TO FIRST SEEN FOR CANCER OR BREAST SYMPTOMS is recorded as National Code 99 'Other reason' then DELAY REASON COMMENT (FIRST SEEN) must explain the full reason for the delay.
Change to Data Element: Changed Description
| Format/Length: | an255 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
This data item is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set.DELAY REASON COMMENT (REFERRAL TO TREATMENT) is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set. It is applicable and must be recorded if the existing standards were breached (after any adjustments have been made).
It is the free text comment that describes why the specified maximum 62 day wait from CANCER REFERRAL TO TREATMENT PERIOD START DATE to the TREATMENT START DATE FOR CANCER, less any adjustments recorded by WAITING TIME ADJUSTMENT (FIRST SEEN) and WAITING TIME ADJUSTMENT (DECISION TO TREAT) and WAITING TIME ADJUSTMENT (TREATMENT), could not be met.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
DIAGNOSIS DATE is the PERSON PROPERTY OBSERVED DATE for the PATIENT DIAGNOSIS.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:DIAGNOSIS DATE (DIABETES) is the same as the attribute PERSON PROPERTY OBSERVED DATE.
The PERSON PROPERTY OBSERVED DATE for the PATIENT DIAGNOSIS where PRIMARY DIAGNOSIS is 'diabetes'.DIAGNOSIS DATE (DIABETES) is the PERSON PROPERTY OBSERVED DATE for the PATIENT DIAGNOSIS where PRIMARY DIAGNOSIS is 'diabetes'.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
DISCHARGE DATE (COMMUNITY HEALTH SERVICE) is the date a PATIENT was discharged from a Community Health Service.
Change to Data Element: Changed Description
| Format/Length: | n2 |
| HES Item: | DISDEST |
| National Codes: | See DISCHARGE DESTINATION |
| Default Codes: | 98 - Not applicable - hospital provider spell not finished at episode end (i.e. not discharged, or current episode unfinished) |
| 99 - Not known: a validation error |
Notes:DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) is the same as the attribute DISCHARGE DESTINATION and the values recorded are the National Codes contained within the attribute definition with the addition of the Default Codes.
This records the destination of a PATIENT on completion of the Hospital Provider Spell. It can also indicate that the PATIENT died or was a still birth.
DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) will be replaced with DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | an2 |
| HES Item: | DISDEST |
| National Codes: | See DISCHARGE DESTINATION |
| Default Codes: | 98 - Not applicable - Hospital Provider Spell not finished at episode end (i.e. not discharged, or current episode unfinished) |
| 99 - Not known: a validation error |
Notes:DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL) is the same as the attribute DISCHARGE DESTINATION and the values recorded are the National Codes contained within the attribute definition with the addition of the Default Codes.
This records the destination of a PATIENT on completion of the Hospital Provider Spell. It can also indicate that the PATIENT died or was a still birth.
DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL) replaces DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL), and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | n1 |
| HES Item: | DISMETH |
| National Codes: | See DISCHARGE METHOD |
| Default Codes: | 8 - Not applicable - Hospital Provider Spell. not yet finished (i.e. not discharged) |
| 9 - Not known: a validation error |
Notes:
DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) will be replaced with DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | an1 |
| HES Item: | DISMETH |
| National Codes: | See DISCHARGE METHOD |
| Default Codes: | 8 - Not applicable - Hospital Provider Spell not yet finished (i.e. not discharged) |
| 9 - Not known: a validation error |
Notes:
DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL) replaces DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | an1 |
| HES Item: | |
| National Codes: | See DRUG TREATMENT INTENT |
| Default Codes: | 9 - Not known |
Notes:
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Adult Mental Health Care Team Episode.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (BRACHYTHERAPY TREATMENT COURSE) is the same as attribute ACTIVITY DATE, where ACTIVITY DATE TIME TYPE is National Code 'End Date'.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:END DATE (CARE PROGRAMME APPROACH CARE) is the End Date of a period of care for a PATIENT, when the CARE PROGRAMME APPROACH LEVEL was National Code 'New Care Programme Approach Care'.END DATE (CARE PROGRAMME APPROACH CARE) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'End Date' of a period of care for a PATIENT, when the CARE PROGRAMME APPROACH LEVEL was National Code 'New Care Programme Approach Care'.
END DATE (CARE PROGRAMME APPROACH CARE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Care Programme Approach care.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (CONSULTANT OUT-PATIENT EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Consultant Out-Patient Episode.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | EPIEND |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (EPISODE) is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 'End Date'.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (HOME LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Home Leave.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Absence Without Leave.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Care Coordinator Assignment.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED)) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Care Professional Episode (Acute Home-Based).
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
The Adult Mental Health Care Spell ends when all associated episodes, attendances or days are explicitly closed or ended by default where a PATIENT has received in-patient care terminated other than by transfer or death or had a current period of Mental Health Absence Without Leave (but still liable to detention), within the preceding 3 months.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Delayed Discharge Period.END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is the date where the clinical decision is taken that the PATIENT is no longer fit for discharge, and further inpatient care is required.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (MENTAL HEALTH LEAVE OF ABSENCE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Leave Of Absence.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:END DATE (MENTAL HEALTH NHS CARE HOME STAY) is the End Date of a Care Home Stay (Nursing Care) or Care Home Stay (Residential) for a PATIENT within an Adult Mental Health Care Spell, where:
- the BROAD PATIENT GROUP CODE is National Code ' PATIENTS with Mental Illness' and
A PATIENT going on Home Leave or Mental Health Leave Of Absence for 28 days or less, or who has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Care Home Stay (Nursing Care) or Care Home Stay (Residential), but are not using a bed during their period of absence.
END DATE (MENTAL HEALTH NHS CARE HOME STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (MENTAL HEALTH NHS DAY CARE EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health NHS Day Care Episode.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Responsible Clinician Assignment.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (SUPERVISED COMMUNITY TREATMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Supervised Community Treatment.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Supervised Community Treatment Recall.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END DATE (TELETHERAPY TREATMENT COURSE) is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 'End Date'.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | See TIME |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | See TIME |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is 'End Time' of the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION.
Change to Data Element: Changed Description
| Format/Length: | See TIME |
| HES Item: | |
| National Codes: | |
| Default Codes: |
END TIME (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is 'End Time' of the Supervised Community Treatment Recall.
Change to Data Element: Changed Description
| Format/Length: | See TIME |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is the TIME when a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT expires.
Change to Data Element: Changed Description
| Format/Length: | max n2.n1 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:HAEMOGLOBIN CONCENTRATION is the outcome of the Clinical Investigation which measures the PERSON's haemoglobin concentration in 'g/dl (grammes per decilitre).'HAEMOGLOBIN CONCENTRATION is the outcome of the Clinical Investigation which measures the PERSON's haemoglobin concentration, measured in 'Grammes per decilitre (g/dl)'.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:IMAGE REQUEST DATE is the same as the attribute SERVICE REQUEST DATE.
This data element is only mandatory when applicable in the National Cancer Dataset for head and neck cancer.IMAGE REQUEST DATE is only mandatory when applicable in the National Cancer Dataset for head and neck cancer. This is when the pre-treatment imaging was requested.
It is the SERVICE REQUEST DATE of the first DIAGNOSTIC TEST REQUEST in the Head and Neck Cancer Care Spell where the request results in an Imaging or Radiodiagnostic Event where the CANCER IMAGING MODALITY is CT scan or MRI.IMAGE REQUEST DATE is the SERVICE REQUEST DATE of the first DIAGNOSTIC TEST REQUEST in the Head and Neck Cancer Care Spell where the request results in an Imaging or Radiodiagnostic Event where the CANCER IMAGING MODALITY is CT scan or MRI.
Head and Neck Cancer Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 19 'Head and Neck Cancer Care Spell'.
Imaging or Radiodiagnostic Event is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 16 'Imaging Or Radiodiagnostic Event'.
Change to Data Element: Changed Description
| Format/length: | an1 |
| HES item: | |
| National Codes: | See AGE GROUP INTENDED |
| Default Codes: |
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component AGE GROUPS INTENDED is required to be separately recorded.
Based on the classifications of attribute AGE GROUP INTENDED, with the addition of Home Leave:
Permitted National Codes:
| 1 | Neonates |
| 2 | Children and /or adolescents |
| 3 | Elderly |
| 8 | Any age |
| 9 | Home Leave * |
* Note - National Code 9 is not valid for the Mental Health Minimum Data Set (Version 4-0).
INTENDED AGE GROUP replaces AGE GROUP INTENDED and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | n2 |
| HES Item: | |
| National Codes: | See CLINICAL CARE INTENSITY |
| Default Codes: |
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component INTENDED CLINICAL CARE INTENSITY is required to be separately recorded.
INTENDED CLINICAL CARE INTENSITY is the same as attribute CLINICAL CARE INTENSITY, and the values recorded within the Commissioning Data Set messages are the National Codes contained within the definition of CLINICAL CARE INTENSITY, including additions:
| For PATIENTS with mental illness | |
| 51 | for intensive care: specially designated ward for PATIENTS needing containment and more intensive management. This is not to be confused with intensive nursing where PATIENTS may require one to one nursing while on a standard WARD |
| 52 | for short stay: PATIENTS intended to stay less than a year |
| 53 | for long stay: PATIENTS intended to stay a year or more |
| For PATIENTS with Learning Disabilities | |
| 61 | designated or interim secure unit |
| 62 | PATIENTS intending to stay less than a year |
| 63 | PATIENTS intending to stay a year or more |
| For maternity PATIENTS | |
| 41 | only for PATIENTS looked after by CONSULTANTS |
| 43 | only for PATIENTS looked after by GENERAL MEDICAL PRACTITIONERS |
| 42 | for joint use by CONSULTANTS & GENERAL MEDICAL PRACTITIONERS |
| For neonates | |
| 33 | maternity: associated with the maternity WARD in that cots are in the maternity WARD nursery or in the WARD itself |
| 32 | non-maternity: not associated with the maternity WARD and without designated cots for intensive care |
| 31 | not associated with the maternity WARD and in which there are some designated cots for intensive care |
| For the younger physically disabled | |
| 21 | spinal units, only those units which are nationally recognised |
| 22 | other units |
| For terminally ill/palliative care | |
| 81 | terminally ill/palliative care |
| For general PATIENTS | |
| 11 | for intensive therapy, including high dependency care |
| 12 | for normal therapy: where resources permit the admission of PATIENTS who might need all but intensive or high dependency therapy |
| 13 | for limited therapy: where nursing care rather than continuous medical care is provided. Such WARDS can be used only for PATIENTS carefully selected and restricted to a narrow range in terms of the extent and nature of disease |
| additional codes | |
| 71 | Home Leave, non-psychiatric |
| 72 | Home Leave, psychiatric |
INTENDED CLINICAL CARE INTENSITY will be replaced with INTENDED CLINICAL CARE INTENSITY CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | an2 |
| HES Item: | |
| National Codes: | See CLINICAL CARE INTENSITY |
| Default Codes: |
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component INTENDED CLINICAL CARE INTENSITY CODE is required to be separately recorded.
INTENDED CLINICAL CARE INTENSITY CODE is the same as attribute CLINICAL CARE INTENSITY and the values recorded are the National Codes contained within the definition of CLINICAL CARE INTENSITY, including additions:
| For PATIENTS with mental illness | |
| 51 | for intensive care: specially designated ward for PATIENTS needing containment and more intensive management. This is not to be confused with intensive nursing where PATIENTS may require one to one nursing while on a standard WARD |
| 52 | for short stay: PATIENTS intended to stay less than a year |
| 53 | for long stay: PATIENTS intended to stay a year or more |
| For PATIENTS with Learning Disabilities | |
| 61 | designated or interim secure unit |
| 62 | PATIENTS intending to stay less than a year |
| 63 | PATIENTS intending to stay a year or more |
| For maternity PATIENTS | |
| 41 | only for PATIENTS looked after by CONSULTANTS |
| 43 | only for PATIENTS looked after by GENERAL MEDICAL PRACTITIONERS |
| 42 | for joint use by CONSULTANTS & GENERAL MEDICAL PRACTITIONERS |
| For neonates | |
| 33 | maternity: associated with the maternity WARD in that cots are in the maternity WARD nursery or in the WARD itself |
| 32 | non-maternity: not associated with the maternity WARD and without designated cots for intensive care |
| 31 | not associated with the maternity WARD and in which there are some designated cots for intensive care |
| For the younger physically disabled | |
| 21 | spinal units, only those units which are nationally recognised |
| 22 | other units |
| For terminally ill/palliative care | |
| 81 | terminally ill/palliative care |
| For general PATIENTS | |
| 11 | for intensive therapy, including high dependency care |
| 12 | for normal therapy: where resources permit the admission of PATIENTS who might need all but intensive or high dependency therapy |
| 13 | for limited therapy: where nursing care rather than continuous medical care is provided. Such WARDS can be used only for PATIENTS carefully selected and restricted to a narrow range in terms of the extent and nature of disease |
| additional codes | |
| 71 | Home Leave, non-psychiatric |
| 72 | Home Leave, psychiatric |
INTENDED CLINICAL CARE INTENSITY CODE replaces INTENDED CLINICAL CARE INTENSITY and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | an2 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH) is the same as attribute CLINICAL CARE INTENSITY, but the only permitted values from the list of National Codes are:INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH) is the same as attribute CLINICAL CARE INTENSITY.
Permitted National Codes:
| For PATIENTS with Mental Illness: | |
| 51 | For Intensive Care - specially designated ward for PATIENTS needing containment and more intensive management (eg Psychiatric Intensive Care Unit (PICU)). This is not to be confused with intensive nursing where a PATIENT may require one-to-one nursing while on a standard WARD |
| 52 | For Short Stay - PATIENTS intended to stay for less than a year |
| 53 | For Long Stay - PATIENTS intended to stay for a year or more |
| For PATIENTS with Learning Disabilities: | |
| 61 | Designated or interim secure unit |
| 62 | PATIENTS intending to stay less than a year |
| 63 | PATIENTS intending to stay a year or more |
In addition to this, the following value which is not part of the National Codes is also permitted for the Child and Adolescent Mental Health Services Secondary Uses Data Set (see INTENDED CLINICAL CARE INTENSITY CODE):
| 72 | Home Leave, psychiatric * |
* Note - National Code 72 is not valid for the Mental Health Minimum Data Set (Version 4-0).
Change to Data Element: Changed Description
| Format/Length: | min an5 max an9 |
| HES Item: | |
| National Codes: | |
| Default Codes: | 89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued |
| 89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued |
Notes:See SITE CODE (OF TREATMENT) for details on coding.
This is the ORGANISATION SITE CODE for the ORGANISATION SITE where it is intended to treat the PATIENT.INTENDED SITE CODE (OF TREATMENT) is the ORGANISATION SITE CODE for the ORGANISATION SITE where it is intended to treat the PATIENT. This enables those ORGANISATIONS to be recorded which have been sub-commissioned to provide treatment.
Change to Data Element: Changed Description
| Format/Length: | an2 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
NEWBORN HEARING SCREENING OUTCOME (MATERNITY) is the outcome of a Newborn Hearing Screening.
For the Maternity Services Secondary Uses Data Set, this will be either:
- the NEWBORN HEARING SCREENING OUTCOME: reporting National Codes 01 - 04 only; or
Change to Data Element: Changed Description
| Format/Length: | an2 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
Permitted National Codes:
| 01 | Number present and verified |
| 02 | Number present but not traced |
| 03 | Trace required |
| 04 | Trace attempted - No match or multiple match found |
| 05 | Trace needs to be resolved - (NHS Number or PATIENT detail conflict) |
| 06 | Trace in progress |
| 07 | Number not present and trace not required |
| 08 | Trace postponed (baby under six weeks old) |
NHS NUMBER STATUS INDICATOR CODE replaces NHS NUMBER STATUS INDICATOR and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | See NHS NUMBER STATUS INDICATOR CODE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
NHS NUMBER STATUS INDICATOR CODE (BABY) is the NHS NUMBER STATUS INDICATOR CODE of the NHS NUMBER (BABY).
Permitted National Codes:
| 01 | Number present and verified |
| 02 | Number present but not traced |
| 03 | Trace required |
| 04 | Trace attempted - No match or multiple match found |
| 05 | Trace needs to be resolved - (NHS Number or PATIENT detail conflict) |
| 06 | Trace in progress |
| 07 | Number not present and trace not required |
| 08 | Trace postponed (baby under six weeks old) |
NHS NUMBER STATUS INDICATOR CODE (BABY) replaces NHS NUMBER STATUS INDICATOR (BABY), and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | See NHS NUMBER STATUS INDICATOR CODE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
NHS NUMBER STATUS INDICATOR CODE (MOTHER) is the NHS NUMBER STATUS INDICATOR CODE of the NHS NUMBER (MOTHER).
Permitted National Codes:
| 01 | Number present and verified |
| 02 | Number present but not traced |
| 03 | Trace required |
| 04 | Trace attempted - No match or multiple match found |
| 05 | Trace needs to be resolved - (NHS Number or PATIENT detail conflict) |
| 06 | Trace in progress |
| 07 | Number not present and trace not required |
| 08 | Trace postponed (baby under six weeks old)* |
NHS NUMBER STATUS INDICATOR CODE (MOTHER) replaces NHS NUMBER STATUS INDICATOR (MOTHER) and should be used for all new and developing data sets and for XML messages.
*For the purposes of the Maternity Services Secondary Uses Data Set, National Code 08 Trace postponed (baby under six weeks old) is not reported.
Change to Data Element: Changed linked Attribute, Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The PERSON PROPERTY OBSERVED DATE when the MEASURED PERSON OBSERVATION of the type Blood Pressure was taken.OBSERVATION DATE (BLOOD PRESSURE) is the same as attribute PERSON PROPERTY OBSERVED DATE.
OBSERVATION DATE (BLOOD PRESSURE) is the date when the Blood Pressure was taken.
Change to Data Element: Changed linked Attribute, Description
Attribute:
| PERSON PROPERTY OBSERVED DATE |
Change to Data Element: Changed linked Attribute, Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'HbA1c'.OBSERVATION DATE (HbA1c LEVEL) is the same as attribute PERSON PROPERTY OBSERVED DATE.
OBSERVATION DATE (HbA1c LEVEL) is the date when the HbA1c level was taken.
Change to Data Element: Changed linked Attribute, Description
Attribute:
| PERSON PROPERTY OBSERVED DATE |
Change to Data Element: Changed linked Attribute, Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The date when the SMOKING STATUS was recorded.
OBSERVATION DATE (SMOKING STATUS) is the same as attribute PERSON PROPERTY EFFECTIVE DATE.
OBSERVATION DATE (SMOKING STATUS) is the date when the SMOKING STATUS was observed.
Change to Data Element: Changed linked Attribute, Description
Attribute:
| PERSON PROPERTY OBSERVED DATE |
Change to Data Element: Changed Aliases
- Alias Changes
Name Old Value New Value plural PERSON BIRTH DATES
Change to Data Element: Changed Aliases
- Alias Changes
Name Old Value New Value plural PERSON BIRTH DATES (BABY)
Change to Data Element: Changed Aliases
- Alias Changes
Name Old Value New Value plural PERSON BIRTH DATES (MOTHER)
Change to Data Element: Changed Aliases
- Alias Changes
Name Old Value New Value plural PERSON DEATH DATES
Change to Data Element: Changed Aliases, Description
| Format/Length: | See DATE AND TIME |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
This is the PERSON DEATH DATE and PERSON DEATH TIME.PERSON DEATH DATE AND TIME is the PERSON DEATH DATE and PERSON DEATH TIME.
Change to Data Element: Changed Aliases, Description
- Alias Changes
Name Old Value New Value plural PERSON DEATH DATES AND TIMES - Changed Description
Change to Data Element: Changed Aliases
- Alias Changes
Name Old Value New Value plural PERSON DEATH TIMES
Change to Data Element: Changed Description
| Format/Length: | n1.max n2 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
PERSON HEIGHT IN METRES records the Height of the PERSON in metres.
This corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE is 'Height' and MEASUREMENT VALUE TYPE CODE is 'Metres'.
For the Systemic Anti-Cancer Therapy Data Set, this is the Height at the start of the Systemic Anti-Cancer Drug Regimen.For the Systemic Anti-Cancer Therapy Data Set, PERSON HEIGHT IN METRES is the Height at the start of the Systemic Anti-Cancer Drug Regimen.
Change to Data Element: Changed Description
| Format/Length: | see DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:The date the REFERRAL REQUEST to a Community Health Service was rejected or the PATIENT was discharged from the Community Health Service.
REFERRAL CLOSURE DATE (COMMUNITY CARE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Referral Closure Date (Community Care)'.REFERRAL CLOSURE DATE (COMMUNITY CARE) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Referral Closure Date (Community Care)'.
Change to Data Element: Changed Description
| Format/Length: | max n2.n |
| HES Item: | |
| National Codes: | |
| Default Codes: |
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 is the Serum Cholesterol Level of a PATIENT.
SERUM CHOLESTEROL LEVEL replaces PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | an1 |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component SEX OF PATIENTS CODE is required to be separately recorded. The classifications for SEX OF PATIENTS CODE are not the same as the National Codes contained within the definition of PERSON GENDER.
Based on the classifications of attribute SEX OF PATIENTS, with the addition of Home Leave: Based on the classifications of attribute SEX OF PATIENTS, with the addition of Home Leave:
Permitted National Codes:Permitted National Codes:
| 1 | Male |
| 2 | Female |
| 8 | Not specified |
| 9 | Home Leave * |
* Note - National Code 9 is not valid for the Mental Health Minimum Data Set (Version 4-0).
SEX OF PATIENTS CODE replaces SEX OF PATIENTS and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Description
| Format/Length: | min an5 max an9 |
| HES Item: | SITETRET |
| National Codes: | |
| ODS Default Codes: | R9998 - Not a hospital site (for use on Out-Patient CDS) |
| 89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued | |
| 89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued |
Notes:
SITE CODE (OF TREATMENT) is the same as attribute ORGANISATION SITE CODE.
SITE CODE (OF TREATMENT) is the ORGANISATION SITE CODE of the ORGANISATION where the PATIENT was treated, i.e. it should enable the treating ORGANISATION to be identified.
This identifies the ORGANISATION SITE within the ORGANISATION on which the PATIENT was treated, since facilities may vary on different hospital sites.
The code recorded should always be the national code; if the treatment is sub-commissioned to another NHS Health Care Provider or an independent UK provider, the SITE CODE (OF TREATMENT) used should be the ORGANISATION SITE CODE of the Health Care Provider actually carrying out the work.
Where treatment is sub-commissioned to an overseas provider the Organisation Data Service Default Code 89997 'Non-UK Provider where no ORGANISATION SITE CODE has been issued' is applicable.
Each ORGANISATION has a unique ORGANISATION CODE. However, where an ORGANISATION has more than one site from which it provides SERVICES, then each site is uniquely identified. These sites are ORGANISATION SITES and are uniquely identified by ORGANISATION SITE CODE. The ORGANISATION SITE CODE contains the first 3 digits of the ORGANISATION CODE with the last two digits being the site identifier.
Example:
| RA700 | ORGANISATION CODE of the ORGANISATION |
| RA701 | ORGANISATION SITE CODE of the first identified ORGANISATION SITE within the ORGANISATION |
| RA702 | ORGANISATION SITE CODE of the second identified ORGANISATION SITE within the ORGANISATION |
For out-patients, ACTIVITY may take place outside the hospital, such as in the PATIENT'S home; in such cases, raising a site code is impractical. Therefore, code R9998 'Not a hospital site (for use on Out-Patient CDS)' would be used in these circumstances.
Note: LOCATION CLASS is used in the Commissioning Data Set (CDS) message to indicate the classification of the physical LOCATION within which the ACTIVITY occurred.
Use in the Future Outpatient CDS:
If the INTENDED SITE CODE (OF TREATMENT) is not known, this data element should be omitted.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (ACTIVE MONITORING) is the CARE PLAN AGREED DATE of the Cancer Care Plan where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 'Active Monitoring' and the FIRST DEFINITIVE TREATMENT PROVIDED is classification 'First Definitive Treatment planned'.
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.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Adult Mental Health Care Team Episode.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:START DATE (CARE PROGRAMME APPROACH CARE) is the Start Date of a period of care for a PATIENT, when the CARE PROGRAMME APPROACH LEVEL is National Code 'New Care Programme Approach Care'.
START DATE (CARE PROGRAMME APPROACH CARE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Care Programme Approach care.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (CONSULTANT OUT-PATIENT EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is ' Start Date' of the Consultant Out-Patient Episode.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | EPISTART |
| National Codes: | |
| Default Codes: |
Notes:
Record the start and end dates of the episode to derive the period that the PATIENT was under the care of a particular CONSULTANT, MIDWIFE or NURSE during the Hospital Provider Spell.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (HOME LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Home Leave.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | ADMIDATE |
| National Codes: | |
| Default Codes: |
Notes:
The Start Date of the Hospital Provider Spell is the date of admission: the CONSULTANT or MIDWIFE has assumed responsibility for care following the DECISION TO ADMIT the PATIENT.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Absence Without Leave.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Care Coordinator Assignment.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (MENTAL HEALTH CARE PROFESSIONAL EPISODE (ACUTE HOME BASED)) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Care Professional Episode (Acute Home-Based).
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
For Mental Health Minimum Data Set purposes where the Health Care Provider cannot initiate and maintain Adult Mental Health Care Spells, it is the function of the assembler process itself to assemble the Adult Mental Health Care Spell and provide the appropriate date to be used for the START DATE (MENTAL HEALTH CARE SPELL). The assembler process derives the appropriate date from the first recorded ACTIVITY which lies within an uninterrupted sequence starting in, or continuing into, the REPORTING PERIOD.
The NHS Trust may override the assembler's derived date in the case of PATIENTS cared for continuously longer than the period for which electronic activity records are available to the assembler process.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Delayed Discharge Period.START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is the date that the clinical decision was taken that the PATIENT is fit and ready for discharge, but external factors prevent the discharge taking place.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (MENTAL HEALTH LEAVE OF ABSENCE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Leave Of Absence.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
- the BROAD PATIENT GROUP CODE is National Code 'Patients with Mental Illness', and
A PATIENT going on Home Leave or Mental Health Leave Of Absence for 28 days or less, or who has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Care Home Stay (Nursing Care) or Care Home Stay (Residential), but are not using a bed during their period of absence.
START DATE (MENTAL HEALTH NHS CARE HOME STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (MENTAL HEALTH NHS DAY CARE EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health NHS Day Care Episode.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Responsible Clinician Assignment.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (SUPERVISED COMMUNITY TREATMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Supervised Community Treatment.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Supervised Community Treatment Recall.
Change to Data Element: Changed Description
| Format/Length: | See DATE |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START DATE (WARD STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Ward Stay.
Change to Data Element: Changed Description
| Format/Length: | See TIME |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is 'Start Time' of the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION.
Change to Data Element: Changed Description
| Format/Length: | See TIME |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
START TIME (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is 'Start Time' of the Supervised Community Treatment Recall.
Change to Data Element: Changed Description
| Format/Length: | See TIME |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:THEATRE CASE START TIME is the same as the attribute ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 61 'Start Time'.
The beginning of induction of labour of the PATIENT or start of anaesthesia where this takes place either in the OPERATING THEATRE or in the anaesthetic room, or start of the procedure/s if no anaesthetic is given.THEATRE CASE START TIME is the beginning of induction of labour of the PATIENT or start of anaesthesia where this takes place either in the OPERATING THEATRE or in the anaesthetic room, or start of the procedure/s if no anaesthetic is given.
Change to Data Element: Changed Description
| Format/Length: | n1 |
| HES Item: | |
| National Codes: | See WAITING TIME ADJUSTMENT REASON |
| Default Codes: |
Notes:
This is mandatory, whenever an adjustment is appropriate as calculated and recorded by WAITING TIME ADJUSTMENT REASON (DECISION TO TREAT)). It is the prime reason for the adjustment and where there is more than one adjustment applicable, this should be the reason for the longest calculated adjustment days.
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.
Change to Data Element: Changed Description
| Format/Length: | an1 |
| HES Item: | |
| National Codes | See WAITING TIME ADJUSTMENT REASON |
| Default Codes | 9 - No adjustment to waiting time |
Notes:WAITING TIME ADJUSTMENT REASON (FIRST SEEN) is the same as the attribute WAITING TIME ADJUSTMENT REASON.WAITING TIME ADJUSTMENT REASON (FIRST SEEN) is the same as attribute WAITING TIME ADJUSTMENT REASON.
This is mandatory, whenever an adjustment is appropriate as calculated and recorded by WAITING TIME ADJUSTMENT (FIRST SEEN). It is the prime reason for the adjustment and where there is more than one adjustment applicable, this should be the reason for the longest calculated adjustment days.
Change to Data Element: Changed Description
| Format/Length: | an1 |
| HES Item: | |
| National Codes | See WAITING TIME ADJUSTMENT REASON |
| Default Codes | 9 - No adjustment to waiting time |
Notes:
This is mandatory, whenever an adjustment is appropriate as calculated and recorded by WAITING TIME ADJUSTMENT (TREATMENT). It is the prime reason for the adjustment and where there is more than one adjustment applicable, this should be the reason for the longest calculated adjustment days.
WAITING TIME ADJUSTMENT REASON (TREATMENT) should only be recorded where CANCER CARE SETTING (TREATMENT) is:
- National Code 01 'Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 1 'Ordinary admission) or
- National Code 02 'Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 2 'Day case admission').
Change to Data Element: Changed Description
| Format/Length: | an1 |
| HES Item: | |
| National Codes: | See WARD SECURITY LEVEL |
| Default Codes: |
Notes:
WARD SECURITY LEVEL is the same as attribute WARD SECURITY LEVEL.
For enquiries, please email datastandards@nhs.net