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

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

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

A type of PERSON PROPERTY

A PERSON PROPERTY with a declared value defined as a number. An example would be "75 beats per minute" as a pulse rate.

MEASURED PERSON OBSERVATIONS allow for recording of measurements about a PERSON, whereas CATEGORY VALUED PERSON OBSERVATIONS allow coded classifications of observations (see Value Category) about a PERSON.

MEASURED PERSON OBSERVATIONS include:

• Weight
• Height
• Body Surface Area
• Diastolic Pressure
• Systolic Pressure
• FEV1 Percentage
• FEV1 Absolute Amount
• HbA1c
• Height
• Serum Cholesterol Level
• Serum Creatinine Level
• Systolic Pressure
• Urinary Albumin Level
• Weight

It is an entry on the PATIENT master index. This will be a PERSON, which includes neonates (babies aged 28 days or less), who use a hospital bed in order to receive clinical care/treatment or someone attending a clinic, day care facility, etc. It will also include people in the community receiving care under a specific NHS Service Agreements forming part of 'nursing care in the community'. This also includes PATIENTS on the ELECTIVE ADMISSION LIST who are awaiting elective admission.

It will also include people in the community receiving care under a specific NHS SERVICE AGREEMENT forming part of 'nursing care in the community'. This also includes PATIENTS on the ELECTIVE ADMISSION LIST who are awaiting Elective Admission.

Subtypes of PERSON PROPERTY include:

A condition or state associated with a PERSON. PERSON PROPERTIES are collected as a result of an ACTIVITY

PERSON PROPERTIES for a PATIENT do not include information about a treatment or intervention. The observation may be a clinical diagnosis. The observer may be a related PERSON or a CARE PROFESSIONAL. Observations may be recorded during, or as a result of, a course of treatment.

PERSON PROPERTIES include:

• Body Mass Index
• Blood Pressure
• Body Mass Index
• Lung Capacity

A type of CARE PLAN.

National Codes:

One of the business definitions listed in the CLINICAL INTERVENTION class as a type of this class.One of the NHS Business Definitions listed in the CLINICAL INTERVENTION class as a type of this class.

National Codes:

The method by which a woman is delivered of a baby which is a REGISTRABLE BIRTH.The method by which a baby is delivered, which is a REGISTRABLE BIRTH.

National Codes:

This is the delivery place type where the pregnant woman plans to have her baby. The first intended delivery place type is recorded, as designated by the caring professional in consultation with the client. The initial intended delivery facility may not be recorded since there may be no history of antenatal care. The first INTENDED DELIVERY PLACE type is recorded, as designated by the CARE PROFESSIONAL in consultation with the PATIENT.

The initial INTENDED DELIVERY PLACE may not be recorded since there may be no history of antenatal care. For example, the pregnancy may not have been diagnosed or may have been concealed. In this case, '8 - None of the above' would be recorded. In this case, National Code '8 - None of the above' would be recorded.

National Codes:

Note: The codes have been listed in logical sequence rather than in numeric order.

A unique identifier for a LABORATORY.

Pathology Laboratory Codes are maintained and issued by the Organisation Codes Service on behalf of the NHS Cervical Screening Programme.Pathology Laboratory Codes are maintained and issued by the Organisation Data Service on behalf of the NHS Cervical Screening Programme.

Identifies the type of MEASURED PERSON OBSERVATION being recorded as one of the business definitions listed in the MEASURED PERSON OBSERVATION class as a type of this class.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.

Each MEASURED PERSON OBSERVATION TYPE CODE must have an associated MEASUREMENT VALUE TYPE.

National Codes:

The NHS has a concept that there is a type of SERVICE which may be provided within ACTIVITIES and may be planned for. A definitive classification is at present lacking, although in some areas such as GENERAL PRACTITIONER Practices, Professional Staff Groups and Specialist Services there are examples. These are shown below.

Classification:

References:
National Specialised Services Definition Set, Department of HealthNational Specialised Services Definition Set, Department of Health.

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

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

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

Notes:
A and E DEPARTMENT TYPE is the same as attribute ACCIDENT AND EMERGENCY DEPARTMENT TYPE.

A classification of ACCIDENT AND EMERGENCY DEPARTMENT TYPE according to the ACTIVITY performed.   

Notes:
The classifications are not mutually exclusive; for example, an accident could happen at work which is also a school.A and E INCIDENT LOCATION TYPE is the same as attribute A AND E INCIDENT LOCATION TYPE.

The classifications are not mutually exclusive; for example, an accident could happen at work which is also a School. In such cases, the selection of the classification needs to be based on the status of the PATIENT. If he or she is a member of staff of the school, the A and E INCIDENT LOCATION TYPE would be Work; if he or she is a student, it would be Educational Establishment.  

Notes:
A locally determined code used to identify the person principally responsible for the care of a PATIENT during an Accident And Emergency Attendance. In the majority of cases this will be the person who took responsibility for the discharge of the PATIENT.A locally determined code used to identify the PERSON principally responsible for the care of a PATIENT during an Accident And Emergency Attendance. In the majority of cases this will be the PERSON who took responsibility for the discharge of the PATIENT.

A and E STAFF MEMBER CODE is the same as attribute CARE PROFESSIONAL IDENTIFIER of CARE PROFESSIONAL.

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

Notes:
ADMINISTRATIVE CATEGORY is the same as ADMINISTRATIVE CATEGORY CODE.

Overseas visitors who do not qualify for free NHS treatment can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS.

The patient's ADMINISTRATIVE CATEGORY may change during an episode or spell. For example, the patient may opt to change from NHS to private health care.The PATIENT's ADMINISTRATIVE CATEGORY may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded.

If the category changes during a Hospital Provider Spell the category on admission is used to derive the 'Category of patient' for HES.If the category changes during a Hospital Provider Spell the category on admission is used to derive the 'Category of patient' for Hospital Episode Statistics (HES).

ADMINISTRATIVE CATEGORY is the same as ADMINISTRATIVE CATEGORY CODE.

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

Notes:
ADMISSIONS (MENTAL HEALTH) is optional in the Mental Health Minimum Dataset (MHMDS) collection record.ADMISSIONS (MENTAL HEALTH) is optional in the Mental Health Minimum Data Set collection record. It should only be present if:

It is the total number of such Hospital Provider Spells started within the REPORTING PERIOD.

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

Notes:

Notes:
BED DAYS (MENTAL HEALTH) is optional in the Mental Health Minimum Dataset (MHMDS) collection record.BED DAYS (MENTAL HEALTH) is optional in the Mental Health Minimum Data Set collection record. It should only be present if:

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a Consultant Episode (Hospital Provider) within a Hospital Provider Spell and there may be more than one such episode or stay during the course of a Mental Health Care Spell. This excludes any admissions to Hospital Provider Spell where the PATIENT CLASSIFICATION is National Code 2 'Day case admission'. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell.

There is a Start Date and End Date for each Consultant Episode (Hospital Provider) and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of bed days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Consultant Episode (Hospital Provider).

BED DAYS (MENTAL HEALTH) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of Mental Health Leave Of Absence or Mental Health Absence Without Leave of 28 days or less.

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 Consultant Episode (Hospital Provider) but are not using a bed during their period of absence.

Consultant Episode (Hospital Provider), Mental Health Care Spell, Hospital Provider Spell, Hospital Stay and Care Home Stay (Consultant Care) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

Mental Health Leave Of Absence, Mental Health Absence Without Leave and Home Leave are instances of LEAVE where the LEAVE TYPE identifies the leave type.

Start Date and End Date are the same as ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE identifies the date type.

Notes:
BED DAYS (MENTAL HEALTH INTENSIVE) is optional in the Mental Health Minimum Dataset (MHMDS) collection record.BED DAYS (MENTAL HEALTH INTENSIVE) is optional in the Mental Health Minimum Data Set collection record. It should only be present if:

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a Consultant Episode (Hospital Provider) within a Hospital Provider Spell and there may be more than one such episode or stay during the course of a Mental Health Care Spell. This excludes any admissions to Hospital Provider Spells where the PATIENT CLASSIFICATION is National Code 2 'Day case admission'. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell.

There is a Start Date and End Date for each Consultant Episode (Hospital Provider) and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of bed days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Consultant Episode (Hospital Provider).

BED DAYS (MENTAL HEALTH INTENSIVE) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of Mental Health Leave Of Absence or Mental Health Absence Without Leave of 28 days or less.

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 Consultant Episode (Hospital Provider) but are not using a bed during their period of absence.

Consultant Episode (Hospital Provider), Mental Health Care Spell, Hospital Provider Spell, Hospital Stay and Care Home Stay (Consultant Care) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

Mental Health Leave Of Absence, Mental Health Absence Without Leave and Home Leave are instances of LEAVE where the LEAVE TYPE identifies the leave type.

Start Date and End Date are the same as ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE identifies the date type.

Notes:
BED DAYS (MENTAL HEALTH MEDIUM SECURE) is optional in the Mental Health Minimum Dataset (MHMDS) collection record.BED DAYS (MENTAL HEALTH MEDIUM SECURE) is optional in the Mental Health Minimum Data Set collection record. It should only be present if:

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a Consultant Episode (Hospital Provider) within a Hospital Provider Spell and there may be more than one such episode or stay during the course of a Mental Health Care Spell. This excludes any admissions to Hospital Provider Spells where the PATIENT CLASSIFICATION is National Code 2 'Day case admission'. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell.

There is a Start Date and End Date for each Consultant Episode (Hospital Provider) and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of bed days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Consultant Episode (Hospital Provider).

BED DAYS (MENTAL HEALTH MEDIUM SECURE) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of Mental Health Leave Of Absence or Mental Health Absence Without Leave of 28 days or less.

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 Consultant Episode (Hospital Provider) but are not using a bed during their period of absence.

Consultant Episode (Hospital Provider), Mental Health Care Spell, Hospital Provider Spell, Hospital Stay and Care Home Stay (Consultant Care) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

Mental Health Leave Of Absence, Mental Health Absence Without Leave and Home Leave are instances of LEAVE where the LEAVE TYPE identifies the leave type.

Start Date and End Date are the same as ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE identifies the date type.

Notes:
BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE) is optional in the Mental Health Minimum Dataset (MHMDS) collection record.BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE) is optional in the Mental Health Minimum Data Set collection record. It should only be present if:

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a Care Home Stay (Nursing Care) or Care Home Stay (Residential) and there may be more than one such stay during the course of a Mental Health Care Spell.

There is a Start Date and End Date for each Care Home Stay (Nursing Care) or Care Home Stay (Residential) and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of bed days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).

BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of Mental Health Leave Of Absence or Mental Health Absence Without Leave of 28 days or less.

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.

Mental Health Leave Of Absence, Mental Health Absence Without Leave and Home Leave are instances of LEAVE where the LEAVE TYPE identifies the leave type.

Start Date and End Date are the same as ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE identifies the date type.

Care Home is an ORGANISATION SITE where the Care Home is an ORGANISATION SITE.

Notes:
BIRTH ORDER is the same as attribute BIRTH ORDER.

This records the sequence in which the baby was born, with 1 indicating the first or only birth in the sequence (i.e. singleton), 2 indicating the second birth in the sequence, 3 indicating the third, and so on.  

Notes:
The baby's weight in grams between 0001 to 9998 grams.BIRTH WEIGHT is the same as attribute BIRTH WEIGHT. 

The baby's Weight in grams between 0001 to 9998 grams.

Notes:
CARE DAYS (ACUTE HOME-BASED) is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record.CARE DAYS (ACUTE HOME-BASED) is an optional data element in the Mental Health Minimum Data Set collection record. It should only be present if one or more Consultant Episode (Acute Home-Based) within the Mental Health Care Spell has occurred during the REPORTING PERIOD.

It is the total number of care days within the REPORTING PERIOD. Each period of care days is recorded by a Consultant Episode (Acute Home-Based) and there may be more than one such episode during the course of a Mental Health Care Spell.

There is a START DATE and END DATE for each for each Consultant Episode (Acute Home-Based) and the calculation is based upon those care days which have occurred during the REPORTING PERIOD adjusted for where periods of care days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of care days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Consultant Episode (Acute Home-Based).

CARE DAYS (ACUTE HOME-BASED) is the sum of the calculated periods of care days and should be recorded left justified with leading zeros.

Consultant Episode (Acute Home-Based) is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 13 'Consultant Episode (Acute Home-Based)'.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Notes:
CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD) is the same as Care Programme Approach Review.

CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD) is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if one or more Care Programme Approach Review within the Mental Health Care Spell has occurred during the REPORTING PERIOD.CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Care Programme Approach Review within the Mental Health Care Spell has occurred during the REPORTING PERIOD.

It is the total number of such reviews within the Mental Health Care Spell which have occurred within the REPORTING PERIOD. Each such review is recorded by a Care Programme Approach Review and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Care Programme Approach Review Date for each Care Programme Approach Review and the calculation is based upon those reviews which have occurred during the REPORTING PERIOD.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Care Programme Approach Review is a CARE CONTACT where the CARE CONTACT TYPE is National Code 05 'Care Programme Approach Review'.

Notes:
The unique identifier of a Mental Health Care Spell recorded when a Mental Health Care Spell is initiated by a referral, or the temporary or permanent transfer of main responsibility for provision of mental health care for the PATIENT from another Health Care Provider.

This is the CARE SPELL IDENTIFIER of a Mental Health Care Spell.

For purposes of the Mental Health Minimum Dataset (MHMDS) collection, a MHMDS record will be assembled for each Mental Health Care Spell of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD.For purposes of the Mental Health Minimum Data Set collection, a Mental Health Minimum Data Set record will be assembled for each Mental Health Care Spell of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD. Each MHMDS record will be separately identified, see CARE SPELL NUMBER IN REPORTING PERIOD for further details.

CARE SPELL IDENTIFIER (MENTAL HEALTH) is an optional data item note in the MHMDS record and should only be recorded where the Health Care Provider can initiate and maintain Mental Health Care Spell.CARE SPELL IDENTIFIER (MENTAL HEALTH) is an optional data item note in the Mental Health Minimum Data Set record and should only be recorded where the Health Care Provider can initiate and maintain Mental Health Care Spell.

CARE SPELL IDENTIFIER (MENTAL HEALTH) is the same as attribute ACTIVITY IDENTIFIER.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Notes:
For purposes of the Mental Health Minimum Dataset (MHMDS) collection, a MHMDS record will be assembled for each Mental Health Care Spell of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD.For purposes of the Mental Health Minimum Data Set collection, a Mental Health Minimum Data Set record will be assembled for each Mental Health Care Spell of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD.

CARE SPELL NUMBER IN REPORTING PERIOD is the sequence number for the assembled Mental Health Care Spell MHMDS record among the set of assembled Mental Health Care Spell MHMDS records for the same PATIENT within the REPORTING PERIOD. The CARE SPELL NUMBER IN REPORTING PERIOD for the first assembled record based on earliest Mental Health Care Spell in the REPORTING PERIOD will be recorded as 01 with it being incremented by 1 for each subsequent assembled record. For example if there are 3 assembled Mental Health Care Spell for the PATIENT within the REPORTING PERIOD then the first would be recorded as 01, the second as 02 and the third as 03.

Use of CARE SPELL NUMBER IN REPORTING PERIOD is an interim measure as not all Health Care Providers can initiate and maintain Mental Health Care Spells and thus create and record unique CARE SPELL IDENTIFIERS.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Notes:
CCAD HOSPITAL IDENTIFIER (REFERRING) is the same as attribute CCAD HOSPITAL IDENTIFIER.CCAD HOSPITAL IDENTIFIER (REFERRING) is the same as attribute CCAD HOSPITAL IDENTIFIER.

Central Cardiac Audit Database (CCAD) item name:
Referral centre

Notes:
CONTACTS (CLINICAL PSYCHOLOGIST) is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if:CONTACTS (CLINICAL PSYCHOLOGIST) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if:

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a Professional Staff Group Contact and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Contact Date for each Professional Staff Group Contact and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the member of the professional staff group discipline is also the allocated Care Programme Approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

Professional Staff Group Contact is a CARE CONTACT where the CARE CONTACT TYPE is National Code 33 'Professional Staff Group Contact'.

Face To Face Contact CPA Care Coordinator is a CARE CONTACT where the CARE CONTACT TYPE is National Code 16 'Face To Face Contact CPA Care Coordinator'.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Contact Date is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

Notes:
CONTACTS (COMMUNITY PSYCHIATRIC NURSE) is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if:CONTACTS (COMMUNITY PSYCHIATRIC NURSE) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if:

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a Face To Face Contact Community Care and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Contact Date for each Face To Face Contact Community Care and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the contact nurse is also the allocated Care Programme Approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

Face To Face Contact Community Care is a CARE CONTACT where the CARE CONTACT TYPE is National Code 15 'Face To Face Contact Community Care'.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Contact Date is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

Notes:
CONTACTS (NHS DIRECT MENTAL HEALTH) is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if one or more Telephone Contact NHS Direct (Mental Health) within the Mental Health Care Spell has occurred during the REPORTING PERIOD.CONTACTS (NHS DIRECT MENTAL HEALTH) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Telephone Contact NHS Direct (Mental Health) within the Mental Health Care Spell has occurred during the REPORTING PERIOD. This refers to any contacts that are required to be shared between NHS Direct and a Mental Health NHS Trust according to local and nationally agreed protocols on information sharing.

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a Telephone Contact NHS Direct (Mental Health) and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Contact Date for each Telephone Contact NHS Direct (Mental Health) and the calculation is based upon those contacts which are required for reporting between NHS Direct and a Mental Health NHS Trust during the REPORTING PERIOD.

Telephone Contact NHS Direct (Mental Health) is a CARE CONTACT where the CARE CONTACT TYPE is National Code 35 'Telephone Contact NHS Direct (Mental Health)'.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Contact Date is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

Notes:
CONTACTS (OCCUPATIONAL THERAPIST) is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if:CONTACTS (OCCUPATIONAL THERAPIST) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if:

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a Professional Staff Group Contact and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Contact Date for each Professional Staff Group Contact and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the member of the professional staff group discipline is also the allocated Care Programme Approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

Professional Staff Group Contact is a CARE CONTACT where the CARE CONTACT TYPE is National Code 36 'Professional Staff Group Contact'.

Face To Face Contact CPA Care Coordinator is a CARE CONTACT where the CARE CONTACT TYPE is National Code 17 'Face To Face Contact CPA Care Coordinator'.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Contact Date is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

Notes:
CONTACTS (PHYSIOTHERAPIST) is an optional data element in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if:CONTACTS (PHYSIOTHERAPIST) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if:

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a Professional Staff Group Contact and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Contact Date for each Professional Staff Group Contact and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the member of the professional staff group discipline is also the allocated Care Programme Approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

Professional Staff Group Contact is a CARE CONTACT where the CARE CONTACT TYPE is National Code 33 'Professional Staff Group Contact'.

Face To Face Contact CPA Care Coordinator is a CARE CONTACT where the CARE CONTACT TYPE is National Code 16 'Face To Face Contact CPA Care Coordinator'.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Contact Date is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

Notes:
CPA ENHANCED DAYS is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if one or more Start Dates with CPA LEVEL National Code 2 'Enhanced, multiple needs, including housing, employment etc, which requires inter-agency coordination' has occurred during the REPORTING PERIOD.CPA ENHANCED DAYS is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Start Dates with CPA LEVEL National Code 2 'Enhanced, multiple needs, including housing, employment etc, which requires inter-agency coordination' has occurred during the REPORTING PERIOD.

It is the total number of CPA enhanced days within the Mental Health Care Spell within the REPORTING PERIOD. Each period of CPA enhanced days is recorded by a Care Programme Approach Episode and there may be more than one such episode during the course of a Mental Health Care Spell.It is the total number of CPA ENHANCED DAYS within the Mental Health Care Spell within the REPORTING PERIOD. Each period of CPA ENHANCED DAYS is recorded by a Care Programme Approach Episode and there may be more than one such episode during the course of a Mental Health Care Spell.

There is a Start Date and End Date for each Care Programme Approach Episode and the calculation is based upon those CPA enhanced days which have occurred during the REPORTING PERIOD adjusted for where periods of CPA enhanced days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of CPA enhanced days has not yet ended).There is a Start Date and End Date for each Care Programme Approach Episode and the calculation is based upon those CPA ENHANCED DAYS which have occurred during the REPORTING PERIOD adjusted for where periods of CPA ENHANCED DAYS overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of CPA ENHANCED DAYS has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Care Programme Approach Episode.

CPA ENHANCED DAYS is the sum of the calculated periods of CPA enhanced days and should be recorded left justified with leading zeros.CPA ENHANCED DAYS is the sum of the calculated periods of CPA ENHANCED DAYS and should be recorded left justified with leading zeros.

Please note that although both CPA ENHANCED DAYS and CPA STANDARD DAYS are classed as optional data elements at least one of them should be present within the MHMDS collection record as Care Programme Approach is mandatory.Please note that although both CPA ENHANCED DAYS and CPA STANDARD DAYS are classed as optional data elements at least one of them should be present within the Mental Health Minimum Data Set collection record as Care Programme Approach is mandatory. A PATIENT subject to a Mental Health Care Spell therefore should always have recorded CPA days with only the CPA LEVEL varying during the period of the Mental Health Care Spell.

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

End Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 11 'End Date'.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Care Programme Approach Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 10 'Care Programme Approach Episode'.

Notes:
CPA LEVEL (AT END OF REPORTING PERIOD) is the same as the attribute CPA LEVEL.

This is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if the latest Care Programme Approach Episode was not ended before the REPORTING PERIOD END DATE.This is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if the latest Care Programme Approach Episode was not ended before the REPORTING PERIOD END DATE.

Care Programme Approach Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 10 'Care Programme Approach Episode'.

Notes:
CPA STANDARD DAYS is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if one or more Care Programme Approach Episode with CPA LEVEL National Code 1 'Standard, requires the support or intervention of one agency or discipline; or requires only low key support from more one agency' have occurred during the REPORTING PERIOD.CPA STANDARD DAYS is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Care Programme Approach Episode with CPA LEVEL National Code 1 'Standard, requires the support or intervention of one agency or discipline; or requires only low key support from more one agency' have occurred during the REPORTING PERIOD.

It is the total number of CPA standard days within the Mental Health Care Spell within the REPORTING PERIOD. Each period of CPA standard days is recorded by a Care Programme Approach Episode and there may be more than one such episode during the course of a Mental Health Care Spell.It is the total number of CPA STANDARD DAYS within the Mental Health Care Spell within the REPORTING PERIOD. Each period of CPA STANDARD DAYS is recorded by a Care Programme Approach Episode and there may be more than one such episode during the course of a Mental Health Care Spell.

There is a Start Date and End Date for each Care Programme Approach Episode and the calculation is based upon those CPA standard days which have occurred during the REPORTING PERIOD adjusted for where periods of CPA standard days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of CPA standard days has not yet ended).There is a Start Date and End Date for each Care Programme Approach Episode and the calculation is based upon those CPA STANDARD DAYS which have occurred during the REPORTING PERIOD adjusted for where periods of CPA STANDARD DAYS overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of CPA STANDARD DAYS has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Care Programme Approach Episode.

CPA ENHANCED DAYS is the sum of the calculated periods of CPA standard days and should be recorded left justified with leading zeros.CPA ENHANCED DAYS is the sum of the calculated periods of CPA STANDARD DAYS and should be recorded left justified with leading zeros.

Please note that although both CPA ENHANCED DAYS and CPA STANDARD DAYS are classed as optional data elements at least one of them should be present within the MHMDS collection record as Care Programme Approach is mandatory.Please note that although both CPA ENHANCED DAYS and CPA STANDARD DAYS are classed as optional data elements at least one of them should be present within the Mental Health Minimum Data Set collection record as Care Programme Approach is mandatory. A PATIENT subject to a Mental Health Care Spell therefore should always have recorded CPA days with only the CPA LEVEL varying during the period of the Mental Health Care Spell.

Care Programme Approach Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 10 'Care Programme Approach Episode'.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

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

End Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 11 'End Date'.

Notes:
DAY CARE ATTENDANCE (MENTAL HEALTH NHS SITE) is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if:DAY CARE ATTENDANCE (MENTAL HEALTH NHS SITE) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if:

It is the total number of such attendances within the REPORTING PERIOD. Each such attendance is recorded by a Day Care Attendance and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a SESSION DATE for each Day Care Session and the calculation is based upon those attendances for sessions which have occurred during the REPORTING PERIOD.

Day Care Session is a SESSION where CLINIC OR FACILITY FREQUENCY is National Code 02 'Day Care Session'.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Notes:
DAY CARE DID NOT ATTENDS (MENTAL HEALTH NHS SITE) is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if:DAY CARE DID NOT ATTENDS (MENTAL HEALTH NHS SITE) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if:

It is the total number of such did not attends within the REPORTING PERIOD. Each such did not attendance is recorded by a Day Care Attendance and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a SESSION DATE for each Day Care Session and the calculation is based upon those did not attends for sessions which have occurred during the REPORTING PERIOD.

Day Care Attendance is a CARE CONTACT where CARE CONTACT TYPE is National Code 12 'Day Care Attendance'.

Day Care Session is a SESSION where CLINIC OR FACILITY FREQUENCY is National Code 02 'Day Care Session'.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Notes:
DAYS LIABLE FOR DETENTION is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if one or more Legal Status within the Mental Health Care Spell have occurred during the REPORTING PERIOD.DAYS LIABLE FOR DETENTION is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Legal Status within the Mental Health Care Spell have occurred during the REPORTING PERIOD.

It is the total number of days detained or liable to be detained within the Mental Health Care Spell within the REPORTING PERIOD. Each period of such days is recorded by a Legal Status and there may be more than one recorded during the course of a Mental Health Care Spell.

There is a PERSON PROPERTY EFFECTIVE DATE and PERSON PROPERTY EFFECTIVE END DATE for each Legal Status and the calculation is based upon those detained or liable to be detained days which have occurred during the REPORTING PERIOD adjusted for where periods of Legal Status overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of DAYS LIABLE FOR DETENTION has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Legal Status.

DAYS LIABLE FOR DETENTION is the sum of the calculated periods of Legal Status days and should be recorded left justified with leading zeros.

Legal Status is a CATEGORY VALUED PERSON OBSERVATION where CATEGORY VALUED PERSON OBSERVATION TYPE is National Code 07 'Legal Status Classification'.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Notes:
DAYS OF SUPERVISED DISCHARGE is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if one or more Supervised Discharge Episode within the Mental Health Care Spell have occurred during the REPORTING PERIOD.DAYS OF SUPERVISED DISCHARGE is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Supervised Discharge Episode within the Mental Health Care Spell have occurred during the REPORTING PERIOD.

It is the total number of supervised aftercare days within the Mental Health Care Spell within the REPORTING PERIOD. Each period of supervised aftercare days is recorded by a Supervised Discharge Episode and there may be more than one such episode during the course of a Mental Health Care Spell.

There is a Start Date and End Date for each Supervised Discharge Episode and the calculation is based upon those supervised aftercare days which have occurred during the REPORTING PERIOD adjusted for where periods of supervised aftercare days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of supervised aftercare days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Supervised Discharge Episode.

DAYS OF SUPERVISED DISCHARGE is the sum of the calculated periods of supervised aftercare days and should be recorded left justified with leading zeros.

Supervised Discharge Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 35 'Supervised Discharge Episode'.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Start Date is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 31 'Start Date'.

End Date is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 11 'End Date'.

Notes:
DEATH CAUSE IDENTIFICATION METHOD is the same as attribute DEATH CAUSE IDENTIFICATION METHOD.

Notes:
DIAGNOSIS (ICD FIRST MOST RECENT) is the same as the attribute CLINICAL CLASSIFICATION CODE.

At each Care Programme Approach Review of Care Programme Approach Episode within a Mental Health Care Spell, up to twelve PATIENT DIAGNOSES may be recorded. Each Care Programme Approach Review has a Care Programme Approach Review Date and the required DIAGNOSTIC CODING is ICD-10.

For purposes of the Mental Health Minimum Dataset (MHMDS) collection, the twelve most recent PATIENT DIAGNOSES in chronological ascending sequence are required and these may have been recorded in one or more Care Programme Approach Review.For purposes of the Mental Health Minimum Data Set collection, the twelve most recent PATIENT DIAGNOSES in chronological ascending sequence are required and these may have been recorded in one or more Care Programme Approach Review.

For example if the latest Care Programme Approach Review within a Mental Health Care Spell recorded 7 PATIENT DIAGNOSES and the previous Care Programme Approach Review recorded 8 PATIENT DIAGNOSES then:

Please refer to the following publications for guidance on diagnostic coding:

Care Programme Approach Review is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 05 'Care Programme Approach Review'.

Care Programme Approach Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 10 'Care Programme Approach Episode'.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Care Programme Approach Review Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 07 'CPA Review Date'.

Notes:
At each Care Programme Approach Review of a Care Programme Approach Episode within a Mental Health Care Spell, an HONOS SCORE FOR PERSON should be recorded.

For purposes of the Mental Health Minimum Dataset (MHMDS) collection record, HONOS RATING (BEST IN LAST TWELVE MONTHS) is the best Honos Rating of all the HONOS SCORES FOR PERSONS recorded in the period of the last twelve months for the PATIENT regardless of which Mental Health Care Spell it was recorded within.For purposes of the Mental Health Minimum Data Set collection record, HONOS RATING (BEST IN LAST TWELVE MONTHS) is the best Honos Rating of all the HONOS SCORES FOR PERSONS recorded in the period of the last twelve months for the PATIENT regardless of which Mental Health Care Spell it was recorded within. Where more than one HONOS SCORE FOR PERSON has the same best Honos Rating, then the first recorded one should be used. The twelve month period should be calculated from the REPORTING PERIOD END DATE of the REPORTING PERIOD.

This is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if an HONOS SCORE FOR PERSON has been recorded during the calculated twelve month period.This is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if an HONOS SCORE FOR PERSON has been recorded during the calculated twelve month period.

Notes:

At each Care Programme Approach Review of a Care Programme Approach Episode within a Mental Health Care Spell, an HONOS SCORE FOR PERSON should be recorded.

For purposes of the Mental Health Minimum Dataset (MHMDS) collection record, HONOS RATING (FIRST IN MHCS) is the Honos Rating of the HONOS SCORE FOR PERSON with the earliest PERSON PROPERTY RECORDED DATE within the Mental Health Care Spell whether or not the HONOS SCORE FOR PERSON is within the REPORTING PERIOD.For purposes of the Mental Health Minimum Data Set collection record, HONOS RATING (FIRST IN MHCS) is the Honos Rating of the HONOS SCORE FOR PERSON with the earliest PERSON PROPERTY RECORDED DATE within the Mental Health Care Spell whether or not the HONOS SCORE FOR PERSON is within the REPORTING PERIOD.

Notes:

At each Care Programme Approach Review of a Care Programme Approach Episode within a Mental Health Care Spell, an HONOS SCORE FOR PERSON should be recorded.

For purposes of the Mental Health Minimum Dataset (MHMDS) collection record, HONOS SCORE DATE (MOST RECENT IN MHCS) is the Honos Rating of the HONOS SCORE FOR PERSON with the latest PERSON PROPERTY RECORDED DATE within the Mental Health Care Spell whether or not the PERSON PROPERTY RECORDED DATE is within the REPORTING PERIOD.For purposes of the Mental Health Minimum Data Set collection record, HONOS SCORE DATE (MOST RECENT IN MHCS) is the Honos Rating of the HONOS SCORE FOR PERSON with the latest PERSON PROPERTY RECORDED DATE within the Mental Health Care Spell whether or not the PERSON PROPERTY RECORDED DATE is within the REPORTING PERIOD.

Notes:

At each Care Programme Approach Review of a Care Programme Approach Episode within a Mental Health Care Spell, an HONOS SCORE FOR PERSON should be recorded.

For purposes of the Mental Health Minimum Dataset (MHMDS) collection record, HONOS RATING (WORST EVER RECORDED) is the worst Honos Rating of all the HONOS SCORES FOR PERSONS ever recorded for the PATIENT regardless of which Mental Health Care Spell it was recorded within.For purposes of the Mental Health Minimum Data Set collection record, HONOS RATING (WORST EVER RECORDED) is the worst Honos Rating of all the HONOS SCORES FOR PERSONS ever recorded for the PATIENT regardless of which Mental Health Care Spell it was recorded within. Where more than one HONOS SCORE FOR PERSON has the same worst Honos Rating, then the first recorded one should be used.

Notes:
HONOS SCORE DATE (BEST IN LAST TWELVE MONTHS) is the same as attribute PERSON PROPERTY RECORDED DATE for the HONOS SCORE FOR PERSON.

The date of an HONOS SCORE DATE (BEST IN LAST TWELVE MONTHS) is the date of the best HONOS SCORE FOR PERSON recorded in the period of the last twelve months for the PATIENT. Where more than one HONOS SCORE FOR PERSON has the same best Honos Rating within the period, then the date of the first recorded one should be used.

This is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if an HONOS SCORE FOR PERSON has been recorded during the calculated twelve month period.This is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if an HONOS SCORE FOR PERSON has been recorded during the calculated twelve month period.

Notes:
The classification is required for all patients who have a Hospital Provider Spell which includes the care of a CONSULTANT in the psychiatric specialties or have been discharged from such a Hospital Provider Spell and are required to receive supervised aftercare under the provisions of the Mental Health (Patients in the Community) Act 1995.The classification is required for all PATIENTS who have a Hospital Provider Spell which includes the care of a CONSULTANT in the psychiatric specialties or have been discharged from such a Hospital Provider Spell and are required to receive supervised aftercare under the provisions of the Mental Health (Patients in the Community) Act 1995.

Note that the term "informal" is used for those patients who are neither formally detained nor receiving supervised aftercare.

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

Notes:
LEGAL STATUS CLASSIFICATION CODE (AT END OF REPORTING PERIOD) is the same as the attribute LEGAL STATUS CLASSIFICATION CODE.

This is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if a Legal Status was not ended within the Mental Health Care Spell before the REPORTING PERIOD END DATE.This is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if a Legal Status was not ended within the Mental Health Care Spell before the REPORTING PERIOD END DATE.

Legal Status is a CATEGORY VALUED PERSON OBSERVATION where CATEGORY VALUED PERSON OBSERVATION TYPE is National Code 07 'Legal Status Classification'.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Notes:
LEGAL STATUS RESTRICTIVENESS (HIGHEST IN REPORTING PERIOD) is the same as attribute LEGAL STATUS RESTRICTIVENESS.

This is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be recorded if one or more Legal Status were present during or overlap with the REPORTING PERIOD.This is an optional data element in the Mental Health Minimum Data Set collection record and should only be recorded if one or more Legal Status were present during or overlap with the REPORTING PERIOD. It is the highest scored LEGAL STATUS RESTRICTIVENESS of all the Legal Status for the PATIENT within the Mental Health Care Spell during the REPORTING PERIOD.

If the PATIENT has more than one Mental Health Care Spell during the same REPORTING PERIOD and therefore more than one MHMDS collection record, then the same highest restrictive LEGAL STATUS CLASSIFICATION CODE will apply for all the MHMDS collection records for the PATIENT within the same REPORTING PERIOD.

Where more than one Legal Status has the same LEGAL STATUS RESTRICTIVENESS, then the first recorded one should be used.

Legal Status is a CATEGORY VALUED PERSON OBSERVATION where CATEGORY VALUED PERSON OBSERVATION TYPE is National Code 07 'Legal Status Classification'.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.

Notes:

MACHINE IDENTIFIER is the same as attribute MACHINE IDENTIFIER.

A unique identifier for a Lithotripter or a Radiotherapy Machine.  Details of how this identifier is generated and used with the Radiotherapy Data Set  can be found at the Cancer UK website at Radiotherapy Data Set Documentation.

Notes:
MAIN SPECIALTY CODE is the same as attribute MAIN SPECIALTY CODE.

It is the specialty in which the CONSULTANT is contracted or recognised. MAIN SPECIALTY classifies clinical work divisions more precisely for a limited number of specialties.

All Non-Consultant Led Activity is identified in the Admitted Patient Care Commissioning Data Set and Hospital Episode Statistics by a pseudo MAIN SPECIALTY CODE of 560 for MIDWIVES, 950 for NURSES and 960 for Allied Health Professionals.

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

Notes:
A classification of the type of medical staff seeing the PATIENT during an Out-Patient Attendance Consultant.

Use in the Future Outpatient CDS:
If the MEDICAL STAFF TYPE SEEING PATIENT is not yet known, use default value 08 - Not applicable

Notes:
This is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if the Mental Health Care Spell ended before the REPORTING PERIOD END DATE.This is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if the Mental Health Care Spell ended before the REPORTING PERIOD END DATE.

Notes:
MENTAL HEALTH CARE TEAM TYPE (AT END OF REPORTING PERIOD) is the same as attribute MENTAL HEALTH CARE TEAM TYPE.

This is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if the Mental Health Care Spell has not ended before the REPORTING PERIOD END DATE.This is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if the Mental Health Care Spell has not ended before the REPORTING PERIOD END DATE.

This is the classification of the type of team with assigned responsibility for the care of the PATIENT. It is derived from the CARE PROFESSIONAL TEAM START DATE and CARE PROFESSIONAL TEAM END DATE of the Responsible Mental Health Care Team which will identify the Mental Health Care Team with assigned responsibility as at the REPORTING PERIOD END DATE.

Notes:

This is the same as attribute METASTATIC SITE.

Notes:
MHCS SUSPENSION REASON (AT END OF REPORTING PERIOD) is the same as attribute MHCS SUSPENSION REASON.

This is an optional data element in the Mental Health Minimum Dataset (MHMDS) collection record and should only be present if a Mental Health Care Spell Suspension was not ended before the REPORTING PERIOD END DATE.This is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if a Mental Health Care Spell Suspension was not ended before the REPORTING PERIOD END DATE.

Notes:
The value recorded must be the highest level of care given during a Hospital Provider Spell with Neonatal Level Of Care Periods.NEONATAL LEVEL OF CARE is the same as attribute NEONATAL LEVEL OF CARE.

The value recorded must be the highest level of care given during a Hospital Provider Spell with Neonatal Level Of Care Periods.

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

Neonatal Level Of Care Period is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 25 'Neonatal Level of Care Period'.

An NHS Service Agreement does not apply to a change of provider.An NHS SERVICE AGREEMENT does not apply to a change of provider. A provider change would always require a new DECISION TO ADMIT with the PATIENT being placed on a new ELECTIVE ADMISSION LIST.

Notes:
The PERSON PROPERTY OBSERVED DATE when the MEASURED PERSON OBSERVATION of the type 'Body Mass Index' was calculated.The PERSON PROPERTY OBSERVED DATE when the Body Mass Index was calculated.

Notes:
The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'HbA1c level'.The PERSON PROPERTY OBSERVED DATE for the MEASURED PERSON OBSERVATION of the type 'HbA1c'.

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

This is the ORGANISATION CODE of the ORGANISATION acting as a Health Care Provider.

For the Commissioning Data Sets, this should always be the ORGANISATION CODE of the Health Care Provider receiving the Payment by Results tariff income.

Where NHS PATIENT care is sub-commissioned to independent or overseas providers, the NHS Service Agreement should specify that the non-NHS provider has requested an identifying ORGANISATION CODE from the Organisation Data Service.

Notes:
OUTCOME OF ATTENDANCE is the same as attribute OUTCOME OF ATTENDANCE.

Use in the Future Outpatient CDS:
Leave blank for future attendances which have NOT been cancelled.

For cancelled future attendances use the appropriate value (see OUTCOME OF ATTENDANCE).

Notes:
OVERSEAS SURGICAL TEAM MEMBER is the same as attribute OVERSEAS SURGICAL TEAM MEMBER.

Notes:
OVERSEAS VISITORS STATUS CLASSIFICATION is the same as attribute OVERSEAS VISITORS STATUS CLASSIFICATION.

Income Generation Audit (IGA) forms for overseas visitors should be sent to Leeds Primary Care Trust, the agency acting on behalf of the Department of Health. This enables the financial side of reciprocal and international agreements to be supported. It also helps to monitor the treatment of overseas visitors and associated levels of expenditure.

Where the transmission of Commissioning Data Sets identifies reciprocal agreement overseas PATIENTS by the use of TDH00 in the ORGANISATION CODE (CODE OF COMMISSIONER), the Secondary Uses Service will send the activity to the provider's host commissioner to pay and copy it to Leeds Primary Care Trust - alleviating the need to send a separate Income Generation Audit form.Where the transmission of Commissioning Data Sets identifies reciprocal agreement overseas PATIENTS by the use of TDH00 in the ORGANISATION CODE (CODE OF COMMISSIONER), the Secondary Uses Service will send the ACTIVITY to the Health Care Provider's host commissioner to pay and copy it to Leeds Primary Care Trust - alleviating the need to send a separate Income Generation Audit form.

The OVERSEAS VISITOR STATUS may change while the PATIENT is being treated. All such changes should be recorded so that charges for treatment can be revised accordingly

Notes:
PERSON BODY SURFACE AREA (PRETREATMENT) is derived from the PERSON's Body Surface Area, the unit of measure for which is 'square metres'.PERSON BODY SURFACE AREA (PRETREATMENT) is derived from the PERSON's Body Surface Area (the unit of measurement is 'square metres').

Body Surface Area is a MEASURED PERSON OBSERVATION where MEASURED PERSON OBSERVATION TYPE CODE is National Code 03 'Body Surface Area': the MEASUREMENT VALUE TYPE CODE is National Code 13 'Square Metres'. The unit of measurement is based on the MEASURED PERSON OBSERVATION TYPE CODE for that MEASURED PERSON OBSERVATION.Body Surface Area is a MEASURED PERSON OBSERVATION where MEASURED PERSON OBSERVATION TYPE CODE is 'Body Surface Area' and the MEASUREMENT VALUE TYPE CODE is 'Square Metres'.

Notes:
This records the Body Mass Index of the PERSON and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = 'Body Mass Index' and the MEASUREMENT VALUE TYPE CODE = 'Number'.This records the Body Mass Index of the PERSON.

This value is derived from Weight in kilograms divided by Height in metres squared (kg/m²).

Notes:
The recorded glycated haemoglobin and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = "HbA1c Level" and the MEASUREMENT VALUE TYPE CODE = "number".The recorded Glycated Hemoglobin (HbA1c) of a PERSON.

Notes:Notes:
The recorded cholesterol level (mmol/L) and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = ''Serum Cholesterol Level" and the MEASUREMENT VALUE TYPE CODE = "mmol/L".The recorded cholesterol level (Serum Cholesterol Level in mmol/L) of a PATIENT.

Notes:
The recorded creatinine (µmol/L): serum creatinine using laboratory assay and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = "Serum Creatinine Level" and the MEASUREMENT VALUE TYPE CODE = "µmol/L".The recorded Serum Creatinine Level (µmol/L) of a PERSON using laboratory assay.

Notes:
This records the weight of the PERSON and corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = 'Weight' and the MEASUREMENT VALUE TYPE CODE = 'Kilograms' .This records the Weight of the PERSON.

For neonatal critical care, this will be the last recorded weight on a particular ACTIVITY DATE (CRITICAL CARE).This corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE = 'Weight' and the MEASUREMENT VALUE TYPE CODE = 'Kilograms'.