National Joint Registry Data Set Overview

Operations to be included in the National Joint Registry database

Please note that the National Joint Registry Data Set is being updated, therefore this information should not be used.

Operations to be included in the National Joint Registry database:

Note:
"Re-operations excluding Revisions" - e.g. for dislocation, infection - are not specifically captured in Version Live MDS_v1 of the Data Set. Relevant procedures will be included in Live MDS_v2 following consultation with the National Joint Registry Steering Committee and the Regional Clinical Co-ordinators' Network.

National Joint Registry Data Set - Data Element List

Anti-Cancer Drug Cycle is a CLINICAL INTERVENTION.An Anti-Cancer Drug Cycle is a CLINICAL INTERVENTION.

The period of time during which anti-cancer drugs are administered to a PATIENT in an agreed pattern.An Anti-Cancer Drug Cycle is the period of time during which anti-cancer drugs are administered to a PATIENT in an agreed pattern. Cycle is a long-established term used to denote the repeating pattern of many chemotherapy programmes/regimens. A new Anti-Cancer Drug Cycle commences when the original pattern starts again. An Anti-Cancer Drug Cycle may comprise one or more Anti-Cancer Drug Fraction of chemotherapy.

References:
National Cancer Dataset

Anti-Cancer Drug Fraction is a CLINICAL INTERVENTION.An Anti-Cancer Drug Fraction is a CLINICAL INTERVENTION.

The actual administration of one or more anti-cancer drugs to a PATIENT.An Anti-Cancer Drug Fraction is the actual administration of one or more anti-cancer drugs to a PATIENT. The fraction usually equates to a single contact with a chemotherapy nurse specialist.

References:
National Cancer Dataset

Anti-Cancer Drug Programme is a CLINICAL INTERVENTION.An Anti-Cancer Drug Programme is a CLINICAL INTERVENTION.

A course of anti-cancer drug treatment.An Anti-Cancer Drug Programme is a course of anti-cancer drug treatment. This can include chemotherapy, immunotherapy, etc.

Two or more Anti-Cancer Drug Regimens may be given sequentially as part of a planned Anti-Cancer Drug Programme. The regimens can be considered as separate phases, and examples would include induction followed by consolidation therapy for acute leukaemia.

References:
National Cancer Dataset

Anti-Cancer Drug Regimen is a CLINICAL INTERVENTION.An Anti-Cancer Drug Regimen is a CLINICAL INTERVENTION.

A prescribed systematic form of treatment for a course of drug(s), comprising one or more Anti-Cancer Drug Cycles, provided to a PATIENT suffering from cancer.An Anti-Cancer Drug Regimen is a prescribed systematic form of treatment for a course of drug(s), comprising one or more Anti-Cancer Drug Cycles, provided to a PATIENT suffering from cancer.

References:
National Cancer Dataset

• Accident and Emergency Quarterly Monitoring
• Admitted Patient Flows
• Admitted Patient Stocks
• Ambulance Services (KA34)
• Bookings Admitted Patient And Out-Patient Provider
• Choose And Book Utilisation Commissioner
• Diagnostics Waiting Times and Activity
• Diagnostics Waiting Times Census
• Genitourinary Medicine Access Monthly Monitoring
• HPV Immunisation Programme Vaccine Monitoring Annual
• HPV Immunisation Programme Vaccine Monitoring Monthly
• Immunisation Programmes Activity (KC50)
• Mixed-Sex Accommodation Data Set
• Mixed Sex Accommodation
• National Direct Access Audiology Patient Tracking List
• National Direct Access Audiology Waiting Times
• NHS Continuing Healthcare
• NHS-Funded Nursing Care
• Out-Patient Flows
• Out-Patient Stocks
• Patients Detained In Hospital Or On Supervised Community Treatment
• Quarterly Monitoring Cancelled Operations
• Referral To Treatment Data Set
• Referral to Treatment
• Referral To Treatment Performance Sharing
• Referral to Treatment Summary Patient Tracking List
• Stop Smoking Services Quarterly Data Set
• Stop Smoking Services Quarterly
• Summarised Activity Flows
• Summarised Stocks

A Lower Layer Super Output Area is a GEOGRAPHIC AREA.A Lower Layer Super Output Area (LSOA) is a GEOGRAPHIC AREA.

Lower Layer Super Output Areas are a geographic hierarchy designed to improve the reporting of small area statistics in England and Wales.

There is a Lower Layer Super Output Area for each POSTCODE in England and Wales. A pseudo code is available for Scotland, Northern Ireland, Channel Islands and the Isle of Man.

The Organisation Data Service publish files created on their behalf by the Office for National Statistics, which link POSTCODES to the Lower Layer Super Output Area.

See the Organisation Data Service website at Contact Details for the NHS Postcode Directory Gridlink ® Record Specification and data file.

See the Office for National Statistics website at http://www.statistics.gov.uk/geography/soa.asp for further information on Super Output Area geography.For further information on Lower Layer Super Output Areas, see the Office for National Statistics website.

A Middle Layer Super Output Area is a GEOGRAPHIC AREA.A Middle Layer Super Output Area (MSOA) is a GEOGRAPHIC AREA.

Middle Layer Super Output Areas are a geographic hierarchy designed to improve the reporting of small area statistics in England and Wales.

The Organisation Data Service publish files created on their behalf by the Office for National Statistics, which link POSTCODES to the Middle Layer Super Output Area.

See the Organisation Data Service website at Contact Details for the NHS Postcode Directory Gridlink ® Record Specification and data file. 

See the Office for National Statistics website at http://www.statistics.gov.uk/geography/soa.asp for further information on Super Output Area geography.For further information on Middle Layer Super Output Areas, see the Office for National Statistics website.

An Output Area is a GEOGRAPHIC AREA.An Output Area (OA) is a GEOGRAPHIC AREA.

Output Areas are built from clusters of adjacent unit POSTCODES in the United Kingdom and are the base unit for Census data releases. Due to their smaller size, Output Areas allow for a finer resolution of data analysis.

See the Office for National Statistics website at http://www.statistics.gov.uk/geography/census_geog.asp for further information on Output Area geography.For further information on Output Areas, see the Office for National Statistics website.

Serum Cholesterol Level is a MEASURED PERSON OBSERVATION.

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

The core activities of the UK Terminology Centre are:

• Product Development
• Technical Infrastructure and
• Product Support

The UK Terminology Centre's responsibilities include:

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

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

Release: April 2011

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

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

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

Release: March 2011

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

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

Release: January 2011

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

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

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

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:

• Blood Pressure
• Body Mass Index
• Lung Capacity

A subtype of PERSON PROPERTY

The history of a PATIENT's tobacco usage.Information relating to a PATIENT's tobacco usage.

References:
National Cancer Data Set Version 1.1_ISB October 2001
Acute Myocardial Infarction Core Dataset

A classification of an ACTIVITY GROUP.

National Codes:

Note:
The list is not in alphabetical order.

The method of admission to a Hospital Provider Spell. A detailed definition of Elective Admission is given in ELECTIVE ADMISSION TYPE.

National Codes:

Note: The classification has been listed in logical sequence rather than alphanumeric order.

*Note - National Code 25 'Admission via Mental Health Crisis Resolution Team' is only valid for use in the Mental Health Minimum Data Set (Version 4-0).  This value is not permitted to flow in the current Commissioning Data Set schema (versions 6-0 and 6-1).  National Code 25 should be mapped to another appropriate ADMISSION METHOD code for the purposes of flowing data through the Commissioning Data Set.  National Code 25 should be mapped to another appropriate ADMISSION METHOD code for the purposes of flowing data through the Commissioning Data Set.

A type of ASSESSMENT TOOL.

National Codes:

A classification of a CATEGORY VALUED PERSON OBSERVATION.

National Codes:

** Note that these codes have not yet been assured by the Information Standards Board for Health and Social Care.

Date that a SAMPLE collection takes place or the start of a period for SAMPLE collection.The date that a SAMPLE collection takes place or the start of a period for SAMPLE collection.

References:
The Version 1.1 NHS Standard EDIFACT Messages for Pathology Requests and Reports, 2001

Date of receipt of a SAMPLE by a LABORATORY.The date of receipt of a SAMPLE by a LABORATORY.

References:
The Version 1.1 NHS Standard EDIFACT Messages for Pathology Requests and Reports, 2001
Department of Health Form KC61 Pathology Laboratories - Cervical Cytology and Outcome of Gynaecological Referrals.

Notes: 
ACTIVITY LOCATION TYPE CODE is the same as attribute ACTIVITY LOCATION TYPE CODE.

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

Notes: 
ADMISSION METHOD (HOSPITAL PROVIDER SPELL) is the same as attribute ADMISSION METHOD.

Note - National Code 25 'Admission via Mental Health Crisis Resolution Team' is only valid for use in the Mental Health Minimum Data Set (Version 4-0).  This value is not permitted to flow in the current Commissioning Data Set schema (versions 6-0 and 6-1).  National Code 25 should be mapped to another appropriate ADMISSION METHOD code for the purposes of flowing data through the Commissioning Data Set.  National Code 25 should be mapped to another appropriate ADMISSION METHOD code for the purposes of flowing data through the Commissioning Data Set.

ADMISSION METHOD (HOSPITAL PROVIDER SPELL) will be replaced with ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL), which should be used for all new and developing data sets and for XML messages.

Accident And Emergency Department is a DEPARTMENT where the DEPARTMENT TYPE is National Code 01 'Accident And Emergency Department'.ARRIVAL DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Arrival Date'.

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

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

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

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

Notes: 
The date the ASSESSMENT TOOL was completed.

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

When Net Change Community Information Data Set Submission Protocol is used, the CIDS UNIQUE IDENTIFIER and ORGANISATION CODE (PROVIDER AT RECORD CREATION) originally assigned to a record must be retained, otherwise duplicate Community Information Data Set records will be created in the Secondary Uses Service database.When Net Change Community Information Data Set Update Mechanism is used, the CIDS UNIQUE IDENTIFIER and ORGANISATION CODE (PROVIDER AT RECORD CREATION) originally assigned to a record must be retained, otherwise duplicate Community Information Data Set records will be created in the Secondary Uses Service database.

When the CIDS UNIQUE IDENTIFIER is used in a Bulk Update Community Information Data Set Submission Protocol submission, it may be used to uniquely identify the record within that submission only, if systems are unable to maintain it across the life of the record in submissions to the Secondary Uses Service.  However, it is strongly advised that users of the Bulk Replacement Community Information Data Set Submission Protocol do move towards the maintenance of a correctly generated CDS UNIQUE IDENTIFIER within the Community Information Data Set data. This will establish a migration path towards the use of the Net Change submission protocol, and will also then minimise the risk of creating duplicate Commissioning Data Set data in the Secondary Uses Service database.When the CIDS UNIQUE IDENTIFIER is used in a Bulk Update Community Information Data Set Update Mechanism submission, it is used to uniquely identify the record within that submission only, if systems are unable to maintain it across the life of the record in submissions to the Secondary Uses Service.  However, it is strongly advised that users of the Bulk Replacement Community Information Data Set Update Mechanism do move towards the maintenance of a correctly generated CIDS UNIQUE IDENTIFIER within the Community Information Data Set data. This will establish a migration path towards the use of the Net Change update mechanism, and will also then minimise the risk of creating duplicate Commissioning Data Set data in the Secondary Uses Service database.

Notes: 
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 CARE PROGRAMME APPROACH 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 Adult 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 an Adult 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). 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.

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 an Adult Mental Health Care Spell therefore should always have recorded CPA days with only the CARE PROGRAMME APPROACH LEVEL varying during the period of the Adult 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'.

Adult Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Adult 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 CARE PROGRAMME APPROACH LEVEL.

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 Data Set collection record and should only be present if one or more Care Programme Approach Episode with CARE PROGRAMME APPROACH 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 Adult 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 an Adult 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). 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.

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 an Adult Mental Health Care Spell therefore should always have recorded CPA days with only the CARE PROGRAMME APPROACH LEVEL varying during the period of the Adult Mental Health Care Spell.

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

Adult Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Adult 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: 
The Contact Date of the last recorded Face To Face Contact CPA Care Coordinator within the Adult Mental Health Care Spell.

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

Contact Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

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

Notes: 

Permitted National Codes:

Notes: 
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'.

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

Notes: 
DAY CARE ATTENDANCE MH NON-NHS SITE INDICATOR is an indicator of whether or not:

Permitted National Codes:

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'.

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

Notes: 
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'.

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

Notes: 
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 Adult 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 Adult 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 an Adult 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'.

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

Notes: 
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 Adult Mental Health Care Spell have occurred during the REPORTING PERIOD.

It is the total number of supervised aftercare days within the Adult 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 an Adult 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'.

Adult Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Adult 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: 
The PERSON PROPERTY OBSERVED DATE for the PATIENT DIAGNOSIS.DIAGNOSIS DATE is the PERSON PROPERTY OBSERVED DATE for the PATIENT DIAGNOSIS.

Notes: 
The date a PATIENT was discharged from a Hospital Provider Spell.

DISCHARGE DATE (HOSPITAL PROVIDER SPELL) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 09 'Discharge Date'.DISCHARGE DATE (HOSPITAL PROVIDER SPELL) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Discharge Date'.

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

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

Notes: 
The date a PATIENT was discharged from a Mental Health Care Spell.

DISCHARGE DATE (MENTAL HEALTH SERVICE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Discharge Date'.DISCHARGE DATE (MENTAL HEALTH SERVICE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Discharge Date'.

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.

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

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: 
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.

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

Notes: 
DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) is the same as the attribute DISCHARGE METHOD.

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.

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

Notes: 
DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL) is the same as the attribute DISCHARGE METHOD.

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.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.

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

Notes: 
DISCHARGE REASON (MENTAL HEALTH SERVICE) is the same as attribute DISCHARGE FROM MENTAL HEALTH SERVICE REASON.

Notes: 
DRUG TREATMENT INTENT is the same as the attribute DRUG TREATMENT INTENT.

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

Notes: 
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 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.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.

END DATE (EPISODE) is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where ACTIVITY DATE TIME TYPE is National Code 11 'End Date'.END DATE (EPISODE) is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 'End Date'.

Consultant Episode (Hospital Provider) is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 14 'Consultant Episode (Hospital Provider)'.

Notes: 
The End Date of a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT.END DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is the End Date of a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT. 

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.

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.

For Mental Health Minimum Data Set purposes where the Health Care Provider cannot initiate and maintain Adult Mental Health Care Spell it is the function of the assembler process itself to determine whether the assembled Adult Mental Health Care Spell has ended or not, and provide the appropriate date to be used for the END DATE (MENTAL HEALTH CARE SPELL).

END DATE (TELETHERAPY TREATMENT COURSE) is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where ACTIVITY DATE TIME TYPE is National Code 'End Date'.END DATE (TELETHERAPY TREATMENT COURSE) is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 'End Date'.

Notes: 
The End Date of a Ward Stay.END DATE (WARD STAY) is the End Date of a Ward Stay.

END DATE (WARD STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Ward Stay.END DATE (WARD STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Ward Stay.

This is the ACTIVITY TIME of the ACTIVITY DATE TIME with an ACTIVITY DATE TIME TYPE of National Code 56 'End Time'.This is the ACTIVITY TIME where the ACTIVITY DATE TIME TYPE of National Code 'End Time'.

Notes: 
The End Time of a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT.END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is the End Time of a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT. 

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.

Notes: 
The date on which the pregnant woman was assessed and arrangements made for antenatal care as part of the Pregnancy Episode. This is not necessarily the occasion on which arrangements were made for delivery.

FIRST ANTENATAL ASSESSMENT DATE is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where ACTIVITY DATE TIME TYPE is National code 14 'First Antenatal Assessment Date'.FIRST ANTENATAL ASSESSMENT DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National code 'First Antenatal Assessment Date'.

Pregnancy Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 29 'Pregnancy Episode'.

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

For the list, the length in days of each Hospital Provider Spell is calculated from the Start Date and Discharge Date of the Hospital Provider Spell.For the list, the length in days of each Hospital Provider Spell is calculated from the Start Date and Discharge Date of the Hospital Provider Spell. Where there is no Discharge Date the REPORTING PERIOD END DATE should be used. A suffix is attached to each calculated stay length, the suffixes are:

The calculated length of days (plus their suffix) are recorded within the HOSPITAL STAYS LIST (MENTAL HEALTH) in ascending Start Date of Hospital Provider Spell sequence.The calculated length of days (plus their suffix) are recorded within the HOSPITAL STAYS LIST (MENTAL HEALTH) in ascending Start Date of Hospital Provider Spell sequence.

Each of the above Hospital Provider Spell, Adult Mental Health Care Spell and Consultant Episode (Hospital Provider) is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific episode or spell.

Start Date and Discharge Date are the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date' and 09 'Discharge Date'.

Notes: 
For the Elective Admission List Commissioning Data Set types, this date is derived from OFFERED FOR ADMISSION DATE and ADMISSION OFFER OUTCOME and is needed to meet central requirements. It is recorded when PATIENTS who have been offered a date for admission have missed this admission date with or without advance notice.

For Out-Patient Attendance Commissioning Data Set, the four dates, REFERRAL REQUEST RECEIVED DATE, APPOINTMENT DATE, Attendance Date and LAST DNA OR PATIENT CANCELLED DATE, together provide all the information needed to derive the out-patient waiting time for the Out-Patient Flows Data Set and Out-Patient Stocks Data Set. Both APPOINTMENT DATE and Attendance Date may be required to calculate waiting times if the PATIENT cancels an appointment or did not attend and then subsequently attended at a future date. Both APPOINTMENT DATE and Attendance Date may be required to calculate waiting times if the PATIENT cancels an APPOINTMENT or did not attend and then subsequently attended at a future date.

Attendance Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 33 'Attendance Date'.

Notes: 
OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH) is optional in the Mental Health Minimum Data Set and should only be present if:

It is the total number of such attendances within the REPORTING PERIOD. Each such attendance is recorded by an Out-Patient Attendance Consultant and there may be more than one recorded during the course of a REPORTING PERIOD.

There is an Attendance Date for each Out-Patient Attendance Consultant and the calculation is based upon those attendances which have occurred during the REPORTING PERIOD.

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

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

Attendance Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 33 'Attendance Date'.

Notes: 
OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH) is an optional data element in the Mental Health Minimum Data Set and should only be present if:

It is the total number of such did not attends within the REPORTING PERIOD. Each such did not attend is recorded by Out-Patient Appointment and there may be more than one recorded during the course of a REPORTING PERIOD.

There is an Appointment Date for each Out-Patient Appointment and the calculation is based upon those did not attends which have occurred during the REPORTING PERIOD.

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

Appointment Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is 40 'Appointment Date'.

Notes:
POSTCODE is the same as attribute POSTCODE.

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

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: 

Permitted National Codes:

* Note - National Code 9 is not valid for the Mental Health Minimum Data Set (Version 4-0).

SEX OF PATIENTS CODE replaced SEX OF PATIENTS and should be used for all new and developing data sets and for XML messages.SEX OF PATIENTS CODE replaces SEX OF PATIENTS and should be used for all new and developing data sets and for XML messages.

Notes: 
START DATE (ANTI-CANCER DRUG REGIMEN) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Anti-Cancer Drug Regimen.

This should be recorded if the first definitive treatment is chemotherapy and/or other anti-cancer drug treatments.This should be recorded if the First Definitive Treatment is chemotherapy and/or other anti-cancer drug treatments.

START DATE (ANTI-CANCER DRUG REGIMEN) is the ACTIVITY DATE of the Anti-Cancer Drug Programme where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 03 'Chemotherapy' or 04 'Hormone therapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.START DATE (ANTI-CANCER DRUG REGIMEN) is the ACTIVITY DATE of the Anti-Cancer Drug Programme where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 'Chemotherapy' or 'Hormone therapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification 'first definitive treatment provided'.

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.

Notes: 
START DATE (BRACHYTHERAPY TREATMENT COURSE) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Brachytherapy Treatment Course. This should be recorded if the first definitive treatment is brachytherapy. This should be recorded if the First Definitive Treatment is brachytherapy.

START DATE (BRACHYTHERAPY TREATMENT COURSE) is the START DATE of the Brachytherapy Treatment Course which is a Brachytherapy Treatment Course where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 06 'Brachytherapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.START DATE (BRACHYTHERAPY TREATMENT COURSE) is the START DATE of the Brachytherapy Treatment Course which is a Brachytherapy Treatment Course where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 'Brachytherapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification 'first definitive treatment provided'.

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.

Notes: 
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 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.

Notes: 
The Start Date of a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT.START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is the Start Date of a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT. 

START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION.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.

Notes:
START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'. This should be recorded if the first definitive treatment is specialist palliative care. This should be recorded if the First Definitive Treatment is specialist palliative care.

START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) is the ACTIVITY DATE on which the first treatment or support from specialist palliative care was given to a PATIENT with diagnosed cancer within the Cancer Care Spell and where the Planned Cancer Treatment is for Planned Cancer Treatment National Code 05 'Specialist palliative care' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) is the ACTIVITY DATE on which the first treatment or support from specialist palliative care was given to a PATIENT with diagnosed cancer within the Cancer Care Spell and where the Planned Cancer Treatment is for Planned Cancer Treatment National Code 'Specialist palliative care' and FIRST DEFINITIVE TREATMENT PROVIDED is classification first definitive treatment provided'.

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.

Notes: 
START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'. This should be recorded if the first definitive treatment is surgery. This should be recorded if the First Definitive Treatment is surgery.

START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the Start Date of the Hospital Provider Spell the PATIENT was admitted to for the anti-cancer surgery to be performed and where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 01 'Surgery' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the Start Date of the Hospital Provider Spell the PATIENT was admitted to for the anti-cancer surgery to be performed and where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 'Surgery' and FIRST DEFINITIVE TREATMENT PROVIDED is classification 'first definitive treatment provided'.

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.

Notes: 
START DATE (TELETHERAPY TREATMENT COURSE) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'. This should be recorded if the First Definitive Treatment is teletherapy.

START DATE (TELETHERAPY TREATMENT COURSE) is the Start Date of the Radiotherapy Treatment Course which is a Teletherapy Treatment Course where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 02 'Teletherapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.START DATE (TELETHERAPY TREATMENT COURSE) is the Start Date of the Radiotherapy Treatment Course which is a Teletherapy Treatment Course where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 'Teletherapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification 'first definitive treatment provided'.

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.

Notes: 
The Start Date of a Ward Stay.START DATE (WARD STAY) is the Start Date of a Ward Stay.

START DATE (WARD STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Ward Stay.START DATE (WARD STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Ward Stay.

Notes:
The Start Time of a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT.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.