Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1114
Version No:1.0
Subject:Preparation for November Update Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:9 November 2009

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the November 2009 Release (further patch to be incorporated at publication date).

This patch:

Summary of changes:

Data Set
ADMITTED PATIENT FLOWS DATA SET   Changed Description
ADMITTED PATIENT STOCKS DATA SET   Changed Description
 
Supporting Information
CDS-XML MESSAGE SCHEMA DESIGN   Changed Description
HOME HELP VISIT   Changed Description
MAIN SPECIALTY AND TREATMENT FUNCTION CODES   Changed Description
WHAT'S NEW: NOVEMBER 2009 renamed from WHAT'S NEW: SEPTEMBER 2009   Changed Description, Name
 
Class Definitions
REGISTRABLE BIRTH renamed from REGISTERABLE BIRTH   Changed Name
 
Attribute Definitions
ACTIVITY GROUP TYPE   Changed Description
DISCHARGE DESTINATION   Changed Description
PATIENT PHYSICAL STATUS   Changed Description
SOCIAL SERVICE CLIENT IDENTIFIER renamed from SOCIAL SERVICE CLIENT IDENTIFER   Changed Aliases, Name
 
Data Elements
AMI ADMISSION DIAGNOSIS   Changed Description
AMI ADMISSION WARD TYPE   Changed Description
AMI ADMITTING CONSULTANT TYPE   Changed Description
AMI CAUSE OF DEATH IN HOSPITAL   Changed Description
AMI DISCHARGE DIAGNOSIS   Changed Description
AMI DRUG TREATMENT (ANGIOTENSIN II BLOCKER)   Changed Description
AMI DRUG TREATMENT (CALCIUM CHANNEL BLOCKER)   Changed Description
AMI DRUG TREATMENT (IV 2B AND (OR) 3B AGENT)   Changed Description
AMI DRUG TREATMENT (IV BETA BLOCKER)   Changed Description
AMI DRUG TREATMENT (IV NITRATE)   Changed Description
AMI DRUG TREATMENT (LOOP DIURETIC)   Changed Description
AMI DRUG TREATMENT (LOW MOLECULAR WEIGHT HEPARIN)   Changed Description
AMI DRUG TREATMENT (ORAL ANTI-PLATELET AGENT)   Changed Description
AMI DRUG TREATMENT (ORAL NITRATE)   Changed Description
AMI DRUG TREATMENT (POTASSIUM CHANNEL MODULATOR)   Changed Description
AMI DRUG TREATMENT (SPIRONOLACTONE)   Changed Description
AMI DRUG TREATMENT (THIAZIDE DIURETIC)   Changed Description
AMI DRUG TREATMENT (THIENOPYRIDINE PLATELET INHIBITOR)   Changed Description
AMI DRUG TREATMENT (UNFRACTIONATED HEPARIN)   Changed Description
AMI DRUG TREATMENT (WARFARIN)   Changed Description
AMI HEART RATE   Changed Description
ANGIOGRAM DATE   Changed Description
ASPIRIN THERAPY LOCATION   Changed Description
CARDIAC ARREST FIRST VERIFIED DATE AND TIME   Changed Description
CARDIAC ARREST LOCATION   Changed Description
CARDIAC ARREST OUTCOME (FIRST)   Changed Description
CARDIAC ARREST PRESENTING RHYTHM   Changed Description
CARE PLAN AGREED DATE   Changed Description
CCAD HOSPITAL IDENTIFIER   Changed Description
CCAD HOSPITAL IDENTIFIER (REFERRING)   Changed Description
CDS BULK REPLACEMENT GROUP   Changed Description
CORONARY ANGIOGRAPHY PERFORMED   Changed Description
CORONARY INTERVENTION PERFORMED   Changed Description
COUNTRY CODE (BIRTH)   Changed Aliases, Description
DELIVERY PLACE CHANGE REASON   Changed Description
DELIVERY PLACE TYPE (ACTUAL)   Changed Description
DELIVERY PLACE TYPE (INTENDED)   Changed Description
DETAINED PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE)   Changed Description
DETAINED PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE)   Changed Description
DETAINED PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE)   Changed Description
DETAINED PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE)   Changed Description
DIABETES ROUTINE REVIEW (EYE)   Changed Description
DIABETES ROUTINE REVIEW (FOOT)   Changed Description
DIABETES TYPE   Changed Description
DISCHARGED ON ANGIOTENSIN INHIBITOR   Changed Description
DISCHARGED ON ANTI-PLATELET DRUG   Changed Description
DISCHARGED ON BETA BLOCKER   Changed Description
DISCHARGED ON STATIN   Changed Description
ECG DETERMINING TREATMENT   Changed Description
ECHOCARDIOGRAPHY PERFORMED   Changed Description
EMERGENCY SERVICES ARRIVAL DATE AND TIME (AMI)   Changed Description
EXERCISE TEST PERFORMED   Changed Description
FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE)   Changed Description
FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE)   Changed Description
FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE)   Changed Description
FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE)   Changed Description
HOSPITAL STAYS LIST (MENTAL HEALTH)   Changed Description
INITIAL CONTACT TYPE   Changed Description
INITIAL PATIENT CONTACT DATE AND TIME   Changed Description
INTERVENTION DATE (FIRST IN AMI CARE SPELL)   Changed Description
INVESTIGATION TRANSFER DATE   Changed Description
NHS NUMBER (BABY)   Changed Description
NHS NUMBER (MOTHER)   Changed Description
NHS NUMBER STATUS INDICATOR (BABY)   Changed Description
NHS NUMBER STATUS INDICATOR (MOTHER)   Changed Description
PATIENT CLINICAL GROUP   Changed Description
PEAK CREATINE KINASE   Changed Description
PEAK TROPONIN   Changed Description
PERSON BIRTH DATE (BABY)   Changed Description
PERSON BIRTH DATE (MOTHER)   Changed Description
PERSON GENDER CURRENT (BABY)   Changed Description
PERSON OBSERVATION HISTORY (ASTHMA OR COPD)   Changed Description
PERSON OBSERVATION HISTORY (CEREBROVASCULAR DISEASE)   Changed Description
PERSON OBSERVATION HISTORY (CHRONIC RENAL FAILURE)   Changed Description
PERSON OBSERVATION HISTORY (DIABETES TYPE)   Changed Description
PERSON OBSERVATION HISTORY (HEART FAILURE)   Changed Description
PERSON OBSERVATION HISTORY (HYPERCHOLESTEROLAEMIA)   Changed Description
PERSON OBSERVATION HISTORY (HYPERTENSION)   Changed Description
PERSON OBSERVATION HISTORY (PERIPHERAL VASCULAR DISEASE)   Changed Description
PERSON OBSERVATION HISTORY (PREVIOUS AMI)   Changed Description
PERSON OBSERVATION HISTORY (PREVIOUS ANGINA)   Changed Description
POSTCODE OF USUAL ADDRESS (MOTHER)   Changed Description
PROFESSIONAL HELP ARRIVAL DATE AND TIME (AMI)   Changed Description
RADIONUCLIDE STUDY   Changed Description
REFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION)   Changed Description
REHABILITATION REFERRAL   Changed Description
REPERFUSION INITIAL DECISION   Changed Description
REPERFUSION TREATMENT DATE AND TIME   Changed Description
REPERFUSION TREATMENT LOCATION   Changed Description
REPERFUSION TYPE (INITIAL STRATEGY)   Changed Description
REPORTING PERIOD (MENTAL HEALTH)   Changed Description
REPORTING PERIOD END DATE   Changed Aliases
REPORTING PERIOD START DATE   Changed Aliases
SERUM CHOLESTEROL   Changed Description
SOCIAL SERVICES CLIENT IDENTIFIER   Changed Description
SYMPTOM ONSET DATE AND TIME (AMI)   Changed Description
SYSTOLIC PRESSURE (FIRST AFTER ADMISSION)   Changed Description
THROMBOLYTIC DRUG   Changed Description
THROMBOLYTIC TREATMENT DELAY REASON   Changed Description
THROMBOLYTIC TREATMENT NOT GIVEN REASON   Changed Description
UNSEALED SOURCE PATIENT TYPE   Changed Description
VACCINE DOSES ADMINISTERED AT LOCATION TOTAL (HUMAN PAPILLOMAVIRUS VACCINE)   Changed Description
VACCINE GIVEN FIRST DOSE TOTAL (HUMAN PAPILLOMAVIRUS VACCINE)   Changed Description
VACCINE GIVEN SECOND DOSE TOTAL(HUMAN PAPILLOMAVIRUS VACCINE)   Changed Description
VACCINE GIVEN THIRD DOSE TOTAL(HUMAN PAPILLOMAVIRUS VACCINE)   Changed Description
 

Date:9 November 2009
Sponsor:Richard Kavanagh, NHS Connecting for Health

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

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ADMITTED PATIENT FLOWS DATA SET

Change to Data Set: Changed Description

Admitted Patient Flows Data Set Overview

This replaces Korner Returns KH06 and KH07.

The Department of Health and Strategic Health Authorities require summary details from care providers of admitted patient admission activity flows. This central information requirement provides performance management measures of waiting times and helps to identify those organisations failing to meet the standards of the NHS Plan.

The Admitted Patient Flows Data Set is provider or commissioner based depending upon the ORGANISATION submitting the data set. Providers are care ORGANISATIONS providing admitted patient care and treatment for NHS PATIENTS. Commissioners are the ORGANISATIONS commissioning admitted patient care for NHS PATIENTS

Data collection

The NHS report data sets to the Department of Health monthly and quarterly via Unify2, an online data collection system. Trusts and Primary Care Trusts can either enter data directly onto Unify2, or upload from spreadsheets provided to ease data input.

These returns flow through Strategic Health Authorities, and require their sign off before they are accessed by the Department of Health.

Data providers are required to submit data by the 15th working day following the month end, with publication being on the Friday following the 20th working day after month end.

The Admitted Patient Flows Data Set contains the admission activity for the specified REPORTING PERIOD.

Data Set Data Elements 
Organisation and Reporting Period
COMMISSIONER OR PROVIDER STATUS INDICATOR 
ORGANISATION CODE (CODE OF COMMISSIONER) 
ORGANISATION CODE (CODE OF PROVIDER) 
REPORTING PERIOD START DATE 
REPORTING PERIOD END DATE 
DATA SET PREPARATION DATE 
DATA SET PREPARATION TIME 
Admitted Patient Flow Group by Main Specialty:
To carry the flow details for the MAIN SPECIALTY CODE recorded. Where no flow activity for a MAIN SPECIALTY CODE has occurred within the Reporting Period then no Admitted Patient Flow group should be recorded for it. There should be only 1 occurrence of this sub group permitted per MAIN SPECIALTY CODE.
Admitted Patient Flow Group by Main Specialty:
To carry the flow details for the MAIN SPECIALTY CODE recorded.
Where no flow activity for a MAIN SPECIALTY CODE has occurred within the Reporting Period then no Admitted Patient Flow group should be recorded for it.
There should be only 1 occurrence of this sub group permitted per MAIN SPECIALTY CODE.
MAIN SPECIALTY CODE 
DECISIONS TO ADMIT (DAY CASE) 
PATIENTS ADMITTED (DAY CASE) 
PATIENTS FAILED TO ATTEND (DAY CASE) 
REMOVALS OTHER THAN ADMISSION (DAY CASE) 
DECISIONS TO ADMIT (ORDINARY) 
PATIENTS ADMITTED (ORDINARY) 
PATIENTS FAILED TO ATTEND (ORDINARY) 
REMOVALS OTHER THAN ADMISSION (ORDINARY) 
DEFERRED ADMISSIONS (ORDINARY) 
DEFERRED ADMISSIONS (DAY CASE) 
PATIENTS SUSPENDED (ORDINARY) 
PATIENTS SUSPENDED (DAY CASE) 

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ADMITTED PATIENT STOCKS DATA SET

Change to Data Set: Changed Description

Admitted Patient Stocks Data Set Overview

This replaces the Korner Return KH07.

The Department of Health and Strategic Health Authorities require summary details from care providers of admitted patient day case and ordinary admission stocks. This central information requirement provides performance management measures of waiting times and helps to identify those ORGANISATIONS failing to meet the standards of the NHS Plan.

The Admitted Patient Stocks Data Set is provider or commissioner based depending upon the Organisation submitting the data set. Providers are care ORGANISATIONS providing in-patient care and treatment for NHS PATIENTS. Commissioners are the ORGANISATIONS commissioning in-patient care for NHS PATIENTS

Data collection

The NHS report data sets to the Department of Health monthly and quarterly via Unify2, an online data collection system. Trusts and Primary Care Trusts can either enter data directly onto Unify2, or upload from spreadsheets provided to ease data input.

These returns flow through Strategic Health Authorities, and require their sign off before they are accessed by the Department of Health.

Data providers are required to submit data by the 15th working day following the month end, with publication being on the Friday following the 20th working day after month end.

The Admitted Patient Stocks Data Set contains the in-patient waiting to be admitted stocks as at the end of the specified REPORTING PERIOD.

Data Set Data Elements 
Organisation and Reporting Period
COMMISSIONER OR PROVIDER STATUS INDICATOR 
ORGANISATION CODE (CODE OF COMMISSIONER) 
ORGANISATION CODE (CODE OF PROVIDER) 
REPORTING PERIOD START DATE 
REPORTING PERIOD END DATE 
DATA SET PREPARATION DATE 
DATA SET PREPARATION TIME 
Admitted Patient Stock Group for Main Specialty
To carry the stock details for the Main Specialty Code and Intended Management recorded. Where there are no stocks present in the Reporting Period for all the sub-groups for the MAIN SPECIALTY CODE and the INTENDED MANAGEMENT then no Admitted Patient Stock Group should be recorded for it.
Admitted Patient Stock Group for Main Specialty:
To carry the stock details for the Main Specialty Code and Intended Management recorded.
Where there are no stocks present in the Reporting Period for all the sub-groups for the MAIN SPECIALTY CODE and the INTENDED MANAGEMENT then no Admitted Patient Stock Group should be recorded for it.
MAIN SPECIALTY CODE 
WAITING FOR ADMISSION INTENDED MANAGEMENT 
Admitted Patient Stock Group
To carry the sub group stock details for ordinary or day case admissions for the MAIN SPECIALTY CODE recorded. Where no stocks are present in the Reporting Period then zero values should be recorded. There should be 1 occurrence of this sub group permitted for each PATIENTS WAITING FOR ADMISSION TIME BAND per MAIN SPECIALTY CODE .
Admitted Patient Stock Group:
To carry the sub group stock details for ordinary or day case admissions for the MAIN SPECIALTY CODE recorded.
Where no stocks are present in the Reporting Period then zero values should be recorded.
There should be 1 occurrence of this sub group permitted for each PATIENTS WAITING FOR ADMISSION TIME BAND per MAIN SPECIALTY CODE .
PATIENTS WAITING FOR ADMISSION TIME BAND 
PATIENTS WAITING FOR ADMISSION 
Admitted Patient Stock Group
To carry the sub group stock details for ordinary or day case admissions for the MAIN SPECIALTY CODE recorded. Where no stocks are present in the Reporting Period then zero values should be recorded. There should be 1 occurrence of this sub group permitted per MAIN SPECIALTY CODE.
Admitted Patient Stock Group:
To carry the sub group stock details for ordinary or day case admissions for the MAIN SPECIALTY CODE recorded.
Where no stocks are present in the Reporting Period then zero values should be recorded.
There should be 1 occurrence of this sub group permitted per MAIN SPECIALTY CODE.
DEFERRED ADMISSIONS (ORDINARY) 
PATIENTS SUSPENDED (ORDINARY) 
Summarised Admitted Patient Intended Procedure Stock Group:
To carry the sub group stock details for waiting for admissions for the WAITING FOR ADMISSION INTENDED PROCEDURE. Where no stocks are present in the Reporting Period then zero values should be recorded. There should be 1 occurrence of this group permitted for ordinary admissions for each intended procedure and for each PATIENTS WAITING FOR ADMISSION TIME BAND.
Summarised Admitted Patient Intended Procedure Stock Group:
To carry the sub group stock details for waiting for admissions for the WAITING FOR ADMISSION INTENDED PROCEDURE.
Where no stocks are present in the Reporting Period then zero values should be recorded.
There should be 1 occurrence of this group permitted for ordinary admissions for each intended procedure and for each PATIENTS WAITING FOR ADMISSION TIME BAND.
ADMISSION INTENDED PROCEDURE 
PATIENTS WAITING FOR ADMISSION TIME BAND 
PATIENTS WAITING FOR ADMISSION 

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CDS-XML MESSAGE SCHEMA DESIGN

Change to Supporting Information: Changed Description

The use of XML has been mandated by the e-GIF programme as the standard to be used for messaging by government organisations and has accordingly been adopted by the NHS.

For the submission of Commissioning Data Set data to the Secondary Uses Service, XML based messaging has been developed to be fully adopted by the end of 2007, replacing all previously published Commissioning Data Set Message formats.

Schema Standards
The overall standards applied and supported by the schema are:

  • W3C schema standards
  • e-Government Interoperability Framework (e-GIF)
  • e-GOV Best Practice guidelines for XML Schema
  • The NHS Data Model and Dictionary

Schema Naming Conventions
These are in CamelCase reflecting recommended e-GOV guidelines for best practice. Wherever possible, schema data item names are compliant (or intuitively identifiable) with the NHS Data Model and Dictionary data naming conventions.

Schema Components
The schema consists of the following components:

  • The CDS-XML Message Root
  • The CDS-XML Standard Data Structures
  • The CDS-XML Standard Data Elements
  • CDS TYPE Sub-Schemas
  • CDS TYPE Sub-Schemas
These are described below.

The Schema Root
The schema root is the control section of the schema and uses the "XML Include" technique to call schema sub-components:

  • The Standard Data Structures
  • The Standard Data Elements
  • All CDS TYPE sub-component schemas, including the CDS Headers and Trailers
  • All CDS TYPE sub-component schemas, including the Commissioning Data Set Headers and Trailers
In addition, the schema root is the only schema entry point and on entry the schema validates the XML Attributes for:
  • SchemaVersion
  • SchemaDate
Schema Component: Standard Data Structures
Schema Version 6-0 introduces standard data structures which are invoked from the CDS TYPE sub-component schemas. This simplifies the management and definition of data structures and eliminates (as far as is possible) the multiple definitions of the many common structures used across the CDS TYPE components. It also helps to eliminate naming and spelling inconsistencies.

This implementation of the schema does not enforce the sequence of data elements within its data structures (nor its data structures within the schema), nor is it foreseen that this will be enforced in future. For ease of understanding, users are advised to implement the structure sequences as published.

In general, the restraints on the permitted occurrences of data groups have been removed and in most cases, unbounded occurrences of iterating data structures are supported. The NHS Data Model and Dictionary defines the actual requirements for the use of NHS data.

Schema Component: Standard Data Elements
Schema data items are defined with _Type suffixes and usually refer to a standard list of XML data types which are usually qualified with an enumeration list to reflect the NHS Data Standards as published in the NHS Data Model and Dictionary.

Schema Component: XML Attributes
XML Attributes are used (sparingly) to enforce certain logical data and structure relationships, an example being to determine the type of Critical Care Period data being carried.

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HOME HELP VISIT

Change to Supporting Information: Changed Description

Home Help Visit is an CARE CONTACT.Home Help Visit is a CARE CONTACT.

A visit to the usual place of residence of a PATIENT subject to a Mental Health Care Spell, by domiciliary care staff. The domiciliary care staff are employed or funded by Local Authority Social Services.

 

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MAIN SPECIALTY AND TREATMENT FUNCTION CODES

Change to Supporting Information: Changed Description


TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital CONSULTANTS.

The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL eg Intermediate Care as the TREATMENT FUNCTION CODE for a Nursing Episode.

A full list of TREATMENT FUNCTION CODES (Table 2) follows the MAIN SPECIALTY CODES (Table 1).

MAIN SPECIALTY CODES are aligned with the specialties recognised in the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998. Pseudo codes should be used in Commissioning Data Set (CDS) messages for lead CARE PROFESSIONALS other than hospital CONSULTANTS eg Nursing Episode.

For further information, contact the NHS Data Model and Dictionary Service; see Contact Details.For further information, contact the Health and Social Care Information Centre by email at: enquiries@ic.nhs.uk.

Table 1 Main Specialty codes

 CodeMain Specialty Title
Surgical Specialties
 100GENERAL SURGERY
 101UROLOGY
 110TRAUMA & ORTHOPAEDICS
 120ENT
 130OPHTHALMOLOGY
 140ORAL SURGERY
 141RESTORATIVE DENTISTRY
 142PAEDIATRIC DENTISTRY
 143ORTHODONTICS
 145ORAL & MAXILLO FACIAL SURGERY
 146ENDODONTICS
 147PERIODONTICS
 148PROSTHODONTICS
 149SURGICAL DENTISTRY
 150NEUROSURGERY
 160PLASTIC SURGERY
 170CARDIOTHORACIC SURGERY
 171PAEDIATRIC SURGERY
 180ACCIDENT & EMERGENCY
 190ANAESTHETICS
 191no longer in use
 192CRITICAL CARE MEDICINE
Medical Specialties
 190ANAESTHETICS
 192CRITICAL CARE MEDICINE
 300GENERAL MEDICINE
 301GASTROENTEROLOGY
 302ENDOCRINOLOGY
 303CLINICAL HAEMATOLOGY
 304CLINICAL PHYSIOLOGY
 305CLINICAL PHARMACOLOGY
 310AUDIOLOGICAL MEDICINE
 311CLINICAL GENETICS
 312CLINICAL CYTOGENETICS and MOLECULAR GENETICS
 313CLINICAL IMMUNOLOGY and ALLERGY
 314REHABILITATION
 315PALLIATIVE MEDICINE
 320CARDIOLOGY
 321PAEDIATRIC CARDIOLOGY
 330DERMATOLOGY
 340RESPIRATORY MEDICINE (also known as thoracic medicine)
 350INFECTIOUS DISEASES
 352TROPICAL MEDICINE
 360GENITOURINARY MEDICINE
 361NEPHROLOGY
 370MEDICAL ONCOLOGY
 371NUCLEAR MEDICINE
 400NEUROLOGY
 401CLINICAL NEURO-PHYSIOLOGY
 410RHEUMATOLOGY
 420PAEDIATRICS
 421PAEDIATRIC NEUROLOGY
 430GERIATRIC MEDICINE
 450DENTAL MEDICINE SPECIALTIES
 460MEDICAL OPHTHALMOLOGY
500OBSTETRICS and GYNAECOLOGY
 501OBSTETRICS
 502GYNAECOLOGY
 510no longer in use
 520no longer in use
 560MIDWIFE EPISODE
 600GENERAL MEDICAL PRACTICE
 601GENERAL DENTAL PRACTICE
 610no longer in use
 620no longer in use
Psychiatry
 700LEARNING DISABILITY
 710ADULT MENTAL ILLNESS
 711CHILD and ADOLESCENT PSYCHIATRY
 712FORENSIC PSYCHIATRY
 713PSYCHOTHERAPY
 715OLD AGE PSYCHIATRY
Radiology
 800CLINICAL ONCOLOGY (previously RADIOTHERAPY)
 810RADIOLOGY
Pathology
 820GENERAL PATHOLOGY
 821BLOOD TRANSFUSION
 822CHEMICAL PATHOLOGY
 823HAEMATOLOGY
 824HISTOPATHOLOGY
 830IMMUNOPATHOLOGY
 831MEDICAL MICROBIOLOGY
 832no longer in use
Other
 900COMMUNITY MEDICINE
 901OCCUPATIONAL MEDICINE
 902COMMUNITY HEALTH SERVICES DENTAL
 903PUBLIC HEALTH MEDICINE
 904PUBLIC HEALTH DENTAL
 950NURSING EPISODE
 960ALLIED HEALTH PROFESSIONAL EPISODE
 990no longer in use

 Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
  Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff eg 560, 950 and 960.
  The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice
  Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic

Table 2 Treatment Function codes

CodeTreatment Function TitleComments
Surgical Specialties
100GENERAL SURGERYIncludes sub-categories not elsewhere listed eg endocrine surgery.
101UROLOGY 
102TRANSPLANTATION SURGERYIncludes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts.
103BREAST SURGERYIncludes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery.
104COLORECTAL SURGERYSurgical treatment of disorders of the lower intestine (colon, anus and rectum)
105HEPATOBILIARY & PANCREATIC SURGERYIncludes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery
106UPPER GASTROINTESTINAL SURGERY 
107VASCULAR SURGERY 
110TRAUMA & ORTHOPAEDICS 
120ENTEar, nose and throat
130OPHTHALMOLOGY 
140ORAL SURGERY 
141RESTORATIVE DENTISTRYEndodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry
142PAEDIATRIC DENTISTRY 
143ORTHODONTICS 
144MAXILLO-FACIAL SURGERYMouth, jaw and face related surgery.
150NEUROSURGERY 
160PLASTIC SURGERY 
161BURNS CARETo be used by recognised specialist units and associated outreach services only
170CARDIOTHORACIC SURGERYShould only be used where there are no separate services for Cardiac Surgery and Thoracic Surgery
171PAEDIATRIC SURGERYThis is paediatric general surgery
172CARDIAC SURGERY 
173THORACIC SURGERY 
174CARDIOTHORACIC TRANSPLANTATIONTo be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services.
180ACCIDENT & EMERGENCY 
190ANAESTHETICSThis can be used in out-patients only. Pain Management should be recorded in 191.
191PAIN MANAGEMENTComplex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
192CRITICAL CARE MEDICINEalso known as Intensive Care Medicine
Other Children's Specialties
211PAEDIATRIC UROLOGYDedicated services to children with appropriate facilities and support staff
212PAEDIATRIC TRANSPLANTATION SURGERYDedicated services to children with appropriate facilities and support staff
213PAEDIATRIC GASTROINTESTINAL SURGERYDedicated services to children with appropriate facilities and support staff. Includes Upper Gastrointestinal Surgery and Colorectal Surgery.
214PAEDIATRIC TRAUMA AND ORTHOPAEDICSDedicated services to children with appropriate facilities and support staff.
215PAEDIATRIC EAR NOSE AND THROATDedicated services to children with appropriate facilities and support staff
216PAEDIATRIC OPHTHALMOLOGYDedicated services to children with appropriate facilities and support staff
217PAEDIATRIC MAXILLO-FACIAL SURGERYDedicated services to children with appropriate facilities and support staff
218PAEDIATRIC NEUROSURGERYDedicated services to children with appropriate facilities and support staff
219PAEDIATRIC PLASTIC SURGERYDedicated services to children with appropriate facilities and support staff
220PAEDIATRIC BURNS CAREDedicated services to children with appropriate facilities and support staff
221PAEDIATRIC CARDIAC SURGERYDedicated services to children with appropriate facilities and support staff
222PAEDIATRIC THORACIC SURGERYDedicated services to children with appropriate facilities and support staff
241PAEDIATRIC PAIN MANAGEMENTDedicated services to children with appropriate facilities and support staff
242PAEDIATRIC INTENSIVE CAREOnly to be used by designated Paediatric Intensive Care Units
251PAEDIATRIC GASTROENTEROLOGYDedicated services to children with appropriate facilities and support staff
252PAEDIATRIC ENDOCRINOLOGYDedicated services to children with appropriate facilities and support staff
253PAEDIATRIC CLINICAL HAEMATOLOGYDedicated services to children with appropriate facilities and support staff
254PAEDIATRIC AUDIOLOGICAL MEDICINEDedicated services to children with appropriate facilities and support staff
255PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGYDedicated services to children with appropriate facilities and support staff
256PAEDIATRIC INFECTIOUS DISEASESDedicated services to children with appropriate facilities and support staff
257PAEDIATRIC DERMATOLOGYDedicated services to children with appropriate facilities and support staff
258PAEDIATRIC RESPIRATORY MEDICINEDedicated services to children with appropriate facilities and support staff
259PAEDIATRIC NEPHROLOGYDedicated services to children with appropriate facilities and support staff
260PAEDIATRIC MEDICAL ONCOLOGYDedicated services to children with appropriate facilities and support staff
261PAEDIATRIC METABOLIC DISEASEDedicated services to children with appropriate facilities and support staff
262PAEDIATRIC RHEUMATOLOGYDedicated services to children with appropriate facilities and support staff
280PAEDIATRIC INTERVENTIONAL RADIOLOGYDedicated services to children with appropriate facilities and support staff
290COMMUNITY PAEDIATRICSIncludes routine health surveillance, health promotion, behavioural paediatrics and looked-after children. Excludes Paediatric Neuro-Disability.
291PAEDIATRIC NEURO-DISABILITYDedicated services for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without learning disability.
Medical Specialties
190ANAESTHETICSThis can be used in out-patients only. Pain Management should be recorded in 191.
192CRITICAL CARE MEDICINEalso known as Intensive Care Medicine
300GENERAL MEDICINEIncludes sub-categories not elsewhere listed eg metabolic medicine.
301GASTROENTEROLOGY 
302ENDOCRINOLOGY 
303CLINICAL HAEMATOLOGYExcludes ANTICOAGULANT SERVICE see 324
304CLINICAL PHYSIOLOGYPhysiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Does not include Clinical Neurophysiology, Audiology or Respiratory Physiology.
305CLINICAL PHARMACOLOGY 
306HEPATOLOGYAlso known as liver medicine
307DIABETIC MEDICINE 
308BLOOD AND MARROW TRANSPLANTATIONPreviously in Clinical Haematology. Includes haemopoietic stem cell transplantation.
309HAEMOPHILIAPreviously in Clinical Haematology
310AUDIOLOGICAL MEDICINEThe medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests.
311CLINICAL GENETICSTo be used by recognised specialist units and associated outreach services only.
312not a Treatment Function 
313CLINICAL IMMUNOLOGY and ALLERGYShould only be used where there are no separate services for Clinical Immunology and Allergy
314REHABILITATION 
315PALLIATIVE MEDICINE 
316CLINICAL IMMUNOLOGY 
317ALLERGYThe diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions.
318INTERMEDIATE CAREIntermediate care encompasses a range of multi-disciplinary services designed to safeguard independence by maximising rehabilitation and recovery after illness or injury
319RESPITE CARE 
320CARDIOLOGY 
321PAEDIATRIC CARDIOLOGY 
322CLINICAL MICROBIOLOGY 
323SPINAL INJURIESTo be used by recognised specialist units and associated outreach services only.
324ANTICOAGULANT SERVICEThe monitoring and control of anticoagulant therapy including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in out-patients only.
330DERMATOLOGY 
340RESPIRATORY MEDICINEalso known as Thoracic Medicine
341RESPIRATORY PHYSIOLOGYPhysiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea).
350INFECTIOUS DISEASES 
352TROPICAL MEDICINE 
360GENITOURINARY MEDICINE 
361NEPHROLOGY 
370MEDICAL ONCOLOGYThe diagnosis and treatment, typically with chemotherapy, of patients with cancer.
371NUCLEAR MEDICINE 
400NEUROLOGY 
401CLINICAL NEUROPHYSIOLOGYThe study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes EEG.
410RHEUMATOLOGY 
420PAEDIATRICS 
421PAEDIATRIC NEUROLOGY 
422NEONATOLOGYSpecial Care, High Dependency and Intensive Care.
424WELL BABIESCare given by the mother/substitute with medical and neonatal nursing advice if needed
430GERIATRIC MEDICINE 
450DENTAL MEDICINE SPECIALTIESIncludes oral medicine.
460MEDICAL OPHTHALMOLOGY 
500not a Treatment Function 
501OBSTETRICSThe management of pregnancy and childbirth including miscarriages but excluding planned terminations.
502GYNAECOLOGYDisorders of the female reproductive system. Includes planned terminations.
503GYNAECOLOGICAL ONCOLOGY 
510no longer in useRecord as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
520no longer in useRecord as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
560MIDWIFE EPISODE 
600not a Treatment Function 
610no longer in useRecord as Obstetrics
620no longer in useUse the appropriate function under which the patient is treated
Therapies
650PHYSIOTHERAPYThe treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing.
651OCCUPATIONAL THERAPYThe use of specific activities to limit the effects of disability and promote independence in all aspects of daily life.
652SPEECH AND LANGUAGE THERAPYThe assessment, treatment and help to prevent speech, language and swallowing difficulties.
653PODIATRYAlso known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet.
654DIETETICSThe application of the science of nutrition to devise eating plans for patients to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities.
655ORTHOPTICSThe diagnosis and treatment of visual problems involving eye movement and alignment.
656CLINICAL PSYCHOLOGYThe diagnosis and treatment of emotional and behavioural disorders.
Psychiatry
700LEARNING DISABILITY 
710ADULT MENTAL ILLNESS 
711CHILD and ADOLESCENT PSYCHIATRY 
712FORENSIC PSYCHIATRY 
713PSYCHOTHERAPY 
715OLD AGE PSYCHIATRY 
720EATING DISORDERSA specialist psychiatric service for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating.
721ADDICTION SERVICESThe psychiatric prevention and treatment of substance misuse including drugs and alcohol
722LIAISON PSYCHIATRYThe provision of psychiatric treatment to patients attending general hospitals including out-patient clinics, accident and emergency departments and admission to wards. Deals with the interface between physical and psychological health.
723PSYCHIATRIC INTENSIVE CAREThe provision of psychiatric services to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings.
724PERINATAL PSYCHIATRYA specialist psychiatric service for the diagnosis and treatment of post-natal psychiatric problems.
Radiology
800CLINICAL ONCOLOGY (previously RADIOTHERAPY)The diagnosis and treatment, typically with radiotherapy, of patients with cancer.
810not a Treatment Function 
811INTERVENTIONAL RADIOLOGYNot to be used for diagnostic imaging.
812DIAGNOSTIC IMAGINGThe production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, ultrasound, MRI, PET or CT scans.
Pathology
820not a Treatment Function 
821not a Treatment Function 
822CHEMICAL PATHOLOGYTo be used for clinical management only.
823not a Treatment FunctionSee Clinical Haematology
824not a Treatment Function 
830not a Treatment Functionsee Clinical Immunology
831not a Treatment FunctionSee Clinical Microbiology
832no longer in use 
840AUDIOLOGYPhysiological measurement and diagnosis of hearing disorders, and the rehabilitation of patients with hearing loss.
Other
900not a Treatment Function 
901not a Treatment Function 
950not a Treatment FunctionUse the appropriate function under which the patient is treated
960not a Treatment FunctionUse the appropriate function under which the patient is treated
990no longer in use 

Notes:

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WHAT'S NEW: NOVEMBER 2009  renamed from WHAT'S NEW: SEPTEMBER 2009

Change to Supporting Information: Changed Description, Name

Release: November 2009

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

  • 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
  • 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)
  • 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
  • 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 Data Set Change Notices, see the Data Set Change Notice (DSCN) Website

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REGISTRABLE BIRTH  renamed from REGISTERABLE BIRTH

Change to Class: Changed Name

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ACTIVITY GROUP TYPE

Change to Attribute: Changed Description

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

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

National Codes:

01Accident And Emergency Episode 
02Acute Myocardial Infarction Care Spell 
03Augmented Care Period - Retired CP724 
03Augmented Care Period (Retired 1 April 2006)
04Breast Cancer Care Spell 
05Cancer Care Spell 
06Care Home Stay (Consultant Care) 
07Care Home Stay (Midwife Care) 
08Care Home Stay (Nursing Care) 
09Care Home Stay (Residential) 
10Care Programme Approach Episode 
11Colorectal Cancer Care Spell 
12Community Episode 
13Consultant Episode (Acute Home-Based) 
14Consultant Episode (Hospital Provider) 
15Consultant Out-Patient Episode 
16Dental Episode 
17Drug Misuse Episode 
18Genitourinary Episode 
19Head And Neck Cancer Care Spell 
20Home Dialysis Episode 
21Hospital Provider Spell 
22Lung Cancer Care Spell 
23Mental Health Care Spell 
24Midwife Episode 
25Neonatal Level Of Care Period 
26Nursing Episode 
27Palliative Care Episode 
28PERSON STOP SMOKING EPISODE 
29Pregnancy Episode 
30Professional Staff Group Episode 
31Regular Attender Episode 
32Road Traffic Accident Treatment
33Sarcoma Care Spell 
34Skin Cancer Care Spell 
35Supervised Discharge Episode 
36Supervision Register Episode 
37Upper GI Cancer Care Spell 
38Urological Cancer Care Spell 
39Ward Stay 
40Hospital Stay 
41Care Spell 
42CRITICAL CARE PERIOD 
43PATIENT PATHWAY 
44REFERRAL TO TREATMENT PERIOD 
45Active Monitoring 
46Supervised Community Treatment Recall 
47Supervised Community Treatment 
48Mental Health Care Without Patient Consent

Note: The list is not in alphabetical order.

 

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DISCHARGE DESTINATION

Change to Attribute: Changed Description

The destination of a PATIENT on completion of a Hospital Provider Spell, or a note that the PATIENT died or was a still birth.

National Codes:

19Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by local authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes PATIENTS with no fixed abode.
29Temporary place of residence when usually resident elsewhere (includes hotel, residential educational establishment)
30Repatriation from high security psychiatric accommodation in an NHS hospital provider (NHS trust)
30Repatriation from high security psychiatric accommodation in an NHS hospital provider (NHS Trust)
37Court
38Penal establishment or police station
48High Security Psychiatric Hospital, Scotland
49NHS other hospital provider - high security psychiatric accommodation
50NHS other hospital provider - medium secure unit
51NHS other hospital provider - ward for general patients or the younger physically disabled
52NHS other hospital provider - ward for maternity patients or neonates
53NHS other hospital provider - ward for patients who are mentally ill or have learning disabilities
54NHS run care home
51NHS other hospital provider - ward for general PATIENTS or the younger physically disabled
52NHS other hospital provider - ward for maternity PATIENTS or neonates
53NHS other hospital provider - ward for PATIENTS who are mentally ill or have learning disabilities
54NHS run Care Home
65Local Authority residential accommodation ie where care is provided
66Local Authority foster care
79Not applicable - patient died or still birth
79Not applicable - PATIENT died or still birth
84Non-NHS run hospital - medium secure unit
85Non-NHS (other than Local Authority) run care home
85Non-NHS (other than Local Authority) run Care Home
87Non-NHS run hospital
88Non-NHS (other than Local Authority) run Hospice
 

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PATIENT PHYSICAL STATUS

Change to Attribute: Changed Description

Identifies the physical status of the PATIENT as recorded by an anaesthetist for an operative procedure. This is an abbreviated version of the American Society of Anaesthesiologists Physical Status grading. This is an abbreviated version of the American Society of Anesthesiologists Physical Status grading.

National Codes:

01Fit and healthy
02Mild disease; not incapacitating
03Incapacitating systemic disease
04Life threatening disease
05Expected to die within 24hrs with or without an operation
06A declared brain dead patient whose organs are being removed for donor purposes

References:
National Joint Registry Dataset: v.1: 24th March 2003

 

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SOCIAL SERVICE CLIENT IDENTIFIER  renamed from SOCIAL SERVICE CLIENT IDENTIFER

Change to Attribute: Changed Aliases, Name


AMI ADMISSION DIAGNOSIS

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See AMI ADMISSION DIAGNOSIS
Default Codes: 

Notes:
This is a working diagnosis at the time of admission. The primary purpose is to identify those patients who are admitted with a diagnosis of definite (ST elevation MI). Do not change Admission diagnosis on the basis of further ECGs or enzymes/markers.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Admission Diagnosis
Admission Diagnosis

 

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AMI ADMISSION WARD TYPE

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See AMI ADMISSION WARD TYPE
Default Codes:9 - Unknown

Notes:
Refers to the unit to which the patient is admitted either from A&E or directly by ambulance service and where patient will spend majority of first 24 hours in hospital. If patient admitted direct to the catheter lab, enter facility to which patient admitted on leaving lab.Refers to the unit to which the PATIENT is admitted either from A&E or directly by ambulance service and where PATIENT will spend majority of first 24 hours in hospital. If PATIENT admitted direct to the catheter lab, enter facility to which PATIENT admitted on leaving lab.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Admission Ward
Admission Ward

 

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AMI ADMITTING CONSULTANT TYPE

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See AMI ADMITTING CONSULTANT TYPE
Default Codes:99 - Unknown

Notes:
The clinician having primary rather than advisory care of the patient immediately (first 24 hours) after admission to hospital (not the A&E consultant).The clinician having primary rather than advisory care of the PATIENT immediately (first 24 hours) after admission to hospital (not the A&E CONSULTANT).

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Admitting Consultant
Admitting Consultant

 

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AMI CAUSE OF DEATH IN HOSPITAL

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
National Codes:See AMI CAUSE OF DEATH IN HOSPITAL
Default Codes:0 - Not dead
 9 - Unknown

Notes:
AMI CAUSE OF DEATH IN HOSPITAL is the same as attribute AMI CAUSE OF DEATH IN HOSPITAL. 

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Death in hospital
Death in hospital

 

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AMI DISCHARGE DIAGNOSIS

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See AMI DISCHARGE DIAGNOSIS
Default Codes: 

Notes:
AMI DISCHARGE DIAGNOSIS is the same as attribute AMI ADMISSION DIAGNOSIS. 

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Discharge Diagnosis
Discharge Diagnosis

 

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AMI DRUG TREATMENT (ANGIOTENSIN II BLOCKER)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Angiotensin II Blocker (ARB)
Angiotensin II Blocker (ARB)

 

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AMI DRUG TREATMENT (CALCIUM CHANNEL BLOCKER)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Calcium channel blocker
Calcium channel blocker

 

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AMI DRUG TREATMENT (IV 2B AND (OR) 3B AGENT)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Excludes use of 2b/3a agents started during PCI.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
IV 2b/3a AGENT
IV 2b/3a AGENT

 

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AMI DRUG TREATMENT (IV BETA BLOCKER)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
IV beta blocker
IV beta blocker

 

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AMI DRUG TREATMENT (IV NITRATE)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
IV Nitrate
IV Nitrate

 

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AMI DRUG TREATMENT (LOOP DIURETIC)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Use when a diuretic drug is introduced or used in increased dose.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Loop diuretic
Loop diuretic

 

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AMI DRUG TREATMENT (LOW MOLECULAR WEIGHT HEPARIN)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Use of low molecular weight heparin as therapy for ACS or STE AMI either alone or in conjunction with other treatment.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Low molecular weight heparin
Low molecular weight heparin

 

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AMI DRUG TREATMENT (ORAL ANTI-PLATELET AGENT)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

For example - dipyridamole.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Other oral anti-platelet agent
Other oral anti-platelet agent

 

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AMI DRUG TREATMENT (ORAL NITRATE)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Does not include sublingual nitroglycerine or spray used on an as-needed basis.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Oral nitrate
Oral nitrate

 

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AMI DRUG TREATMENT (POTASSIUM CHANNEL MODULATOR)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Potassium channel modulator
Potassium channel modulator

 

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AMI DRUG TREATMENT (SPIRONOLACTONE)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Spironolactone
Spironolactone

 

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AMI DRUG TREATMENT (THIAZIDE DIURETIC)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Use when a diuretic drug is introduced or used in increased dose.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Thiazide diuretic
Thiazide diuretic

 

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AMI DRUG TREATMENT (THIENOPYRIDINE PLATELET INHIBITOR)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

For example - clopidogrel, ticlopidine.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Thienopyridine platelet inhibitor
Thienopyridine platelet inhibitor

 

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AMI DRUG TREATMENT (UNFRACTIONATED HEPARIN)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Use of unfractionated heparin as therapy for ACS or STE AMI either alone or in conjunction with other treatment.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Unfractionated heparin

 

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AMI DRUG TREATMENT (WARFARIN)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:0 - No
 1 - Yes
Default Codes:9 - Unknown

Notes:
Derive from the patient Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.Derive from the PATIENT Drug Treatment and Drug Dosage And Administration within the Acute Myocardial Infarction Care Spell.

Drug Treatment is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 11 'Drug Treatment'.

Drug Dosage And Administration is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 10 'Drug Dosage And Administration'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Warfarin
Warfarin

 

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AMI HEART RATE

Change to Data Element: Changed Description

Format/length:n3
HES item: 
National Codes: 
Default Codes: 

Notes:
The heart rate recorded from the first ECG after admission to hospital, whilst in a stable cardiac rhythm i.e. sinus rhythm, or chronic AF. In complete heart block record ventricular rate. Where the presenting rhythm is a treatable tachyarrhythmia, the first stable heart rate after treatment should be used.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Heart Rate
Heart Rate

 

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ANGIOGRAM DATE

Change to Data Element: Changed Description

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

Notes:
The DATE on which an angiogram is performed within the Acute Myocardial Infarction Care Spell.

ANGIOGRAM DATE is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 01 'Angiogram Date'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Date of angio performed locally
Date of angio performed locally

 

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ASPIRIN THERAPY LOCATION

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
National Codes:See ASPIRIN THERAPY LOCATION CODE
Default Codes:9 - Unknown

Notes:
This is the same as ASPIRIN THERAPY LOCATION CODE.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Where was Aspirin Given
Where was Aspirin Given

 

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CARDIAC ARREST FIRST VERIFIED DATE AND TIME

Change to Data Element: Changed Description

Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
HES item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON PROPERTY EFFECTIVE DATE and PERSON PROPERTY EFFECTIVE TIME for the first verified CARDIAC ARREST within the Acute Myocardial Infarction Care Spell.

Date and time of first verified arrest only to be reported. Excludes syncope or profound vagally-mediated bradycardia. Enter date and time of death if resuscitation not attempted.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Cardiac arrest date/time - FIRST ARREST ONLY
Cardiac arrest date/time - FIRST ARREST ONLY

 

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CARDIAC ARREST LOCATION

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See CARDIAC ARREST LOCATION
Default Codes:1 - No arrest

Notes:
CARDIAC ARREST LOCATION is the same as attribute CARDIAC ARREST LOCATION. 

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Cardiac arrest location
Cardiac arrest location

 

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CARDIAC ARREST OUTCOME (FIRST)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
National Codes:See CARDIAC ARREST OUTCOME
Default Codes:9 - Unknown

Notes:
CARDIAC ARREST OUTCOME (FIRST) is the same as attribute CARDIAC ARREST OUTCOME.

Applies only to outcome of the first arrest. This should include arrests in which resuscitation was deemed to be inappropriate. Enter the fact that resuscitation was not attempted for whatever reason (such as severe co-morbidity). If further arrests occur, the outcome will be recorded as AMI CAUSE OF DEATH IN HOSPITAL.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Outcome Of Arrest
Outcome Of Arrest

 

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CARDIAC ARREST PRESENTING RHYTHM

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See CARDIAC ARREST PRESENTING RHYTHM
Default Codes:9 - Unknown

Notes:
CARDIAC ARREST PRESENTING RHYTHM is the same as attribute CARDIAC ARREST PRESENTING RHYTHM. 

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Arrest Presenting Rhythm
Arrest Presenting Rhythm

 

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CARE PLAN AGREED DATE

Change to Data Element: Changed Description

Format/length:see DATE 
HES item: 
National Codes: 
Default Codes: 
 Notes:
CARE PLAN AGREED DATE is the same as attribute CARE PLAN AGREED DATE.

 

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CCAD HOSPITAL IDENTIFIER

Change to Data Element: Changed Description

Format/length:n3
HES item: 
National Codes: 
Default Codes: 

Notes:
The identifier allocated to the hospital by the Central Cardiac Audit Database (CCAD). A legacy system used by CCAD for identification and analysis of an individual centre data.

The national standard for hospital identification is SITE CODE (OF TREATMENT) and must also be included in the national Dataset.The national standard for hospital identification is SITE CODE (OF TREATMENT) and must also be included in the national data set.

See www.See www.ccad.org.uk

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Hospital Identifier

 

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CCAD HOSPITAL IDENTIFIER (REFERRING)

Change to Data Element: Changed Description

Format/length:n3
HES item: 
National Codes:See www.ccad.org.uk 
National Codes: 
Default Codes: 

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

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

 

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CDS BULK REPLACEMENT GROUP

Change to Data Element: Changed Description

Format/length:n3
HES item: 
National Codes: 
Default Codes: 

Notes:

Definition:
The CDS Group into which CDS Types must be grouped when using the CDS Bulk Replacement Update Mechanism.The Commissioning Data Set Group into which CDS TYPES must be grouped when using the Commissioning Data Set Bulk Replacement Update Mechanism.

Permitted values are:

CODE CLASSIFICATION 
010Finished General, Delivery and Birth Episodes
020Unfinished General, Delivery and Birth Episodes
030Other Delivery
040Other Birth
050Detained and/or Long Term Psychiatric Census
060Outpatient (known as Care Activity in the Schema) 
070Standard variation of Elective Admission List End Of Period Census
080New and Old variations of Elective Admission List End Of Period Census
090Add variation of Elective Admission List Event During Period
100Remove variation of Elective Admission List Event During Period
110Offer variation of Elective Admission List Event During Period
120Available/Unavailable variation of Elective Admission List Event During Period
130New and Old variations of Elective Admission List Event During Period
140Accident and Emergency Attendance
150Future Outpatient (introduced in CDS Version 6 - known as Future Care Activity in the Schema) 

Usage:
This is a mandatory data item when the CDS Bulk Replacement Update Mechanism is used and is not required when the CDS Net Change Update Mechanism is used.This is a mandatory data item when the Commissioning Data Set Bulk Replacement Update Mechanism is used and is not required when the Commissioning Data Set Net Change Update Mechanism is used.

The CDS Bulk Replacement Update Mechanism process identifies previously transferred CDSs Types that are to be replaced by the submitted CDS interchange.The Commissioning Data Set Bulk Replacement Update Mechanism process identifies previously transferred CDS TYPES that are to be replaced by the submitted Commissioning Data Set interchange. To do this the CDS BULK REPLACEMENT GROUP must be used together with the following data items:

CDS REPORT PERIOD START DATE
CDS REPORT PERIOD END DATE
CDS INTERCHANGE SENDER IDENTITY
CDS PRIME RECIPIENT IDENTITY

It is particularly important when using the CDS Bulk Replacement Update Mechanism for a CDS BULK REPLACEMENT GROUP to contain all the relevant CDS Types for the extracted time period in a single CDS Interchange, e.g. the Finished General Episodes, Finished Delivery Episodes and Finished Birth Episodes in a Finished Episode Group.It is particularly important when using the Commissioning Data Set Bulk Replacement Update Mechanism for a CDS BULK REPLACEMENT GROUP to contain all the relevant CDS TYPES for the extracted time period in a single Commissioning Data Set Interchange, e.g. the Finished General Episodes, Finished Delivery Episodes and Finished Birth Episodes in a Finished Episode Group.

 

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CORONARY ANGIOGRAPHY PERFORMED

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See CORONARY ANGIOGRAPHY PERFORMED
Default Codes:9 - Unknown

CCAD item name:Notes:
Coronary Angiography at this AdmissionCORONARY ANGIOGRAPHY PERFORMED is the same as attribute CORONARY ANGIOGRAPHY PERFORMED. 

 Central Cardiac Audit Database (CCAD) item name:
Coronary Angiography at this Admission

 

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CORONARY INTERVENTION PERFORMED

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See CORONARY INTERVENTION PERFORMED
Default Codes:9 - Unknown

Notes:
CORONARY INTERVENTION PERFORMED is the same as attribute CORONARY INTERVENTION PERFORMED. 

Procedure for recurrent symptoms or as an elective procedure.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Coronary Intervention at this Admission
Coronary Intervention at this Admission

 

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COUNTRY CODE (BIRTH)

Change to Data Element: Changed Aliases, Description

Format/length:a3
HES item: 
National Codes: 
Default Codes: 

This is the country where the PERSON was born.

COUNTRY CODE (BIRTH) is the same as attribute COUNTRY CODE.

Refer to the ISO 3166-1 standard for actual list of alphabetic codes and countries. The alphabetic code to be used is the 3-char alphabetic code available on the International Organisation for Standardisation website http://www.iso.org/iso/home.htm

Note: The 2-char alphabetic code must not be used.htm. The 2-char alphabetic code must not be used.

 

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COUNTRY CODE (BIRTH)

Change to Data Element: Changed Aliases, Description


DELIVERY PLACE CHANGE REASON

Change to Data Element: Changed Description

Format/length:n1
HES item:DELCHANG
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See DELIVERY PLACE CHANGE REASON
Default Codes:8 - Not applicable (i.e. no change)
9 - Not known: a validation error
 Notes:
DELIVERY PLACE CHANGE REASON is the same as attribute DELIVERY PLACE CHANGE REASON.

 

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DELIVERY PLACE TYPE (ACTUAL)

Change to Data Element: Changed Description

Format/length:n1
HES item:DELPLACE
National Codes: 
National Codes:See ACTUAL DELIVERY PLACE
Default Codes: 

Notes:
DELIVERY PLACES TYPE (ACTUAL) is the same as attribute ACTUAL DELIVERY PLACE

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DELIVERY PLACE TYPE (INTENDED)

Change to Data Element: Changed Description

Format/length:n1
HES item:DELINTEN
National Codes: 
National Codes:See INTENDED DELIVERY PLACE
Default Codes: 

Notes:
DELIVERY PLACE TYPE (INTENDED) is the same as attribute INTENDED DELIVERY PLACE

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DETAINED PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE)

Change to Data Element: Changed Description

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

Notes:
The total number of female PATIENTS detained under the Mental Health Act resident with a current Hospital Provider Spell as at the REPORTING PERIOD END DATE, where learning disability was not present or not the primary reason for using the Mental Health Act.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

 MENTAL CATEGORY MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   
 1 Mental illnessA Mental disorder (Learning Disability not present or not primary reason for using Act)
 2 Mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 3 Severe mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 4 Psychopathic disorderA Mental disorder (Learning Disability not present or not primary reason for using Act)
 5 Not specifiedA Mental disorder (Learning Disability not present or not primary reason for using Act)
 
1. It is a count of the total number of PATIENTS resident with a Hospital Provider Spell within the Health Care Provider at the REPORTING PERIOD END DATE where:
  a.the Hospital Provider Spell has a Start Date on or before the REPORTING PERIOD END DATE 
   and
  and 
   the Hospital Provider Spell has no recorded Discharge Date i.e. the Hospital Provider Spell is still active
   or
  or 
   the Discharge Date is after the REPORTING PERIOD END DATE i.e. the Hospital Provider Spell was active as at theREPORTING PERIOD END DATE 
  and 
  b.the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715.
  and 
  c.the PERSON PROPERTY EFFECTIVE DATE for the LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the same as the Start Date of the Hospital Provider Spell i.e. the LEGAL STATUS CLASSIFICATION should be recorded when the PATIENT was admitted.
  and 
  d.the LEGAL STATUS CLASSIFICATION CODE corresponds to one of the listed entries of FORMAL ADMISSIONS SECTION TYPE 
  and 
  e.the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 2 'Female' 
   and
  and 
   the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current' 
  and 
  f.the MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is National Code A 'Mental disorder (Learning Disability not present or not primary reason for using Act)' 
   See above for mapping MENTAL CATEGORY of PATIENTS detained and admitted in the period up to 3rd November 2008 who have not had their appropriate MENTAL HEALTH ACT 2007 MENTAL CATEGORY recorded to provide the appropriate category for MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   and
  and 
   the PERSON PROPERTY EFFECTIVE DATE for MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is the same as the Start Date of the Hospital Provider Spell i.e. the MENTAL HEALTH ACT 2007 MENTAL CATEGORY should be recorded when the PATIENT was admitted
2. Where no PATIENTS match these criteria then DETAINED PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE) should be set to zero.

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

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

Hospital Provider Spell and Consultant Episode (Hospital Provider) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell or episode type.

 

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DETAINED PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE)

Change to Data Element: Changed Description

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

Notes:
The total number of male PATIENTS detained under the Mental Health Act resident with a current Hospital Provider Spell as at the REPORTING PERIOD END DATE, where learning disability was not present or not the primary reason for using the Mental Health Act.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

 MENTAL CATEGORY MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   
 1 Mental illnessA Mental disorder (Learning Disability not present or not primary reason for using Act)
 2 Mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 3 Severe mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 4 Psychopathic disorderA Mental disorder (Learning Disability not present or not primary reason for using Act)
 5 Not specifiedA Mental disorder (Learning Disability not present or not primary reason for using Act)
 
1. It is a count of the total number of PATIENTS resident with a Hospital Provider Spell within the Health Care Provider at the REPORTING PERIOD END DATE where:
  a.the Hospital Provider Spell has a Start Date on or before the REPORTING PERIOD END DATE 
   and
  and 
   the Hospital Provider Spell has no recorded Discharge Date i.e. the Hospital Provider Spell is still active
   or
  or 
   the Discharge Date is after the REPORTING PERIOD END DATE i.e. the Hospital Provider Spell was active as at theREPORTING PERIOD END DATE 
  and 
  b.the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODE being 700, 710, 711, 712, 713 and 715.
  and 
  c.the PERSON PROPERTY EFFECTIVE DATE for the LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the same as the Start Date of the Hospital Provider Spell i.e. the LEGAL STATUS CLASSIFICATION should be recorded when the PATIENT was admitted.
  and 
  d.the LEGAL STATUS CLASSIFICATION CODE corresponds to one of the listed entries of FORMAL ADMISSIONS SECTION TYPE 
  and 
  e.the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 1 'Male' 
   and
  and 
   the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current' 
  and 
  f.the MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is National Code A 'Mental disorder (Learning Disability not present or not primary reason for using Act)' 
   See above for mapping MENTAL CATEGORY of PATIENTS detained and admitted in the period up to 3rd November 2008 who have not had their appropriate MENTAL HEALTH ACT 2007 MENTAL CATEGORY recorded to provide the appropriate category for MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   and
  and 
   the PERSON PROPERTY EFFECTIVE DATE for MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is the same as the Start Date of the Hospital Provider Spell i.e. the MENTAL HEALTH ACT 2007 MENTAL CATEGORY should be recorded when the PATIENT was admitted
2. Where no PATIENTS match these criteria then DETAINED PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE) should be set to zero.

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

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

Hospital Provider Spell and Consultant Episode (Hospital Provider) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell or episode type.

 

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DETAINED PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE)

Change to Data Element: Changed Description

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

Notes:
The total number of female PATIENTS detained under the Mental Health Act resident with a current Hospital Provider Spell as at the REPORTING PERIOD END DATE, where learning disability was the primary reason for using the Mental Health Act.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

 MENTAL CATEGORY MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   
 1 Mental illnessA Mental disorder (Learning Disability not present or not primary reason for using Act)
 2 Mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 3 Severe mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 4 Psychopathic disorderA Mental disorder (Learning Disability not present or not primary reason for using Act)
 5 Not specifiedA Mental disorder (Learning Disability not present or not primary reason for using Act)
 
1. It is a count of the total number of PATIENTS resident with a Hospital Provider Spell within the Health Care Provider at the REPORTING PERIOD END DATE where:
  a.the Hospital Provider Spell has a Start Date on or before the REPORTING PERIOD END DATE 
   and
  and 
   the Hospital Provider Spell has no recorded Discharge Date i.e. the Hospital Provider Spell is still active
   or
  or 
   the Discharge Date is after the REPORTING PERIOD END DATE i.e. the Hospital Provider Spell was active as at theREPORTING PERIOD END DATE 
  and 
  b.the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODE being 700, 710, 711, 712, 713 and 715.
  and 
  c.the PERSON PROPERTY EFFECTIVE DATE for the LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the same as the Start Date of the Hospital Provider Spell i.e. the LEGAL STATUS CLASSIFICATION should be recorded when the PATIENT was admitted.
  and 
  d.the LEGAL STATUS CLASSIFICATION CODE corresponds to one of the listed entries of FORMAL ADMISSIONS SECTION TYPE 
  and 
  e.the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 2 'Female' 
   and
  and 
   the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current' 
  and 
  f.the MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is National Code B 'Mental Disorder (Learning Disability primary reason for using Act)' 
   See above for mapping MENTAL CATEGORY of PATIENTS detained and admitted in the period up to 3rd November 2008 who have not had their appropriate MENTAL HEALTH ACT 2007 MENTAL CATEGORY recorded to provide the appropriate category for MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   and
  and 
   the PERSON PROPERTY EFFECTIVE DATE for MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is the same as the Start Date of the Hospital Provider Spell i.e. the MENTAL HEALTH ACT 2007 MENTAL CATEGORY should be recorded when the PATIENT was admitted
2. Where no PATIENTS match these criteria then DETAINED PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE) should be set to zero.

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

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

Hospital Provider Spell and Consultant Episode (Hospital Provider) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell or episode type.

 

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DETAINED PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE)

Change to Data Element: Changed Description

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

Notes:
The total number of male PATIENTS detained under the Mental Health Act resident with a current Hospital Provider Spell as at the REPORTING PERIOD END DATE, where learning disability was the primary reason for using the Mental Health Act.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

 MENTAL CATEGORY MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   
 1 Mental illnessA Mental disorder (Learning Disability not present or not primary reason for using Act)
 2 Mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 3 Severe mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 4 Psychopathic disorderA Mental disorder (Learning Disability not present or not primary reason for using Act)
 5 Not specifiedA Mental disorder (Learning Disability not present or not primary reason for using Act)
 
1. It is a count of the total number of PATIENTS resident with a Hospital Provider Spell within the Health Care Provider at the REPORTING PERIOD END DATE where:
  a.the Hospital Provider Spell has a Start Date on or before the REPORTING PERIOD END DATE 
   and
  and 
   the Hospital Provider Spell has no recorded Discharge Date i.e. the Hospital Provider Spell is still active
   or
  or 
   the Discharge Date is after the REPORTING PERIOD END DATE i.e. the Hospital Provider Spell was active as at theREPORTING PERIOD END DATE 
  and 
  b.the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715.
  and 
  c.the PERSON PROPERTY EFFECTIVE DATE for the LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the same as the Start Date of the Hospital Provider Spell i.e. the LEGAL STATUS CLASSIFICATION should be recorded when the PATIENT was admitted.
  and 
  d.the LEGAL STATUS CLASSIFICATION CODE corresponds to one of the listed entries of FORMAL ADMISSIONS SECTION TYPE 
  and 
  e.the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 1 'Male' 
   and
  and 
   the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current' 
  and 
  f.the MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is National Code B 'Mental Disorder (Learning Disability primary reason for using Act)' 
   See above for mapping MENTAL CATEGORY of PATIENTS detained and admitted in the period up to 3rd November 2008 who have not had their appropriate MENTAL HEALTH ACT 2007 MENTAL CATEGORY recorded to provide the appropriate category for MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   and
  and 
   the PERSON PROPERTY EFFECTIVE DATE for MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is the same as the Start Date of the Hospital Provider Spell i.e. the MENTAL HEALTH ACT 2007 MENTAL CATEGORY should be recorded when the PATIENT was admitted
2. Where no PATIENTS match these criteria then DETAINED PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE) should be set to zero.

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

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

Hospital Provider Spell and Consultant Episode (Hospital Provider) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell or episode.

 

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DIABETES ROUTINE REVIEW (EYE)

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See DIABETES ROUTINE REVIEW CODE
Default Codes: 

Notes:
A DIABETES ROUTINE REVIEW CODE of the eyes within an approved diabetes eye screening programme.

 

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DIABETES ROUTINE REVIEW (FOOT)

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See DIABETES ROUTINE REVIEW CODE
Default Codes: 

Notes:
A DIABETES ROUTINE REVIEW CODE of the foot carried out by appropriately trained personnel using an approved foot screening procedure.

 

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DIABETES TYPE

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See DIABETES TYPE
Default Codes: 
 Notes:
DIABETES TYPE is the same as attribute DIABETES TYPE.

 

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DISCHARGED ON ANGIOTENSIN INHIBITOR

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See DISCHARGED ON INDICATOR
Default Codes:9 - Unknown

Notes:
Patient discharged from hospital on angiotensin converting enzyme inhibitor or angiotensin receptor blocker.PATIENT discharged from hospital on angiotensin converting enzyme inhibitor or angiotensin receptor blocker.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Angiotensin Inhibitor

 

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DISCHARGED ON ANTI-PLATELET DRUG

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See DISCHARGED ON INDICATOR
Default Codes:9 - Unknown

Notes:
Patient discharged from hospital taking aspirin or any other anti-platelet agent.PATIENT discharged from hospital taking aspirin or any other anti-platelet agent.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Discharged on Aspirin or Other Anti-platelet

 

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DISCHARGED ON BETA BLOCKER

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See DISCHARGED ON INDICATOR
Default Codes:9 - Unknown

Notes:
Patient discharged from hospital on oral beta adrenergic blocker treatment.PATIENT discharged from hospital on oral beta adrenergic blocker treatment.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Discharged On Beta Blocker

 

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DISCHARGED ON STATIN

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See DISCHARGED ON INDICATOR
Default Codes:9 - Unknown

Notes:
Patient discharged from hospital on a statinPATIENT discharged from hospital on a statin

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Discharged On Statin

 

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ECG DETERMINING TREATMENT

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See ECG DETERMINING TREATMENT
Default Codes:9 - Unknown

Notes:
ECG DETERMINING TREATMENT is the same as attribute ECG DETERMINING TREATMENT.

The ECG appearances upon which a decision to offer reperfusion treatment including angioplasty, was based.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
ECG Determining Treatment

 

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ECHOCARDIOGRAPHY PERFORMED

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
Default Codes:9 - Unknown

Notes:
Derive from CLINICAL INTERVENTION whether an echocardiography was performed during the Hospital Provider Spell within the Acute Myocardial Infarction Care Spell or is planned after admission and recorded as Therapy After Discharge with DISCHARGE THERAPY TYPE 'echocardiology'.

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

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National code 02 'Acute Myocardial Infarction Care Spell'.

Therapy After Discharge is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 31 'Therapy After Discharge'.

The derived values are:

0- No
1- Yes
2- Planned after admission

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Echocardiography

 

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EMERGENCY SERVICES ARRIVAL DATE AND TIME (AMI)

Change to Data Element: Changed Description

Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
HES item: 
National Codes: 
Default Codes: 

Notes:
This is derived from the e-GIF elements DATE and TIME.

This is the PERSON PROPERTY EFFECTIVE DATE and PERSON PROPERTY EFFECTIVE TIME from PERSON PROPERTY for the Acute Myocardial Infarction History Item where the AMI HISTORY ITEM TYPE is 'Arrival of Emergency Service'.

Acute Myocardial Infarction History Item is a PERSON PROPERTY CLASSIFIER where the PERSON PROPERTY CLASSIFICATION is National Code 07 'Acute Myocardial Infarction History Item'.

Routine ambulance service data.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Date/time of symptom onset

 

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EXERCISE TEST PERFORMED

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
Default Codes:9 - Unknown

Notes:
Derive from whether an exercise test was performed during the Hospital Provider Spell within the Acute Myocardial Infarction Care Spell or is planned after admission and recorded as Therapy After Discharge where DISCHARGE THERAPY TYPE of CLINICAL INTERVENTION is National Code 02 'Exercise Test'.

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

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

Therapy After Discharge is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 31 'Therapy After Discharge'.

The derived values are:

0- No
1- Yes
2- Planned after admission

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Exercise Test

 

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FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE)

Change to Data Element: Changed Description

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

Notes:
The total number of female PATIENTS detained under the Mental Health Act and admitted to a Hospital Provider Spell during the REPORTING PERIOD for a FORMAL ADMISSIONS SECTION TYPE, where learning disability was not present or not the primary reason for using the Mental Health Act.

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

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

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

 MENTAL CATEGORY MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   
 1 Mental illnessA Mental disorder (Learning Disability not present or not primary reason for using Act)
 2 Mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 3 Severe mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 4 Psychopathic disorderA Mental disorder (Learning Disability not present or not primary reason for using Act)
 5 Not specifiedA Mental disorder (Learning Disability not present or not primary reason for using Act)
1. It is a count of the total number of admission for all PATIENTS within the Health Care Provider for a given FORMAL ADMISSIONS SECTION TYPE where:
  a.the Hospital Provider Spell has a Start Date on or after the REPORTING PERIOD START DATE and the Start Date is before or on the REPORTING PERIOD END DATE 
   and
  and 
   where the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715.
  and 
  b.the PERSON PROPERTY EFFECTIVE DATE for the LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the same as the Start Date of the Hospital Provider Spell i.e. the LEGAL STATUS CLASSIFICATION should be recorded when the PATIENT was admitted.
  and 
  c.the LEGAL STATUS CLASSIFICATION CODE corresponds to the FORMAL ADMISSIONS SECTION TYPE 
  and 
  d.the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 2 'Female' 
   and
  and 
   the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current' 
  and 
  e.the MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is National Code A 'Mental disorder (Learning Disability not present or not primary reason for using Act)' 
   See above for mapping MENTAL CATEGORY of PATIENTS detained and admitted in the period up to 3rd November 2008 to provide the appropriate category for MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   and
  and 
   the PERSON PROPERTY EFFECTIVE DATE for the MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is the same as the Start Date of the Hospital Provider Spell i.e. the MENTAL HEALTH ACT 2007 MENTAL CATEGORY should be recorded when the PATIENT was admitted.
2. Where no admissions match these criteria then FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE) should be set to zero.

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

Hospital Provider Spell, Consultant Episode (Hospital Provider), Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or treatment type.

 

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FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE)

Change to Data Element: Changed Description

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

Notes:
The total number of male PATIENTS detained under the Mental Health Act and admitted to a Hospital Provider Spell during the REPORTING PERIOD for a FORMAL ADMISSIONS SECTION TYPE, where learning disability was not present or not the primary reason for using the Mental Health Act.

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

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

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

 MENTAL CATEGORY MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   
 1 Mental illnessA Mental disorder (Learning Disability not present or not primary reason for using Act)
 2 Mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 3 Severe mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 4 Psychopathic disorderA Mental disorder (Learning Disability not present or not primary reason for using Act)
 5 Not specifiedA Mental disorder (Learning Disability not present or not primary reason for using Act)
1. It is a count of the total number of admission for all PATIENTS within the Health Care Provider for a given FORMAL ADMISSIONS SECTION TYPE where:
  a.the Hospital Provider Spell has a Start Date on or after the REPORTING PERIOD START DATE and the Start Date is before or on the REPORTING PERIOD END DATE 
   and
  and 
   where the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715.
  and 
  b.the PERSON PROPERTY EFFECTIVE DATE for the LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the same as the Start Date of the Hospital Provider Spell i.e. the LEGAL STATUS CLASSIFICATION should be recorded when the PATIENT was admitted.
  and 
  c.the LEGAL STATUS CLASSIFICATION CODE corresponds to the FORMAL ADMISSIONS SECTION TYPE 
  and 
  d.the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 1 'Male' 
   and
  and 
   the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current' 
  and 
  e.the MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is National Code A 'Mental disorder (Learning Disability not present or not primary reason for using Act)' 
   See above for mapping MENTAL CATEGORY of PATIENTS detained and admitted in the period up to 3rd November 2008 to provide the appropriate category for MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   and
  and 
   the PERSON PROPERTY EFFECTIVE DATE for the MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is the same as the Start Date of the Hospital Provider Spell i.e. the MENTAL HEALTH ACT 2007 MENTAL CATEGORY should be recorded when the PATIENT was admitted.
2. Where no admissions match these criteria then FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE) should be set to zero.

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

Hospital Provider Spell, Consultant Episode (Hospital Provider), Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or treatment type.

 

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FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE)

Change to Data Element: Changed Description

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

Notes:
The total number of female PATIENTS detained under the Mental Health Act and admitted to a Hospital Provider Spell during the REPORTING PERIOD for a FORMAL ADMISSIONS SECTION TYPE, where learning disability was the primary reason for using the Mental Health Act.

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

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

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

 MENTAL CATEGORY MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   
 1 Mental illnessA Mental disorder (Learning Disability not present or not primary reason for using Act)
 2 Mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 3 Severe mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 4 Psychopathic disorderA Mental disorder (Learning Disability not present or not primary reason for using Act)
 5 Not specifiedA Mental disorder (Learning Disability not present or not primary reason for using Act)
1. It is a count of the total number of admission for all PATIENTS within the Health Care Provider for a given FORMAL ADMISSIONS SECTION TYPE where:
  a.the Hospital Provider Spell has a Start Date on or after the REPORTING PERIOD START DATE and the Start Date is before or on the REPORTING PERIOD END DATE 
   and
   where the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715.
  and 
   where the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715.
  and 
  b.the PERSON PROPERTY EFFECTIVE DATE for the LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the same as the Start Date of the Hospital Provider Spell i.e. the LEGAL STATUS CLASSIFICATION should be recorded when the PATIENT was admitted.
  and 
  c.the LEGAL STATUS CLASSIFICATION CODE corresponds to the FORMAL ADMISSIONS SECTION TYPE 
  and 
  d.the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 2 'Female' 
   and
  and 
   the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current' 
  and 
  e.the MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is National Code B 'Mental Disorder (Learning Disability primary reason for using Act)' 
   See above for mapping MENTAL CATEGORY of PATIENTS detained and admitted in the period up to 3rd November 2008 to provide the appropriate category for MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   and
  and 
   the PERSON PROPERTY EFFECTIVE DATE for the MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is the same as the Start Date of the Hospital Provider Spell i.e. the MENTAL HEALTH ACT 2007 MENTAL CATEGORY should be recorded when the PATIENT was admitted.
2. Where no admissions match these criteria then FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE) should be set to zero.

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

Hospital Provider Spell, Consultant Episode (Hospital Provider), Supervised Community Treatment and Supervised Community Treatment Recalll are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or treatment type.

 

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FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE)

Change to Data Element: Changed Description

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

Notes:
The total number of male PATIENTS detained under the Mental Health Act and admitted to a Hospital Provider Spell during the REPORTING PERIOD for a FORMAL ADMISSIONS SECTION TYPE, where learning disability was the primary reason for using the Mental Health Act.

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

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

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

 MENTAL CATEGORY MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   
 1 Mental illnessA Mental disorder (Learning Disability not present or not primary reason for using Act)
 2 Mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 3 Severe mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 4 Psychopathic disorderA Mental disorder (Learning Disability not present or not primary reason for using Act)
 5 Not specifiedA Mental disorder (Learning Disability not present or not primary reason for using Act)
1. It is a count of the total number of admission for all PATIENTS within the Health Care Provider for a given FORMAL ADMISSIONS SECTION TYPE where:
  a.the Hospital Provider Spell has a Start Date on or after the REPORTING PERIOD START DATE and the Start Date is before or on the REPORTING PERIOD END DATE 
   and
  and 
   where the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715.
  and 
  b.the PERSON PROPERTY EFFECTIVE DATE for the LEGAL STATUS CLASSIFICATION CODE of LEGAL STATUS CLASSIFICATION is the same as the Start Date of the Hospital Provider Spell i.e. the LEGAL STATUS CLASSIFICATION should be recorded when the PATIENT was admitted.
  and 
  c.the LEGAL STATUS CLASSIFICATION CODE corresponds to the FORMAL ADMISSIONS SECTION TYPE 
  and 
  d.the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 1 'Male' 
   and
  and 
   the PERSON GENDER TYPE for the PERSON GENDER is National Code 02 'Person Gender Current' 
  and 
  e.the MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is National Code B 'Mental Disorder (Learning Disability primary reason for using Act)' 
   See above for mapping MENTAL CATEGORY of PATIENTS detained and admitted in the period up to 3rd November 2008 to provide the appropriate category for MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   and
  and 
   the PERSON PROPERTY EFFECTIVE DATE for the MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is the same as the Start Date of the Hospital Provider Spell i.e. the MENTAL HEALTH ACT 2007 MENTAL CATEGORY should be recorded when the PATIENT was admitted.
2. Where no admissions match these criteria then FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE) should be set to zero.

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

Hospital Provider Spell, Consultant Episode (Hospital Provider), Supervised Community Treatment and Supervised Community Treatment Recall are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or treatment type.

 

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HOSPITAL STAYS LIST (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/length:an50
HES item: 
National Codes: 
Default Codes: 

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

a.one or more Hospital Provider Spell within the Mental Health Care Spell has occurred wholly or partly within the REPORTING PERIOD 
and 
b.where the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for an adult or mental illness MAIN SPECIALTY. The adult or mental illness MAIN SPECIALTIES being 700, 710 ,712, 713 and 715.

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:

Bwhere the Start Date of the Hospital Provider Spell is before the REPORTING PERIOD START DATE 
Cwhere the Discharge Date of the Hospital Provider Spell is after the REPORTING PERIOD END DATE 
blankwhere Start Date and Discharge Date of the Hospital Provider Spell are within the REPORTING PERIOD START DATE and REPORTING PERIOD END DATE.

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, 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'.

 

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INITIAL CONTACT TYPE

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See INITIAL CONTACT TYPE
Default Codes:99 - Unknown

Notes:
In every case the caller refers to the patient or other non-professional in attendance.INITIAL CONTACT TYPE is the same as attribute INITIAL CONTACT TYPE.

CCAD item name:In every case the caller refers to the PATIENT or other non-professional in attendance.

Central Cardiac Audit Database (CCAD) item name:
Method of Admission
Method of Admission

 

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INITIAL PATIENT CONTACT DATE AND TIME

Change to Data Element: Changed Description

Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
HES item: 
National Codes: 
Default Codes: 

Notes:
INITIAL PATIENT CONTACT DATE AND TIME is derived from the egif elements date and time.

This is the Initial Patient Contact Date and Initial Patient Contact Time of an Acute Myocardial Infarction Care Spell initiated by the PATIENT.

The time of the initial call by patient, relative or attendant. This may be to a GP, NHS Direct, or the ambulance service.

This time may be available from the ambulance service record as the time of the emergency call, but may only be correct when a 999 call is made to the Ambulance service. Identify to whom the initial call was made. If the call was to a GP (or deputising service), or NHS Direct, establish this time as accurately as possible from the patient. An important time to record wherever possible for standard 6 of the CHD NSF.

Initial Patient Contact Date is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 16 'Initial Patient Contact Date'.

Initial Patient Contact Time is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 58 'Initial Patient Contact Time'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Date/time of call for help

 

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INTERVENTION DATE (FIRST IN AMI CARE SPELL)

Change to Data Element: Changed Description

Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
HES item: 
National Codes: 
Default Codes: 

Notes:
The date of the first CLINICAL INTERVENTION within the Acute Myocardial Infarction Care Spell performed within the same hospital.

INTERVENTION DATE (FIRST IN AMI CARE SPELL) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 12 'Event Date'.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Date of first intervention or surgery performed locally

 

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INVESTIGATION TRANSFER DATE

Change to Data Element: Changed Description

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

Notes:
INVESTIGATION TRANSFER DATE is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 17 'Investigation Transfer Date'.

The date on which transfer took place for daycase investigation and/or interventional treatment within an Acute Myocardial Infarction Care Spell. Arranged daycase transfers are not discharged from hospital.

If a patient is discharged (to another hospital) leave this field blank, and use fields DISCHARGE DATE (HOSPITAL PROVIDER SPELL) and DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL). This allows recording of interval between referral and procedure. Dates for ANGIOGRAM DATE and INTERVENTION DATE (FIRST IN AMI CARE SPELL) will be the same date where PCI follows angiography at the same procedure, but it is likely that for some time angiography in a DGH to be followed by intervention elsewhere. This option will be covered by either INVESTIGATION TRANSFER DATE, in the case of a day case transfer or by DISCHARGE DATE (HOSPITAL PROVIDER SPELL) & DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) for a patient discharged.

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Transfer date for daycase investigation

 

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NHS NUMBER (BABY)

Change to Data Element: Changed Description

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

Notes:
The NHS Number of the baby within CDS Delivery Episode and CDS Home Delivery where the mother is recorded by use of NHS NUMBER.The NHS NUMBER of the baby within the Commissioning Data Set Delivery Episode and Commissioning Data Set Home Delivery where the mother is recorded by use of NHS NUMBER. 

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NHS NUMBER (MOTHER)

Change to Data Element: Changed Description

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

Notes:
The NHS Number of the mother within CDS Birth Episode and CDS Home Birth where the baby is recorded by use of NHS NUMBER.The NHS NUMBER of the mother within the Commissioning Data Set Birth Episode and Commissioning Data Set Home Birth where the baby is recorded by use of NHS NUMBER. 

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NHS NUMBER STATUS INDICATOR (BABY)

Change to Data Element: Changed Description

Format/length:n2
Format/length:See NHS NUMBER STATUS INDICATOR
HES item: 
National Codes: 
Default Codes: 

Notes:
The NHS Number Status Indicator of the NHS NUMBER (BABY) within CDS Delivery Episode and CDS Home Delivery. The values to be used are as for NHS NUMBER STATUS INDICATOR.The NHS NUMBER STATUS INDICATOR of the NHS NUMBER (BABY) within the Commissioning Data Set Delivery Episode and Commissioning Data Set Home Delivery. 

The values to be used are as for NHS NUMBER STATUS INDICATOR.

 

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NHS NUMBER STATUS INDICATOR (MOTHER)

Change to Data Element: Changed Description

Format/length:n2
Format/length:See NHS NUMBER STATUS INDICATOR
HES item: 
National Codes: 
Default Codes: 

Notes:
The NHS Number Status Indicator of the NHS NUMBER (MOTHER) within CDS Birth Episode and CDS Home Birth. The values to be used are as for NHS NUMBER STATUS INDICATOR.The NHS NUMBER STATUS INDICATOR of the NHS NUMBER (MOTHER) within the Commissioning Data Set Birth Episode and Commissioning Data Set Home Birth. 

The values to be used are as for NHS NUMBER STATUS INDICATOR.

 

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PATIENT CLINICAL GROUP

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See PATIENT CLINICAL GROUP CODE
Default Codes:09 - Unknown

Notes:
The patient's ethnic group as perceived by the clinician and recorded as part of the AMI Dataset.The PATIENT's ETHNIC GROUP as perceived by the clinician and recorded as part of the Acute Myocardial Infarction Data Set.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Patient Ethnic Group
Patient Ethnic Group

 

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PEAK CREATINE KINASE

Change to Data Element: Changed Description

Format/length:nn/n
HES item: 
National Codes: 
Default Codes: 

Notes:
Derive from CLINICAL INVESTIGATION RESULT ITEM/NUMERICAL VALUE.

The unit of measure is iu/l (international units per litre).

The biochemical definition of acute infarction and acute coronary syndromes has to take account of proposed changes of biochemical criteria which have not yet gained widespread agreement or acceptance. Entry of the peak value for the two markers allows either or both to be recorded. This allows for the reality that some Trusts are using different cut off points for troponin for the definition of infarction. The rest are likely still to be using creatine kinase (CK).

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Peak CK
Peak CK

 

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PEAK TROPONIN

Change to Data Element: Changed Description

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

Notes:
Derive from CLINICAL INVESTIGATION RESULT ITEM/NUMERICAL VALUE.

The unit of measure is ng/ml (nanograms per millilitre).

Peak troponin (I or T) during admission

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Peak Troponin
Peak Troponin

 

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PERSON BIRTH DATE (BABY)

Change to Data Element: Changed Description

Format/length:see PERSON BIRTH DATE 
HES item: 
National Codes: 
Default Codes: 
 Notes:
PERSON BIRTH DATE (BABY) is the same as data element PERSON BIRTH DATE.

References:
UK Government Data Standards Catalogue (GDSC), Version 2.1, Agreed 01.09.02. GDSC:
http://www.govtalk.gov.uk/gdsc/html/default.htm

 

 

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PERSON BIRTH DATE (MOTHER)

Change to Data Element: Changed Description

Format/length:see PERSON BIRTH DATE 
HES item: 
National Codes: 
Default Codes: 
 Notes:
PERSON BIRTH DATE (MOTHER) is the same as data element PERSON BIRTH DATE.

References:
UK Government Data Standards Catalogue (GDSC), Version 2.1, Agreed 01.09.02. GDSC:
http://www.govtalk.gov.uk/gdsc/html/default.htm

 

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PERSON GENDER CURRENT (BABY)

Change to Data Element: Changed Description

Format/length:See PERSON GENDER CURRENT 
HES item: 
National Codes: 
Default Codes: 
 Notes:
PERSON GENDER CURRENT (BABY) is the same as data element PERSON GENDER CURRENT.

References:
UK Government Data Standards Catalogue (GDSC), Version 2.0, Agreed 11.09.03. GDSC:
http://www.govtalk.gov.uk/gdsc/html/default.htm

 

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PERSON OBSERVATION HISTORY (ASTHMA OR COPD)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
Default Codes:9 - Unknown

Notes:
Derive from PATIENT DIAGNOSIS history for the PATIENT.

Any form of obstructive airways disease.

The derived values are:

0- No
1- Yes

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Asthma or COPD
Asthma or COPD

 

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PERSON OBSERVATION HISTORY (CEREBROVASCULAR DISEASE)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
Default Codes:9 - Unknown

Notes:
Derive from PATIENT DIAGNOSIS history for the PATIENT.

A history of symptoms of cerebrovascular ischaemia. To include transient cerebral ischaemic episodes and events with deficit lasting >24 hrs.

The derived values are:

0- No
1- Yes

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Cerebrovascular disease
Cerebrovascular disease

 

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PERSON OBSERVATION HISTORY (CHRONIC RENAL FAILURE)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
Default Codes:9 - Unknown

Notes:
Derive from MEASURED PERSON OBSERVATION history for the PATIENT. Identify where Creatinine chronically >200 micromol/l.

The derived values are:

0- No
1- Yes

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Chronic renal failure
Chronic renal failure

 

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PERSON OBSERVATION HISTORY (DIABETES TYPE)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
Default Codes:9 - Unknown

Notes:
Derive from PATIENT DIAGNOSIS and Drug Treatment history for the PATIENT.

Identifies the type of management, if any, for diabetes.

The derived values are:

0- Not Diabetic
1- Diabetes (dietary control)
2- Diabetes (oral medicine)
3- Diabetes (insulin)
4- Newly diagnosed diabetes

Drug Treatment is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 09 'Drug Treatment'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Diabetes
Diabetes

 

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PERSON OBSERVATION HISTORY (HEART FAILURE)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
Default Codes:9 - Unknown

Notes:
Derive from MEASURED OBSERVATION VALUE in class MEASURED PERSON OBSERVATION.

A previously validated diagnosis of heart failure on any therapeutic regime.

The derived values are:

0- No
1- Yes

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Heart failure
Heart failure

 

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PERSON OBSERVATION HISTORY (HYPERCHOLESTEROLAEMIA)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
Default Codes:9 - Unknown

Notes:
Derive from MEASURED PERSON OBSERVATION and Drug Treatment history for the PATIENT.

Identifies if patient has elevation of serum cholesterol requiring dietary or drug treatment.Identifies if PATIENT has elevation of serum cholesterol requiring dietary or drug treatment.

The derived values are:

0- No
1- Yes

Drug Treatment is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 09 'Drug Treatment'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Hypercholesterolaemia
Hypercholesterolaemia

 

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PERSON OBSERVATION HISTORY (HYPERTENSION)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
Default Codes:9 - Unknown

Notes:
Derive from Blood Pressure history for the PATIENT.

Identifies if the patient has hypertension.Identifies if the PATIENT has hypertension.

A patient is defined as having hypertension if they are receiving treatment or dietary advice or if blood pressure has been recorded at greater than 140/90 on at least two occasions prior to admission.

The derived values are:

0- No
1- Yes

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Hypertension
Hypertension

 

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PERSON OBSERVATION HISTORY (PERIPHERAL VASCULAR DISEASE)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
Default Codes:9 - Unknown

Notes:
Derive from PATIENT DIAGNOSIS history for the PATIENT.

Indicates if the patient has a history of peripheral vascular disease.Indicates if the PATIENT has a history of peripheral vascular disease.

The presence of peripheral vascular disease, either presently symptomatic or previously treated by intervention or surgery. Include known renovascular disease and aortic aneurysm.

The derived values are:

0- No
1- Yes

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Peripheral vascular disease

 

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PERSON OBSERVATION HISTORY (PREVIOUS AMI)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
Default Codes:9 - Unknown

Notes:
Derive from PATIENT DIAGNOSIS history for the PATIENT.

Any previously validated episode of acute myocardial infarction.

The derived values are:

0- No
1- Yes

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Previous AMI
Previous AMI

 

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PERSON OBSERVATION HISTORY (PREVIOUS ANGINA)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
Default Codes:9 - Unknown

Notes:
Derive from MEASURED OBSERVATION VALUE in class MEASURED PERSON OBSERVATION.

Symptoms thought to be indicative of ischaemic cardiac pain either at rest or on exertion existing at least two weeks prior to this admission.

The derived values are:

0- No
1- Yes

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Previous Angina

 

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POSTCODE OF USUAL ADDRESS (MOTHER)

Change to Data Element: Changed Description

Format/length:see POSTCODE OF USUAL ADDRESS 
HES item: 
National Codes: 
Default Codes: 
 Notes:
POSTCODE OF USUAL ADDRESS (MOTHER) is the same as data element POSTCODE OF USUAL ADDRESS.

References:
UK Government Data Standards Catalogue (GDSC), Version 2.1, Agreed 01.09.02. GDSC:
http://www.govtalk.gov.uk/gdsc/html/default.htm

 

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PROFESSIONAL HELP ARRIVAL DATE AND TIME (AMI)

Change to Data Element: Changed Description

Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
HES item: 
National Codes: 
Default Codes: 

Notes:
This is derived from the e-GIF elements DATE and TIME.

This is the PERSON PROPERTY EFFECTIVE DATE and PERSON PROPERTY EFFECTIVE TIME from PERSON PROPERTY where the PERSON PROPERTY CLASSIFICATION equals 'Myocardial Infarction History Item' and where the AMI HISTORY ITEM TYPE is 'Arrival of Initial professional help'.

Time of arrival of general practitioner or other first responder.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Date/time of arrival of first professional help
Date/time of arrival of first professional help

 

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RADIONUCLIDE STUDY

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
Default Codes:9 - Unknown

Notes:
Derive from CLINICAL INTERVENTION whether a radionuclide study was performed during the Hospital Provider Spell within the Acute Myocardial Infarction Care Spell or is planned after admission and recorded as Therapy After Discharge with DISCHARGE THERAPY TYPE classification of 'radionuclide study'.

The derived values are:

0- No
1- Yes
2- Planned after admission

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

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 02 'Acute Myocardial Infarction Care Spell'.

Therapy After Discharge is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 31 'Therapy After Discharge'.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Radionuclide Study
Radionuclide Study

 

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REFERRAL REQUEST (AMI INVESTIGATION OR INTERVENTION)

Change to Data Element: Changed Description

Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
HES item: 
National Codes: 
Default Codes: 

Notes:
The date on which a referral for angiography and possible intervention was made, either locally or to another centre

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Date of referral for investigation/intervention
Date of referral for investigation/intervention

 

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REHABILITATION REFERRAL

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See REHABILITATION REFERRAL
Default Codes:9 - Unknown

Notes:
Referral to a rehabilitation service either in hospital or after discharge.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Cardiac Rehab
Cardiac Rehab

 

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REPERFUSION INITIAL DECISION

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See REPERFUSION INITIAL DECISION
Default Codes:9 - Unknown

Notes:
REPERFUSION INITIAL DECISION is the same as attribute REPERFUSION INITIAL DECISION. 

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Whose Initial Decision To Reperfuse
Whose Initial Decision To Reperfuse

 

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REPERFUSION TREATMENT DATE AND TIME

Change to Data Element: Changed Description

Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
HES item: 
National Codes: 
Default Codes: 

Notes:
This is derived from the e-GIF elements DATE and TIME.

This is the PERSON PROPERTY EFFECTIVE DATE and PERSON PROPERTY EFFECTIVE TIME

The date and time of onset of reperfusion treatment whether by bolus or infusion.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Date/time of reperfusion treatment
Date/time of reperfusion treatment

 

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REPERFUSION TREATMENT LOCATION

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See REPERFUSION TREATMENT LOCATION
Default Codes:9 - Unknown

Notes:
REPERFUSION TREATMENT LOCATION is the same as REPERFUSION TREATMENT LOCATION.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Where Was Initial Reperfusion Treatment Given
Where Was Initial Reperfusion Treatment Given

 

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REPERFUSION TYPE (INITIAL STRATEGY)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See REPERFUSION TYPE
Default Codes:9 - Unknown

Notes:
REPERFUSION TYPE (INITIAL STRATEGY) is the same as attribute REPERFUSION TYPE.

This data item only refers to the initial reperfusion strategy.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Was reperfusion attempted?
Was reperfusion attempted?

 

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REPORTING PERIOD (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/length:ccyy/mm/dd-ccyy/mm/dd
HES item: 
National Codes: 
Default Codes: 

Notes:
The defined period of time for a Mental Health Minimum Dataset (MHMDS) collection. A MHMDS record will contain assembled data 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.The defined period of time for a Mental Health Minimum Data Set collection. A Mental Health Minimum Data Set record will contain assembled data 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.

A patient may have one or more Mental Health Care Spells occurring within the defined period of time each of which will have a separate MHMDS record assembled for it; or a Mental Health Care Spell can start before the start date of the defined period of time; or continue after the end date of the defined period of time.A PATIENT may have one or more Mental Health Care Spells occurring within the defined period of time each of which will have a separate Mental Health Minimum Data Set record assembled for it; or a Mental Health Care Spell can start before the start date of the defined period of time; or continue after the end date of the defined period of time.

The defined period of time is in the format of ccyy/mm/dd-ccyy/mm/dd which correspond to REPORTING PERIOD START DATE and REPORTING PERIOD END DATE of the REPORTING PERIOD.

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

 

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REPORTING PERIOD END DATE

Change to Data Element: Changed Aliases


REPORTING PERIOD START DATE

Change to Data Element: Changed Aliases


SERUM CHOLESTEROL

Change to Data Element: Changed Description

Format/length:nn.n
HES item: 
National Codes: 
Default Codes: 

Notes:
Derive from CLINICAL INVESTIGATION RESULT ITEM/NUMERICAL VALUE.

A fasting sample ideally taken within 24 hours of admission

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Serum cholesterol

 

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SOCIAL SERVICES CLIENT IDENTIFIER

Change to Data Element: Changed Description

Format/length:an20
HES item: 
National Codes: 
Default Codes: 

Notes: 
SOCIAL SERVICES CLIENT IDENTIFIER is the same as attribute SOCIAL SERVICE CLIENT IDENTIFER. SOCIAL SERVICES CLIENT IDENTIFIER is the same as attribute SOCIAL SERVICE CLIENT IDENTIFIER.

 

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SYMPTOM ONSET DATE AND TIME (AMI)

Change to Data Element: Changed Description

Format/length:an10 (ccyy-mm-dd) an8 (hh:mm:ss)
HES item: 
National Codes: 
Default Codes: 

Notes:
This is derived from the e-GIF elements DATE and TIME.

This is the PERSON PROPERTY EFFECTIVE DATE and PERSON PROPERTY EFFECTIVE TIME from PERSON PROPERTY where the PERSON PROPERTY CLASSIFICATION is 'Acute Myocardial Infarction History Item' and where the AMI HISTORY ITEM TYPE is 'Symptom Onset'.

The time to within 10 minutes, if possible, when symptoms began.

Where there is a prodrome of intermittent pain the time recorded should be the time of onset of those symptoms which led the patient to call for help. Where admission followed an out of hospital cardiac arrest, with no better information available, use the time of the arrest for onset of symptoms.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Date/time of symptom onset

 

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SYSTOLIC PRESSURE (FIRST AFTER ADMISSION)

Change to Data Element: Changed Description

Format/length:n3
HES item: 
National Codes: 
Default Codes: 

Notes:
SYSTOLIC PRESSURE (FIRST AFTER ADMISSION) is the same as the attribute MEASURED OBSERVATION VALUE where MEASURED PERSON OBSERVATION TYPE CODE is National Code 05 'Systolic Pressure': the MEASUREMENT VALUE TYPE CODE is National Code 15 'mmHg'. The unit of measurement is based on the MEASURED PERSON OBSERVATION TYPE CODE for that MEASURED PERSON OBSERVATION.

The first systolic blood pressure recorded after admission to hospital. The patient should be in a stable cardiac rhythm, i.e. sinus or chronic AF. Where the presenting rhythm is a treatable tachyarrhythmia, the first stable SBP after treatment should be used.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Systolic BP

 

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THROMBOLYTIC DRUG

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See THROMBOLYTIC DRUG
Default Codes: 

Notes:
THROMBOLYTIC DRUG is the same as attribute THROMBOLYTIC DRUG. 

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Thrombolytic drug

 

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THROMBOLYTIC TREATMENT DELAY REASON

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See THROMBOLYTIC TREATMENT DELAY REASON
Default Codes: 

Notes:
THROMBOLYTIC TREATMENT DELAY REASON is the same as attribute THROMBOLYTIC TREATMENT DELAY REASON.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Justified Delay Before Thrombolytic Treatment

 

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THROMBOLYTIC TREATMENT NOT GIVEN REASON

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See THROMBOLYTIC TREATMENT NOT GIVEN REASON
Default Codes:9 - Unknown

Notes:
THROMBOLYTIC TREATMENT NOT GIVEN REASON is the same as attribute THROMBOLYTIC TREATMENT NOT GIVEN REASON.

Some of the original contraindications in relation to bleeding risk may no longer be used, including diabetic retinopathy, and liver disease, and warfarin therapy. Where there is more than one contraindication to treatment you can only enter one option, with 'Too late' having priority over all the others.

CCAD item name:Central Cardiac Audit Database (CCAD) item name:
Reason Thrombolytic Treatment Not Given

 

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UNSEALED SOURCE PATIENT TYPE

Change to Data Element: Changed Description

Format/length:a1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See UNSEALED SOURCE PATIENT TYPE
Default Codes: 
 Notes:
UNSEALED SOURCE PATIENT TYPE is the same as UNSEALED SOURCE PATIENT TYPE.

 

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VACCINE DOSES ADMINISTERED AT LOCATION TOTAL (HUMAN PAPILLOMAVIRUS VACCINE)

Change to Data Element: Changed Description

Format/length:n6
HES item: 
National Codes: 
Default Codes: 


Notes:


This is the total number of Immunisation Doses Given of the Human Papillomavirus vaccine administered at a particular LOCATION TYPE (HUMAN PAPILLOMAVIRUS VACCINE) within the REPORTING PERIOD.  

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VACCINE GIVEN FIRST DOSE TOTAL (HUMAN PAPILLOMAVIRUS VACCINE)

Change to Data Element: Changed Description

Format/length:n6
HES item: 
National Codes: 
Default Codes: 



Notes:
This is the cumulative total number of Immunisation Doses Given that are IMMUNISATION COURSE TYPE CODE National Code 05 'First dose' for the VACCINE PREVENTABLE DISEASE  National Code 18 'Human Papillomavirus' within the HEALTH PROGRAMME STAGE, identified by the HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE), given since 1st September of the School Year of the REPORTING PERIOD.

This is the cumulative total number of Immunisation Doses Given that are IMMUNISATION COURSE TYPE CODE National Code 05 'First dose' for the VACCINE PREVENTABLE DISEASE  National Code 18 'Human Papillomavirus' within the HEALTH PROGRAMME STAGE, identified by the HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE), given since 1st September of the School Year of the REPORTING PERIOD.


For the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set, this will be the final total number of  Immunisation Doses Given that are  IMMUNISATION COURSE TYPE CODE National Code 05 'First dose' for the VACCINE PREVENTABLE DISEASE  National Code 18 'Human Papillomavirus' given over the year since 1st September of the School Year of the REPORTING PERIOD.For the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set, this will be the final total number of Immunisation Doses Given that are IMMUNISATION COURSE TYPE CODE National Code 05 'First dose' for the VACCINE PREVENTABLE DISEASE National Code 18 'Human Papillomavirus' given over the year since 1st September of the School Year of the REPORTING PERIOD.

 

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VACCINE GIVEN SECOND DOSE TOTAL(HUMAN PAPILLOMAVIRUS VACCINE)

Change to Data Element: Changed Description

Format/length:n6
HES item: 
National Codes: 
Default Codes: 



Notes:
This is the cumulative total number of Immunisation Doses Given that are IMMUNISATION COURSE TYPE CODE National Code 06 'Second dose' for the VACCINE PREVENTABLE DISEASE National Code 18 'Human Papillomavirus' within the HEALTH PROGRAMME STAGE, identified by the HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE), given since 1st September of the School Year of the REPORTING PERIOD.

This is the cumulative total number of Immunisation Doses Given that are IMMUNISATION COURSE TYPE CODE National Code 06 'Second dose' for the VACCINE PREVENTABLE DISEASE  National Code 18 'Human Papillomavirus' within the HEALTH PROGRAMME STAGE, identified by the HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE), given since 1st September of the School Year of the REPORTING PERIOD.


For the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set, this will be the final total number of Immunisation Doses Given that are IMMUNISATION COURSE TYPE CODE National Code 06 'Second dose' for the VACCINE PREVENTABLE DISEASE  National Code 18 'Human Papillomavirus' given over the year since 1st September of the School Year of the REPORTING PERIOD.For the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set, this will be the final total number of Immunisation Doses Given that are IMMUNISATION COURSE TYPE CODE National Code 06 'Second dose' for the VACCINE PREVENTABLE DISEASE National Code 18 'Human Papillomavirus' given over the year since 1st September of the School Year of the REPORTING PERIOD.

 

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VACCINE GIVEN THIRD DOSE TOTAL(HUMAN PAPILLOMAVIRUS VACCINE)

Change to Data Element: Changed Description

Format/length:n6
HES item: 
National Codes: 
Default Codes: 



Notes:
This is the cumulative total number of Immunisation Doses Given that are IMMUNISATION COURSE TYPE CODE National Code 07 'Third dose' for the VACCINE PREVENTABLE DISEASE National Code 18 'Human Papillomavirus' within the HEALTH PROGRAMME STAGE, identified by the HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE), given since 1st September of the School Year of the REPORTING PERIOD.

This is the cumulative total number of Immunisation Doses Given that are IMMUNISATION COURSE TYPE CODE National Code 07 'Third dose' for the VACCINE PREVENTABLE DISEASE  National Code 18 'Human Papillomavirus' within the HEALTH PROGRAMME STAGE, identified by the HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE), given since 1st September of the School Year of the REPORTING PERIOD.


For the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set, this will be the final total number of  Immunisation Doses Given that are  IMMUNISATION COURSE TYPE CODE National Code 07 'Third dose' for the VACCINE PREVENTABLE DISEASE  National Code 18 'Human Papillomavirus' given over the year since 1st September of the School Year of the REPORTING PERIOD.For the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set, this will be the final total number of Immunisation Doses Given that are  IMMUNISATION COURSE TYPE CODE National Code 07 'Third dose' for the VACCINE PREVENTABLE DISEASE National Code 18 'Human Papillomavirus' given over the year since 1st September of the School Year of the REPORTING PERIOD.

 

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