Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1154
Version No:1.0
Subject:Mental Health Minimum Data Set Version 4.0
Effective Date:Immediate
Reason for Change:Change to Data Standards
Publication Date:25 October 2010

Background:

In 2008 a Mental Health Informatics Review was undertaken by the NHS Information Centre to identify gaps and issues with existing mental health informatics, including the Mental Health Minimum Data Set (MHMDS). The review identified several existing collections which could be replaced by the Mental Health Minimum Data Set, gaps in information, and key areas for improvement in the Mental Health Minimum Data Set. The replacement of existing collections will contribute to the Department of Health target of Reducing the Burden of Data Collection by 30%.

The Mental Health Minimum Data Set Version 4.0 introduces:

The Mental Health Minimum Data Set Version 4.0 will be used to facilitate national reporting and analysis of key information recommendations identified during the Mental Health Informatics Review. These will support the development of mental health policy, commissioning, service improvement, the replacement of multiple existing collections, and also address a variety of data quality issues.

This Change Request adds the Mental Health Minimum Data Set Version 4.0 and supporting definitions to the NHS Data Model and Dictionary to support the Information Standards.

Summary of changes:

Diagrams
CARE PROFESSIONAL DIAGRAM   Changed Diagram
 
Data Set
MENTAL HEALTH MINIMUM DATA SET (VERSION 4-0)   New Data Set
 
Supporting Information
ADULT MENTAL HEALTH CARE SPELL   Changed Description
ADULT MENTAL HEALTH CARE TEAM   Changed Description
ADULT MENTAL HEALTH CARE TEAM EPISODE   New Supporting Information
CLINICAL DATA SETS MENU   Changed Description
CONSULTANT EPISODE (HOSPITAL PROVIDER)   Changed Description
HEALTH OF THE NATION OUTCOME SCALE (CHILDREN AND ADOLESCENTS)   Changed Description
HEALTH OF THE NATION OUTCOME SCALE (SECURE)   New Supporting Information
HEALTH OF THE NATION OUTCOME SCALE (WORKING AGE ADULTS)   Changed Description
HEALTH OF THE NATION OUTCOME SCALE 65+ (OLDER ADULTS)   New Supporting Information
HOSPITAL PROVIDER SPELL   Changed Description
MENTAL HEALTH CARE CLUSTER   New Supporting Information
MENTAL HEALTH CARE CLUSTER ASSIGNMENT PERIOD   New Supporting Information
MENTAL HEALTH CARE CLUSTER SUPER CLASS   New Supporting Information
MENTAL HEALTH CARE COORDINATOR ASSIGNMENT   New Supporting Information
MENTAL HEALTH CLUSTERING TOOL   New Supporting Information
MENTAL HEALTH CRISIS PLAN   New Supporting Information
MENTAL HEALTH DELAYED DISCHARGE PERIOD   New Supporting Information
MENTAL HEALTH MINIMUM DATA SET OVERVIEW   Changed Description
MENTAL HEALTH NHS DAY CARE EPISODE   New Supporting Information
MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT   New Supporting Information
PATIENT HEALTH QUESTIONNAIRE (PHQ-9)   New Supporting Information
PATIENT PROXY   Changed Description
 
Class Definitions
ACTIVITY GROUP   Changed Attributes, Description
ASSESSMENT TOOL   Changed Description
CARE CONTACT   Changed Attributes
CARE PLAN   Changed Description
CARE PROFESSIONAL TEAM   Changed Attributes
CATEGORY VALUED PERSON OBSERVATION   Changed Description
MENTAL HEALTH CARE CLUSTER   New Class
PERSON SCORE   Changed Description
 
Attribute Definitions
ACTIVITY GROUP TYPE   Changed Description
ADMISSION METHOD   Changed Description
ADULT MENTAL HEALTH CARE TEAM TYPE renamed from MENTAL HEALTH CARE TEAM TYPE   Changed Name, Description
ASSESSMENT TOOL TYPE   Changed Description
ATTENDED OR DID NOT ATTEND   Changed Description
CARE CONTACT SUBJECT   Changed Description
CARE PLAN TYPE   Changed Description
CARE PROGRAMME APPROACH LEVEL   Changed Description
CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR   New Attribute
CONSULTATION MEDIUM USED   Changed Description
DISCHARGE FROM MENTAL HEALTH SERVICE REASON   Changed Description
EMPLOYMENT STATUS   Changed Description
MENTAL HEALTH CARE CLUSTER CODE   New Attribute
MENTAL HEALTH CARE CLUSTER END REASON   New Attribute
MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE   New Attribute
MENTAL HEALTH DELAYED DISCHARGE REASON   New Attribute
PERSON SCORE   Changed Description
SOURCE OF REFERRAL FOR MENTAL HEALTH   Changed Description
STATUS OF SERVICE REQUEST FOR MENTAL HEALTH   Changed Description
STATUTORY ASSESSMENT TYPE   Changed Description
SUPERVISED COMMUNITY TREATMENT END REASON   Changed Description
WARD SECURITY LEVEL   Changed Description
 
Data Elements
ABSENCE WITHOUT LEAVE END REASON   New Data Element
ACCOMMODATION STATUS DATE   Changed Description
ADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER   New Data Element
ADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER   New Data Element
ADULT MENTAL HEALTH CARE TEAM NAME   New Data Element
ADULT MENTAL HEALTH CARE TEAM TYPE   New Data Element
ASSESSMENT TOOL COMPLETION DATE   Changed Description
ATTENDANCE DATE (MENTAL HEALTH NHS DAY CARE FACILITY)   New Data Element
ATTENDED OR DID NOT ATTEND CODE   Changed Description
CARE CONTACT DATE (MENTAL HEALTH)   New Data Element
CARE CONTACT SUBJECT   Changed Description
CARE CONTACT TIME (MENTAL HEALTH)   New Data Element
CARE PROFESSIONAL (JOB ROLE CODE)   Changed Description
CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR   New Data Element
CLINICAL CONTACT DURATION OF APPOINTMENT   Changed Description
CONSULTATION MEDIUM USED   Changed Description
DATE OF ASSAULT ON PATIENT   New Data Element
DATE OF PATIENT TREATMENT OR INTERVENTION (READ)   New Data Element
DATE OF PHYSICAL RESTRAINT   New Data Element
DATE OF SECLUSION   New Data Element
DATE OF SELF HARM   New Data Element
DIAGNOSIS DATE   Changed Description
DISCHARGE DATE (MENTAL HEALTH SERVICE)   Changed Description
DISCHARGE REASON (MENTAL HEALTH SERVICE)   Changed Description
DURATION OF PHYSICAL RESTRAINT   New Data Element
DURATION OF SECLUSION   New Data Element
EMERGENT PSYCHOSIS DATE   New Data Element
EMPLOYMENT STATUS   Changed Description
EMPLOYMENT STATUS RECORDED DATE   New Data Element
END DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)   New Data Element
END DATE (CARE PROGRAMME APPROACH CARE)   New Data Element
END DATE (CONSULTANT EPISODE (ACUTE HOME BASED))   New Data Element
END DATE (CONSULTANT OUT-PATIENT EPISODE)   New Data Element
END DATE (HOME LEAVE)   New Data Element
END DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)   New Data Element
END DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)   New Data Element
END DATE (MENTAL HEALTH CARE CLUSTER)   New Data Element
END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)   New Data Element
END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)   New Data Element
END DATE (MENTAL HEALTH LEAVE OF ABSENCE)   New Data Element
END DATE (MENTAL HEALTH NHS CARE HOME STAY)   New Data Element
END DATE (MENTAL HEALTH NHS DAY CARE EPISODE)   New Data Element
END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)   New Data Element
END DATE (SUPERVISED COMMUNITY TREATMENT)   New Data Element
END DATE (SUPERVISED COMMUNITY TREATMENT RECALL)   New Data Element
END DATE (WARD STAY)   Changed Description
END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)   New Data Element
END TIME (SUPERVISED COMMUNITY TREATMENT RECALL)   New Data Element
EXPIRY DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)   New Data Element
EXPIRY DATE (SUPERVISED COMMUNITY TREATMENT)   New Data Element
EXPIRY TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)   New Data Element
HONOS 65+ RATING 10 SCORE   New Data Element
HONOS 65+ RATING 11 SCORE   New Data Element
HONOS 65+ RATING 12 SCORE   New Data Element
HONOS 65+ RATING 1 SCORE   New Data Element
HONOS 65+ RATING 2 SCORE   New Data Element
HONOS 65+ RATING 3 SCORE   New Data Element
HONOS 65+ RATING 4 SCORE   New Data Element
HONOS 65+ RATING 5 SCORE   New Data Element
HONOS 65+ RATING 6 SCORE   New Data Element
HONOS 65+ RATING 7 SCORE   New Data Element
HONOS 65+ RATING 8 SCORE   New Data Element
HONOS 65+ RATING 8 TYPE   New Data Element
HONOS 65+ RATING 9 SCORE   New Data Element
HONOS-CA RATING 10 SCORE   Changed Description
HONOS-CA RATING 11 SCORE   Changed Description
HONOS-CA RATING 12 SCORE   Changed Description
HONOS-CA RATING 13 SCORE   Changed Description
HONOS-CA RATING 1 SCORE   Changed Description
HONOS-CA RATING 2 SCORE   Changed Description
HONOS-CA RATING 3 SCORE   Changed Description
HONOS-CA RATING 4 SCORE   Changed Description
HONOS-CA RATING 5 SCORE   Changed Description
HONOS-CA RATING 6 SCORE   Changed Description
HONOS-CA RATING 7 SCORE   Changed Description
HONOS-CA RATING 8 SCORE   Changed Description
HONOS-CA RATING 9 SCORE   Changed Description
HONOS-CA RATING B14 SCORE   Changed Description
HONOS-CA RATING B15 SCORE   Changed Description
HONOS RATING 10 SCORE   New Data Element
HONOS RATING 11 SCORE   New Data Element
HONOS RATING 12 SCORE   New Data Element
HONOS RATING 1 SCORE   New Data Element
HONOS RATING 2 SCORE   New Data Element
HONOS RATING 3 SCORE   New Data Element
HONOS RATING 4 SCORE   New Data Element
HONOS RATING 5 SCORE   New Data Element
HONOS RATING 6 SCORE   New Data Element
HONOS RATING 7 SCORE   New Data Element
HONOS RATING 8 SCORE   New Data Element
HONOS RATING 8 TYPE   New Data Element
HONOS RATING 9 SCORE   New Data Element
HONOS-SECURE RATING A SCORE   New Data Element
HONOS-SECURE RATING B SCORE   New Data Element
HONOS-SECURE RATING C SCORE   New Data Element
HONOS-SECURE RATING D SCORE   New Data Element
HONOS-SECURE RATING E SCORE   New Data Element
HONOS-SECURE RATING F SCORE   New Data Element
HONOS-SECURE RATING G SCORE   New Data Element
INTENDED AGE GROUP   Changed Description
INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)   Changed Description
LEAVE OF ABSENCE END REASON   New Data Element
MANIFEST PSYCHOSIS DATE   New Data Element
MENTAL HEALTH CARE CLUSTER CODE   New Data Element
MENTAL HEALTH CARE CLUSTER END REASON   New Data Element
MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE   New Data Element
MENTAL HEALTH CRISIS PLAN CREATION DATE   New Data Element
MENTAL HEALTH CRISIS PLAN LAST UPDATED DATE   New Data Element
MENTAL HEALTH DELAYED DISCHARGE REASON   New Data Element
PATIENT TREATMENT OR INTERVENTION (READ)   New Data Element
PERSON GENDER CODE CURRENT   Changed Description
PHQ-9 QUESTION 1 SCORE   New Data Element
PHQ-9 QUESTION 2 SCORE   New Data Element
PHQ-9 QUESTION 3 SCORE   New Data Element
PHQ-9 QUESTION 4 SCORE   New Data Element
PHQ-9 QUESTION 5 SCORE   New Data Element
PHQ-9 QUESTION 6 SCORE   New Data Element
PHQ-9 QUESTION 7 SCORE   New Data Element
PHQ-9 QUESTION 8 SCORE   New Data Element
PHQ-9 QUESTION 9 SCORE   New Data Element
PHQ-9 TOTAL SCORE   New Data Element
PRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION)   New Data Element
PROCEDURE DATE (ELECTRO-CONVULSIVE THERAPY)   New Data Element
PRODROME PSYCHOSIS DATE   New Data Element
PSYCHOSIS TREATMENT START DATE   New Data Element
REVIEW DATE   Changed Description
SERVICE REQUEST STATUS DATE (MENTAL HEALTH)   New Data Element
SETTLED ACCOMMODATION INDICATOR (MENTAL HEALTH)   Changed Description
SEX OF PATIENTS CODE   Changed Description
START DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)   New Data Element
START DATE (CARE PROGRAMME APPROACH CARE)   New Data Element
START DATE (CONSULTANT EPISODE (ACUTE HOME BASED))   New Data Element
START DATE (CONSULTANT OUT-PATIENT EPISODE)   New Data Element
START DATE (HOME LEAVE)   New Data Element
START DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)   New Data Element
START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)   New Data Element
START DATE (MENTAL HEALTH CARE CLUSTER)   New Data Element
START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)   New Data Element
START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)   New Data Element
START DATE (MENTAL HEALTH LEAVE OF ABSENCE)   New Data Element
START DATE (MENTAL HEALTH NHS CARE HOME STAY)   New Data Element
START DATE (MENTAL HEALTH NHS DAY CARE EPISODE)   New Data Element
START DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)   New Data Element
START DATE (SUPERVISED COMMUNITY TREATMENT)   New Data Element
START DATE (SUPERVISED COMMUNITY TREATMENT RECALL)   New Data Element
START DATE (WARD STAY)   Changed Description
START TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)   New Data Element
START TIME (SUPERVISED COMMUNITY TREATMENT RECALL)   New Data Element
STATUS OF SERVICE REQUEST (MENTAL HEALTH)   Changed Description
STATUTORY ASSESSMENT DATE   New Data Element
STATUTORY ASSESSMENT TYPE   New Data Element
SUMMARY ASSESSMENT OF CHARACTERISTICS RATING 13 SCORE   New Data Element
SUMMARY ASSESSMENT OF CHARACTERISTICS RATING A SCORE   New Data Element
SUMMARY ASSESSMENT OF CHARACTERISTICS RATING B SCORE   New Data Element
SUMMARY ASSESSMENT OF CHARACTERISTICS RATING C SCORE   New Data Element
SUMMARY ASSESSMENT OF CHARACTERISTICS RATING D SCORE   New Data Element
SUMMARY ASSESSMENT OF CHARACTERISTICS RATING E SCORE   New Data Element
SUPERVISED COMMUNITY TREATMENT END REASON   New Data Element
WARD SECURITY LEVEL   Changed Description
 

Date:25 October 2010
Sponsor:Hugh Griffiths, Acting National Director for Mental Health, Department of 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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CARE PROFESSIONAL DIAGRAM

Change to Diagram: Changed Diagram

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MENTAL HEALTH MINIMUM DATA SET (VERSION 4-0)

Change to Data Set: New Data Set

Mental Health Minimum Data Set Overview

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

M = Mandatory - This data element is mandatory, the message will be rejected if this data element is absent
R = Required - This data is required as part of NHS business rules and must be included where available or applicable
O = Optional ****decide on wording

TABLE 1: MASTER PATIENT INDEX (MPI)

Master Patient Index:
This table should include a record for every patient receiving care within the Mental Health Service.

M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
RPERSON BIRTH DATE
RPERSON GENDER CODE CURRENT
RPERSON MARITAL STATUS
RETHNIC CATEGORY
RNHS NUMBER
OSOCIAL SERVICES CLIENT IDENTIFIER
RGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
RPOSTCODE OF USUAL ADDRESS
OYEAR OF FIRST KNOWN PSYCHIATRIC CARE
RORGANISATION CODE (CODE OF COMMISSIONER)

TABLE 2: UNTREATED PSYCHOSIS (PSYCHOSIS)
Untreated Psychosis: This table should contain a record for each patient seen within specialist psychosis services including Early Intervention in Psychosis Services.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
RPRODROME PSYCHOSIS DATE
REMERGENT PSYCHOSIS DATE
RMANIFEST PSYCHOSIS DATE
RPRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION)
RPSYCHOSIS TREATMENT START DATE

TABLE 3: EMPLOYMENT DETAILS (EMP)
Employment Details: This table should contain a record for each set of employment details recorded for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MEMPLOYMENT STATUS RECORDED DATE
REMPLOYMENT STATUS
OWEEKLY HOURS WORKED

TABLE 4: ACCOMMODATION DETAILS (ACCOM)
Accommodation Details: This table should contain a record for each set of accommodation details recorded for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MACCOMMODATION STATUS DATE
RSETTLED ACCOMMODATION INDICATOR (MENTAL HEALTH)
RACCOMMODATION STATUS (MENTAL HEALTH)

TABLE 5: REFERRAL (REFER)
Referral: This table should contain a record for each referral to the mental health care provider for the patient.  This includes referrals which were not accepted. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MREFERRAL REQUEST RECEIVED DATE
RSOURCE OF REFERRAL FOR MENTAL HEALTH
OSERVICE REQUEST STATUS DATE (MENTAL HEALTH)
RSTATUS OF SERVICE REQUEST (MENTAL HEALTH)
MDISCHARGE DATE (MENTAL HEALTH SERVICE)
RDISCHARGE REASON (MENTAL HEALTH SERVICE)

TABLE 6: MENTAL HEALTH TEAM EPISODES (TEAMEP)
Mental Health Team Episode: This table should contain a record for every non-inpatient Mental Health Care Team Episode for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)
REND DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)
RADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER

TABLE 7: NHS DAY CARE EPISODE (DAYEP)
NHS Day Care Episode: This table should contain a record for every Mental Health NHS Day Care Episode for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH NHS DAY CARE EPISODE)
REND DATE (MENTAL HEALTH NHS DAY CARE EPISODE)

TABLE 8: CONSULTANT OUTPATIENT EPISODE (OPEP)
Consultant Outpatient Episode: This table should contain a record for every Consultant Outpatient Episode for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (CONSULTANT OUT-PATIENT EPISODE)
REND DATE (CONSULTANT OUT-PATIENT EPISODE)

TABLE 9: ACUTE HOME BASED CARE EPISODE (HBCAREEP)
Acute Home Based Care Episode: This table should contain a record for every Consultant Episode (Acute Home Based) for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (CONSULTANT EPISODE (ACUTE HOME BASED))
REND DATE (CONSULTANT EPISODE (ACUTE HOME BASED))

TABLE 10: MENTAL HEALTH NHS CARE HOME STAY EPISODE (NHSCAREHOMEEP)
Mental Health NHS Care Home Stay Episode: This table should contain a record for every Mental Health NHS Care Home Stay (Nursing Care) and/or Mental Health NHS Care Home Stay (Residential) for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH NHS CARE HOME STAY)
REND DATE (MENTAL HEALTH NHS CARE HOME STAY)

TABLE 11: HOSPITAL PROVIDER SPELL (IPEP)
Hospital Provider Spell: This table should contain a record for each Hospital Provider Spell for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (HOSPITAL PROVIDER SPELL)
RDISCHARGE DATE (HOSPITAL PROVIDER SPELL)
MADMISSION METHOD (HOSPITAL PROVIDER SPELL) 
RDISCHARGE METHOD (HOSPITAL PROVIDER SPELL)

TABLE 12: INPATIENT EPISODE (INPATEP)
Inpatient Episode: This table should contain a record for every Consultant Episode (Hospital Provider) or Nursing Episode which occurred during a Hospital Provider Spell for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (EPISODE)
REND DATE (EPISODE)
MADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER

TABLE 13: WARD STAYS WITHIN HOSPITAL PROVIDER SPELL (WARDSTAYS)
Ward Stays Within Hospital Provider Spell: This table should contain a record for every Ward Stay which occurred during a Hospital Provider Spell for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (WARD STAY)
REND DATE (WARD STAY)
MINTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)
MWARD SECURITY LEVEL
MSEX OF PATIENTS CODE
MINTENDED AGE GROUP

TABLE 14: DELAYED DISCHARGES (DELAYEDDISCHARGE)
Delayed Discharges: This table should contain a record for every Mental Health Delayed Discharge Period which occurred during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
REND DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
MMENTAL HEALTH DELAYED DISCHARGE REASON

TABLE 15: CLINICAL TEAM (CLINTEAM)
Clinical Team: This table should contain a record for each Adult Mental Health Care Team.
M/R/OData Set Data Elements
MADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER
OADULT MENTAL HEALTH CARE TEAM NAME
RADULT MENTAL HEALTH CARE TEAM TYPE

TABLE 16: STAFF (STAFF)
Staff: This table should contain a record for every Mental Health professional responsible for providing the patient's care.
M/R/OData Set Data Elements
MADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER
RMAIN SPECIALTY CODE (MENTAL HEALTH)
ROCCUPATION CODE
RCARE PROFESSIONAL (JOB ROLE CODE)

TABLE 17: CARE CO-ORDINATOR ASSIGNMENT(CCASS)
Care Co-ordinator Assignment: This table should contain a record for each assignment of a Care Co-ordinator to the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)
REND DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)
RADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER

TABLE 18: RESPONSIBLE CLINICIAN ASSIGNMENT(RCASS)
Responsible Clinician Assignment: This table should contain a record for each assignment of a Mental Health Responsible Clinician to the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)
REND DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)
RADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER

TABLE 19: HEALTH CARE PROFESSIONAL CONTACTS (HCPCONT)
Health Care Professional Contacts: This table should contain a record for each separate contact with a health care professional for the patient, including Consultant Out-patient Appointments, Professional Staff Group Contacts, Care Coordinator Contacts, and Community Psychiatric Nurse Contacts.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MCARE CONTACT DATE (MENTAL HEALTH)
OCARE CONTACT TIME (MENTAL HEALTH)
RCLINICAL CONTACT DURATION OF APPOINTMENT
RADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER
RADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER
RCONSULTATION MEDIUM USED
RCARE CONTACT SUBJECT
RACTIVITY LOCATION TYPE
RATTENDED OR DID NOT ATTEND CODE

TABLE 20: NHS DAY CARE FACILITY ATTENDANCES (DAYATT)
NHS Day Care Facility Attendances: This table should contain a record for each separate Mental Health NHS Day Care Attendance for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MATTENDANCE DATE (MENTAL HEALTH NHS DAY CARE FACILITY)
RATTENDED OR DID NOT ATTEND CODE

TABLE 21: REVIEWS (REV)
Reviews: This table should contain a record for each review undertaken for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MREVIEW DATE
RCARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR
MADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER
RADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER

TABLE 22: PRIMARY DIAGNOSIS (PRIMDIAG)
Primary Diagnosis: This table should contain a record for the Primary Diagnosis recorded for the patient, using ICD10 codes.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDIAGNOSIS DATE
RPRIMARY DIAGNOSIS (ICD)

TABLE 23: SECONDARY DIAGNOSIS (SECDIAG)
Secondary Diagnosis: This table should contain a record for each Secondary Diagnosis recorded for the patient, using ICD10 codes.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDIAGNOSIS DATE
RSECONDARY DIAGNOSIS (ICD)

TABLE 24: CPA EPISODE (CPAEP)
CPA Episode: This table should contain a record for each separate period of time the patient spends on CPA Care.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (CARE PROGRAMME APPROACH CARE)
REND DATE (CARE PROGRAMME APPROACH CARE)

TABLE 25: CRISIS PLAN (CRISISPLAN)
Crisis Plan: This table should contain a record for each Mental Health Crisis Plan created for the patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
RMENTAL HEALTH CRISIS PLAN CREATION DATE
RMENTAL HEALTH CRISIS PLAN LAST UPDATED DATE

TABLE 26: MENTAL HEALTH CLUSTERING TOOL (MHCT)
Mental Health Clustering Tool: This table should contain details of each Mental Health Clustering Tool assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RHONOS RATING 1 SCORE
RHONOS RATING 2 SCORE
RHONOS RATING 3 SCORE
RHONOS RATING 4 SCORE
RHONOS RATING 5 SCORE
RHONOS RATING 6 SCORE
RHONOS RATING 7 SCORE
RHONOS RATING 8 SCORE
RHONOS RATING 8 TYPE
RHONOS RATING 9 SCORE
RHONOS RATING 10 SCORE
RHONOS RATING 11 SCORE
RHONOS RATING 12 SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING 13 SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING A SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING B SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING C SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING D SCORE
RSUMMARY ASSESSMENT OF CHARACTERISTICS RATING E SCORE
RMENTAL HEALTH CARE CLUSTER SUPER CLASS CODE
RMENTAL HEALTH CARE CLUSTER CODE

TABLE 27: PAYMENT BY RESULTS CARE CLUSTER (CLUSTER)
Payment By Results Care Cluster: This table should contain details of the period that the patient is assigned to a Mental Health Care Cluster following a Mental Health Care Clustering Tool Assessment.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH CARE CLUSTER)
REND DATE (MENTAL HEALTH CARE CLUSTER)
RMENTAL HEALTH CARE CLUSTER CODE
RMENTAL HEALTH CARE CLUSTER END REASON

TABLE 28: HEALTH OF THE NATION OUTCOME SCALE (HONOS)
Health of the Nation Outcome Scale: This table should contain details of each Health of the Nation Outcome Scale (Working Age Adults) assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RHONOS RATING 1 SCORE
RHONOS RATING 2 SCORE
RHONOS RATING 3 SCORE
RHONOS RATING 4 SCORE
RHONOS RATING 5 SCORE
RHONOS RATING 6 SCORE
RHONOS RATING 7 SCORE
RHONOS RATING 8 SCORE
RHONOS RATING 8 TYPE
RHONOS RATING 9 SCORE
RHONOS RATING 10 SCORE
RHONOS RATING 11 SCORE
RHONOS RATING 12 SCORE

TABLE 29: HEALTH OF THE NATION OUTCOME SCALE 65+ (HONOS65+)
Health of the Nation Outcome Scale 65+: This table should contain details of each Health of the Nation Outcome Scale (65+) assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RHONOS 65+ RATING 1 SCORE
RHONOS 65+ RATING 2 SCORE
RHONOS 65+ RATING 3 SCORE
RHONOS 65+ RATING 4 SCORE
RHONOS 65+ RATING 5 SCORE
RHONOS 65+ RATING 6 SCORE
RHONOS 65+ RATING 7 SCORE
RHONOS 65+ RATING 8 SCORE
RHONOS 65+ RATING 8 TYPE
RHONOS 65+ RATING 9 SCORE
RHONOS 65+ RATING 10 SCORE
RHONOS 65+ RATING 11 SCORE
RHONOS 65+ RATING 12 SCORE

TABLE 30: HEALTH OF THE NATION OUTCOME SCALE (CHILDREN AND ADOLESCENTS) (HONOSCA)
Health of the Nation Outcome Scale (Children and Adolescents): This table should contain details of each Health of the Nation Outcome Scale (Children and Adolescents) assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RHONOS-CA RATING 1 SCORE
RHONOS-CA RATING 2 SCORE
RHONOS-CA RATING 3 SCORE
RHONOS-CA RATING 4 SCORE
RHONOS-CA RATING 5 SCORE
RHONOS-CA RATING 6 SCORE
RHONOS-CA RATING 7 SCORE
RHONOS-CA RATING 8 SCORE
RHONOS-CA RATING 9 SCORE
RHONOS-CA RATING 10 SCORE
RHONOS-CA RATING 11 SCORE
RHONOS-CA RATING 12 SCORE
RHONOS-CA RATING 13 SCORE
RHONOS-CA RATING B14 SCORE
RHONOS-CA RATING B15 SCORE

TABLE 31: HEALTH OF THE NATION OUTCOME SCALE (SECURE) (HONOSSECURE)
Health of the Nation Outcome Scale (Secure): This table should contain details of each Health of the Nation Outcome Scale (Secure) assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RHONOS-SECURE RATING A SCORE
RHONOS-SECURE RATING B SCORE
RHONOS-SECURE RATING C SCORE
RHONOS-SECURE RATING D SCORE
RHONOS-SECURE RATING E SCORE
RHONOS-SECURE RATING F SCORE
RHONOS-SECURE RATING G SCORE

TABLE 32: PATIENT HEALTH QUESTIONNAIRE (PHQ-9)
Patient Health Questionnaire: This table should contain details of each Patient Health Questionnaire-9 assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MASSESSMENT TOOL COMPLETION DATE
RPHQ-9 QUESTION 1 SCORE
RPHQ-9 QUESTION 2 SCORE
RPHQ-9 QUESTION 3 SCORE
RPHQ-9 QUESTION 4 SCORE
RPHQ-9 QUESTION 5 SCORE
RPHQ-9 QUESTION 6 SCORE
RPHQ-9 QUESTION 7 SCORE
RPHQ-9 QUESTION 8 SCORE
RPHQ-9 QUESTION 9 SCORE
RPHQ-9 TOTAL SCORE

TABLE 33: SOCIAL SERVICE STATUTORY ASSESSMENT (SSASS)
Social Service Statutory Assessment: This table should contain a record for each Social Services Statutory Assessment undertaken for a patient. 
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTATUTORY ASSESSMENT DATE
RSTATUTORY ASSESSMENT TYPE

TABLE 34: SUPERVISED COMMUNITY TREATMENT (SCT)
Supervised Community Treatment: This table should contain a record for each separate period of Supervised Community Treatment under section 17a of the Mental Health Act 1983 for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (SUPERVISED COMMUNITY TREATMENT)
REXPIRY DATE (SUPERVISED COMMUNITY TREATMENT)
REND DATE (SUPERVISED COMMUNITY TREATMENT)
RSUPERVISED COMMUNITY TREATMENT END REASON

TABLE 35: MENTAL HEALTH ACT EVENT EPISODES (MHAEVENT)
Mental Health Act Event: This table should contain a record for patients formally detailed under the Mental Health Act 1983 or other Acts.  A separate record should be included for every separate section of the Mental Health Act that the patient is detained under.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
RSTART TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REXPIRY DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REXPIRY TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REND DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
REND TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
RMENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE
RMENTAL HEALTH ACT 2007 MENTAL CATEGORY

TABLE 36: SUPERVISED COMMUNITY TREATMENT RECALL (SCTRECALL)
Supervised Community Treatment Recall: This table should contain a record for each separate period of recall into hospital for a patient on Supervised Community Treatment under section 17a of the Mental Health Act 1983.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (SUPERVISED COMMUNITY TREATMENT RECALL)
RSTART TIME (SUPERVISED COMMUNITY TREATMENT RECALL)
REND DATE (SUPERVISED COMMUNITY TREATMENT RECALL)
REND TIME (SUPERVISED COMMUNITY TREATMENT RECALL)

TABLE 37: INTERVENTION (READ) (INTERVENTION)
Intervention (READ): This table should contain a record for each element of treatment or intervention recorded for the patient, using READ codes.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF PATIENT TREATMENT OR INTERVENTION (READ)
RPATIENT TREATMENT OR INTERVENTION (READ)

TABLE 38: ADMINISTRATIONS OF ECT (ECT)
Administrations of ECT: This table should contain a record for each separate instance of Electro-Convulsive Therapy administered to the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
RPROCEDURE DATE (ELECTRO-CONVULSIVE THERAPY)

TABLE 39: MENTAL HEALTH LEAVE OF ABSENCE (LOA)
Mental Health Leave of Absence: This table should contain a record for each separate period of Mental Health Leave of Absence under section 17 of the Mental Health Act 1983 involving an overnight stay for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH LEAVE OF ABSENCE)
REND DATE (MENTAL HEALTH LEAVE OF ABSENCE)
RLEAVE OF ABSENCE END REASON

TABLE 40: MENTAL HEALTH ABSENCE WITHOUT LEAVE (AWOL)
Mental Health Absence Without Leave: This table should contain a record for each separate period of Mental Health Absence Without Leave for the patient.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
REND DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
RABSENCE WITHOUT LEAVE END REASON

TABLE 41: HOME LEAVE (HOMELEAVE)
Home Leave: This table should contain a record for each separate period of Home Leave from a Hospital Provider Spell for a patient who is NOT liable for detention under the Mental Health Act 1983 and who is NOT on Supervised Community Treatment.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MSTART DATE (HOME LEAVE)
REND DATE (HOME LEAVE)

TABLE 42: SELF HARM (SELFHARM)
Self Harm: This table should contain a record for each separate reported incident of self harm by the patient during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF SELF HARM

TABLE 43: USE OF RESTRAINT (RESTRAINT)
Restraint: This table should contain a record for each separate reported incident of physical restraint of the patient by one or more members of staff in response to aggressive behaviour or resistance to treatment, during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF PHYSICAL RESTRAINT
ODURATION OF PHYSICAL RESTRAINT

TABLE 44: ASSAULTS ON PATIENT (ASSAULT)
Assaults on Patient: This table should contain a record for each separate reported incident of assault on the patient by another patient during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF ASSAULT ON PATIENT

TABLE 45: PERIODS OF SECLUSION (SECLUSION)
Periods of Seclusion: This table should contain a record for each separate incident of seclusion of the patient during a Hospital Provider Spell.
M/R/OData Set Data Elements
MMHMDS LOCAL PATIENT IDENTIFIER
MDATE OF SECLUSION
ODURATION OF SECLUSION

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ADULT MENTAL HEALTH CARE SPELL

Change to Supporting Information: Changed Description

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

Adult Mental Health Care Spell is a Care Spell, which is an ACTIVITY GROUP.

A continuous period of care or assessment for an adult (including elderly) PATIENT provided by a Health Care Provider's specialist mental health services. This includes the care or assessment of adult and elderly PATIENTS with drug or alcohol dependence but excludes child and adolescent psychiatry PATIENTS and PATIENTS whose only mental disorder is a learning disability. The specialist mental health services are delivered by mental health professionals, some of whom may receive referrals directly. Examples of mental health professionals would include CONSULTANTS, Clinical Psychologists, community psychiatric nurses and mental health Social Workers any of whom could be nominated and allocated as the care coordinator to the PATIENT. There may be more than one Mental Health Responsible Clinician assigned during the Adult Mental Health Care Spell. Care for the PATIENT's mental health may be provided by more than one Responsible Adult Mental Health Care Team.

An Adult Mental Health Care Spell is initiated by a referral, or the temporary or permanent transfer of main responsibility for provision of mental health care for the PATIENT from another Health Care Provider.

For referrals, the Adult Mental Health Care Spell commences with an initial assessment which will determine whether treatment or care by the Health Care Provider's specialist mental health services is appropriate. If not appropriate, then the Adult Mental Health Care Spell will end. If treatment or care is required then this will usually be provided as part of the care programme approach. Treatment or care provided as part of the care programme approach will involve one or more Care Programme Approach Episodes each with one or more Care Programme Approach Reviews. The date a PATIENT was informed of the outcome of an Adult Mental Health Care Spell assessment or Care Programme Approach Review. The requirement for the PATIENT to be informed of outcomes is laid down in The Patient's Charter - Mental Health Services.

The Adult Mental Health Care Spell addresses the mental health care of the PATIENT and as such may comprise a series of episodes, attendances, contacts or stays each of which will be recorded, for example Consultant Out-Patient Episodes, Consultant Episodes (Hospital Provider), Community Episodes, Care Home Stays (Midwife Care) and Face To Face Contacts Community Care etc. These are recorded in addition to Care Programme Approach Episodes. A PATIENT may be subject to more than one Mental Health Care Without Patient Consent.

Treatment requiring the temporary transfer of the PATIENT to another Health Care Provider with the main responsibility for provision of mental health care also being transferred, will end the current Care Programme Approach Episode and initiate a Mental Health Care Spell Suspension. In cases of temporary transfer to another Health Care Provider for physical care without the main responsibility for mental health care being transferred, both the current Care Programme Approach Episode and the Adult Mental Health Care Spell will continue and the Adult Mental Health Care Spell will not be suspended.

Treatment requiring the permanent transfer of the PATIENT to another Health Care Provider will initiate the ending of the current Care Programme Approach Episode and the Adult Mental Health Care Spell.

The Adult Mental Health Care Spell ends when all associated episodes, attendances or days are explicitly closed.

One or more Mental Health Leave Of Absence may be granted during the Adult Mental Health Care Spell. At the end of the Adult Mental Health Care Spell the care assessment only indicator can be recorded.

Information recorded for an Adult Mental Health Care Spell includes:

Care Assessment Only Indicator   O (only if Care Spell has ended)
End Date   O
Mental Health Care Assessment Date   O (only if Care Spell initiated by a referral for assessment)
MENTAL HEALTH CARE SPELL END CODE   O
PATIENT INFORMED OF OUTCOME DATE  O (only if Care Spell initiated by a referral for assessment)
Start Date
 

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ADULT MENTAL HEALTH CARE TEAM

Change to Supporting Information: Changed Description

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

Adult Mental Health Care Team is a CARE PROFESSIONAL TEAM.

An Adult Mental Health Care Team is a team of professionals delivering specialist mental health services, including secondary and self-referral services, for adult and elderly PATIENTS. This includes the care or assessment of adult and elderly PATIENTS with drug or alcohol dependence but excludes child and adolescent psychiatry PATIENTS and PATIENTS with Learning Disabilities.

The Adult Mental Health Care Team can be multidisciplinary and may contain members who are employees of the Health Care Provider or be employees of another NHS or non-NHS ORGANISATION.

The team may be a Responsible Adult Mental Health Care Team.

 

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ADULT MENTAL HEALTH CARE TEAM EPISODE

Change to Supporting Information: New Supporting Information

An Adult Mental Health Care Team Episode is an ACTIVITY GROUP.

A continuous period of care for a PATIENT by one or more Adult Mental Health Care Teams.

 

This supporting information is also known by these names:
ContextAlias
pluralAdult Mental Health Care Team Episodes

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CLINICAL DATA SETS MENU

Change to Supporting Information: Changed Description

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CONSULTANT EPISODE (HOSPITAL PROVIDER)

Change to Supporting Information: Changed Description

Consultant Episode (Hospital Provider) is an ACTIVITY GROUP.

The time a PATIENT spends in the continuous care of one CONSULTANT using Hospital Site or Care Home bed(s) of one Health Care Provider or, in the case of shared care, in the care of two or more CONSULTANTS. Where care is provided by two or more CONSULTANTS within the same episode, one CONSULTANT will take overriding responsibility for the PATIENT and only one Consultant Episode (Hospital Provider) is recorded. Additional CONSULTANTS participating in the care of PATIENTS are defined as Shared Care Consultants. A Consultant Episode (Hospital Provider) includes those episodes for which a GENERAL MEDICAL PRACTITIONER is acting as a CONSULTANT.

A PATIENT going on Home Leave, or Mental Health Leave Of Absence for 28 days or less, or has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Consultant Episode (Hospital Provider).

A PATIENT may not have concurrent Consultant Episodes (Hospital Provider) but can have Consultant Out-Patient Episodes overlapping with a Consultant Episode (Hospital Provider). A Consultant Episode (Hospital Provider) must not overlap with a Nursing Episode for the same PATIENT.

Any time spent as a LODGED PATIENT before being admitted to a WARD is included in the first Consultant Episode (Hospital Provider).

A CONSULTANT transfer occurs when the responsibility for a PATIENT transfers from one CONSULTANT (or GENERAL MEDICAL PRACTITIONER acting as a CONSULTANT) to another within a Hospital Provider Spell. In this case one Consultant Episode (Hospital Provider) will end and another one begin.

A transfer of responsibility may occur from a CONSULTANT to the PATIENT's own GENERAL MEDICAL PRACTITIONER (not acting as CONSULTANT) with the PATIENT still in a WARD or Care Home to receive nursing care. In this case the Consultant Episode (Hospital Provider) will end and a Nursing Episode will begin.

A transfer of responsibility from the PATIENT's own GENERAL MEDICAL PRACTITIONER to a CONSULTANT while the PATIENT is in a WARD or Care Home for nursing care will end the Nursing Episode and begin a Consultant Episode (Hospital Provider).

During the Consultant Episode (Hospital Provider) a number of Patient Procedures and PATIENT DIAGNOSES may be recorded.

If this is the first episode under a CONSULTANT in one of the psychiatric specialties within the Hospital Provider Spell, the appropriate PSYCHIATRIC PATIENT STATUS should be recorded.

There may be one or more Mental Health Delayed Discharge Periods recorded during a Consultant Episode (Hospital Provider) under a CONSULTANT in one of the psychiatric specialties (see MAIN SPECIALTY CODE (MENTAL HEALTH).

Information recorded for a Consultant Episode (Hospital Provider) includes:

EPISODE NUMBER
PSYCHIATRIC PATIENT STATUS   O
 

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HEALTH OF THE NATION OUTCOME SCALE (CHILDREN AND ADOLESCENTS)

Change to Supporting Information: Changed Description

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

The Health of the Nation Outcome Scale (Children and Adolescents) (HONOS-CA) is a type of ASSESSMENT TOOL.

The Health of the Nation Outcome Scale (Children and Adolescents) is an outcome measurement tool that assesses the behaviours, impairments, symptoms and social functioning of a child or adolescent with mental health problems.

The allowed responses for each of the 15 questions in the Health of the Nation Outcome Scale (Children and Adolescents) are as follows:

  • 0 - No problem
  • 1 - Minor problem requiring no action
  • 2 - Mild problem but definitely present
  • 3 - Moderately severe problem
  • 4 - Severe to very severe problem
  • 9 - Not known

For further information on the Health of the Nation Outcome Scale (Children and Adolescents), see the Health of the Nation Outcome Scales for Children and Adolescents website

 

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HEALTH OF THE NATION OUTCOME SCALE (SECURE)

Change to Supporting Information: New Supporting Information

The Health of the Nation Outcome Scale (Secure) (HONOS-secure) is a type of ASSESSMENT TOOL.

The Health of the Nation Outcome Scale (Secure) is an outcome measurement tool specifically designed for use in health and social care settings such as secure psychiatric, prison health care and related forensic services, including those based in the community.

The allowed responses for each of the 7 ratings, and further details about the Health of the Nation Outcome Scale (Secure), are available from the Health of the Nation Outcome Scales (Secure) website.

 

This supporting information is also known by these names:
ContextAlias
shortnameHONOS-secure
pluralHealth of the Nation Outcome Scales (Secure)

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HEALTH OF THE NATION OUTCOME SCALE (WORKING AGE ADULTS)

Change to Supporting Information: Changed Description

The Health of the Nation Outcome Scale (Working Age Adults) (HoNOS (Working Age Adults)) is a type of ASSESSMENT TOOL.

The Health of the Nation Outcome Scale (Working Age Adults) is a means of measuring the health and social functioning of people of working age with severe mental illness.  It is assessed by a CARE PROFESSIONAL or Mental Health Care Team Member.

It is assessed by a CARE PROFESSIONAL or Mental Health Care Team Member.The allowed responses for each of the 12 ratings in the Health of the Nation Outcome Scale (Working Age Adults) are as follows:

  • 0 - No problem
  • 1 - Minor problem requiring no action
  • 2 - Mild problem but definitely present
  • 3 - Moderately severe problem
  • 4 - Severe to very severe problem
  • 9 - Not known

For further information on Health of the Nation Outcome Scale (Working Age Adults), see the Royal College of Psychiatrists website.

 

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HEALTH OF THE NATION OUTCOME SCALE 65+ (OLDER ADULTS)

Change to Supporting Information: New Supporting Information

The Health of the Nation Outcome Scale 65+ (Older Adults) (HONOS 65+) is a type of ASSESSMENT TOOL.

The Health of the Nation Outcome Scale 65+ (Older Adults) is an outcome measurement tool consisting of 12 scales used to rate older adult mental health service users.  Together, they rate various aspects of mental and social health, and are designed to be used by clinicians before and after interventions, so that changes attributable to the interventions (outcomes) can be measured.

The allowed responses for each of the 12 ratings in the Health of the Nation Outcome Scale 65+ (Older Adults) are as follows:

  • 0 - No problem
  • 1 - Minor problem that is non-clinical i.e. would not normally lead to intervention
  • 2 - Mild problem that would justify intervention
  • 3 - Moderate problem
  • 4 - Severe problem
  • 9 - Not known

For further information on the Health of the Nation Outcome Scale 65+ (Older Adults), see the Health of the Nation Outcome Scale 65+ (Older Adults) website

 

This supporting information is also known by these names:
ContextAlias
shortnameHONOS 65+
pluralHealth of the Nation Outcome Scales 65+ (Older Adults)

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HOSPITAL PROVIDER SPELL

Change to Supporting Information: Changed Description

Hospital Provider Spell is an ACTIVITY GROUP.

The total continuous stay of a PATIENT using a Hospital Bed on premises controlled by a Health Care Provider during which medical care is the responsibility of one or more CONSULTANTS, or the PATIENT is receiving care under one or more Nursing Episodes or Midwife Episodes in a WARD. During Nursing Episodes and Midwife Episodes general medical care is the responsibility of their own GENERAL MEDICAL PRACTITIONER, who is not acting as a CONSULTANT. The Hospital Provider Spell may be as a result of an ELECTIVE ADMISSION LIST ENTRY.

During the Hospital Provider Spell, the PATIENT may be subject to more than one ADMINISTRATIVE CATEGORY PERIODS. The PATIENT may be subject to one or more CRITICAL CARE PERIODS.

The Hospital Provider Spell starts when a CONSULTANT, NURSE or MIDWIFE assumes responsibility for care following the DECISION TO ADMIT the PATIENT. This may be before formal admission procedures have been completed and the PATIENT transferred to a WARD. For example, if a PATIENT is brought into hospital as an emergency and dies in the OPERATING THEATRE before being transferred to a WARD, the PATIENT would have started a Hospital Provider Spell.

In some circumstances a PATIENT may take Home Leave, or Mental Health Leave Of Absence for a period of 28 days or less, or have a current period of Mental Health Absence Without Leave of 28 days or less, which does not interrupt the Hospital Provider Spell, Consultant Episode (Hospital Provider), Nursing Episode, Midwife Episode or Hospital Stay.

Each admission as part of a series of regular day/night admissions generates a separate Hospital Provider Spell and Consultant Episode (Hospital Provider). An admission is the start of the PATIENT's Hospital Provider Spell and the first Consultant Episodes (Hospital Provider), Midwife Episode or Nursing Episode within the spell. If the PATIENT is on a Hospital Site the admission will also start the first Hospital Stay and, unless the PATIENT has to spend time as a LODGED PATIENT, the admission will also start the first Ward Stay within that Hospital Provider Spell. If the PATIENT is in a Care Home the admission will start the first Care Home Stay (Consultant Care) within the Hospital Provider Spell. Any admission of a PERSON liable to be detained under the Mental Health Act 1983 cannot be in a Care Home and must be a Hospital Provider Spell.

A discharge will be the end of the last Consultant Episode (Hospital Provider), Midwife Episode or Nursing Episode, and the end of the last Care Home Stay (Consultant Care) or Hospital Stay and Ward Stay within that Hospital Provider Spell.

If there is any time spent as a LODGED PATIENT before transfer to a WARD this is included in the Hospital Provider Spell.

A Hospital Provider Spell starts with a Hospital Provider admission and ends with a Hospital Provider discharge.

 There may be one or more Mental Health Delayed Discharge Periods recorded for any Consultant Episode (Hospital Provider) within the Hospital Provider Spell.

 

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MENTAL HEALTH CARE CLUSTER

Change to Supporting Information: New Supporting Information

A Mental Health Care Cluster is a MENTAL HEALTH CARE CLUSTER which is a type of CATEGORY VALUED PERSON OBSERVATION.

A Mental Health Care Cluster is part of a currency developed to support Payment by Results for Mental Health Services.  Mental Health Care Clusters are 21 groupings of Mental Health PATIENTS based on their characteristics, and are a way of classifying individuals utilising Mental Health Services that forms the basis for payment.

A Mental Health Care Cluster is assigned using a decision tree or algorithm based on the PERSON SCORE from the Mental Health Clustering Tool undertaken by a CARE PROFESSIONAL for the PATIENT.

This is done by first assigning the PATIENT to one of three Mental Health Care Cluster Super Classes, to narrow down the number of possible Mental Health Care Clusters which are applicable to the PATIENTS condition.  The PATIENT is then assigned to the most appropriate of this sub-set of Mental Health Care Clusters.

The Mental Health Care Clusters into which the presenting needs of the PATIENT may fall are:

Care Cluster 0:  Variance - Despite careful consideration of all the other Mental Health Care Clusters, this group of PATIENTS are not adequately described by any of their descriptions.  PATIENTS who cannot be initially assigned to a Mental Health Care Cluster Super Class during the clustering process will be automatically assigned to this Mental Health Care Cluster.

Care Cluster 1:  Common Mental Health Problems (Low Severity) - This group of PATIENTS has definite but minor problems of depressed mood, anxiety or other disorder, but they do not present with any psychotic symptoms

Care Cluster 2:  Common Mental Health Problems (Low Severity with Greater Need) - This group of PATIENTS has definite but minor problems of depressed mood, anxiety or other disorder, but not with any psychotic symptoms.  They may have already received care associated with Care Cluster 1 and require more specific intervention, or previously been successfully treated at a higher level but are re-presenting with low level symptoms

Care Cluster 3:  Non-Psychotic (Moderate Severity) - This group of PATIENTS have moderate problems involving depressed mood, anxiety or other disorder (not including psychosis)

Care Cluster 4:  Non-Psychotic (Severe) - This group of PATIENTS is characterised by severe depression and/or anxiety and/or other disorders, and increasing complexity of needs.  They may experience disruption to function in everyday life and there is an increasing likelihood of significant risks.

Care Cluster 5:  Non-Psychotic Disorders (Very Severe) - This group of PATIENTS will be severely depressed and/or/anxious and/or other.  They will not present with hallucinations or delusions but may have some unreasonable beliefs.  They may often be at high risk for suicide and they may present safeguarding issues and have severe disruption to everyday living.

Care Cluster 6:  Non-Psychotic Disorder of Over-Valued Ideas - This group of PATIENTS suffer from moderate to very severe disorders that are difficult to treat.  This may include treatment resistant eating disorders, Obsessive Compulsive Disorder etc, where extreme beliefs are strongly held, some personality disorders, and enduring depression.

Care Cluster 7:  Enduring Non-Psychotic Disorders (High Disability) - This group of PATIENTS suffer from moderate to severe disorders that are very disabling.  They will have received treatment for a number of years and although they may have an improvement in positive symptoms, considerable disability remains that is likely to affect role functioning in many ways.

Care Cluster 8:  Non-Psychotic Chaotic and Challenging Disorders - This group of PATIENTS will have a wide range of symptoms and chaotic and challenging lifestyles.  They are characterised by moderate to very severe repeat deliberate self-harm and/or other impulsive behaviour and chaotic, over-dependant engagement, and are often hostile with services.

Care Cluster 9:  Cluster Under Review - Note: This Mental Health Care Cluster is under review by the Department of Health and should not be used.

Care Cluster 10:  First Episode Psychosis - This group of PATIENTS will be presenting to the Mental Health service for the first time with mild to severe psychotic phenomena.  They may also have depressed mood and/or anxiety and/or other behaviours.  Drinking or drug taking may be present but will not be the only problem.

Care Cluster 11:  Ongoing Recurrent Psychosis (Low Symptoms) - This group of PATIENTS have a history of psychotic symptoms that are currently controlled and causing minor problems if any at all.  They are currently experiencing a period of recovery where they are capable of full or near functioning.  However, there may be impairment in self-esteem and efficacy and vulnerability to life.

Care Cluster 12:  Ongoing or Recurrent Psychosis (High Disability) - This group of PATIENTS have a history of psychotic symptoms with a significant disability with major impact on role functioning.  They are likely to be vulnerable to abuse or exploitation.

Care Cluster 13:  Ongoing or Recurrent Psychosis (High Symptoms and Disability) - This group of PATIENTS will have a history of psychotic symptoms which are not controlled.  They will present with moderate to severe psychotic symptoms and some anxiety or depression.  They have a significant disability with major impact on role functioning.

Care Cluster 14:  Psychotic Crisis - This group of PATIENTS will be experiencing an acute psychotic episode with severe symptoms that cause severe disruption to role functioning.  They may present as vulnerable and a risk to others or themselves.

Care Cluster 15:  Severe Psychotic Depression - This group of PATIENTS will be suffering from an acute episode of moderate to severe depressive symptoms.  Hallucinations and delusions will be present.  It is likely that this group will present a risk of suicide and have disruption in many areas of their lives.

Care Cluster 16:  Dual Diagnosis - This group of PATIENTS have enduring, moderate to severe psychotic of affective symptoms with unstable, chaotic lifestyles and co-existing substance misuse.  They may present a risk to self and others and engage poorly with services.  Role functioning is often globally impaired.

Care Cluster 17:  Psychosis and Affective Disorder (Difficult to Engage) - This group of PATIENTS have moderate to severe psychotic symptoms with unstable, chaotic lifestyles.  There may be some problems with drugs or alcohol not severe enough to warrant dual diagnosis care.  This group have a history of non-concordance, are vulnerable, and engage poorly with services.

Care Cluster 18:  Cognitive Impairment (Low Need) - People who may be in the early stages of dementia (or who may have an organic brain disorder affecting their cognitive function) who have some memory problems, or other low level cognitive impairment, but who are still managing to cope reasonably well.  Underlying reversible physical causes have been ruled out.

Care Cluster 19:  Cognitive Impairment or Dementia Complicated (Moderate Need) - People who have problems with their memory, and/or other aspects of cognitive functioning resulting in moderate problems looking after themselves and maintaining social relationships.  Probable risk of self-neglect or harm to others and may be experiencing some anxiety or depression.

Care Cluster 20:  Cognitive Impairment or Dementia (High Need) - People with dementia who are having significant problems in looking after themselves and whose behaviour may challenge their carers or services.  They may have high levels of anxiety or depression, psychotic symptoms, or significant problems such as aggression or agitation.  They may not be aware of their problems.  They are likely to be at high risk of self-neglect or harm to others, and there may be a significant risk of their care arrangements breaking down.

Care Cluster 21:  Cognitive Impairment or Dementia (High Physical or Engagement) - People with cognitive impairment or dementia who are having significant problems in looking after themselves, and whose physical condition is becoming increasingly frail.  They may not be aware of their problems and there may be a significant risk of their care arrangements breaking down.

Further information relating to the Mental Health Clustering Tool and Mental Health Care Clusters is available from the Department of Health Developing Payment By Results for Mental Health website.

 

This supporting information is also known by these names:
ContextAlias
pluralMental Health Care Clusters

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MENTAL HEALTH CARE CLUSTER ASSIGNMENT PERIOD

Change to Supporting Information: New Supporting Information

A Mental Health Care Cluster Assignment Period is an ACTIVITY GROUP.

The period of time that a PATIENT is assigned to a Mental Health Care Cluster during a Mental Health Care Spell.

 

This supporting information is also known by these names:
ContextAlias
pluralMental Health Care Cluster Assignment Periods

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MENTAL HEALTH CARE CLUSTER SUPER CLASS

Change to Supporting Information: New Supporting Information

A Mental Health Care Cluster Super Class is identified during the process of assigning a Mental Health Care Cluster to a PATIENT.  It enables the number of applicable Mental Health Care Clusters to be narrowed down, by deciding if the origin of the presenting condition is primarily:

  • non-psychotic
  • psychotic or
  • organic

If the PATIENT cannot be assigned to a Mental Health Care Cluster, MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE is recorded as National Code Z 'Unable to assign PATIENT to Mental Health Care Cluster', and the PATIENT will automatically be assigned to Mental Health Care Cluster 0 (Variance).

Further information relating to the Mental Health Clustering Tool and Mental Health Care Clusters is available from the Department of Health Developing Payment By Results for Mental Health website.

 

This supporting information is also known by these names:
ContextAlias
pluralMental Health Care Cluster Super Classes

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MENTAL HEALTH CARE COORDINATOR ASSIGNMENT

Change to Supporting Information: New Supporting Information

Mental Health Care Coordinator Assignment is a CARE PROFESSIONAL ROLE.

A Mental Health Care Coordinator is a professional member of staff working in specialist mental health services, who has been named and allocated as care coordinator to the PATIENT.

If the PATIENT is subject to a Care Programme Approach Episode, the Mental Health Care Coordinator may also act as the CPA Care Coordinator.

 

This supporting information is also known by these names:
ContextAlias
pluralMental Health Care Coordinator Assignments

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MENTAL HEALTH CLUSTERING TOOL

Change to Supporting Information: New Supporting Information

Mental Health Clustering Tool is a type of ASSESSMENT TOOL.

The Mental Health Clustering Tool is a needs assessment tool designed to rate the care needs of a PATIENT, based upon a series of 18 rating scales.  The first 12 of these rating scales are the same as the Health of the Nation Outcome Scale (Working Age Adults) rating scales, originally developed by the Royal College of Psychiatrists. These 12 rating scales are numbered 1 - 12 under 'Current Ratings' in the Mental Health Clustering Tool.  One additional 'current' rating and a new section relating to historical ratings have also been added, to form the Mental Health Clustering Tool.  These items are referred to as the Summary Assessment of Characteristics (SAC) items.

Part 1:  Current Ratings

These ratings relate to the most severe occurrence in the two weeks prior to the Mental Health Clustering Tool ASSESSMENT TOOL COMPLETION DATE.

  1. Overactive, aggressive, disruptive or agitated behaviour (current)
  2. Non-accidental self injury (current)
  3. Problem drinking or drug taking (current)
  4. Cognitive problems (current)
  5. Physical illness or disability problems (current)
  6. Problems associated with hallucinations and delusions (current)
  7. Problems with depressed mood (current)
  8. Other mental and behavioural problems (current), qualified by specific disorders: and the alphabetical list of headings from the glossary:
  •             A  Phobic
  •             B  Anxiety
  •             C  Obsessive-compulsive
  •             D  Stress
  •             E  Dissociative
  •             F  Somatoform
  •             G  Eating
  •             H  Sleep
  •             I  Sexual
  •             J  Other
   9.  Problems with relationships (current)
 10.  Problems with activities of daily living (current)
 11.  Problems with living conditions (current)
 12.  Problems with occupation and activities (current)
 13.  Strong unreasonable beliefs occurring in non-psychotic disorders only (current)

Part 2:  Historical Ratings

These ratings relate to problems that occur in an episodic or unpredictable way, from a more 'historical' perspective.  Whilst there may not be any direct observation or report of a manifestation during the two weeks prior to the Mental Health Clustering Tool ASSESSMENT TOOL COMPLETION DATE, the evidence and clinical judgement would suggest that there is still a cause for concern that cannot be disregarded.  In these circumstances, any event that remains relevant to the current CARE PLAN should be included.

     A.  Agitated behaviour / expansive mood (historical)
     B.  Repeat self-harm (historical)
     C.  Safeguarding children and vulnerable dependant adults (historical)
     D.  Engagement (historical)
     E.  Vulnerability (historical)

The allowed responses to each of the 18 items in the Mental Health Clustering Tool are:

  • 0 - No problem
  • 1 - Minor problem requiring no action
  • 2 - Mild problem but definitely present
  • 3 - Moderately severe problem
  • 4 - Severe to very severe problem
  • 9 - Not known

The PERSON SCORE from the Mental Health Clustering Tool is used to allocate the PATIENT to the most appropriate Mental Health Care Cluster.

Further information relating to the Mental Health Clustering Tool and Mental Health Care Clusters is available from the Department of Health Developing Payment By Results for Mental Health website.

 

This supporting information is also known by these names:
ContextAlias
pluralMental Health Clustering Tools

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MENTAL HEALTH CRISIS PLAN

Change to Supporting Information: New Supporting Information

A Mental Health Crisis Plan is a CARE PLAN.

A Mental Health Crisis Plan is a CARE PLAN outlining key information to be considered during a mental health crisis.  It includes:

  • contact details
  • history of mental and physical illnesses
  • previous anti-depressants and psychotherapies
  • signs predicting relapse, and
  • instructions for care if a future relapse occurs

Mental Health Crisis Plans play an important role in reducing the use of mental health inpatient services, and compulsory admission and treatment in PATIENTS with severe mental illness.

 

This supporting information is also known by these names:
ContextAlias
pluralMental Health Crisis Plans

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MENTAL HEALTH DELAYED DISCHARGE PERIOD

Change to Supporting Information: New Supporting Information

Mental Health Delayed Discharge Period is an ACTIVITY GROUP.

It is the period of time during a Consultant Episode (Hospital Provider) under a MAIN SPECIALTY CODE (MENTAL HEALTH) that the PATIENT is fit and ready for discharge, but discharge is delayed due to external factors outside the control of the Hospital Provider.  These reasons are detailed in MENTAL HEALTH DELAYED DISCHARGE REASON.

A PATIENT is ready for discharge when:

  • a clinical decision has been made that the PATIENT is ready for discharge
  • a multidisciplinary team decision has been made that the PATIENT is ready for discharge
  • the PATIENT is safe to discharge

The Mental Health Delayed Discharge Period starts on the START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) and ends on the END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD).  The END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) may be the same as the DISCHARGE DATE (HOSPITAL PROVIDER SPELL), if the external factors are resolved while the PATIENT is still ready for discharge. 

However if the PATIENT's condition deteriorates while awaiting discharge, the decision may be taken to end the Mental Health Delayed Discharge Period, and the Consultant Episode (Hospital Provider) and Hospital Provider Spell continue.

Multiple Mental Health Delayed Discharge Periods may occur during a single Consultant Episode (Hospital Provider), and within a single Hospital Provider Spell (though they may occur in different Consultant Episodes (Hospital Provider) within that Hospital Provider Spell).

 

This supporting information is also known by these names:
ContextAlias
pluralMental Health Delayed Discharge Periods

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MENTAL HEALTH MINIMUM DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Mental Health Minimum Data Set was introduced by Data Set Change Notice 20/19/P13 in April 2000 in response to the lack of national clinical data collection in the mental health arena, in line with the information requirements of the emerging National Service Framework for Mental Health.

Since April 2003 (Data Set Change Notice 49/2002) it has been a mandatory requirement that all Providers of specialist adult, including elderly, mental health services submit central Mental Health Minimum Data Set returns on a quarterly basis, with an additional annual submission.

The Mental Health Minimum Data Set facilitates the collection of person-focussed clinical data and the sharing of such data to underpin the delivery of mental health care. It is structured around the clinical process and includes an outcome assessment (Health of the Nation Outcome Scale (Working Age Adults), or HoNOS (Working Age Adults)). It records the key role played by partner agencies, particularly social services.

The Mental Health Minimum Data Set describes Adult Mental Health Care Spells. These comprise all interventions made for a PATIENT by a specialist Adult Mental Health Care Team from initial REFERRAL REQUEST to final discharge. For some individuals the Adult Mental Health Care Spell will comprise a short Consultant Out-Patient Episode; for others it may extend over many years and include hospital, community, out-patient and day care episodes.

Information is collected relating to various stages in the journey of the PATIENT, including activity such as Hospital Provider Spells, Consultant Out-Patient Episodes, community care, and NHS day care episodes; mental health reviews and assessments including Care Programme Approach (CPA) and Health of the Nation Outcome Scale (Working Age Adults) contacts with mental health professionals such as care co-ordinators, psychiatric NURSES and CONSULTANTS; and also any diagnosis and treatment.

The prime purpose of the Mental Health Minimum Data Set is to provide local clinicians and managers with better quality information for clinical audit, and service planning and management.

Central collection provides improved national information, facilitating feedback to Trusts, and the setting of benchmarks. It will also allow the delivery of the National Service Framework for Mental Health priorities to be monitored.

The Mental Health Minimum Data Set data is collected from NHS Trusts and submitted via the "Mental Health Minimum Data Set Assembler" to the Secondary Uses Service for storage, analysis and reporting by a variety of stakeholders including the Department of Health, Care Quality Commission, and The NHS Information Centre for health and social care.

The Mental Health Minimum Data Set is transmitted to the Secondary Uses Service using Mental Health Minimum Data Set Message Schema Versions

Please note that the collection of the Mental Health Minimum Data Set does not replace any other collection of mental health data such as the Admitted Patient Care Commissioning Data Set Type Detained and/or Long Term Psychiatric Census, which should continue to be collected.

For further information on the Mental Health Minimum Data Set, please view the following The NHS Information Centre for health and social care website:

http://www.ic.nhs.uk/services/mental-health/mental-health-minimum-dataset-mhmds

Mental Health Minimum Data Set Version History

Version
 
Date Issued
 
Summary of Changes
 
DSCN / ISN
 
Implementation Date
 
1.0November 1999Introduction of Mental Health Minimum Data Set DSCN 20/99/P13April 2000
1.1June 2002Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)DSCN 27/2002April 2003
1.2September 2002Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)DSCN 29/2002April 2003
1.3October 2002Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)DSCN 48/2002April 2003
2.0October 2002Mental Health Minimum Data Set - Mandatory Central returns. This version of the data set incorporates changes defined in Data Set Change Notice 27/2002, 29/2002 and 48/2002.DSCN 49/2002April 2003
2.1November 2007Introduction of Mental Health Minimum Data Set Version 2.1DSCN 37/2007November 2007
3.0February 2008Introduction of Mental Health Minimum Data Set Version 3.0 - incorporating changes required for Mental Health Act 2007 and Public Service Agreement Delivery Agreement 16 (Social Exclusion)DSCN 06/2008April 2008
3.5??Advance notification of changes to the Mental Health Minimum Data Set to meet Payment by Results requirements.  This version was to enable development by system suppliers and was not intended for data flow.??N/A
4.0??Introduction of Mental Health Minimum Data Set (Version 4-0) - incorporating changes required for Payment by Results and reduction of burden??April 2011

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MENTAL HEALTH NHS DAY CARE EPISODE

Change to Supporting Information: New Supporting Information

A Mental Health NHS Day Care Episode is an ACTIVITY GROUP.

A continuous period of care for a PATIENT receiving Mental Health NHS Day Care Services.

Mental Health NHS Day Care Episodes  comprise one or more Day Care Attendances where:

  • the DAY CARE FUNCTION classification is 'Mental Illness' and
  • the FACILITY TYPE of the Day Care Facility is 'Facilities financed, planned and run solely by NHS organisations. Staffing is solely by NHS employees' or 'Facilities financed, planned and run jointly by NHS organisations and non-NHS organisations. Staffing is a mixture of NHS and non-NHS employees'.
 

This supporting information is also known by these names:
ContextAlias
pluralMental Health NHS Day Care Episodes

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MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT

Change to Supporting Information: New Supporting Information

Mental Health Responsible Clinician Assignment is an ACTIVITY GROUP.

The period of time a Mental Health Responsible Clinician is assigned to the PATIENT.

 

This supporting information is also known by these names:
ContextAlias
pluralMental Health Responsible Clinician Assignments

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PATIENT HEALTH QUESTIONNAIRE (PHQ-9)

Change to Supporting Information: New Supporting Information

The Patient Health Questionnaire (PHQ-9) (PHQ-9) is a type of ASSESSMENT TOOL.

The Patient Health Questionnaire (PHQ-9) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders.  The PHQ-9 is the depression module.

The responses for each of the 9 items are as follows:

  • 0 - Not at all
  • 1 - Several days
  • 2 - More than half the days
  • 3 - Nearly every day

The total score for the 9 items can range from 0-27.  The PHQ-9 depression total severity score can be categorised using the following cutpoints:

Total score of 5 = mild
Total score of 10 = moderate
Total score of 15 = moderately severe
Total score of 20 = severe depression

Further details about the Patient Health Questionnaire (PHQ-9) are available from the PHQscreeners website.

 

This supporting information is also known by these names:
ContextAlias
shortnamePHQ-9
pluralPatient Health Questionnaires (PHQ-9)

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PATIENT PROXY

Change to Supporting Information: Changed Description

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

A Patient Proxy is a PERSON.

A Patient Proxy is a representative of the PATIENT. This is most likely to be the case where the PATIENT is unable to communicate effectively, for example, for an infant or a PERSON who is mentally ill or who has learning disabilities.

 

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ACTIVITY GROUP

Change to Class: Changed Attributes, Description

A subtype of ACTIVITY.

Subtypes of ACTIVITY GROUP are:

CRITICAL CARE PERIOD
PATIENT PATHWAY
REFERRAL TO TREATMENT PERIOD

A continuous period of care or assessment for a PATIENT by one or more CARE PROFESSIONAL. ACTIVITY GROUPS mainly consist of episodes, spells, stays or care periods.

An ACTIVITY GROUP may include one or more CARE ACTIVITIES.

ACTIVITY GROUPS include:

 

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ACTIVITY GROUP

Change to Class: Changed Attributes, Description

Attributes of this Class are:
A and E INCIDENT LOCATION TYPE
A and E PATIENT GROUP
ACTIVITY GROUP TYPE
ADMISSION METHOD
AMI ADMISSION DIAGNOSIS
AMI ADMISSION WARD TYPE
AMI ADMITTING CONSULTANT TYPE
AMI CAUSE OF DEATH IN HOSPITAL
AMI DISCHARGE DIAGNOSIS
AMI HEART RATE
BABY FEEDING TYPE
BONE SARCOMA LOCATION
BROAD PATIENT GROUP
CANCER REFERRAL TO TREATMENT PERIOD START DATE
CANCER STATUS
CANCER TREATMENT INTENT
CANCER TREATMENT PERIOD START DATE
COPD PRESENT
CORONARY ANGIOGRAPHY PERFORMED
CPA LEVEL
DELIVERY FACILITIES ONLY USED
DELIVERY PLACE CHANGE REASON
DIAGNOSTIC ROUTE
DISCHARGE DESTINATION
DISCHARGE FROM MENTAL HEALTH SERVICE REASON
DISCHARGE METHOD
DISTRIBUTION OF LESIONS PRESENT
ECG DETERMINING TREATMENT
FIRST REGULAR DAY OR NIGHT ADMISSION
FULL POSTNATAL EXAMINATION DATE
GENERAL DENTAL SERVICE INDICATOR
GENETICALLY DETERMINED SKIN CANCER TYPE
GENITOURINARY EPISODE TYPE
INFECTION PROBABLE SOURCE
INITIAL CONTACT TYPE
INTENDED DELIVERY PLACE
INVESTIGATION OR INTERVENTION REFERRAL DATE
LENGTH OF STAY ADJUSTMENT
LENGTH OF STAY ADJUSTMENT REASON
MATERNAL RUBELLA STATUS
MENSTRUAL STATUS
MENTAL HEALTH CARE SPELL END CODE
MENTAL HEALTH DELAYED DISCHARGE REASON
MIDWIFE EPISODE END REASON
NEONATAL LEVEL OF CARE
NURSING EPISODE END REASON
NUTRITIONAL SUPPORT PROVIDED TYPE
PATIENT CLASSIFICATION
POSSUM SCORE (AFTER SURGERY)
POSSUM SCORE (AT DIAGNOSIS)
PREGNANCY LEAD PROFESSIONAL TYPE
PREGNANCY PREVIOUS CAESAREAN SECTIONS
PREGNANCY PREVIOUS INDUCED ABORTIONS
PREGNANCY TOTAL LIVE BIRTHS
PREGNANCY TOTAL NEONATAL DEATHS
PREGNANCY TOTAL NON-INDUCED ABORTIONS
PREGNANCY TOTAL PREVIOUS PREGNANCIES
PREGNANCY TOTAL STILL BIRTHS
PREVIOUS MATERNAL BLOOD TRANSFUSION
PREVIOUS TREATMENT ELSEWHERE
QUALITY OF LIFE
RADIOTHERAPY INTENT
REHABILITATION REFERRAL
RTA FURTHER ADMISSION PLANNED
SARCOMA CONDITION FIRST SEEN
SARCOMA LARGEST DIAMETER
SARCOMA PART SITE
S CATEGORY FINAL PRETREATMENT
SERUM TUMOUR MARKER PSA
SKIN TCELL CLINICAL VARIANT
SKIN TCELL SURFACE AREA
SOFT TISSUE SARCOMA LOCATION
SOURCE OF ADMISSION
SUPERVISED COMMUNITY TREATMENT END REASON
SUPERVISION REGISTER RISK
TELEPHONE CONTACT INDICATOR
TREATMENT START DATE CANCER
WARD STAY TERMINATION REASON

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ASSESSMENT TOOL

Change to Class: Changed Description

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

A type of assessment tool used to measure and evaluate specific aspects of a PERSON's needs or experiences.

An ASSESSMENT TOOL may result in a PERSON SCORE or outcome rating.

 

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CARE CONTACT

Change to Class: Changed Attributes

Attributes of this Class are:
A and E ARRIVAL MODE
A and E ATTENDANCE CATEGORY
A and E ATTENDANCE DISPOSAL
A and E INITIAL ASSESSMENT TRIAGE CATEGORY
A and E STREAM
ACUTE HOME-BASED TELEPHONE CONTACT
ANTENATAL OR POSTNATAL INDICATOR
BREAST CANCER NURSE SEEN
CARE ACTIVITY INFORMATION
CARE CONTACT SUBJECT
CARE CONTACT TYPE
CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR
COLPOSCOPY PRIME PROCEDURE TYPE
CONSULTATION MEDIUM USED
CONTRACEPTIVE SERVICE TYPE
CPA REVIEW OUTCOME
DENTAL HAEMORRHAGE SERVICE TYPE
DENTAL REFERRAL INDICATOR
ELIGIBILITY OUTCOME
EMERGENCY TREATMENT FEE
EMERGENCY TREATMENT TYPE
FIRST ATTENDANCE
GENITOURINARY CONTACT TYPE CODE
HEALTH PROMOTION STAFF GROUP
HOME HELP USE
INITIAL CONTACT
INITIAL CONTACT WITHIN FIVE DAYS
IUD APPLICATION DATE
MARKER RESPONSE STATUS
MATERNITY MEDICAL SERVICE TYPE
MATERNITY VISIT CALL REASON
MEDICAL STAFF TYPE SEEING PATIENT
METASTATIC STATUS
NODAL STATUS
NON-NHS COMMUNITY BED USE
NON-NHS DAY CARE FACILITY USE
OUTCOME OF ATTENDANCE
PATIENT INFORMED OF OUTCOME DATE
PATIENT REPORTED SYMPTOMS INDICATOR
PATIENT REPORTED WAIT
PATIENT TRIAL STATUS
PAYMENT FROM PATIENT RECEIVED
POSTNATAL CARE INDICATOR
PRIMARY TUMOUR STATUS
REVIEW TYPE
SETTLED ACCOMMODATION INDICATOR
SHELTERED WORK FACILITY USE
SIGHT TEST DOMICILIARY VISIT TYPE
SIGHT TEST FORM COMPLETED
SIGHT TEST PERSON SUBSIDY TYPE
SKIN TUMOUR STATUS
STATUTORY ASSESSMENT TYPE
SURVEILLANCE RESULT

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CARE PLAN

Change to Class: Changed Description

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

A plan of the treatment or health care to be provided to a PATIENT for a CARE ACTIVITY or within an ACTIVITY GROUP.

An ACTIVITY GROUP may include more than one CARE PLAN. Often the effectiveness of a CARE PLAN is reviewed periodically and as a result of the review, a new CARE PLAN may be developed.

CARE PLANS include:

 

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CARE PROFESSIONAL TEAM

Change to Class: Changed Attributes

Attributes of this Class are:
KCARE PROFESSIONAL TEAM IDENTIFIER
MENTAL HEALTH CARE TEAM TYPE
ADULT MENTAL HEALTH CARE TEAM TYPE

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CATEGORY VALUED PERSON OBSERVATION

Change to Class: Changed Description

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

A type of PERSON PROPERTY.

Observations made regarding a PERSON. These observations do not include information about a treatment or intervention.

CATEGORY VALUED PERSON OBSERVATION allows coded classifications of observations about a PERSON and includes:

Note: MEASURED PERSON OBSERVATION allows for recording of measurements about a PERSON and OTHER PERSON OBSERVATION is where the PERSON states, for example, when they first experienced symptoms, the number of days on which alcohol has been consumed etc.

 

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MENTAL HEALTH CARE CLUSTER

Change to Class: New Class

A MENTAL HEALTH CARE CLUSTER is part of a currency developed to support Payment by Results for Mental Health Services.  Mental Health Care Clusters are 21 groupings of Mental Health PATIENTS based on their characteristics, and are a way of classifying individuals utilising Mental Health Services that forms the basis for payment.

 

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MENTAL HEALTH CARE CLUSTER

Change to Class: New Class

Attributes of this Class are:
MENTAL HEALTH CARE CLUSTER CODE
MENTAL HEALTH CARE CLUSTER END REASON
MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE

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MENTAL HEALTH CARE CLUSTER

Change to Class: New Class

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PERSON SCORE

Change to Class: Changed Description

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

A subtype of PERSON PROPERTY.

A PERSON SCORE is the outcome of an ASSESSMENT TOOL completed by, or for a PERSON.

This could be for an individual element of, or question within, an ASSESSMENT TOOL, a subtotal or total score.

 

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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 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 
23Adult Mental 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 
 Adult Mental Health Care Team Episode
 Mental Health NHS Day Care Episode
 Mental Health Delayed Discharge Period
 Mental Health Care Cluster Assignment Period
 Mental Health Care Coordinator Assignment

Note: The list is not in alphabetical order.

 

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ADMISSION METHOD

Change to Attribute: Changed Description

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

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

National Codes:

Elective Admission, when the DECISION TO ADMIT could be separated in time from the actual admission:
11Waiting list
12Booked
13Planned
Note that this does not include a transfer from another Hospital Provider (see 81 below).

Emergency Admission, when admission is unpredictable and at short notice because of clinical need:
21Accident and emergency or dental casualty department of the Health Care Provider 
22GENERAL PRACTITIONER: after a request for immediate admission has been made direct to a Hospital Provider, i.e. not through a Bed bureau, by a GENERAL PRACTITIONER or deputy
23Bed bureau
24Consultant Clinic, of this or another Health Care Provider 
25Admission via Mental Health Crisis Resolution Team
28Other means, examples are:
- admitted from the Accident And Emergency Department of another provider where they had not been admitted
- transfer of an admitted PATIENT from another Hospital Provider in an emergency
- baby born at home as intended

Maternity Admission, of a pregnant or recently pregnant woman to a maternity ward (including delivery facilities) except when the intention is to terminate the pregnancy
31Admitted ante-partum
32Admitted post-partum

Other Admission not specified above
82The birth of a baby in this Health Care Provider 
83Baby born outside the Health Care Provider except when born at home as intended.
81Transfer of any admitted PATIENT from other Hospital Provider other than in an emergency

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

 

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ADULT MENTAL HEALTH CARE TEAM TYPE  renamed from MENTAL HEALTH CARE TEAM TYPE

Change to Attribute: Changed Name, Description

The classification of the role of Mental Health Care Team Member.The type of Adult Mental Health Care Team.

National Codes:

01General Adult Psychiatry
02Psychiatry of Old Age
03Substance Misuse Team
04Home Treatment/Crisis Resolution
05Early Intervention in Psychosis Team
06Assertive Outreach Team
20Other Teams
 General Mental Health Sevices
A01Day Care Services
A02Crisis Resolution Team/Home Treatment
A03Adult Community Mental Health Team
A04Older People Community Mental Health Team
A05Assertive Outreach Team
A06Rehabilitation and Recovery Team
A07General Psychiatry
A08Psychiatric Liaison
A09Psychotherapy Service
A10Psychological Therapy Service (IAPT)
A11Psychological Therapy Service (non-IAPT)
A12Young Onset Dementia
A13Personality Disorder Service
A14Early Intervention in Psychosis Team
A15Primary Care Mental Health Services
A16Memory Services/Clinic
 Forensic Services
B01Forensic Service
B02Community Forensic Service
 Specialist Mental Health Services
C01Learning Disability Service
C02Autistic Spectrum Disorder Service
C02Peri-Natal Mental Illness
C04Eating Disorders/Dietetics
 Other Mental Health Services
D01Substance Misuse Team
D02Criminal Justice Liaison and Diversion Service
D03Prison Psychiatric Inreach Service
D04Asylum Service
ZZZOther Mental Health Service
 

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ASSESSMENT TOOL TYPE

Change to Attribute: Changed Description

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ATTENDED OR DID NOT ATTEND

Change to Attribute: Changed Description

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

This indicates whether an APPOINTMENT for a CARE CONTACT took place.

If the APPOINTMENT did not take place it also indicates if advance warning was given.

When an APPOINTMENT is cancelled the APPOINTMENT CANCELLED DATE should also be recorded.

National Codes:

5Attended on time or, if late, before the relevant CARE PROFESSIONAL was ready to see the PATIENT
6Arrived late, after the relevant CARE PROFESSIONAL was ready to see the PATIENT, but was seen
7PATIENT arrived late and could not be seen
2APPOINTMENT cancelled by, or on behalf of, the PATIENT
3Did not attend - no advance warning given
4APPOINTMENT cancelled or postponed by the Health Care Provider
0Not applicable - APPOINTMENT occurs in the future *

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

* Note that code 0 - 'Not applicable - APPOINTMENT occurs in the future' is NOT valid for use in the following data sets:

  • Child and Adolescent Mental Health Services Data Set
  • Community Information Data Set
  • Improving Access to Psychological Therapies Data Set
  • Mental Health Minimum Data Set
  • Improving Access to Psychological Therapies Data Set
    Mental Health Minimum Data Set (Version 4-0)
  • National Children's and Young People's Health Services Data Set.

Use in the Future Outpatient Commissioning Data Set:

  • For referral records with no APPOINTMENT yet made, or for future APPOINTMENTS, code 0 - Not applicable - APPOINTMENT occurs in the future should be used.
  • Where the future attendance has been cancelled, use the appropriate value from the National Codes.
 

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CARE CONTACT SUBJECT

Change to Attribute: Changed Description

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

The PERSON who was the subject of the CARE CONTACT.

National Codes:

01PATIENT
02Patient Proxy
 

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CARE PLAN TYPE

Change to Attribute: Changed Description

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

A type of CARE PLAN.

National Codes:

01Cancer Care Plan
02Child Protection Plan
03Mental Health Crisis Plan
 

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CARE PROGRAMME APPROACH LEVEL

Change to Attribute: Changed Description

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

The level of Care Programme Approach which has been determined as applicable for a PATIENT's Care Programme Approach Episode.

Health Care Providers may develop expanded local classifications to meet local requirements. However, local classifications must map back to the national classifications and only National Codes should be used for central reporting.

National Codes:

0No care
1Non-Care Programme Approach care
2New Care Programme Approach care
 

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CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR

Change to Attribute: New Attribute

An indication of whether the PATIENT was asked the Abuse Question during a Care Programme Approach Review.

National Codes:

YYes, the PATIENT was asked
NNo, the PATIENT was not asked
 

This attribute is also known by these names:
ContextAlias
pluralCARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATORS

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CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR

Change to Attribute: New Attribute

CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR
 
Data Elements:
CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR

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CONSULTATION MEDIUM USED

Change to Attribute: Changed Description

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

Identifies the communication mechanism used to relay information between the CARE PROFESSIONAL and the PERSON who is the subject of the consultation, during a CARE ACTIVITY.

The telephone or telemedicine consultation should directly support diagnosis and care planning and must replace a face to face Out-Patient Attendance Consultant, Clinic Attendance Nurse or Clinic Attendance Midwife, types of CARE ACTIVITY. A record of the telephone or telemedicine consultation must be retained in the PATIENT's records.

Telephone contacts solely for informing PATIENTS of results are excluded.

National Codes:

01Face to face communication
02Telephone
03Telemedicine web camera
04Talk type for a PERSON unable to speak
05Email
06Short Message Service (SMS) - Text Messaging
 

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DISCHARGE FROM MENTAL HEALTH SERVICE REASON

Change to Attribute: Changed Description

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

The reason that a PATIENT was discharged from a Mental Health Care Spell.

National Codes:

01Discharged on professional advice
02Discharged against professional advice
03PATIENT non-attendance
04Transferred to other Health Care Provider Medium Secure Unit
05Transferred to other Health Care Provider High Secure Unit
06Transferred to other Health Care Provider not Medium/High Secure
07Transferred to Adult Mental Health Services*
08PATIENT moved out of the area
09PATIENT died

* National Code 07 is only valid where a child or adolescent PATIENT has been discharged from a Child And Adolescent Mental Health Care Spell because of transfer to adult mental health services - it is not valid for use when discharging a PATIENT from an Adult Mental Health Care Spell.

 

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EMPLOYMENT STATUS

Change to Attribute: Changed Description

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

EMPLOYMENT STATUS is the current EMPLOYMENT status of a PERSON.

National Codes:

01Employed
02Unemployed and Seeking Work
03Students who are undertaking full (at least 16 hours per week) or part-time (less than 16 hours per week) education or training and who are not working or actively seeking work
04Long-term sick or disabled, those who are receiving Incapacity Benefit, Income Support or both; or Employment and Support Allowance
05Homemaker looking after the family or home and who are not working or actively seeking work
06Not receiving benefits and who are not working or actively seeking work
07Unpaid voluntary work who are not working or actively seeking work
08Retired
ZZNot Stated (PERSON asked but declined to provide a response)
 

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MENTAL HEALTH CARE CLUSTER CODE

Change to Attribute: New Attribute

The Mental Health Care Cluster assigned to a PATIENT.

National Codes:

00Care Cluster 0 - Variance (unable to assign MENTAL HEALTH CARE CLUSTER CODE)
01Care Cluster 1 - Common Mental Health Problems (Low Severity)
02Care Cluster 2 - Common Mental Health Problems (Low Severity with Greater Need)
03Care Cluster 3 - Non-Psychotic (Moderate Severity)
04Care Cluster 4 - Non-Psychotic (Severe)
05Care Cluster 5 - Non-Psychotic Disorders (Very Severe)
06Care Cluster 6 - Non-Psychotic Disorder of Over-Valued Ideas
07Care Cluster 7 - Enduring Non-Psychotic Disorders (High Disability)
08Care Cluster 8 - Non-Psychotic Chaotic and Challenging Disorders
09Care Cluster 9 - Cluster Under Review - Note: This Mental Health Care Cluster is under review by the Department of Health and should not be used.
10Care Cluster 10 - First Episode Psychosis
11Care Cluster 11 - Ongoing Recurrent Psychosis (Low Symptoms)
12Care Cluster 12 - Ongoing or Recurrent Psychosis (High Disability)
13Care Cluster 13 - Ongoing or Recurrent Psychosis (High Symptoms and Disability)
14Care Cluster 14 - Psychotic Crisis
15Care Cluster 15 - Severe Psychotic Depression
16Care Cluster 16 - Dual Diagnosis
17Care Cluster 17 - Psychosis and Affective Disorder (Difficult to Engage)
18Care Cluster 18 - Cognitive Impairment (Low Need)
19Care Cluster 19 - Cognitive Impairment or Dementia Complicated (Moderate Need)
20Care Cluster 20 - Cognitive Impairment or Dementia Complicated (High Need)
21Care Cluster 21 - Cognitive Impairment or Dementia Complicated (High Physical or Engagement)
 

This attribute is also known by these names:
ContextAlias
pluralMENTAL HEALTH CARE CLUSTER CODES

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MENTAL HEALTH CARE CLUSTER CODE

Change to Attribute: New Attribute

MENTAL HEALTH CARE CLUSTER CODE
 
Data Elements:
MENTAL HEALTH CARE CLUSTER CODE

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MENTAL HEALTH CARE CLUSTER END REASON

Change to Attribute: New Attribute

The reason that the assignment of a PATIENT to a Mental Health Care Cluster ended.

National Codes:

01PATIENT assigned to another Mental Health Care Cluster following a Mental Health Clustering Tool assessment
02PATIENT discharged from Mental Health services
03PATIENT transferred to another Health Care Provider
04PATIENT died
 

This attribute is also known by these names:
ContextAlias
pluralMENTAL HEALTH CARE CLUSTER END REASONS

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MENTAL HEALTH CARE CLUSTER END REASON

Change to Attribute: New Attribute

MENTAL HEALTH CARE CLUSTER END REASON
 
Data Elements:
MENTAL HEALTH CARE CLUSTER END REASON

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MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE

Change to Attribute: New Attribute

The Mental Health Care Cluster Super Class assigned to a PATIENT.

National Codes:

ANon-Psychotic
BPsychotic
COrganic
ZUnable to assign PATIENT to Mental Health Care Cluster Super Class
 

This attribute is also known by these names:
ContextAlias
pluralMENTAL HEALTH CARE CLUSTER SUPER CLASS CODES

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MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE

Change to Attribute: New Attribute

MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE
 
Data Elements:
MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE

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MENTAL HEALTH DELAYED DISCHARGE REASON

Change to Attribute: New Attribute

The reason that a Mental Health Delayed Discharge Period was initiated for a PATIENT during a Consultant Episode (Hospital Provider).

National Codes:

A1Awaiting completion of assessment
B1Awaiting public funding
C1Awaiting further non-acute (including Primary Care Trust and mental health) NHS care (including intermediate care, rehabilitation services etc)
D1Awaiting residential home placement or availability
D2Awaiting nursing home placement or availability
E1Awaiting care package in own home
F1Awaiting community equipment and adaptations
G1PATIENT or family choice
H1Housing - PATIENT not covered by NHS and Community Care Act
I1Care package not in place (e.g. if PATIENT is in own accommodation)
 

This attribute is also known by these names:
ContextAlias
pluralMENTAL HEALTH DELAYED DISCHARGE REASONS

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MENTAL HEALTH DELAYED DISCHARGE REASON

Change to Attribute: New Attribute

MENTAL HEALTH DELAYED DISCHARGE REASON
 
Data Elements:
MENTAL HEALTH DELAYED DISCHARGE REASON

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PERSON SCORE

Change to Attribute: Changed Description

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

The score taken from an ASSESSMENT TOOL.

This could be for an individual element of, or question within, an ASSESSMENT TOOL, a subtotal or total score.

The purpose of the PERSON SCORE is to measure changes in health and wellbeing.

 

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SOURCE OF REFERRAL FOR MENTAL HEALTH

Change to Attribute: Changed Description

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

A classification which identifies the source of referral of a Mental Health Care Spell.

National Codes:

 Primary Health Care
A1GENERAL MEDICAL PRACTITIONER
A2Health Visitor
A3Other Primary Health Care
 Self Referral
B1Self
B2Carer
 Local Authority Services
C1Social Services
C2Education Service
 Employer
D1Employer
 Justice System
E1Police
E2Courts
E3Probation Service
E4Prison
E5Court Liaison and Diversion Service
 Child Health
F1School Nurse
F2Hospital-based Paediatrics
F3Community-based Paediatrics
 Independent/Voluntary Sector
G1Independent sector - Medium Secure Inpatients
G2Independent Sector - Low Secure Inpatients
G3Other Independent Sector Mental Health Services
G4Voluntary Sector
 Acute Secondary Care
H1Accident And Emergency Department
H2Other secondary care specialty
 Other Mental Health NHS Trust
I1Temporary transfer from another Mental Health NHS Trust
I2Permanent transfer from another Mental Health NHS Trust
 Internal referrals  from Community Mental Health Team (within own NHS Trust)
J1Community Mental Health Team (Adult Mental Health)
J2Community Mental Health Team (Older People)
J3Community Mental Health Team (Learning Disabilities)
J4Community Mental Health Team (Child and Adolescent Mental Health)
 Internal referrals from Inpatient Service (within own NHS Trust)
K1Inpatient Service (Adult Mental Health)
K2Inpatient Service (Older People)
K3Inpatient Service (Forensics)
K4Inpatient Service (Child and Adolescent Mental Health)
K5Inpatient Service (Learning Disabilities)
 Transfer by graduation (within own NHS Trust)
L1Transfer by graduation from Child and Adolescent Mental Health Services to Adult Mental Health Services
L2Transfer by graduation from Adult Mental Health Services to Older Peoples Mental Health Services
 Other
M1Asylum Services
M2NHS Direct
M3Out of Area Agency
M4Drug Action Team / Drug Misuse Agency
M5Jobcentre Plus**
M6Other service or agency

** Note: this National Code can only be used for the Mental Health Minimum Data Set and Child and Adolescent Mental Health Services Data Set, if referrals from Jobcentre Plus are accepted.

 

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STATUS OF SERVICE REQUEST FOR MENTAL HEALTH

Change to Attribute: Changed Description

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

The status of a SERVICE REQUEST received by an Adult Mental Health Care Team or Child and Adolescent Mental Health Care Team.

National Codes:

 Pending
01Pending action
 Accepted
02Accepted for immediate action
03Accepted and placed on APPOINTMENT WAITING LIST
 Not Accepted
04SERVICE REQUEST passed back to referrer
05SERVICE REQUEST redirected to another agency
 Closed
06PATIENT declined to be treated
07PATIENT died
 

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STATUTORY ASSESSMENT TYPE

Change to Attribute: Changed Description

A classification of assessment type for a Social Services Statutory Assessment.The assessment type for a Social Services Statutory Assessment.

Classification:National Codes:

a.Community Care Act 1990
 i.Assess whether application for compulsory detention should be made
b.Mental Health Act 1983
 i.Assess a patient for whom an application for admission has been made by their nearest relative in accordance with Section 14
 ii.Assess to establish patient's need for community care
 iii.Assess a patient who is subject to a Supervised Discharge Episode and is receiving supervised aftercare
CCACommunity Care Act 1990
MHAMental Health Act 1983
 

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SUPERVISED COMMUNITY TREATMENT END REASON

Change to Attribute: Changed Description

The reason for the termination of a period of Supervised Community Treatment.

National Codes:

01PATIENT discharged
02Supervised Community Treatment revoked
03PATIENT died
04PATIENT transferred outside England
05PATIENT transferred to another Health Care Provider
 

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WARD SECURITY LEVEL

Change to Attribute: Changed Description

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

The level of security for a WARD.

National Codes:

0General (non-secure) 
Non secure accommodation or accommodation that only has normal levels of security such as general WARDS
1Low Secure
Low secure WARDS/units deliver comprehensive, multidisciplinary, treatment and care by qualified staff for PATIENTS who demonstrate disturbed behaviour in the context of a serious mental disorder and who require the provision of security. This includes (but is not limited to) Psychiatric Intensive Care Unit (PICU), low secure forensic services, challenging behaviour services, and secure rehabilitation services.
2Medium Secure
Medium secure WARDS/units deliver comprehensive, multidisciplinary treatment and care by qualified staff for PATIENTS who demonstrate disturbed behaviour in the context of a serious mental disorder and who may present a serious risk to others.
3High Secure
High secure WARDS/hospitals provide comprehensive, multidisciplinary treatment and care by qualified staff for PATIENTS who demonstrate disturbed behaviour in the context of a serious mental disorder and have been assessed as presenting a grave and immediate danger to others.  The Hospital must be part of an NHS Trust approved by the Secretary of State to provide high security psychiatric services.
 

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ABSENCE WITHOUT LEAVE END REASON

Change to Data Element: New Data Element

Format/length:an2
HES item: 
National Codes:See ABSENCE WITHOUT LEAVE END REASON 
Default Codes:99 Not known

Notes:
ABSENCE WITHOUT LEAVE END REASON is the same as attribute ABSENCE WITHOUT LEAVE END REASON. 

This data element is also known by these names:
ContextAlias
pluralABSENCE WITHOUT LEAVE END REASONS

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ABSENCE WITHOUT LEAVE END REASON

Change to Data Element: New Data Element

ABSENCE WITHOUT LEAVE END REASON
 
Attribute:
ABSENCE WITHOUT LEAVE END REASON

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ACCOMMODATION STATUS DATE

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
The PERSON PROPERTY OBSERVED DATE when the ACCOMMODATION STATUS CODE was recorded.

 

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ADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER

Change to Data Element: New Data Element

Format/Length:an10
HES Item: 
National Codes: 
Default Codes: 

Notes:
A unique CARE PROFESSIONAL IDENTIFIER allocated to each adult mental health CARE PROFESSIONAL within an ORGANISATION, for the purposes of the Mental Health Minimum Data Set (Version 4-0).

 

This data element is also known by these names:
ContextAlias
pluralADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIERS

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ADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER

Change to Data Element: New Data Element

ADULT MENTAL HEALTH CARE PROFESSIONAL LOCAL UNIQUE IDENTIFIER
 
Attribute:
CARE PROFESSIONAL IDENTIFIER

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ADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER

Change to Data Element: New Data Element

Format/Length:an10
HES Item: 
National Codes: 
Default Codes: 

Notes:
A unique CARE PROFESSIONAL TEAM IDENTIFIER allocated to each Adult Mental Health Care Team within an ORGANISATION, for the purposes of the Mental Health Minimum Data Set (Version 4-0).

 

This data element is also known by these names:
ContextAlias
pluralADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIERS

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ADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER

Change to Data Element: New Data Element

ADULT MENTAL HEALTH CARE TEAM LOCAL UNIQUE IDENTIFIER
 
Attribute:
CARE PROFESSIONAL TEAM IDENTIFIER

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ADULT MENTAL HEALTH CARE TEAM NAME

Change to Data Element: New Data Element

Format/Length:an100 (variable length)
HES Item: 
National Codes: 
Default Codes: 

Notes:
The name of the Adult Mental Health Care Team for the purposes of the Mental Health Minimum Data Set (Version 4-0).

 

This data element is also known by these names:
ContextAlias
pluralADULT MENTAL HEALTH CARE TEAM NAMES

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ADULT MENTAL HEALTH CARE TEAM TYPE

Change to Data Element: New Data Element

Format/length:an3
HES item: 
National Codes:See ADULT MENTAL HEALTH CARE TEAM TYPE
Default Codes: 

Notes:
ADULT MENTAL HEALTH CARE TEAM TYPE is the same as attribute ADULT MENTAL HEALTH CARE TEAM TYPE.

 

This data element is also known by these names:
ContextAlias
pluralADULT MENTAL HEALTH CARE TEAM TYPES

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ADULT MENTAL HEALTH CARE TEAM TYPE

Change to Data Element: New Data Element

ADULT MENTAL HEALTH CARE TEAM TYPE
 
Attribute:
ADULT MENTAL HEALTH CARE TEAM TYPE

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ASSESSMENT TOOL COMPLETION DATE

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
The date the ASSESSMENT TOOL was completed.

 

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ATTENDANCE DATE (MENTAL HEALTH NHS DAY CARE FACILITY)

Change to Data Element: New Data Element

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

Notes:
The Attendance Date of a PATIENT at a Day Care Facility during a Mental Health NHS Day Care Episode.

Attendance Date is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Attendance Date'.

 

This data element is also known by these names:
ContextAlias
pluralATTENDANCE DATES (MENTAL HEALTH NHS DAY CARE FACILITY)

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ATTENDANCE DATE (MENTAL HEALTH NHS DAY CARE FACILITY)

Change to Data Element: New Data Element

ATTENDANCE DATE (MENTAL HEALTH NHS DAY CARE FACILITY)
 
Attribute:
ACTIVITY DATE

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ATTENDED OR DID NOT ATTEND CODE

Change to Data Element: Changed Description

Format/Length:an1
HES Item: 
National Codes:See ATTENDED OR DID NOT ATTEND
Default Codes: 

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

Notes:
Use in the Future Outpatient CDS:
Where the attendance is in the future (and has not been cancelled) use value 0 (zero) - not applicable - APPOINTMENT occurs in the future.

Where the future attendance has been cancelled, use the appropriate value from the national codes (see ATTENDED OR DID NOT ATTEND).

ATTENDED OR DID NOT ATTEND CODE replaces ATTENDED OR DID NOT ATTEND and should be used for all new and developing data sets and for XML messages.

 

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CARE CONTACT DATE (MENTAL HEALTH)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The date on which a CARE CONTACT during a Mental Health Care Spell occurred, or was planned to occur.  The CARE CONTACT may be of one of the following types:

 

This data element is also known by these names:
ContextAlias
pluralCARE CONTACT DATES (MENTAL HEALTH)

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CARE CONTACT SUBJECT

Change to Data Element: Changed Description

Format/Length:an2
HES Item: 
National Codes:See CARE CONTACT SUBJECT
Default Codes: 

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

Notes:
CARE CONTACT SUBJECT is the same as attribute CARE CONTACT SUBJECT.

 

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CARE CONTACT TIME (MENTAL HEALTH)

Change to Data Element: New Data Element

Format/Length:See TIME
HES Item: 
National Codes: 
Default Codes: 

Notes:
The time on which a CARE CONTACT during a Mental Health Care Spell occurred, or was planned to occur.  The CARE CONTACT may be of one of the following types:

 

This data element is also known by these names:
ContextAlias
pluralCARE CONTACT TIMES (MENTAL HEALTH)

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CARE PROFESSIONAL (JOB ROLE CODE)

Change to Data Element: Changed Description

Format/Length:an5
HES Item: 
National Codes:See JOB ROLE CODE
Default Codes: 

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

Notes:
CARE PROFESSIONAL (JOB ROLE CODE) is the same as attribute JOB ROLE CODE.

 

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CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR

Change to Data Element: New Data Element

Format/Length:a1
HES Item: 
National Codes:See CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR
Default Codes:9 - Not known - It is not known if the Abuse Question was asked during the Care Programme Approach Review

Notes:
CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR is the same as attribute CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR.

 

This data element is also known by these names:
ContextAlias
pluralCARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATORS

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CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR

Change to Data Element: New Data Element

CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR
 
Attribute:
CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR

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CLINICAL CONTACT DURATION OF APPOINTMENT

Change to Data Element: Changed Description

Format/Length:n3
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
The duration of the direct clinical contact at an APPOINTMENT in minutes, excluding any administration time prior to or after the contact and excluding the CARE PROFESSIONAL's travelling time to an APPOINTMENT.

This is calculated from the Start Time and End Time of the clinical contact at an APPOINTMENT.

Start Time is the same as attribute ACTIVITY TIME, where ACTIVITY DATE TIME TYPE is National Code 61 'Start Time'.

End Time is the same as attribute ACTIVITY TIME, where ACTIVITY DATE TIME TYPE is National Code 56 'End Time'.

 

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CONSULTATION MEDIUM USED

Change to Data Element: Changed Description

Format/Length:an2
HES Item: 
National Codes:See CONSULTATION MEDIUM USED
Default Codes: 

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

Notes:
CONSULTATION MEDIUM USED is the same as attribute CONSULTATION MEDIUM USED.

 

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DATE OF ASSAULT ON PATIENT

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The date of a reported instance of assault on the PATIENT by another PATIENT.

For the Mental Health Minimum Data Set (Version 4-0), assault is defined as:

The intentional application of force to the person of another, without lawful justification, resulting in physical injury or personal discomfort.

This data element is only reported in the Mental Health Minimum Data Set (Version 4-0) if the self-harm occured during a Hospital Provider Spell. 

 

This data element is also known by these names:
ContextAlias
pluralDATES OF ASSAULT ON PATIENT

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DATE OF PATIENT TREATMENT OR INTERVENTION (READ)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The date of a PATIENT TREATMENT OR INTERVENTION (READ).

 

This data element is also known by these names:
ContextAlias
pluralDATES OF PATIENT TREATMENT OR INTERVENTION (READ)

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DATE OF PHYSICAL RESTRAINT

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The date of a reported incident of physical restraint of a PATIENT by one or more members of staff in response to aggressive behaviour or resistance to treatment.  Any incident of restraint resulting in the Trust Restraint Policy being invoked should be recorded.

This data element is only reported in the Mental Health Minimum Data Set (Version 4-0) if the physical restraint occured during a Hospital Provider Spell. 

 

This data element is also known by these names:
ContextAlias
pluralDATES OF PHYSICAL RESTRAINT

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DATE OF SECLUSION

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The date of a incident of seclusion of a PATIENT.  Any incident of seclusion resulting in the Trust Seclusion Policy being invoked should be recorded.

The Mental Health Minimum Data Set (Version 4-0) uses the Mental Health Act 1983 Code of Practice definition of seclusion:

The supervised confinement of a PATIENT in a room, which may be locked.  Its sole aim is to contain severely disturbed behaviour which is likely to cause harm to others.

This data element is only reported in the Mental Health Minimum Data Set (Version 4-0) if the seclusion occured during a Hospital Provider Spell.

 

This data element is also known by these names:
ContextAlias
pluralDATES OF SECULSION

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DATE OF SELF HARM

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The date of a reported incident of self-harm by a PATIENT.

For the Mental Health Minimum Data Set (Version 4-0), self-harm is defined as:

Intentional self-poisoning or injury, irrespective of the apparant purpose of the act.  Self-harm includes poisoning, asphyxiation, cutting, burning and other self-inflicted injuries.

This data element is only reported in the Mental Health Minimum Data Set (Version 4-0) if the self-harm occured during a Hospital Provider Spell.

 

This data element is also known by these names:
ContextAlias
pluralDATES OF SELF HARM

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DIAGNOSIS DATE

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
The PERSON PROPERTY OBSERVED DATE for the PATIENT DIAGNOSIS.

 

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DISCHARGE DATE (MENTAL HEALTH SERVICE)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

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

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

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

 

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DISCHARGE REASON (MENTAL HEALTH SERVICE)

Change to Data Element: Changed Description

Format/Length:an2
HES Item: 
National Codes:See DISCHARGE FROM MENTAL HEALTH SERVICE REASON
Default Codes: 

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

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

 

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DURATION OF PHYSICAL RESTRAINT

Change to Data Element: New Data Element

Format/Length:n3
HES Item: 
National Codes: 
Default Codes: 

Notes:
The duration in minutes of a reported incident of physical restraint of a PATIENT by one or more members of staff in response to aggressive behaviour or resistance to treatment.  Any incident of restraint resulting in the Trust Restraint Policy being invoked should be recorded.  DATE OF PHYSICAL RESTRAINT records the date that this incident took place.

This data element is only reported in the Mental Health Minimum Data Set (Version 4-0) if the DATE OF PHYSICAL RESTRAINT occured during a Hospital Provider Spell. 

 

This data element is also known by these names:
ContextAlias
pluralDURATIONS OF PHYSICAL RESTRAINT

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DURATION OF SECLUSION

Change to Data Element: New Data Element

Format/Length:n3
HES Item: 
National Codes: 
Default Codes: 

Notes:
The duration in minutes of an incident of seclusion for a PATIENT.  Any incident of seclusion resulting in the Trust Seclusion Policy being invoked should be recorded.  DATE OF SECLUSION records the date that this incident took place.

This data element is only reported in the Mental Health Minimum Data Set (Version 4-0) if the DATE OF SECLUSION occured during a Hospital Provider Spell. 

 

This data element is also known by these names:
ContextAlias
pluralDURATIONS OF SECLUSION

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EMERGENT PSYCHOSIS DATE

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the date at which there was first clear evidence of a positive psychotic symptom for the PATIENT (i.e. delusion, hallucination, or thought disorder), regardless of its duration.

 

This data element is also known by these names:
ContextAlias
pluralEMERGENT PSYCHOSIS DATES

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EMPLOYMENT STATUS

Change to Data Element: Changed Description

Format/Length:an2
HES Item: 
National Codes:See EMPLOYMENT STATUS
Default Codes: 

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

Notes:
EMPLOYMENT STATUS is the same as attribute EMPLOYMENT STATUS.

 

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EMPLOYMENT STATUS RECORDED DATE

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The DATE that the EMPLOYMENT STATUS of a PATIENT was recorded.

 

This data element is also known by these names:
ContextAlias
pluralEMPLOYMENT STATUS RECORDED DATES

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END DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of an Adult Mental Health Care Team Episode for a PATIENT.

END DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Adult Mental Health Care Team Episode.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (ADULT MENTAL HEALTH CARE TEAM EPISODE)

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END DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)

Change to Data Element: New Data Element

END DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)
 
Attribute:
ACTIVITY DATE

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END DATE (CARE PROGRAMME APPROACH CARE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of a period of care for a PATIENT, when the CARE PROGRAMME APPROACH LEVEL was National Code 2 'New Care Programme Approach Care'.

END DATE (CARE PROGRAMME APPROACH CARE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Care Programme Approach care.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (CARE PROGRAMME APPROACH CARE)

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END DATE (CARE PROGRAMME APPROACH CARE)

Change to Data Element: New Data Element

END DATE (CARE PROGRAMME APPROACH CARE)
 
Attribute:
ACTIVITY DATE

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END DATE (CONSULTANT EPISODE (ACUTE HOME BASED))

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of a Consultant Episode (Acute Home-Based) for a PATIENT.

END DATE (CONSULTANT EPISODE (ACUTE HOME BASED)) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Consultant Episode (Acute Home-Based).

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (CONSULTANT EPISODE (ACUTE HOME BASED))

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END DATE (CONSULTANT EPISODE (ACUTE HOME BASED))

Change to Data Element: New Data Element

END DATE (CONSULTANT EPISODE (ACUTE HOME BASED))
 
Attribute:
ACTIVITY DATE

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END DATE (CONSULTANT OUT-PATIENT EPISODE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of a Consultant Out-Patient Episode for a PATIENT. 

END DATE (CONSULTANT OUT-PATIENT EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Consultant Out-Patient Episode.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (CONSULTANT OUT-PATIENT EPISODE)

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END DATE (CONSULTANT OUT-PATIENT EPISODE)

Change to Data Element: New Data Element

END DATE (CONSULTANT OUT-PATIENT EPISODE)
 
Attribute:
ACTIVITY DATE

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END DATE (HOME LEAVE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of a Home Leave  for a PATIENT.

END DATE (HOME LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Home Leave.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (HOME LEAVE)

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END DATE (HOME LEAVE)

Change to Data Element: New Data Element

END DATE (HOME LEAVE)
 
Attribute:
ACTIVITY DATE

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END DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of a Mental Health Absence Without Leave  for a PATIENT.

END DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Absence Without Leave.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (MENTAL HEALTH ABSENCE WITHOUT LEAVE)

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END DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)

Change to Data Element: New Data Element

END DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
 
Attribute:
ACTIVITY DATE

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END DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT. 

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

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

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END DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: New Data Element

END DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
 
Attribute:
ACTIVITY DATE

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END DATE (MENTAL HEALTH CARE CLUSTER)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of a Mental Health Care Cluster Assignment Period for a PATIENT.

END DATE (MENTAL HEALTH CARE CLUSTER) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Care Cluster Assignment Period.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (MENTAL HEALTH CARE CLUSTER)

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END DATE (MENTAL HEALTH CARE CLUSTER)

Change to Data Element: New Data Element

END DATE (MENTAL HEALTH CARE CLUSTER)
 
Attribute:
ACTIVITY DATE

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END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of a Mental Health Care Coordinator Assignment for a PATIENT. 

END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Care Coordinator Assignment.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)

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END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)

Change to Data Element: New Data Element

END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)
 
Attribute:
ACTIVITY DATE

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END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of a Mental Health Delayed Discharge Period for a PATIENT.  This is the date where the clinical decision is taken that the PATIENT is no longer fit for discharge, and further inpatient care is required.

END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Delayed Discharge Period.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (MENTAL HEALTH DELAYED DISCHARGE PERIOD)

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END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)

Change to Data Element: New Data Element

END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
 
Attribute:
ACTIVITY DATE

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END DATE (MENTAL HEALTH LEAVE OF ABSENCE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of a Mental Health Leave Of Absence for a PATIENT.

END DATE (MENTAL HEALTH LEAVE OF ABSENCE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Leave Of Absence.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (MENTAL HEALTH LEAVE OF ABSENCE)

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END DATE (MENTAL HEALTH LEAVE OF ABSENCE)

Change to Data Element: New Data Element

END DATE (MENTAL HEALTH LEAVE OF ABSENCE)
 
Attribute:
ACTIVITY DATE

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END DATE (MENTAL HEALTH NHS CARE HOME STAY)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of a Care Home Stay (Nursing Care) or Care Home Stay (Residential) for a PATIENT within an Adult Mental Health Care Spell, where:

A PATIENT going on Home Leave or Mental Health Leave Of Absence for 28 days or less, or who has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Care Home Stay (Nursing Care) or Care Home Stay (Residential), but are not using a bed during their period of absence.

END DATE (MENTAL HEALTH NHS CARE HOME STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (MENTAL HEALTH NHS CARE HOME STAY)

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END DATE (MENTAL HEALTH NHS CARE HOME STAY)

Change to Data Element: New Data Element

END DATE (MENTAL HEALTH NHS CARE HOME STAY)
 
Attribute:
ACTIVITY DATE

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END DATE (MENTAL HEALTH NHS DAY CARE EPISODE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of a Mental Health NHS Day Care Episode for a PATIENT.

END DATE (MENTAL HEALTH NHS DAY CARE EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health NHS Day Care Episode.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (MENTAL HEALTH NHS DAY CARE EPISODE)

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END DATE (MENTAL HEALTH NHS DAY CARE EPISODE)

Change to Data Element: New Data Element

END DATE (MENTAL HEALTH NHS DAY CARE EPISODE)
 
Attribute:
ACTIVITY DATE

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END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of a Mental Health Responsible Clinician Assignment for a PATIENT. 

END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Mental Health Responsible Clinician Assignment.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)

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END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)

Change to Data Element: New Data Element

END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)
 
Attribute:
ACTIVITY DATE

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END DATE (SUPERVISED COMMUNITY TREATMENT)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of Supervised Community Treatment for a PATIENT.

END DATE (SUPERVISED COMMUNITY TREATMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Supervised Community Treatment.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (SUPERVISED COMMUNITY TREATMENT)

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END DATE (SUPERVISED COMMUNITY TREATMENT)

Change to Data Element: New Data Element

END DATE (SUPERVISED COMMUNITY TREATMENT)
 
Attribute:
ACTIVITY DATE

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END DATE (SUPERVISED COMMUNITY TREATMENT RECALL)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Date of Supervised Community Treatment Recall for a PATIENT.

END DATE (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Supervised Community Treatment Recall.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (SUPERVISED COMMUNITY TREATMENT RECALL)

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END DATE (SUPERVISED COMMUNITY TREATMENT RECALL)

Change to Data Element: New Data Element

END DATE (SUPERVISED COMMUNITY TREATMENT RECALL)
 
Attribute:
ACTIVITY DATE

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END DATE (WARD STAY)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
The End Date of a Ward Stay.

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

 

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END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: New Data Element

Format/Length:See TIME
HES Item: 
National Codes: 
Default Codes: 

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

END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is 'End Time' of the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION.

 

This data element is also known by these names:
ContextAlias
pluralEND TIMES (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

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END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: New Data Element

END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
 
Attribute:
ACTIVITY TIME

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END TIME (SUPERVISED COMMUNITY TREATMENT RECALL)

Change to Data Element: New Data Element

Format/Length:See TIME
HES Item: 
National Codes: 
Default Codes: 

Notes:
The End Time of Supervised Community Treatment Recall for a PATIENT. 

END TIME (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is 'End Time' of the Supervised Community Treatment Recall.

 

This data element is also known by these names:
ContextAlias
pluralEND TIMES (SUPERVISED COMMUNITY TREATMENT RECALL)

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END TIME (SUPERVISED COMMUNITY TREATMENT RECALL)

Change to Data Element: New Data Element

END TIME (SUPERVISED COMMUNITY TREATMENT RECALL)
 
Attribute:
ACTIVITY TIME

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EXPIRY DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The date when a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT expires.

 

This data element is also known by these names:
ContextAlias
pluralEXPIRY DATES (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

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EXPIRY DATE (SUPERVISED COMMUNITY TREATMENT)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The date when Supervised Community Treatment for a PATIENT expires.

 

This data element is also known by these names:
ContextAlias
pluralEXPIRY DATES (SUPERVISED COMMUNITY TREATMENT)

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EXPIRY TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: New Data Element

Format/Length:See TIME
HES Item: 
National Codes: 
Default Codes: 

Notes:
The time when a MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a PATIENT expires. 

 

This data element is also known by these names:
ContextAlias
pluralEXPIRY TIMES (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

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HONOS 65+ RATING 10 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 10 of the Health of the Nation Outcome Scale 65+ (Older Adults). 

The rating relates to problems with activities of daily living.

 

This data element is also known by these names:
ContextAlias
pluralHONOS 65+ RATING 10 SCORES

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HONOS 65+ RATING 10 SCORE

Change to Data Element: New Data Element

HONOS 65+ RATING 10 SCORE
 
Attribute:
PERSON SCORE

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HONOS 65+ RATING 11 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 11 of the Health of the Nation Outcome Scale 65+ (Older Adults). 

The rating relates to overall problems with living conditions.

 

This data element is also known by these names:
ContextAlias
pluralHONOS 65+ RATING 11 SCORES

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HONOS 65+ RATING 11 SCORE

Change to Data Element: New Data Element

HONOS 65+ RATING 11 SCORE
 
Attribute:
PERSON SCORE

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HONOS 65+ RATING 12 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 12 of the Health of the Nation Outcome Scale 65+ (Older Adults). 

The rating relates to problems with work and leisure activities - quality of day time environment.

 

This data element is also known by these names:
ContextAlias
pluralHONOS 65+ RATING 12 SCORES

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HONOS 65+ RATING 12 SCORE

Change to Data Element: New Data Element

HONOS 65+ RATING 12 SCORE
 
Attribute:
PERSON SCORE

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HONOS 65+ RATING 1 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 1 of the Health of the Nation Outcome Scale 65+ (Older Adults). 

The rating relates to behavioural disturbance.

 

This data element is also known by these names:
ContextAlias
pluralHONOS 65+ RATING 1 SCORES

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HONOS 65+ RATING 1 SCORE

Change to Data Element: New Data Element

HONOS 65+ RATING 1 SCORE
 
Attribute:
PERSON SCORE

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HONOS 65+ RATING 2 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 2 of the Health of the Nation Outcome Scale 65+ (Older Adults). 

The rating relates to non-accidental self-injury.

 

This data element is also known by these names:
ContextAlias
pluralHONOS 65+ RATING 2 SCORES

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HONOS 65+ RATING 2 SCORE

Change to Data Element: New Data Element

HONOS 65+ RATING 2 SCORE
 
Attribute:
PERSON SCORE

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HONOS 65+ RATING 3 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 3 of the Health of the Nation Outcome Scale 65+ (Older Adults). 

The rating relates to problem drinking or drug use.

 

This data element is also known by these names:
ContextAlias
pluralHONOS 65+ RATING 3 SCORES

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HONOS 65+ RATING 3 SCORE

Change to Data Element: New Data Element

HONOS 65+ RATING 3 SCORE
 
Attribute:
PERSON SCORE

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HONOS 65+ RATING 4 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 4 of the Health of the Nation Outcome Scale 65+ (Older Adults). 

The rating relates to cognitive problems.

 

This data element is also known by these names:
ContextAlias
pluralHONOS 65+ RATING 4 SCORES

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HONOS 65+ RATING 4 SCORE

Change to Data Element: New Data Element

HONOS 65+ RATING 4 SCORE
 
Attribute:
PERSON SCORE

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HONOS 65+ RATING 5 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 5 of the Health of the Nation Outcome Scale 65+ (Older Adults). 

The rating relates to problems related to physical illness or disability.

 

This data element is also known by these names:
ContextAlias
pluralHONOS 65+ RATING 5 SCORES

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HONOS 65+ RATING 5 SCORE

Change to Data Element: New Data Element

HONOS 65+ RATING 5 SCORE
 
Attribute:
PERSON SCORE

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HONOS 65+ RATING 6 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 6 of the Health of the Nation Outcome Scale 65+ (Older Adults). 

The rating relates to problems associated with hallucinations and/or delusions or false beliefs.

 

This data element is also known by these names:
ContextAlias
pluralHONOS 65+ RATING 6 SCORES

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HONOS 65+ RATING 6 SCORE

Change to Data Element: New Data Element

HONOS 65+ RATING 6 SCORE
 
Attribute:
PERSON SCORE

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HONOS 65+ RATING 7 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 7 of the Health of the Nation Outcome Scale 65+ (Older Adults). 

The rating relates to problems associated with depressive symptoms.

 

This data element is also known by these names:
ContextAlias
pluralHONOS 65+ RATING 7 SCORES

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HONOS 65+ RATING 7 SCORE

Change to Data Element: New Data Element

HONOS 65+ RATING 7 SCORE
 
Attribute:
PERSON SCORE

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HONOS 65+ RATING 8 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 8 of the Health of the Nation Outcome Scale 65+ (Older Adults). 

The rating relates to other mental and behavioural problems.

 

This data element is also known by these names:
ContextAlias
pluralHONOS 65+ RATING 8 SCORES

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HONOS 65+ RATING 8 SCORE

Change to Data Element: New Data Element

HONOS 65+ RATING 8 SCORE
 
Attribute:
PERSON SCORE

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HONOS 65+ RATING 8 TYPE

Change to Data Element: New Data Element

Format/Length:an1
HES Item: 
National Codes: 
Default Codes: 

Notes:
The most severe type of other mental and behavioural problem to which the HONOS 65+ RATING 8 SCORE relates.

The allowed values (A - J) and their descriptions are shown in the glossary of the Health of the Nation Outcome Scale 65+ (Older Adults), available from the Health of the Nation Outcome Scales 65+ (Older Adults) website.

 

This data element is also known by these names:
ContextAlias
pluralHONOS 65+ RATING 8 TYPES

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HONOS 65+ RATING 8 TYPE

Change to Data Element: New Data Element

HONOS 65+ RATING 8 TYPE
 
Attribute:
PERSON SCORE

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HONOS 65+ RATING 9 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 9 of the Health of the Nation Outcome Scale 65+ (Older Adults). 

The rating relates to problems with social or supportive relationships.

 

This data element is also known by these names:
ContextAlias
pluralHONOS 65+ RATING 9 SCORES

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HONOS 65+ RATING 9 SCORE

Change to Data Element: New Data Element

HONOS 65+ RATING 9 SCORE
 
Attribute:
PERSON SCORE

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HONOS-CA RATING 10 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item 10 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item 10 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to peer relationships.

 

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HONOS-CA RATING 11 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item 11 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item 11 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to self-care and independence.

 

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HONOS-CA RATING 12 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item 12 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item 12 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to family life and relationships.

 

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HONOS-CA RATING 13 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item 13 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item 13 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to poor school attendance.

 

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HONOS-CA RATING 1 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item 1 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item 1 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to disruptive, antisocial or aggressive behaviour.

 

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HONOS-CA RATING 2 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item 2 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item 2 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to over activity, attention and concentration.

 

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HONOS-CA RATING 3 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item 3 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item 3 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to non-accidental self injury.

 

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HONOS-CA RATING 4 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item 4 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item 4 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to alcohol and substance/solvent misuse.

 

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HONOS-CA RATING 5 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item 5 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item 5 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to scholastic or language skills.

 

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HONOS-CA RATING 6 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item 6 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item 6 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to physical illness or disability problems.

 

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HONOS-CA RATING 7 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item 7 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item 7 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to hallucinations and delusions.

 

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HONOS-CA RATING 8 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item 8 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item 8 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to non-organic somatic symptoms.

 

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HONOS-CA RATING 9 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item 9 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item 9 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to emotional and related symptoms.

 

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HONOS-CA RATING B14 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item B14 (section B01) of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item B14 (section B01) of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to problems with knowledge or understanding about the nature of the child or adolescents difficulties (in the previous two weeks).

 

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HONOS-CA RATING B15 SCORE

Change to Data Element: Changed Description

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
This is the PERSON SCORE for item B15 (section B02) of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for item B15 (section B02) of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to problems with lack of information about SERVICES or management of the child or adolescents difficulties.

 

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HONOS RATING 10 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 10 of the Health of the Nation Outcome Scale (Working Age Adults).

The rating relates to problems with activities of daily living.

 

This data element is also known by these names:
ContextAlias
pluralHONOS RATING 10 SCORES

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HONOS RATING 10 SCORE

Change to Data Element: New Data Element

HONOS RATING 10 SCORE
 
Attribute:
PERSON SCORE

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HONOS RATING 11 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 11 of the Health of the Nation Outcome Scale (Working Age Adults).

The rating relates to problems with living conditions.

 

This data element is also known by these names:
ContextAlias
pluralHONOS RATING 11 SCORES

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HONOS RATING 11 SCORE

Change to Data Element: New Data Element

HONOS RATING 11 SCORE
 
Attribute:
PERSON SCORE

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HONOS RATING 12 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 12 of the Health of the Nation Outcome Scale (Working Age Adults). 

The rating relates to problems with occupation and activities.

 

This data element is also known by these names:
ContextAlias
pluralHONOS RATING 12 SCORES

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HONOS RATING 12 SCORE

Change to Data Element: New Data Element

HONOS RATING 12 SCORE
 
Attribute:
PERSON SCORE

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HONOS RATING 1 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 1 of the Health of the Nation Outcome Scale (Working Age Adults). 

The rating relates to overactive, aggressive, disruptive or agitated behaviour.

 

This data element is also known by these names:
ContextAlias
pluralHONOS RATING 1 SCORES

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HONOS RATING 1 SCORE

Change to Data Element: New Data Element

HONOS RATING 1 SCORE
 
Attribute:
PERSON SCORE

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HONOS RATING 2 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 2 of the Health of the Nation Outcome Scale (Working Age Adults). 

The rating relates to non-accidental self-injury.

 

This data element is also known by these names:
ContextAlias
pluralHONOS RATING 2 SCORES

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HONOS RATING 2 SCORE

Change to Data Element: New Data Element

HONOS RATING 2 SCORE
 
Attribute:
PERSON SCORE

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HONOS RATING 3 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 3 of the Health of the Nation Outcome Scale (Working Age Adults). 

The rating relates to problem drinking or drug taking.

 

This data element is also known by these names:
ContextAlias
pluralHONOS RATING 3 SCORES

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HONOS RATING 3 SCORE

Change to Data Element: New Data Element

HONOS RATING 3 SCORE
 
Attribute:
PERSON SCORE

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HONOS RATING 4 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 4 of the Health of the Nation Outcome Scale (Working Age Adults).

The rating relates to cognitive problems.

 

 

This data element is also known by these names:
ContextAlias
pluralHONOS RATING 4 SCORES

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HONOS RATING 4 SCORE

Change to Data Element: New Data Element

HONOS RATING 4 SCORE
 
Attribute:
PERSON SCORE

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HONOS RATING 5 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 5 of the Health of the Nation Outcome Scale (Working Age Adults). 

The rating relates to physical illness or disability problems.

 

This data element is also known by these names:
ContextAlias
pluralHONOS RATING 5 SCORES

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HONOS RATING 5 SCORE

Change to Data Element: New Data Element

HONOS RATING 5 SCORE
 
Attribute:
PERSON SCORE

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HONOS RATING 6 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 6 of the Health of the Nation Outcome Scale (Working Age Adults). 

The rating relates to problems associated with hallucinations and delusions.

 

This data element is also known by these names:
ContextAlias
pluralHONOS RATING 6 SCORES

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HONOS RATING 6 SCORE

Change to Data Element: New Data Element

HONOS RATING 6 SCORE
 
Attribute:
PERSON SCORE

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HONOS RATING 7 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 7 of the Health of the Nation Outcome Scale (Working Age Adults). 

The rating relates to problems with depressed mood.

 

This data element is also known by these names:
ContextAlias
pluralHONOS RATING 7 SCORES

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HONOS RATING 7 SCORE

Change to Data Element: New Data Element

HONOS RATING 7 SCORE
 
Attribute:
PERSON SCORE

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HONOS RATING 8 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 8 of the Health of the Nation Outcome Scale (Working Age Adults). 

The rating relates to other mental and behavioural problems, qualified by specific disorders in HONOS RATING 8 TYPE.

 

This data element is also known by these names:
ContextAlias
pluralHONOS RATING 8 SCORE

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HONOS RATING 8 SCORE

Change to Data Element: New Data Element

HONOS RATING 8 SCORE
 
Attribute:
PERSON SCORE

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HONOS RATING 8 TYPE

Change to Data Element: New Data Element

Format/Length:an1
HES Item: 
National Codes: 
Default Codes: 

Notes:
The most severe type of other mental and behavioural problem to which the HONOS RATING 8 SCORE relates.

The allowed values (A - J) and their descriptions are shown in the alphabetical list of headings from the glossary of the Health of the Nation Outcome Scale (Working Age Adults).

 

This data element is also known by these names:
ContextAlias
pluralHONOS RATING 8 TYPES

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HONOS RATING 8 TYPE

Change to Data Element: New Data Element

HONOS RATING 8 TYPE
 
Attribute:
PERSON SCORE

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HONOS RATING 9 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 9 of the Health of the Nation Outcome Scale (Working Age Adults).

The rating relates to problems with relationships.

 

 

This data element is also known by these names:
ContextAlias
pluralHONOS RATING 9 SCORES

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HONOS RATING 9 SCORE

Change to Data Element: New Data Element

HONOS RATING 9 SCORE
 
Attribute:
PERSON SCORE

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HONOS-SECURE RATING A SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating A of the Health of the Nation Outcome Scale (Secure). 

The rating relates to the risk of harm to adults or children.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-SECURE RATING A SCORES

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HONOS-SECURE RATING A SCORE

Change to Data Element: New Data Element

HONOS-SECURE RATING A SCORE
 
Attribute:
PERSON SCORE

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HONOS-SECURE RATING B SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating B of the Health of the Nation Outcome Scale (Secure). 

The rating relates to the risk of self-harm (deliberate or accidental).

 

This data element is also known by these names:
ContextAlias
pluralHONOS-SECURE RATING B SCORES

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HONOS-SECURE RATING B SCORE

Change to Data Element: New Data Element

HONOS-SECURE RATING B SCORE
 
Attribute:
PERSON SCORE

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HONOS-SECURE RATING C SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating C of the Health of the Nation Outcome Scale (Secure). 

The rating relates to the need for building security to prevent escape.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-SECURE RATING C SCORES

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HONOS-SECURE RATING C SCORE

Change to Data Element: New Data Element

HONOS-SECURE RATING C SCORE
 
Attribute:
PERSON SCORE

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HONOS-SECURE RATING D SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating D of the Health of the Nation Outcome Scale (Secure). 

The rating relates to the need for a safely-staffed living environment.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-SECURE RATING D SCORES

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HONOS-SECURE RATING D SCORE

Change to Data Element: New Data Element

HONOS-SECURE RATING D SCORE
 
Attribute:
PERSON SCORE

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HONOS-SECURE RATING E SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating E of the Health of the Nation Outcome Scale (Secure). 

The rating relates to the need for escort on leave (beyond secure perimiter).

 

This data element is also known by these names:
ContextAlias
pluralHONOS-SECURE RATING E SCORES

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HONOS-SECURE RATING E SCORE

Change to Data Element: New Data Element

HONOS-SECURE RATING E SCORE
 
Attribute:
PERSON SCORE

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HONOS-SECURE RATING F SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating F of the Health of the Nation Outcome Scale (Secure). 

The rating relates to the risk to individual from others.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-SECURE RATING F SCORES

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HONOS-SECURE RATING F SCORE

Change to Data Element: New Data Element

HONOS-SECURE RATING F SCORE
 
Attribute:
PERSON SCORE

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HONOS-SECURE RATING G SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating G of the Health of the Nation Outcome Scale (Secure). 

The rating relates to the need for risk management procedures.

 

This data element is also known by these names:
ContextAlias
pluralHONOS-SECURE RATING G SCORES

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HONOS-SECURE RATING G SCORE

Change to Data Element: New Data Element

HONOS-SECURE RATING G SCORE
 
Attribute:
PERSON SCORE

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INTENDED AGE GROUP

Change to Data Element: Changed Description

Format/length:an1
HES item: 
National Codes:See AGE GROUP INTENDED
Default Codes: 

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

Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component AGE GROUPS INTENDED is required to be separately recorded.

The following values for the attribute AGE GROUP INTENDED, with the addition of Home Leave, are to be used:

1Neonates
2Children and /or adolescents
3Elderly
8Any age
9Home Leave
9Home Leave *

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

INTENDED AGE GROUP replaces AGE GROUP INTENDED and should be used for all new and developing data sets and for XML messages.

 

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INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/Length:an2
HES Item: 
National Codes:See CLINICAL CARE INTENSITY
Default Codes: 

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

Notes:
INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH) is the same as attribute CLINICAL CARE INTENSITY but the only allowable values from the list of National Codes are:

For PATIENTS with Mental Illness:

51For Intensive Care - specially designated ward for PATIENTS needing containment and more intensive management (eg Psychiatric Intensive Care Unit (PICU)). This is not to be confused with intensive nursing where a PATIENT may require one-to-one nursing while on a standard WARD
52For Short Stay - PATIENTS intended to stay for less than a year
53For Long Stay - PATIENTS intended to stay for a year or more


For PATIENTS with Learning Disabilities:

61Designated or interim secure unit
62PATIENTS intending to stay less than a year
63PATIENTS intending to stay a year or more


In addition to this, the following value which is not part of the National Codes is also permitted for the Child and Adolescent Mental Health Services Data Set and the Mental Health Minimum Data Set (see INTENDED CLINICAL CARE INTENSITY CODE):In addition to this, the following value which is not part of the National Codes is also permitted for the Child and Adolescent Mental Health Services Data Set (see INTENDED CLINICAL CARE INTENSITY CODE):

72Home Leave, psychiatric
72Home Leave, psychiatric *
 * Note - National Code 72 is not valid for the Mental Health Minimum Data Set (Version 4-0).

 

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LEAVE OF ABSENCE END REASON

Change to Data Element: New Data Element

Format/length:an2
HES item: 
National Codes:See LEAVE OF ABSENCE END REASON 
Default Codes:99 Not known

Notes:
LEAVE OF ABSENCE END REASON is the same as attribute LEAVE OF ABSENCE END REASON. 

This data element is also known by these names:
ContextAlias
pluralLEAVE OF ABSENCE END REASONS

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LEAVE OF ABSENCE END REASON

Change to Data Element: New Data Element

LEAVE OF ABSENCE END REASON
 
Attribute:
LEAVE OF ABSENCE END REASON

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MANIFEST PSYCHOSIS DATE

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the date at which a positive psychotic symptom for the PATIENT (i.e. delusion, hallucination, or thought disorder) has lasted for a week.  This is usually a week after the date of the first psychotic symptom.

 

This data element is also known by these names:
ContextAlias
pluralMANIFEST PSYCHOSIS DATES

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MENTAL HEALTH CARE CLUSTER CODE

Change to Data Element: New Data Element

Format/Length:an2
HES Item: 
National Codes:See MENTAL HEALTH CARE CLUSTER CODE
Default Codes: 

Notes:
MENTAL HEALTH CARE CLUSTER CODE is the same as attribute MENTAL HEALTH CARE CLUSTER CODE.

 

This data element is also known by these names:
ContextAlias
pluralMENTAL HEALTH CARE CLUSTER CODES

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MENTAL HEALTH CARE CLUSTER CODE

Change to Data Element: New Data Element

MENTAL HEALTH CARE CLUSTER CODE
 
Attribute:
MENTAL HEALTH CARE CLUSTER CODE

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MENTAL HEALTH CARE CLUSTER END REASON

Change to Data Element: New Data Element

Format/Length:an2
HES Item: 
National Codes:See MENTAL HEALTH CARE CLUSTER END REASON
Default Codes:99 - Not known

Notes:
MENTAL HEALTH CARE CLUSTER END REASON is the same as attribute MENTAL HEALTH CARE CLUSTER END REASON.

 

This data element is also known by these names:
ContextAlias
pluralMENTAL HEALTH CARE CLUSTER END REASONS

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MENTAL HEALTH CARE CLUSTER END REASON

Change to Data Element: New Data Element

MENTAL HEALTH CARE CLUSTER END REASON
 
Attribute:
MENTAL HEALTH CARE CLUSTER END REASON

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MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE

Change to Data Element: New Data Element

Format/Length:an1
HES Item: 
National Codes:See MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE
Default Codes: 

Notes:
MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE is the same as attribute MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE.

 

This data element is also known by these names:
ContextAlias
pluralMENTAL HEALTH CARE CLUSTER SUPER CLASS CODES

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MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE

Change to Data Element: New Data Element

MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE
 
Attribute:
MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE

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MENTAL HEALTH CRISIS PLAN CREATION DATE

Change to Data Element: New Data Element

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

Notes:
The date that a Mental Health Crisis Plan was created.

This data element is also known by these names:
ContextAlias
pluralMENTAL HEALTH CRISIS PLAN CREATION DATES

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MENTAL HEALTH CRISIS PLAN LAST UPDATED DATE

Change to Data Element: New Data Element

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

Notes:
The date that a Mental Health Crisis Plan was last updated.

Where the Mental Health Crisis Plan has not been updated since its creation, the MENTAL HEALTH CRISIS PLAN LAST UPDATED DATE is the same as the MENTAL HEALTH CRISIS PLAN CREATION DATE.

 

This data element is also known by these names:
ContextAlias
pluralMENTAL HEALTH CRISIS PLAN LAST UPDATED DATES

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MENTAL HEALTH DELAYED DISCHARGE REASON

Change to Data Element: New Data Element

Format/length:an1
HES item: 
National Codes:See MENTAL HEALTH DELAYED DISCHARGE REASON
Default Codes: 

Notes:
MENTAL HEALTH DELAYED DISCHARGE REASON is the same as attribute MENTAL HEALTH DELAYED DISCHARGE REASON.

This data element is also known by these names:
ContextAlias
pluralMENTAL HEALTH DELAYED DISCHARGE REASONS

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MENTAL HEALTH DELAYED DISCHARGE REASON

Change to Data Element: New Data Element

MENTAL HEALTH DELAYED DISCHARGE REASON
 
Attribute:
MENTAL HEALTH DELAYED DISCHARGE REASON

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PATIENT TREATMENT OR INTERVENTION (READ)

Change to Data Element: New Data Element

Format/Length:an6
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the READ-coded treatment or intervention recorded for a PATIENT.  Treatments agreed may be may be medication or psychological interventions. 

 

This data element is also known by these names:
ContextAlias
pluralPATIENT TREATMENTS OR INTERVENTIONS (READ)

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PERSON GENDER CODE CURRENT

Change to Data Element: Changed Description

Format/Length:an1
HES Item: 
National Codes:See PERSON GENDER CODE
Default Codes: 

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

Notes:
A PERSON's gender currently.

PERSON GENDER CODE CURRENT is the same as PERSON GENDER CODE where the PERSON GENDER TYPE equals '02 - Person Gender Current'.

The e-Government Interoperability Framework (e-GIF) standard PERSON GENDER CODE CURRENT replaces PERSON GENDER CURRENT and should be used for all new and developing data sets and for XML messages.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 11 September 2003.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

 

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PHQ-9 QUESTION 1 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for question 1 of the Patient Health Questionnaire (PHQ-9). 

The question relates to having little interest or pleasure in doing things.

 

This data element is also known by these names:
ContextAlias
pluralPHQ-9 QUESTION 1 SCORES

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PHQ-9 QUESTION 1 SCORE

Change to Data Element: New Data Element

PHQ-9 QUESTION 1 SCORE
 
Attribute:
PERSON SCORE

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PHQ-9 QUESTION 2 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for question 2 of the Patient Health Questionnaire (PHQ-9). 

The question relates to feeling down, depressed or hopeless.

 

This data element is also known by these names:
ContextAlias
pluralPHQ-9 QUESTION 2 SCORES

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PHQ-9 QUESTION 2 SCORE

Change to Data Element: New Data Element

PHQ-9 QUESTION 2 SCORE
 
Attribute:
PERSON SCORE

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PHQ-9 QUESTION 3 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for question 3 of the Patient Health Questionnaire (PHQ-9). 

The question relates to trouble falling or staying asleep, or sleeping too much.

 

This data element is also known by these names:
ContextAlias
pluralPHQ-9 QUESTION 3 SCORES

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PHQ-9 QUESTION 3 SCORE

Change to Data Element: New Data Element

PHQ-9 QUESTION 3 SCORE
 
Attribute:
PERSON SCORE

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PHQ-9 QUESTION 4 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for question 4 of the Patient Health Questionnaire (PHQ-9). 

The question relates to feeling tired or having little energy.

 

This data element is also known by these names:
ContextAlias
pluralPHQ-9 QUESTION 4 SCORES

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PHQ-9 QUESTION 4 SCORE

Change to Data Element: New Data Element

PHQ-9 QUESTION 4 SCORE
 
Attribute:
PERSON SCORE

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PHQ-9 QUESTION 5 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for question 5 of the Patient Health Questionnaire (PHQ-9). 

The question relates to poor appetite or overeating.

 

This data element is also known by these names:
ContextAlias
pluralPHQ-9 QUESTION 5 SCORES

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PHQ-9 QUESTION 5 SCORE

Change to Data Element: New Data Element

PHQ-9 QUESTION 5 SCORE
 
Attribute:
PERSON SCORE

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PHQ-9 QUESTION 6 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for question 6 of the Patient Health Questionnaire (PHQ-9). 

The question relates to feeling bad about yourself - or that you are a failure or have let yourself or your family down.

 

This data element is also known by these names:
ContextAlias
pluralPHQ-9 QUESTION 6 SCORES

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PHQ-9 QUESTION 6 SCORE

Change to Data Element: New Data Element

PHQ-9 QUESTION 6 SCORE
 
Attribute:
PERSON SCORE

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PHQ-9 QUESTION 7 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for question 1 of the Patient Health Questionnaire (PHQ-9). 

The question relates to having trouble concentrating on things, such as reading the newspaper or watching television.

 

This data element is also known by these names:
ContextAlias
pluralPHQ-9 QUESTION 7 SCORES

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PHQ-9 QUESTION 7 SCORE

Change to Data Element: New Data Element

PHQ-9 QUESTION 7 SCORE
 
Attribute:
PERSON SCORE

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PHQ-9 QUESTION 8 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for question 8 of the Patient Health Questionnaire (PHQ-9). 

The question relates to moving or speaking so slowly that other people could have noticed, or the opposite - being so fidgety or restless that you have been moving around a lot more than usual.

 

This data element is also known by these names:
ContextAlias
pluralPHQ-9 QUESTION 8 SCORES

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PHQ-9 QUESTION 8 SCORE

Change to Data Element: New Data Element

PHQ-9 QUESTION 8 SCORE
 
Attribute:
PERSON SCORE

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PHQ-9 QUESTION 9 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for question 9 of the Patient Health Questionnaire (PHQ-9). 

The question relates to thoughts that you would be better off dead, or of hurting yourself in some way.

 

This data element is also known by these names:
ContextAlias
pluralPHQ-9 QUESTION 9 SCORES

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PHQ-9 QUESTION 9 SCORE

Change to Data Element: New Data Element

PHQ-9 QUESTION 9 SCORE
 
Attribute:
PERSON SCORE

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PHQ-9 TOTAL SCORE

Change to Data Element: New Data Element

Format/Length:n2
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the total PERSON SCORE for the Patient Health Questionnaire (PHQ-9), calculated by adding together the scores from questions 1 - 9.  The total PERSON SCORE can range from 0 to 27.

 

This data element is also known by these names:
ContextAlias
pluralPHQ-9 TOTAL SCORES

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PHQ-9 TOTAL SCORE

Change to Data Element: New Data Element

PHQ-9 TOTAL SCORE
 
Attribute:
PERSON SCORE

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PRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PRESCRIPTION DATE where the PRESCRIBED ITEM is 'Anti-Psychotic Medication'.

 

This data element is also known by these names:
ContextAlias
pluralPRESCRIPTION DATES (ANTI-PSYCHOTIC MEDICATION)

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PROCEDURE DATE (ELECTRO-CONVULSIVE THERAPY)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the date of the Electro-Convulsive Therapy Patient Procedure.

 

This data element is also known by these names:
ContextAlias
pluralPROCEDURE DATES (ELECTRO-CONVULSIVE THERAPY)

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PRODROME PSYCHOSIS DATE

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the date at which first noticable change in behaviour or mental state of the PATIENT occurred, prior to emergence of full-blown psychosis.  There should be clear deterioration in functioning from previous levels.

 

This data element is also known by these names:
ContextAlias
pluralPRODROME PSYCHOSIS DATES

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PSYCHOSIS TREATMENT START DATE

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the date the PATIENT commenced prescribed anti-psychotic medication and thereafter was compliant for at least 75% of the time during the subsequent month (using clinical judgement). 

For the majority of PATIENTS this will be the same as the PRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION).

 

This data element is also known by these names:
ContextAlias
pluralPSYCHOSIS TREATMENT START DATES

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REVIEW DATE

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
The DATE of a formal review of care carried out during a CARE CONTACT.

 

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SERVICE REQUEST STATUS DATE (MENTAL HEALTH)

Change to Data Element: New Data Element

Format/Length:See DATE
HES item: 
National Codes: 
Default Codes: 

Notes:
SERVICE REQUEST STATUS DATE (MENTAL HEALTH) is the date when the STATUS OF SERVICE REQUEST FOR MENTAL HEALTH was first recorded, or changed as a result of a change of status of the SERVICE REQUEST.

 

This data element is also known by these names:
ContextAlias
pluralSERVICE REQUEST STATUS DATES (MENTAL HEALTH)

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SETTLED ACCOMMODATION INDICATOR (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/length:n1
Format/length:an1
HES item: 
National Codes:See SETTLED ACCOMMODATION INDICATOR 
Default Codes:7 Not disclosed
 8 Not applicable
 9 Not known

Notes:
This is the same as attribute SETTLED ACCOMMODATION INDICATOR.

Required to be collected locally from 1st April 2008 and nationally from October 2008.

The SETTLED ACCOMMODATION INDICATOR of the PATIENT with any mental disorder should be captured periodically, typically as part of the PATIENT's regular Care Programme Approach Review.

 

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SEX OF PATIENTS CODE

Change to Data Element: Changed Description

Format/Length:an1
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component SEX OF PATIENTS CODE is required to be separately recorded. The classifications for SEX OF PATIENTS CODE are not the same as the National Codes contained within the definition of PERSON GENDER.

The following values for the classifications of attribute SEX OF PATIENTS CODE, with the addition of Home Leave, can be used:

1Male
2Female
8Not specified
9Home Leave
9Home Leave *

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

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

 

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START DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of an Adult Mental Health Care Team Episode for a PATIENT.

START DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Adult Mental Health Care Team Episode.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (ADULT MENTAL HEALTH CARE TEAM EPISODE)

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START DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)

Change to Data Element: New Data Element

START DATE (ADULT MENTAL HEALTH CARE TEAM EPISODE)
 
Attribute:
ACTIVITY DATE

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START DATE (CARE PROGRAMME APPROACH CARE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of a period of care for a PATIENT, when the CARE PROGRAMME APPROACH LEVEL is National Code 2 'New Care Programme Approach Care'.

START DATE (CARE PROGRAMME APPROACH CARE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Care Programme Approach care.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (CARE PROGRAMME APPROACH CARE)

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START DATE (CARE PROGRAMME APPROACH CARE)

Change to Data Element: New Data Element

START DATE (CARE PROGRAMME APPROACH CARE)
 
Attribute:
ACTIVITY DATE

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START DATE (CONSULTANT EPISODE (ACUTE HOME BASED))

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of a Consultant Episode (Acute Home-Based) for a PATIENT.

START DATE (CONSULTANT EPISODE (ACUTE HOME BASED)) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Consultant Episode (Acute Home-Based).

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (CONSULTANT EPISODE (ACUTE HOME BASED))

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START DATE (CONSULTANT EPISODE (ACUTE HOME BASED))

Change to Data Element: New Data Element

START DATE (CONSULTANT EPISODE (ACUTE HOME BASED))
 
Attribute:
ACTIVITY DATE

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START DATE (CONSULTANT OUT-PATIENT EPISODE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of an Consultant Out-Patient Episode for a PATIENT.

START DATE (CONSULTANT OUT-PATIENT EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Consultant Out-Patient Episode.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (CONSULTANT OUT-PATIENT EPISODE)

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START DATE (CONSULTANT OUT-PATIENT EPISODE)

Change to Data Element: New Data Element

START DATE (CONSULTANT OUT-PATIENT EPISODE)
 
Attribute:
ACTIVITY DATE

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START DATE (HOME LEAVE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of a Home Leave for a PATIENT.

START DATE (HOME LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Home Leave.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (HOME LEAVE)

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START DATE (HOME LEAVE)

Change to Data Element: New Data Element

START DATE (HOME LEAVE)
 
Attribute:
ACTIVITY DATE

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START DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of a Mental Health Absence Without Leave for a PATIENT.

START DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Absence Without Leave.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (MENTAL HEALTH ABSENCE WITHOUT LEAVE)

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START DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)

Change to Data Element: New Data Element

START DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
 
Attribute:
ACTIVITY DATE

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START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

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

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

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

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START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: New Data Element

START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
 
Attribute:
ACTIVITY DATE

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START DATE (MENTAL HEALTH CARE CLUSTER)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of a Mental Health Care Cluster Assignment Period for a PATIENT.

START DATE (MENTAL HEALTH CARE CLUSTER) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Care Cluster Assignment Period.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (MENTAL HEALTH CARE CLUSTERS)

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START DATE (MENTAL HEALTH CARE CLUSTER)

Change to Data Element: New Data Element

START DATE (MENTAL HEALTH CARE CLUSTER)
 
Attribute:
ACTIVITY DATE

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START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of a Mental Health Care Coordinator Assignment for a PATIENT.

START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Care Coordinator Assignment.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)

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START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)

Change to Data Element: New Data Element

START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT)
 
Attribute:
ACTIVITY DATE

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START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of a Mental Health Delayed Discharge Period for a PATIENT.  This is the date that the clinical decision was taken that the PATIENT is fit and ready for discharge, but external factors prevent the discharge taking place.

START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Delayed Discharge Period.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (MENTAL HEALTH DELAYED DISCHARGE PERIOD)

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START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)

Change to Data Element: New Data Element

START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
 
Attribute:
ACTIVITY DATE

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START DATE (MENTAL HEALTH LEAVE OF ABSENCE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of a Mental Health Leave Of Absence for a PATIENT.

START DATE (MENTAL HEALTH LEAVE OF ABSENCE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Leave Of Absence.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (MENTAL HEALTH LEAVE OF ABSENCE)

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START DATE (MENTAL HEALTH LEAVE OF ABSENCE)

Change to Data Element: New Data Element

START DATE (MENTAL HEALTH LEAVE OF ABSENCE)
 
Attribute:
ACTIVITY DATE

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START DATE (MENTAL HEALTH NHS CARE HOME STAY)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of a Care Home Stay (Nursing Care) or Care Home Stay (Residential) for a PATIENT within an Adult Mental Health Care Spell, where:

A PATIENT going on Home Leave or Mental Health Leave Of Absence for 28 days or less, or who has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Care Home Stay (Nursing Care) or Care Home Stay (Residential), but are not using a bed during their period of absence.

START DATE (MENTAL HEALTH NHS CARE HOME STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (MENTAL HEALTH NHS CARE HOME STAY)

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START DATE (MENTAL HEALTH NHS CARE HOME STAY)

Change to Data Element: New Data Element

START DATE (MENTAL HEALTH NHS CARE HOME STAY)
 
Attribute:
ACTIVITY DATE

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START DATE (MENTAL HEALTH NHS DAY CARE EPISODE)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of an Mental Health NHS Day Care Episode for a PATIENT.

START DATE (MENTAL HEALTH NHS DAY CARE EPISODE) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health NHS Day Care Episode.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (MENTAL HEALTH NHS DAY CARE EPISODE)

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START DATE (MENTAL HEALTH NHS DAY CARE EPISODE)

Change to Data Element: New Data Element

START DATE (MENTAL HEALTH NHS DAY CARE EPISODE)
 
Attribute:
ACTIVITY DATE

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START DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of a Mental Health Responsible Clinician Assignment for a PATIENT.

START DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Mental Health Responsible Clinician Assignment.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)

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START DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)

Change to Data Element: New Data Element

START DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT)
 
Attribute:
ACTIVITY DATE

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START DATE (SUPERVISED COMMUNITY TREATMENT)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of Supervised Community Treatment for a PATIENT.

START DATE (SUPERVISED COMMUNITY TREATMENT) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Supervised Community Treatment.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (SUPERVISED COMMUNITY TREATMENT)

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START DATE (SUPERVISED COMMUNITY TREATMENT)

Change to Data Element: New Data Element

START DATE (SUPERVISED COMMUNITY TREATMENT)
 
Attribute:
ACTIVITY DATE

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START DATE (SUPERVISED COMMUNITY TREATMENT RECALL)

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Date of Supervised Community Treatment Recall for a PATIENT.

START DATE (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Supervised Community Treatment Recall.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (SUPERVISED COMMUNITY TREATMENT RECALL)

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START DATE (SUPERVISED COMMUNITY TREATMENT RECALL)

Change to Data Element: New Data Element

START DATE (SUPERVISED COMMUNITY TREATMENT RECALL)
 
Attribute:
ACTIVITY DATE

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START DATE (WARD STAY)

Change to Data Element: Changed Description

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

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

Notes:
The Start Date of a Ward Stay.

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

 

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START TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: New Data Element

Format/Length:See TIME
HES Item: 
National Codes: 
Default Codes: 

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

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

 

This data element is also known by these names:
ContextAlias
pluralSTART TIMES (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

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START TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)

Change to Data Element: New Data Element

START TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
 
Attribute:
ACTIVITY TIME

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START TIME (SUPERVISED COMMUNITY TREATMENT RECALL)

Change to Data Element: New Data Element

Format/Length:See TIME
HES Item: 
National Codes: 
Default Codes: 

Notes:
The Start Time of Supervised Community Treatment Recall for a PATIENT.

START TIME (SUPERVISED COMMUNITY TREATMENT RECALL) is an ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is 'Start Time' of the Supervised Community Treatment Recall.

 

This data element is also known by these names:
ContextAlias
pluralSTART TIMES (SUPERVISED COMMUNITY TREATMENT RECALL)

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START TIME (SUPERVISED COMMUNITY TREATMENT RECALL)

Change to Data Element: New Data Element

START TIME (SUPERVISED COMMUNITY TREATMENT RECALL)
 
Attribute:
ACTIVITY TIME

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STATUS OF SERVICE REQUEST (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/Length:an2
HES Item: 
National Codes:See STATUS OF SERVICE REQUEST FOR MENTAL HEALTH
Default Codes: 

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

Notes:
STATUS OF SERVICE REQUEST (MENTAL HEALTH) is the same as attribute STATUS OF SERVICE REQUEST FOR MENTAL HEALTH.  

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STATUTORY ASSESSMENT DATE

Change to Data Element: New Data Element

Format/Length:See DATE
HES Item: 
National Codes: 
Default Codes: 

Notes:
The date when a Social Services Statutory Assessment took place.

STATUTORY ASSESSMENT DATE is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Statutory Assessment Date'.

 

This data element is also known by these names:
ContextAlias
pluralSTATUTORY ASSESSMENT DATES

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STATUTORY ASSESSMENT DATE

Change to Data Element: New Data Element

STATUTORY ASSESSMENT DATE
 
Attribute:
ACTIVITY DATE

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STATUTORY ASSESSMENT TYPE

Change to Data Element: New Data Element

Format/Length:a3
HES Item: 
National Codes:See STATUTORY ASSESSMENT TYPE
Default Codes: 

Notes:
STATUTORY ASSESSMENT TYPE is the same as attribute STATUTORY ASSESSMENT TYPE.

 

This data element is also known by these names:
ContextAlias
pluralSTATUTORY ASSESSMENT TYPES

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STATUTORY ASSESSMENT TYPE

Change to Data Element: New Data Element

STATUTORY ASSESSMENT TYPE
 
Attribute:
STATUTORY ASSESSMENT TYPE

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SUMMARY ASSESSMENT OF CHARACTERISTICS RATING 13 SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating 13 of the Mental Health Clustering Tool Summary Assessment of Characteristics (SAC) items.

The rating relates to strong unreasonable beliefs occurring in non-psychotic disorders only.

 

This data element is also known by these names:
ContextAlias
pluralSUMMARY ASSESSMENT OF CHARACTERISTICS RATING 13 SCORES

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SUMMARY ASSESSMENT OF CHARACTERISTICS RATING 13 SCORE

Change to Data Element: New Data Element

SUMMARY ASSESSMENT OF CHARACTERISTICS RATING 13 SCORE
 
Attribute:
PERSON SCORE

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SUMMARY ASSESSMENT OF CHARACTERISTICS RATING A SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for question A of the Mental Health Clustering Tool Summary Assessment of Characteristics (SAC) items.

The rating relates to agitated behaviour/expansive mood (historical).

 

This data element is also known by these names:
ContextAlias
pluralSUMMARY ASSESSMENT OF CHARACTERISTICS RATING A SCORES

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SUMMARY ASSESSMENT OF CHARACTERISTICS RATING A SCORE

Change to Data Element: New Data Element

SUMMARY ASSESSMENT OF CHARACTERISTICS RATING A SCORE
 
Attribute:
PERSON SCORE

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SUMMARY ASSESSMENT OF CHARACTERISTICS RATING B SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating B of the Mental Health Clustering Tool Summary Assessment of Characteristics (SAC) items.

The rating relates to repeat self-harm (historical).

 

This data element is also known by these names:
ContextAlias
pluralSUMMARY ASSESSMENT OF CHARACTERISTICS RATING B SCORE

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SUMMARY ASSESSMENT OF CHARACTERISTICS RATING B SCORE

Change to Data Element: New Data Element

SUMMARY ASSESSMENT OF CHARACTERISTICS RATING B SCORE
 
Attribute:
PERSON SCORE

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SUMMARY ASSESSMENT OF CHARACTERISTICS RATING C SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating C of the Mental Health Clustering Tool Summary Assessment of Characteristics (SAC) items.

The rating relates to safeguarding children and vulnerable dependent adults (historical).

 

This data element is also known by these names:
ContextAlias
pluralSUMMARY ASSESSMENT OF CHARACTERISTICS RATING C SCORES

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SUMMARY ASSESSMENT OF CHARACTERISTICS RATING C SCORE

Change to Data Element: New Data Element

SUMMARY ASSESSMENT OF CHARACTERISTICS RATING C SCORE
 
Attribute:
PERSON SCORE

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SUMMARY ASSESSMENT OF CHARACTERISTICS RATING D SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating D of the Mental Health Clustering Tool Summary Assessment of Characteristics (SAC) items.

The rating relates to engagement (historical).

 

This data element is also known by these names:
ContextAlias
pluralSUMMARY ASSESSMENT OF CHARACTERISTICS RATING D SCORES

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SUMMARY ASSESSMENT OF CHARACTERISTICS RATING D SCORE

Change to Data Element: New Data Element

SUMMARY ASSESSMENT OF CHARACTERISTICS RATING D SCORE
 
Attribute:
PERSON SCORE

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SUMMARY ASSESSMENT OF CHARACTERISTICS RATING E SCORE

Change to Data Element: New Data Element

Format/Length:n1
HES Item: 
National Codes: 
Default Codes: 

Notes:
This is the PERSON SCORE for rating E of the Mental Health Clustering Tool Summary Assessment of Characteristics (SAC) items.

The rating relates to vulnerability (historical).

 

This data element is also known by these names:
ContextAlias
pluralSUMMARY ASSESSMENT OF CHARACTERISTICS RATING E SCORES

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SUMMARY ASSESSMENT OF CHARACTERISTICS RATING E SCORE

Change to Data Element: New Data Element

SUMMARY ASSESSMENT OF CHARACTERISTICS RATING E SCORE
 
Attribute:
PERSON SCORE

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SUPERVISED COMMUNITY TREATMENT END REASON

Change to Data Element: New Data Element

Format/Length:an2
HES Item: 
National Codes:See SUPERVISED COMMUNITY TREATMENT END REASON
Default Codes: 

Notes:
SUPERVISED COMMUNITY TREATMENT END REASON is the same as attribute SUPERVISED COMMUNITY TREATMENT END REASON.

 

This data element is also known by these names:
ContextAlias
pluralSUPERVISED COMMUNITY TREATMENT END REASONS

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SUPERVISED COMMUNITY TREATMENT END REASON

Change to Data Element: New Data Element

SUPERVISED COMMUNITY TREATMENT END REASON
 
Attribute:
SUPERVISED COMMUNITY TREATMENT END REASON

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WARD SECURITY LEVEL

Change to Data Element: Changed Description

Format/Length:an1
HES Item: 
National Codes:See WARD SECURITY LEVEL
Default Codes: 

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

Notes:
WARD SECURITY LEVEL is the same as attribute WARD SECURITY LEVEL.

 

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For enquiries about this Change Request, please email datastandards@nhs.net