Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1229
Version No:1.0
Subject:March 2011 Release Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:23 March 2011

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the March 2011 Release and includes:

Summary of changes:

Supporting Information
ACUTE MYOCARDIAL INFARCTION CARE SPELL   Changed Description
CANCER CARE SPELL DELAY   Changed Description
CDS SUBMISSION PROTOCOL   Changed Description
HEAD AND NECK CANCER CARE SPELL renamed from HEAD AND NECK CANCER CARE SPELL   Changed Name
IMAGING OR RADIODIAGNOSTIC EVENT renamed from IMAGING OR RADIODIAGNOSTIC EVENT   Changed Name, Description
OUT-PATIENT ATTENDANCE CONSULTANT   Changed Description
RADIOTHERAPY MACHINE   Changed Description
RADIOTHERAPY TREATMENT COURSE   Changed Description
REQUEST FOR RADIOLOGICAL PROCEDURE   Changed Description
SARCOMA CARE SPELL   Changed Description
UNSEALED SOURCE TREATMENT COURSE   Changed Description
WHAT'S NEW: MARCH 2011 renamed from WHAT'S NEW: JANUARY 2011   Changed Name, Description
 
Class Definitions
PERSON PROPERTY QUALIFIER   Changed Description
SERVICE REPORT   Changed Description
 
Attribute Definitions
BASIS OF DIAGNOSIS   Changed Description
BROAD PATIENT GROUP CODE   Changed Description
CANCER SPECIALIST REFERRAL DATE   Changed Description
CLINICAL CARE INTENSITY   Changed Description
CRITICAL CARE DISCHARGE STATUS   Changed Description
DEPARTMENT TYPE   Changed Description
DIAGNOSTIC TEST REQUEST TYPE   Changed Description
ETHNIC CATEGORY CODE   Changed Description
INITIAL CONTACT   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE   Changed Aliases
 
Data Elements
ADMINISTRATIVE CATEGORY   Changed Description
ADMINISTRATIVE CATEGORY CODE   Changed Description
CANCER CARE PLAN INTENT   Changed Description
CANCER CLINICAL TRIAL TREATMENT TYPE   Changed Description
CANCER REFERRAL DECISION DATE   Changed Description
CANCER SPECIALIST REFERRAL DATE   Changed Description
CARE PLAN AGREED DATE   Changed Description
CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD)   Changed Description
CARE SPELL IDENTIFIER (MENTAL HEALTH)   Changed Description
CARE SPELL NUMBER IN REPORTING PERIOD   Changed Description
CONTACT DATE (DIETICIAN INITIAL)   Changed linked Attribute
END DATE (BRACHYTHERAPY TREATMENT COURSE)   Changed Description
HAEMOGLOBIN CONCENTRATION   Changed Description
INTENDED CLINICAL CARE INTENSITY   Changed Description
INTENDED CLINICAL CARE INTENSITY CODE   Changed Description
INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)   Changed Description
LEARNING DISABILITY INDICATOR   Changed Description
LOCATION TYPE   Changed Description
ORGANISATION CODE (CODE OF COMMISSIONER)   Changed Description
ORGANISATION CODE (PCT OF RESIDENCE)   Changed Description
PERSON OBSERVATION (BMI)   Changed Description
PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL)   Changed Description
PLATELETS COUNT   Changed Description
REPORTING PERIOD END DATE   Changed Description
REPORTING PERIOD START DATE   Changed Description
SERUM CHOLESTEROL   Changed Description
SERVICE REQUEST DATE   Changed Description
SERVICE REQUEST IDENTIFIER   Changed Description
SEX   Changed Description
START DATE (EPISODE)   Changed Description
START DATE (HOSPITAL PROVIDER SPELL)   Changed Description
STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS   Changed Description
STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODE   Changed Description
STATUS OF PERSON CONDUCTING DELIVERY   Changed Description
WHITE BLOOD CELL COUNT   Changed Description
 

Date:23 March 2011
Sponsor:Richard Kavanagh, NHS Connecting for Health

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

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ACUTE MYOCARDIAL INFARCTION CARE SPELL

Change to Supporting Information: Changed Description

Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP.An Acute Myocardial Infarction Care Spell is an ACTIVITY GROUP.

The continuous period of care for a PATIENT suffering from an Acute Myocardial Infarction (AMI).An Acute Myocardial Infarction Care Spell is the continuous period of care for a PATIENT suffering from an Acute Myocardial Infarction (AMI).

The Acute Myocardial Infarction Care Spell starts when the PATIENT arrives at the hospital. It ends when either the PATIENT dies, is discharged from the care spell, is not given a further Out-Patient Appointment or does not attend for six months. Information relating to the Acute Myocardial Infarction Care Spell is collected from the time of the initial PATIENT symptoms to the end of the care spell. This will include details of the procedures and treatments carried out during the spell and in particular, the date and time these were carried out. It ends when either:

Information relating to the Acute Myocardial Infarction Care Spell is collected from the time of the initial PATIENT symptoms to the end of the Acute Myocardial Infarction Care Spell. This will include details of the procedures and treatments carried out during the Acute Myocardial Infarction Care Spell and in particular, the date and time these were carried out. Reasons for not carrying out treatments or procedures are also recorded.

If the Acute Myocardial Infarction Care Spell is initiated by the PATIENT the Initial Patient Contact Date And Initial Patient Contact Time should be recorded.If the Acute Myocardial Infarction Care Spell is initiated by the PATIENT the Initial Patient Contact Date and Initial Patient Contact Time should be recorded.

When the PATIENT is discharged from hospital the AMI discharge drug consideration should be recorded.When the PATIENT is discharged from hospital the Acute Myocardial Infarction discharge drug consideration should be recorded.

 

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CANCER CARE SPELL DELAY

Change to Supporting Information: Changed Description

Cancer Care Spell Delay is a REFERRAL DELAY.A Cancer Care Spell Delay is a REFERRAL DELAY.

A Cancer Care Spell Delay is a delay in either an Out-Patient Appointment or treatment for suspected cancer after a referral has been received.

A Cancer Care Spell Delay should be recorded for each delay.

 

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CDS SUBMISSION PROTOCOL

Change to Supporting Information: Changed Description

The Commissioning Data Set messages submitted by providers carry information to determine the update method to be used by the Secondary Uses Service in order to update the national database.

These update rules are known as the Commissioning Data Set Submission Protocol and the set of data controls used to indicate this are carried in the Commissioning Data Set Transaction Header Group which must be present and correct in every CDS TYPE submitted to the Secondary Uses Service.

Two Update Mechanisms are available:

  • Net Change - to support the management of an individual CDS TYPE in the Secondary Uses Service database and enables Commissioning data to be inserted/ updated or deleted.
    CDS Senders are expected to use the Net Change Update Mechanism wherever possible.

  • Bulk Replacement - to support the management of bulk commissioning data for an identified CDS BULK REPLACEMENT GROUP of data for a specified time period and for a specified CDS PRIME RECIPIENT IDENTITY.
    CDS Senders should only use the Bulk Replacement Update Mechanism in exceptional circumstances.

It is strongly advised that all NHS Trusts should, as a minimum process, commence migration to use the CDS-XML Version 6 Message for weekly Net Change submissions by March 2009 as this is the date mandated by the "NHS Operating Framework".

Net Change:
Net Change processes are managed by specific data settings as defined in the CDS V6 TYPE 005N option of the CDS Transaction Header Group. The Secondary Uses Service uses the following data to manage the database:

Each CDS TYPE must have a CDS UNIQUE IDENTIFIER which must be uniquely maintained for the life of that Commissioning Data Set record. This is a particular consideration where mergers and/or healthcare systems are changed or upgraded, see CDS Submission and PCT Mergers. Any change to the CDS UNIQUE IDENTIFIER during the "lifetime" of a Commissioning Data Set record will almost certainly result in a duplicate record being lodged in the Secondary Uses Service database.

A Commissioning Data Set record delete transaction must be sent to the Secondary Uses Service database when any previously sent Commissioning Data Set record requires deletion/removal, for example to reflect Commissioner changes etc.

The CDS APPLICABLE DATE and CDS APPLICABLE TIME must be used to ensure that all Commissioning data is updated in the Secondary Uses Service database in the correct chronological order.

The CDS SENDER IDENTITY must not change during the lifetime of the CDS data.
This is particularly significant for multiple and/or merged organisations, and for those services who submit data on behalf of another Primary Care Trust or NHS Trust.

Bulk Replacement
Bulk Replacement processes are managed by specific data settings as defined in the CDS V6 TYPE 005B option of the CDS Transaction Header Group. The Secondary Uses Service uses the following data to manage the database:


Every CDS TYPE must be submitted using the correct CDS BULK REPLACEMENT GROUP.

The CDS REPORT PERIOD START DATE and the CDS REPORT PERIOD END DATE, (i.e. the effective date period), must be valid and consistent, and reflect the dates relevant to the Commissioning data contained in the interchange.

The CDS SENDER IDENTITY must not change during the lifetime of the Commissioning Data Set record. This is particularly significant for multiple and/or merged organisations, and for those services who submit data on behalf of another Primary Care Trust or NHS Trust.

The CDS PRIME RECIPIENT IDENTITY must be identified in each Commissioning Data Set and must not be changed during the lifetime of the Commissioning Data Set record otherwise the data stored in the Secondary Uses Service database may lose its integrity (e.g. duplicate Commissioning data may be stored).

For this reason it is advised that the ORGANISATION CODE (PCT OF RESIDENCE) should always be used to determine the CDS SENDER IDENTITY as detailed in the Commissioning Data Set Addressing Grid.For this reason it is advised that the ORGANISATION CODE (PCT OF RESIDENCE) should always be used to determine the CDS PRIME RECIPIENT IDENTITY as detailed in the Commissioning Data Set Addressing Grid. Senders must also be aware that if the ORGANISATION CODE (PCT OF RESIDENCE) is itself derived from the PATIENT's POSTCODE OF USUAL ADDRESS then great care must be taken to manage all elements of this relationship.

If it is necessary to change any of this data during the lifetime of a Commissioning Data Set record, then the Secondary Uses Service help desk should be contacted for advice.

It is strongly advised that users of the Bulk Replacement Mechanism maintain a correctly generated CDS UNIQUE IDENTIFIER within the Commissioning data. This will establish a migration path towards the use of the Net Change Mechanism and will also then minimise the risk of creating duplicate Commissioning Data Set data.

Sub contracting
If a Provider sub-contracts healthcare provision and its associated Commissioning Data Set submission to a second Provider, arrangements to submit the Commissioning Data Set data must be made locally to ensure that only one Provider sends the Commissioning Data Set data to the Secondary Uses Service.

If the second Provider wishes to add other Commissioning data to the Secondary Uses Service database to that already submitted by the first Provider, both parties need to ensure that a different CDS SENDER IDENTITY is used. Often this is done by changing the last 2 digits of the 5 digit code (the Site element of the Organisation Code).

Note: Data sent using the same CDS SENDER IDENTITY by two different parties will most likely overwrite each other's data in the Secondary Uses Service database. Further advice can be obtained from the Secondary Uses Service helpdesk.

Users should be aware of how the 15 character code of their CDS INTERCHANGE SENDER IDENTITY (also known as the EDI Address) is created. this may depend on how their XML interface solution has been set up. It may not be possible to rely on a change to the Provider Code in order to change the CDS INTERCHANGE SENDER IDENTITY should this becomes necessary.

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HEAD AND NECK CANCER CARE SPELL  renamed from HEAD AND NECK CANCER CARE SPELL

Change to Supporting Information: Changed Name

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IMAGING OR RADIODIAGNOSTIC EVENT  renamed from IMAGING OR RADIODIAGNOSTIC EVENT

Change to Supporting Information: Changed Name, Description

Imaging Or Radiodiagnostic Event is a CLINICAL INTERVENTION.An Imaging or Radiodiagnostic Event is a CLINICAL INTERVENTION.

A test or examination performed using one IMAGING MODALITY, in response to one request and relating to one anatomical site.A test or examination performed using one IMAGING MODALITY, in response to one request and relating to one ANATOMICAL SITE. A test counts as one test if one report is issued regardless of the number of radioactive substances used and the number of days on which counting takes place. It excludes imaging performed as part of radiotherapy planning and Doppler ultrasound examinations without imaging such as is used for peripheral arterial or venous disease or fetal heart studies.

 

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OUT-PATIENT ATTENDANCE CONSULTANT

Change to Supporting Information: Changed Description

Out-Patient Attendance Consultant is a CARE CONTACT.

An attendance at which a PATIENT is seen by or has contact with (face to face or via telephone/telemedicine) a CONSULTANT, in respect of one referral, that is not a visit to the home of a PATIENT for which a fee is payable under paragraph 140 of the Terms and Conditions of Service. For the purposes of this definition 'CONSULTANT' includes a member of the CONSULTANT's firm or locum for such a member. The attendance will be part of a Consultant Out-Patient Episode.

If a PATIENT is seen by a CONSULTANT at a Consultant Clinic then this will be a Clinic Attendance Consultant. An attendance may involve more than one PERSON (e.g. a family). The number of attendances to be recorded should be the number of PATIENTS for whom the particular CONSULTANT has identifiable individual records and which will be maintained as a result of the attendance.

A visit to the home of a PATIENT made at the instance of a hospital or specialist to review the urgency of a proposed admission to hospital, or to continue to supervise treatment initiated or prescribed at a hospital or clinic is covered by this definition.

Out-Patient Attendance Consultant also includes a PATIENT being seen by a CONSULTANT from a different MAIN SPECIALTY CODE during a Consultant Episode (Hospital Provider) in circumstances where there is no transfer of responsibility for the care of the PATIENT.

If the PATIENT is currently subject to a Mental Health Care Spell and the CONSULTANT they are in contact with during attendance is their allocated Care Programme Approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

During the Out-Patient Attendance Consultant, a number of PATIENT DIAGNOSES and Patient Procedures may be recorded.

A series of Out-Patient Attendance Consultant will form a Consultant Out-Patient Episode, generated from a single referral. Note that it is possible to have two Consultant Out-Patient Episodes with the same CONSULTANT for different clinical conditions, if two referrals are made. An attendance may involve more than one PERSON - for example, a family. The number of attendances to be recorded should be the number of PATIENTS for whom the CONSULTANT Out-Patient Attendance Consultant can take place outside a clinic session, and can take place at the PATIENT's normal place of residence. Out-Patient Attendance Consultant can take place outside a clinic session, and can take place at the PATIENT's normal place of residence.

A PATIENT attending a WARD for examination or care will be counted as an Out-Patient Attendance Consultant if he/she is seen by a doctor. If they are only seen by a NURSE, they are a Ward Attendance.

An Out-Patient Attendance Consultant should also be recorded where a PATIENT is seen by a CONSULTANT from a different MAIN SPECIALTY CODE during a Consultant Episode (Hospital Provider) where there is no transfer of responsibility for the care of the PATIENT. For example, a PATIENT who is admitted to hospital under a Gastroenterology specialty following an overdose may be seen while still in hospital by a psychiatrist who has been asked to assess their mental condition. The assessment by the psychiatrist should be recorded as an Out-Patient Attendance Consultant.

Information recorded for an Out-Patient Attendance Consultant includes:

ATTENDANCE DATE
ATTENDANCE IDENTIFIER
CONSULTATION MEDIUM USED
FIRST ATTENDANCE
LOCATION TYPE
MEDICAL STAFF TYPE SEEING PATIENT   O
OUTCOME OF ATTENDANCE
 

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RADIOTHERAPY MACHINE

Change to Supporting Information: Changed Description

Radiotherapy Machine is a MACHINE.A Radiotherapy Machine is a MACHINE.

A machine in a Radiotherapy Department used for planning courses of treatment, treatment simulation or carrying out radiotherapy treatment procedures.A Radiotherapy Machine in a Radiotherapy Department is used for planning courses of treatment, treatment simulation or carrying out radiotherapy treatment procedures.

 

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RADIOTHERAPY TREATMENT COURSE

Change to Supporting Information: Changed Description

Radiotherapy Treatment Course is a CLINICAL INTERVENTION.A Radiotherapy Treatment Course is a CLINICAL INTERVENTION.

A set of Fractions for an individual PATIENT which have been planned and prescribed as a whole. It should be noted that the following all constitute one course of treatment:

a. Set of Fractions planned and prescribed as a whole and using one or more different machines,
b. Set of Fractions planned and prescribed as a whole with a period of no treatment during them (split course),
c. Set of Fractions planned and prescribed as a whole involving machines located on two or more sites. (exceptionally a PATIENT may be transferred between sites possibly due to machine failure)

If a PATIENT has two unrelated diseases both of which require radiotherapy, each course of treatment should be recorded as a primary course. Similarly if a PATIENT has two primary lesions of the same disease, eg two rodent ulcers, the treatment of these comprises two primary courses, unless the lesions are in such close proximity that they are to be treated together. If during a course of treatment, a PATIENT starts a further course, the second course should be separately identified.

Each Radiotherapy Treatment Course has a sub-type of Brachytherapy Treatment Course or Teletherapy Treatment Course or Unsealed Source Treatment Course.Each Radiotherapy Treatment Course has a sub-type of Brachytherapy Treatment Course, Teletherapy Treatment Course or Unsealed Source Treatment Course.

 

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REQUEST FOR RADIOLOGICAL PROCEDURE

Change to Supporting Information: Changed Description

Request for Radiological Procedure is a DIAGNOSTIC TEST REQUEST.A Request for Radiological Procedure is a DIAGNOSTIC TEST REQUEST.

A request for a single radiological procedure on an individual PATIENT or other human source, regardless of the number of views used. This definition includes ultrasound investigations, computer tomography and magnetic resonance imaging.

 

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SARCOMA CARE SPELL

Change to Supporting Information: Changed Description

A Sarcoma Care Spell is a Cancer Care Spell, which is an ACTIVITY GROUP.

A Sarcoma Care Spell is a is a continuous period of care for a PATIENT who has been diagnosed as suffering from sarcoma.A Sarcoma Care Spell is a continuous period of care for a PATIENT who has been diagnosed as suffering from sarcoma.

Each Sarcoma Care Spell must be for the care of one tumour at one body site.

References:
National Cancer Dataset

 

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UNSEALED SOURCE TREATMENT COURSE

Change to Supporting Information: Changed Description

Unsealed Source Treatment Course is a CLINICAL INTERVENTION.An Unsealed Source Treatment Course is a CLINICAL INTERVENTION.

A type of Brachytherapy Treatment Course.

A prescribed course of radiotherapy treatment for a PATIENT where an unsealed source of radiation is used.An Unsealed Source Treatment Course is a prescribed course of radiotherapy treatment for a PATIENT where an unsealed source of radiation is used.

 

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WHAT'S NEW: MARCH 2011  renamed from WHAT'S NEW: JANUARY 2011

Change to Supporting Information: Changed Name, Description

Release: March 2011

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

Release: January 2011

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

  • CR1116 (1 April 2010) - ISB 0003 Amd 79/2010 Immunisation Programmes Activity Data Set (KC50)
  • CR1112 (1 April 2010) - ISB 1511 Amd 26/2010 NHS Continuing Healthcare and NHS Funded Nursing Care
  • CR1068 (Immediate) - ISB 0133 Amd 161/2010 Change To Central Return: Human Papillomavirus (HPV) Immunisation Programme - Vaccine Monitoring Minimum Data Set
  • CR1211 (Immediate) - DDCN 1211/2010 Commissioning Data Set Addressing Grid / Organisation Code (Code of Commissioner) Update

Release: December 2010

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

Release: November 2010

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

  • CR1119 (Immediate) - DDCN 1119/2010 Organisation Codes Update 
  • CR1192 (Immediate) - DDCN 1192/2010 Change of name for "Health Solution Wales"
  • CR1199 (Immediate) - DDCN 1199/2010 General Pharmaceutical Council and Royal Pharmaceutical Society of Great Britain Update
  • CR1189 (Immediate) - DDCN 1189/2010 National Institute for Health and Clinical Excellence
  • CR1187 (Immediate) - DDCN 1187/2010 Introduction of the Department for Education

Release: September 2010

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

  • CR1128 (Immediate) - DDCN 1128/2010 Changes to reporting procedures for Overseas Visitors from the European Economic Area and Switzerland
  • CR1173 (Immediate) - DDCN 1173/2010 Care Quality Commission Update
  • CR1143 (Immediate) - DDCN 1143/2010 General Pharmaceutical Council
  • CR1061 (1 October 2010) - ISB 0092/2010 CDS Type 20: Out-patient: Retirement of Default Codes for Out-patient Procedures
  • CR1133 (Immediate) - ISB 00289/2010 National Specialty List

Release: August 2010

  • The August 2010 Release introduces the NHS Data Model and Dictionary Help Pages.

Release: July 2010

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

Release: May 2010

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

  • CR957 (Immediate) - DSCN 19/2010 Central Returns: KA34 Ambulance Services

Release: March 2010

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

  • CR1123 (1 April 2010) - DSCN 18/2010 Information Standards Notice (ISN)
  • CR1139 (Immediate) - DSCN 16/2010 Person Weight
  • CR1130 (Immediate) - DSCN 15/2010 Change of name for "The NHS Information Centre for health and social care"
  • CR1013 (April 2010) - DSCN 14/2010 Sexual and Reproductive Health Activity Dataset (SRHAD)
  • CR1125 (Immediate) - DSCN 13/2010 NHS Data Model and Dictionary Maintenance Update - Policy Definitions
  • CR1122 (Immediate) - DSCN 11/2010 Changes to Family Planning References

Release: January 2010

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

  • CR1115 (Immediate) - DSCN 10/2010 Data Standards: Updating of e-Government Interoperability Framework and Government Data Standards Catalogue References

Release: December 2009

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

  • CR1100 (Immediate) - DSCN 25/2009 NHS Prescription Services Update
  • CR1045 (1 December 2009) - DSCN 17/2009 Referral to Treatment Clock Stop Administrative Event
  • CR1003 (1 December 2009) - DSCN 16/2009 Commissioning Data Sets: Mandation of 18 Week Referral To Treatment Data Items

Release: November 2009

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

  • CR1113 (Immediate) - DSCN 24/2009 Information Standards Board for Health and Social Care Update
  • CR1087 (Immediate) - DSCN 23/2009 Health Professions Council Update
  • CR1081 (Immediate) - DSCN 22/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1019 (27 November 2009) - DSCN 21/2009 Data Standards: Organisation Data Service (ODS) - Optical Sites and Optical Headquarters
  • CR1034 (27 November 2009) - DSCN 20/2009 Data Standards: Organisation Data Service (ODS) - Care Homes in England and Wales and their Headquarters

Release: September 2009

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

  • CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service, Local Health Boards

Release: June 2009

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

  • CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
  • CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
  • CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
  • CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
  • CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
  • CR1047 (1 April 2011) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6 
  • CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
  • CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
  • CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update

Release: March 2009

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

  • CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
  • CR976 (31 March 2009) - DSCN 26/2008 Subject: KP90 - Admissions, Changes in Status and Detentions under the Mental Health Act
  • CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
  • CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
  • CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

Release: December 2008

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

  • CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
  • CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
  • CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
  • CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 

Release: November 2008

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

  • CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

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

  • CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
  • CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme, Vaccine Monitoring Minimum Dataset
  • CR861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
  • CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
  • CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
  • CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

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

  • CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
  • CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
  • CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
  • CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
  • CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
  • CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
  • CR942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract

Release: February 2008

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

  • CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
  • CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
  • CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
  • CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

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

  • CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
  • CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
  • CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
  • CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
  • CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
  • CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

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

  • CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
  • CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
  • CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

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

  • CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
  • CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
  • CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

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

  • CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
  • CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
  • CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
  • CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
  • CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
  • CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
  • CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
  • CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
  • CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

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

  • CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
  • CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
  • CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
  • CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
  • CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
  • CR776 (1 October 2006) - DSCN 05/2006 Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes

Release: September 2006

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

  • CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
  • CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
  • CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
  • CR791 (1 April 2007) - DSCN 13/2006 Priority Type
  • CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

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

  • CR764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
  • Correction to menu structure to include Critical Care Minimum Data Set

Release: April 2006

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

  • CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
  • CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
  • CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
  • CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
  • CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
  • CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
  • CR690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

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

  • CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
  • CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
  • CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
  • CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

For all Information Standards Notices and Data Set Change Notices, see the Information Standards Board for Health and Social Care Website

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PERSON PROPERTY QUALIFIER

Change to Class: Changed Description

Additional information about a PERSON PROPERTY. It may be intrinsic to the PERSON PROPERTY, e.g. laterality; an association to another PERSON PROPERTY, e.g. that one PERSON PROPERTY is the basis for establishing another or an association with a CARE ACTIVITY, e.g. that a particular PERSON PROPERTY is the outcome of performing a CARE ACTIVITY.

 It may be intrinsic to the PERSON PROPERTY, for example:

 

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SERVICE REPORT

Change to Class: Changed Description

A SERVICE REPORT where the report relates to the treatment of a PATIENT or the response to request for specialist services for a PATIENT by a Health Care Provider. A SERVICE REPORT may be a Pathology Laboratory Service Report Header or a Radiology Service Report Header.

A copy of a SERVICE REPORT may be sent to a party other than the provider or the requester of the SERVICE or the PLANNED ACTIVITY.

SERVICE REPORTS include:

 

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BASIS OF DIAGNOSIS

Change to Attribute: Changed Description

A classification of how a PATIENT DIAGNOSIS relating to cancer was identified.

National Codes:

Non-microscopic
0Death Certificate: The only information available is from a death certificate
1Clinical: Diagnosis made before death but without the benefit of any of the following (2-7)
2Clinical Investigation: Includes all diagnostic techniques (e.g. X-rays, endoscopy, imaging, ultrasound, exploratory surgery and autopsy) without a tissue diagnosis
2Clinical Investigation: Includes all diagnostic techniques (e.g. X-rays, endoscopy, imaging, ultrasound, exploratory surgery and autopsy) without a TISSUE diagnosis
4Specific tumour markers: Includes biochemical and/or immunological markers which are specific for a tumour site

Microscopic
5Cytology: Examination of cells whether from a primary or secondary site, including fluids aspirated using endoscopes or needles. Also including microscopic examination of peripheral blood films and trephine bone marrow aspirates
6Histology of a mestastases: Histological examination of tissues from a metastasis, including autopsy specimens
7Histology of a primary tumour: Histological examination of tissue from the primary tumour, however obtained, including all cutting and bone marrow biopsies. Also includes autopsy specimens of a primary tumour
9Unknown: No information on how the diagnosis has been made (e.g. PAS or HISS record only)
6Histology of a mestastases: Histological examination of TISSUES from a metastasis, including autopsy specimens
7Histology of a primary tumour: Histological examination of TISSUE from the primary tumour, however obtained, including all cutting and bone marrow biopsies. Also includes autopsy specimens of a primary tumour
9Unknown: No information on how the diagnosis has been made (e.g. Patient Administration System (PAS) / Electronic Patient Record (EPR) only)

References:
National Cancer Dataset Version 1.3_ISB October 2002

 

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BROAD PATIENT GROUP CODE

Change to Attribute: Changed Description

The coded type of PATIENT intended to use, or using, a facility.

National Codes:

1General patients
1General PATIENTS
2Younger physically disabled
3Neonates
4Maternity patients
5Patients with mental illness
6Patients with learning disabilities
4Maternity PATIENTS
5PATIENTS with mental illness
6PATIENTS with learning disabilities
8Terminally ill/palliative care
 

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CANCER SPECIALIST REFERRAL DATE

Change to Attribute: Changed Description

The date on which the decision was made to refer a PATIENT with suspected cancer to an appropriate cancer specialist. An appropriate specialist is the PERSON or PERSONS who are most able to progress the diagnosis of the primary tumour. This date will be one of the following:

-The date on which the referral was made
-The date of the letter or fax from GENERAL PRACTITIONER or other hospital department
-The date of phone call from referring GENERAL PRACTITIONER or other hospital department
-The date of cross-referral where the patient is already in hospital.
-The date of cross-referral where the PATIENT is already in hospital.

References:
The NHS National Cancer Waiting Times, Department of HealthData Set Change Notice 22/2002.

 

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CLINICAL CARE INTENSITY

Change to Attribute: Changed Description

The level of resources and intensity of care which it is intended to provide or is provided in a particular WARD.

National Codes:

For patients with mental illness
51for intensive care: specially designated ward for patients needing containment and more intensive management. This is not to be confused with intensive nursing where a patients may require one to one nursing while on a standard ward
52for short stay: patients intended to stay less than a year
53for long stay: patients intended to stay a year or more
For PATIENTS with mental illness
51for intensive care: specially designated ward for PATIENTS needing containment and more intensive management. This is not to be confused with intensive nursing where PATIENTS may require one to one nursing while on a standard WARD
52for short stay: PATIENTS intended to stay less than a year
53for long stay: PATIENTS intended to stay a year or more
For patients with learning disabilities
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
62PATIENTS intending to stay less than a year
63PATIENTS intending to stay a year or more
For maternity patients
41only for patients looked after by consultants
43only for patients looked after by General Medical Practitioners
42for joint use by consultants & General Medical Practitioners
For maternity PATIENTS
41only for PATIENTS looked after by CONSULTANTS
43only for PATIENTS looked after by GENERAL MEDICAL PRACTITIONERS
42for joint use by CONSULTANTS & GENERAL MEDICAL PRACTITIONERS
For neonates
33maternity: associated with the maternity ward in that cots are in the maternity ward nursery or in the ward itself
32non-maternity: not associated with the maternity ward and without designated cots for intensive care
31not associated with the maternity ward and in which there are some designated cots for intensive care
33maternity: associated with the maternity WARD in that cots are in the maternity WARD nursery or in the WARD itself
32non-maternity: not associated with the maternity WARD and without designated cots for intensive care
31not associated with the maternity WARD and in which there are some designated cots for intensive care
For the younger physically disabled
21spinal units, only those units which are nationally recognised
22other units
For terminally ill/palliative care
81terminally ill/palliative care
For general patients
For general PATIENTS
11for intensive therapy, including high dependency care
12for normal therapy: where resources permit the admission of patients who might need all but intensive or high dependency therapy
13for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease
12for normal therapy: where resources permit the admission of PATIENTS who might need all but intensive or high dependency therapy
13for limited therapy: where nursing care rather than continuous medical care is provided. Such WARDS can be used only for PATIENTS carefully selected and restricted to a narrow range in terms of the extent and nature of disease

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

 

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CRITICAL CARE DISCHARGE STATUS

Change to Attribute: Changed Description

The discharge status of a PATIENT who is discharged from a Ward Stay where they were receiving care as part of a CRITICAL CARE PERIOD and the discharge ends the CRITICAL CARE PERIOD.

National Codes:

01Fully ready for discharge
02Discharge for palliative care
03Early discharge due to shortage of critical care beds
04Delayed discharge due to shortage of other ward beds
04Delayed discharge due to shortage of other WARD beds
05Current level of care continuing in another location
06More specialised care in another location
07Self discharge against medical advice
08PATIENT died (no organs donated)
09PATIENT died (heart beating solid organ donor)
10PATIENT died (cadaveric tissue donor)
11PATIENT died (non heart beating solid organ donor)
11PATIENT died (non heart beating solid organ donor)

National Code 11 'PATIENT died (non heart beating solid organ donor)' should not be reported nationally until the functionality to do so becomes available in the next release of the Commissioning Data Sets (Version 6-2) and the associated CDS-XML Schema Release. Prior to this release, this code may be recorded locally, however this National Code 11 cannot be transmitted in the current versions of the Commissioning Data Sets (6-0 and 6-1).

 

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DEPARTMENT TYPE

Change to Attribute: Changed Description

This is used to record the type of Isotope Procedure Department, based on the MAIN SPECIALTY CODE of the head of the DEPARTMENT, or the type of Physiological Measurement Department.The type of Isotope Procedure Department, based on the MAIN SPECIALTY CODE of the head of the DEPARTMENT, or the type of Physiological Measurement Department.

National Codes:

01Accident And Emergency Department
02Pathology Department
03Professional Staff Group Department
04Radiology Department
05Radiotherapy Department
01Accident And Emergency Department
02Pathology Department
03Professional Staff Group Department
04Radiology Department
05Radiotherapy Department
20Isotope Procedure Department 
 21nuclear medicine
 22medical physics
 23other
30Physiological Measurement Department 
 31electrocardiography
 32electroencephalography
 33respiratory function
 

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DIAGNOSTIC TEST REQUEST TYPE

Change to Attribute: Changed Description

One of the business definitions listed in the DIAGNOSTIC TEST REQUEST class as a type of this class.

National Codes:

01Request for Isotope Procedure
02Request for Physiological Measurement
03Request for Pathology Investigation
04Request for Radiological Procedure
01Request for Isotope Procedure
02Request for Physiological Measurement
03Request for Pathology Investigation
04Request for Radiological Procedure
 

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ETHNIC CATEGORY CODE

Change to Attribute: Changed Description

The ethnicity of a PERSON, as specified by the PERSON.The ethnicity of a PERSON, as specified by the PERSON.

Note: ETHNIC CATEGORY is the classification used for the 2001 census, replacing ETHNIC GROUP in the Commissioning Data Set Flows.

The Office for National Statistics has developed a further breakdown of the group from that given, which may be used locally.

National Codes:

White
ABritish
BIrish
CAny other White background
 
Mixed
DWhite and Black Caribbean
EWhite and Black African
FWhite and Asian
GAny other mixed background
 
Asian or Asian British
HIndian
JPakistani
KBangladeshi
LAny other Asian background
 
Black or Black British
MCaribbean
NAfrican
PAny other Black background
 
Other Ethnic Groups
RChinese
SAny other ethnic group
 
ZNot stated

National code Z - Not Stated should be used where the PERSON has been given the opportunity to state their ETHNIC CATEGORY but chose not to.

 

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INITIAL CONTACT

Change to Attribute: Changed Description

 This indicates whether this is the PATIENT's first ever contact with a SERVICE.An indication of whether this is the PATIENT's first ever contact with a SERVICE.

 National Codes:National Codes:

YYes
NNo
 

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RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE

Change to Attribute: Changed Aliases


ADMINISTRATIVE CATEGORY

Change to Data Element: Changed Description

Format/length:n2
HES item:ADMINCAT
Format/Length:n2
HES Item:ADMINCAT
National Codes:See ADMINISTRATIVE CATEGORY CODE
Default Codes:98 - Not applicable
 99 - Not known: a validation error

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

A PATIENT who is an Overseas Visitor does not qualify for free NHS healthcare and can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS.

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

If the ADMINISTRATIVE CATEGORY changes during a Hospital Provider Spell the ADMINISTRATIVE CATEGORY (ON ADMISSION) is used to derive the 'Category of PATIENT' for Hospital Episode Statistics (HES).

ADMINISTRATIVE CATEGORY will be replaced with ADMINISTRATIVE CATEGORY CODE, which should be used for all new and developing data sets and for XML messages.

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

 

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ADMINISTRATIVE CATEGORY CODE

Change to Data Element: Changed Description

Format/Length:an2
HES Item:ADMINCAT
National Codes:See ADMINISTRATIVE CATEGORY CODE
Default Codes:98 - Not applicable
 99 - Not known: a validation error

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

A PATIENT who is an Overseas Visitor does not qualify for free NHS healthcare can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS.

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

If the ADMINISTRATIVE CATEGORY CODE changes during a Hospital Provider Spell the ADMINISTRATIVE CATEGORY (ON ADMISSION) is used to derive the 'Category of PATIENT' for Hospital Episode Statistics (HES).

ADMINISTRATIVE CATEGORY CODE replaces ADMINISTRATIVE CATEGORY and should be used for all new and developing data sets and for XML messages.

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

 

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CANCER CARE PLAN INTENT

Change to Data Element: Changed Description

Format/length:an1
HES item: 
Format/Length:an1
HES Item: 
National Codes:See CANCER CARE PLAN INTENT
Default Codes:9 - Not known

Notes:
CANCER CARE PLAN INTENT is the same as attribute CANCER CARE PLAN INTENT

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CANCER CLINICAL TRIAL TREATMENT TYPE

Change to Data Element: Changed Description

Format/length:n1
HES item: 
Format/Length:n1
HES Item: 
National Codes:See CANCER CLINICAL TRIAL TREATMENT TYPE
Default Codes: 

Notes:
CANCER CLINICAL TRIAL TREATMENT TYPE is the same as attribute CANCER CLINICAL TRIAL TREATMENT TYPE.  

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CANCER REFERRAL DECISION DATE

Change to Data Element: Changed Description

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

Notes:
CANCER REFERRAL DECISION DATE is the same as attribute CANCER REFERRAL DECISION DATE.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

 

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CANCER SPECIALIST REFERRAL DATE

Change to Data Element: Changed Description

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


Notes:
CANCER SPECIALIST REFERRAL DATE may be the same date as CANCER REFERRAL DECISION DATE if the initial referral was direct to an appropriate specialist for the cancer.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

 

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CARE PLAN AGREED DATE

Change to Data Element: Changed Description

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


Notes:
CARE PLAN AGREED DATE is the same as attribute CARE PLAN AGREED DATE.

 

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CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD)

Change to Data Element: Changed Description

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


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

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

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

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

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

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

 

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CARE SPELL IDENTIFIER (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/length:an12
HES item: 
Format/Length:an12
HES Item: 
National Codes: 
Default Codes: 


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

The unique identifier of an Adult Mental Health Care Spell recorded when 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.

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

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

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

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

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

 

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CARE SPELL NUMBER IN REPORTING PERIOD

Change to Data Element: Changed Description

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

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

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

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

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

 

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CONTACT DATE (DIETICIAN INITIAL)

Change to Data Element: Changed linked Attribute

CONTACT DATE (DIETICIAN INITIAL)
 
Attribute:
ACTIVITY DATE

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END DATE (BRACHYTHERAPY TREATMENT COURSE)

Change to Data Element: Changed Description

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

Notes:
This is the date on which the Brachytherapy Treatment Course ends.END DATE (BRACHYTHERAPY TREATMENT COURSE) is the date on which the Brachytherapy Treatment Course ends. See also Radiotherapy Treatment Course.

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

 

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HAEMOGLOBIN CONCENTRATION

Change to Data Element: Changed Description

Format/Length:nn.n
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 outcome of the Clinical Investigation which measures the PERSON's haemoglobin concentration in 'g/dl (grammes per decilitre).HAEMOGLOBIN CONCENTRATION is the outcome of the Clinical Investigation which measures the PERSON's haemoglobin concentration in 'g/dl (grammes per decilitre).'

 

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INTENDED CLINICAL CARE INTENSITY

Change to Data Element: Changed Description

Format/length:n2
HES item: 
Format/Length:n2
HES Item: 
National Codes:See CLINICAL CARE INTENSITY
Default Codes: 

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

INTENDED CLINICAL CARE INTENSITY is the same as attribute CLINICAL CARE INTENSITY, and the values recorded within the Commissioning Data Set messages are the National Codes contained within the definition of CLINICAL CARE INTENSITY, including additions:

 For patients with mental illness
51for intensive care: specially designated ward for patients needing containment and more intensive management. This is not to be confused with intensive nursing where a patients may require one to one nursing while on a standard ward
52for short stay: patients intended to stay less than a year
53for long stay: patients intended to stay a year or more
 For patients with learning disabilities
 For PATIENTS with mental illness
51for intensive care: specially designated ward for PATIENTS needing containment and more intensive management. This is not to be confused with intensive nursing where PATIENTS may require one to one nursing while on a standard WARD
52for short stay: PATIENTS intended to stay less than a year
53for long stay: PATIENTS intended to stay 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
 For maternity patients
41only for patients looked after by consultants
43only for patients looked after by General Medical Practitioners
42for joint use by consultants & General Medical Practitioners
62PATIENTS intending to stay less than a year
63PATIENTS intending to stay a year or more
 For maternity PATIENTS
41only for PATIENTS looked after by CONSULTANTS
43only for PATIENTS looked after by GENERAL MEDICAL PRACTITIONERS
42for joint use by CONSULTANTS & GENERAL MEDICAL PRACTITIONERS
 For neonates
33maternity: associated with the maternity ward in that cots are in the maternity ward nursery or in the ward itself
32non-maternity: not associated with the maternity ward and without designated cots for intensive care
31not associated with the maternity ward and in which there are some designated cots for intensive care
33maternity: associated with the maternity WARD in that cots are in the maternity WARD nursery or in the WARD itself
32non-maternity: not associated with the maternity WARD and without designated cots for intensive care
31not associated with the maternity WARD and in which there are some designated cots for intensive care
 For the younger physically disabled
21spinal units, only those units which are nationally recognised
22other units
 For terminally ill/palliative care
81terminally ill/palliative care
 For general patients
 For general PATIENTS
11for intensive therapy, including high dependency care
12for normal therapy: where resources permit the admission of patients who might need all but intensive or high dependency therapy
13for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease
12for normal therapy: where resources permit the admission of PATIENTS who might need all but intensive or high dependency therapy
13for limited therapy: where nursing care rather than continuous medical care is provided. Such WARDS can be used only for PATIENTS carefully selected and restricted to a narrow range in terms of the extent and nature of disease
 additional codes
71Home Leave, non-psychiatric
72Home Leave, psychiatric

INTENDED CLINICAL CARE INTENSITY will be replaced with INTENDED CLINICAL CARE INTENSITY CODE, which should be used for all new and developing data sets and for XML messages.

 

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INTENDED CLINICAL CARE INTENSITY CODE

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

INTENDED CLINICAL CARE INTENSITY CODE is the same as attribute CLINICAL CARE INTENSITY and the values recorded are the National Codes contained within the definition of CLINICAL CARE INTENSITY, including additions:

 For patients with mental illness
51for intensive care: specially designated ward for patients needing containment and more intensive management. This is not to be confused with intensive nursing where a patients may require one to one nursing while on a standard ward
52for short stay: patients intended to stay less than a year
53for long stay: patients intended to stay a year or more
 For patients with learning disabilities
 For PATIENTS with mental illness
51for intensive care: specially designated ward for PATIENTS needing containment and more intensive management. This is not to be confused with intensive nursing where PATIENTS may require one to one nursing while on a standard WARD
52for short stay: PATIENTS intended to stay less than a year
53for long stay: PATIENTS intended to stay 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
 For maternity patients
41only for patients looked after by consultants
43only for patients looked after by General Medical Practitioners
42for joint use by consultants & General Medical Practitioners
62PATIENTS intending to stay less than a year
63PATIENTS intending to stay a year or more
 For maternity PATIENTS
41only for PATIENTS looked after by CONSULTANTS
43only for PATIENTS looked after by GENERAL MEDICAL PRACTITIONERS
42for joint use by CONSULTANTS & GENERAL MEDICAL PRACTITIONERS
 For neonates
33maternity: associated with the maternity ward in that cots are in the maternity ward nursery or in the ward itself
32non-maternity: not associated with the maternity ward and without designated cots for intensive care
31not associated with the maternity ward and in which there are some designated cots for intensive care
33maternity: associated with the maternity WARD in that cots are in the maternity WARD nursery or in the WARD itself
32non-maternity: not associated with the maternity WARD and without designated cots for intensive care
31not associated with the maternity WARD and in which there are some designated cots for intensive care
 For the younger physically disabled
21spinal units, only those units which are nationally recognised
22other units
 For terminally ill/palliative care
81terminally ill/palliative care
 For general patients
 For general PATIENTS
11for intensive therapy, including high dependency care
12for normal therapy: where resources permit the admission of patients who might need all but intensive or high dependency therapy
13for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease
12for normal therapy: where resources permit the admission of PATIENTS who might need all but intensive or high dependency therapy
13for limited therapy: where nursing care rather than continuous medical care is provided. Such WARDS can be used only for PATIENTS carefully selected and restricted to a narrow range in terms of the extent and nature of disease
 additional codes
71Home Leave, non-psychiatric
72Home Leave, psychiatric

INTENDED CLINICAL CARE INTENSITY CODE replaces INTENDED CLINICAL CARE INTENSITY and should be used for all new and developing data sets and for XML messages.

 

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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 permitted values from the list of National Codes are:

 For PATIENTS with Mental Illness:
 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:
 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
 The following value 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):
 The following value 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):
72Home Leave, psychiatric
 

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LEARNING DISABILITY INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
HES Item: 
National Codes:See LEARNING DISABILITY INDICATOR
Default Codes:X - Not Known

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:
LEARNING DISABILITY INDICATOR is the same as LEARNING DISABILITY INDICATOR.LEARNING DISABILITY INDICATOR is the same as attribute LEARNING DISABILITY INDICATOR.

 

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LOCATION TYPE

Change to Data Element: Changed Description

Format/Length:n2
HES Item: 
National Codes:See LOCATION TYPE CODE 
Default Codes: 

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.

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

LOCATION TYPE will be replaced with ACTIVITY LOCATION TYPE CODE, which should be used for all new and developing data sets and for XML messages.

The codes used for this Data Element are under review.

Permitted National Codes for use in the Commissioning Data Sets:

01Client's or PATIENT's Home
02Health Centre
03GP Practice premises other than Health Centre
04WARD on NHS Hospital Site
06Hospice
07Other Voluntary or Private Hospital or Nursing Home
08Group Home managed by the NHS
09Group Home managed by Local Authority
10Group Home managed by Voluntary or Private Agents
11Other Residential Care Homes managed by Local Authority
12Other Residential Care Homes managed by Voluntary or Private Agents
13NHS Day Care Facility on NHS Hospital Site
14NHS Day Care Facility on Other Sites
15Day Centre managed by Local Authority
16Day Centre managed by Voluntary or Private Agents
17NHS Consultant Clinic Premises on a NHS Hospital Site
18NHS Consultant Clinic Premises off a NHS Hospital Site
19Health Clinic managed by the NHS
20Health Clinic managed by Voluntary or Private Agents
21Resource Centre on NHS Hospital Site
22Resource Centre managed by the NHS off NHS Hospital Site
23Resource Centre managed by Local Authority
24Resource Centre managed by Voluntary or Private Agents
25Professional Staff Group Department on NHS Hospital Site
26Professional Staff Group Department managed by the NHS off NHS Hospital Site
27Professional Staff Group Department managed by Local Authority
28Professional Staff Group Department managed by Voluntary or Private Agents
29Educational Establishment Premises managed by Local Authority or Grant Maintained
30Educational Establishment Premises managed by Voluntary or Private Agents
31Other Health or Local Authority Facility on NHS Hospital Site
32Other Health or Local Authority Site managed by the NHS off NHS Hospital Site
33Other Health or Local Authority Site managed by Local Authority
34Other Health or Local Authority Site managed by Voluntary or Private Agents
35Prison Department Establishments
36Public Place or Street, or Police Station
37Other locations not classified elsewhere
38NHS Nursing Home
39Other Residential Care Homes managed by the NHS

Use in the Future Outpatient CDS:
If the LOCATION TYPE where treatment is intended to take place is not yet known, this Data Element should be omitted.If the type of LOCATION where treatment is intended to take place is not yet known, this Data Element should be omitted.

 

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ORGANISATION CODE (CODE OF COMMISSIONER)

Change to Data Element: Changed Description

Format/length:an3 or an5
HES item:PURCODE
National Codes:See ORGANISATION CODE 
ODS Default Codes:VPP00 - Private PATIENTS / Overseas Visitor liable for charge
 XMD00 - Commissioner Code for Ministry of Defence (MoD) Healthcare
 YDD82 - Episodes funded directly by the National Commissioning Group for England

Notes:
This is the ORGANISATION CODE of the ORGANISATION commissioning health care.ORGANISATION CODE (CODE OF COMMISSIONER) is the ORGANISATION CODE of the ORGANISATION commissioning health care.

This should always be the ORGANISATION CODE of the original commissioner for Commissioning Data Sets to support Payment by Results.

The Department of Health document "Who pays? Establishing the Responsible Commissioner" sets out a framework for establishing responsibility for commissioning an individual's care within the NHS, (i.e. determining who pays for a PATIENT’s care.) The guidance is set out in three sections:

  1. Section 1: Establishing who pays - sets out the key principles
  2. Section 2: Applying the key principles - gives further details about a number of services and situations where further clarification of how the key principles are applied may be helpful
  3. Section 3: Exceptions to the key principles - outlines the exceptions to the key principles e.g. prisoners, continuing care arrangements.

Note: There is no obligation for a PERSON to state their place of residence (particularly where an issue of security arises).
Enquiries relating to this document should be directed to the Department of Health, see the Department of Health website for contact details.

The following sections, provide guidance as to which code(s) should be used as the ORGANISATION CODE (CODE OF COMMISSIONER).

General Medical Practitioner Practice Registration (England):

General Medical Practitioner Practice Registration (Wales, Scotland and Northern Ireland):

PATIENTS from the Channel Islands:

Overseas PATIENTS: charge-exempt:

PATIENTS - liable for charges (Overseas and Private):

VPP00 'Private PATIENTS / Overseas Visitor liable for charge' should be used as the ORGANISATION CODE (CODE OF COMMISSIONER) for these PATIENTS.

Prisoners:

  • Since April 2003, GP Practice registration (if any) is disregarded for PERSONS who are detained in prison in England. The Primary Care Trust or Care Trust in which the prison is located is responsible for commissioning NHS services for those prisoners, including NHS dental services.
  • For those usually resident outside the United Kingdom, the responsible commissioner will be the Primary Care Trust or Care Trust in which the prison is located.
  • PERSONS usually resident overseas held in English prisons are exempt from charges for NHS hospital treatment. There is no centrally held budget for this group and costs should be borne by the Primary Care Trust or Care Trust in which the prison is located.

Ministry of Defence:

  • Upon enlistment, Primary Care Trusts and Care Trusts are required to de-register members of the British Armed Forces from their General Medical Practitioner Practice registration list and they should not be able to re-register until they have been discharged. During this time, the Ministry of Defence is responsible for their primary medical services which has specific contractual and entitlement arrangements with the NHS.
  • This does not apply to dependants of British Armed Forces members, who can remain registered with a General Medical Practitioner Practice.
  • XMD00 'Commissioner Code for Ministry of Defence (MoD) Healthcare' should be used as the ORGANISATION CODE (CODE OF COMMISSIONER) for members of British Armed Forces (not dependants).

Specialised Commissioning (England):

 

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ORGANISATION CODE (PCT OF RESIDENCE)

Change to Data Element: Changed Description

Format/length:an3
HES item:PCTR
Format/Length:an3
HES Item:PCTR
National Codes:See ORGANISATION CODE 
ODS Default Codes:Q99 - Primary Care Trust of residence not known.
Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.
 X98 -Primary Care Trust code not applicable (e.g. Overseas Visitors, Wales, Scotland or Northern Ireland). 
Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.

Notes:
This is the ORGANISATION CODE derived from the PATIENT's POSTCODE OF USUAL ADDRESS, where they reside within the boundary of a:ORGANISATION CODE (PCT OF RESIDENCE) is the ORGANISATION CODE derived from the PATIENT's POSTCODE OF USUAL ADDRESS, where they reside within the boundary of a:

ORGANISATION CODES can be downloaded from the Organisation Data Service website or through the online Terminology Reference Data Update Distribution Service (TRUD). For further information, see Organisation Data Service.

For PATIENTS who are Overseas Visitors: Organisation Data Service Default Code X98 'Primary Care Trust code not applicable (e.g. Overseas Visitors, Wales, Scotland or Northern Ireland)' should be reported.
Note: A review of Organisation Data Service Default Codes is planned to be carried out and this default code will be updated as part of that.

For the purposes of sending Commissioning Data Set messages to the Secondary Uses Service (regardless of how local systems hold the data), it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION CODE (PCT OF RESIDENCE) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary, primarily to preserve the integrity of the current Commissioning Data Set message and the CDS PRIME RECIPIENT IDENTITY which is derived from the ORGANISATION CODE (PCT OF RESIDENCE).

The Organisation Data Service provides postcode files which link postcodes to the Primary Care Trust. See NHS Postcode Directory.

 

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PERSON OBSERVATION (BMI)

Change to Data Element: Changed Description

Format/Length:nn.n
HES Item: 
National Codes: 
Default Codes: 

Notes:
PERSON OBSERVATION (BMI) records the Body Mass Index of the PERSON.

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

PERSON OBSERVATION (BMI) will be replaced with body PERSON OBSERVATION (BMI), which should be used for all new and developing data sets and for XML messages.PERSON OBSERVATION (BMI) will be replaced with BODY MASS INDEX, which should be used for all new and developing data sets and for XML messages.

 

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PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL)

Change to Data Element: Changed Description

Format/Length:n3 nn.n
HES Item: 
National Codes: 
Default Codes: 


Notes:
PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) is the recorded cholesterol level (Serum Cholesterol Level in mmol/L) of a PATIENT.

This corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE is 'Serum Cholesterol Level' and the MEASUREMENT VALUE TYPE CODE is 'mmol/L'.

This corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE is 'Serum Cholesterol Level' and the MEASUREMENT VALUE TYPE CODE is 'mmol/L'.PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) will be replaced with SERUM CHOLESTEROL which should be used for all new and developing data sets and for XML messages.

 

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PLATELETS COUNT

Change to Data Element: Changed Description

Format/Length:n4
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 result of the Clinical Investigation of the count of platelets in a PATIENT's blood sample in 'x109/l (i.e. times ten to the power 9 per litre).PLATELETS COUNT is the result of the Clinical Investigation of the count of platelets in a PATIENT's blood sample in 'x109/l (i.e. times ten to the power 9 per litre).'

 

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REPORTING PERIOD END DATE

Change to Data Element: Changed Description

Format/length:see DATE 
HES item: 
Format/Length:See DATE 
HES Item: 
National Codes: 
Default Codes: 


Notes:
This is the same as attribute REPORTING PERIOD END DATE.

REPORTING PERIOD END DATE is the same as attribute REPORTING PERIOD END DATE.

This is the end date of the REPORTING PERIOD and is used in conjunction with REPORTING PERIOD START DATE to specify the actual period the reported information relates to.REPORTING PERIOD END DATE is the end date of the REPORTING PERIOD and is used in conjunction with REPORTING PERIOD START DATE to specify the actual period the reported information relates to.

The date should not be before the REPORTING PERIOD START DATE although it can be the same if the period being reported only covers 1 day.

 

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REPORTING PERIOD START DATE

Change to Data Element: Changed Description

Format/length:see DATE 
HES item: 
Format/Length:See DATE 
HES Item: 
National Codes: 
Default Codes: 


Notes:
This is the same as attribute REPORTING PERIOD START DATE.

REPORTING PERIOD START DATE is the same as attribute REPORTING PERIOD START DATE.

This is the start date of the REPORTING PERIOD and is used in conjunction with REPORTING PERIOD END DATE to specify the actual period the reported information relates to.REPORTING PERIOD START DATE is the start date of the REPORTING PERIOD and is used in conjunction with REPORTING PERIOD END DATE to specify the actual period the reported information relates to.

The date should not be after the REPORTING PERIOD END DATE although it can be the same if the period being reported only covers 1 day.

 

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SERUM CHOLESTEROL

Change to Data Element: Changed Description

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


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

SERUM CHOLESTEROL is the Serum Cholesterol Level of a PATIENT.

A fasting sample ideally taken within 24 hours of admission

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

 SERUM CHOLESTEROL replaces PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) and should be used for all new and developing data sets and for XML messages.

 

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SERVICE REQUEST DATE

Change to Data Element: Changed Description

Format/Length:See DATE 
HES item: 
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:
SERVICE REQUEST DATE is the same as attribute SERVICE REQUEST DATE.

The date on which the referral was made, as recorded on the REFERRAL REQUEST.

 

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SERVICE REQUEST IDENTIFIER

Change to Data Element: Changed Description

Format/Length:an20 (variable length)
Format/Length:max an20
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:
SERVICE REQUEST IDENTIFIER is the same as attribute SERVICE REQUEST IDENTIFIER.

 

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SEX

Change to Data Element: Changed Description

Format/length:n1
HES item:SEX
Format/Length:n1
HES Item:SEX
National Codes:See PERSON GENDER CODE
Default Codes: 

Notes:
SEX is the same as the attribute PERSON GENDER CODE.

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

 

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START DATE (EPISODE)

Change to Data Element: Changed Description

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


Notes:
START DATE (EPISODE) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the episode.

Record the start and end dates of the episode to derive the period that the PATIENT was under the care of a particular CONSULTANT, MIDWIFE or NURSE during the Hospital Provider Spell.

 

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START DATE (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

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


Notes:
START DATE (HOSPITAL PROVIDER SPELL) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Hospital Provider Spell.

The Start Date of the Hospital Provider Spell is the date of admission: the CONSULTANT or MIDWIFE has assumed responsibility for care following the DECISION TO ADMIT the PATIENT.

 

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STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS

Change to Data Element: Changed Description

Format/length:n1
HES item:CENSAT
Format/Length:n1
HES Item:CENSAT
National Codes: 
Default Codes: 

Notes:
The information about the current detained status is derived from LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) and the length of stay in hospital derived from details held about the current Hospital Provider Spell

See Mental Health Act Table for details of how this data item relates to Parts and Sections of the Act.

Permitted National Codes:

1Detained patient
2Long term patient
3Detained and long term patient
1Detained PATIENT
2Long term PATIENT
3Detained and long term PATIENT

STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS will be replaced with STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODE, which should be used for all new and developing data sets and for XML messages.

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

 

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STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODE

Change to Data Element: Changed Description

Format/Length:an1
HES Item:CENSAT
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 information about the current detained status is derived from MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE) and the length of stay in hospital derived from details held about the current Hospital Provider Spell

See Mental Health Act Table for details of how this data item relates to Parts and Sections of the Act.

Permitted National Codes:

1Detained patient
2Long term patient
3Detained and long term patient
1Detained PATIENT
2Long term PATIENT
3Detained and long term PATIENT

STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODE replaces STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS, and should be used for all new and developing data sets and for XML messages.

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

 

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STATUS OF PERSON CONDUCTING DELIVERY

Change to Data Element: Changed Description

Format/length:n1
HES item:DELSTAT
Format/Length:n1
HES Item:DELSTAT
National Codes:See STATUS OF PERSON CONDUCTING DELIVERY
Default Codes:9 - Not known: a validation error


Notes:
STATUS OF PERSON CONDUCTING DELIVERY is the same as the attribute STATUS OF PERSON CONDUCTING DELIVERY.

STATUS OF PERSON CONDUCTING DELIVERY will be replaced with STATUS OF PERSON CONDUCTING DELIVERY CODE, which should be used for all new and developing data sets and for XML messages.

 

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WHITE BLOOD CELL COUNT

Change to Data Element: Changed Description

Format/Length:nn.n
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 outcome of the Clinical Investigation which measures the PERSON's white cell blood count in 'x109/l (i.e. times ten to the power 9 per litre).WHITE BLOOD CELL COUNT is the outcome of the Clinical Investigation which measures the PERSON's white cell blood count in 'x109/l (i.e. times ten to the power 9 per litre).'

 

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For enquiries, please email datastandards@nhs.net