Data Set: ADMITTED PATIENT CARE CDS TYPE

COMMISSIONING DATA SET (CDS) (retired)

ADMITTED PATIENT CARE CDS TYPE - BIRTH EPISODE

The Admitted Patient Care Birth Episode Commissioning Data Set Type carries the data for a finished or unfinished Birth Episode. A Birth Episode record is required when there has been a delivery resulting in a registrable birth. This may take place in either NHS hospitals or in non-NHS hospitals funded by the NHS. The information is taken from the birth notification for each baby born and added to the baby's record.

The column headed Opt (Optionality) shows whether the data element is Mandatory (M) or Optional (O) in this specific CDS.

The column headed U/A (Unfinished Episode / Annual Census) indicates whether the data element is required to be recorded on an unfinished Birth Episode record and on an End of Year Census record, which is required for all unfinished Birth Episodes at midnight on 31 March.

An R in the U/A column indicates that it is required to be present, a blank indicates that it is not required to be present.

The column headed HES indicates whether the data element is extracted from the NWCS database for Hospital Episode Statistics. A filled circle in the column indicates that it is extracted if present, a blank indicates that it is not extracted. Note that Hospital Episode Statistics records contain derived items. The table below indicates the base data from which these items are derived, and the CDS/HES cross reference table will show the derivation.

Opt	CDS Data Element	U/A	HES

Person Group (Patient): To carry the personal details of the Patient (the baby). One occurrence of this Group is permitted.
M	LOCAL PATIENT IDENTIFIER	R	•
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)	R
M	ORGANISATION CODE TYPE	R
O	NHS NUMBER	R	•
M	PERSON BIRTH DATE	R	•
M	BIRTH WEIGHT	R	•
M	LIVE OR STILL BIRTH	R	•
O	ETHNIC CATEGORY	R
M	NHS NUMBER STATUS INDICATOR	R	•
M	SEX	R	•
O	NAME FORMAT CODE	R
O	PATIENT NAME	R
	Note: For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. Birth Episodes do not carry address details for a baby. By local agreement, it may be assumed that the baby's address details are identical to that of the mother whose details may be carried in the Person Group (Mother) of the Birth Occurrence Group.

(HCA) Hospital Provider Spell - Activity Characteristics: To carry the details of the Spell containing the Birth Episode. One occurrence of this Group is permitted.
M	HOSPITAL PROVIDER SPELL NUMBER	R	•
M	ADMINISTRATIVE CATEGORY (on admission)	R	•
M	PATIENT CLASSIFICATION	R	•
M	ADMISSION METHOD (HOSPITAL PROVIDER SPELL)	R	•
M	DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)		•
M	DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)		•
M	SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)	R	•
M	START DATE (HOSPITAL PROVIDER SPELL)	R	•
M	DISCHARGE DATE (HOSPITAL PROVIDER SPELL)		•

(HCA) Consultant Episode - Activity Characteristics: To carry the details of the Birth Episode undergone by the Patient. One occurrence of this Group is permitted.
M	EPISODE NUMBER	R	•
M	LAST EPISODE IN SPELL INDICATOR	R	•
M	NEONATAL LEVEL OF CARE	R	•
M	OPERATION STATUS (per episode)	R	•
M	NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE	R	•
M	START DATE (EPISODE)	R	•
M	END DATE (EPISODE)		•

(HCA) Consultant Episode - Service Agreement Details: To carry the details of the Service Agreement for the Birth Episode.
M	COMMISSIONING SERIAL NUMBER	R	•
O	NHS SERVICE AGREEMENT LINE NUMBER	R
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBER	R
M	ORGANISATION CODE (CODE OF PROVIDER)	R	•
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE (CODE OF COMMISSIONER)	R	•
M	ORGANISATION CODE TYPE

(HCA) Consultant Episode - Person Group (Consultant): To carry the details of the responsible Consultant, Midwife or Nurse. One occurrence of this Group is permitted.
M	CONSULTANT CODE	R	•
M	MAIN SPECIALTY CODE	R	•
M	TREATMENT FUNCTION CODE	R	•

(HCA) Consultant Episode - Clinical Information Group (ICD): To carry the details of the ICD Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
M	DIAGNOSIS SCHEME IN USE	R
M	PRIMARY DIAGNOSIS (ICD)	R	•
M	SECONDARY DIAGNOSIS (ICD) (1st to 12th, there may be up to 12 repetitions)	R	•

(HCA) Consultant Episode - Clinical Information Group (READ): To carry the details of the READ Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (READ)
O	SECONDARY DIAGNOSIS (READ) (1st to 12th, there may be up to 12 repetitions)

(HCA) Consultant Episode - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
M	PROCEDURE SCHEME IN USE
M	PRIMARY PROCEDURE (OPCS)	•
M	PROCEDURE DATE	•
M	PROCEDURE (OPCS) (2nd to 12th, there may be up to 11 repetitions)	•
M	PROCEDURE DATE (2nd to 12th, there may be up to 11 repetitions)	•

(HCA) Consultant Episode - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
O	PROCEDURE SCHEME IN USE
O	PRIMARY PROCEDURE (READ)
O	PROCEDURE DATE
O	PROCEDURE (READ) (2nd to 12th, there may be up to 11 repetitions)
O	PROCEDURE DATE (2nd to 12th, there may be up to 11 repetitions)

(HCA) Consultant Episode - Location Group - Start of Episode: To carry the details of the location at the start of the Consultant/ Midwife/ Nurse Episode (eg the ward). One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M	LOCATION CLASS	R
M	SITE CODE (OF TREATMENT) (at start of episode)	R	•
M	ORGANISATION CODE TYPE	R
O	INTENDED CLINICAL CARE INTENSITY	R	•
O	AGE GROUP INTENDED	R	•
O	SEX OF PATIENTS	R	•
O	WARD DAY PERIOD AVAILABILITY	R	•
O	WARD NIGHT PERIOD AVAILABILITY	R	•

(HCA) Consultant Episode - Location Group - Ward Stay: To carry the details of one or more Ward Stays. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT)
M	ORGANISATION CODE TYPE
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
O	START DATE (at start of stay)
O	END DATE (at end of stay)

(HCA) Consultant Episode - Location Group - End of Episode: To carry the details of the location at the end of the Consultant/ Midwife/ Nurse Episode (eg the ward). One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT) (at end of episode)
M	ORGANISATION CODE TYPE
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY

(HCA) Critical Care Period: To carry the details of the Critical Care undergone by the Patient. Where there are multiple Critical Care Periods within the Consultant Episode then only the first 9 Critical Care Periods should be included. NB the Critical Care Period may overlap Consultant/ Midwife/ Nurse Episodes ie the CRITICAL CARE START DATE may precede the start of the Consultant/ Midwife/ Nurse Episode; similarly the Critical Care Period may not have ended by the end of the Consultant/ Midwife/ Nurse Episode. CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION should be present in each Consultant/ Midwife/ Nurse Episode which contains all or part of a Critical Care Period. Support Days and Critical Care Level Days should only be entered when the CRITICAL CARE DISCHARGE DATE is entered ie not in any Consultant/ Midwife/ Nurse Episodes where the Critical Care Period is unfinished. The CRITICAL CARE DISCHARGE DATE must be on or before the discharge date for the Hospital Provider Spell.
M	CRITICAL CARE LOCAL IDENTIFIER	R	•
M	CRITICAL CARE START DATE	R	•
M	CRITICAL CARE UNIT FUNCTION	R	•
M	ADVANCED RESPIRATORY SUPPORT DAYS		•
M	BASIC RESPIRATORY SUPPORT DAYS		•
M	ADVANCED CARDIOVASCULAR SUPPORT DAYS		•
M	BASIC CARDIOVASCULAR SUPPORT DAYS		•
M	RENAL SUPPORT DAYS		•
M	NEUROLOGICAL SUPPORT DAYS		•
M	DERMATOLOGICAL SUPPORT DAYS		•
M	LIVER SUPPORT DAYS		•
M	CRITICAL CARE LEVEL 2 DAYS		•
M	CRITICAL CARE LEVEL 3 DAYS		•
M	CRITICAL CARE DISCHARGE DATE		•

(HCA) GP Registration: To carry the details of the baby's mother's Registered GMP. One occurrence of this Group is permitted.
M	GENERAL MEDICAL PRACTITIONER (SPECIFIED)	R	•
O	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)	R	•
O	ORGANISATION CODE TYPE

(HCA) Referral: To carry the details of the referrer. This will be the referral that led to the mother's Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted.
M	REFERRER CODE	R	•
M	REFERRING ORGANISATION CODE	R	•
M	ORGANISATION CODE TYPE

(HCA) Pregnancy Activity Characteristics: To carry the number of babies resulting from this pregnancy. One occurrence of this Group is permitted.
M	NUMBER OF BABIES	R	•

(HCA) Antenatal Care Activity Characteristics: To carry details of the start of the antenatal care. One occurrence of this Group is permitted.
M	FIRST ANTENATAL ASSESSMENT DATE	R	•

(HCA) Antenatal Care Person Group (Responsible Clinician): To carry details of the responsible clinician. One occurrence of this Group is permitted.
M	GENERAL MEDICAL PRACTITIONER (ANTENATAL CARE)	R
O	GENERAL MEDICAL PRACTITIONER PRACTICE (ANTENATAL CARE)	R
O	ORGANISATION CODE TYPE

(HCA) Antenatal Care Location Group (Delivery Place Intended): To carry details of the intended delivery place. One occurrence of this Group is permitted.
M	LOCATION CLASS	R
M	DELIVERY PLACE CHANGE REASON	R	•
M	DELIVERY PLACE TYPE (INTENDED)	R	•

(HCA) Hospital Labour/Delivery Activity Characteristics: To carry details of the Labour/Delivery. One occurrence of this Group is permitted.
M	ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY	R	•
M	ANAESTHETIC GIVEN POST LABOUR OR DELIVERY	R	•
O	GESTATION LENGTH (LABOUR ONSET)	R
M	LABOUR OR DELIVERY ONSET METHOD	R	•
M	DELIVERY DATE	R

(HCA) Birth Occurrence Activity Characteristics: To carry details of the birth occurrence. One occurrence of this Group is permitted.
M	BIRTH ORDER	R	•
M	DELIVERY METHOD	R	•
M	GESTATION LENGTH (ASSESSMENT)	R	•
M	RESUSCITATION METHOD	R	•
M	STATUS OF PERSON CONDUCTING DELIVERY	R	•

(HCA) Birth Occurrence Person Group (Mother): To carry the personal details of the baby's mother. One occurrence of this Group is permitted.
O	LOCAL PATIENT IDENTIFIER (MOTHER)	R
O	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER))	R
O	ORGANISATION CODE TYPE (MOTHER)
O	NHS NUMBER (MOTHER)	R
O	NHS NUMBER STATUS INDICATOR (MOTHER)	R
M	BIRTH DATE (MOTHER)	R	•
O	ADDRESS FORMAT CODE (MOTHER)
O	PATIENT USUAL ADDRESS (MOTHER)
M	POSTCODE OF USUAL ADDRESS	R	•
M	ORGANISATION CODE (PCT OF RESIDENCE)	R	•
M	ORGANISATION CODE TYPE

(HCA) Birth Occurrence Location - Delivery Place Actual: To carry the type of place where delivery actually occurred. One occurrence of this Group within each Birth Group is permitted.
M	LOCATION CLASS
M	DELIVERY PLACE TYPE (ACTUAL)	R	•

(HCA) Healthcare Resource Group Activity - Activity Characteristics: To carry the details of the Healthcare Resource Group and will be mandatory from 01/10/2001. Each CDS may contain only a single occurrence of this Group.
M	HEALTHCARE RESOURCE GROUP CODE		•
M	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER		•

(HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. Only one Procedure either OPCS or READ may be specified
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE		•