CDS V6-3 Type 020 - Outpatient CDS
The CDS V6-3 Type 020 - Outpatient Commissioning Data Set carries the data for a Care Professional Out-Patient Attendance or a cancelled/missed APPOINTMENT.
Overview
Introduction
The CDS V6-3 Type 020 - Outpatient Commissioning Data Set carries the data for a Care Professional Out-Patient Attendance or a cancelled/missed APPOINTMENT.
It covers all NHS and private Out-patient ACTIVITY taking place in any:
-
acute, community, mental health NHS Trust or NHS Foundation Trust
-
other NHS hospital
-
non-NHS hospitals or institutions where the care delivered is NHS-funded.
under the care of a CONSULTANT, MIDWIFE, NURSE or ALLIED HEALTH PROFESSIONAL, where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists.
ACTIVITY taking place under the care of ALLIED HEALTH PROFESSIONALS, other Biomedical Scientists and Clinical Scientists may also be carried (where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists) if required although this is not a Commissioning Data Set Mandated Data Flow, unless the ACTIVITY falls under the Allied Health Professional Referral To Treatment Measurement standard. In this case, a Care Professional Out-Patient Attendance record for the ALLIED HEALTH PROFESSIONAL ACTIVITY must be submitted, with the CDS DATA GROUP : PATIENT PATHWAY data elements completed as necessary.
Where the Out-patient data relates to a Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement, the CDS DATA GROUP : PATIENT PATHWAY data elements must be completed where appropriate.
This CDS Type may also be used to submit Referral To Treatment Clock Stop Administrative Events.
To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.
Notation
See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.
Business Rules
See Commissioning Data Set Business Rules for an explanation of the business and/or processing rules which apply to individual Data Elements.
XML Schema
For guidance on the XML Schema constraints, see the Commissioning Data Set Version 6-3 XML Schema Constraints.
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Specification
Notation |
Data Group: CDS V6-3 Type 001 - CDS Interchange Header |
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---|---|---|---|---|---|
Group Status |
Group Repeats |
Function: To define the mandatory identity and addressing information for a Commissioning Data Set submission. |
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M |
1..1 |
Data Group: CDS V6-3 Type 001 - CDS Interchange Header One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
Notation |
Data Group: CDS V6-3 Type 003 - CDS Message Header |
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---|---|---|---|---|---|
Group Status |
Group Repeats |
Function: To define the mandatory identity and addressing information for a Commissioning Data Set submission. |
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M |
1..1 |
Data Group: CDS V6-3 Type 003 - CDS Message Header One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
One of the following options must be used:
Notation |
Data Group: CDS V6-3 Type 005B - CDS Transaction Header Group - Bulk Update Protocol |
||
---|---|---|---|
Group Status |
Group Repeats |
Function: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol. |
|
M |
1..1 |
Data Group: CDS V6-3 Type 005B - CDS Transaction Header Group - Bulk Update Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
Or
Notation |
Data Group: CDS V6-3 Type 005N - CDS Transaction Header Group - Net Change Protocol |
||||
---|---|---|---|---|---|
Group Status |
Group Repeats |
Function: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol. |
|||
M |
1..1 |
Data Group: CDS V6-3 Type 005N - CDS Transaction Header Group - Net Change Protocol One per Commissioning Data Set record submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
Notation |
Data Group: PATIENT PATHWAY |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry the details of the Patient Pathway. This Group must be present if the record relates to a Referral To Treatment Period Included In 18 Weeks Target or is subject to Allied Health Professional Referral To Treatment Measurement. |
|||||
M |
1..1 |
PATIENT PATHWAY IDENTITY | Rules | ||||
M Or M |
1..1 Or 1..1 |
UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) Or |
F
F I2 |
||||
M |
1..1 |
ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER) |
F I2 |
||||
M |
1..1 |
REFERRAL TO TREATMENT PERIOD CHARACTERISTICS | Rules | ||||
M |
1..1 |
REFERRAL TO TREATMENT PERIOD STATUS |
V |
||||
M |
1..1 |
WAITING TIME MEASUREMENT TYPE (COMMISSIONING DATA SET) |
V |
||||
O |
0..1 |
REFERRAL TO TREATMENT PERIOD START DATE |
F S13 |
||||
O |
0..1 |
REFERRAL TO TREATMENT PERIOD END DATE |
F S13 |
Notation |
Data Group: PATIENT IDENTITY |
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---|---|---|---|---|---|---|---|
Group Status M |
Group Repeats 1..1 |
Function: To carry the Identity of the Patient. See Note: S3 in Commissioning Data Set Business Rules. |
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One of the following DATA GROUPS must be used: |
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1..1 |
WITHHELD IDENTITY STRUCTURE
Must be used where the Commissioning Data Set record has been anonymised |
Rules | |||||
M |
1..1 |
Data Element Components | Rules | ||||
M |
1..1 |
NHS NUMBER STATUS INDICATOR CODE |
V |
||||
R |
0..1 |
ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) |
F |
||||
R |
0..1 |
WITHHELD IDENTITY REASON |
V |
||||
Or |
|||||||
1..1 |
VERIFIED IDENTITY STRUCTURE
Must be used where the NHS NUMBER STATUS INDICATOR CODE National Code = 01 (Number present and verified) |
Rules | |||||
R |
0..1 |
LOCAL IDENTIFIER STRUCTURE | Rules | ||||
M |
1..1 |
LOCAL PATIENT IDENTIFIER (EXTENDED) |
F S3 |
||||
M |
1..1 |
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER) |
F |
||||
M |
1..1 |
Data Element Components | Rules | ||||
M |
1..1 |
NHS NUMBER |
F S3 |
||||
M |
1..1 |
NHS NUMBER STATUS INDICATOR CODE |
V |
||||
M |
1..1 |
POSTCODE OF USUAL ADDRESS |
F S3 |
||||
R |
0..1 |
ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) |
F |
||||
R |
0..1 |
PERSON BIRTH DATE |
F S3 S12 |
||||
Or |
|||||||
1..1 |
UNVERIFIED IDENTITY STRUCTURE
Must be used for all other values of the NHS NUMBER STATUS INDICATOR CODE NOT included in the above |
Rules | |||||
R |
0..1 |
LOCAL IDENTIFIER STRUCTURE | Rules | ||||
M |
1..1 |
LOCAL PATIENT IDENTIFIER (EXTENDED) |
F S3 |
||||
M |
1..1 |
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER) |
F |
||||
M |
1..1 |
Data Element Components | Rules | ||||
R |
0..1 |
NHS NUMBER |
F S3 |
||||
M |
1..1 |
NHS NUMBER STATUS INDICATOR CODE |
V |
||||
R |
0..1 |
Data Element Components | Rules | ||||
M OR O And M And M And O And O |
1..1 OR 0..1 And 1..1 And 1..1 And 0..1 And 0..1 |
OR And And And And |
F S3 I4 |
||||
R |
0..1 |
Data Element Components | Rules | ||||
M Or M |
1..1 Or 2..5 |
PATIENT USUAL ADDRESS (UNSTRUCTURED) Or |
F S3 I5 |
||||
M |
1..1 |
Data Element Components | Rules | ||||
R |
0..1 |
POSTCODE OF USUAL ADDRESS |
F S3 |
||||
R |
0..1 |
ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) |
F |
||||
R |
0..1 |
PERSON BIRTH DATE |
F S3 S12 |
Notation |
Data Group: PATIENT CHARACTERISTICS |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry the characteristics of the Patient. |
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M |
1..1 |
Data Element Components | Rules | ||||
R |
0..1 |
PERSON STATED GENDER CODE |
V H4 |
||||
O |
0..1 |
CARER SUPPORT INDICATOR |
V |
||||
R |
0..1 |
ETHNIC CATEGORY |
V |
||||
X |
0..1 |
ETHNIC CATEGORY 2021 |
N2 |
Notation |
Data Group: PATIENT CHARACTERISTICS - SOCIAL AND PERSONAL CIRCUMSTANCES (SNOMED CT) |
||||
---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of the SNOMED CT coded Social and Personal Circumstances for the Patient. |
|||
One of the following DATA GROUPS must be used: |
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M |
1..1 |
SNOMED CT SOCIAL AND PERSONAL CIRCUMSTANCES | Rules | ||
M |
1..1 |
SOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT EXPRESSION) |
F |
||
M |
1..1 |
SOCIAL AND PERSONAL CIRCUMSTANCE RECORDED TIMESTAMP |
F |
||
Or |
|||||
O |
0..1 |
DATA ABSENT REASON | Rules | ||
O |
0..1 |
DATA ABSENT REASON (FHIR R4) |
F |
Notation |
Data Group: CARE EPISODE - PERSON GROUP (CARE PROFESSIONAL) |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of the Care Professionals active during the Care Attendance. |
|||||
M |
1..1 |
Data Element Components | Rules | ||||
M |
1..1 |
PROFESSIONAL REGISTRATION ISSUER CODE |
V |
||||
M |
1..1 |
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER |
F |
||||
R |
0..1 |
CARE PROFESSIONAL MAIN SPECIALTY CODE |
F H4 |
||||
M |
1..1 |
ACTIVITY TREATMENT FUNCTION CODE |
F H4 |
||||
O |
0..1 |
LOCAL SUB-SPECIALTY CODE |
F |
||||
M |
1..1 |
RESPONSIBLE CARE PROFESSIONAL INDICATOR |
V |
Notation |
Data Group: CARE EPISODE - CLINICAL DIAGNOSIS GROUP (ICD) |
||||||
---|---|---|---|---|---|---|---|
Group Status O |
Group Repeats 0..1 |
Function: To carry the details of the ICD coded Clinical Diagnoses for the Patient. |
|||||
M |
1..1 |
Data Element Components | Rules | ||||
M |
1..1 |
DIAGNOSIS SCHEME IN USE (COMMISSIONING DATA SET) |
V |
||||
M |
1..1 |
PRIMARY DIAGNOSIS | Rules | ||||
M |
1..1 |
PRIMARY DIAGNOSIS (ICD) |
F |
||||
O |
0..* |
SECONDARY DIAGNOSES | Rules | ||||
M |
1..1 |
SECONDARY DIAGNOSIS (ICD) |
F |
Notation |
Data Group: CARE EPISODE - CLINICAL DIAGNOSIS GROUP (SNOMED CT) |
||||
---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of the SNOMED CT coded Clinical Diagnoses for the Patient. |
|||
One of the following DATA GROUPS must be used: |
|||||
M |
1..1 |
SNOMED CT DIAGNOSIS | Rules | ||
M |
1..1 |
DIAGNOSIS (SNOMED CT EXPRESSION) |
F |
||
M |
1..1 |
CODED CLINICAL ENTRY SEQUENCE NUMBER |
F |
||
M |
1..1 |
CODED DIAGNOSIS TIMESTAMP |
F |
||
Or |
|||||
O |
0..1 |
DATA ABSENT REASON | Rules | ||
O |
0..1 |
DATA ABSENT REASON (FHIR R4) |
F |
Notation |
Data Group: CARE EPISODE - COMORBIDITY (SNOMED CT) |
||||
---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of the SNOMED CT coded Comorbidities for the Patient. |
|||
One of the following DATA GROUPS must be used: |
|||||
M |
1..1 |
SNOMED CT COMORBIDITY | Rules | ||
M |
1..1 |
COMORBIDITY (SNOMED CT EXPRESSION) |
F |
||
Or |
|||||
O |
0..1 |
DATA ABSENT REASON | Rules | ||
O |
0..1 |
DATA ABSENT REASON (FHIR R4) |
F |
Notation |
Data Group: CARE EPISODE - EMED3 FIT NOTE |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry the details of EMED3 Fit Note issued. |
|||||
M |
1..1 |
Data Element Components | Rules | ||||
R |
0..1 |
EMED3 FIT NOTE ASSESSMENT DATE |
F S13 |
||||
R |
0..1 |
EMED3 FIT NOTE CONDITION (SNOMED CT EXPRESSION) |
F |
||||
R |
0..1 |
EMED3 FIT NOTE DIAGNOSIS (ICD) |
F |
||||
R |
0..1 |
EMED3 FIT NOTE START DATE |
F S13 |
||||
R |
0..1 |
EMED3 FIT NOTE END DATE |
F S13 |
||||
R |
0..1 |
EMED3 FIT NOTE DURATION |
F |
||||
R |
0..1 |
EMED3 FIT NOTE RECORDED DATE |
F S13 |
||||
R |
0..1 |
EMED3 FIT NOTE FOLLOW UP ASSESSMENT REQUIRED INDICATOR |
V |
||||
X |
0..1 |
EMED3 FIT NOTE ISSUER |
N2 |
Notation |
Data Group: CARE ATTENDANCE - SERVICE AGREEMENT DETAILS |
||||||
---|---|---|---|---|---|---|---|
Group Status M |
Group Repeats 1..1 |
Function: To carry the details of the Provider, Commissioners and Service Agreements. |
|||||
M |
1..1 |
Data Element Components | Rules | ||||
M |
1..1 |
ORGANISATION IDENTIFIER (CODE OF PROVIDER) |
F |
||||
M |
1..* |
COMMISSIONERS | Rules | ||||
M |
1..1 |
ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) |
F |
||||
R |
0..1 |
START DATE (COMMISSIONER ASSIGNMENT PERIOD) |
F S13 |
||||
R |
0..1 |
END DATE (COMMISSIONER ASSIGNMENT PERIOD) |
F S13 |
||||
R |
0..1 |
NHS SERVICE AGREEMENT IDENTIFIER |
F |
||||
O |
0..1 |
NHS SERVICE AGREEMENT LINE IDENTIFIER |
F |
||||
O |
0..1 |
PROVIDER REFERENCE IDENTIFIER |
F |
||||
R |
0..1 |
COMMISSIONER REFERENCE IDENTIFIER |
F |
||||
R |
0..1 |
SERVICE CODE |
F |
Notation |
Data Group: CARE ATTENDANCE - PROCEDURE GROUP (SNOMED CT) |
||||
---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of the SNOMED CT coded Procedures for the Patient. |
|||
One of the following DATA GROUPS must be used: |
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M |
1..1 |
SNOMED CT PROCEDURE | Rules | ||
M |
1..1 |
PROCEDURE (SNOMED CT EXPRESSION) |
F |
||
M |
1..1 |
CODED CLINICAL ENTRY SEQUENCE NUMBER |
F |
||
M |
1..1 |
CODED PROCEDURE TIMESTAMP |
F |
||
O |
0..1 |
MAIN OPERATING HEALTHCARE PROFESSIONAL | Rules | ||
M |
1..1 |
PROFESSIONAL REGISTRATION ISSUER CODE |
V |
||
M |
1..1 |
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL) |
F |
||
O |
0..1 |
RESPONSIBLE ANAESTHETIST | Rules | ||
M |
1..1 |
PROFESSIONAL REGISTRATION ISSUER CODE |
V |
||
M |
1..1 |
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST) |
F |
||
Or |
|||||
O |
0..1 |
DATA ABSENT REASON | Rules | ||
O |
0..1 |
DATA ABSENT REASON (FHIR R4) |
F |
Notation |
Data Group: CARE ATTENDANCE - OBSERVATION GROUP (SNOMED CT) |
||||
---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of the SNOMED CT coded Clinical Observations for the Patient. |
|||
One of the following DATA GROUPS must be used: |
|||||
M |
1..1 |
SNOMED CT OBSERVATION | Rules | ||
M |
1..1 |
OBSERVATION (SNOMED CT EXPRESSION) |
F |
||
R |
0..1 |
OBSERVATION VALUE |
F |
||
R |
0..1 |
UCUM UNIT OF MEASUREMENT |
F |
||
M |
1..1 |
CODED OBSERVATION TIMESTAMP |
F |
||
Or |
|||||
O |
0..1 |
DATA ABSENT REASON | Rules | ||
O |
0..1 |
DATA ABSENT REASON (FHIR R4) |
F |
Notation |
Data Group: CARE ATTENDANCE - FINDING GROUP (SNOMED CT) |
||||
---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of the SNOMED CT coded Clinical Findings for the Patient. |
|||
One of the following DATA GROUPS must be used: |
|||||
M |
1..1 |
SNOMED CT FINDING | Rules | ||
M |
1..1 |
FINDING (SNOMED CT EXPRESSION) |
F |
||
M |
1..1 |
CODED FINDING TIMESTAMP |
F |
||
Or |
|||||
O |
0..1 |
DATA ABSENT REASON | Rules | ||
O |
0..1 |
DATA ABSENT REASON (FHIR R4) |
F |
Notation |
Data Group: CARE ATTENDANCE - ASSESSMENT TOOL GROUP (SNOMED CT) |
||||
---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of the SNOMED CT coded Assessment Tools for the Patient. |
|||
One of the following DATA GROUPS must be used: |
|||||
M |
1..1 |
SNOMED CT ASSESSMENT TOOL | Rules | ||
M |
1..1 |
ASSESSMENT TOOL (SNOMED CT EXPRESSION) |
F |
||
M |
1..1 |
PERSON SCORE |
F |
||
M |
1..1 |
ASSESSMENT TOOL COMPLETION TIMESTAMP |
F |
||
Or |
|||||
O |
0..1 |
DATA ABSENT REASON | Rules | ||
O |
0..1 |
DATA ABSENT REASON (FHIR R4) |
F |
Notation |
Data Group: LOCATION GROUP - ATTENDANCE |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry the details of the Location and Site Code Of Treatment. |
|||||
M |
1..1 |
Data Element Components | Rules | ||||
R |
0..1 |
ORGANISATION SITE IDENTIFIER (OF TREATMENT) |
F |
||||
R |
0..1 |
ACTIVITY LOCATION TYPE CODE |
F |
||||
O |
0..1 |
CLINIC CODE |
F |
Notation |
Data Group: GP REGISTRATION |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry the Patient's General Medical Practitioner and the General Practice details. |
|||||
M |
1..1 |
Data Element Components | Rules | ||||
O |
0..1 |
GENERAL MEDICAL PRACTITIONER (SPECIFIED) |
F |
||||
R |
0..1 |
GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION) |
F |
Notation |
Data Group: ACTIVITY CHARACTERISTICS - REFERRAL |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry the details of the Referral. |
|||||
M |
1..1 |
Data Element Components | Rules | ||||
R |
0..1 |
PRIORITY TYPE CODE |
V |
||||
R |
0..1 |
SERVICE TYPE REQUESTED CODE |
V |
||||
R |
0..1 |
SOURCE OF REFERRAL FOR OUT-PATIENTS |
V |
||||
R |
0..1 |
REFERRAL REQUEST RECEIVED DATE |
F S13 |
||||
O |
0..1 |
DIRECT ACCESS REFERRAL INDICATOR |
V |
||||
O |
0..1 |
REFERRED BY FIRST CONTACT PRACTITIONER INDICATOR |
V |
||||
R |
0..1 |
SERVICE REQUEST IDENTIFIER |
F |
Notation |
Data Group: REFERRER |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry the details of the Referrer. |
|||||
M |
1..1 |
Data Element Components | Rules | ||||
R |
0..1 |
REFERRER CODE |
F |
||||
R |
0..1 |
ORGANISATION IDENTIFIER (REFERRING ORGANISATION) |
F |
Notation |
Data Group: CARE REFERRAL - MISSED APPOINTMENT OCCURRENCE |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry the details of a Missed Appointment. |
|||||
M |
1..1 |
Data Element Components | Rules | ||||
R |
0..1 |
LAST PATIENT DID NOT ATTEND DATE |
F S13 |
||||
R |
0..1 |
LAST PATIENT CANCELLED DATE |
F S13 |
Notation |
Data Group: CDS V6-3 Type 004 - CDS Message Trailer |
||||
---|---|---|---|---|---|
Group Status |
Group Repeats |
Function: To define the mandatory identity and addressing information for a Commissioning Data Set submission. |
|||
M |
1..1 |
Data Group: CDS V6-3 Type 004 - CDS Message Trailer One per Commissioning Data Set Message submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
Notation |
Data Group: CDS V6-3 Type 002 - CDS Interchange Trailer |
||||
---|---|---|---|---|---|
Group Status |
Group Repeats |
Function: To define the mandatory identity and addressing information for a Commissioning Data Set submission. |
|||
M |
1..1 |
Data Group: CDS V6-3 Type 002 - CDS Interchange Trailer One per Interchange submitted to the Secondary Uses Service. Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange. |
Also Known As
This data set is also known by these names:
Context | Alias |
---|---|
Full name | CDS V6-3 Type 020 - Outpatient Commissioning Data Set |
Short name | CDS V6-3 Type 020 |