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

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 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

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 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

PATIENT PATHWAY IDENTIFIER

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

Group Status

M

Group Repeats

1..1

Function: To carry the Identity of the Patient. See Note: S3 in Commissioning Data Set Business Rules.

One of the following DATA GROUPS must be used:

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

PATIENT FULL NAME

OR

PATIENT TITLE

And

PATIENT GIVEN NAME

And

PATIENT FAMILY NAME

And

PATIENT NAME SUFFIX

And

PATIENT INITIALS

F

S3

I4

R

0..1

Data Element Components Rules

M

Or

M

1..1

Or

2..5

PATIENT USUAL ADDRESS (UNSTRUCTURED)

Or

PATIENT USUAL ADDRESS (STRUCTURED)

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.

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:

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 (OPCS)

Group Status

O

Group Repeats

0..1

Function: To carry the details of the OPCS coded Procedures for the Patient.

M

1..1

Data Element Components Rules

M

1..1

PROCEDURE SCHEME IN USE (COMMISSIONING DATA SET)

V

M

1..1

PRIMARY PROCEDURE Rules

M

1..1

PRIMARY PROCEDURE (OPCS)

F

H4

R

0..1

PROCEDURE DATE

F

S13

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

R

0..*

SECONDARY PROCEDURES Rules

M

1..1

PROCEDURE (OPCS)

F

H4

R

0..1

PROCEDURE DATE

F

S13

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

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:

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