CDS V6-3 Type 190 - Admitted Patient Care - Unfinished General Episode CDS

CDS V6-3 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set carries the data for an Unfinished General Care Professional Admitted Care Episode.

Overview

Introduction

CDS V6-3 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set carries the data for an Unfinished General  Care Professional Admitted Care Episode.

It covers all NHS and private Care Professional Admitted Care Episode (day case and inpatient) 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 or NURSE, 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.

Where the Care Professional Admitted Care Episode 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.

An Unfinished General Care Professional Admitted Care Episode Commissioning Data Set record is required for all Unfinished General Care Professional Admitted Care Episodes as at midnight on 31 March each year and for all unfinished short-stay informal psychiatric PATIENTS who are resident in hospital or on leave of absence (Home Leave) on 31 March and who have been in hospital for less than 12 months.

CDS V6-3 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set  may optionally be sent more regularly, usually monthly.

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..*

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.

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

O

0..1

CARER SUPPORT INDICATOR

V

R

0..1

ETHNIC CATEGORY

V

X

0..1

ETHNIC CATEGORY 2021

N2

R

0..1

PERSON MARITAL STATUS

V

R

0..1

MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)

F

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: HOSPITAL PROVIDER SPELL - ADMISSION CHARACTERISTICS

Group Status

M

Group Repeats

1..1

Function: To carry the admission details of the Hospital Provider Spell containing the Unfinished General Care Professional Admitted Care Episode.

M

1..1

Data Element Components Rules

R

0..1

HOSPITAL PROVIDER SPELL IDENTIFIER

F

R

0..1

ADMINISTRATIVE CATEGORY CODE (ON ADMISSION)

V

R

0..1

PATIENT CLASSIFICATION CODE

V

R

0..1

METHOD OF ADMISSION (HOSPITAL PROVIDER SPELL)

V

R

0..1

ADMISSION SOURCE (HOSPITAL PROVIDER SPELL)

V

M

1..1

START DATE (HOSPITAL PROVIDER SPELL)

F

S13

O

0..1

START TIME (HOSPITAL PROVIDER SPELL)

F

S14

M

1..1

AGE ON ADMISSION

F

R

0..1

AMBULANCE CALL IDENTIFIER

F

R

0..1

ORGANISATION IDENTIFIER (CONVEYING AMBULANCE TRUST)

F

R

0..1

CARE CONTACT IDENTIFIER (AMBULANCE SERVICE)

F

Notation

Data Group: HOSPITAL PROVIDER SPELL - DISCHARGE CHARACTERISTICS

Group Status

R

Group Repeats

0..1

Function:  To carry the discharge details of the Hospital Provider Spell containing the Unfinished General Care Professional Admitted Care Episode.

M

1..1

Data Element Components Rules

R

0..1

DESTINATION OF DISCHARGE (HOSPITAL PROVIDER SPELL)

V

R

0..1

METHOD OF DISCHARGE (HOSPITAL PROVIDER SPELL)

V

R

0..1

DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL)

F

S13

R

0..1

DISCHARGE DATE (HOSPITAL PROVIDER SPELL)

F

S13

O

0..1

DISCHARGE TIME (HOSPITAL PROVIDER SPELL)

F

S14

R

0..1

DISCHARGED TO NHS AT HOME SERVICE INDICATOR

V

Notation

Data Group: CARE EPISODE - ACTIVITY CHARACTERISTICS

Group Status

M

Group Repeats

1..1

Function: To carry the details of the Patient's Unfinished  General Care Professional Admitted Care Episode.

M

1..1

Data Element Components Rules

R

0..1

EPISODE NUMBER

F

R

0..1

LAST EPISODE IN SPELL INDICATOR CODE

V

R

0..1

NEONATAL LEVEL OF CARE CODE

V

O

0..1

FIRST REGULAR DAY OR NIGHT ADMISSION CODE

V

R

0..1

PSYCHIATRIC PATIENT STATUS CODE

V

M

1..1

START DATE (EPISODE)

F

S1

S13

O

0..1

START TIME (EPISODE)

F

S14

R

0..1

END DATE (EPISODE)

F

S13

O

0..1

END TIME (EPISODE)

F

S14

M

1..1

AGE AT CDS ACTIVITY DATE

F

S8

O

0..1

REHABILITATION ASSESSMENT TEAM TYPE

V

N3

Notation

Data Group: CARE EPISODE - LENGTH OF STAY ADJUSTMENT

Group Status

R

Group Repeats

0..1

Function: To carry details of length of stay adjustments to the Unfinished General Care Professional Admitted Care Episode.

M

1..1

Data Element Components Rules

R

0..1

LENGTH OF STAY ADJUSTMENT (REHABILITATION)

F

R

0..1

LENGTH OF STAY ADJUSTMENT (SPECIALIST PALLIATIVE CARE)

F

Notation

Data Group:  CARE EPISODE- OVERSEAS VISITOR CHARGING CATEGORY

Group Status

R

Group Repeats

0..5

Function: To carry the details of the Overseas Visitor Charging Categories of the Patient during the Unfinished General Care Professional Admitted Care Episode.

M

1..1

Data Element Components Rules

M

1..1

OVERSEAS VISITOR CHARGING CATEGORY

V

M

1..1

OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATE

F

S13

R

0..1

OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE END DATE

F

S13

Notation

Data Group: CARE EPISODE - 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 EPISODE - PERSON GROUP (CARE PROFESSIONAL)

Group Status

R

Group Repeats

0..*

Function: To carry the details of the Care Professionals active during the Unfinished General Care Professional Admitted Care Episode.

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

R

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

H4

O

0..1

PRESENT ON ADMISSION INDICATOR

V

R

0..*

SECONDARY DIAGNOSES Rules

M

1..1

SECONDARY DIAGNOSIS (ICD)

F

H4

O

0..1

PRESENT ON ADMISSION INDICATOR

V

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 the 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 EPISODE - PROCEDURE GROUP (OPCS)

Group Status

R

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

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

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 EPISODE - 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 EPISODE - 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 EPISODE - 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 EPISODE - 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 (AT START OF CARE EPISODE)

Group Status

R

Group Repeats

0..1

Function: To carry the details of the Location at the Start of the Unf inished General Care Professional Admitted Care Episode.

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

WARD INTENDED CLINICAL CARE INTENSITY

V

O

0..1

WARD INTENDED AGE GROUP

V

O

0..1

WARD INTENDED SEX OF PATIENTS

V

O

0..1

WARD INTENDED DAY PERIOD AVAILABILITY

V

O

0..1

WARD INTENDED NIGHT PERIOD AVAILABILITY

V

O

0..1

WARD SECURITY LEVEL

V

O

0..1

WARD CODE

F

Notation

Data Group: LOCATION GROUP (AT WARD STAY)

Group Status

R

Group Repeats

0..97

Function: To carry the details of one or more Ward Stays during the Unf inished General Care Professional Admitted Care Episode.

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

WARD INTENDED CLINICAL CARE INTENSITY

V

O

0..1

WARD INTENDED AGE GROUP

V

O

0..1

WARD INTENDED SEX OF PATIENTS

V

O

0..1

WARD INTENDED DAY PERIOD AVAILABILITY

V

O

0..1

WARD INTENDED NIGHT PERIOD AVAILABILITY

V

O

0..1

START DATE (WARD STAY)

F

S13

O

0..1

START TIME (WARD STAY)

F

S14

O

0..1

END DATE (WARD STAY)

F

S13

O

0..1

END TIME (WARD STAY)

F

S14

O

0..1

WARD SECURITY LEVEL

V

O

0..1

WARD CODE

F

Notation

Data Group: LOCATION GROUP (AT END OF CARE EPISODE)

Group Status

R

Group Repeats

0..1

Function: To carry the details of the Location at the End of the Unfinished General Care Professional Admitted Care Episode.

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

WARD INTENDED CLINICAL CARE INTENSITY

V

O

0..1

WARD INTENDED AGE GROUP

V

O

0..1

WARD INTENDED SEX OF PATIENTS

V

O

0..1

WARD INTENDED DAY PERIOD AVAILABILITY

V

O

0..1

WARD INTENDED NIGHT PERIOD AVAILABILITY

V

O

0..1

WARD SECURITY LEVEL

V

O

0..1

WARD CODE

F

Notation

Data Group:  LOCATION GROUP - HOME LEAVE

Group Status

R

Group Repeats

0..*

Function: To carry the details of each separate period of Home Leave within the Unfinished General Care Professional Admitted Care Episode.

M

1..1

Data Element Components Rules

M

1..1

START DATE (HOME LEAVE)

F

S13

R

0..1

START TIME (HOME LEAVE)

F

S14

R

0..1

END DATE (HOME LEAVE)

F

S13

R

0..1

END TIME (HOME LEAVE)

F

S14

Notation

Data Group: CARE EPISODE - NEONATAL CRITICAL CARE PERIOD

Group Status

R

Group Repeats

0..9

Function: See CRITICAL CARE PERIOD. To carry the details of the first 9 Critical Care Periods for care provided using Neonatal Care facilities.

M

1..1

NEONATAL CARE - ADMISSION CHARACTERISTICS Rules

M

1..1

CRITICAL CARE LOCAL IDENTIFIER

F

M

1..1

CRITICAL CARE START DATE

F

S13

M

1..1

CRITICAL CARE START TIME

F

S14

M

1..1

CRITICAL CARE UNIT FUNCTION

V

M

1..1

GESTATION LENGTH (AT DELIVERY)

V

M

1..999

NEONATAL DAILY CARE - ACTIVITY CHARACTERISTICS Rules

M

1..1

ACTIVITY DATE (CRITICAL CARE)

F

S13

R

0..1

PERSON WEIGHT

F

M

1..20

CRITICAL CARE ACTIVITY CODE

F

N4

R

0..20

HIGH COST DRUGS (OPCS)

F

N4

R

0..1

NEONATAL CARE - DISCHARGE CHARACTERISTICS Rules

M

1..1

CRITICAL CARE DISCHARGE DATE

F

S13

M

1..1

CRITICAL CARE DISCHARGE TIME

F

S14

Notation

Data Group: CARE EPISODE - PAEDIATRIC CRITICAL CARE PERIOD

Group Status

R

Group Repeats

0..9

Function: See CRITICAL CARE PERIOD. To carry the details of the first 9 Critical Care Periods for care provided using Paediatric Care facilities.

M

1..1

PAEDIATRIC CRITICAL CARE - ADMISSION CHARACTERISTICS Rules

M

1..1

CRITICAL CARE LOCAL IDENTIFIER

F

M

1..1

CRITICAL CARE START DATE

F

S13

M

1..1

CRITICAL CARE START TIME

F

S14

M

1..1

CRITICAL CARE UNIT FUNCTION

V

M

1..999

PAEDIATRIC DAILY CARE - ACTIVITY CHARACTERISTICS Rules

M

1..1

ACTIVITY DATE (CRITICAL CARE)

F

S13

M

1..20

CRITICAL CARE ACTIVITY CODE

F

N4

R

0..20

HIGH COST DRUGS (OPCS)

F

N4

R

0..1

PAEDIATRIC CRITICAL CARE - DISCHARGE CHARACTERISTICS Rules

M

1..1

CRITICAL CARE DISCHARGE DATE

F

S13

M

1..1

CRITICAL CARE DISCHARGE TIME

F

S14

Notation

Data Group: CARE EPISODE - ADULT CRITICAL CARE PERIOD

Group Status

R

Group Repeats

0..9

Function:  See CRITICAL CARE PERIOD. To carry the details of the first 9 Critical Care Periods for care provided using Adult Care facilities.

M

1..1

ADULT CRITICAL CARE - ADMISSION CHARACTERISTICS Rules

M

1..1

CRITICAL CARE LOCAL IDENTIFIER

F

M

1..1

CRITICAL CARE START DATE

F

S13

O

0..1

CRITICAL CARE START TIME

F

S14

M

1..1

CRITICAL CARE UNIT FUNCTION

V

O

0..1

CRITICAL CARE UNIT BED CONFIGURATION

V

O

0..1

CRITICAL CARE ADMISSION SOURCE

V

O

0..1

CRITICAL CARE SOURCE LOCATION

V

O

0..1

CRITICAL CARE ADMISSION TYPE

V

M

1..1

ADULT CRITICAL CARE - ACTIVITY CHARACTERISTICS Rules

R

0..1

ADVANCED RESPIRATORY SUPPORT DAYS

F

R

0..1

BASIC RESPIRATORY SUPPORT DAYS

F

R

0..1

ADVANCED CARDIOVASCULAR SUPPORT DAYS

F

R

0..1

BASIC CARDIOVASCULAR SUPPORT DAYS

F

R

0..1

RENAL SUPPORT DAYS

F

R

0..1

NEUROLOGICAL SUPPORT DAYS

F

O

0..1

GASTRO-INTESTINAL SUPPORT DAYS

F

R

0..1

DERMATOLOGICAL SUPPORT DAYS

F

R

0..1

LIVER SUPPORT DAYS

F

O

0..1

ORGAN SUPPORT MAXIMUM

V

R

0..1

CRITICAL CARE LEVEL 2 DAYS

F

R

0..1

CRITICAL CARE LEVEL 3 DAYS

F

R

0..*

ADULT CRITICAL CARE - DAILY CARE ACTIVITY CHARACTERISTICS Rules

M

1..1

ACTIVITY DATE (CRITICAL CARE)

F

S13

M

1..9

ORGAN SYSTEM SUPPORTED

V

M

1..1

CRITICAL CARE LEVEL

V

R

0..1

ADULT CRITICAL CARE - DISCHARGE CHARACTERISTICS Rules

M

1..1

CRITICAL CARE DISCHARGE DATE

F

S13

M

1..1

CRITICAL CARE DISCHARGE TIME

F

S14

O

0..1

CRITICAL CARE DISCHARGE READY DATE

F

S13

O

0..1

CRITICAL CARE DISCHARGE READY TIME

F

S14

O

0..1

CRITICAL CARE DISCHARGE STATUS

V

O

0..1

CRITICAL CARE DISCHARGE DESTINATION

V

O

0..1

CRITICAL CARE DISCHARGE LOCATION

V

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: 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: REFERRAL

Group Status

O

Group Repeats

0..1

Function: To carry the details of the Referral.

M

1..1

Data Element Components Rules

O

0..1

DIRECT ACCESS REFERRAL INDICATOR

V

Notation

Data Group: ELECTIVE ADMISSION LIST ENTRY

Group Status

R

Group Repeats

0..1

Function: To carry the details of the Elective Admission List Entry.

M

1..1

Data Element Components Rules

R

0..1

DURATION OF ELECTIVE WAIT

F

R

0..1

INTENDED MANAGEMENT CODE

V

R

0..1

DECIDED TO ADMIT DATE

F

S13

R

0..1

EARLIEST REASONABLE OFFER DATE

F

S13

R

0..1

EARLIEST CLINICALLY APPROPRIATE DATE

F

S13

R

0..1

LATEST CLINICALLY APPROPRIATE 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..*

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 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set
Short name CDS V6-3 Type 190