Emergency Care Data Set Version 4
The Emergency Care Data Set Version 4 (ECDS V4) collects information about why people attend Emergency Care Departments and the treatment they receive to improve PATIENT care through better and more consistent information; allow better planning of healthcare SERVICES; improve communication between CARE PROFESSIONALS.
Overview
The Emergency Care Data Set Version 4 (ECDS V4) collects information about why people attend Emergency Care Departments and the treatment they receive to improve PATIENT care through better and more consistent information; allow better planning of healthcare SERVICES; improve communication between CARE PROFESSIONALS.
The Emergency Care Data Set Version 4 carries the data for Urgent and Emergency Care Activity.
Note that Emergency Care Data Set Version 4 is a Commissioning Data Set, see CDS Type.
Previous versions of Emergency Care Data Set can be found at: CDS V6-2-3 Type 011 - Emergency Care CDS.
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 Emergency Care Data Set Version 4 XML Schema Constraints.
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Further guidance
For further information regarding the Emergency Care Data Set Version 4, see the NHS England website at: Emergency Care Data Set (ECDS).
Specification
Notation |
Data Group: ECDS V4 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: ECDS V4 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: ECDS V4 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: ECDS V4 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: ECDS V4 Type 005B - CDS Transaction Header Group - Bulk Update Protocol |
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---|---|---|---|
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: ECDS V4 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: ECDS V4 Type 005N - CDS Transaction Header Group - Net Change Protocol |
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---|---|---|---|---|---|
Group Status |
Group Repeats |
Function: To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol. |
|||
M |
1..1 |
Data Group: ECDS V4 Type 005N - CDS Transaction Header Group - Net Change Protocol
One per Commissioning Data Set re cord 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 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 (URGENT AND EMERGENCY CARE) |
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---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry the characteristics of the Patient for Urgent and Emergency Care Activity. |
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R |
0..1 |
Data Element Components | Rules | ||||
R |
0..1 |
PERSON STATED GENDER CODE |
V |
||||
R |
0..1 |
ETHNIC CATEGORY |
V |
||||
X |
0..1 |
ETHNIC CATEGORY 2021 |
N2 |
||||
R |
0..1 |
ACCOMMODATION STATUS (SNOMED CT) |
F |
||||
R |
0..1 |
PREFERRED SPOKEN LANGUAGE (SNOMED CT) |
F |
||||
R |
0..1 |
ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT) |
F |
||||
R |
0..1 |
INTERPRETER LANGUAGE (SNOMED CT) |
F |
||||
R |
0..1 |
OVERSEAS VISITOR CHARGING CATEGORY AT CDS ACTIVITY DATE |
V |
Notation |
Data Group: PATIENT CHARACTERISTICS(URGENT AND EMERGENCY CARE)- 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. |
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M |
1..1 |
Data Element Components | Rules | ||||
M |
1..1 |
SOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT) |
F |
||||
M |
1..1 |
SOCIAL AND PERSONAL CIRCUMSTANCE RECORDED TIMESTAMP |
F S13 S14 |
Notation |
Data Group: MENTAL HEALTH ACT LEGAL STATUS |
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---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the Patient's Mental Health Act Legal Status. |
|||||
R |
0..1 |
Data Element Components | Rules | ||||
R |
0..1 |
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD START TIMESTAMP |
F S13 S14 |
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R |
0..1 |
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION EXPIRY TIMESTAMP |
F S13 S14 |
||||
M |
1..1 |
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE |
F |
Notation |
Data Group: GP REGISTRATION |
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---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry the Patient's General Medical Practitioner and the General Practice details. |
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R |
0..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: URGENT AND EMERGENCY CARE ACTIVITY LOCATION |
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---|---|---|---|---|---|---|---|
Group Status M |
Group Repeats 1..1 |
Function: To carry the details of the Urgent and Emergency Care Activity location. |
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M |
1..1 |
Data Element Components | Rules | ||||
M |
1..1 |
ORGANISATION SITE IDENTIFIER (OF TREATMENT) |
F |
||||
M |
1..1 |
URGENT AND EMERGENCY CARE ACTIVITY TYPE |
V |
Notation |
Data Group: AMBULANCE DETAILS |
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---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry ambulance details relating to the Patients arrival at Urgent and Emergency Care. |
|||||
R |
0..1 |
Data Element Components | Rules | ||||
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: EXPECTED DATE AND TIME OF TREATMENT |
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---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry the expected date and time of treatment given to the Patient. |
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R |
0..1 |
Data Element Components | Rules | ||||
R |
0..1 |
EMERGENCY CARE EXPECTED DATE AND TIMESTAMP OF TREATMENT |
F |
||||
R |
0..1 |
EMERGENCY CARE TREATMENT ALLOCATION TIMESTAMP |
F S13 S14 |
Notation |
Data Group: ASSESSMENT TOOL GROUP (SNOMED CT) |
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---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of the SNOMED CT coded Assessment Tools for the Patient. |
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R |
0..* |
Data Element Components | Rules | ||||
M |
1..1 |
CODED ASSESSMENT TOOL TYPE (SNOMED CT) |
F |
||||
M |
1..1 |
PERSON SCORE |
F |
||||
M |
1..1 |
ASSESSMENT TOOL VALIDATION TIMESTAMP |
F S13 S14 |
Notation |
Data Group: OBSERVATION GROUP (SNOMED CT) |
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---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of the SNOMED CT coded Clinical Observations for the Patient. |
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R |
0..* |
Data Element Components | Rules | ||||
M |
1..1 |
CODED OBSERVATION (SNOMED CT) |
F |
||||
M |
1..1 |
OBSERVATION VALUE |
F |
||||
R |
0..1 |
UNIT OF MEASUREMENT (UCUM) |
F |
||||
M |
1..1 |
CODED OBSERVATION TIMESTAMP |
F S13 S14 |
Notation |
Data Group: FINDING GROUP (SNOMED CT) |
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---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of the SNOMED CT coded Clinical Findings for the Patient. |
|||||
R |
0..* |
Data Element Components | Rules | ||||
M |
1..1 |
CODED FINDING (SNOMED CT) |
F |
||||
M |
1..1 |
CODED FINDING TIMESTAMP |
F S13 S14 |
Notation |
Data Group: INJURY CHARACTERISTICS |
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---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry the details of injuries. |
|||||
R |
0..1 |
Data Element Components | Rules | ||||
M |
1..1 |
INJURY DATE AND TIME |
F S13 S14 |
||||
R |
0..1 |
EMERGENCY CARE PLACE OF INJURY (SNOMED CT) |
F |
||||
O |
0..1 |
EMERGENCY CARE PLACE OF INJURY (LATITUDE) |
F |
||||
O |
0..1 |
EMERGENCY CARE PLACE OF INJURY (LONGITUDE) |
F |
||||
R |
0..1 |
EMERGENCY CARE INJURY INTENT (SNOMED CT) |
F |
||||
R |
0..1 |
EMERGENCY CARE INJURY ACTIVITY STATUS (SNOMED CT) |
F |
||||
R |
0..1 |
EMERGENCY CARE INJURY ACTIVITY TYPE (SNOMED CT) |
F |
||||
R |
0..1 |
EMERGENCY CARE INJURY MECHANISM (SNOMED CT) |
F |
||||
R |
0..* |
EMERGENCY CARE INJURY ALCOHOL OR DRUG INVOLVEMENT (SNOMED CT) |
F |
||||
R |
0..1 |
ASSAULT LOCATION DESCRIPTION |
F |
Notation |
Data Group: PATIENT CLINICAL HISTORY |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry patient clinical history details. |
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R |
0..1 |
Data Element Components | Rules | ||||
R |
0..* |
COMORBIDITY (SNOMED CT) |
F |
Notation |
Data Group: 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 PROFESSIONALS (URGENT AND EMERGENCY CARE) |
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---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of the Care Professionals active during the Urgent and Emergency Care Activity. |
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R |
0..1 |
Data Element Components | Rules | ||||
M |
1..1 |
PROFESSIONAL REGISTRATION ISSUER CODE |
F |
||||
M |
1..1 |
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER |
F |
||||
M |
1..1 |
CARE PROFESSIONAL TIER (URGENT AND EMERGENCY CARE) |
V |
||||
M |
1..1 |
CARE PROFESSIONAL DISCHARGE RESPONSIBILITY INDICATOR (URGENT AND EMERGENCY CARE) |
V |
||||
R |
0..1 |
CARE PROFESSIONAL CLINICAL RESPONSIBILITY TIMESTAMP |
F S13 S14 |
Notation |
Data Group: URGENT AND EMERGENCY CARE DIAGNOSES (SNOMED CT) |
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---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of SNOMED CT coded Clinical Diagnoses. |
|||||
R |
0..1 |
Data Element Components | Rules | ||||
M |
1..1 |
URGENT AND EMERGENCY CARE DIAGNOSIS (SNOMED CT) |
F H4 |
||||
M |
1..1 |
CODED CLINICAL ENTRY SEQUENCE NUMBER |
F |
||||
M |
1..1 |
URGENT AND EMERGENCY CARE DIAGNOSIS QUALIFIER (SNOMED CT) |
F |
Notation |
Data Group: URGENT ANDEMERGENCY CARE INVESTIGATIONS (SNOMED CT) |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of SNOMED CT coded Clinical Investigations. |
|||||
R |
0..1 |
Data Element Components | Rules | ||||
M |
1..1 |
URGENT AND EMERGENCY CARE CLINICAL INVESTIGATION (SNOMED CT) |
F H4 |
||||
R |
0..1 |
CODED PROCEDURE TIMESTAMP (URGENT AND EMERGENCY CARE CLINICAL INVESTIGATION) |
F S13 S14 |
Notation |
Data Group: URGENT AND EMERGENCY CARE TREATMENTS (SNOMED CT) |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of SNOMED CT coded Procedures. |
|||||
R |
0..1 |
Data Element Components | Rules | ||||
M |
1..1 |
URGENT AND EMERGENCY CARE PROCEDURE (SNOMED CT) |
F H4 |
||||
R |
0..1 |
CODED PROCEDURE TIMESTAMP (URGENT AND EMERGENCY CARE PROCEDURE) |
F S13 S14 |
Notation |
Data Group: REFERRALS TO OTHER SERVICES |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..* |
Function: To carry the details of referrals to other services. |
|||||
R |
0..1 |
Data Element Components | Rules | ||||
R |
0..1 |
REFERRED TO SERVICE (SNOMED CT) |
F |
||||
M |
1..1 |
ACTIVITY SERVICE REQUEST TIMESTAMP (URGENT AND EMERGENCY CARE) |
F S13 S14 |
||||
R |
0..1 |
REFERRED TO SERVICE ASSESSMENT TIMESTAMP |
F S13 S14 |
Notation |
Data Group: 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) |
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: DISCHARGE FROM URGENT AND EMERGENCY CARE |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry the details of discharge from Urgent and Emergency Care. |
|||||
R |
0..1 |
Data Element Components | Rules | ||||
R |
0..1 |
DECIDED TO ADMIT DATE AND TIME |
F S13 S14 |
||||
R |
0..1 |
ACTIVITY TREATMENT FUNCTION CODE (DECISION TO ADMIT) |
F |
||||
R |
0..1 |
URGENT AND EMERGENCY CARE CLINICALLY READY TO PROCEED TIMESTAMP |
F S13 S14 |
||||
R |
0..1 |
URGENT AND EMERGENCY CARE DISCHARGE STATUS (SNOMED CT) |
F H4 |
||||
R |
0..1 |
URGENT AND EMERGENCY CARE ACTIVITY END TIMESTAMP |
F S13 S14 |
||||
R |
0..* |
SAFEGUARDING CONCERN (SNOMED CT) |
F |
||||
R |
0..1 |
URGENT AND EMERGENCY CARE DISCHARGE DESTINATION (SNOMED CT) |
F |
||||
R |
0..1 |
ORGANISATION SITE IDENTIFIER (DISCHARGE FROM URGENT AND EMERGENCY CARE) |
F |
||||
R |
0..1 |
URGENT AND EMERGENCY CARE DISCHARGE FOLLOW UP (SNOMED CT) |
F |
||||
M |
1..1 |
URGENT AND EMERGENCY CARE DISCHARGE INFORMATION GIVEN INDICATOR |
V |
Notation |
Data Group: RESEARCH AND DISEASE OUTBREAK NOTIFICATION |
||||||
---|---|---|---|---|---|---|---|
Group Status R |
Group Repeats 0..1 |
Function: To carry details of any Research and/or Disease Outbreak Notifications. |
|||||
R |
0..1 |
Data Element Components | Rules | ||||
O |
0..1 |
CLINICAL TRIAL IDENTIFIER |
F |
||||
R Or R |
0..1 Or 0..1 |
DISEASE OUTBREAK NOTIFICATION DESCRIPTION Or |
F
F |
Notation |
Data Group: ECDS V4 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: ECDS V4 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: ECDS V4 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: ECDS V4 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 | Emergency Care Data Set Version 4 - Type 011 |
Short name | ECDS V4 |