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

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 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

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 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

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

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

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 (URGENT AND EMERGENCY CARE)

Group Status

R

Group Repeats

0..1

Function: To carry the characteristics of the Patient for Urgent and Emergency Care Activity.

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.

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

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

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

Group Status

R

Group Repeats

0..1

Function: To carry the Patient's General Medical Practitioner and the General Practice details.

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

Group Status

M

Group Repeats

1..1

Function: To carry the details of the Urgent and Emergency Care Activity location.

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

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

Group Status

R

Group Repeats

0..1

Function: To carry the expected date and time of treatment given to the Patient.

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)

Group Status

R

Group Repeats

0..*

Function: To carry the details of the SNOMED CT coded Assessment Tools for the Patient.

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)

Group Status

R

Group Repeats

0..*

Function: To carry the details of the SNOMED CT coded Clinical Observations for the Patient.

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)

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: PATIENT CLINICAL HISTORY

Group Status

R

Group Repeats

0..1

Function: To carry patient clinical history details.

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)

Group Status

R

Group Repeats

0..*

Function: To carry the details of the Care Professionals active during the Urgent and Emergency Care Activity.

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)

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: 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

DISEASE OUTBREAK NOTIFICATION (SNOMED CT)

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