Mental Health Services Data Set
The Mental Health Services Data Set (MHSDS) is a PATIENT level, output based secondary uses data set which aims to deliver robust, comprehensive, nationally consistent and comparable person-based information for PATIENTS who are in contact with Mental Health Services.
Overview
Introduction
The Mental Health Services Data Set (MHSDS) is a PATIENT level, output based secondary uses data set which aims to deliver robust, comprehensive, nationally consistent and comparable person-based information for PATIENTS who are in contact with Mental Health Services.
The Mental Health Services Data Set covers Mental Health Services located in England, or located outside England but treating PATIENTS commissioned by an English Integrated Care Board, NHS England specialised commissioner or an NHS-led Provider Collaborative.
As a secondary uses data set, the Mental Health Services Data Set re-uses clinical and operational data for purposes other than direct PATIENT care, and defines the data items, definitions and associated value sets to be extracted or derived from local information systems.
All ACTIVITY relating to PATIENTS who receive assessments and treatment from Mental Health Services is within the scope of the Mental Health Services Data Set, where the PATIENT has, or are thought to have:
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A mental health condition and/or
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A need for support with their mental wellbeing and/or
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A Learning Disability and/or
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Autism
or any other neurodevelopmental condition.
The scope of the Mental Health Services Data Set requires PATIENT record level data submission from SERVICES as follows:
-
For each PATIENT attending a SERVICE located outside England, but commissioned by an English Integrated Care Board or NHS England specialised commissioner, the data submission is optional.
The Mental Health Services Data Set is used across the range of Health Care Providers and ORGANISATIONS that provide Mental Health Services (irrespective of funding arrangements) including:
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NHS Mental Health Trusts
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NHS Learning Disabilities Trusts
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NHS Acute Trusts
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NHS Care Trusts
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Independent Sector Healthcare Providers
offering a service model that includes NHS funded and non-NHS funded PATIENTS
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Voluntary sector Health Care Providers
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Any qualified provider offering Mental Health Services
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Community SERVICES offering secondary care to children.
Submission information
The Mental Health Services Data Set is submitted centrally via the Strategic Data Collection Service in the Cloud (SDCS Cloud) maintained by NHS England.
The Mental Health Services Data Set has historically been submitted using two submission windows, primary and refresh. This has changed to a multiple submission window model which gives submitters the opportunity to resubmit throughout the submission year. Guidance on the new submission model can be found on the NHS England website at: How to submit to the MHSDS.
Further guidance
Further information regarding the structure and submission of the Mental Health Services Data Set can be found on the NHS England website at: Mental Health Services Data Set (MHSDS).
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
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M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
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R = Required: NHS business processes cannot be delivered without this data element
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O = Optional: the inclusion of this data element is optional as required for local purposes
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P = Pilot: this data element is for piloting use only.
Note: items in the Mandation column which are shown with notation P have not been approved by the Data Alliance Partnership Board and are included to facilitate piloting and testing of future data requirements, prior to formal inclusion in later versions of the Mental Health Services Data Set. These items have been included in the data set layout in order to provide advance notice to data providers and system suppliers of the intention to require these items at a later date. Unless ORGANISATIONS are engaged in piloting activities relating to these items, they should NOT submit any data item marked P.
Data Set Constraints
For guidance on the Data Set constraints, see the Mental Health Services Data Set Constraints.
Specification
HEADER
To carry header details for the submission.One occurrence of this group is required. |
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Mandation |
Data Elements |
M |
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M |
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M |
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M |
|
M |
|
M |
|
M |
PATIENT DEMOGRAPHICS | |
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Mandation |
Master Patient Index
To carry personal details of the patient.One occurrence of this group is required. |
M |
|
M |
|
R |
|
R |
|
R |
NHS NUMBER STATUS INDICATOR CODE (MENTAL HEALTH AND MATERNITY) |
R |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
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P |
|
R |
|
R |
|
Mandation |
GP Practice Registration
To carry details of the GP Practice Registration of the patient.One occurrence of this group is required for each change of GP Practice Registration. |
M |
|
M |
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R |
|
R |
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Mandation |
Accommodation Status
To carry accommodation details of the patient.One occurrence of this group is permitted for each accommodation type. |
M |
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M |
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R |
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R |
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R |
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R |
|
R |
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Mandation |
Employment Status
To carry details of the employment status of the patient.One occurrence of this group is permitted for each employment status. |
M |
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M |
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R |
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R |
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R |
|
R |
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Mandation |
Patient Indicators
To carry details of specific indicators relating to a patient.One occurrence of this group is permitted containing the current or most recently recorded status or indicators and psychosis information. |
M |
|
R |
CONSTANT SUPERVISION AND CARE REQUIRED DUE TO DISABILITY INDICATOR |
R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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Mandation |
Mental Health Care Coordinator
To carry details of the Mental Health Care Coordinator assigned to a patient.One occurrence of this group is permitted for each Mental Health Care Coordinator assignment. |
M |
|
M |
START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD) |
R |
|
R |
|
R |
CARE PROFESSIONAL SERVICE OR TEAM TYPE ASSOCIATION (MENTAL HEALTH) |
Mandation |
Disability Type
To carry details of the type of disability affecting a patient, based on their perception or the perception of a patient proxy.One occurrence of this group is permitted for each disability identified. |
M |
|
M |
|
R |
|
Mandation |
Care Plan Type
To carry details of Care Plans created for a patient by the organisation.One occurrence of this group is permitted for each Care Plan created for the patient. |
M |
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M |
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M |
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M |
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R |
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R |
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R |
|
R |
|
Mandation |
Care Plan Agreement
To carry details of any agreements to a Care Plan by a person, team or organisation.One occurrence of this group is permitted for each agreement of a Care Plan. |
M |
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R |
|
R |
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M |
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R |
|
R |
|
Mandation |
Assistive Technology to Support Disability Type
To carry details of when assistive technology is used to support a disabled patient.One occurrence of this group is permitted for each assistive technology type. |
M |
|
M |
|
R |
|
Mandation |
Social and Personal Circumstances
To carry details of social and personal circumstances of a patient.One occurrence of this group is permitted for each social and personal circumstance recorded. |
M |
|
M |
|
R |
|
Mandation |
Overseas Visitor Charging Category
To carry details of the Overseas Visitor Charging Category of the patient.Multiple occurrences of this group are permitted, one for each Overseas Visitor Charging Category recorded for the patient. |
M |
|
M |
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R |
|
R |
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Mandation |
Mental Health Currency Model
To carry details of the Mental Health Currency Model.One occurrence of this group is permitted for each Mental Health Resource Group recorded. |
P |
|
P |
|
P |
|
P |
REFERRALS | |
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Mandation |
Service or Team Referral
To carry details of the Service or Team referral that the patient is subject to.One occurrence of this group is permitted for each referral. |
M |
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M |
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M |
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M |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
|
R |
|
Mandation |
Other Reason for Referral
To carry details of additional reasons why a patient has been referred to a specific service.One occurrence of this group is permitted for each additional referral reason. |
M |
|
M |
|
Mandation |
Service or Team Type Referred To
To carry details of the service or team that a patient is referred to.One occurrence of this group is permitted for each service or team that a patient has been referred to. |
R |
|
M |
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M |
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R |
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R |
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R |
|
R |
|
R |
|
R |
|
Mandation |
Referral to Treatment (RTT)
To carry Referral to Treatment details for the patient's referral.One occurrence of this group is permitted for each change in Referral To Treatment Period Status. |
M |
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R |
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R |
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M |
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R |
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R |
|
R |
|
Mandation |
Onward Referral
To carry details of any onward referral of the patient which has taken place.One occurrence of this group is permitted for each onward referral. |
M |
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R |
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R |
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M |
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R |
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R |
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R |
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R |
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R |
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Mandation |
Discharge Plan Agreement
To carry details of any agreements to a Discharge Plan by a person, team or organisation.One occurrence of this group is permitted for each agreement of a Discharge Plan. |
M |
|
M |
|
R |
|
R |
|
Mandation |
Medication Prescription
To carry details of each Prescription of Medication for the patient.One occurrence of this group is permitted for each Prescription. |
P |
|
P |
|
P |
|
P |
CARE CONTACT, CARE ACTIVITIES AND INDIRECT ACTIVITIES | |
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Mandation |
Care Contact
To carry details of any contacts with a patient which have taken place as part of a referral.One occurrence of this group is permitted for each Care Contact. |
M |
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M |
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R |
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M |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
|
R |
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R |
|
R |
|
R |
COMMUNITY PERINATAL MENTAL HEALTH PARTNER ASSESSMENT OFFER INDICATOR |
R |
|
R |
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R |
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R |
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R |
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R |
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R |
|
R |
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Mandation |
Care Activity
To carry details of any Care Activity undertaken at a Care Contact.One occurrence of this group is permitted for each Care Activity. |
M |
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M |
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R |
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R |
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R |
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R |
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R |
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R |
|
R |
|
R |
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Mandation |
Other in Attendance
To carry details of any other people in attendance at a Care Contact.One occurrence of this group is permitted for each other patient in attendance at a Care Contact. |
M |
|
M |
|
R |
REASON PATIENT DOES NOT HAVE INDEPENDENT MENTAL CAPACITY ADVOCATE |
R |
REASON PATIENT DOES NOT HAVE INDEPENDENT MENTAL HEALTH ADVOCATE |
Mandation |
Indirect Activity
To carry details of indirect activity which takes place as a result of the referral.One occurrence of this group is permitted for each instance of indirect activity taking place. |
M |
|
R |
|
M |
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R |
|
R |
|
R |
|
R |
|
R |
CODED INDIRECT ACTIVITY PROCEDURE AND PROCEDURE STATUS (SNOMED CT) |
R |
|
R |
GROUP SESSIONS | |
---|---|
Mandation |
Group Session
To carry details of any group sessions which have been provided to a group of patients.One occurrence of this group is permitted for each Group Session activity. |
M |
|
M |
|
M |
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R |
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R |
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R |
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R |
|
R |
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R |
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R |
|
R |
|
Mandation |
Mental Health Drop In Contact
To carry details of any Mental Health drop in contacts which have been provided to a patient.One occurrence of this group is permitted for each Mental Health Drop In Contact activity. |
M |
|
M |
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R |
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R |
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R |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
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P |
|
R |
|
R |
|
R |
|
R |
MENTAL HEALTH ACT (MHA) EPISODES | |
---|---|
Mandation |
Mental Health Act Legal Status Classification Assignment Period
To carry details of Mental Health Act Legal Status Classification Assignment Periods for the patient.One occurrence of this group is permitted for each assigned Mental Health Responsible Clinician to the Mental Health Act Legal Status Classification Assignment Period. |
M |
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER |
M |
|
M |
START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD) |
M |
START TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD) |
R |
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD START REASON |
R |
|
R |
|
R |
END DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD) |
R |
END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD) |
R |
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD END REASON |
R |
|
R |
|
Mandation |
Mental Health Responsible Clinician Assignment Period
To carry details of the assignment of a Mental Health Responsible Clinician to the patient.One occurrence of this group is permitted for each assigned Mental Health Responsible Clinician to the Mental Health Act Legal Status Classification Assignment Period. |
M |
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER |
M |
START DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT PERIOD) |
M |
|
R |
END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT PERIOD) |
Mandation |
Conditional Discharge
To carry details of each separate period of conditional discharge for the patient.One occurrence of this group is permitted for each conditional discharge. |
M |
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER |
M |
|
R |
|
R |
|
R |
|
Mandation |
Community Treatment Order
To carry details of each separate period of a Community Treatment Order under section 17a of the Mental Health Act 1983 for the patient.One occurrence of this group is permitted whenever a patient on Community Treatment Order occurs. |
M |
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER |
M |
|
R |
|
R |
|
R |
|
Mandation |
Community Treatment Order Recall
To carry details of each separate period of a recall into hospital for a patient on a Community Treatment Order under section 17a of the Mental Health Act 1983.One occurrence of this group is permitted whenever a patient on a Community Treatment Order occurs. |
M |
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER |
M |
|
M |
|
R |
|
R |
HOSPITAL PROVIDER SPELLS | |
---|---|
Mandation |
Hospital Provider Spell
To carry details of each Hospital Provider Spell for a patient.One occurrence of this group is permitted for each Hospital Provider Spell. |
M |
|
M |
|
R |
|
R |
|
M |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
|
Mandation |
Ward Stay
To carry details of Ward Stays which occurred during a Hospital Provider Spell for the patient.One occurrence of this group is permitted for each Ward Stay. |
M |
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M |
|
M |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
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R |
|
R |
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R |
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R |
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R |
|
R |
|
R |
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Mandation |
Assigned Care Professional
To carry details of the Care Professional assigned responsibility for the care of the patient.One occurrence of this group is permitted for each Care Professional Admitted Care Episode. |
M |
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M |
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M |
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R |
|
R |
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Mandation |
Mental Health Delayed Discharge
To carry details of the patient's Mental Health Delayed Discharge Periods which occurred during a Hospital Provider Spell.One occurrence of this group is permitted whenever a patient is subject to a Mental Health Delayed Discharge Period. |
M |
|
M |
|
R |
|
R |
|
R |
MENTAL HEALTH DELAYED DISCHARGE ATTRIBUTABLE TO INDICATION CODE |
R |
ORGANISATION IDENTIFIER (RESPONSIBLE LOCAL AUTHORITY MENTAL HEALTH DELAYED DISCHARGE) |
Mandation |
Restrictive Intervention Incident
To carry details of each separate reported incident of a Restrictive Intervention of the patient by one or more members of staff in response to aggressive behaviour or resistance to treatment during a Hospital Provider Spell.One occurrence of this group is permitted whenever a Restrictive Intervention is carried out. |
M |
|
M |
|
M |
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R |
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R |
|
R |
|
R |
RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (PATIENT) |
R |
RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW NOT HELD REASON (PATIENT) |
R |
RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (CARE PERSONNEL) |
R |
|
Mandation |
Restrictive Intervention Type
To carry details of each separate reported type of a Restrictive Intervention used, as part of a Restrictive Intervention Incident, of the patient by one or more members of staff in response to aggressive behaviour or resistance to treatment during a Hospital Provider Spell.One occurrence of this group is permitted for each Restrictive Intervention carried out as part of a Restrictive Intervention Incident. |
M |
|
M |
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M |
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R |
|
R |
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R |
|
R |
|
R |
RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (PATIENT) |
R |
RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (CARE PERSONNEL) |
R |
RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (OTHER PERSON) |
Mandation |
Police Assistance Request
To carry details of each separate reported police assistance request during a Ward Stay.One occurrence of this group is permitted for each police assistance request. |
M |
|
M |
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R |
|
R |
|
R |
|
R |
|
Mandation |
Assault
To carry details of each separate reported incident of assault on a patient by another patient during a Hospital Provider Spell.One occurrence of this group is permitted whenever an assault on the patient occurs. |
M |
|
M |
|
Mandation |
Self-Harm
To carry details of each separate reported incident of self-harm by the patient during a Hospital Provider Spell.One occurrence of this group is permitted whenever an incident of self-harm is reported. |
M |
|
M |
|
Mandation |
Substance Misuse
To carry observation details of evidence of substance misuse by a patient within a Ward Stay.One occurrence of this group is permitted for each evidence that Substance Misuse was observed. |
M |
|
M |
|
Mandation |
Home Leave
To carry details of each separate period of Home Leave from a Hospital Provider Spell for a patient who is NOT liable for detention under the Mental Health Act 1983 and who is NOT on a Community Treatment Order.One occurrence of this group is permitted whenever a period of home leave takes place. |
M |
|
M |
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R |
|
R |
|
R |
|
Mandation |
Mental Health Leave of Absence
To carry details of each separate period of Mental Health Leave of Absence under section 17 of the Mental Health Act 1983 involving an overnight stay for the patient.One occurrence of this group is permitted whenever a period of Mental Health Leave of Absence takes place. |
M |
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M |
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R |
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R |
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R |
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R |
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R |
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Mandation |
Mental Health Absence Without Leave
To carry details of each separate period of Mental Health Absence Without Leave for the patient under section 18 of the Mental Health Act 1983, as amended by the Mental Health (Patients in the Community) Act 1995.One occurrence of this group is permitted whenever a period of Mental Health Absence Without Leave takes place. |
M |
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M |
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R |
|
R |
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R |
|
R |
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Mandation |
Mental Health Trial Leave
To carry details of each separate period of Mental Health Trial Leave for the patient.One occurrence of this group is permitted whenever a period of Mental Health Trial Leave takes place. |
M |
|
M |
|
R |
|
R |
|
R |
|
Mandation |
Hospital Provider Spell Commissioner Assignment Period
To carry details of each Commissioner Assignment Period during a Hospital Provider Spell.One occurrence of this group is permitted for each Commissioner Assignment Period. |
M |
|
M |
|
M |
|
R |
|
Mandation |
Specialised Mental Health Exceptional Package of Care
To carry details of Specialised Mental Health Exceptional Packages of Care which occurred during a Hospital Provider Spell for the patient.One occurrence of this group is permitted per Specialised Mental Health Exceptional Package of Care. |
M |
|
M |
SPECIALISED MENTAL HEALTH EXCEPTIONAL PACKAGE OF CARE CHARGE |
R |
|
M |
START DATE (SPECIALISED MENTAL HEALTH EXCEPTIONAL PACKAGE OF CARE) |
R |
END DATE (SPECIALISED MENTAL HEALTH EXCEPTIONAL PACKAGE OF CARE) |
CLINICALLY CODED TERMINOLOGY | |
---|---|
Mandation |
Medical History (Previous Diagnosis)
To carry details of any previous diagnoses for a patient which are stated by the patient or recorded in medical notes. These do not necessarily have been diagnosed by the organisation submitting the data.One occurrence of this group is permitted for each Previous Diagnosis. |
M |
|
M |
|
M |
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R |
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Mandation |
Provisional Diagnosis
To carry details of unconfirmed provisional diagnoses recorded for a patient.One occurrence of this group is permitted for each unconfirmed Provisional Diagnosis. |
M |
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M |
|
M |
|
R |
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Mandation |
Primary Diagnosis
To carry details of the primary diagnosis recorded for a patient.One occurrence of this group is permitted for the Primary Diagnosis. |
M |
|
M |
|
M |
|
R |
|
Mandation |
Secondary Diagnosis
To carry details of a secondary diagnosis recorded for a patient.One occurrence of this group is permitted for each Secondary Diagnosis. |
M |
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M |
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M |
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R |
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Mandation |
Coded Scored Assessment (Referral)
To carry details of scored assessments that are issued and completed as part of a referral to a Mental Health Service, but do not take place at a specific contact.One occurrence of this group is permitted for each coded scored assessment question or dimension captured outside of a Care Contact. |
M |
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M |
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M |
|
M |
|
R |
|
Mandation |
Coded Scored Assessment (Care Activity)
To carry details of scored assessments that are issued and completed as part of a specific Care Activity.One occurrence of this group is permitted for each coded scored assessment question or dimension captured as part of a specific Care Activity. |
M |
|
M |
|
M |
ANONYMOUS SELF-ASSESSMENT
To carry details of anonymous self-assessments that are issued and completed as part of a referral to a Mental Health Service.One occurrence of this group is permitted for each coded anonymous self-assessment question or dimension captured. |
|
---|---|
Mandation |
Data Elements |
M |
|
M |
|
M |
|
R |
|
R |
CARE PROGRAMME APPROACH (CPA) CARE EPISODES | |
---|---|
Mandation |
Care Programme Approach (CPA) Care Episode
To carry details of the periods of time the patient spent on Care Programme Approach.One occurrence of this group is required for each Care Programme Approach (CPA) care episode. |
M |
|
M |
|
M |
|
R |
|
Mandation |
Care Programme Approach (CPA) Review
To carry details of Care Programme Approach reviews undertaken for the patient.One occurrence of this group is permitted for the most recent Care Programme Approach Review that has taken place. |
M |
|
M |
|
R |
CARE CLUSTERS | |
---|---|
Mandation |
Clustering Tool Assessment
To carry details of clustering tool assessments.One occurrence of this group is permitted for each Clustering Tool assessment that takes place. |
M |
|
M |
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M |
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M |
|
R |
|
R |
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R |
|
R |
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P |
|
P |
|
Mandation |
Coded Scored Assessment (Clustering Tool)
To carry details of scored assessments that are issued and completed as part of a Clustering Tool assessment.One occurrence of this group is permitted for each coded scored assessment question or dimension captured as part of a Clustering Tool assessment. |
M |
|
M |
|
M |
|
Mandation |
Care Cluster
To carry details of the Care Cluster resulting from a clustering tool assessment.One occurrence of this group is permitted for each period of time that a patient was allocated to a Care Cluster. |
M |
|
M |
|
R |
|
R |
|
R |
CHILD AND ADOLESCENT MENTAL HEALTH NEEDS BASED GROUPING CODE |
P |
|
R |
|
P |
|
R |
|
R |
|
Mandation |
Five Forensic Pathways
To carry details of the Five Forensic Pathways grouping allocated to the patient during a Five Forensic Pathways assessment.One occurrence of this group is permitted for each initial assessment or review of the grouping allocation. |
M |
|
M |
|
R |
|
M |
CARE PROFESSIONALS
To carry details of the staff involved in providing the patient's care.One occurrence of this group is permitted for each staff member. |
|
---|---|
Mandation |
Data Elements |
M |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
Also Known As
This data set is also known by these names:
Context | Alias |
---|---|
Schema | MHSDS |
Short name | Mental Health Services |