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 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:

A mental health condition and/or
A need for support with their mental wellbeing and/or
A Learning Disability and/or
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 in England:
- If the care is wholly funded by the NHS: the data submission for that PATIENT is mandatory
- If the care is partially funded by the NHS: the data submission for that PATIENT is mandatory
- If the care is wholly funded by any means that is not NHS: the data submission for that PATIENT is optional.
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:

NHS Mental Health Trusts
NHS Learning Disabilities Trusts
NHS Acute Trusts
NHS Care Trusts
Independent Sector Healthcare Providers
offering a service model that includes NHS funded and non-NHS funded PATIENTS
Voluntary sector Health Care Providers
Any qualified provider offering Mental Health Services
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.

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
R = Required: NHS business processes cannot be delivered without this data element
O = Optional: the inclusion of this data element is optional as required for local purposes
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.
Mandation	Data Elements
M	DATA SET VERSION NUMBER
M	ORGANISATION IDENTIFIER (CODE OF PROVIDER)
M	ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)
M	PRIMARY DATA COLLECTION SYSTEM IN USE
M	REPORTING PERIOD START DATE
M	REPORTING PERIOD END DATE
M	DATE AND TIME DATA SET CREATED


PATIENT DEMOGRAPHICS
Mandation	Master Patient Index To carry personal details of the patient.One occurrence of this group is required.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)
R	ORGANISATION IDENTIFIER (EDUCATIONAL ESTABLISHMENT)
R	NHS NUMBER
R	NHS NUMBER STATUS INDICATOR CODE (MENTAL HEALTH AND MATERNITY)
R	PERSON BIRTH DATE
R	POSTCODE OF USUAL ADDRESS
R	GENDER IDENTITY CODE
R	GENDER IDENTITY SAME AT BIRTH INDICATOR
R	PERSON STATED GENDER CODE
R	PERSON MARITAL STATUS
R	ETHNIC CATEGORY
P	ETHNIC CATEGORY 2021
R	LANGUAGE CODE (PREFERRED)
R	PERSON DEATH DATE

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	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
R	START DATE (GMP PATIENT REGISTRATION)
R	END DATE (GMP PATIENT REGISTRATION)

Mandation	Accommodation Status To carry accommodation details of the patient.One occurrence of this group is permitted for each accommodation type.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ACCOMMODATION TYPE
R	SETTLED ACCOMMODATION INDICATOR
R	ACCOMMODATION TYPE RECORDED DATE
R	SECURE CHILDRENS HOME PLACEMENT TYPE
R	ACCOMMODATION TYPE START DATE
R	ACCOMMODATION TYPE END DATE

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	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	EMPLOYMENT STATUS
R	EMPLOYMENT STATUS START DATE
R	EMPLOYMENT STATUS END DATE
R	EMPLOYMENT STATUS RECORDED DATE
R	WEEKLY HOURS WORKED

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	LOCAL PATIENT IDENTIFIER (EXTENDED)
R	CONSTANT SUPERVISION AND CARE REQUIRED DUE TO DISABILITY INDICATOR
R	PARENTAL RESPONSIBILITIES INDICATOR
R	YOUNG CARER INDICATOR
R	LOOKED AFTER CHILD INDICATOR
R	LOOKED AFTER CHILD LEGAL STATUS
R	EDUCATIONAL ASSESSMENT OUTCOME
R	CHILD PROTECTION PLAN INDICATION CODE
R	EX-BRITISH ARMED FORCES INDICATOR
R	OFFENCE HISTORY INDICATION CODE
R	PRODROME PSYCHOSIS DATE
R	EMERGENT PSYCHOSIS DATE
R	MANIFEST PSYCHOSIS DATE
R	FIRST PRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION)
R	PSYCHOSIS FIRST TREATMENT START DATE
R	REASONABLE ADJUSTMENT REQUIRED INDICATOR

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	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD)
R	CARE PROFESSIONAL LOCAL IDENTIFIER
R	END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD)
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	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	DISABILITY CODE
R	DISABILITY IMPACT PERCEPTION

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	CARE PLAN IDENTIFIER
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	CARE PLAN TYPE (MENTAL HEALTH)
M	CARE PLAN CREATION DATE
R	CARE PLAN CREATION TIME
R	CARE PLAN LAST UPDATED DATE
R	CARE PLAN LAST UPDATED TIME
R	CARE PLAN IMPLEMENTATION DATE

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	CARE PLAN IDENTIFIER
R	FAMILY INVOLVED IN CARE PLAN INDICATOR
R	FAMILY NOT INVOLVED IN CARE PLAN REASON
M	CARE PLAN CONTENT AGREED BY
R	CARE PLAN CONTENT AGREED DATE
R	CARE PLAN CONTENT AGREED TIME

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	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ASSISTIVE TECHNOLOGY FINDING (SNOMED CT)
R	PRESCRIPTION TIMESTAMP (ASSISTIVE TECHNOLOGY)

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	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	SOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT)
R	SOCIAL AND PERSONAL CIRCUMSTANCE RECORDED TIMESTAMP

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	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	OVERSEAS VISITOR CHARGING CATEGORY
R	OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATE
R	OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE END DATE

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	LOCAL PATIENT IDENTIFIER (EXTENDED)
P	MENTAL HEALTH RESOURCE GROUP TYPE (SNOMED CT)
P	START DATE (MENTAL HEALTH RESOURCE GROUP)
P	END DATE (MENTAL HEALTH RESOURCE GROUP)


REFERRALS
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	SERVICE REQUEST IDENTIFIER
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
M	REFERRAL REQUEST RECEIVED DATE
R	REFERRAL REQUEST RECEIVED TIME
R	NHS SERVICE AGREEMENT LINE NUMBER
R	SPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE
R	SOURCE OF REFERRAL FOR MENTAL HEALTH SERVICES DATA SET
R	ORGANISATION IDENTIFIER (REFERRING)
R	REFERRING CARE PROFESSIONAL STAFF GROUP (MENTAL HEALTH)
R	CLINICAL RESPONSE PRIORITY TYPE
R	PRIMARY REASON FOR REFERRAL (MENTAL HEALTH)
R	REASON FOR OUT OF AREA REFERRAL (ADULT ACUTE MENTAL HEALTH)
R	DECISION TO TREAT DATE (MENTAL HEALTH HOME TREATMENT)
R	DECISION TO TREAT TIME (MENTAL HEALTH HOME TREATMENT)
R	DISCHARGE PLAN CREATION DATE
R	DISCHARGE PLAN CREATION TIME
R	DISCHARGE PLAN LAST UPDATED DATE
R	DISCHARGE PLAN LAST UPDATED TIME
R	SERVICE DISCHARGE DATE
R	SERVICE DISCHARGE TIME

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	SERVICE REQUEST IDENTIFIER
M	OTHER REASON FOR REFERRAL (MENTAL HEALTH)

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	CARE PROFESSIONAL TEAM LOCAL IDENTIFIER
M	SERVICE REQUEST IDENTIFIER
M	SERVICE OR TEAM TYPE REFERRED TO (MENTAL HEALTH)
R	REFERRAL CLOSURE DATE
R	REFERRAL CLOSURE TIME
R	REFERRAL REJECTION DATE
R	REFERRAL REJECTION TIME
R	REFERRAL CLOSURE REASON
R	REFERRAL REJECTION REASON

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	SERVICE REQUEST IDENTIFIER
R	PATIENT PATHWAY IDENTIFIER
R	ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)
M	WAITING TIME MEASUREMENT TYPE (MENTAL HEALTH)
R	REFERRAL TO TREATMENT PERIOD START DATE
R	REFERRAL TO TREATMENT PERIOD END DATE
R	REFERRAL TO TREATMENT PERIOD STATUS

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	SERVICE REQUEST IDENTIFIER
R	DECISION TO REFER DATE (ONWARD REFERRAL)
R	DECISION TO REFER TIME (ONWARD REFERRAL)
M	ONWARD REFERRAL DATE
R	ONWARD REFERRAL TIME
R	ONWARD REFERRAL REASON (MENTAL HEALTH SERVICES DATA SET)
R	REFERRED OUT OF AREA REASON (ADULT ACUTE MENTAL HEALTH)
R	ORGANISATION IDENTIFIER (RECEIVING)
R	CODED REFERRAL PROCEDURE AND PROCEDURE STATUS (SNOMED CT)

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	SERVICE REQUEST IDENTIFIER
M	DISCHARGE PLAN CONTENT AGREED BY
R	DISCHARGE PLAN CONTENT AGREED DATE
R	DISCHARGE PLAN CONTENT AGREED TIME

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	SERVICE REQUEST IDENTIFIER
P	PRESCRIPTION IDENTIFIER
P	PRESCRIPTION DATE (MEDICATION)
P	PRESCRIPTION TIME (MEDICATION)


CARE CONTACT, CARE ACTIVITIES AND INDIRECT ACTIVITIES
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	CARE CONTACT IDENTIFIER
M	SERVICE REQUEST IDENTIFIER
R	CARE PROFESSIONAL TEAM LOCAL IDENTIFIER
M	CARE CONTACT DATE
R	CARE CONTACT TIME
R	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
R	ADMINISTRATIVE CATEGORY CODE
R	SPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE
R	CLINICAL CONTACT DURATION OF CARE CONTACT
R	CONSULTATION TYPE
R	CARE CONTACT SUBJECT
R	CONSULTATION MECHANISM (MENTAL HEALTH)
R	ACTIVITY LOCATION TYPE CODE
R	PLACE OF SAFETY INDICATOR
R	ORGANISATION SITE IDENTIFIER (OF TREATMENT)
R	COMMUNITY PERINATAL MENTAL HEALTH PARTNER ASSESSMENT OFFER INDICATOR
R	PLANNED CARE CONTACT INDICATOR
R	CARE CONTACT PATIENT THERAPY MODE
R	ATTENDED OR DID NOT ATTEND CODE
R	EARLIEST REASONABLE OFFER DATE
R	EARLIEST CLINICALLY APPROPRIATE DATE
R	CARE CONTACT CANCELLATION DATE
R	CARE CONTACT CANCELLATION REASON
R	REASONABLE ADJUSTMENT MADE INDICATOR

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	CARE ACTIVITY IDENTIFIER
M	CARE CONTACT IDENTIFIER
R	CARE PROFESSIONAL LOCAL IDENTIFIER
R	CLINICAL CONTACT DURATION OF CARE ACTIVITY
R	CODED PROCEDURE AND PROCEDURE STATUS (SNOMED CT)
R	FINDING SCHEME IN USE (MENTAL HEALTH)
R	CODED FINDING (CODED CLINICAL ENTRY)
R	CODED OBSERVATION (SNOMED CT)
R	OBSERVATION VALUE
R	UCUM UNIT OF MEASUREMENT

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	CARE CONTACT IDENTIFIER
M	OTHER PERSON IN ATTENDANCE AT CARE CONTACT
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	SERVICE REQUEST IDENTIFIER
R	CARE PROFESSIONAL TEAM LOCAL IDENTIFIER
M	INDIRECT ACTIVITY DATE
R	INDIRECT ACTIVITY TIME
R	DURATION OF INDIRECT ACTIVITY
R	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
R	CARE PROFESSIONAL LOCAL IDENTIFIER
R	CODED INDIRECT ACTIVITY PROCEDURE AND PROCEDURE STATUS (SNOMED CT)
R	FINDING SCHEME IN USE (MENTAL HEALTH)
R	CODED FINDING (CODED CLINICAL ENTRY)


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	GROUP SESSION IDENTIFIER
M	GROUP SESSION DATE
M	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
R	CLINICAL CONTACT DURATION OF GROUP SESSION
R	GROUP SESSION TYPE (MENTAL HEALTH)
R	NUMBER OF GROUP SESSION PARTICIPANTS
R	ACTIVITY LOCATION TYPE CODE
R	ORGANISATION SITE IDENTIFIER (OF TREATMENT)
R	CARE PROFESSIONAL LOCAL IDENTIFIER
R	SERVICE OR TEAM TYPE REFERRED TO (MENTAL HEALTH)
R	NHS SERVICE AGREEMENT LINE NUMBER

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	MENTAL HEALTH DROP IN CONTACT IDENTIFIER
M	CARE CONTACT DATE (MENTAL HEALTH DROP IN CONTACT)
R	MENTAL HEALTH DROP IN CONTACT SERVICE TYPE
R	START TIME (MENTAL HEALTH DROP IN CONTACT)
R	END TIME (MENTAL HEALTH DROP IN CONTACT)
R	LOCAL PATIENT IDENTIFIER (EXTENDED)
R	NHS NUMBER
R	PERSON BIRTH DATE
R	GENDER IDENTITY CODE
R	GENDER IDENTITY SAME AT BIRTH INDICATOR
R	ETHNIC CATEGORY
P	ETHNIC CATEGORY 2021
R	CONSULTATION MECHANISM (MENTAL HEALTH)
R	CARE PROFESSIONAL LOCAL IDENTIFIER
R	MENTAL HEALTH DROP IN CONTACT OUTCOME
R	ORGANISATION IDENTIFIER (RECEIVING)


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	LOCAL PATIENT IDENTIFIER (EXTENDED)
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	EXPIRY DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
R	EXPIRY TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
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	MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE
R	MENTAL HEALTH ACT 2007 MENTAL CATEGORY

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	CARE PROFESSIONAL LOCAL IDENTIFIER
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	START DATE (MENTAL HEALTH CONDITIONAL DISCHARGE)
R	END DATE (MENTAL HEALTH CONDITIONAL DISCHARGE)
R	MENTAL HEALTH CONDITIONAL DISCHARGE END REASON
R	MENTAL HEALTH ABSOLUTE DISCHARGE RESPONSIBILITY

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	START DATE (COMMUNITY TREATMENT ORDER)
R	EXPIRY DATE (COMMUNITY TREATMENT ORDER)
R	END DATE (COMMUNITY TREATMENT ORDER)
R	COMMUNITY TREATMENT ORDER END REASON

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	START DATE (COMMUNITY TREATMENT ORDER RECALL)
M	START TIME (COMMUNITY TREATMENT ORDER RECALL)
R	END DATE (COMMUNITY TREATMENT ORDER RECALL)
R	END TIME (COMMUNITY TREATMENT ORDER RECALL)


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	HOSPITAL PROVIDER SPELL IDENTIFIER
M	SERVICE REQUEST IDENTIFIER
R	DECIDED TO ADMIT DATE
R	DECIDED TO ADMIT TIME
M	START DATE (HOSPITAL PROVIDER SPELL)
R	START TIME (HOSPITAL PROVIDER SPELL)
R	ADMISSION SOURCE (MENTAL HEALTH HOSPITAL PROVIDER SPELL)
R	METHOD OF ADMISSION (MENTAL HEALTH HOSPITAL PROVIDER SPELL)
R	POSTCODE OF MAIN VISITOR
R	ESTIMATED DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
R	PLANNED DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
R	PLANNED DESTINATION OF DISCHARGE (HOSPITAL PROVIDER SPELL)
R	DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
R	DISCHARGE TIME (HOSPITAL PROVIDER SPELL)
R	METHOD OF DISCHARGE (MENTAL HEALTH HOSPITAL PROVIDER SPELL)
R	DESTINATION OF DISCHARGE (HOSPITAL PROVIDER SPELL)
R	POSTCODE OF DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)
R	TRANSFORMING CARE INDICATOR
R	TRANSFORMING CARE CATEGORY

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	WARD STAY IDENTIFIER
M	HOSPITAL PROVIDER SPELL IDENTIFIER
M	START DATE (WARD STAY)
R	START TIME (WARD STAY)
R	END DATE (MENTAL HEALTH TRIAL LEAVE)
R	END DATE (WARD STAY)
R	END TIME (WARD STAY)
R	ORGANISATION SITE IDENTIFIER (OF TREATMENT)
R	WARD SETTING TYPE (MENTAL HEALTH)
R	INTENDED AGE GROUP (MENTAL HEALTH)
R	SEX OF PATIENTS CODE (MENTAL HEALTH)
R	INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)
R	WARD SECURITY LEVEL
R	LOCKED WARD INDICATOR
R	MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION
R	SPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE
R	WARD CODE

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	HOSPITAL PROVIDER SPELL IDENTIFIER
M	CARE PROFESSIONAL LOCAL IDENTIFIER
M	START DATE (CARE PROFESSIONAL ADMITTED CARE EPISODE)
R	END DATE (CARE PROFESSIONAL ADMITTED CARE EPISODE)
R	TREATMENT FUNCTION CODE (MENTAL HEALTH)

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	HOSPITAL PROVIDER SPELL IDENTIFIER
M	START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
R	END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
R	MENTAL HEALTH DELAYED DISCHARGE REASON
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	RESTRICTIVE INTERVENTION INCIDENT IDENTIFIER
M	HOSPITAL PROVIDER SPELL IDENTIFIER
M	START DATE (RESTRICTIVE INTERVENTION INCIDENT)
R	START TIME (RESTRICTIVE INTERVENTION INCIDENT)
R	END DATE (RESTRICTIVE INTERVENTION INCIDENT)
R	END TIME (RESTRICTIVE INTERVENTION INCIDENT)
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	RESTRICTIVE INTERVENTION REASON

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	RESTRICTIVE INTERVENTION INCIDENT IDENTIFIER
M	RESTRICTIVE INTERVENTION TYPE IDENTIFIER
M	START DATE (RESTRICTIVE INTERVENTION TYPE)
R	START TIME (RESTRICTIVE INTERVENTION TYPE)
R	RESTRICTIVE INTERVENTION TYPE
R	END DATE (RESTRICTIVE INTERVENTION TYPE)
R	END TIME (RESTRICTIVE INTERVENTION TYPE)
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	WARD STAY IDENTIFIER
M	POLICE ASSISTANCE REQUEST DATE
R	POLICE ASSISTANCE REQUEST TIME
R	POLICE ASSISTANCE ARRIVAL DATE
R	POLICE ASSISTANCE ARRIVAL TIME
R	POLICE RESTRAINT OR FORCE USED INDICATOR

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	WARD STAY IDENTIFIER
M	DATE OF ASSAULT ON PATIENT

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	WARD STAY IDENTIFIER
M	DATE OF SELF-HARM

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	WARD STAY IDENTIFIER
M	OBSERVATION DATE (SUBSTANCE MISUSE EVIDENCE)

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	WARD STAY IDENTIFIER
M	START DATE (HOME LEAVE)
R	START TIME (HOME LEAVE)
R	END DATE (HOME LEAVE)
R	END TIME (HOME LEAVE)

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	WARD STAY IDENTIFIER
M	START DATE (MENTAL HEALTH LEAVE OF ABSENCE)
R	START TIME (MENTAL HEALTH LEAVE OF ABSENCE)
R	END DATE (MENTAL HEALTH LEAVE OF ABSENCE)
R	END TIME (MENTAL HEALTH LEAVE OF ABSENCE)
R	MENTAL HEALTH LEAVE OF ABSENCE END REASON
R	ESCORTED MENTAL HEALTH LEAVE OF ABSENCE INDICATOR

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	WARD STAY IDENTIFIER
M	START DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
R	START TIME (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
R	END DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
R	END TIME (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
R	MENTAL HEALTH ABSENCE WITHOUT LEAVE END REASON

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	WARD STAY IDENTIFIER
M	START DATE (MENTAL HEALTH TRIAL LEAVE)
R	START TIME (MENTAL HEALTH TRIAL LEAVE)
R	END DATE (MENTAL HEALTH TRIAL LEAVE)
R	END TIME (MENTAL HEALTH TRIAL LEAVE)

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	HOSPITAL PROVIDER SPELL IDENTIFIER
M	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
M	START DATE (COMMISSIONER ASSIGNMENT PERIOD)
R	END DATE (COMMISSIONER ASSIGNMENT PERIOD)

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	HOSPITAL PROVIDER SPELL IDENTIFIER
M	SPECIALISED MENTAL HEALTH EXCEPTIONAL PACKAGE OF CARE CHARGE
R	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
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	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	DIAGNOSIS SCHEME IN USE (MENTAL HEALTH)
M	PREVIOUS DIAGNOSIS (CODED CLINICAL ENTRY)
R	CODED DIAGNOSIS TIMESTAMP

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	SERVICE REQUEST IDENTIFIER
M	DIAGNOSIS SCHEME IN USE (MENTAL HEALTH)
M	PROVISIONAL DIAGNOSIS (CODED CLINICAL ENTRY)
R	CODED PROVISIONAL DIAGNOSIS TIMESTAMP

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	SERVICE REQUEST IDENTIFIER
M	DIAGNOSIS SCHEME IN USE (MENTAL HEALTH)
M	PRIMARY DIAGNOSIS (CODED CLINICAL ENTRY)
R	CODED DIAGNOSIS TIMESTAMP

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	SERVICE REQUEST IDENTIFIER
M	DIAGNOSIS SCHEME IN USE (MENTAL HEALTH)
M	SECONDARY DIAGNOSIS (CODED CLINICAL ENTRY)
R	CODED DIAGNOSIS TIMESTAMP

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	SERVICE REQUEST IDENTIFIER
M	CODED ASSESSMENT TOOL TYPE (SNOMED CT)
M	PERSON SCORE
M	ASSESSMENT TOOL COMPLETION TIMESTAMP
R	CARE PROFESSIONAL LOCAL IDENTIFIER

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	CARE ACTIVITY IDENTIFIER
M	CODED ASSESSMENT TOOL TYPE (SNOMED CT)
M	PERSON SCORE


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	ASSESSMENT TOOL COMPLETION TIMESTAMP
M	CODED ASSESSMENT TOOL TYPE (SNOMED CT)
M	PERSON SCORE
R	ACTIVITY LOCATION TYPE CODE
R	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)


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	CARE PROGRAMME APPROACH CARE EPISODE IDENTIFIER
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	START DATE (CARE PROGRAMME APPROACH CARE)
R	END DATE (CARE PROGRAMME APPROACH CARE)

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	CARE PROGRAMME APPROACH CARE EPISODE IDENTIFIER
M	CARE PROGRAMME APPROACH REVIEW DATE
R	CARE PROFESSIONAL LOCAL IDENTIFIER


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	CLUSTERING TOOL ASSESSMENT IDENTIFIER
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	CLUSTERING TOOL ASSESSMENT CATEGORY
M	ASSESSMENT TOOL COMPLETION DATE
R	ASSESSMENT TOOL COMPLETION TIME
R	CLUSTERING TOOL ASSESSMENT REASON
R	MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE
R	ADULT MENTAL HEALTH CARE CLUSTER CODE (INITIAL)
P	LEARNING DISABILITIES CARE CLUSTER CODE (INITIAL)
P	FORENSIC LEARNING DISABILITIES CARE CLUSTER CODE (INITIAL)

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	CLUSTERING TOOL ASSESSMENT IDENTIFIER
M	CODED ASSESSMENT TOOL TYPE (SNOMED CT)
M	PERSON SCORE

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	CLUSTERING TOOL ASSESSMENT IDENTIFIER
M	START DATE (CARE CLUSTER ASSIGNMENT PERIOD)
R	START TIME (CARE CLUSTER ASSIGNMENT PERIOD)
R	ADULT MENTAL HEALTH CARE CLUSTER CODE (FINAL)
R	CHILD AND ADOLESCENT MENTAL HEALTH NEEDS BASED GROUPING CODE
P	LEARNING DISABILITIES CARE CLUSTER CODE (FINAL)
R	FORENSIC MENTAL HEALTH CARE CLUSTER CODE (FINAL)
P	FORENSIC LEARNING DISABILITIES CARE CLUSTER CODE (FINAL)
R	END DATE (CARE CLUSTER ASSIGNMENT PERIOD)
R	END TIME (CARE CLUSTER ASSIGNMENT PERIOD)

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	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	FIVE FORENSIC PATHWAYS ASSESSMENT DATE
R	FIVE FORENSIC PATHWAYS ASSESSMENT REASON
M	FIVE FORENSIC PATHWAYS CODE


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	CARE PROFESSIONAL LOCAL IDENTIFIER
R	PROFESSIONAL REGISTRATION BODY CODE
R	PROFESSIONAL REGISTRATION ENTRY IDENTIFIER
R	CARE PROFESSIONAL STAFF GROUP (MENTAL HEALTH)
R	MAIN SPECIALTY CODE (MENTAL HEALTH)
R	OCCUPATION CODE
R	CARE PROFESSIONAL (JOB ROLE CODE)

Also Known As

This data set is also known by these names:

Context	Alias
Schema	MHSDS
Short name	Mental Health Services