Neonatal Critical Care Minimum Data Set
The Neonatal Critical Care Minimum Data Set (NCCMDS) provides a record of what happens to a PATIENT when they receive Neonatal Critical Care in a Neonatal Intensive Care Unit, Maternity WARD, or Neonatal Transitional Care WARD.
Overview
Introduction
The Neonatal Critical Care Minimum Data Set (NCCMDS) provides a record of what happens to a PATIENT when they receive Neonatal Critical Care in a Neonatal Intensive Care Unit, Maternity WARD, or Neonatal Transitional Care WARD.
The primary purpose of the Neonatal Critical Care Minimum Data Set is to allow the operation of the National Tariff Payment System within neonatal critical care. The Neonatal Critical Care Minimum Data Set supports the National Tariff Payment System by capturing the data needed to generate a Healthcare Resource Group (HRG) for each calendar day (or part thereof) of a period of neonatal critical care; these Healthcare Resource Groups are then used to inform the annual aggregate costing exercise, NHS Reference Costs.
Scope and Uses
The scope of the Neonatal Critical Care Minimum Data Set is:
a) All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code '13 - Neonatal Intensive Care Unit (Neonatal critical care patients predominate)'.
b) All PATIENTS (excluding Mothers) on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code:
-
14 - Facility for Babies on a Neonatal Transitional Care Ward
-
15 - Facility for Babies on a Maternity Ward
to whom one or more of the following CRITICAL CARE ACTIVITY CODES applies for a period greater than 4 hours:
01 |
Respiratory support via a tracheal tube (Respiratory support via a tracheal tube provided) |
02 |
Nasal Continuous Positive Airway Pressure (nCPAP) (PATIENT receiving nCPAP for any part of the day) |
04 |
Exchange Transfusion (PATIENT received exchange transfusion) |
05 |
Peritoneal Dialysis (PATIENT received Peritoneal Dialysis) |
06 |
Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin (PATIENT received a continuous infusion of an inotrope, vasodilator (includes pulmonary vasodilators) or prostaglandin) |
07 |
Parenteral Nutrition (PATIENT receiving Parenteral Nutrition (amino acids +/- lipids)) |
08 |
Convulsions (PATIENT having convulsions requiring treatment) |
09 |
Oxygen Therapy (PATIENT receiving additional oxygen) |
10 |
Neonatal abstinence syndrome (PATIENT receiving drug treatment for neonatal abstinence (withdrawal) syndrome) |
11 |
Care of an intra-arterial catheter or chest drain (PATIENT receiving care of an intra-arterial catheter or chest drain) |
12 |
Dilution Exchange Transfusion (PATIENT received Dilution Exchange Transfusion) |
13 |
Tracheostomy cared for by nursing staff (PATIENT receiving care of tracheostomy cared for by nursing staff not by an external Carer (e.g. parent)) |
14 |
Tracheostomy cared for by external Carer (PATIENT receiving care of tracheostomy cared for by an external Carer (e.g. parent) not by a NURSE) |
15 |
Recurrent apnoea (PATIENT has recurrent apnoea needing frequent intervention, i.e. over 5 stimulations in 8 hours, or resuscitation with IPPV two or more times in 24 hours) |
16 |
Haemofiltration (PATIENT received Haemofiltration) |
22 |
Continuous monitoring (PATIENT requiring continuous monitoring (by mechanical monitoring equipment) of respiration or heart rate, or by transcutaneous transducers or by Saturation Monitors. Note: apnoea alarms and monitors are excluded as forms of continuous monitoring) |
23 |
Intravenous glucose and electrolyte solutions (PATIENT being given intravenous glucose and electrolyte solutions) |
24 |
Tube-fed (PATIENT being tube-fed) |
25 |
Barrier nursed (PATIENT being barrier nursed) |
26 |
Phototherapy (PATIENT receiving phototherapy) |
27 |
Special monitoring (PATIENT receiving special monitoring of blood glucose or serum bilirubin measurement at a minimum frequency of more than one per calendar day) |
28 |
Observations at regular intervals (PATIENT requiring recorded observations for temperature, heart rate, respiratory rate, blood pressure or scoring for neonatal abstinence syndrome. Recorded observations must be at a minimum frequency of 4 hourly) |
29 |
Intravenous medication (PATIENT receiving intravenous medication) |
80 |
Heated Humidified High Flow Therapy (HHHFT) (PATIENT receiving HHHFT) |
81 |
Presence of an umbilical venous line |
82 |
Continuous infusion of insulin (PATIENT receiving a continuous infusion of insulin) |
83 |
Therapeutic hypothermia (PATIENT receiving therapeutic hypothermia) |
84 |
PATIENT
has a Replogle tube in situ |
85 |
PATIENT
has an epidural catheter in situ |
86 |
PATIENT
has an abdominal silo |
87 |
Administration of intravenous (IV) blood products |
88 |
PATIENT
has a central venous or long line (Peripherally Inserted Central Catheter line) in situ |
89 |
PATIENT
has an indwelling urinary or suprapubic catheter in situ |
90 |
PATIENT
has a trans-anastomotic tube in situ following oesophageal atresia repair |
91 |
PATIENT
has confirmed clinical seizure(s) today and/or continuous cerebral function monitoring (CFM) |
92 |
PATIENT
has a ventricular tap via needle or reservoir today |
93 |
PATIENT
has a stoma |
This data is captured and recorded locally and may be used for the purposes of direct care, clinical audit, Reference Costs, and other local uses. Any transmission of the Neonatal Critical Care Minimum Data Set must be covered by fair processing arrangements in accordance with information governance criteria and appropriate local arrangements.
Commissioning Data Set Transmission
Subject to the Commissioning Data Set Version 6-2 XML Schema Constraints, the Neonatal Critical Care Minimum Data Set is carried into the Secondary Uses Service (SUS) as a part of the following Commissioning Data Set messages, see SCCI0075:
- CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set
- CDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode Commissioning Data Set
-
CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set
The Secondary Uses Service groups this data into neonatal critical care Healthcare Resource Groups; these are a mandated currency under the National Tariff Payment System. Further guidance can be found on the NHS England website at: SCCI0075.
Specification
Person Group (Patient)
To carry the personal details of the Patient (the baby).One occurrence of this Group is permitted. |
|
---|---|
Mandation |
Data Elements |
Neonatal Critical Care Group
To carry the details of the Neonatal Critical Care Period.One occurrence of this Group is permitted. |
|
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Mandation |
Data Elements |
Neonatal Critical Care Daily Activity Group
To carry the daily activity data for each day of the Neonatal Critical Care Period.999 occurrences of this Group are permitted. |
|
---|---|
Mandation |
Data Elements |
20 occurrences of Critical Care Activity Codes are permitted within the Neonatal Critical Care Daily Activity Group
20 occurrences of Critical Care Activity Codes are permitted within the Neonatal Critical Care Daily Activity Group. All codes relate to care provided on the ACTIVITY DATE (CRITICAL CARE). |
|
---|---|
Mandation |
Data Elements |
20 occurrences of High Cost Drugs OPCS codes are permitted within the Neonatal Critical Care Daily Activity Group
20 occurrences of High Cost Drugs OPCS codes are permitted within the Neonatal Critical Care Daily Activity Group. All codes relate to drugs provided on the ACTIVITY DATE (CRITICAL CARE). |
|
---|---|
Mandation |
Data Elements |
Also Known As
This data set is also known by these names:
Context | Alias |
---|---|
Also known as | NCCMDS |
Short name | Neonatal Critical Care |