Paediatric Critical Care Minimum Data Set
The Paediatric Critical Care Minimum Data Set (PCCMDS) provides a record of what happens to a PATIENT when they receive Paediatric Critical Care in a Paediatric Intensive Care Unit, or other critical care setting suitable for children.
Overview
Introduction
The Paediatric Critical Care Minimum Data Set (PCCMDS) provides a record of what happens to a PATIENT when they receive Paediatric Critical Care in a Paediatric Intensive Care Unit, or other critical care setting suitable for children.
The primary purpose of the Paediatric Critical Care Minimum Data Set is to allow the operation of the National Tariff Payment System within paediatric critical care. The Paediatric 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 paediatric 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 Paediatric Critical Care Minimum Data Set is:
a) All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code '04 - Paediatric Intensive Care Unit (Paediatric critical care patients predominate)'
b) All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code of either:
- 16 - Ward for children and young people
- 17 - High Dependency Unit for children and young people
- 18 - Renal Unit for children and young people
- 19 - Burns Unit for children and young people
- 92 - Non standard location using the operating department for children and young people
to whom one or more of the following CRITICAL CARE ACTIVITY CODES applies for a period greater than 4 hours:
04 |
Exchange Transfusion (PATIENT received exchange transfusion) |
05 |
Peritoneal dialysis (acute PATIENTS only i.e. excluding chronic) * |
06 |
Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin (PATIENT received a continuous infusion of an inotrope, vasodilator (includes pulmonary vasodilators) or prostaglandin) |
09 |
Oxygen Therapy
(supplementary Oxygen Therapy, irrespective of ventilatory state) ** |
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)) |
16 |
Haemofiltration (PATIENT received Haemofiltration) |
50 |
Continuous electrocardiogram monitoring |
51 |
Invasive ventilation via endotracheal tube |
52 |
Invasive ventilation via tracheostomy tube |
53 |
Non-invasive ventilatory support |
55 |
Nasopharyngeal airway |
56 |
Advanced ventilatory support (Jet or Oscillatory ventilation) |
57 |
Upper airway obstruction requiring nebulised Epinephrine/ Adrenaline |
58 |
Apnoea requiring intervention |
59 |
Acute severe asthma requiring intravenous bronchodilator therapy or continuous nebuliser |
60 |
Arterial line monitoring |
61 |
Cardiac pacing via an external box (pacing wires or external pads or oesophageal pacing) |
62 |
Central venous pressure monitoring |
63 |
Bolus intravenous fluids (> 80 ml/kg/day) in addition to maintenance intravenous fluids |
64 |
Cardio-pulmonary resuscitation (CPR) |
65 |
Extracorporeal membrane oxygenation (ECMO) or Ventricular Assist Device (VAD) or aortic balloon pump |
66 |
Haemodialysis (acute PATIENTS only i.e. excluding chronic) |
67 |
Plasma filtration or Plasma exchange |
68 |
ICP-intracranial pressure monitoring |
69 |
Intraventricular catheter or external ventricular drain |
70 |
Diabetic ketoacidosis (DKA) requiring continuous infusion of insulin |
71 |
Intravenous infusion of thrombolytic agent (limited to tissue plasminogen activator [tPA] and streptokinase) |
72 |
Extracorporeal liver support using Molecular Absorbent Liver Recirculating System (MARS) |
73 |
Continuous pulse oximetry |
74 |
PATIENT
nursed in single occupancy cubicle |
80 |
Heated Humidified High Flow Therapy (HHHFT) (PATIENT receiving HHHFT) |
85 |
PATIENT
has an epidural catheter in situ |
94 |
PATIENT
has arrhythmia requiring intravenous anti-arrhythmic therapy |
95 |
PATIENT
has reduced conscious level (Glasgow Coma Score 12 or below) and hourly (or more frequent) Glasgow Coma Score monitoring |
96 |
Intravenous infusion of sedative agent (PATIENT receiving continuous intravenous infusion of sedative agent) |
97 |
PATIENT
has status epilepticus requiring treatment with continuous intravenous infusion |
Notes:
-
** National Code 09 applies as an inclusion criterion when the PATIENT receives supplementary Oxygen Therapy, irrespective of their ventilatory state.
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 Paediatric 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 and Commissioning Data Set Version 6-3 XML Schema Constraints, the Paediatric Critical Care Minimum Data Set is sent to the Secondary Uses Service (SUS) as a part of the following Commissioning Data Set messages, SCCI0076:
The Secondary Uses Service groups this data into paediatric critical care Healthcare Resource Groups. Further guidance can be found on the NHS England website at: SCCI0076.
Specification
Person Group (Patient)
To carry the personal details of the Patient.One occurrence of this Group is permitted. |
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Mandation |
Data Elements |
Paediatric Critical Care Group
To carry the details of the Paediatric Critical Care Period. |
|
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Mandation |
Data Elements |
Paediatric Critical Care Daily Activity Group
To carry the daily activity data for each day of the Paediatric Critical Care Period. 999 occurrences of this Group are permitted. |
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Mandation |
Data Elements |
20 occurrences of Critical Care Activity Codes are permitted within the Paediatric Critical Care Daily Activity Group
20 occurrences of Critical Care Activity Codes are permitted within the Paediatric Critical Care Daily Activity Group. All codes relate to care provided on the CRITICAL CARE START DATE. |
|
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Mandation |
Data Elements |
2 HIGH COST DRUGS (OPCS) codes are permitted but there is the capacity for 20 codes within the Paediatric Critical Care Daily Activity Group, to allow future refinement
2 HIGH COST DRUGS (OPCS) codes are permitted but there is the capacity for 20 codes within the Paediatric Critical Care Daily Activity Group, to allow future refinement. All codes relate to drugs provided on the CRITICAL CARE LOCAL IDENTIFIER. |
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Mandation |
Data Elements |
Also Known As
This data set is also known by these names:
Context | Alias |
---|---|
Also known as | PCCMDS |
Short name | Paediatric Critical Care |