NHS Information Authority

Data Standards Programme

HES GENERAL EPISODE RECORD
HES DELIVERY AND BIRTH RECORD: Additional Data Comments
HES PSYCHIATRIC CENSUS RECORD: Additional Data Comments
HES AUGMENTED CARE RECORD: Additional Data Comments
HES OTHER DELIVERY/OTHER BIRTH EVENT RECORD

2. Each table was arranged as a flat file, containing a number of ordered comments. This inflexible format created problems whenever revisions were needed. To allow the position of other comments to remain unaltered, deleted data items had to be retained in the HES data sets. On a more general level, users familiar with the structured CDS format found it difficult to determine exactly how the sequential HES format aligned to the APC-CDS.

3. The way HES items are presented in the NHS Data Dictionary & Manual has therefore been changed to make it easier to handle growth and revisions. Any changes to the content of the core HES dataset will be reflected immediately in the supporting documentation as soon as they are agreed.

4. The expansion in the use of HES has been driving forward the need for change. Strategic Health Authorities are being given access to the HES database to monitor healthcare in their areas and they need to be able to cross refer between HES and CDS data items. In addition, Data Quality Reports produced by HES need to make specific reference to the data items used by the NHS.

5. In summary, the changes have ensured that the NHS Data Dictionary & Manual aligns current HES requirements tightly with the current APC-CDS sets and will enable future development of the HES database to be more efficient.

ADMINISTRATIVE CATEGORY

Format/length:	n2
HES item:	ADMINCAT
National Codes:	Press Definition button for National Codes
Default Codes:	98 - Not applicable
	99 - Not known: a validation error

Notes:
Overseas visitors who do not qualify for free NHS treatment can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS.

The patient's ADMINISTRATIVE CATEGORIES may change during an episode or spell. The patient's ADMINISTRATIVE CATEGORY may change during an episode or spell. For example, the patient may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY IN EPISODE or ADMINISTRATIVE CATEGORY IN SPELL should be recorded.

If the category changes during a HOSPITAL PROVIDER SPELL the category on admission is used to derive the 'Category of patient' for HES.

Note that HES requires the Administrative Category codes to be exactly as given; ie. right-justified with leading zeros.

This data element is also known by these names:

Context	Alias
plural	ADMINISTRATIVE CATEGORIES

AGE AT START OF EPISODE

AGE GROUP INTENDED

Format/length:	n1
HES item:
National Codes:	Press Definition button for the Classifications
Default Codes:

Notes:
DSCN 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within CDS by their constituent components. For CDS message purposes therefore the constituent component AGE GROUPS INTENDED is required to be separately recorded.

Please note that for HES purposes, the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE are still required to be recorded. The following values for the classifications of attribute AGE GROUP INTENDED, with the addition of HOME LEAVE, are to be used:

The following values for the classifications of attribute AGE GROUPS INTENDED, with the addition of HOME LEAVE, are to be used:

1	Neonates
2	Children and /or adolescents
3	Elderly
8	Any age
9	Home Leave
>9	Home Leave

This data element is also known by these names:

Context	Alias
plural	AGE GROUPS INTENDED

DETENTION CATEGORY

DURATION OF EPISODE

FIRST SECONDARY (ICD-10)

FOURTH OPERATION (OPCS-4)

FOURTH OPERATION DATE

Format/length:	n8 - ccyymmdd
HES item:	OPDATE4
National Codes:
Default Codes:

Notes:
This is the CLINICAL INTERVENTION DATE of the FOURTH OPERATION (OPCS-4). This is the CLINICAL INTERVENTION DATE of the fourth operation.

This data element is also known by these names:

Context	Alias
plural	FOURTH OPERATION DATES

FOURTH SECONDARY (ICD-10)

GMP (CODE OF REGISTERED OR REFERRING GMP)

Format/length:	an8
HES item:	REGGMP
National Codes:
Default Codes:	G9999998 - GP code is unknown
	G9999981 - No registered GP
	R9999981 - Referrer other than GMP, GDP or Consultant
	Other GP Codes
	A9999998 - MOD doctor refers
	P9999981 - Prison doctor

Notes:
This is the code of either the GENERAL MEDICAL PRACTITIONER (GMP) with whom the PATIENT is registered, or for the GP Referral Letters CMDS only it is also the GMP referring the PATIENT. Please note that for HES purposes, the referring GMP is recorded as REFERRER CODE.

A doctor receives a GMC number on qualification. If he/she then chooses to enter general practice, a further number is allocated - the GMP code - by the Department of Health (STATS(W)). This number is passed to the HEALTH AUTHORITY (HA) requesting the number who then liaise with the Prescription Pricing Authority (PPA) on the issue of prescription pads etc. The code of the GMP linked to his/her main practice is included on the Organisation Codes Service (OCS) CD-ROM.

The GMP code is an eight character alphanumeric code, see NHS Administrative Codes - Practitioner Codes, PERSON IDENTIFIER and PERSON IDENTIFIER TYPES. The GMP code is an eight character alphanumeric code, see NHS Administrative Codes - Practitioner Codes, PERSON IDENTIFIER and PERSON IDENTIFIER TYPE.

When a locum refers, use the code of the GP for whom the locum is acting. See PERSON IDENTIFIER TYPE classification 'Code of General Practitioner - PPA Code'.

For GPs working in hospitals, the following codes should be used:

-	if the GP is working as an assistant, use the code of the responsible consultant;
-	if the GP is working as a consultant, use the GP's GMC code.

Whilst both MOD and prison doctors provide general medical services to their communities, they are not GMPs and should not be recorded as Registered GMPs. They can refer (Referrer code).

This data element is also known by these names:

Context	Alias
plural	GMP (CODE OF REGISTERED OR REFERRING GMP)
plural	GMP (CODE OF REGISTERED OR REFERRING GMPS)

INTENDED CLINICAL CARE INTENSITY

Format/length:	n2
HES item:
National Codes:	See CLINICAL CARE INTENSITY for the National Codes
Default Codes:

Notes:
DSCN 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within CDS by their constituent components. For CDS message purposes therefore the constituent component INTENDED CLINICAL CARE INTENSITIES is required to be separately recorded. For CDS message purposes therefore the constituent component INTENDED CLINICAL CARE INTENSITY is required to be separately recorded.

Please note that for HES purposes, the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE are still required to be recorded. INTENDED CLINICAL CARE INTENSITY is the same as attribute CLINICAL CARE INTENSITY and the values recorded within the CDS messages are the National Codes contained within the definition of CLINICAL CARE INTENSITY, but with the addition of:

INTENDED CLINICAL CARE INTENSITIES is the same as attribute CLINICAL CARE INTENSITY and the values recorded within the CDS messages are the National Codes contained within the definition of CLINICAL CARE INTENSITY, but with the addition of:

71	Home Leave, non-psychiatric
72	Home Leave, psychiatric

This data element is also known by these names:

Context	Alias
plural	INTENDED CLINICAL CARE INTENSITIES

PROCEDURE (OPCS)

Format/length:	an4
HES item:
National Codes:
Default Codes:

Notes:
See PROCEDURE CODING for details on coding.

This is a procedure other than the PRIMARY PROCEDURE (OPCS), carried out and recorded for CDS or HES purposes.

For CDS purposes there may be up to 11 procedures recorded in addition to the PRIMARY PROCEDURE (OPCS) whereas for HES purposes only up to a maximum of 3 additional procedures can be reported. For CDS and HES purposes there may be up to 11 procedures recorded in addition to the PRIMARY PROCEDURE (OPCS).

This data element is also known by these names:

Context	Alias
plural	PROCEDURE (OPCS)
plural	PROCEDURES (OPCS)

SECONDARY DIAGNOSIS (ICD)

Format/length:	an6
HES item:
National Codes:
Default Codes:

Notes:
See DIAGNOSTIC CODING for details on coding and Clinical Coding for their usage. See DIAGNOSTIC CODING for details on coding and the Using Secondary Diagnosis comments in the Clinical Coding section, for their usage.

Secondary is a classification of PATIENT DIAGNOSIS CODING SIGNIFICANCE.

For CDS purposes there may be up to 12 secondary diagnoses recorded. For CDS and HES purposes there may be up to 12 secondary diagnoses recorded.

This data element is also known by these names:

Context	Alias
plural	SECONDARY DIAGNOSIS (ICD)
plural	SECONDARY DIAGNOSES (ICD)

SECOND OPERATION (OPCS-4)

SECOND SECONDARY (ICD-10)

SEX OF PATIENTS

Format/length:	n1
HES item:
National Codes:	Press Definition button for the Classifications
Default Codes:

Notes:
DSCN 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within CDS by their constituent components. For CDS message purposes therefore the constituent component SEX OF PATIENTS is required to be separately recorded. The classifications for SEX OF PATIENTS are not the same as the National Codes contained within the definition of SEX.

Please note that for HES purposes, the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE are still required to be recorded.

The following values for the classifications of attribute SEX OF PATIENTS, with the addition of HOME LEAVE, can be used:

1	Male
2	Female
8	Not specified
9	Home Leave

This data element is also known by these names:

Context	Alias
plural	SEX OF PATIENTS

SUBSIDIARY (ICD-10)

THIRD SECONDARY (ICD-10)

WARD DAY PERIOD AVAILABILITY

Format/length:	n1
HES item:
National Codes:
Default Codes:

Notes:
DSCN 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within CDS by their constituent components. For CDS message purposes therefore the constituent component WARD DAY PERIOD AVAILABILITY is required to be separately recorded.

Please note that for HES purposes both WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE are still required to be recorded.

The value for the number of days open only during the day is as recorded by attribute WARD DAY PERIOD AVAILABILITY, but with the addition of HOME LEAVE:

0-7
9	Home Leave

This data element is also known by these names:

Context	Alias
plural	WARD DAY PERIOD AVAILABILITIES

WARD NIGHT PERIOD AVAILABILITY

Format/length:	n1
HES item:
National Codes:
Default Codes:

Notes:
DSCN 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within CDS by their constituent components. For CDS message purposes therefore the constituent component WARD NIGHT PERIOD AVAILABILITY is required to be separately recorded.

Please note that for HES purposes, the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE are still required to be recorded.

The value for the number of days open only during the night is as recorded by attribute WARD NIGHT PERIOD AVAILABILITY, but with the addition of HOME LEAVE:

0-7
9	Home Leave

This data element is also known by these names:

Context	Alias
plural	WARD NIGHT PERIOD AVAILABILITIES

ADMITTED PATIENT CARE CDS TYPE - BIRTH EPISODE

COMMISSIONING DATA SET (CDS)

ADMITTED PATIENT CARE CDS TYPE - BIRTH EPISODE

The Admitted Patient Care Birth Episode Commissioning Data Set Type carries the data for a finished or unfinished Birth Episode. The column headed Opt (Optionality) shows whether the Data item is Mandatory M or Optional O. The column headed U/A (Unfinished Episode / Annual Census) indicates whether the Data Item is required to be recorded on an unfinished Birth Episode record and on an End of Year Census record. An R in the U/A column idicates that it is required to be present, a blank indicates that it is not required to be present.
The Admitted Patient Care Birth Episode Commissioning Data Set Type carries the data for a finished or unfinished Birth Episode. A Birth Episode record is required when there has been a delivery resulting in a registrable birth. This may take place in either NHS hospitals or in non-NHS hospitals funded by the NHS. The information is taken from the birth notification for each baby born and added to the baby's record. The column headed Opt (Optionality) shows whether the data element is Mandatory (M) or Optional (O) in this specific CDS. The column headed U/A (Unfinished Episode / Annual Census) indicates whether the data element is required to be recorded on an unfinished Birth Episode record and on an End of Year Census record, which is required for all unfinished Birth Episodes at midnight on 31 March. An R in the U/A column indicates that it is required to be present, a blank indicates that it is not required to be present. The column headed HES indicates whether the data element is extracted from the NWCS database for Hospital Episode Statistics. A filled circle in the column indicates that it is extracted if present, a blank indicates that it is not extracted. Note that HES records contain derived items. The table below indicates the base data from which these items are derived, and the CDS/HES cross reference table will show the derivation.
Opt	CDS Data Item	U/A
Opt	CDS Data Element	U/A	HES
Person Group (Patient): To carry the personal details of the Patient (the baby). One occurrence of this Group is permitted.
Person Group (Patient): To carry the personal details of the Patient (the baby). One occurrence of this Group is permitted.
M	LOCAL PATIENT IDENTIFIER	R
M	LOCAL PATIENT IDENTIFIER	R	•
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)	R
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)	R
M	ORGANISATION CODE TYPE	R
M	ORGANISATION CODE TYPE	R
O	NHS NUMBERS	R
O	NHS NUMBER	R	•
M	BIRTH DATES	R
M	BIRTH DATE	R	•
M	BIRTH WEIGHTS	R
M	BIRTH WEIGHT	R	•
M	LIVE OR STILL BIRTHS	R
M	LIVE OR STILL BIRTH	R	•
O	ETHNIC CATEGORIES	R
O	ETHNIC CATEGORY	R
M	NHS NUMBER STATUS INDICATOR	R
M	NHS NUMBER STATUS INDICATOR	R	•
M	SEX	R
M	SEX	R	•
O	NAME FORMAT CODES	R
O	NAME FORMAT CODE	R
O	PATIENT NAMES	R
O	PATIENT NAME	R

	Note: For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. Birth Episodes do not carry address details for a baby. By local agreement, it may be assumed that the baby's address details are identical to that of the mother whose details may be carried in the Person Group (Mother) of the Birth Occurrence Group.
	Note: For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. Birth Episodes do not carry address details for a baby. By local agreement, it may be assumed that the baby's address details are identical to that of the mother whose details may be carried in the Person Group (Mother) of the Birth Occurrence Group.

(HCA) Hospital Provider Spell - Activity Characteristics: To carry the details of the Spell containing the Birth Episode. One occurrence of this Group is permitted.
(HCA) Hospital Provider Spell - Activity Characteristics: To carry the details of the Spell containing the Birth Episode. One occurrence of this Group is permitted.
M	HOSPITAL PROVIDER SPELL NUMBERS	R
M	HOSPITAL PROVIDER SPELL NUMBER	R	•
M	ADMINISTRATIVE CATEGORIES (on admission)	R
M	ADMINISTRATIVE CATEGORY (on admission)	R	•
M	PATIENT CLASSIFICATIONS	R
M	PATIENT CLASSIFICATION	R	•
M	ADMISSION METHOD (HOSPITAL PROVIDER SPELL)	R
M	ADMISSION METHOD (HOSPITAL PROVIDER SPELL)	R	•
M	DISCHARGE DESTINATIONS (HOSPITAL PROVIDER SPELL)
M	DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)		•
M	DISCHARGE METHODS (HOSPITAL PROVIDER SPELL)
M	DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)		•
M	SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)	R
M	SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)	R	•
M	START DATES (HOSPITAL PROVIDER SPELL)	R
M	START DATE (HOSPITAL PROVIDER SPELL)	R	•
M	DISCHARGE DATES (HOSPITAL PROVIDER SPELL)
M	DISCHARGE DATE (HOSPITAL PROVIDER SPELL)		•
(HCA) Consultant Episode - Activity Characteristics: To carry the details of the Birth Episode undergone by the Patient. One occurrence of this Group is permitted.
(HCA) Consultant Episode - Activity Characteristics: To carry the details of the Birth Episode undergone by the Patient. One occurrence of this Group is permitted.
M	EPISODE NUMBERS	R
M	EPISODE NUMBER	R	•
M	LAST EPISODE IN SPELL INDICATORS	R
M	LAST EPISODE IN SPELL INDICATOR	R	•
M	NEONATAL LEVEL OF CARE	R
M	NEONATAL LEVEL OF CARE	R	•
M	OPERATION STATUS (per episode)	R
M	OPERATION STATUS (per episode)	R	•
M	NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODES	R
M	NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE	R	•
M	START DATES (EPISODE)	R
M	START DATE (EPISODE)	R	•
M	END DATES (EPISODE)
M	END DATE (EPISODE)		•
(HCA) Consultant Episode - Service Agreement Details: To carry the details of the Service Agreement for the Birth Episode.
(HCA) Consultant Episode - Service Agreement Details: To carry the details of the Service Agreement for the Birth Episode.
M	COMMISSIONING SERIAL NUMBERS	R
M	COMMISSIONING SERIAL NUMBER	R	•
O	NHS SERVICE AGREEMENT LINE NUMBERS	R
O	NHS SERVICE AGREEMENT LINE NUMBER	R
O	PROVIDER REFERENCE NUMBERS
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBERS	R
M	COMMISSIONER REFERENCE NUMBER	R
M	ORGANISATION CODES (CODE OF PROVIDER)	R
M	ORGANISATION CODE (CODE OF PROVIDER)	R	•
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE TYPE
M	ORGANISATION CODES (CODE OF COMMISSIONER)	R
M	ORGANISATION CODE (CODE OF COMMISSIONER)	R	•
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE TYPE
(HCA) Consultant Episode - Person Group (Consultant): To carry the details of the responsible Consultant, Midwife or Nurse. One occurrence of this Group is permitted.
(HCA) Consultant Episode - Person Group (Consultant): To carry the details of the responsible Consultant, Midwife or Nurse. One occurrence of this Group is permitted.
M	CONSULTANT CODES	R
M	CONSULTANT CODE	R	•
M	SPECIALTY FUNCTION CODES	R
M	SPECIALTY FUNCTION CODE	R	•
M	CONSULTANT SPECIALTY FUNCTION CODES	R
M	CONSULTANT SPECIALTY FUNCTION CODE	R	•
(HCA) Consultant Episode - Clinical Information Group (ICD): To carry the details of the ICD Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
(HCA) Consultant Episode - Clinical Information Group (ICD): To carry the details of the ICD Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
M	DIAGNOSIS SCHEME IN USE	R
M	DIAGNOSIS SCHEME IN USE	R
M	PRIMARY DIAGNOSIS (ICD)	R
M	PRIMARY DIAGNOSIS (ICD)	R	•
M	SECONDARY DIAGNOSIS (ICD) (1st to 12th, there may be up to 12 repetitions)	R
M	SECONDARY DIAGNOSIS (ICD) (1st to 12th, there may be up to 12 repetitions)	R	•
(HCA) Consultant Episode - Clinical Information Group (READ): To carry the details of the READ Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
(HCA) Consultant Episode - Clinical Information Group (READ): To carry the details of the READ Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
O	DIAGNOSIS SCHEME IN USE
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (READ)
O	PRIMARY DIAGNOSIS (READ)
O	SECONDARY DIAGNOSIS (READ) (1st to 12th, there may be up to 12 repetitions)
O	SECONDARY DIAGNOSIS (READ) (1st to 12th, there may be up to 12 repetitions)
(HCA) Consultant Episode - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
(HCA) Consultant Episode - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
M	PROCEDURE SCHEME IN USES
M	PROCEDURE SCHEME IN USE
M	PRIMARY PROCEDURE (OPCS)
M	PRIMARY PROCEDURE (OPCS)		•
M	PROCEDURE DATES
M	PROCEDURE DATE		•
M	PROCEDURE (OPCS) (2nd to 12th, there may be up to 11 repetitions)
M	PROCEDURE (OPCS) (2nd to 12th, there may be up to 11 repetitions)		•
M	PROCEDURE DATE (2nd to 12th, there may be up to 11 repetitions)
M	PROCEDURE DATE (2nd to 12th, there may be up to 11 repetitions)		•
(HCA) Consultant Episode - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
(HCA) Consultant Episode - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
O	PROCEDURE SCHEME IN USES
O	PROCEDURE SCHEME IN USE
O	PRIMARY PROCEDURE (READ)
O	PRIMARY PROCEDURE (READ)
O	PROCEDURE DATE
O	PROCEDURE DATE
O	PROCEDURE (READ) (2nd to 12th, there may be up to 11 repetitions)
O	PROCEDURE (READ) (2nd to 12th, there may be up to 11 repetitions)
O	PROCEDURE DATE (2nd to 12th, there may be up to 11 repetitions)
O	PROCEDURE DATE (2nd to 12th, there may be up to 11 repetitions)
(HCA) Consultant Episode - Location Group - Start of Episode: To carry the details of the location at the start of the Consultant/ Midwife/ Nurse Episode (eg the ward). One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
(HCA) Consultant Episode - Location Group - Start of Episode: To carry the details of the location at the start of the Consultant/ Midwife/ Nurse Episode (eg the ward). One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M	LOCATION CLASS	R
M	LOCATION CLASS	R
M	SITE CODE (OF TREATMENT) (at start of episode)	R
M	SITE CODE (OF TREATMENT) (at start of episode)	R	•
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE TYPE	R
O	INTENDED CLINICAL CARE INTENSITY	R
O	INTENDED CLINICAL CARE INTENSITY	R	•
O	AGE GROUP INTENDED	R
O	AGE GROUP INTENDED	R	•
O	SEX OF PATIENTS	R
O	SEX OF PATIENTS	R	•
O	WARD DAY PERIOD AVAILABILITY	R
O	WARD DAY PERIOD AVAILABILITY	R	•
O	WARD NIGHT PERIOD AVAILABILITY	R
O	WARD NIGHT PERIOD AVAILABILITY	R	•
(HCA) Consultant Episode - Location Group - Ward Stay: To carry the details of one or more Ward Stays. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
(HCA) Consultant Episode - Location Group - Ward Stay: To carry the details of one or more Ward Stays. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M	LOCATION CLASS
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT)
M	SITE CODE (OF TREATMENT)
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE TYPE
O	INTENDED CLINICAL CARE INTENSITY
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
O	START DATE (at start of stay)
O	START DATE (at start of stay)
O	END DATE (at end of stay)
O	END DATE (at end of stay)
(HCA) Consultant Episode - Location Group - End of Episode: To carry the details of the location at the end of the Consultant/ Midwife/ Nurse Episode (eg the ward). One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
(HCA) Consultant Episode - Location Group - End of Episode: To carry the details of the location at the end of the Consultant/ Midwife/ Nurse Episode (eg the ward). One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M	LOCATION CLASS
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT) (at end of episode)
M	SITE CODE (OF TREATMENT) (at end of episode)
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE TYPE
O	INTENDED CLINICAL CARE INTENSITY
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
(HCA) Augmented Care Period: To carry the details of the Augmented Care undergone by the Patient. Up to the 9 most recent Augmented Care Periods that occur during a Consultant/ Midwife/ Nurse Episode may be included.
(HCA) Augmented Care Period: To carry the details of the Augmented Care undergone by the Patient. Up to the 9 most recent Augmented Care Periods that occur during a Consultant/ Midwife/ Nurse Episode may be included.
M	AUGMENTED CARE PERIOD NUMBERS	R
M	AUGMENTED CARE PERIOD NUMBER	R	•
O	AUGMENTED CARE PERIOD LOCAL IDENTIFIER	R
O	AUGMENTED CARE PERIOD LOCAL IDENTIFIER	R	•
M	START DATES (AUGMENTED CARE PERIOD)	R
M	START DATE (AUGMENTED CARE PERIOD)	R	•
M	AUGMENTED CARE PERIOD SOURCES	R
M	AUGMENTED CARE PERIOD SOURCE	R	•
M	INTENSIVE CARE LEVEL DAYS	R
M	INTENSIVE CARE LEVEL DAYS	R	•
M	HIGH DEPENDENCY CARE LEVEL DAYS	R
M	HIGH DEPENDENCY CARE LEVEL DAYS	R	•
M	NUMBER OF ORGAN SYSTEMS SUPPORTED for intensive care level only)	R
M	NUMBER OF ORGAN SYSTEMS SUPPORTED for intensive care level only)	R	•
M	AUGMENTED CARE PLANNED INDICATORS	R
M	AUGMENTED CARE PLANNED INDICATOR	R	•
M	AUGMENTED CARE OUTCOME INDICATORS
M	AUGMENTED CARE OUTCOME INDICATOR		•
M	AUGMENTED CARE PERIOD DISPOSALS
M	AUGMENTED CARE PERIOD DISPOSAL		•
M	END DATES (AUGMENTED CARE PERIOD)
M	END DATE (AUGMENTED CARE PERIOD)		•
M	SPECIALTY FUNCTION CODES (AUGMENTED CARE PERIOD)	R
M	SPECIALTY FUNCTION CODE (AUGMENTED CARE PERIOD)	R	•
M	LOCATION CLASS	R
M	LOCATION CLASS	R
M	AUGMENTED CARE LOCATIONS	R
M	AUGMENTED CARE LOCATION	R	•
(HCA) GP Registration: To carry the details of the baby's mother's Registered GMP. One occurrence of this Group is permitted.
(HCA) GP Registration: To carry the details of the baby's mother's Registered GMP. One occurrence of this Group is permitted.
M	GMP (CODE OF REGISTERED OR REFERRING GMP)	R
M	GMP (CODE OF REGISTERED OR REFERRING GMP)	R	•
O	CODE OF GP PRACTICE (REGISTERED GMP)	R
O	CODE OF GP PRACTICE (REGISTERED GMP)	R	•
O	ORGANISATION CODE TYPE
O	ORGANISATION CODE TYPE
(HCA) Referral: To carry the details of the referrer. This will be the referral that led to the mother's Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted.
(HCA) Referral: To carry the details of the referrer. This will be the referral that led to the mother's Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted.
M	REFERRER CODES	R
M	REFERRER CODE	R	•
M	REFERRING ORGANISATION CODES	R
M	REFERRING ORGANISATION CODE	R	•
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE TYPE
(HCA) Pregnancy Activity Characteristics: To carry the number of babies resulting from this pregnancy. One occurrence of this Group is permitted.
(HCA) Pregnancy Activity Characteristics: To carry the number of babies resulting from this pregnancy. One occurrence of this Group is permitted.
M	NUMBER OF BABIES	R
M	NUMBER OF BABIES	R	•
(HCA) Antenatal Care Activity Characteristics: To carry details of the start of the antenatal care. One occurrence of this Group is permitted.
(HCA) Antenatal Care Activity Characteristics: To carry details of the start of the antenatal care. One occurrence of this Group is permitted.
M	FIRST ANTENATAL ASSESSMENT DATES	R
M	FIRST ANTENATAL ASSESSMENT DATE	R	•
(HCA) Antenatal Care Person Group (Responsible Clinician): To carry details of the responsible clinician. One occurrence of this Group is permitted.
(HCA) Antenatal Care Person Group (Responsible Clinician): To carry details of the responsible clinician. One occurrence of this Group is permitted.
M	GMP (CODE OF GMP RESPONSIBLE FOR ANTENATAL CARE)	R
M	GMP (CODE OF GMP RESPONSIBLE FOR ANTENATAL CARE)	R
O	CODE OF GP PRACTICE (REGISTERED GMP - ANTENATAL CARE)	R
O	CODE OF GP PRACTICE (REGISTERED GMP - ANTENATAL CARE)	R
O	ORGANISATION CODE TYPE
O	ORGANISATION CODE TYPE
(HCA) Antenatal Care Location Group (Delivery Place Intended): To carry details of the intended delivery place. One occurrence of this Group is permitted.
(HCA) Antenatal Care Location Group (Delivery Place Intended): To carry details of the intended delivery place. One occurrence of this Group is permitted.
M	LOCATION CLASS	R
M	LOCATION CLASS	R
M	DELIVERY PLACE CHANGE REASONS	R
M	DELIVERY PLACE CHANGE REASON	R	•
M	DELIVERY PLACE TYPE (INTENDED)	R
M	DELIVERY PLACE TYPE (INTENDED)	R	•
(HCA) Hospital Labour/Delivery Activity Characteristics: To carry details of the Labour/Delivery. One occurrence of this Group is permitted.
(HCA) Hospital Labour/Delivery Activity Characteristics: To carry details of the Labour/Delivery. One occurrence of this Group is permitted.
M	ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY	R
M	ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY	R	•
M	ANAESTHETIC GIVEN POST LABOUR OR DELIVERY	R
M	ANAESTHETIC GIVEN POST LABOUR OR DELIVERY	R	•
O	GESTATION LENGTH (LABOUR ONSET)	R
O	GESTATION LENGTH (LABOUR ONSET)	R
M	LABOUR OR DELIVERY ONSET METHODS	R
M	LABOUR OR DELIVERY ONSET METHOD	R	•
M	DELIVERY DATES	R
M	DELIVERY DATE	R
(HCA) Birth Occurrence Activity Characteristics: To carry details of the birth occurrence. One occurrence of this Group is permitted.
(HCA) Birth Occurrence Activity Characteristics: To carry details of the birth occurrence. One occurrence of this Group is permitted.
M	BIRTH ORDERS	R
M	BIRTH ORDER	R	•
M	DELIVERY METHODS	R
M	DELIVERY METHOD	R	•
M	GESTATION LENGTH (ASSESSMENT)	R
M	GESTATION LENGTH (ASSESSMENT)	R	•
M	RESUSCITATION METHODS	R
M	RESUSCITATION METHOD	R	•
M	STATUS OF PERSON CONDUCTING DELIVERIES	R
M	STATUS OF PERSON CONDUCTING DELIVERY	R	•
(HCA) Birth Occurrence Person Group (Mother): To carry the personal details of the baby's mother. One occurrence of this Group is permitted.
(HCA) Birth Occurrence Person Group (Mother): To carry the personal details of the baby's mother. One occurrence of this Group is permitted.
O	LOCAL PATIENT IDENTIFIER (MOTHER)	R
O	LOCAL PATIENT IDENTIFIER (MOTHER)	R
O	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER))	R
O	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER))	R
O	ORGANISATION CODE TYPE (MOTHER)
O	ORGANISATION CODE TYPE (MOTHER)
O	NHS NUMBER (MOTHER)	R
O	NHS NUMBER (MOTHER)	R
O	NHS NUMBER STATUS INDICATOR (MOTHER)	R
O	NHS NUMBER STATUS INDICATOR (MOTHER)	R
M	BIRTH DATE (MOTHER)	R
M	BIRTH DATE (MOTHER)	R	•
O	ADDRESS FORMAT CODE (MOTHER)
O	ADDRESS FORMAT CODE (MOTHER)
O	PATIENT USUAL ADDRESS (MOTHER)
O	PATIENT USUAL ADDRESS (MOTHER)
M	POSTCODE OF USUAL ADDRESS	R
M	POSTCODE OF USUAL ADDRESS	R	•
M	HA OF RESIDENCES	R
M	HA OF RESIDENCE	R	•
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE TYPE
(HCA) Birth Occurrence Location - Delivery Place Actual: To carry the type of place where delivery actually occurred. One occurrence of this Group within each Birth Group is permitted.
(HCA) Birth Occurrence Location - Delivery Place Actual: To carry the type of place where delivery actually occurred. One occurrence of this Group within each Birth Group is permitted.
M	LOCATION CLASS
M	LOCATION CLASS
M	DELIVERY PLACE TYPE (ACTUAL)	R
M	DELIVERY PLACE TYPE (ACTUAL)	R	•
(HCA) Healthcare Resource Group Activity - Activity Characteristics: To carry the details of the Healthcare Resource Group and will be mandatory from 01/10/2001. Each CDS may contain only a single occurrence of this Group.
(HCA) Healthcare Resource Group Activity - Activity Characteristics: To carry the details of the Healthcare Resource Group and will be mandatory from 01/10/2001. Each CDS may contain only a single occurrence of this Group.
M	HEALTHCARE RESOURCE GROUP CODE
M	HEALTHCARE RESOURCE GROUP CODE		•
M	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER
M	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER		•
(HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. Only one Procedure either OPCS or READ may be specified
(HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. Only one Procedure either OPCS or READ may be specified
O	PROCEDURE SCHEME IN USES
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE		•

ADMITTED PATIENT CARE CDS TYPE - DELIVERY EPISODE

COMMISSIONING DATA SET (CDS)

ADMITTED PATIENT CARE CDS TYPE - DELIVERY EPISODE

The Admitted Patient Care Delivery Episode Commissioning Data Set Type carries the data for a finished or unfinished General Consultant/ Midwife/ Nurse Delivery Episode. The column headed Opt (Optionality) shows whether the Data item is Mandatory M or Optional O. The column headed U/A (Unfinished Episode / Annual Census) indicates whether the Data Item is required to be recorded on an unfinished Consultant/ Midwife/ Nurse Delivery Episode record and on an End of Year Census record. An R in the U/A column idicates that it is required to be present, a blank indicates that it is not required to be present.
The Admitted Patient Care Delivery Episode Commissioning Data Set Type carries the data for a finished or unfinished General Consultant/ Midwife/ Nurse Delivery Episode. A Delivery Episode record is required when there has been a delivery resulting in a registrable birth. This may take place in either NHS hospitals or in non-NHS hospitals funded by the NHS. The information is taken from the birth notification for each baby born and added to the mother's record. The column headed Opt (Optionality) shows whether the Data element is Mandatory (M) or Optional (O) in this specific CDS. The column headed U/A (Unfinished Episode / Annual Census) indicates whether the Data element is required to be recorded on an unfinished Consultant/ Midwife/ Nurse Delivery Episode record and on an End of Year Census record. The census requires that an Unfinished Delivery Episode record for all unfinished Delivery Episodes at midnight on 31 March is sent. An R in the U/A column indicates that it is required to be present, a blank indicates that it is not required to be present. The column headed HES indicates whether the data element is extracted from the NWCS database for Hospital Episode Statistics. A filled circle in the column indicates that it is extracted if present, a blank indicates that it is not extracted. Note that HES records contain derived items. The table below indicates the base data from which these items are derived, and the CDS/HES cross reference table will show the derivation.
Opt	CDS Data Item	U/A
Opt	CDS Data element	U/A	HES
Person Group (Patient): To carry the personal details of the Patient. One occurrence of this Group is permitted.
Person Group (Patient): To carry the personal details of the Patient. One occurrence of this Group is permitted.
M	LOCAL PATIENT IDENTIFIER	R
M	LOCAL PATIENT IDENTIFIER	R	•
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)	R
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)	R
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE TYPE
M	NHS NUMBER	R
M	NHS NUMBER	R	•
M	BIRTH DATE	R
M	BIRTH DATE	R	•
O	CARER SUPPORT INDICATORS	R
O	CARER SUPPORT INDICATOR	R	•
M	LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) (psychiatric patients only)	R
M	LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) (psychiatric patients only)	R	•
M	ETHNIC CATEGORY	R
M	ETHNIC CATEGORY	R	•
M	MARITAL STATUS (psychiatric patients only)	R
M	MARITAL STATUS (psychiatric patients only)	R	•
M	NHS NUMBER STATUS INDICATOR	R
M	NHS NUMBER STATUS INDICATOR	R	•
M	SEX	R
M	SEX	R	•
M	PREGNANCY TOTAL PREVIOUS PREGNANCIES
M	PREGNANCY TOTAL PREVIOUS PREGNANCIES		•
O	NAME FORMAT CODE	R
O	NAME FORMAT CODE	R
O	PATIENT NAME	R
O	PATIENT NAME	R
O	ADDRESS FORMAT CODE
O	ADDRESS FORMAT CODE
O	PATIENT USUAL ADDRESS	R
O	PATIENT USUAL ADDRESS	R
M	POSTCODE OF USUAL ADDRESS	R
M	POSTCODE OF USUAL ADDRESS	R	•
M	HA OF RESIDENCE	R
M	HA OF RESIDENCE	R	•
M	ORGANISATION CODE TYPE	R
M	ORGANISATION CODE TYPE	R

	Note: For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.
	Note: For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.

(HCA) Hospital Provider Spell - Activity Characteristics: To carry the details of the Spell containing the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted.
(HCA) Hospital Provider Spell - Activity Characteristics: To carry the details of the Spell containing the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted.
M	HOSPITAL PROVIDER SPELL NUMBERS	R
M	HOSPITAL PROVIDER SPELL NUMBER	R	•
M	ADMINISTRATIVE CATEGORY (on admission)	R
M	ADMINISTRATIVE CATEGORY (on admission)	R	•
M	PATIENT CLASSIFICATIONS	R
M	PATIENT CLASSIFICATION	R	•
M	ADMISSION METHOD (HOSPITAL PROVIDER SPELL)	R
M	ADMISSION METHOD (HOSPITAL PROVIDER SPELL)	R	•
M	DISCHARGE DESTINATIONS (HOSPITAL PROVIDER SPELL)
M	DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)		•
M	DISCHARGE METHODS (HOSPITAL PROVIDER SPELL)
M	DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)		•
M	SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)	R
M	SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)	R	•
M	START DATES (HOSPITAL PROVIDER SPELL)	R
M	START DATE (HOSPITAL PROVIDER SPELL)	R	•
M	DISCHARGE DATES (HOSPITAL PROVIDER SPELL)
M	DISCHARGE DATE (HOSPITAL PROVIDER SPELL)		•
(HCA) Consultant Episode - Activity Characteristics: To carry the details of the Consultant/ Midwife/ Nurse Episode undergone by the Patient. One occurrence of this Group is permitted.
(HCA) Consultant Episode - Activity Characteristics: To carry the details of the Consultant/ Midwife/ Nurse Episode undergone by the Patient. One occurrence of this Group is permitted.
M	EPISODE NUMBER	R
M	EPISODE NUMBER	R	•
M	LAST EPISODE IN SPELL INDICATORS	R
M	LAST EPISODE IN SPELL INDICATOR	R	•
M	OPERATION STATUS (per episode)	R
M	OPERATION STATUS (per episode)	R	•
M	PSYCHIATRIC PATIENT STATUS	R
M	PSYCHIATRIC PATIENT STATUS	R	•
M	NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODES	R
M	NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE	R	•
M	START DATES (EPISODE)	R
M	START DATE (EPISODE)	R	•
M	END DATES (EPISODE)
M	END DATE (EPISODE)		•
(HCA) Consultant Episode - Service Agreement Details: To carry the details of the Service Agreement for the Consultant/ Midwife/ Nurse Episode.
(HCA) Consultant Episode - Service Agreement Details: To carry the details of the Service Agreement for the Consultant/ Midwife/ Nurse Episode.
M	COMMISSIONING SERIAL NUMBERS	R
M	COMMISSIONING SERIAL NUMBER	R	•
O	NHS SERVICE AGREEMENT LINE NUMBERS	R
O	NHS SERVICE AGREEMENT LINE NUMBER	R
O	PROVIDER REFERENCE NUMBER
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBERS	R
M	COMMISSIONER REFERENCE NUMBER	R
M	ORGANISATION CODES (CODE OF PROVIDER)	R
M	ORGANISATION CODE (CODE OF PROVIDER)	R	•
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE TYPE
M	ORGANISATION CODES (CODE OF COMMISSIONER)	R
M	ORGANISATION CODE (CODE OF COMMISSIONER)	R	•
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE TYPE
(HCA) Consultant Episode - Person Group (Consultant): To carry the details of the responsible Consultant, Midwife or Nurse. One occurrence of this Group is permitted.
(HCA) Consultant Episode - Person Group (Consultant): To carry the details of the responsible Consultant, Midwife or Nurse. One occurrence of this Group is permitted.
M	CONSULTANT CODE	R
M	CONSULTANT CODE	R	•
M	SPECIALTY FUNCTION CODES	R
M	SPECIALTY FUNCTION CODE	R	•
M	CONSULTANT SPECIALTY FUNCTION CODES	R
M	CONSULTANT SPECIALTY FUNCTION CODE	R	•
(HCA) Consultant Episode - Clinical Information Group (ICD): To carry the details of the ICD Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
(HCA) Consultant Episode - Clinical Information Group (ICD): To carry the details of the ICD Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
M	DIAGNOSIS SCHEME IN USE
M	DIAGNOSIS SCHEME IN USE
M	PRIMARY DIAGNOSIS (ICD)
M	PRIMARY DIAGNOSIS (ICD)		•
M	SECONDARY DIAGNOSIS (ICD) (1st to 12th, there may be up to 12 repetitions)
M	SECONDARY DIAGNOSIS (ICD) (1st to 12th, there may be up to 12 repetitions)		•
(HCA) Consultant Episode - Clinical Information Group (READ): To carry the details of the READ Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
(HCA) Consultant Episode - Clinical Information Group (READ): To carry the details of the READ Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
O	DIAGNOSIS SCHEME IN USE
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (READ)
O	PRIMARY DIAGNOSIS (READ)
O	SECONDARY DIAGNOSIS (READ) (1st to 12th, there may be up to 12 repetitions)
O	SECONDARY DIAGNOSIS (READ) (1st to 12th, there may be up to 12 repetitions)
(HCA) Consultant Episode - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
(HCA) Consultant Episode - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
M	PROCEDURE SCHEME IN USE
M	PROCEDURE SCHEME IN USE
M	PRIMARY PROCEDURE (OPCS)
M	PRIMARY PROCEDURE (OPCS)		•
M	PROCEDURE DATES
M	PROCEDURE DATE		•
M	PROCEDURE (OPCS) (2nd to 12th, there may be up to 11 repetitions)
M	PROCEDURE (OPCS) (2nd to 12th, there may be up to 11 repetitions)		•
M	PROCEDURE DATE (2nd to 12th, there may be up to 11 repetitions)
M	PROCEDURE DATE (2nd to 12th, there may be up to 11 repetitions)		•
(HCA) Consultant Episode - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
(HCA) Consultant Episode - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
O	PROCEDURE SCHEME IN USE
O	PROCEDURE SCHEME IN USE
O	PRIMARY PROCEDURE (READ)
O	PRIMARY PROCEDURE (READ)
O	PROCEDURE DATE
O	PROCEDURE DATE
O	PROCEDURE (READ) (2nd to 12th, there may be up to 11 repetitions)
O	PROCEDURE (READ) (2nd to 12th, there may be up to 11 repetitions)
O	PROCEDURE DATE (2nd to 12th, there may be up to 11 repetitions)
O	PROCEDURE DATE (2nd to 12th, there may be up to 11 repetitions)
(HCA) Consultant Episode - Location Group - Start of Episode: To carry the details of the location at the start of the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
(HCA) Consultant Episode - Location Group - Start of Episode: To carry the details of the location at the start of the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M	LOCATION CLASS	R
M	LOCATION CLASS	R
M	SITE CODE (OF TREATMENT) (at start of episode)	R
M	SITE CODE (OF TREATMENT) (at start of episode)	R	•
M	ORGANISATION CODE TYPE	R
M	ORGANISATION CODE TYPE	R
O	INTENDED CLINICAL CARE INTENSITY	R
O	INTENDED CLINICAL CARE INTENSITY	R	•
O	AGE GROUP INTENDED	R
O	AGE GROUP INTENDED	R	•
O	SEX OF PATIENTS	R
O	SEX OF PATIENTS	R	•
O	WARD DAY PERIOD AVAILABILITY	R
O	WARD DAY PERIOD AVAILABILITY	R	•
O	WARD NIGHT PERIOD AVAILABILITY	R
O	WARD NIGHT PERIOD AVAILABILITY	R	•
(HCA) Consultant Episode - Location Group - Ward Stay: To carry the details of one or more Ward Stays. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
(HCA) Consultant Episode - Location Group - Ward Stay: To carry the details of one or more Ward Stays. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
O	LOCATION CLASS
O	LOCATION CLASS
O	SITE CODE (OF TREATMENT)
O	SITE CODE (OF TREATMENT)
O	ORGANISATION CODE TYPE
O	ORGANISATION CODE TYPE
O	INTENDED CLINICAL CARE INTENSITY
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
O	START DATE (at start of stay)
O	START DATE (at start of stay)
O	END DATE (at end of stay)
O	END DATE (at end of stay)
(HCA) Consultant Episode - Location Group - End of Episode: To carry the details of the location at the end of the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
(HCA) Consultant Episode - Location Group - End of Episode: To carry the details of the location at the end of the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
O	LOCATION CLASS
O	LOCATION CLASS
O	SITE CODE (OF TREATMENT) (at end of episode)
O	SITE CODE (OF TREATMENT) (at end of episode)
O	ORGANISATION CODE TYPE
O	ORGANISATION CODE TYPE
O	INTENDED CLINICAL CARE INTENSITY
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
(HCA) Augmented Care Period: To carry the details of the Augmented Care undergone by the Patient. Up to the 9 most recent Augmented Care Periods that occur during a Consultant/ Midwife/ Nurse Episode may be included.
(HCA) Augmented Care Period: To carry the details of the Augmented Care undergone by the Patient. Up to the 9 most recent Augmented Care Periods that occur during a Consultant/ Midwife/ Nurse Episode may be included.
M	AUGMENTED CARE PERIOD NUMBERS	R
M	AUGMENTED CARE PERIOD NUMBER	R	•
O	AUGMENTED CARE PERIOD LOCAL IDENTIFIER	R
O	AUGMENTED CARE PERIOD LOCAL IDENTIFIER	R	•
M	START DATE (AUGMENTED CARE PERIOD)	R
M	START DATE (AUGMENTED CARE PERIOD)	R	•
M	AUGMENTED CARE PERIOD SOURCE	R
M	AUGMENTED CARE PERIOD SOURCE	R	•
M	INTENSIVE CARE LEVEL DAYS	R
M	INTENSIVE CARE LEVEL DAYS	R	•
M	HIGH DEPENDENCY CARE LEVEL DAYS	R
M	HIGH DEPENDENCY CARE LEVEL DAYS	R	•
M	NUMBER OF ORGAN SYSTEMS SUPPORTED for intensive care level only)	R
M	NUMBER OF ORGAN SYSTEMS SUPPORTED for intensive care level only)	R	•
M	AUGMENTED CARE PLANNED INDICATOR	R
M	AUGMENTED CARE PLANNED INDICATOR	R	•
M	AUGMENTED CARE OUTCOME INDICATOR
M	AUGMENTED CARE OUTCOME INDICATOR		•
M	AUGMENTED CARE PERIOD DISPOSAL
M	AUGMENTED CARE PERIOD DISPOSAL		•
M	END DATE (AUGMENTED CARE PERIOD)
M	END DATE (AUGMENTED CARE PERIOD)		•
M	SPECIALTY FUNCTION CODES (AUGMENTED CARE PERIOD)	R
M	SPECIALTY FUNCTION CODE (AUGMENTED CARE PERIOD)	R
M	LOCATION CLASS	R
M	LOCATION CLASS	R	•
M	AUGMENTED CARE LOCATION	R
M	AUGMENTED CARE LOCATION	R	•
(HCA) GP Registration: To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
(HCA) GP Registration: To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
M	GMP (CODE OF REGISTERED OR REFERRING GMP)	R
M	GMP (CODE OF REGISTERED OR REFERRING GMP)	R	•
O	CODE OF GP PRACTICE (REGISTERED GMP)	R
O	CODE OF GP PRACTICE (REGISTERED GMP)	R	•
O	ORGANISATION CODE TYPE
O	ORGANISATION CODE TYPE
(HCA) Referral: To carry the details of the referrer. One occurrence of this Group is permitted.
(HCA) Referral: To carry the details of the referrer. One occurrence of this Group is permitted.
M	REFERRER CODE	R
M	REFERRER CODE	R	•
M	REFERRING ORGANISATION CODE	R
M	REFERRING ORGANISATION CODE	R	•
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE TYPE
(HCA) Pregnancy Activity Characteristics: To carry the number of babies resulting from this pregnancy. One occurrence of this Group is permitted.
(HCA) Pregnancy Activity Characteristics: To carry the number of babies resulting from this pregnancy. One occurrence of this Group is permitted.
M	NUMBER OF BABIES	R
M	NUMBER OF BABIES	R	•
(HCA) Antenatal Care Activity Characteristics: To carry details of the start of the antenatal care. One occurrence of this Group is permitted.
(HCA) Antenatal Care Activity Characteristics: To carry details of the start of the antenatal care. One occurrence of this Group is permitted.
M	FIRST ANTENATAL ASSESSMENT DATE	R
M	FIRST ANTENATAL ASSESSMENT DATE	R	•
(HCA) Antenatal Care Person Group (Responsible Clinician): To carry details of the responsible clinician. One occurrence of this Group is permitted.
(HCA) Antenatal Care Person Group (Responsible Clinician): To carry details of the responsible clinician. One occurrence of this Group is permitted.
M	GMP (CODE OF GMP RESPONSIBLE FOR ANTENATAL CARE)	R
M	GMP (CODE OF GMP RESPONSIBLE FOR ANTENATAL CARE)	R
O	CODE OF GP PRACTICE (REGISTERED GMP - ANTENATAL CARE)
O	CODE OF GP PRACTICE (REGISTERED GMP - ANTENATAL CARE)
O	ORGANISATION CODE TYPE
O	ORGANISATION CODE TYPE
(HCA) Antenatal Care Location Group (Delivery Place Intended): To carry details of the intended delivery place. One occurrence of this Group is permitted.
(HCA) Antenatal Care Location Group (Delivery Place Intended): To carry details of the intended delivery place. One occurrence of this Group is permitted.
M	LOCATION CLASS	R
M	LOCATION CLASS	R
M	DELIVERY PLACE CHANGE REASON	R
M	DELIVERY PLACE CHANGE REASON	R	•
M	DELIVERY PLACE TYPE (INTENDED)	R
M	DELIVERY PLACE TYPE (INTENDED)	R	•
(HCA) Hospital Labour/Delivery Activity Characteristics: To carry details of the Labour/Delivery. One occurrence of this Group is permitted.
(HCA) Hospital Labour/Delivery Activity Characteristics: To carry details of the Labour/Delivery. One occurrence of this Group is permitted.
M	ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY	R
M	ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY	R	•
M	ANAESTHETIC GIVEN POST LABOUR OR DELIVERY	R
M	ANAESTHETIC GIVEN POST LABOUR OR DELIVERY	R	•
O	GESTATION LENGTH (LABOUR ONSET)	R
O	GESTATION LENGTH (LABOUR ONSET)	R
M	LABOUR OR DELIVERY ONSET METHOD	R
M	LABOUR OR DELIVERY ONSET METHOD	R	•
M	DELIVERY DATE	R
M	DELIVERY DATE	R
(HCA) Birth Occurrence Activity Characteristics: To carry details of the birth occurrence(s). Up to nine occurrences of the Birth Group are permitted.
(HCA) Birth Occurrence Activity Characteristics: To carry details of the birth occurrence(s). Up to nine occurrences of the Birth Group are permitted.
M	BIRTH ORDER	R
M	BIRTH ORDER	R	•
M	DELIVERY METHOD	R
M	DELIVERY METHOD	R	•
M	GESTATION LENGTH (ASSESSMENT)	R
M	GESTATION LENGTH (ASSESSMENT)	R	•
M	RESUSCITATION METHOD	R
M	RESUSCITATION METHOD	R	•
M	STATUS OF PERSON CONDUCTING DELIVERY	R
M	STATUS OF PERSON CONDUCTING DELIVERY	R	•
(HCA) Birth Occurrence Person Group (Baby): To carry the personal details of the birth occurrence(s). One occurrence of this Group within each Birth Group is permitted.
(HCA) Birth Occurrence Person Group (Baby): To carry the personal details of the birth occurrence(s). One occurrence of this Group within each Birth Group is permitted.
O	LOCAL PATIENT IDENTIFIER (BABY)	R
O	LOCAL PATIENT IDENTIFIER (BABY)	R
O	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY))	R
O	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY))	R
O	ORGANISATION CODE TYPE (BABY)
O	ORGANISATION CODE TYPE (BABY)
O	NHS NUMBER (BABY)	R
O	NHS NUMBER (BABY)	R
O	NHS NUMBER STATUS INDICATOR (BABY)	R
O	NHS NUMBER STATUS INDICATOR (BABY)	R
M	BIRTH DATE (BABY)	R
M	BIRTH DATE (BABY)	R	•
M	BIRTH WEIGHT	R
M	BIRTH WEIGHT	R	•
M	LIVE OR STILL BIRTH	R
M	LIVE OR STILL BIRTH	R	•
M	SEX (BABY)	R
M	SEX (BABY)	R	•
(HCA) Birth Occurrence Location - Delivery Place Actual: To carry the type of place where delivery actually occurred. One occurrence of this Group within each Birth Group is permitted.
(HCA) Birth Occurrence Location - Delivery Place Actual: To carry the type of place where delivery actually occurred. One occurrence of this Group within each Birth Group is permitted.
M	LOCATION CLASS	R
M	LOCATION CLASS	R
M	DELIVERY PLACE TYPE (ACTUAL)	R
M	DELIVERY PLACE TYPE (ACTUAL)	R	•
(HCA) Healthcare Resource Group Activity - Activity Characteristics: To carry the details of the Healthcare Resource Group and will be mandatory from 01/10/2001. Each CDS may contain only a single occurrence of this Group.
(HCA) Healthcare Resource Group Activity - Activity Characteristics: To carry the details of the Healthcare Resource Group and will be mandatory from 01/10/2001. Each CDS may contain only a single occurrence of this Group.
M	HEALTHCARE RESOURCE GROUP CODE
M	HEALTHCARE RESOURCE GROUP CODE		•
M	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER
M	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER		•
(HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. Only one Procedure either OPCS or READ may be specified
(HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. Only one Procedure either OPCS or READ may be specified
O	PROCEDURE SCHEME IN USE
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE		•

ADMITTED PATIENT CARE CDS TYPE - DETAINED+- OR LONG TERM PSYCHIATRIC CENSUS

ADMITTED PATIENT CARE CDS TYPE - DETAINED+- OR LONG TERM PSYCHIATRIC CENSUS

COMMISSIONING DATA SET (CDS)

ADMITTED PATIENT CARE CDS TYPE - DETAINED+- or LONG TERM PSYCHIATRIC CENSUS

The Admitted Patient Care Detained and/or Long Term Psychiatric Census Commissioning Data Set Type carries the data for a Detained and/or Long Term Psychiatric Census. This is a snapshot of a general episode, unfinished as at 31 March, for which either the patient is detained or the episode is part of a Hospital Provider Spell which has lasted longer than one year and for which the majority of time has been spent under the care of a consultant in one of the psychiatric specialties. The column headed Opt (Optionality) shows whether the Data item is Mandatory M or Optional O.
The Admitted Patient Care Detained and/or Long Term Psychiatric Census Commissioning Data Set Type carries the data for a Detained and/or Long Term Psychiatric Census. This is a snapshot of a general episode, unfinished as at 31 March, for which either the patient is detained or the episode is part of a Hospital Provider Spell which has lasted longer than one year and for which the majority of time has been spent under the care of a consultant in one of the psychiatric specialties. The column headed Opt (Optionality) shows whether the data element is Mandatory (M) or Optional (O) in the CDS. The column headed HES indicates whether the data element is extracted from the NWCS database for Hospital Episode Statistics. A filled circle in the column indicates that it is extracted if present, a blank indicates that it is not extracted. Note that HES records contain derived items. The table below indicates the base data from which these items are derived, and the CDS/HES cross reference table will show the derivation.
Opt	CDS Data Item	U/A
Opt	CDS Data Element	U/A	HES
Person Group (Patient): To carry the personal details of the Patient. One occurrence of this Group is permitted.
Person Group (Patient): To carry the personal details of the Patient. One occurrence of this Group is permitted.
M	LOCAL PATIENT IDENTIFIER
M	LOCAL PATIENT IDENTIFIER		•
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE TYPE
M	NHS NUMBER
M	NHS NUMBER		•
M	BIRTH DATES
M	BIRTH DATE		•
O	CARER SUPPORT INDICATORS
O	CARER SUPPORT INDICATOR		•
M	LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)
M	LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)		•
M	LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)
M	LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)		•
M	ETHNIC CATEGORIES
M	ETHNIC CATEGORY		•
M	MARITAL STATUS
M	MARITAL STATUS		•
M	NHS NUMBER STATUS INDICATOR
M	NHS NUMBER STATUS INDICATOR		•
M	SEX
M	SEX		•
M	DATE DETENTION COMMENCEDS
M	DATE DETENTION COMMENCED		•
M	AGE AT CENSUS
M	AGE AT CENSUS		•
M	DURATION OF CARE TO PSYCHIATRIC CENSUS DATES
M	DURATION OF CARE TO PSYCHIATRIC CENSUS DATE		•
M	DURATION OF DETENTIONS
M	DURATION OF DETENTION		•
M	MENTAL CATEGORIES
M	MENTAL CATEGORY		•
M	STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS
M	STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS		•
O	NAME FORMAT CODES
O	NAME FORMAT CODE
O	PATIENT NAMES
O	PATIENT NAME
O	ADDRESS FORMAT CODE
O	ADDRESS FORMAT CODE
O	PATIENT USUAL ADDRESS
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS		•
M	HA OF RESIDENCES
M	HA OF RESIDENCE		•
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE TYPE

	Note: For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.
	Note: For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.

(HCA) Hospital Provider Spell - Activity Characteristics: To carry the details of the Spell containing the Consultant Episode on the Psychiatric Census Date. One occurrence of this Group is permitted.
(HCA) Hospital Provider Spell - Activity Characteristics: To carry the details of the Spell containing the Consultant Episode on the Psychiatric Census Date. One occurrence of this Group is permitted.
M	HOSPITAL PROVIDER SPELL NUMBERS
M	HOSPITAL PROVIDER SPELL NUMBER		•
M	ADMINISTRATIVE CATEGORY (on admission)
M	ADMINISTRATIVE CATEGORY (on admission)		•
M	PATIENT CLASSIFICATIONS
M	PATIENT CLASSIFICATION		•
M	ADMISSION METHOD (HOSPITAL PROVIDER SPELL)
M	ADMISSION METHOD (HOSPITAL PROVIDER SPELL)		•
M	SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)
M	DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)		•
M	START DATES (HOSPITAL PROVIDER SPELL)
M	DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)		•
(HCA) Consultant Episode - Activity Characteristics: To carry the details of the Consultant Episode on the Psychiatric Census Date. One occurrence of this Group is permitted.
M	START DATE (HOSPITAL PROVIDER SPELL)		•
M	EPISODE NUMBERS
(HCA) Consultant Episode - Activity Characteristics: To carry the details of the Consultant Episode on the Psychiatric Census Date. One occurrence of this Group is permitted.
M	PSYCHIATRIC PATIENT STATUS
M	EPISODE NUMBER		•
M	START DATES (CONSULTANT EPISODE)
M	PSYCHIATRIC PATIENT STATUS		•
(HCA) Consultant Episode - Service Agreement Details: To carry the details of the Service Agreement for the Consultant Episode on the Psychiatric Census Date.
M	START DATE (CONSULTANT EPISODE)		•
M	COMMISSIONING SERIAL NUMBERS
(HCA) Consultant Episode - Service Agreement Details: To carry the details of the Service Agreement for the Consultant Episode on the Psychiatric Census Date.
O	NHS SERVICE AGREEMENT LINE NUMBERS
M	COMMISSIONING SERIAL NUMBER		•
O	PROVIDER REFERENCE NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
M	COMMISSIONER REFERENCE NUMBERS
O	PROVIDER REFERENCE NUMBER
M	ORGANISATION CODES (CODE OF PROVIDER)
M	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE (CODE OF PROVIDER)		•
M	ORGANISATION CODES (CODE OF COMMISSIONER)
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE (CODE OF COMMISSIONER)		•
(HCA) Consultant Episode - Person Group (Consultant): To carry the details of the responsible Consultant on the Psychiatric Census Date. One occurrence of this Group is permitted.
M	ORGANISATION CODE TYPE
M	CONSULTANT CODES
(HCA) Consultant Episode - Person Group (Consultant): To carry the details of the responsible Consultant on the Psychiatric Census Date. One occurrence of this Group is permitted.
M	SPECIALTY FUNCTION CODES
M	CONSULTANT CODE		•
M	CONSULTANT SPECIALTY FUNCTION CODES
M	SPECIALTY FUNCTION CODE		•
(HCA) Consultant Episode - Clinical Information Group (ICD): To carry the details of the ICD Diagnosis Scheme and the Diagnoses on the Psychiatric Census Date. Up to 13 occurrences of this Group are permitted.
M	CONSULTANT SPECIALTY FUNCTION CODE		•
M	DIAGNOSIS SCHEME IN USE
(HCA) Consultant Episode - Clinical Information Group (ICD): To carry the details of the ICD Diagnosis Scheme and the Diagnoses on the Psychiatric Census Date. Up to 13 occurrences of this Group are permitted.
M	PRIMARY DIAGNOSIS (ICD)
M	DIAGNOSIS SCHEME IN USE
M	SECONDARY DIAGNOSIS (ICD) (1st to 12th, there may be up to 12 repetitions)
M	PRIMARY DIAGNOSIS (ICD)		•
(HCA) Consultant Episode - Clinical Information Group (READ): To carry the details of the READ Diagnosis Scheme and the Diagnoses on the Psychiatric Census Date. Up to 13 occurrences of this Group are permitted.
M	SECONDARY DIAGNOSIS (ICD) (1st to 12th, there may be up to 12 repetitions)		•
O	DIAGNOSIS SCHEME IN USE
(HCA) Consultant Episode - Clinical Information Group (READ): To carry the details of the READ Diagnosis Scheme and the Diagnoses on the Psychiatric Census Date. Up to 13 occurrences of this Group are permitted.
O	PRIMARY DIAGNOSIS (READ)
O	DIAGNOSIS SCHEME IN USE
O	SECONDARY DIAGNOSIS (READ) (1st to 12th, there may be up to 12 repetitions)
O	PRIMARY DIAGNOSIS (READ)
(HCA) Consultant Episode - Location Group - Start of Episode: To carry the details of the Ward Type at the start of the Consultant Episode. One occurrence of this Group is permitted.
O	SECONDARY DIAGNOSIS (READ) (1st to 12th, there may be up to 12 repetitions)
M	LOCATION CLASS
(HCA) Consultant Episode - Location Group - Start of Episode: To carry the details of the Ward Type at the start of the Consultant Episode. One occurrence of this Group is permitted.
M	SITE CODE (OF TREATMENT) (at start of episode)
M	LOCATION CLASS
M	ORGANISATION CODE TYPE
M	SITE CODE (OF TREATMENT) (at start of episode)		•
O	INTENDED CLINICAL CARE INTENSITY
M	ORGANISATION CODE TYPE
O	AGE GROUP INTENDED
O	INTENDED CLINICAL CARE INTENSITY		•
O	SEX OF PATIENTS
O	AGE GROUP INTENDED		•
O	WARD DAY PERIOD AVAILABILITY
O	SEX OF PATIENTS		•
O	WARD NIGHT PERIOD AVAILABILITY
O	WARD DAY PERIOD AVAILABILITY		•
(HCA) Consultant Episode - Location Group - Ward Stay at Psychiatric Census Date: To carry the details of the Ward Type at Psychiatric Census Date. One occurrence of this Group is permitted.
O	WARD NIGHT PERIOD AVAILABILITY		•
M	LOCATION CLASS
(HCA) Consultant Episode - Location Group - Ward Stay at Psychiatric Census Date: To carry the details of the Ward Type at Psychiatric Census Date. One occurrence of this Group is permitted.
M	SITE CODE (OF TREATMENT)
M	LOCATION CLASS
M	ORGANISATION CODE TYPE
M	SITE CODE (OF TREATMENT)		•
M	INTENDED CLINICAL CARE INTENSITY
M	ORGANISATION CODE TYPE
M	AGE GROUP INTENDED
M	INTENDED CLINICAL CARE INTENSITY		•
M	SEX OF PATIENTS
M	AGE GROUP INTENDED		•
M	WARD DAY PERIOD AVAILABILITY
M	SEX OF PATIENTS		•
M	WARD NIGHT PERIOD AVAILABILITY
M	WARD DAY PERIOD AVAILABILITY		•
M	DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS DATE
M	WARD NIGHT PERIOD AVAILABILITY		•
(HCA) GP Registration: To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
M	DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS DATE		•
M	GMP (CODE OF REGISTERED OR REFERRING GMP)
(HCA) GP Registration: To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
O	CODE OF GP PRACTICE (REGISTERED GMP)
M	GMP (CODE OF REGISTERED OR REFERRING GMP)		•
O	ORGANISATION CODE TYPE
O	CODE OF GP PRACTICE (REGISTERED GMP)		•
(HCA) Referral: To carry the details of the referrer. One occurrence of this Group is permitted.
O	ORGANISATION CODE TYPE
M	REFERRER CODES
(HCA) Referral: To carry the details of the referrer. One occurrence of this Group is permitted.
M	REFERRING ORGANISATION CODES
M	REFERRER CODE		•
M	ORGANISATION CODE TYPE
M	REFERRING ORGANISATION CODE		•
(HCA) Elective Admission List Entry: To carry the details of the Elective Admission List Entry. One occurrence of this Group is permitted.
M	ORGANISATION CODE TYPE
M	DURATION OF ELECTIVE WAITS
(HCA) Elective Admission List Entry: To carry the details of the Elective Admission List Entry. One occurrence of this Group is permitted.
M	INTENDED MANAGEMENTS
M	DURATION OF ELECTIVE WAIT		•
M	DECIDED TO ADMIT DATES (for this provider)
M	INTENDED MANAGEMENT		•
(HCA) Healthcare Resource Group Activity - Activity Characteristics: To carry the details of the Healthcare Resource Group where required. If users do not want to send HRGs, the segments may be omitted. Each CDS may contain only a single occurrence of this Group.
M	DECIDED TO ADMIT DATE (for this provider)		•
O	HEALTHCARE RESOURCE GROUP CODE
(HCA) Healthcare Resource Group Activity - Activity Characteristics: To carry the details of the Healthcare Resource Group where required. If users do not want to send HRGs, the segments may be omitted. Each CDS may contain only a single occurrence of this Group.
O	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER
O	HEALTHCARE RESOURCE GROUP CODE		•
(HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Only one Procedure either OPCS or READ may be specified
O	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER		•
O	PROCEDURE SCHEME IN USE
(HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Only one Procedure either OPCS or READ may be specified
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE		•