|Reference:||Change Request 297|
|Subject:||DSCN 62/2002 - NHS patients treated in the independent sector and overseas|
|Type of Change:||Changes to the NHS Data Dictionary Version.2|
|Effective Date:||1 April 2003|
|Reason for Change:||NHS data standards to support DSCN 47/2002|
DSCN 47/2002 provided guidance on capturing Commissioning Data Set (CDS) / Hospital Episode Statistics (HES) data for NHS patients who are treated by independent or overseas providers. The guidance was advisory from the date of the DSCN, and mandatory from 1 April 2003.
This DSCN details the changes necessary to NHS data standards in the NHS Data Dictionary Version.2 to support DSCN 47/2002.Summary of changes:
|CONSULTANT CODE||Change to description|
|CONSULTANT SPECIALTY FUNCTION CODE||Change to description|
|LOCAL PATIENT IDENTIFIER||Change to description|
|ORGANISATION CODE (CODE OF PROVIDER)||Change to description|
|PROCEDURE CODING||Change to description|
|REFERRER CODE||Change to description|
|SITE CODE (OF TREATMENT)||Change to description|
|SPECIALTY FUNCTION CODE||Change to description|
|DEFAULT CODES SUMMARY TABLE||Change to supporting information|
|Date:||24 February 2003|
|Sponsor:||Data Standards Team|
|Default Codes:||C9999998 - Consultant code not known|
|D9999998 - Dentist code not known|
|M9999998 - Not applicable - Midwife|
|N9999998 - Not applicable - Nurse|
The GMC code is an eight character alphanumeric code based on the GMC registration number; the first character will be the letter `C'; characters 2 to 7 will be the doctor's GMC number, see PRACTITIONER CODES.
If a dental consultant is not registered with the GMC, the Dentists' Practice Board number has to be used prefixed with D.
For NHS patients treated overseas, the commissioner of the overseas treatment is responsible for ensuring that the overseas doctor is provided with a GMC code. In the case of overseas doctors the default code C9999998 should only be used where no GMC code has been assigned.
All MIDWIFE EPISODES are identified in the Admitted Patient Care CDS and HES by a pseudo main consultant specialty code, 560, see Speciality Function Codes. A default code is used in the
|199 - Non-UK provider; specialty function not known, treatment mainly surgical|
|499 - Non-UK provider; specialty function not known, treatment mainly medical|
This is the specialty under which the PATIENT is treated. It may be the same as the SPECIALTY FUNCTION CODE recorded as the consultant's main SPECIALTY or a different specialty function which will be the consultant's interest specialty. Both the main specialty function and the interest specialty function should be based on one of the Royal College specialties, see Speciality Function Codes.
All MIDWIFE EPISODES and NURSING EPISODES are identified in the Admitted Patient care CDS and HES by a pseudo consultant specialty code of 560 for midwives and 950 for nurses, see Specialty Function Codes. The default codes 199 and 499 are only applicable for overseas health care providers.
|plural||CONSULTANT SPECIALTY FUNCTION CODES|
This is a number used to identify a PATIENT uniquely within a HEALTH CARE PROVIDER. It may be different from the
Where care for NHS patients is sub-commissioned in the independent sector or overseas, the NHS commissioner local patient identifier should be used. If no NHS local patient identifier has been assigned the independent sector or overseas provider identifier should be used.
|plural||LOCAL PATIENT IDENTIFIERS|
|89997 - UK provider where no organisation code has been issued|
|89999 - Non-NHS UK provider where no organisation code has been issued|
This is the ORGANISATION CODE of the ORGANISATION acting as a HEALTH CARE PROVIDER.
The code may be derived automatically by NHS IT systems.
Where NHS patient care is sub-commissioned to independent or overseas providers, the NHS SERVICE AGREEMENT should specify that the non-NHS provider has requested an identifying organisation code from the Organisation Codes Service.
See NHS Administrative Codes for a description of
|plural||ORGANISATION CODES (CODE OF PROVIDER)|
|Format/length:||annn for OPCS-4, an7 for Clinical Terms (The Read Codes)|
|Default Codes:||X998 - Out-patient procedure carried out but no appropriate OPCS-4 code available|
|X999 - No out-patient procedure carried out|
This is a CLINICAL CLASSIFICATION CODE.
See Clinical Coding for Classification of Surgical Operations and Procedures (OPCS - 4) and Read Coded Clinical Terms.
See the 'Classification of Surgical Operations and Procedures (OPCS-4)' and 'Read Coded Clinical Terms' sections within the Clinical Coding page.
Record any operative procedures carried out, such as an endoscopy or electro-convulsive therapy (ECT), as part of the current consultant episode.
Clinical Terms (The Read Codes) (an7) may be used as an optional addition to OPCS-4.
The recording of procedures using OPCS-4 is now optional for the Out-Patient/Ward Attenders CDS. If required, a default procedure code may be used in the first procedure field and subsequent procedure fields space-filled.
The default codes are classified as entries in the Classification of Surgical Operations and Procedures Fourth Revision Consolidated Version (OPCS-4).
Where providers locally use OPCS-4 codes with a fifth character added, this should be removed before inclusion in the Commissioning Data Set.
|Default Codes:||C9999998 - Consultant Code not known|
|R9999981 - Referrer other than GMP, GDP or Consultant|
|X9999998 - Not applicable: or not known|
The intention is for this item to reflect the actual (true) referrer. For example, following a GMP referral, a consultant may subsequently refer the PATIENT to another consultant within the HOSPITAL PROVIDER SPELL.
The code of the consultant making the referral and the consultant’s organisation should be recorded in the CDS rather than the code of the GMP referrer. The code of the consultant making the referral and the consultant's organisation should be recorded in the CDS rather than the code of the GMP referrer. This also applies where a CONSULTANT refers an NHS patient to another doctor for NHS-commissioned treatment at another NHS Trust, a non-NHS provider, or an overseas provider. Where the Consultant Code is unknown, the default value C9999998 should be used.
In all other cases, the code of the referring GMP should be recorded, if applicable.
See CONSULTANT CODE and GMP (CODE OF REGISTERED OR REFERRING GMP) for the codes available for consultants and General Medical and Dental Practitioners, MoD and Prison Doctors. See also NHS Administrative Codes.
If the Referrer code is not known or not applicable e.g. the patient has self-presented, the default code (X9999998) should be used. If the Referrer code is not known or not applicable e.g., the patient has self-presented, the default code (X9999998) should be used.
|Default Codes:||89999 - Not applicable: non-NHS UK provider|
|89997 - Not applicable: non-UK provider|
This identifies the site within the
|RA702|Where treatment for a NHS patient is sub-commissioned to a non-NHS provider and no ORGANISATION SITE CODE has been registered and issued by the Organisation Codes Service, the SITE CODE (OF TREATMENT) should contain the default value of 89999. Where treatment for an NHS patient is sub-commissioned to an independent UK provider the default code of 89999 should be used. Similarly where treatment is sub-commissioned to an overseas provider the default code 89997 is applicable. For out-patients, activity may take place outside the hospital, such as in the PATIENT ’S home; in such cases, raising a site code is impractical. For out-patients, activity may take place outside the hospital, such as in the
|plural||SITE CODE (OF TREATMENT)|
|Default Codes:||199 - Non-UK provider; specialty function not known, treatment mainly surgical|
|499 - Non-UK provider; specialty function not known, treatment mainly medical|
SPECIALTY FUNCTION, based on SPECIALTY, classifies clinical work divisions more precisely for a limited number of specialties. See Speciality Function Codes for the full list of codes.
All MIDWIFE EPISODES and NURSING EPISODES are identified in the Admitted Patient care CDS and HES by a pseudo main consultant specialty code of 560 for midwives and 950 for nurses, see Specialty Function Codes.
The default codes 199 and 499 are only applicable for overseas providers.
|plural||SPECIALTY FUNCTION CODES|
|Default Codes Summary Table|
Default (or pseudo) codes may be used:
|Default code is used to indicate:||Code|
|Overseas visitor exempt from charges||TDH00|
|Overseas visitor liable for charges||VPP00|
|GP code is unknown||G9999998|
|No registered GP||G9999981|
|Referrer other than GMP, GDP or consultant||R9999981|
|Locum refers||code of GP for whom locum is acting|
|Referrer Code not applicable, eg patient has self-presented, or not known||X9999998|
|Referring Organisation Code not applicable||X99998|
|Referring Organisation Code not known||X99999|
|Consultant Code not known||C9999998|
|Midwife default code||M9999998|
|Nurse default code||N9999998|
|Dentist code not known||D9999998|
|Dentist code not applicable (dentist does not have DPB number)||D9999981|
|Code Of GP Practice is unknown||V81999|
|Practice code of MoD doctor||V81998|
|Practice code not applicable||V81998|
|HA Of Residence not known||Q9900 or X9800|
|HA Of Residence code not applicable (eg overseas visitors) |
Note: this code must not be used in the CDS header. It is not a default Commissioner code.
|Organisation Code (Code of Provider) - non-UK provider where no organisation code has been issued||89997|
|Organisation Code (Code of Provider) - non-NHS UK provider where no organisation code has been issued||89999|
|Site Code (Of Treatment) not applicable: non-NHS UK provider||89999|
|Site Code (Of Treatment) not applicable: non-UK provider||89997|
|Site Code (Of Treatment) - not a hospital site (for use on Out-Patient CMDS)||R9998|
|Non-UK provider; specialty function not known, treatment mainly surgical||199|
|Non-UK provider; specialty function not known, treatment mainly medical||499|