Change Request
 
NHS Information Authority


Data Standards and Information Programme


Reference: Change Request 345
Version No: 1.18
Subject: Changes to the Default Codes Summary Table
Type of Change: Change to NHS Data Standards
Effective Date: 1 April 2004 (Including finished consultant episodes ending on or after 1st April 2004)
Reason for Change: Health Authorities (HA) ceased to exist on the 01.04.2003 and Primary Care Trusts (PCT) came into existence on the 01.04.2003. Instances of HA have therefore been removed, and have been replaced with PCT in the Default Codes Summary Table. The default code X9800 has been removed, as it is no longer required. DSCN 54/2002 introduced a new default code and this has been added into the default codes summary table by this DSCN.

Background:

Q99 and X9800 - Default Codes:

There was confusion over which default code to use: Q99 or X9800. The Organisation Codes Service (OCS) confirmed that Q99 is the preferred default code. Therefore, X9800 has been deleted.

HA (PCT) code; 'not applicable'

X98 is still in use for HA (PCT) code; 'not applicable' and this has been clarified for use for Wales, Scotland and Northern Ireland.

DSCN 54/2002

DSCN 54/2002 created a new Default Code of 'H9999998 - Other health care professional'. This DSCN has added in that Default Code and has amended existing Default Codes in line with DSCN 54/2002.

Please note that this DSCN has removed the Default Code: 'Non-consultant doctor, GMC code not known' - P9999998' from Data Element: CODE OF RESPONSIBLE HCP (OPCS), as the use of this Default Code needs to reviewed. This Default Code was introduced by DSCN 54/2002, and has not been added into the Default Codes Summary Table.

Shifting the Balance of Power

The Default Codes Summary Table was not amended in line with organisational changes brought in as a result of 'Shifting the Balance of Power' and this DSCN has made necessary changes to bring the table in line with existing organisational structures. In this instance, two references to Health Authority (HA) were replaced with references to Primary Care Trust (PCT).

Information on the use of 3 and 5 character codes:

Guidance exists in the NHS Data Dictionary under ORGANISATION CODE (PCT OF RESIDENCE) and is reproduced here for information:

The transition from the 3 character HA OF RESIDENCE to the 5 character ORGANISATION CODE (PCT OF RESIDENCE) is necessary to support wider data set development. However, for the purposes of sending Commissioning Data Set (CDS) messages to the NHS-Wide Clearing Service (regardless of how local systems hold the data) it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION CODE (PCT OF RESIDENCE) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary primarily to preserve the integrity of the current NHS CDS message and the Prime Recipient which is derived from the ORGANISATION CODE (PCT OF RESIDENCE).

Summary of changes:
 
Data Elements
RESPONSIBLE CARE PROFESSIONAL CODE (OPCS)    Change to Description
 
Supporting Information
DEFAULT CODES SUMMARY TABLE    Change to Supporting Information

Name: Model 1
Date: 17 May 2004
Sponsor: Data and Information Standards Programme

Note: Additions shown in highlighted with a blue background. Deletions are shown using strikeout.

Click here for a printer friendly view of this page.


RESPONSIBLE CARE PROFESSIONAL CODE (OPCS)

Change to Data Element: Change to Description

Format/length: an8
HES item: See Table below
National Codes:
Default Codes: C9999998 - Consultant, GMC code not known
D9999998 - Dentist, DPB code not known
G9999998 - General Medical Practitioner, GMP code not known
H9999998 - Other health care professional
M9999998 - Midwife
N9999998 - Nurse
P9999998 - Non-consultant doctor, GMC code not known

RESPONSIBLE CARE PROFESSIONAL CODE (OPCS) is the GMC, DPB or other professional registration code for the HEALTH CARE PROFESSIONAL undertaking the OPCS-4 classified operative PATIENT PROCEDURE. This will usually, but not exclusively, be the lead health care professional or a junior member of the same team.

Where the actual professional registration code is unknown or the professional is not a doctor or a dentist, the appropriate default code should be used.





This data element is also known by these names:
Context Alias
plural RESPONSIBLE CARE PROFESSIONAL CODES (OPCS)
plural CODES OF RESPONSIBLE HCPS (OPCS)





top

DEFAULT CODES SUMMARY TABLE

Change to Supporting Information: Change to Supporting Information

Default Codes Summary Table
 

DEFAULT CODES SUMMARY

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
Private Patient VPP00
GP code is unknown G9999998
General Medical Practitioner, GMP code not known G9999998
No registered GP G9999981
Referrer other than GMP, GDP or consultant R9999981
Locum refers code of GP for whom locum is acting
Locum refers Code of GP for whom locum is acting
MoD doctor A9999998
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
Prison doctor P9999981
Consultant, GMC code not known C9999998
Consultant Code not known C9999998
Midwife M9999998
Midwife default code M9999998
Nurse N9999998
Nurse default code N9999998
Dentist code not known D9999998
Dentist, DPB code not known D9999998
Dentist code not applicable (dentist does not have DPB number) D9999981
Other health care professional H9999998
Code Of GP Practice is unknown V81999
Prison Practice V81998
Dentist Practice V81998
Practice code of MoD doctor V81998
Practice code not applicable V81998
HA Of Residence not known Q9900 or X9800
PCT not known

Note: This code must not be used in the CDS header. It is not a default commissioner code.
Q99
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.
X98
PCT code not applicable (eg overseas visitors, Wales, Scotland or Northern Ireland).

Note: this code must not be used in the CDS header. It is not a default Commissioner code.
X98
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) - non-NHS UK provider where no organisation site code has been issued 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





top