Change Request
 
NHS Information Authority


Data Standards and Information Programme


Reference: Change Request 407
Version No: 1.2
Subject: Source of Admission
Type of Change: Change to Source of Admission and Discharge Destination codes
Effective Date: 1 March 2004
Reason for Change: Clarification of the Source of Admission for patients arriving at the Accident and Emergency Department and admitted to the same hospital provider.

Background:

For Source of Admission and Discharge Destination the codes 49-53 are intended to apply to admission from and discharge to other NHS hospital providers. The word 'other' was used as a prefix to NHS hospital provider prior to DSCN 37/93 when it was deleted as it was felt to imply that the current provider is an NHS provider.

A recent query has identified the need for clarification of this issue and it was felt that 'other' needed to be re-instated. Source of Admission is meant to define where the patient has come from prior to the current provider. If a patient arrives at the Accident and Emergency Department, from home, and is admitted to the same hospital provider the Source of Admission would be '19 - Usual place of residence...' and not '51- NHS hospital provider - ward for general patients or the younger physically disabled or A&E department'.

The same codes apply to Discharge Destination and have been altered accordingly.Summary of changes:

 
Attribute Definitions
DISCHARGE DESTINATION    Change to Description
SOURCE OF ADMISSION    Change to Description

Name: Kevin Shine
Date: 18 May 2004
Sponsor: Data and Information Standards Programme

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

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DISCHARGE DESTINATION
Change to Attribute: Change to Description

The destination of a patient on completion of a HOSPITAL PROVIDER SPELL, or a note that the patient died or was a still birth. The destination of a PATIENT on completion of a HOSPITAL PROVIDER SPELL, or a note that the PATIENT died or was a still birth.

National Codes:

19 Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by local authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes patients with no fixed abode.
29 Temporary place of residence when usually resident elsewhere (includes hotel, residential educational establishment)
30 Repatriation from high security psychiatric accommodation in an NHS hospital provider (NHS trust)
37 Court
38 Penal establishment or police station
48 High Security Psychiatric Hospital, Scotland
49 NHS hospital provider - high security psychiatric accommodation
49 NHS other hospital provider - high security psychiatric accommodation
50 NHS hospital provider - medium secure unit
50 NHS other hospital provider - medium secure unit
51 NHS hospital provider - ward for general patients or the younger physically disabled
51 NHS other hospital provider - ward for general patients or the younger physically disabled
52 NHS hospital provider - ward for maternity patients or neonates
52 NHS other hospital provider - ward for maternity patients or neonates
53 NHS hospital provider - ward for patients who are mentally ill or have learning disabilities
53 NHS other hospital provider - ward for patients who are mentally ill or have learning disabilities
54 NHS run care home
65 Local Authority residential accommodation ie where care is provided
66 Local Authority foster care
79 Not applicable - patient died or still birth
84 Non-NHS run hospital - medium secure unit
85 Non-NHS (other than Local Authority) run care home
87 Non-NHS run hospital
88 Non-NHS (other than Local Authority) run Hospice




This attribute is also known by these names:
Context Alias
plural DISCHARGE DESTINATIONS





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SOURCE OF ADMISSION
Change to Attribute: Change to Description

The coded source of admission to a HOSPITAL PROVIDER SPELL or a NURSING EPISODE when the PATIENT is in a HOSPITAL SITE or a CARE HOME SITE. Code 51 should not be used if the PATIENT arrives at an Accident and Emergency Department and is admitted to the same HOSPITAL PROVIDER.

National Codes:

19 Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by local authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes patients with no fixed abode.
29 Temporary place of residence when usually resident elsewhere (e.g. hotels, residential educational establishments)
39 Penal establishment, Court, or police station
49 NHS hospital provider - high security psychiatric accommodation in an NHS hospital provider (NHS trust)
49 NHS other hospital provider - high security psychiatric accommodation in an NHS hospital provider (NHS trust)
51 NHS hospital provider - ward for general patients or the younger physically disabled or A & E department
51 NHS other hospital provider - ward for general patients or the younger physically disabled or A & E department
52 NHS hospital provider - ward for maternity patients or neonates
52 NHS other hospital provider - ward for maternity patients or neonates
53 NHS hospital provider - ward for patients who are mentally ill or have learning disabilities
53 NHS other hospital provider - ward for patients who are mentally ill or have learning disabilities
54 NHS run care home
65 Local Authority residential accommodation ie where care is provided
66 Local Authority foster care
79 Babies born in or on the way to hospital
85 Non-NHS (other than Local Authority) run care home
87 Non NHS run hospital
88 Non-NHS (other than Local Authority) run Hospice


This attribute is also known by these names:
Context Alias
plural SOURCE OF ADMISSIONS





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