Change Request
 
NHS Information Authority

NHS Data Model and Dictionary Service

Reference: Change Request 504
Version No: 1.9
Subject: DSCN 30/2004 - Data Standards: Psychiatric Census CDS message and Source of Admission
Type of Change: Correction to Commissioning Data Set (CDS) content as specified in the NHS Data Dictionary
Effective Date: 1 April 2005
Reason for Change: The data element SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) requires adding to the CDS Type - Detained And/Or Long Term Psychiatric Census (CDS Type 170) to bring it in line with the specification in the CDS Manual.

Background:

The Commissioning Data Set (CDS) has been specified in both the NHS Data Dictionary and the NHS CDS Manual for some years and a discrepancy between the two specifications for the CDS Type - Detained and/or Long Term Psychiatric Census (CDS Type 170) has been identified.

The version in the CDS Manual is correct.

The NHS Data Dictionary CDS Table for the CDS Type - Detained And/Or Long Term Psychiatric Census has been updated to include SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) as a mandatory data element in the Hospital Provider Spell section. The data elements DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) and DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) are not required and have been annotated 'must not be used'. These data elements have been retained in the CDS Table as their physical removal from the CDS message may necessitate undue changes to application systems. It is anticipated that there will be an opportunity to remove them in a future CDS message version release.

Summary of changes:

Dataset
ADMITTED PATIENT CARE CDS TYPE - DETAINED AND - OR LONG TERM PSYCHIATRIC CENSUS    Change to Table
 

Name: Michelle Cambridge
Date: 31 March 2005
Sponsor: NHS Data Model and Dictionary Service

Note: Additions shown in highlighted with a blue background. Deletions are shown using strikeout. Within the Diagrams deleted classes and relationships are shown as red in colour, blue is used for changed items and green is used for created items.

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

Change to Dataset: Change to Table
COMMISSIONING DATA SET (CDS)
 
Diagram
ADMITTED PATIENT CARE CDS TYPE - DETAINED AND - 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.

In the case of Trust mergers and demergers occurring, where the Hospital Provider Spell would have lasted longer than one year except for the merger/demerger, patients should be included. The Organisation Code (Code of Provider) will be that of the organisation in existence as at the 31st March census date.

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 element U/A HES
Person Group (Patient):
To carry the personal details of the Patient. One occurrence of this Group is permitted.
M LOCAL PATIENT IDENTIFIER  
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)    
M ORGANISATION CODE TYPE    
M NHS NUMBER  
M BIRTH DATE  
O CARER SUPPORT INDICATOR  
M LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)  
M LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)  
M ETHNIC CATEGORY  
M MARITAL STATUS  
M NHS NUMBER STATUS INDICATOR  
M SEX  
M DATE DETENTION COMMENCED  
M AGE AT CENSUS  
M DURATION OF CARE TO PSYCHIATRIC CENSUS DATE  
M DURATION OF DETENTION  
M MENTAL CATEGORY  
M STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS  
O NAME FORMAT CODE    
O PATIENT NAME    
O ADDRESS FORMAT CODE    
O PATIENT USUAL ADDRESS    
M POSTCODE OF USUAL ADDRESS  
M ORGANISATION CODE (PCT OF RESIDENCE)  
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.
   
(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 NUMBER  
M ADMINISTRATIVE CATEGORY
(on admission)
 
M PATIENT CLASSIFICATION  
M ADMISSION METHOD (HOSPITAL PROVIDER SPELL)  
M DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)  
M SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)  
* DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)
(Must not be used)
 
M DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)  
* DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)
(Must not be used)
 
M START DATE (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 EPISODE NUMBER  
M PSYCHIATRIC PATIENT STATUS  
M START DATE (CONSULTANT EPISODE)  
(HCA) Consultant Episode - Service Agreement Details:
To carry the details of the Service Agreement for the Consultant Episode on the Psychiatric Census Date.
M COMMISSIONING SERIAL NUMBER  
O NHS SERVICE AGREEMENT LINE NUMBER    
O PROVIDER REFERENCE NUMBER    
M COMMISSIONER REFERENCE NUMBER    
M ORGANISATION CODE (CODE OF PROVIDER)  
M ORGANISATION CODE TYPE    
M ORGANISATION CODE (CODE OF COMMISSIONER)  
M ORGANISATION CODE TYPE    
(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 CONSULTANT CODE  
M MAIN SPECIALTY CODE  
M TREATMENT 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 DIAGNOSIS SCHEME IN USE    
M PRIMARY DIAGNOSIS (ICD)  
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 on the Psychiatric Census Date. Up to 13 occurrences of this Group are permitted.
O DIAGNOSIS SCHEME IN USE    
O PRIMARY DIAGNOSIS (READ)    
O SECONDARY DIAGNOSIS (READ)
(1st to 12th, there may be up to 12 repetitions)
   
(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 LOCATION CLASS    
M SITE CODE (OF TREATMENT)
(at start of episode)
 
M ORGANISATION CODE TYPE    
O INTENDED CLINICAL CARE INTENSITY  
O AGE GROUP INTENDED  
O SEX OF PATIENTS  
O WARD DAY PERIOD AVAILABILITY  
O WARD NIGHT 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.
M LOCATION CLASS    
M SITE CODE (OF TREATMENT)  
M ORGANISATION CODE TYPE    
M INTENDED CLINICAL CARE INTENSITY  
M AGE GROUP INTENDED  
M SEX OF PATIENTS  
M WARD DAY PERIOD AVAILABILITY  
M WARD NIGHT PERIOD AVAILABILITY  
M DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE  
(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)  
O CODE OF GP PRACTICE (REGISTERED GMP)  
O ORGANISATION CODE TYPE    
(HCA) Referral:
To carry the details of the referrer. One occurrence of this Group is permitted.
M REFERRER CODE  
M REFERRING ORGANISATION CODE  
M ORGANISATION CODE TYPE    
(HCA) Elective Admission List Entry:
To carry the details of the Elective Admission List Entry. One occurrence of this Group is permitted.
M DURATION OF ELECTIVE WAIT  
M INTENDED MANAGEMENT  
M DECIDED TO ADMIT DATE
(for this provider)
 
(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  
O 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. Only one Procedure either OPCS or READ may be specified
O PROCEDURE SCHEME IN USE    
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE  

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Barbara Fogarty