COMMISSIONING DATA SET (CDS)
ADMITTED PATIENT CARE CDS TYPE - GENERAL EPISODE
The Admitted Patient Care General Episode Commissioning Data Set Type carries the data for a finished or unfinished General Consultant/ Midwife/ Nurse Episode. It covers all NHS and private Admitted Patient Care (day case and inpatient) activity taking place in any acute, community, psychiatric NHS Trust or Primary Care Trust or other NHS hospital under the care of a consultant, midwife or nurse. Additionally, NHS funded Admitted Patient Care taking place in non-NHS hospitals and institutions is required.

The column headed Opt (Optionality) shows whether the data element is Mandatory M or Optional O.

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 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.

An Unfinished General Episode record is required for all unfinished general episodes at midnight on 31 March. Unfinished General Episode records are also required for short-stay informal psychiatric patients who are resident in hospital or on leave of absence (home leave) on 31 March and who have been in hospital for less than 12 months.

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 indicate 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 R
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) R  
M ORGANISATION CODE TYPE R  
M NHS NUMBER R
M BIRTH DATE R
O CARER SUPPORT INDICATOR R
M LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)
(psychiatric patients only)
R
M ETHNIC CATEGORY R
M MARITAL STATUS
(psychiatric patients only)
R
M NHS NUMBER STATUS INDICATOR R
M SEX R
O NAME FORMAT CODE R  
O PATIENT NAME R  
O ADDRESS FORMAT CODE    
O PATIENT USUAL ADDRESS R  
M POSTCODE OF USUAL ADDRESS R
M ORGANISATION CODE (PCT OF RESIDENCE) 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.
   
(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 NUMBER R
M ADMINISTRATIVE CATEGORY
(on admission)
R
M PATIENT CLASSIFICATION R
M ADMISSION METHOD (HOSPITAL PROVIDER SPELL) R
M DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)  
M DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)  
M SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) R
M START DATE (HOSPITAL PROVIDER SPELL) R
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.
M EPISODE NUMBER R
M FIRST REGULAR DAY OR NIGHT ADMISSION R
M LAST EPISODE IN SPELL INDICATOR R
M NEONATAL LEVEL OF CARE R
M OPERATION STATUS
(per episode)
R
M PSYCHIATRIC PATIENT STATUS R
M NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE R
M START DATE (EPISODE) R
M END DATE (EPISODE)  
(HCA) Consultant Episode - Service Agreement Details:
To carry the details of the Service Agreement for the Consultant/ Midwife/ Nurse Episode.
M COMMISSIONING SERIAL NUMBER R
O NHS SERVICE AGREEMENT LINE NUMBER R  
O PROVIDER REFERENCE NUMBER    
M COMMISSIONER REFERENCE NUMBER R  
M ORGANISATION CODE (CODE OF PROVIDER) R
M ORGANISATION CODE TYPE    
M ORGANISATION CODE (CODE OF COMMISSIONER) R
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.
M CONSULTANT CODE R
M MAIN SPECIALTY CODE R
M TREATMENT 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.
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. 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 - 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 PRIMARY PROCEDURE (OPCS)  
M PROCEDURE DATE  
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)
 
(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 PRIMARY PROCEDURE (READ)    
O PROCEDURE DATE    
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)
   
(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 SITE CODE (OF TREATMENT)
(at start of episode)
R
M ORGANISATION CODE TYPE R  
O INTENDED CLINICAL CARE INTENSITY R
O AGE GROUP INTENDED R
O SEX OF PATIENTS R
O WARD DAY 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.
M LOCATION CLASS    
M SITE CODE (OF TREATMENT)    
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    
O START DATE
(at start 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.
M LOCATION CLASS    
M SITE CODE (OF TREATMENT)
(at end 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) 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 NUMBER R
O AUGMENTED CARE PERIOD LOCAL IDENTIFIER R
M START DATE (AUGMENTED CARE PERIOD) R
M AUGMENTED CARE PERIOD SOURCE R
M INTENSIVE CARE LEVEL DAYS R
M HIGH DEPENDENCY CARE LEVEL DAYS R
M NUMBER OF ORGAN SYSTEMS SUPPORTED
for intensive care level only)
R
M AUGMENTED CARE PLANNED INDICATOR R
M AUGMENTED CARE OUTCOME INDICATOR  
M AUGMENTED CARE PERIOD DISPOSAL  
M END DATE (AUGMENTED CARE PERIOD)  
M MAIN SPECIALTY CODE (AUGMENTED CARE PERIOD) R
M LOCATION CLASS 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.
M GMP (CODE OF REGISTERED OR REFERRING GMP) R
O CODE OF GP PRACTICE (REGISTERED GMP) R
O ORGANISATION CODE TYPE R  
(HCA) Referral:
To carry the details of the referrer. One occurrence of this Group is permitted.
M REFERRER CODE R
M REFERRING ORGANISATION CODE R
M ORGANISATION CODE TYPE R  
(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 R
M INTENDED MANAGEMENT R
M DECIDED TO ADMIT DATE
(for this provider)
R
(HCA) Healthcare Resource Group Activity - Activity Characteristics:
To carry the details of the Healthcare Resource Group. This is mandatory from 01/10/2001. One occurrence of this Group is permitted.
M HEALTHCARE RESOURCE GROUP CODE  
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
O PROCEDURE SCHEME IN USE    
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE