Mental Health FHIR Store Mappings: Difference between revisions

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!Description
!Description
!Conformance
!Conformance
! FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
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|This is a number used to identify a PATIENT uniquely within a Health Care Provider. It may be different from the PATIENT's casenote number and may be assigned automatically by the computer system. LOCAL PATIENT IDENTIFIER (EXTENDED) is used where IT systems have a LOCAL PATIENT IDENTIFIER which is longer than 10 characters and LOCAL PATIENT IDENTIFIER cannot be used for data submission.
|This is a number used to identify a PATIENT uniquely within a Health Care Provider. It may be different from the PATIENT's casenote number and may be assigned automatically by the computer system. LOCAL PATIENT IDENTIFIER (EXTENDED) is used where IT systems have a LOCAL PATIENT IDENTIFIER which is longer than 10 characters and LOCAL PATIENT IDENTIFIER cannot be used for data submission.
|M
|M
|Patient.Identifier
|
|
|-
|-
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|The ORGANISATION IDENTIFIER of the organisation that assigned the local patient identifier.
|The ORGANISATION IDENTIFIER of the organisation that assigned the local patient identifier.
|M
|M
|Patient.Organization.identifier
|
|
|-
|-
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| ORGANISATION IDENTIFIER (EDUCATIONAL ESTABLISHMENT) is the ORGANISATION IDENTIFIER of the Educational Establishment, including Schools.
| ORGANISATION IDENTIFIER (EDUCATIONAL ESTABLISHMENT) is the ORGANISATION IDENTIFIER of the Educational Establishment, including Schools.
|R
|R
| Patient.Organization.identifier
|
|
|-
|-
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|A number used to identify a PATIENT uniquely within the NHS in England and Wales
|A number used to identify a PATIENT uniquely within the NHS in England and Wales
|R
|R
|Patient.identifier(nhsnumber)
|
|
|-
|-
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|The NHS NUMBER STATUS INDICATOR of the PATIENT
|The NHS NUMBER STATUS INDICATOR of the PATIENT
|R
|R
|CareConnect-NHSNumberVerificationStatus-1<br /><nowiki>https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1</nowiki>
|01- Number present and verified
|01- Number present and verified


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|The date on which a PERSON was born or is officially deemed to have been born
|The date on which a PERSON was born or is officially deemed to have been born
|R
|R
|Patient.birthDate
|
|
|-
|-
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|The POSTCODE of the ADDRESS nominated by the PATIENT with ADDRESS ASSOCIATION TYPE 'Main Permanent Residence' or 'Other Permanent Residence'
|The POSTCODE of the ADDRESS nominated by the PATIENT with ADDRESS ASSOCIATION TYPE 'Main Permanent Residence' or 'Other Permanent Residence'
|R
|R
|Patient.address.postalCode
|
|
|-
|-
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|The gender identity of a PERSON as stated by the PERSON
|The gender identity of a PERSON as stated by the PERSON
|R
|R
|Patient.gender.code
|1- Male (including trans man)
|1- Male (including trans man)


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| An indication of whether the patient's gender identity is the same as their gender assigned at birth.
| An indication of whether the patient's gender identity is the same as their gender assigned at birth.
|R
|R
|Patient.gender.extension(suggestion of an extension for '''GENDER IDENTITY SAME AT BIRTH INDICATOR''')
|Y- Yes - the person's gender identity is the same as their gender assigned at birth  
|Y- Yes - the person's gender identity is the same as their gender assigned at birth  


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|The gender of a PERSON.<br />PERSON STATED GENDER CODE is self declared or inferred by observation for those unable to declare their PERSON STATED GENDER.
|The gender of a PERSON.<br />PERSON STATED GENDER CODE is self declared or inferred by observation for those unable to declare their PERSON STATED GENDER.
|R
|R
|Patient.gender.code
| 1- Male  
| 1- Male  


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|The legal marital status of a PERSON.
|The legal marital status of a PERSON.
| R
| R
|Patient.maritalStatus
| S- Single
| S- Single


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|The ethnicity of a PERSON, as specified by the PERSON.
|The ethnicity of a PERSON, as specified by the PERSON.
|R
|R
|Patient.extension(ethnicCategory)
|A- White - British
|A- White - British


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|Placeholder data item to accommodate the 2021 census when it goes live
|Placeholder data item to accommodate the 2021 census when it goes live
|P
|P
|Patient.extension(suggestion of an extension for ETHNIC CATEGORY 2021)
|
|
|-
|-
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|LANGUAGE CODE (PREFERRED) is the language the PATIENT prefers to use for communication with a Health Care Provider. LANGUAGE CODE is based on the ISO 639-1 two character language codes, see the ISO 639.2 Registration Authority website, plus five communication method extensions.
|LANGUAGE CODE (PREFERRED) is the language the PATIENT prefers to use for communication with a Health Care Provider. LANGUAGE CODE is based on the ISO 639-1 two character language codes, see the ISO 639.2 Registration Authority website, plus five communication method extensions.
|R
|R
| Patient.communication.language
| All Spoken Languages
| All Spoken Languages


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|The date on which a person died or is officially deemed to have died, as recorded on the death certificate.
|The date on which a person died or is officially deemed to have died, as recorded on the death certificate.
|R
|R
|Patient.deceased[x].deceasedDateTime
|
|
|}<br />
|}<br />
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!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
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|The ORGANISATION CODE of the GP Practice that the PATIENT is registered with.
|The ORGANISATION CODE of the GP Practice that the PATIENT is registered with.
|M
|M
| Patient.generalPractitioner
|
|
|-
|-
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|Start Date on which the PERSON registered with a General Medical Practitioner Practice.
|Start Date on which the PERSON registered with a General Medical Practitioner Practice.
|R
|R
|Patient.generalPractitioner.extension(suggestion of an extension for START DATE (GMP PATIENT REGISTRATION))
|
|
|-
|-
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|The DATE on which the PERSON ceased to be registered with a General Medical Practitioner Practice.
|The DATE on which the PERSON ceased to be registered with a General Medical Practitioner Practice.
|R
|R
|Patient.generalPractitioner.extension(suggestion of an extension for END DATE (GMP PATIENT REGISTRATION))
|
|
|}<br />
|}<br />
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!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
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|An indication of the type of accommodation that a PATIENT currently has. This should be based on the PATIENT's main or permanent residence.
|An indication of the type of accommodation that a PATIENT currently has. This should be based on the PATIENT's main or permanent residence.
|M
|M
|Patient.address.extension(suggestion of an extension for Accommodation Type)
|01- Owner occupier
|01- Owner occupier


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|An indication of whether the main/permanent residence of the patient is settled accommodation.
|An indication of whether the main/permanent residence of the patient is settled accommodation.
|R
|R
|Patient.address.extension(suggestion of an extension for Settled Accommodation Indicator)
|Y- Yes - Settled Accommodation
|Y- Yes - Settled Accommodation


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|The PERSON PROPERTY RECORDED DATE when the ACCOMMODATION TYPE was recorded.
|The PERSON PROPERTY RECORDED DATE when the ACCOMMODATION TYPE was recorded.
|R
|R
|Patient.address.extension(suggestion of an extension for ACCOMMODATION TYPE RECORDED DATE)
|
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|-
|-
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|The type of placement for a child or young person accommodated in a Secure Children's Home.
|The type of placement for a child or young person accommodated in a Secure Children's Home.
|R
|R
|Patient.address.extension(SECURE CHILDRENS HOME PLACEMENT TYPE)
|1- Secure welfare placement
|1- Secure welfare placement


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|The date that the patient's accommodation type started.
|The date that the patient's accommodation type started.
|R
|R
|Patient.address.extension(suggestion of an extension for ACCOMMODATION TYPE START DATE)
|
|
|-
|-
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|The date that the patient's accommodation type ended.
|The date that the patient's accommodation type ended.
|R
|R
|Patient.address.extension(suggestion of an extension for ACCOMMODATION TYPE START END)
|
|
|}<br />
|}<br />
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!Description
!Description
! Conformance
! Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
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| The current PRIMARY EMPLOYMENT status of a PERSON.
| The current PRIMARY EMPLOYMENT status of a PERSON.
|M
|M
|Patient.extension(suggestion of an extension for EMPLOYMENT STATUS)
|01- Employed  
|01- Employed  


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|The date that the patient's employment status started.
|The date that the patient's employment status started.
|R
|R
|Patient.extension(suggestion of an extension for EMPLOYMENT STATUS START DATE)
|
|
|-
|-
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|The date that the patient's employment status ended.
|The date that the patient's employment status ended.
|R
|R
|Patient.extension(suggestion of an extension for EMPLOYMENT STATUS END DATE)
|
|
|-
|-
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| The date that the patient's employment status details were recorded by the healthcare professional.
| The date that the patient's employment status details were recorded by the healthcare professional.
|R
|R
|Patient.extension(suggestion of an extension for EMPLOYMENT STATUS RECORD DATE)
|
|
|-
|-
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|The number of hours worked in a typical week.
|The number of hours worked in a typical week.
|R
|R
|Patient.extension(suggestion of an extension for WEEKLY HOURS WORKED)
|01- 30+ hours
|01- 30+ hours


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!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
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|An indication of whether a disabled PATIENT needs constant (round the clock) care and/or supervision for maintenance of their safety and/or wellbeing.
|An indication of whether a disabled PATIENT needs constant (round the clock) care and/or supervision for maintenance of their safety and/or wellbeing.
|R
|R
|Patient.extension(disability)
|
|
|-
|-
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|An indication of whether a PATIENT has Parental Responsibilities for a child or young person, as stated by the PATIENT.
|An indication of whether a PATIENT has Parental Responsibilities for a child or young person, as stated by the PATIENT.
|R
|R
|Patient.link.other(RelatedPerson)
|
|
|-
|-
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| An indication of whether a child or young person (PATIENT) has a caring role for an ill or disabled Parent/Carer/Sibling.
| An indication of whether a child or young person (PATIENT) has a caring role for an ill or disabled Parent/Carer/Sibling.
|R
|R
|Patient.extension(suggestion of an extension for YOUNG CARER INDICATOR)
|
|
|-
|-
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|An indication of whether a PATIENT is a Looked After Child.
|An indication of whether a PATIENT is a Looked After Child.
|R
|R
|Patient.extension(suggestion of an extension for LOOKED AFTER CHILD INDICATOR)
|
|
|-
|-
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|The legal status of the Looked After Child. This refers to the Children's Act 1989: see details <nowiki>https://www.legislation.gov.uk/ukpga/1989/41/contents</nowiki>
|The legal status of the Looked After Child. This refers to the Children's Act 1989: see details <nowiki>https://www.legislation.gov.uk/ukpga/1989/41/contents</nowiki>
|R
|R
|Patient.extension(suggestion of an extension for LOOKED AFTER CHILD LEGAL STATUS)
|
|
|-
|-
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| The outcome of an EDUCATIONAL ASSESSMENT.
| The outcome of an EDUCATIONAL ASSESSMENT.
|R
|R
|Patient.extension(suggestion of an extension for EDUCATIONAL ASSESSMENT OUTCOME)
|
|
|-
|-
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|An indication of whether the child or young person (PATIENT) is/has previously been subject to a child protection plan.
|An indication of whether the child or young person (PATIENT) is/has previously been subject to a child protection plan.
|R
|R
|Patient.extension(suggestion of an extension for CHILD PROTECTION PLAN INDICATION CODE)
|
|
|-
|-
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|An indication of whether the PATIENT is an ex-member of the British Armed Forces, i.e. army, navy or air force, or is a dependant of a person who is an ex-services member.
|An indication of whether the PATIENT is an ex-member of the British Armed Forces, i.e. army, navy or air force, or is a dependant of a person who is an ex-services member.
|R
|R
|Patient.extension(suggestion of an extension for EX-BRITISH ARMED FORCES INDICATOR)
|
|
|-
|-
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This is completed by CARE PROFESSIONALS based on the PATIENT history, informed by referral information.
This is completed by CARE PROFESSIONALS based on the PATIENT history, informed by referral information.
|R
|R
|Patient.extension(suggestion of an extension for OFFENCE HISTORY INDICATION CODE)
|
|
|-
|-
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Examples include poor attendance/worsening performance at school/work, trouble sleeping, withdrawing from/fighting with friends/family, attenuated psychotic symptoms (increased suspiciousness,/jealously, occasionally hearing name being called when no' ones around, whisperings, slight confusion in thinking etc.).
Examples include poor attendance/worsening performance at school/work, trouble sleeping, withdrawing from/fighting with friends/family, attenuated psychotic symptoms (increased suspiciousness,/jealously, occasionally hearing name being called when no' ones around, whisperings, slight confusion in thinking etc.).
|R
|R
|DetectedIssue.date
Condition.onset[x].onsetDateTime(PRODROME PSYCHOSIS DATE)
|
|
|-
|-
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Such a symptom would be scored 4 or more on the PANSS.
Such a symptom would be scored 4 or more on the PANSS.
|R
|R
|DetectedIssue.date
Condition.onset[x].onsetDateTime(EMERGENT PSYCHOSIS DATE)
|
|
|-
|-
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| Date at which a positive psychotic symptom has lasted for a week for the patient. This is usually just 7 days after the date of the first psychotic symptom.
| Date at which a positive psychotic symptom has lasted for a week for the patient. This is usually just 7 days after the date of the first psychotic symptom.
|R
|R
|DetectedIssue.date
Condition.onset[x].onsetDateTime(MANIFEST PSYCHOSIS DATE)
|
|
|-
|-
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| Date the patient was first prescribed anti-psychotic medication following referral into an Early Intervention in Psychosis (EIP) Service.
| Date the patient was first prescribed anti-psychotic medication following referral into an Early Intervention in Psychosis (EIP) Service.
|R
|R
|MedicationRequest.authoredOn
DetectedIssue.mitigation.date
|
|
|-
|-
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Note: For the majority of people this will be the same date as the date of prescription.
Note: For the majority of people this will be the same date as the date of prescription.
|R
|R
|MedicationRequest.authoredOn
DetectedIssue.mitigation.date
|
|
|-
|-
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|An indicator to alert the clinician that this patient may need a reasonable adjustment made
|An indicator to alert the clinician that this patient may need a reasonable adjustment made
|R
|R
|Patient.extension(proposition of an extension for REASONABLE ADJUSTMENT REQUIRED INDICATOR)
|
|
|}<br />
|}<br />
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!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
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|The start date of a Mental Health Care Coordinator Assignment Period for a patient.
|The start date of a Mental Health Care Coordinator Assignment Period for a patient.
|M
|M
|CareTeam.period.start
|
|
|-
|-
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<br />
<br />
|R
|R
|CareTeam.participant.member
|
|
|-
|-
Line 533: Line 471:
|The end date of a Mental Health Care Coordinator Assignment Period for a patient.
|The end date of a Mental Health Care Coordinator Assignment Period for a patient.
|R
|R
|CareTeam.period.end
|
|
|-
|-
Line 539: Line 476:
|The type of service or team the Care Professional is associated with.
|The type of service or team the Care Professional is associated with.
|R
|R
|CareTeam.participant.role
|
|
|}<br />
|}<br />
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!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
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the PERSON considers themself to be disabled.
the PERSON considers themself to be disabled.
|M
|M
|Condition.code
|
|
|-
|-
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|The patient's perception of whether their day-to-day activities are limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months.
|The patient's perception of whether their day-to-day activities are limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months.
|R
|R
|Condition.extension(suggestion of an extension for DISABILITY IMPACT PERCEPTION)
|
|
|}<br />
|}<br />
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!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 581: Line 513:
| A unique identifierfor Care Plan.
| A unique identifierfor Care Plan.
|M
|M
|CarePlan.identifier
|
|
|-
|-
Line 587: Line 518:
|The type of Care Plan for the patient, recorded by the service.
|The type of Care Plan for the patient, recorded by the service.
|M
|M
|CarePlan.category
|
|
|-
|-
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|The date that a Care Plan was created for a patient.
|The date that a Care Plan was created for a patient.
|M
|M
|CarePlan.extension(suggestion of an extension for CARE PLAN CREATION DATE)
|
|
|-
|-
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|The time that a Care Plan was created for a patient.
|The time that a Care Plan was created for a patient.
|R
|R
| CarePlan.extension(suggestion of an extension for CARE PLAN CREATION TIME)
|
|
|-
|-
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Where the Care Plan has not otherwise been updated this will be the same as the Care Plan Creation Date.
Where the Care Plan has not otherwise been updated this will be the same as the Care Plan Creation Date.
|R
|R
|CarePlan.extension(suggestion of an extension for CARE PLAN LAST UPDATE DATE)
|
|
|-
|-
Line 615: Line 542:
Where the Care Plan has not otherwise been updated this will be the same as the Care Plan Creation Time.
Where the Care Plan has not otherwise been updated this will be the same as the Care Plan Creation Time.
|R
|R
|CarePlan.extension(suggestion of an extension for CARE PLAN LAST UPDATE TIME)
|
|
|-
|-
Line 621: Line 547:
|The date that the Care Plan was implemented for a patient.
|The date that the Care Plan was implemented for a patient.
|R
|R
|CarePlan.period.date
|
|
|}<br />
|}<br />
Line 630: Line 555:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 638: Line 562:
This only needs to be captured for inpatients that are in scope of Transforming Care.
This only needs to be captured for inpatients that are in scope of Transforming Care.
|R
|R
|Consent.actor.role
Consent.actor.reference
|
|
|-
|-
Line 648: Line 569:
This only needs to be captured for inpatients that are in scope of Transforming Care.
This only needs to be captured for inpatients that are in scope of Transforming Care.
|R
|R
|
|
|
|-
|-
Line 654: Line 574:
|The type of PERSON, SERVICE or ORGANISATION that agreed the content of the CARE PLAN for the PATIENT.
|The type of PERSON, SERVICE or ORGANISATION that agreed the content of the CARE PLAN for the PATIENT.
|M
|M
|Consent.consentingParty
|
|
|-
|-
Line 660: Line 579:
|The date on which the content of the CARE PLAN was agreed by a PATIENT or Patient Proxy.
|The date on which the content of the CARE PLAN was agreed by a PATIENT or Patient Proxy.
|R
|R
|Consent.dateTime
|
|
|-
|-
Line 666: Line 584:
| The time on which the content of the CARE PLAN was agreed by a PATIENT or Patient Proxy
| The time on which the content of the CARE PLAN was agreed by a PATIENT or Patient Proxy
|R
|R
| Consent.dateTime
|
|
|}<br />
|}<br />
Line 675: Line 592:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 681: Line 597:
|The SNOMED CT concept ID which is used to identify the finding relating to the assistive technology that a PATIENT is dependent on.
|The SNOMED CT concept ID which is used to identify the finding relating to the assistive technology that a PATIENT is dependent on.
|M
|M
|Device.extension(suggestion of an extension for ASSISTIVE TECHNOLOGY FINDING (SNOMED CT))
|
|
|-
|-
Line 687: Line 602:
|The date, time and time zone for the prescription of Assistive Technology.
|The date, time and time zone for the prescription of Assistive Technology.
|R
|R
|DeviceRequest.authoredOn
OR
Device.extension(suggestion of an extension for PRESCRIPTION TIMESTAMP ASSISTIVE TECHNOLOGY)
|
|
|}<br />
|}<br />
Line 700: Line 610:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 706: Line 615:
|The SNOMED CT concept ID which is used to identify a Social and Personal Circumstance for a person.
|The SNOMED CT concept ID which is used to identify a Social and Personal Circumstance for a person.
|M
|M
|
|
|
|-
|-
Line 712: Line 620:
|The date, time and time zone on which the Social and Personal Circumstance was recorded.
|The date, time and time zone on which the Social and Personal Circumstance was recorded.
|R
|R
|
|
|
|}<br />
|}<br />
Line 721: Line 628:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 727: Line 633:
|The charging category relating to an OVERSEAS VISITOR STATUS.
|The charging category relating to an OVERSEAS VISITOR STATUS.
|M
|M
|
|
|
|-
|-
Line 733: Line 638:
|The date when the PATIENT's OVERSEAS VISITOR CHARGING CATEGORY was applicable from. If the applicable date is not available, this should be the date the OVERSEAS VISITOR CHARGING CATEGORY was recorded.
|The date when the PATIENT's OVERSEAS VISITOR CHARGING CATEGORY was applicable from. If the applicable date is not available, this should be the date the OVERSEAS VISITOR CHARGING CATEGORY was recorded.
|R
|R
|
|
|
|-
|-
Line 739: Line 643:
|The date the OVERSEAS VISITOR CHARGING CATEGORY was applicable until.
|The date the OVERSEAS VISITOR CHARGING CATEGORY was applicable until.
|R
|R
|
|
|
|}<br />
|}<br />
Line 748: Line 651:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 754: Line 656:
|The SNOMED CT EXPRESSION which is used to identify the Mental Health Resource Group type.
|The SNOMED CT EXPRESSION which is used to identify the Mental Health Resource Group type.
|P
|P
|
|
|
|-
|-
Line 760: Line 661:
|When a PATIENT is assessed in a Mental Health Service and assigned a Mental Health Resource Group
|When a PATIENT is assessed in a Mental Health Service and assigned a Mental Health Resource Group
|P
|P
|
|
|
|-
|-
Line 766: Line 666:
|When a PATIENT either changes their Mental Health Resource Group or leaves the Mental Health Service.
|When a PATIENT either changes their Mental Health Resource Group or leaves the Mental Health Service.
|P
|P
|
|
|
|}<br />
|}<br />
Line 775: Line 674:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 781: Line 679:
|The unique identifier for a SERVICE REQUEST. It would normally be automatically generated by the local system upon recording a new Referral, although could be manually assigned.
|The unique identifier for a SERVICE REQUEST. It would normally be automatically generated by the local system upon recording a new Referral, although could be manually assigned.
|M
|M
|
|
|
|-
|-
Line 787: Line 684:
|This is the ORGANISATION IDENTIFIER of the ORGANISATION commissioning health care.
|This is the ORGANISATION IDENTIFIER of the ORGANISATION commissioning health care.
|M
|M
|
|
|
|-
|-
Line 793: Line 689:
|This is the date the REFERRAL REQUEST was received by the Health Care Provider.
|This is the date the REFERRAL REQUEST was received by the Health Care Provider.
|M
|M
|
|
|
|-
|-
Line 799: Line 694:
|This records the time the REFERRAL REQUEST was received. This item is only required for 'urgent' priority referrals into services with target waiting times measured in hours e.g. rapid response teams or urgent care.
|This records the time the REFERRAL REQUEST was received. This item is only required for 'urgent' priority referrals into services with target waiting times measured in hours e.g. rapid response teams or urgent care.
|R
|R
|
|
|
|-
|-
Line 805: Line 699:
|A number (alphanumeric) to provide a unique identifier for a line within a NHS SERVICE AGREEMENT. An NHS SERVICE AGREEMENT is a formal agreement between a commissioner Organisation and one or more Health Care Provider Organisations for the provision of PATIENT care SERVICES.
|A number (alphanumeric) to provide a unique identifier for a line within a NHS SERVICE AGREEMENT. An NHS SERVICE AGREEMENT is a formal agreement between a commissioner Organisation and one or more Health Care Provider Organisations for the provision of PATIENT care SERVICES.
|R
|R
|
|
|
|-
|-
Line 811: Line 704:
|The category of the specialised Mental Health Service provided in a SERVICE PROVIDED UNDER AGREEMENT. The SPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE National Codes are published by NHS England and can be accessed at Specialised Services Reporting Requirements.
|The category of the specialised Mental Health Service provided in a SERVICE PROVIDED UNDER AGREEMENT. The SPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE National Codes are published by NHS England and can be accessed at Specialised Services Reporting Requirements.
|R
|R
|
|
|
|-
|-
Line 817: Line 709:
|The source of referral to a Mental Health Service.
|The source of referral to a Mental Health Service.
|R
|R
|
|
|
|-
|-
Line 823: Line 714:
|The ORGANISATION IDENTIFIER of the Organisation from which the referral is made, such as a GP Practice, NHS Trust or NHS Foundation Trust.
|The ORGANISATION IDENTIFIER of the Organisation from which the referral is made, such as a GP Practice, NHS Trust or NHS Foundation Trust.
|R
|R
|
|
|
|-
|-
Line 829: Line 719:
|The will indicate the STAFF GROUP of the Care Professional referring the patient into the mental health service. This data item is not required where the referrer is not a care professional e.g. self-referral, carer or employer.
|The will indicate the STAFF GROUP of the Care Professional referring the patient into the mental health service. This data item is not required where the referrer is not a care professional e.g. self-referral, carer or employer.
|R
|R
|
|
|
|-
|-
Line 835: Line 724:
|The clinical response priority of a SERVICE REQUEST.
|The clinical response priority of a SERVICE REQUEST.
|R
|R
|
|
|
|-
|-
Line 841: Line 729:
|This is the primary presenting condition or symptom for which the patient was referred to a Mental Health Service
|This is the primary presenting condition or symptom for which the patient was referred to a Mental Health Service
|R
|R
|
|
|
|-
|-
Line 847: Line 734:
|The reason why a SERVICE has received a REFERRAL REQUEST, for a PATIENT: -with assessed acute mental health needs requiring adult mental health acute inpatient care and -who is resident outside of the ORGANISATION's usual local network of SERVICES.
|The reason why a SERVICE has received a REFERRAL REQUEST, for a PATIENT: -with assessed acute mental health needs requiring adult mental health acute inpatient care and -who is resident outside of the ORGANISATION's usual local network of SERVICES.
|R
|R
|
|
|
|-
|-
Line 853: Line 739:
|The date that it was first identified that the patient needs mental health treatment, but the formal service request has not yet been created. However, the patient may be formally under the care of the Home Treatment Service. This applies to home treatments: <nowiki>https://www.cwp.nhs.uk/services-and-locations/services/home-treatment/#:~:text=Home%20Treatment%20(HT)%20teams%20are,to%20admission%20as%20an%20inpatient</nowiki>
|The date that it was first identified that the patient needs mental health treatment, but the formal service request has not yet been created. However, the patient may be formally under the care of the Home Treatment Service. This applies to home treatments: <nowiki>https://www.cwp.nhs.uk/services-and-locations/services/home-treatment/#:~:text=Home%20Treatment%20(HT)%20teams%20are,to%20admission%20as%20an%20inpatient</nowiki>
|R
|R
|
|
|
|-
|-
Line 859: Line 744:
|The time that it was first identified that the patient needs mental health treatment, but the formal service request has not yet been created. However, the patient may be formally under the care of the Home Treatment Service. This applies to home treatments: <nowiki>https://www.cwp.nhs.uk/services-and-locations/services/home-treatment/#:~:text=Home%20Treatment%20(HT)%20teams%20are,to%20admission%20as%20an%20inpatient</nowiki>
|The time that it was first identified that the patient needs mental health treatment, but the formal service request has not yet been created. However, the patient may be formally under the care of the Home Treatment Service. This applies to home treatments: <nowiki>https://www.cwp.nhs.uk/services-and-locations/services/home-treatment/#:~:text=Home%20Treatment%20(HT)%20teams%20are,to%20admission%20as%20an%20inpatient</nowiki>
|R
|R
|
|
|
|-
|-
Line 865: Line 749:
|The date that a Discharge Plan was created for a patient.
|The date that a Discharge Plan was created for a patient.
|R
|R
|
|
|
|-
|-
Line 871: Line 754:
|The time that a Discharge Plan was created for a patient.
|The time that a Discharge Plan was created for a patient.
|R
|R
|
|
|
|-
|-
Line 877: Line 759:
|The date that the Discharge Plan was last updated for a patient. Where the Discharge Plan has not otherwise been updated this will be the same as the Discharge Plan Creation Date.
|The date that the Discharge Plan was last updated for a patient. Where the Discharge Plan has not otherwise been updated this will be the same as the Discharge Plan Creation Date.
|R
|R
|
|
|
|-
|-
Line 883: Line 764:
|The time that a Discharge Plan was last updated for a patient. Where the Discharge Plan has not otherwise been updated this will be the same as the Discharge Plan Creation Time.
|The time that a Discharge Plan was last updated for a patient. Where the Discharge Plan has not otherwise been updated this will be the same as the Discharge Plan Creation Time.
|R
|R
|
|
|
|-
|-
Line 889: Line 769:
|Service Discharge Date is the date a PATIENT was discharged from a SERVICE. This would occur once all the services or teams (for example as part of a multidisciplinary team) have finished treating a patient under a specific referral.
|Service Discharge Date is the date a PATIENT was discharged from a SERVICE. This would occur once all the services or teams (for example as part of a multidisciplinary team) have finished treating a patient under a specific referral.
|R
|R
|
|
|
|-
|-
Line 895: Line 774:
|Service Discharge Time is the time a PATIENT was discharged from a SERVICE. This would occur once all the services or teams (for example as part of a multidisciplinary team) have finished treating a patient under a specific referral.
|Service Discharge Time is the time a PATIENT was discharged from a SERVICE. This would occur once all the services or teams (for example as part of a multidisciplinary team) have finished treating a patient under a specific referral.
|R
|R
|
|
|
|}<br />
|}<br />
Line 904: Line 782:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 910: Line 787:
|The secondary presenting conditions or symptoms for which the patient was referred to a Mental Health Service.
|The secondary presenting conditions or symptoms for which the patient was referred to a Mental Health Service.
|M
|M
|
|
|
|}<br />
|}<br />
Line 919: Line 795:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 925: Line 800:
|A unique local CARE PROFESSIONAL TEAM IDENTIFIER within a Health Care Provider which may be assigned automatically by the computer system.
|A unique local CARE PROFESSIONAL TEAM IDENTIFIER within a Health Care Provider which may be assigned automatically by the computer system.
|R
|R
|
|
|
|-
|-
Line 931: Line 805:
|The type of service or team within a Mental Health Service that a patient was referred to
|The type of service or team within a Mental Health Service that a patient was referred to
|M
|M
|
|
|
|-
|-
Line 937: Line 810:
|The date the Referral Request to a Health Care Provider's Service was closed by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient.
|The date the Referral Request to a Health Care Provider's Service was closed by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient.
|R
|R
|
|
|
|-
|-
Line 943: Line 815:
|The time the Referral Request to a Health Care Provider's Service was closed by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient.
|The time the Referral Request to a Health Care Provider's Service was closed by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient.
|R
|R
|
|
|
|-
|-
Line 949: Line 820:
|The date the Referral Request to a Health Care Provider's Service was rejected by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient.
|The date the Referral Request to a Health Care Provider's Service was rejected by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient.
|R
|R
|
|
|
|-
|-
Line 955: Line 825:
|The time the Referral Request to a Health Care Provider's Service was rejected by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient.
|The time the Referral Request to a Health Care Provider's Service was rejected by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient.
|R
|R
|
|
|
|-
|-
Line 961: Line 830:
|The reason that a Referral Request has been closed. A Referral Request can be closed as a result of a Patient being discharged from the SERVICE. Cancelled referrals such as those entered onto a system in error should not be submitted within the data set.
|The reason that a Referral Request has been closed. A Referral Request can be closed as a result of a Patient being discharged from the SERVICE. Cancelled referrals such as those entered onto a system in error should not be submitted within the data set.
|R
|R
|
|
|
|-
|-
Line 967: Line 835:
|The reason that a Referral Request has been rejected by the SERVICE.
|The reason that a Referral Request has been rejected by the SERVICE.
|R
|R
|
|
|
|}<br />
|}<br />
Line 976: Line 843:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 982: Line 848:
|An identifier, which together with the ORGANISATION CODE of the issuer, uniquely identifies a PATIENT PATHWAY.
|An identifier, which together with the ORGANISATION CODE of the issuer, uniquely identifies a PATIENT PATHWAY.
|R
|R
|
|
|
|-
|-
Line 988: Line 853:
|This is the ORGANISATION IDENTIFIER of the ORGANISATION issuing the PATIENT PATHWAY IDENTIFIER.
|This is the ORGANISATION IDENTIFIER of the ORGANISATION issuing the PATIENT PATHWAY IDENTIFIER.
|R
|R
|
|
|
|-
|-
Line 994: Line 858:
|The type of waiting time measurement methodology which may be applied during a PATIENT PATHWAY. The methodology applied may be for one part of a PATIENT PATHWAY, such as the measurement of a REFERRAL TO TREATMENT PERIOD, or other parts of the PATIENT PATHWAY according to Department of Health policy.
|The type of waiting time measurement methodology which may be applied during a PATIENT PATHWAY. The methodology applied may be for one part of a PATIENT PATHWAY, such as the measurement of a REFERRAL TO TREATMENT PERIOD, or other parts of the PATIENT PATHWAY according to Department of Health policy.
|M
|M
|
|
|
|-
|-
Line 1,000: Line 863:
|The start date of a REFERRAL TO TREATMENT PERIOD.
|The start date of a REFERRAL TO TREATMENT PERIOD.
|R
|R
|
|
|
|-
|-
Line 1,006: Line 868:
|The end date of a REFERRAL TO TREATMENT PERIOD.
|The end date of a REFERRAL TO TREATMENT PERIOD.
|R
|R
|
|
|
|-
|-
Line 1,012: Line 873:
|The status of an ACTIVITY (or anticipated ACTIVITY) for the REFERRAL TO TREATMENT PERIOD decided by the lead CARE PROFESSIONAL.
|The status of an ACTIVITY (or anticipated ACTIVITY) for the REFERRAL TO TREATMENT PERIOD decided by the lead CARE PROFESSIONAL.
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,021: Line 881:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,027: Line 886:
|DECISION TO REFER DATE (ONWARD REFERRAL) is the DATE on which a decision was made to refer the PATIENT from one SERVICE to another SERVICE, which may be in the same or a different ORGANISATION.
|DECISION TO REFER DATE (ONWARD REFERRAL) is the DATE on which a decision was made to refer the PATIENT from one SERVICE to another SERVICE, which may be in the same or a different ORGANISATION.
|R
|R
|
|
|
|-
|-
Line 1,033: Line 891:
|DECISION TO REFER TIME (ONWARD REFERRAL) is the TIME on which a decision was made to refer the PATIENT from one SERVICE to another SERVICE, which may be in the same or a different ORGANISATION.
|DECISION TO REFER TIME (ONWARD REFERRAL) is the TIME on which a decision was made to refer the PATIENT from one SERVICE to another SERVICE, which may be in the same or a different ORGANISATION.
|R
|R
|
|
|
|-
|-
Line 1,039: Line 896:
|The date the patient was referred to another service, which may be in the same or a different organisation.
|The date the patient was referred to another service, which may be in the same or a different organisation.
|M
|M
|
|
|
|-
|-
Line 1,045: Line 901:
|The time the patient was referred to another service, which may be in the same or a different organisation.
|The time the patient was referred to another service, which may be in the same or a different organisation.
|R
|R
|
|
|
|-
|-
Line 1,051: Line 906:
|The reason why the PATIENT was referred to another service, which may be in the same or a different organisation.
|The reason why the PATIENT was referred to another service, which may be in the same or a different organisation.
|R
|R
|
|
|
|-
|-
Line 1,057: Line 911:
|The reason that a patient with assessed acute mental health needs requiring adult mental health acute inpatient care is being referred to a unit that does not form part of the organisation's usual local network of services, where the patient's Mental Health Care Coordinator cannot visit the patient as often as stated in the Organisation's policy.
|The reason that a patient with assessed acute mental health needs requiring adult mental health acute inpatient care is being referred to a unit that does not form part of the organisation's usual local network of services, where the patient's Mental Health Care Coordinator cannot visit the patient as often as stated in the Organisation's policy.
|R
|R
|
|
|
|-
|-
Line 1,063: Line 916:
|ORGANISATION IDENTIFIER (RECEIVING) is the ORGANISATION IDENTIFIER of the ORGANISATION that is receiving the PATIENT from another Health Care Provider.
|ORGANISATION IDENTIFIER (RECEIVING) is the ORGANISATION IDENTIFIER of the ORGANISATION that is receiving the PATIENT from another Health Care Provider.
|R
|R
|
|
|
|-
|-
Line 1,069: Line 921:
|The SNOMED CT EXPRESSION which is used to identify a procedure plus the status of the procedure. Allows a specific purpose for the onward referral to be attributed.
|The SNOMED CT EXPRESSION which is used to identify a procedure plus the status of the procedure. Allows a specific purpose for the onward referral to be attributed.
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,078: Line 929:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,084: Line 934:
|The type of PERSON, SERVICE or ORGANISATION that agreed the content of the Discharge Plan for the PATIENT.
|The type of PERSON, SERVICE or ORGANISATION that agreed the content of the Discharge Plan for the PATIENT.
|M
|M
|
|
|
|-
|-
Line 1,090: Line 939:
|The date on which the content of the Discharge Plan was agreed by a PATIENT or Patient Proxy.
|The date on which the content of the Discharge Plan was agreed by a PATIENT or Patient Proxy.
|R
|R
|
|
|
|-
|-
Line 1,096: Line 944:
|RThe time at which the content of the Discharge Plan was agreed by a PATIENT or Patient Proxy.
|RThe time at which the content of the Discharge Plan was agreed by a PATIENT or Patient Proxy.
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,105: Line 952:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,111: Line 957:
|The unique identifier of a PRESCRIPTION.
|The unique identifier of a PRESCRIPTION.
|P
|P
|
|
|
|-
|-
Line 1,117: Line 962:
|The date on which the PRESCRIPTION of Medication was signed by the CARE PROFESSIONAL.
|The date on which the PRESCRIPTION of Medication was signed by the CARE PROFESSIONAL.
|P
|P
|
|
|
|-
|-
Line 1,123: Line 967:
|The time on which the PRESCRIPTION of Medication was signed by the CARE PROFESSIONAL.
|The time on which the PRESCRIPTION of Medication was signed by the CARE PROFESSIONAL.
|P
|P
|
|
|
|}<br />
|}<br />
Line 1,132: Line 975:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,138: Line 980:
|The CARE CONTACT IDENTIFIER is used to uniquely identify the CARE CONTACT within the Health Care Provider. It would normally be automatically generated by the local system upon recording a new Care Contact, although could be manually assigned.
|The CARE CONTACT IDENTIFIER is used to uniquely identify the CARE CONTACT within the Health Care Provider. It would normally be automatically generated by the local system upon recording a new Care Contact, although could be manually assigned.
|M
|M
|
|
|
|-
|-
Line 1,144: Line 985:
|A unique local CARE PROFESSIONAL TEAM IDENTIFIER within a Health Care Provider which may be assigned automatically by the computer system.
|A unique local CARE PROFESSIONAL TEAM IDENTIFIER within a Health Care Provider which may be assigned automatically by the computer system.
|R
|R
|
|
|
|-
|-
Line 1,150: Line 990:
|The date on which a Care Contact took place, or, if cancelled, was scheduled to take place.
|The date on which a Care Contact took place, or, if cancelled, was scheduled to take place.
|M
|M
|
|
|
|-
|-
Line 1,156: Line 995:
|The time at which a Care Contact took place.
|The time at which a Care Contact took place.
|R
|R
|
|
|
|-
|-
Line 1,162: Line 1,000:
|This is recorded for PATIENT ACTIVITY. A PATIENT who is an Overseas Visitor does not qualify for free NHS healthcare and can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS. The PATIENT's ADMINISTRATIVE CATEGORY CODE may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded. The category 'amenity PATIENT' is only applicable to PATIENTS using a Hospital Bed.  
|This is recorded for PATIENT ACTIVITY. A PATIENT who is an Overseas Visitor does not qualify for free NHS healthcare and can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS. The PATIENT's ADMINISTRATIVE CATEGORY CODE may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded. The category 'amenity PATIENT' is only applicable to PATIENTS using a Hospital Bed.  
|R
|R
|
|
|
|-
|-
Line 1,168: Line 1,005:
|The total duration of the direct clinical contact at a CARE CONTACT in minutes, excluding any administration time prior to or after the CARE CONTACT and the CARE PROFESSIONAL's travelling time to the CARE CONTACT. CLINICAL CONTACT DURATION OF CARE CONTACT includes the time spent on the different CARE ACTIVITIES that may be performed in a single CARE CONTACT. The duration of each CARE ACTIVITY is recorded in CLINICAL CONTACT DURATION OF CARE ACTIVITY. This should be recorded in minutes.
|The total duration of the direct clinical contact at a CARE CONTACT in minutes, excluding any administration time prior to or after the CARE CONTACT and the CARE PROFESSIONAL's travelling time to the CARE CONTACT. CLINICAL CONTACT DURATION OF CARE CONTACT includes the time spent on the different CARE ACTIVITIES that may be performed in a single CARE CONTACT. The duration of each CARE ACTIVITY is recorded in CLINICAL CONTACT DURATION OF CARE ACTIVITY. This should be recorded in minutes.
|R
|R
|
|
|
|-
|-
Line 1,174: Line 1,010:
|The type of consultation between the CARE PROFESSIONAL and the PATIENT.
|The type of consultation between the CARE PROFESSIONAL and the PATIENT.
|R
|R
|
|
|
|-
|-
Line 1,180: Line 1,015:
|The person who was the subject of the Care Contact.
|The person who was the subject of the Care Contact.
|R
|R
|
|
|
|-
|-
Line 1,186: Line 1,020:
|The communication mechanism used to relay information between the CARE PROFESSIONAL and the PERSON who is the subject of the consultation, during a CARE CONTACT. A non-face to face consultation should directly support diagnosis and care planning and must replace a face to face Out-Patient Attendance Consultant, Clinic Attendance Nurse or Clinic Attendance Midwife, or other types of CARE CONTACT. A record of the consultation must be retained in the PATIENT's records. Contact with PATIENTS solely for the purpose of informing them of the outcome of Diagnostic Test results, with no other clinical interaction, are not classified as CARE CONTACTS.
|The communication mechanism used to relay information between the CARE PROFESSIONAL and the PERSON who is the subject of the consultation, during a CARE CONTACT. A non-face to face consultation should directly support diagnosis and care planning and must replace a face to face Out-Patient Attendance Consultant, Clinic Attendance Nurse or Clinic Attendance Midwife, or other types of CARE CONTACT. A record of the consultation must be retained in the PATIENT's records. Contact with PATIENTS solely for the purpose of informing them of the outcome of Diagnostic Test results, with no other clinical interaction, are not classified as CARE CONTACTS.
|R
|R
|
|
|
|-
|-
Line 1,192: Line 1,025:
|The type of LOCATION for an ACTIVITY: • where PATIENTS are seen • where SERVICES are provided or • from which requests for SERVICES are sent.
|The type of LOCATION for an ACTIVITY: • where PATIENTS are seen • where SERVICES are provided or • from which requests for SERVICES are sent.
|R
|R
|
|
|
|-
|-
Line 1,198: Line 1,030:
|An indication of whether a LOCATION is being used as a PLACE OF SAFETY.
|An indication of whether a LOCATION is being used as a PLACE OF SAFETY.
|R
|R
|
|
|
|-
|-
Line 1,204: Line 1,035:
|The ORGANISATION IDENTIFIER of the Organisation Site where the PATIENT was treated.
|The ORGANISATION IDENTIFIER of the Organisation Site where the PATIENT was treated.
|R
|R
|
|
|
|-
|-
Line 1,210: Line 1,040:
|An indication of whether a Community Perinatal Mental Health Partner Assessment has been offered to the partner of a PERSON in contact with a Specialist Perinatal Mental Health Community Service.
|An indication of whether a Community Perinatal Mental Health Partner Assessment has been offered to the partner of a PERSON in contact with a Specialist Perinatal Mental Health Community Service.
|R
|R
|
|
|
|-
|-
Line 1,216: Line 1,045:
|An indication as to whether a Care Contact is a result of a Planned Appointment.
|An indication as to whether a Care Contact is a result of a Planned Appointment.
|R
|R
|
|
|
|-
|-
Line 1,222: Line 1,050:
|The mode of therapy for the patient during a Care Contact.
|The mode of therapy for the patient during a Care Contact.
|R
|R
|
|
|
|-
|-
Line 1,228: Line 1,055:
|This indicates whether or not an APPOINTMENT for a CARE CONTACT took place. If the APPOINTMENT did not take place it also indicates whether or not advanced warning was given.
|This indicates whether or not an APPOINTMENT for a CARE CONTACT took place. If the APPOINTMENT did not take place it also indicates whether or not advanced warning was given.
|R
|R
|
|
|
|-
|-
Line 1,234: Line 1,060:
|The date of the earliest of the Reasonable Offers made to a PATIENT for an APPOINTMENT or Elective Admission.
|The date of the earliest of the Reasonable Offers made to a PATIENT for an APPOINTMENT or Elective Admission.
|R
|R
|
|
|
|-
|-
Line 1,240: Line 1,065:
|The earliest DATE that it was clinically appropriate for an ACTIVITY to take place.
|The earliest DATE that it was clinically appropriate for an ACTIVITY to take place.
|R
|R
|
|
|
|-
|-
Line 1,246: Line 1,070:
|The date that a Care Contact was cancelled by the Provider or Patient.
|The date that a Care Contact was cancelled by the Provider or Patient.
|R
|R
|
|
|
|-
|-
Line 1,252: Line 1,075:
|The reason that a Care Contact was cancelled.
|The reason that a Care Contact was cancelled.
|R
|R
|
|
|
|-
|-
Line 1,258: Line 1,080:
|Was a reasonable adjustment made for this patient?
|Was a reasonable adjustment made for this patient?
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,267: Line 1,088:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,273: Line 1,093:
|The unique identifier for a CARE ACTIVITY. It would normally be automatically generated by the local system upon recording a new activity, although could be manually assigned.
|The unique identifier for a CARE ACTIVITY. It would normally be automatically generated by the local system upon recording a new activity, although could be manually assigned.
|M
|M
|
|
|
|-
|-
Line 1,279: Line 1,098:
|The duration of a CARE ACTIVITY in minutes, excluding any administration time prior to or after the CARE ACTIVITY and the CARE PROFESSIONAL's travelling time to the LOCATION where the CARE ACTIVITY was provided. This is calculated from the Start Time and End Time of the CARE ACTIVITY.
|The duration of a CARE ACTIVITY in minutes, excluding any administration time prior to or after the CARE ACTIVITY and the CARE PROFESSIONAL's travelling time to the LOCATION where the CARE ACTIVITY was provided. This is calculated from the Start Time and End Time of the CARE ACTIVITY.
|R
|R
|
|
|
|-
|-
Line 1,285: Line 1,103:
|The SNOMED CT EXPRESSION which is used to identify a procedure plus the status of the procedure.
|The SNOMED CT EXPRESSION which is used to identify a procedure plus the status of the procedure.
|R
|R
|
|
|
|-
|-
Line 1,291: Line 1,108:
|The code scheme basis of a finding.
|The code scheme basis of a finding.
|R
|R
|
|
|
|-
|-
Line 1,297: Line 1,113:
|A unique identifier for a finding from a specific classification or clinical terminology.
|A unique identifier for a finding from a specific classification or clinical terminology.
|R
|R
|
|
|
|-
|-
Line 1,303: Line 1,118:
|A unique identifier for an observation from a specific clinical terminology.
|A unique identifier for an observation from a specific clinical terminology.
|R
|R
|
|
|
|-
|-
Line 1,309: Line 1,123:
|The numeric value resulting from a clinical observation.
|The numeric value resulting from a clinical observation.
|R
|R
|
|
|
|-
|-
Line 1,315: Line 1,128:
|The unit of measurement used to measure the result of a clinical observation. See <nowiki>http://unitsofmeasure.org/trac/</nowiki>.
|The unit of measurement used to measure the result of a clinical observation. See <nowiki>http://unitsofmeasure.org/trac/</nowiki>.
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,324: Line 1,136:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,330: Line 1,141:
|The other PERSON in attendance, with the PATIENT, at the CARE CONTACT.
|The other PERSON in attendance, with the PATIENT, at the CARE CONTACT.
|M
|M
|
|
|
|-
|-
Line 1,336: Line 1,146:
|Reason the patient does not have an Independent Mental Capacity Advocate (IMCA) This only needs to be captured for inpatients that are in scope of Transforming Care
|Reason the patient does not have an Independent Mental Capacity Advocate (IMCA) This only needs to be captured for inpatients that are in scope of Transforming Care
|R
|R
|
|
|
|-
|-
Line 1,342: Line 1,151:
|Reason the patient does not have an Independent Mental Health Advocate (IMHA) This only needs to be captured for inpatients that are in scope of Transforming Care
|Reason the patient does not have an Independent Mental Health Advocate (IMHA) This only needs to be captured for inpatients that are in scope of Transforming Care
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,351: Line 1,159:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,357: Line 1,164:
|The date that the indirect activity took place
|The date that the indirect activity took place
|M
|M
|
|
|
|-
|-
Line 1,363: Line 1,169:
|The time that the indirect activity took place
|The time that the indirect activity took place
|R
|R
|
|
|
|-
|-
Line 1,369: Line 1,174:
|The duration of the indirect activity in minutes, excluding any administration time prior to or after the indirect activity and the CARE PROFESSIONAL's travelling time to the LOCATION where the indirect activity was provided.
|The duration of the indirect activity in minutes, excluding any administration time prior to or after the indirect activity and the CARE PROFESSIONAL's travelling time to the LOCATION where the indirect activity was provided.
|R
|R
|
|
|
|-
|-
Line 1,375: Line 1,179:
|The SNOMED CT EXPRESSION which is used to identify a procedure plus the status of the procedure. Allows the capture of indirect activity to be attributed.
|The SNOMED CT EXPRESSION which is used to identify a procedure plus the status of the procedure. Allows the capture of indirect activity to be attributed.
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,384: Line 1,187:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,390: Line 1,192:
|The GROUP SESSION IDENTIFIER  is used to uniquely identify the GROUP SESSION within the Health Care Provider. It would normally be automatically generated by the local system upon recording a new Group Session, although could be manually assigned.
|The GROUP SESSION IDENTIFIER  is used to uniquely identify the GROUP SESSION within the Health Care Provider. It would normally be automatically generated by the local system upon recording a new Group Session, although could be manually assigned.
|M
|M
|
|
|
|-
|-
Line 1,396: Line 1,197:
|The date that a Group Session took place, or, if cancelled, was scheduled to take place.
|The date that a Group Session took place, or, if cancelled, was scheduled to take place.
|M
|M
|
|
|
|-
|-
Line 1,402: Line 1,202:
|The duration of a Group Session in minutes, excluding any administration time prior to or after the Group Session and the CARE PROFESSIONAL's travelling time to the LOCATION where the Group Session was provided.
|The duration of a Group Session in minutes, excluding any administration time prior to or after the Group Session and the CARE PROFESSIONAL's travelling time to the LOCATION where the Group Session was provided.
|R
|R
|
|
|
|-
|-
Line 1,408: Line 1,207:
|The type of Group Session provided by a Mental Health Service.
|The type of Group Session provided by a Mental Health Service.
|R
|R
|
|
|
|-
|-
Line 1,414: Line 1,212:
|The number of persons who participated in the Group Session excluding the care professionals.
|The number of persons who participated in the Group Session excluding the care professionals.
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,423: Line 1,220:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,429: Line 1,225:
|The Mental Health DROP IN CONTACT IDENTIFIER  is used to uniquely identify the Mental Health DROP IN CONTACT within the Health Care Provider. It would normally be automatically generated by the local system upon recording a new Drop In Contact, although could be manually assigned.
|The Mental Health DROP IN CONTACT IDENTIFIER  is used to uniquely identify the Mental Health DROP IN CONTACT within the Health Care Provider. It would normally be automatically generated by the local system upon recording a new Drop In Contact, although could be manually assigned.
|M
|M
|
|
|
|-
|-
Line 1,435: Line 1,230:
|The date that a Drop In Contact took place.
|The date that a Drop In Contact took place.
|M
|M
|
|
|
|-
|-
Line 1,441: Line 1,235:
|The type of SERVICE where the Mental Health Drop In Contact took place.
|The type of SERVICE where the Mental Health Drop In Contact took place.
|R
|R
|
|
|
|-
|-
Line 1,447: Line 1,240:
|The Start Time of the Mental Health Drop In Contact as reported by the Care Professional.
|The Start Time of the Mental Health Drop In Contact as reported by the Care Professional.
|R
|R
|
|
|
|-
|-
Line 1,453: Line 1,245:
|The End Time of the Mental Health Drop In Contact as reported by the Care Professional.
|The End Time of the Mental Health Drop In Contact as reported by the Care Professional.
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,462: Line 1,253:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,468: Line 1,258:
|A unique identifier allocated to each Mental Health Act Legal Status Classification Assignment Period.
|A unique identifier allocated to each Mental Health Act Legal Status Classification Assignment Period.
|M
|M
|
|
|
|-
|-
Line 1,474: Line 1,263:
|The Start Date of the Mental Health Act Legal Status Classification Assignment Period.
|The Start Date of the Mental Health Act Legal Status Classification Assignment Period.
|M
|M
|
|
|
|-
|-
Line 1,480: Line 1,268:
|The Start Time of the Mental Health Act Legal Status Classification Assignment Period.  
|The Start Time of the Mental Health Act Legal Status Classification Assignment Period.  
|M
|M
|
|
|
|-
|-
Line 1,486: Line 1,273:
|The reason for the start of the current Mental Health Act Legal Status Classification Assignment Period.
|The reason for the start of the current Mental Health Act Legal Status Classification Assignment Period.
|R
|R
|
|
|
|-
|-
Line 1,492: Line 1,278:
|The date when the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a patient expires.
|The date when the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a patient expires.
|R
|R
|
|
|
|-
|-
Line 1,498: Line 1,283:
|The time which the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a patient expires.
|The time which the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a patient expires.
|R
|R
|
|
|
|-
|-
Line 1,504: Line 1,288:
|The date on which the Mental Health Act Legal Status Classification Assignment Period ended.
|The date on which the Mental Health Act Legal Status Classification Assignment Period ended.
|R
|R
|
|
|
|-
|-
Line 1,510: Line 1,293:
|The time on which the Mental Health Act Legal Status Classification Period ended.
|The time on which the Mental Health Act Legal Status Classification Period ended.
|R
|R
|
|
|
|-
|-
Line 1,516: Line 1,298:
|The reason for the end of the Mental Health Act Legal Status Classification Assignment Period.
|The reason for the end of the Mental Health Act Legal Status Classification Assignment Period.
|R
|R
|
|
|
|-
|-
Line 1,522: Line 1,303:
|'A code to identify the classification of Mental Health Act Legal Status.
|'A code to identify the classification of Mental Health Act Legal Status.
|R
|R
|
|
|
|-
|-
Line 1,528: Line 1,308:
|The primary reason for the detention of PATIENTS.
|The primary reason for the detention of PATIENTS.
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,537: Line 1,316:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,543: Line 1,321:
|The start date of an assignment of a Mental Health Responsible Clinician to a patient.
|The start date of an assignment of a Mental Health Responsible Clinician to a patient.
|M
|M
|
|
|
|-
|-
Line 1,549: Line 1,326:
|The end date of an assignment of a Mental Health Responsible Clinician to a patient.
|The end date of an assignment of a Mental Health Responsible Clinician to a patient.
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,558: Line 1,334:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,564: Line 1,339:
|The start date of the Mental Health Conditional Discharge Period.
|The start date of the Mental Health Conditional Discharge Period.
|M
|M
|
|
|
|-
|-
Line 1,570: Line 1,344:
|The end date of the Mental Health Conditional Discharge Period.
|The end date of the Mental Health Conditional Discharge Period.
|R
|R
|
|
|
|-
|-
Line 1,576: Line 1,349:
|The reason a Mental Health Conditional Discharge Period ended.  
|The reason a Mental Health Conditional Discharge Period ended.  
|R
|R
|
|
|
|-
|-
Line 1,582: Line 1,354:
|The body or PERSON responsible for granting Mental Health Absolute Discharge.
|The body or PERSON responsible for granting Mental Health Absolute Discharge.
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,591: Line 1,362:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,597: Line 1,367:
|The start date for a period of Community Treatment Order under S17A of the Mental Health Act 1983 (as amended by the Mental Health Act 2007).
|The start date for a period of Community Treatment Order under S17A of the Mental Health Act 1983 (as amended by the Mental Health Act 2007).
|M
|M
|
|
|
|-
|-
Line 1,603: Line 1,372:
|The date which the Community Treatment Order for a patient was due to expire.  This should be updated following the extension of a Community Treatment Order. NB - This data item should only be recorded where the Community Treatment Order for the patient has been extended
|The date which the Community Treatment Order for a patient was due to expire.  This should be updated following the extension of a Community Treatment Order. NB - This data item should only be recorded where the Community Treatment Order for the patient has been extended
|R
|R
|
|
|
|-
|-
Line 1,609: Line 1,377:
|The end date for a period of Community Treatment Order under S17A of the Mental Health Act 1983 (as amended by the Mental Health Act 2007).
|The end date for a period of Community Treatment Order under S17A of the Mental Health Act 1983 (as amended by the Mental Health Act 2007).
|R
|R
|
|
|
|-
|-
Line 1,615: Line 1,382:
|The reason for the termination of a period of a Community Treatment Order.
|The reason for the termination of a period of a Community Treatment Order.
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,624: Line 1,390:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,630: Line 1,395:
|The start time for a period of recall to hospital for treatment for a patient on a Community Treatment Order under S17A of the Mental Health Act 1983 (as amended by the Mental Health Act 2007).
|The start time for a period of recall to hospital for treatment for a patient on a Community Treatment Order under S17A of the Mental Health Act 1983 (as amended by the Mental Health Act 2007).
|M
|M
|
|
|
|-
|-
Line 1,636: Line 1,400:
|The end time for a period of recall to hospital for treatment for a patient on a Community Treatment Order under S17A of the Mental Health Act 1983 (as amended by the Mental Health Act 2007).
|The end time for a period of recall to hospital for treatment for a patient on a Community Treatment Order under S17A of the Mental Health Act 1983 (as amended by the Mental Health Act 2007).
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,645: Line 1,408:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,651: Line 1,413:
|A unique identifier for each Hospital Provider Spell for a Health Care Provider.
|A unique identifier for each Hospital Provider Spell for a Health Care Provider.
|M
|M
|
|
|
|-
|-
Line 1,657: Line 1,418:
|The date a DECISION TO ADMIT was made.
|The date a DECISION TO ADMIT was made.
|R
|R
|
|
|
|-
|-
Line 1,663: Line 1,423:
|The time a DECISION TO ADMIT was made.
|The time a DECISION TO ADMIT was made.
|R
|R
|
|
|
|-
|-
Line 1,669: Line 1,428:
|The start date of a Hospital Provider Spell.
|The start date of a Hospital Provider Spell.
|M
|M
|
|
|
|-
|-
Line 1,675: Line 1,433:
|The start time of a Hospital Provider Spell.
|The start time of a Hospital Provider Spell.
|R
|R
|
|
|
|-
|-
Line 1,681: Line 1,438:
|The source of admission to a Hospital Provider Spell.
|The source of admission to a Hospital Provider Spell.
|R
|R
|
|
|
|-
|-
Line 1,687: Line 1,443:
|The method of admission to a Hospital Provider Spell.Note: see ELECTIVE ADMISSION TYPE for a full definition of Elective Admission.  
|The method of admission to a Hospital Provider Spell.Note: see ELECTIVE ADMISSION TYPE for a full definition of Elective Admission.  
|R
|R
|
|
|
|-
|-
Line 1,693: Line 1,448:
|The POSTCODE of the ADDRESS of the PATIENT's main visitor with ADDRESS ASSOCIATION TYPE 'Main Permanent Residence' or 'Other Permanent Residence', where the patient is being treated as part of a Hospital Provider Spell.
|The POSTCODE of the ADDRESS of the PATIENT's main visitor with ADDRESS ASSOCIATION TYPE 'Main Permanent Residence' or 'Other Permanent Residence', where the patient is being treated as part of a Hospital Provider Spell.
|R
|R
|
|
|
|-
|-
Line 1,699: Line 1,453:
|The estimated discharge date from a Hospital Provider Spell.
|The estimated discharge date from a Hospital Provider Spell.
|R
|R
|
|
|
|-
|-
Line 1,705: Line 1,458:
|The planned discharge date from a Hospital Provider Spell.
|The planned discharge date from a Hospital Provider Spell.
|R
|R
|
|
|
|-
|-
Line 1,711: Line 1,463:
|The planned destination of a PATIENT on completion of a Hospital Provider Spell.
|The planned destination of a PATIENT on completion of a Hospital Provider Spell.
|R
|R
|
|
|
|-
|-
Line 1,717: Line 1,468:
|The discharge date from a Hospital Provider Spell.
|The discharge date from a Hospital Provider Spell.
|R
|R
|
|
|
|-
|-
Line 1,723: Line 1,473:
|The discharge time from a Hospital Provider Spell.
|The discharge time from a Hospital Provider Spell.
|R
|R
|
|
|
|-
|-
Line 1,729: Line 1,478:
|The method of discharge from a Hospital Provider Spell.
|The method of discharge from a Hospital Provider Spell.
|R
|R
|
|
|
|-
|-
Line 1,735: Line 1,483:
|The destination of a PATIENT on completion of a Hospital Provider Spell, or a note that the PATIENT died.
|The destination of a PATIENT on completion of a Hospital Provider Spell, or a note that the PATIENT died.
|R
|R
|
|
|
|-
|-
Line 1,741: Line 1,488:
|The POSTCODE of the ADDRESS of a PATIENTS's destination on completion of a Hospital Provider Spell.
|The POSTCODE of the ADDRESS of a PATIENTS's destination on completion of a Hospital Provider Spell.
|R
|R
|
|
|
|-
|-
Line 1,747: Line 1,493:
|Indicator to show if the patient is in scope of Transforming Care This only needs to be captured for inpatients that are in scope of Transforming Care
|Indicator to show if the patient is in scope of Transforming Care This only needs to be captured for inpatients that are in scope of Transforming Care
|R
|R
|
|
|
|-
|-
Line 1,753: Line 1,498:
|Category of patients in scope of Transforming Care This only needs to be captured for inpatients that are in scope of Transforming Care
|Category of patients in scope of Transforming Care This only needs to be captured for inpatients that are in scope of Transforming Care
|R
|R
|
|
|
|}<br />
|}<br />
Line 1,762: Line 1,506:
!Description
!Description
!Conformance
!Conformance
!FHIR STU3 Mapping
!Value Set
!Value Set
|-
|-
Line 1,768: Line 1,511:
|A unique identifier allocated for each Ward Stay during the hospital provider spell.  
|A unique identifier allocated for each Ward Stay during the hospital provider spell.  
|M
|M
|
|
|
|-
|-
Line 1,774: Line 1,516:
|The start date of a ward stay.
|The start date of a ward stay.
|M
|M
|
|
|
|-
|-
Line 1,780: Line 1,521:
|The start time of a ward stay.
|The start time of a ward stay.
|R
|R
|
|
|
|-
|-
Line 1,786: Line 1,526:
|The End Date of a period of Mental Health Trial Leave for a PATIENT.
|The End Date of a period of Mental Health Trial Leave for a PATIENT.
|R
|R
|
|
|
|-
|-
Line 1,792: Line 1,531:
|The end date of a ward stay.
|The end date of a ward stay.
|R
|R
|
|
|
|-
|-
Line 1,798: Line 1,536:
|The end time of a ward stay.
|The end time of a ward stay.
|R
|R
|
|
|
|-
|-
Line 1,804: Line 1,541:
|The type of WARD setting for a Mental Health Service's PATIENT during a Hospital Provider Spell.
|The type of WARD setting for a Mental Health Service's PATIENT during a Hospital Provider Spell.
|R
|R
|
|
|
|-
|-
Line 1,810: Line 1,546:
|The age group of PATIENTS intended to use a WARD indicated in the operational plan.
|The age group of PATIENTS intended to use a WARD indicated in the operational plan.
|R
|R
|
|
|
|-
|-
Line 1,816: Line 1,551:
|The intended SEX of PATIENTS for the ward as indicated in the operational plan in which the patient is placed.
|The intended SEX of PATIENTS for the ward as indicated in the operational plan in which the patient is placed.
|R
|R
|
|
|
|-
|-
Line 1,822: Line 1,556:
|The intended level of resources and intensity of care for the ward in which the person is placed.
|The intended level of resources and intensity of care for the ward in which the person is placed.
|R
|R
|
|
|
|-
|-
Line 1,828: Line 1,561:
|The level of security for a ward.
|The level of security for a ward.
|R
|R
|
|
|
|-
|-
Line 1,834: Line 1,566:
|An indication of whether a WARD is locked. For the Mental Health Services Data Set, LOCKED WARD INDICATOR indicates whether a WARD which is used to provide care by a Mental Health Service, and has a WARD SECURITY LEVEL National Code "General (non-secure)", is locked to prevent unauthorised entry and/or exit.
|An indication of whether a WARD is locked. For the Mental Health Services Data Set, LOCKED WARD INDICATOR indicates whether a WARD which is used to provide care by a Mental Health Service, and has a WARD SECURITY LEVEL National Code "General (non-secure)", is locked to prevent unauthorised entry and/or exit.
|R
|R
|
|
|
|-
|-
Line 1,840: Line 1,571:
|The classification of the admitted PATIENT during a Ward Stay.
|The classification of the admitted PATIENT during a Ward Stay.
|R
|R
|
|
|
|-
|-
Line 1,846: Line 1,576:
|A unique identification of a WARD within a Health Care Provider.
|A unique identification of a WARD within a Health Care Provider.
|R
|R
|
|}
{| class="wikitable"
|+Assigned Care Professional
!Name
!Description
!Conformance
!Value Set
|-
|START DATE (CARE PROFESSIONAL ADMITTED CARE EPISODE)
|The start date of an assignment of a Care Professional responsible for the care of the patient.
|M
|
|-
|END DATE (CARE PROFESSIONAL ADMITTED CARE EPISODE)
|The end date of an assignment of a Care Professional responsible for the care of the patient.
|R
|
|-
|TREATMENT FUNCTION CODE (MENTAL HEALTH)
|'This is the TREATMENT FUNCTION under which the PATIENT is treated. It may be the same as the MAIN SPECIALTY CODE or a different TREATMENT FUNCTION which will be the CARE PROFESSIONAL's treatment interest.
|R
|
|}
{| class="wikitable"
|+Mental Health Delayed Discharge
!Name
!Description
!Conformance
!Value Set
|-
|START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
|The date that the clinical decision was taken that the PATIENT is fit and ready for discharge, but external factors prevent the discharge taking place.
|M
|
|-
|END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
|The date that a period of delayed discharge for a patient who had previously been ready for discharge ended.  This may end because the patient was discharged or because the patient was no longer ready for discharge.
|R
|
|-
|MENTAL HEALTH DELAYED DISCHARGE REASON
|The reason that a patient was not able to be discharged despite being medically ready for discharge.
|R
|
|-
|MENTAL HEALTH DELAYED DISCHARGE ATTRIBUTABLE TO INDICATION CODE
|An indication to which ORGANISATION the Mental Health Delayed Discharge Period is attributable.
|R
|
|-
|ORGANISATION IDENTIFIER (RESPONSIBLE LOCAL AUTHORITY MENTAL HEALTH DELAYED DISCHARGE)
|The Local Authority responsible for the social care attributed Mental Health Delayed Discharge Period.
|R
|
|}
{| class="wikitable"
|+Restrictive Intervention Incident
!Name
!Description
!Conformance
!Value Set
|-
|RESTRICTIVE INTERVENTION INCIDENT IDENTIFIER
|A unique identifier allocated for each Restrictive Intervention Incident during the Hospital Provider Spell
|M
|
|-
|START DATE (RESTRICTIVE INTERVENTION INCIDENT)
|The Start Date of the Restrictive Intervention Incident as reported by the Care Professional.
|M
|
|-
|START TIME (RESTRICTIVE INTERVENTION INCIDENT)
|The Start Time of the Restrictive Intervention Incident as reported by the Care Professional.
|R
|
|-
|END DATE (RESTRICTIVE INTERVENTION INCIDENT)
|The End Date of the Restrictive Intervention Incident as reported by the Care Professional.
|R
|
|-
|END TIME (RESTRICTIVE INTERVENTION INCIDENT)
|The End Time of the Restrictive Intervention Incident as reported by the Care Professional.
|R
|
|-
|RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (PATIENT)
|An indication of whether a Restrictive Intervention Post-Incident Review for the PATIENT was held within 48 hours of the incident of a Restrictive Intervention.
|R
|
|-
|RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW NOT HELD REASON (PATIENT)
|The reason why a Restrictive Intervention Post-Incident Review for the PATIENT was not held within 48 hours of the incident of a Restrictive Intervention.
|R
|
|-
|RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (CARE PERSONNEL)
|An indication of whether a Restrictive Intervention Post-Incident Review for Care Personnel was held within 24 hours of the incident of a Restrictive Intervention.
|R
|
|-
|RESTRICTIVE INTERVENTION REASON
|The reason that a Restrictive Intervention was used on a PATIENT during a Hospital Provider Spell.
|R
|
|}
{| class="wikitable"
|+Restrictive Intervention Type
!Name
!Description
!Conformance
!Value Set
|-
|RESTRICTIVE INTERVENTION TYPE IDENTIFIER
|A unique identifier allocated for each Restrictive Intervention Type during the Hospital Provider Spell
|M
|
|-
|START DATE (RESTRICTIVE INTERVENTION TYPE)
|The Start Date of the Restrictive Intervention Type as reported by the Care Professional.
|M
|
|-
|START TIME (RESTRICTIVE INTERVENTION TYPE)
|The Start Time of the Restrictive Intervention Type as reported by the Care Professional.
|R
|
|-
|RESTRICTIVE INTERVENTION TYPE
|Type of RESTRICTIVE INTERVENTION used.
|R
|
|-
|END DATE (RESTRICTIVE INTERVENTION TYPE)
|The End Date of the Restrictive Intervention Type as reported by the Care Professional.
|R
|
|-
|END TIME (RESTRICTIVE INTERVENTION TYPE)
|The End Time of the Restrictive Intervention Type as reported by the Care Professional.
|R
|
|-
|RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (PATIENT)
|An indication of whether an injury was sustained to the PATIENT during an incident of restraint during a Restrictive Intervention.
|R
|
|-
|RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (CARE PERSONNEL)
|An indication of whether an injury was sustained to a member of Care Personnel during an incident of restraint during a Restrictive Intervention.
|R
|
|-
|RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (OTHER PERSON)
|An indication of whether an injury was sustained to a person, other than the PATIENT or Care Personnel, during an incident of restraint during a Restrictive Intervention.
|R
|
|}
{| class="wikitable"
|+Police Assistance Request
!Name
!Description
!Conformance
!Value Set
|-
|POLICE ASSISTANCE REQUEST DATE
|The date the call was made to request police assistance
|M
|
|-
|POLICE ASSISTANCE REQUEST TIME
|The time the call was made to request police assistance
|R
|
|-
|POLICE ASSISTANCE ARRIVAL DATE
|The date the Police arrived following the request for assistance
|R
|
|-
|POLICE ASSISTANCE ARRIVAL TIME
|The time the Police arrived following the request for assistance
|R
|
|-
|POLICE RESTRAINT OR FORCE USED INDICATOR
|An indication of whether the police used restraint or force on a PATIENT.
|R
|
|}
{| class="wikitable"
|+Assault
!Name
!Description
!Conformance
!Value Set
|-
|DATE OF ASSAULT ON PATIENT
|The DATE that an instance of assault on the PATIENT by another PATIENT occurred.
|M
|
|}
{| class="wikitable"
|+Self-Harm
!Name
!Description
!Conformance
!Value Set
|-
|DATE OF SELF-HARM
|The date that an incident of self-harm for the patient occurred.
|M
|
|-
|OBSERVATION DATE (SUBSTANCE MISUSE EVIDENCE)
|The date that evidence of current substance misuse by a PATIENT was observed by a CARE PROFESSIONAL.
|M
|
|}
{| class="wikitable"
|+Home Leave
!Name
!Description
!Conformance
!Value Set
|-
|START DATE (HOME LEAVE)
|The start date for a period of Home Leave for patients NOT liable for detention under the Mental Health Act 1983.
|M
|
|-
|START TIME (HOME LEAVE)
|The start time for a period of Home Leave for patients NOT liable for detention under the Mental Health Act 1983.
|R
|
|-
|END DATE (HOME LEAVE)
|The end date for a period of Home Leave for patients NOT liable for detention under the Mental Health Act 1983.
|R
|
|-
|END TIME (HOME LEAVE)
|The end time for a period of Home Leave for patients NOT liable for detention under the Mental Health Act 1983.
|R
|
|}
{| class="wikitable"
|+Leave Of Absence
!Name
!Description
!Conformance
!Value Set
|-
|START DATE (MENTAL HEALTH LEAVE OF ABSENCE)
|The start date of a period of Mental Health Leave Of Absence for a PATIENT detained under the Mental Health Acts 1983 as amended by the Mental Health (Patients in the Community) Act 1995.
|M
|
|-
|START TIME (MENTAL HEALTH LEAVE OF ABSENCE)
|The start time of a period of Mental Health Leave Of Absence for a PATIENT detained under the Mental Health Acts 1983 as amended by the Mental Health (Patients in the Community) Act 1995.
|R
|
|-
|END DATE (MENTAL HEALTH LEAVE OF ABSENCE)
|The end date of a period of Mental Health Leave Of Absence for a PATIENT detained under the Mental Health Acts 1983 as amended by the Mental Health (Patients in the Community) Act 1995.
|R
|
|-
|END TIME (MENTAL HEALTH LEAVE OF ABSENCE)
|The end time of a period of Mental Health Leave Of Absence for a PATIENT detained under the Mental Health Acts 1983 as amended by the Mental Health (Patients in the Community) Act 1995.
|R
|
|-
|MENTAL HEALTH LEAVE OF ABSENCE END REASON
|The reason a Mental Health Leave of Absence ended.
|R
|
|-
|ESCORTED MENTAL HEALTH LEAVE OF ABSENCE INDICATOR
|An indication of whether a period of Mental Health Leave Of Absence is escorted or unescorted.
|R
|
|}
{| class="wikitable"
|+Mental Health Trial Leave
!Name
!Description
!Conformance
!Value Set
|-
|START DATE (MENTAL HEALTH TRIAL LEAVE)
|The Start Date of a period of Mental Health Trial Leave for a PATIENT.
|M
|
|-
|START TIME (MENTAL HEALTH TRIAL LEAVE)
|The Start Time of a period of Mental Health Trial Leave for a PATIENT.
|R
|
|-
|END TIME (MENTAL HEALTH TRIAL LEAVE)
|The End Time of a period of Mental Health Trial Leave for a PATIENT.
|R
|
|}
{| class="wikitable"
|+Hospital Provider Spell Commissioner Assignment Period
!Name
!Description
!Conformance
!Value Set
|-
|START DATE (COMMISSIONER ASSIGNMENT PERIOD)
|The Start Date of the Commissioner Assignment Period.
|M
|
|-
|END DATE (COMMISSIONER ASSIGNMENT PERIOD)
|The End Date of the Commissioner Assignment Period.
|R
|
|}
{| class="wikitable"
|+Specialised Mental Health Exceptional Package of Care
!Name
!Description
!Conformance
!Value Set
|-
|SPECIALISED MENTAL HEALTH EXCEPTIONAL PACKAGE OF CARE CHARGE
|The amount charged for the SMH EPC in the reporting period
|M
|
|-
|START DATE (SPECIALISED MENTAL HEALTH EXCEPTIONAL PACKAGE OF CARE)
|The start date of an SMH EPC.
|M
|
|-
|END DATE (SPECIALISED MENTAL HEALTH EXCEPTIONAL PACKAGE OF CARE)
|The End Date of an SMH EPC.
|R
|
|}
{| class="wikitable"
|+Medical History (Previous Diagnosis)
!Name
!Description
!Conformance
!Value Set
|-
|DIAGNOSIS SCHEME IN USE (MENTAL HEALTH)
|The code scheme basis of the Diagnosis.
|M
|
|-
|PREVIOUS DIAGNOSIS (CODED CLINICAL ENTRY)
|A unique identifier for a clinical diagnosis from a specific classification or clinical terminology.
|M
|
|-
|CODED DIAGNOSIS TIMESTAMP
|The date, time and time zone for the PATIENT DIAGNOSIS.
|R
|
|}
{| class="wikitable"
|+Provisional Diagnosis
!
!
!
!
|-
|
|
|
|
|-
|
|
|
|
|-
|
|
|
|
|}
{| class="wikitable"
|+Primary Diagnosis
!
!
!
!
|-
|
|
|
|
|-
|
|
|
|
|-
|
|
|
|
|
|
|}
|}
__FORCETOC__
<br />__FORCETOC__

Revision as of 14:09, 2 February 2023

The Discovery Collaborative commissioned the creation of an expanded set of data ingestion specifications and to work to agree these specifications as Standards for how data will be received and ingested into the Discovery Data Service (“DDS”) in future projects. The expanded data specifications focused on multiple healthcare areas, with one of those being Mental Health. Others include; Social Care, Community, and Acute.

The Mental Health Service Data Set (MHSDS) brings together information captured on clinical systems as part of patient care. It covers not only services provided in hospitals but also outpatient clinics and in the community, where the majority of people in contact with these services are treated.

The MHSDS is a patient level, output based, secondary uses data set which aims to deliver robust, comprehensive, nationally consistent and comparable person-based information for children, young people and adults who are in contact with services for mental health and wellbeing, Learning Disability, autism or other neurodevelopmental conditions.

You can find the expanded data specification for the MHSDS outlined below.

Master Patient Index

Name Description Conformance Value Set
LOCAL PATIENT IDENTIFIER (EXTENDED) This is a number used to identify a PATIENT uniquely within a Health Care Provider. It may be different from the PATIENT's casenote number and may be assigned automatically by the computer system. LOCAL PATIENT IDENTIFIER (EXTENDED) is used where IT systems have a LOCAL PATIENT IDENTIFIER which is longer than 10 characters and LOCAL PATIENT IDENTIFIER cannot be used for data submission. M
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER) The ORGANISATION IDENTIFIER of the organisation that assigned the local patient identifier. M
ORGANISATION IDENTIFIER (EDUCATIONAL ESTABLISHMENT) ORGANISATION IDENTIFIER (EDUCATIONAL ESTABLISHMENT) is the ORGANISATION IDENTIFIER of the Educational Establishment, including Schools. R
NHS NUMBER A number used to identify a PATIENT uniquely within the NHS in England and Wales R
NHS NUMBER STATUS INDICATOR CODE (MENTAL HEALTH AND MATERNITY) The NHS NUMBER STATUS INDICATOR of the PATIENT R 01- Number present and verified

02- Number present but not traced

03- Trace required

04- Trace attempted - No match or multiple match found

05- Trace needs to be resolved - (NHS Number or patient detail conflict)

06- Trace in progress

07- Number not present and trace not required

PERSON BIRTH DATE The date on which a PERSON was born or is officially deemed to have been born R
POSTCODE OF USUAL ADDRESS The POSTCODE of the ADDRESS nominated by the PATIENT with ADDRESS ASSOCIATION TYPE 'Main Permanent Residence' or 'Other Permanent Residence' R
GENDER IDENTITY CODE The gender identity of a PERSON as stated by the PERSON R 1- Male (including trans man)

2- Female (including trans woman)

3- Non-binary

4- Other (not listed)

X- Not Known (not recorded)

Z- Not Stated (person asked but declined to provide a response)

GENDER IDENTITY SAME AT BIRTH INDICATOR An indication of whether the patient's gender identity is the same as their gender assigned at birth. R Y- Yes - the person's gender identity is the same as their gender assigned at birth

N- No - the person's gender identity is not the same as their gender assigned at birth

X- Not Known (not asked)

Z- Not Stated (person asked but declined to provide a response)

PERSON STATED GENDER CODE The gender of a PERSON.
PERSON STATED GENDER CODE is self declared or inferred by observation for those unable to declare their PERSON STATED GENDER.
R 1- Male

2- Female

9- Indeterminate (unable to be classified as either male or female)

X- Not Known (PERSON STATED GENDER CODE not recorded)

PERSON MARITAL STATUS The legal marital status of a PERSON. R S- Single

M- Married/Civil Partner

D- Divorced/Person whose Civil Partnership has been dissolved

W- Widowed/Surviving Civil Partner

P- Separated

N- Not disclosed

8- Not applicable

9- Not known

ETHNIC CATEGORY The ethnicity of a PERSON, as specified by the PERSON. R A- White - British

B- White - Irish

C- White - Any other White background

D- Mixed - White and Black Caribbean

E- Mixed - White and Black African

F- Mixed - White and Asian

G- Mixed - Any other mixed background

H- Asian or Asian British - Indian

J- Asian or Asian British - Pakistani

K- Asian or Asian British - Bangladeshi

L- Asian or Asian British - Any other Asian background

M- Black or Black British - Caribbean

N- Black or Black British - African

P- Black or Black British - Any other Black background

R- Other Ethnic Groups - Chinese

S- Other Ethnic Groups - Any other ethnic group

Z- Not stated

99- Not known

ETHNIC CATEGORY 2021 Placeholder data item to accommodate the 2021 census when it goes live P
LANGUAGE CODE (PREFERRED) LANGUAGE CODE (PREFERRED) is the language the PATIENT prefers to use for communication with a Health Care Provider. LANGUAGE CODE is based on the ISO 639-1 two character language codes, see the ISO 639.2 Registration Authority website, plus five communication method extensions. R All Spoken Languages

ISO 639-1 codes at http://www.loc.gov/standards/iso639-2/php/code_list.php

Extensions

q1- Braille (for people who are unable to see)

q2- American Sign Language

q3- Australian Sign Language

q4- British Sign Language

q5- Makaton (devised for children and adults with a variety of communication and Learning Disabilities)

PERSON DEATH DATE The date on which a person died or is officially deemed to have died, as recorded on the death certificate. R


GP Practice Registration

Name Description Conformance Value Set
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) The ORGANISATION CODE of the GP Practice that the PATIENT is registered with. M
START DATE (GMP PATIENT REGISTRATION) Start Date on which the PERSON registered with a General Medical Practitioner Practice. R
END DATE (GMP PATIENT REGISTRATION) The DATE on which the PERSON ceased to be registered with a General Medical Practitioner Practice. R


Accommodation Status

Name Description Conformance Value Set
ACCOMMODATION TYPE An indication of the type of accommodation that a PATIENT currently has. This should be based on the PATIENT's main or permanent residence. M 01- Owner occupier

02- Tenant - Local Authority/Arms Length Management Organisation/registered social housing provider

03- Tenant - private landlord

04- Living with family

05- Living with friends

06- University or College accommodation

07- Accommodation tied to job (including Armed Forces)

08- Mobile accommodation

09- Care home without nursing

10- Care home with nursing

11- Specialist Housing (with suitable adaptations to meet impairment needs and support to live independently)

12- Rough sleeper

13- Squatting

14- Sofa surfing (sleeps on different friends floor each night)

15- Staying with friends/family as a short term guest

16- Bed and breakfast accommodation to prevent or relieve homelessness

17- Sleeping in a night shelter

18- Hostel to prevent or relieve homelessness

19- Temporary housing to prevent or relieve homelessness

20- Admitted patient settings

21- Criminal justice settings

98- Other (not listed)

SETTLED ACCOMMODATION INDICATOR An indication of whether the main/permanent residence of the patient is settled accommodation. R Y- Yes - Settled Accommodation

N- No - Non-settled Accommodation

Z- Not Stated (PATIENT asked but declined to provide a response)

9- Not known (Not Recorded)

ACCOMMODATION TYPE RECORDED DATE The PERSON PROPERTY RECORDED DATE when the ACCOMMODATION TYPE was recorded. R
SECURE CHILDRENS HOME PLACEMENT TYPE The type of placement for a child or young person accommodated in a Secure Children's Home. R 1- Secure welfare placement

2- Youth justice placement

ACCOMMODATION TYPE START DATE The date that the patient's accommodation type started. R
ACCOMMODATION TYPE END DATE The date that the patient's accommodation type ended. R


Employment Status

Name Description Conformance Value Set
EMPLOYMENT STATUS The current PRIMARY EMPLOYMENT status of a PERSON. M 01- Employed

02- Unemployed and actively seeking work

03- Undertaking full (at least 16 hours per week) or part-time (less than 16 hours per week) education or training as a student and not working or actively seeking work

04- Long-term sick or disabled, those receiving government sickness and disability benefits

05- Looking after the family or home as a homemaker and not working or actively seeking work

06- Not receiving government sickness and disability benefits and not working or actively seeking work

07- Unpaid voluntary work and not working or actively seeking work

08- Retired

ZZ- Not Stated (PERSON asked but declined to provide a response)

EMPLOYMENT STATUS START DATE The date that the patient's employment status started. R
EMPLOYMENT STATUS END DATE The date that the patient's employment status ended. R
EMPLOYMENT STATUS RECORDED DATE The date that the patient's employment status details were recorded by the healthcare professional. R
WEEKLY HOURS WORKED The number of hours worked in a typical week. R 01- 30+ hours

02- 16-29 hours

03- 5-15 hours

04- 1-4 hours

97- Not Stated (PERSON asked but declined to provide a response)

98- Not applicable (PERSON not employed)

99- Number of hours worked not known


Patient Indicators

Name Description Conformance Value Set
CONSTANT SUPERVISION AND CARE REQUIRED DUE TO DISABILITY INDICATOR An indication of whether a disabled PATIENT needs constant (round the clock) care and/or supervision for maintenance of their safety and/or wellbeing. R
PARENTAL RESPONSIBILITIES INDICATOR An indication of whether a PATIENT has Parental Responsibilities for a child or young person, as stated by the PATIENT. R
YOUNG CARER INDICATOR An indication of whether a child or young person (PATIENT) has a caring role for an ill or disabled Parent/Carer/Sibling. R
LOOKED AFTER CHILD INDICATOR An indication of whether a PATIENT is a Looked After Child. R
LOOKED AFTER CHILD LEGAL STATUS The legal status of the Looked After Child. This refers to the Children's Act 1989: see details https://www.legislation.gov.uk/ukpga/1989/41/contents R
EDUCATIONAL ASSESSMENT OUTCOME The outcome of an EDUCATIONAL ASSESSMENT. R
CHILD PROTECTION PLAN INDICATION CODE An indication of whether the child or young person (PATIENT) is/has previously been subject to a child protection plan. R
EX-BRITISH ARMED FORCES INDICATOR An indication of whether the PATIENT is an ex-member of the British Armed Forces, i.e. army, navy or air force, or is a dependant of a person who is an ex-services member. R
OFFENCE HISTORY INDICATION CODE An indication of whether the PATIENT has a history of offences, including index offences (i.e. is recordable, committed in England and Wales, prosecuted by the police and is not a breach of the peace).

This is completed by CARE PROFESSIONALS based on the PATIENT history, informed by referral information.

R
PRODROME PSYCHOSIS DATE Date at which first noticeable change in behaviour or mental state occurred prior to emergence of full-blown psychosis for the patient. There should be a clear deterioration in functioning from previous levels.

Examples include poor attendance/worsening performance at school/work, trouble sleeping, withdrawing from/fighting with friends/family, attenuated psychotic symptoms (increased suspiciousness,/jealously, occasionally hearing name being called when no' ones around, whisperings, slight confusion in thinking etc.).

R
EMERGENT PSYCHOSIS DATE Date at which there was first clear evidence of a positive psychotic symptom for the patient (i.e. delusion, hallucination, or thought disorder), regardless of its duration.

Such a symptom would be scored 4 or more on the PANSS.

R
MANIFEST PSYCHOSIS DATE Date at which a positive psychotic symptom has lasted for a week for the patient. This is usually just 7 days after the date of the first psychotic symptom. R
FIRST PRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION) Date the patient was first prescribed anti-psychotic medication following referral into an Early Intervention in Psychosis (EIP) Service. R
PSYCHOSIS FIRST TREATMENT START DATE Date the patient first commenced prescribed (not PRN) anti-psychotic medication, following referral into an Early Intervention in Psychosis (EIP) Service, and thereafter was compliant for at least 75% of the time during the subsequent month (using clinical judgement).

Note: For the majority of people this will be the same date as the date of prescription.

R
REASONABLE ADJUSTMENT REQUIRED INDICATOR An indicator to alert the clinician that this patient may need a reasonable adjustment made R


Mental Health Care Coordinator

Name Description Conformance Value Set
START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD) The start date of a Mental Health Care Coordinator Assignment Period for a patient. M
CARE PROFESSIONAL LOCAL IDENTIFIER A unique local CARE PROFESSIONAL IDENTIFIER within a Health Care Provider which may be assigned automatically by the computer system.


R
END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD) The end date of a Mental Health Care Coordinator Assignment Period for a patient. R
CARE PROFESSIONAL SERVICE OR TEAM TYPE ASSOCIATION (MENTAL HEALTH) The type of service or team the Care Professional is associated with. R


DisabilityType

Name Description Conformance Value Set
DISABILITY CODE The DISABILITY of a PERSON.

This could be where:

the PERSON has been diagnosed as disabled or

the PERSON considers themself to be disabled.

M
DISABILITY IMPACT PERCEPTION The patient's perception of whether their day-to-day activities are limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months. R


Care Plan Type

Name Description Conformance Value Set
CARE PLAN IDENTIFIER A unique identifierfor Care Plan. M
CARE PLAN TYPE (MENTAL HEALTH) The type of Care Plan for the patient, recorded by the service. M
CARE PLAN CREATION DATE The date that a Care Plan was created for a patient. M
CARE PLAN CREATION TIME The time that a Care Plan was created for a patient. R
CARE PLAN LAST UPDATED DATE The date that the Care Plan was last updated for a patient.

Where the Care Plan has not otherwise been updated this will be the same as the Care Plan Creation Date.

R
CARE PLAN LAST UPDATED TIME The time that the Care Plan was last updated for a patient.

Where the Care Plan has not otherwise been updated this will be the same as the Care Plan Creation Time.

R
CARE PLAN IMPLEMENTATION DATE The date that the Care Plan was implemented for a patient. R


Care Plan Agreement

Name Description Conformance Value Set
FAMILY INVOLVED IN CARE PLAN INDICATOR An indication of whether a member of the patient's family is currently involved in the patient's care plan.

This only needs to be captured for inpatients that are in scope of Transforming Care.

R
FAMILY NOT INVOLVED IN CARE PLAN REASON The reason that the patient's family is not currently involved in the patient's care plan.

This only needs to be captured for inpatients that are in scope of Transforming Care.

R
CARE PLAN CONTENT AGREED BY The type of PERSON, SERVICE or ORGANISATION that agreed the content of the CARE PLAN for the PATIENT. M
CARE PLAN CONTENT AGREED DATE The date on which the content of the CARE PLAN was agreed by a PATIENT or Patient Proxy. R
CARE PLAN CONTENT AGREED TIME The time on which the content of the CARE PLAN was agreed by a PATIENT or Patient Proxy R


Assistive Technology to Support Disability Type

Name Description Conformance Value Set
ASSISTIVE TECHNOLOGY FINDING (SNOMED CT) The SNOMED CT concept ID which is used to identify the finding relating to the assistive technology that a PATIENT is dependent on. M
PRESCRIPTION TIMESTAMP (ASSISTIVE TECHNOLOGY) The date, time and time zone for the prescription of Assistive Technology. R


Social and Personal Circumstances

Name Description Conformance Value Set
SOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT) The SNOMED CT concept ID which is used to identify a Social and Personal Circumstance for a person. M
SOCIAL AND PERSONAL CIRCUMSTANCE RECORDED TIMESTAMP The date, time and time zone on which the Social and Personal Circumstance was recorded. R


Overseas Visitor Charging Category

Name Description Conformance Value Set
OVERSEAS VISITOR CHARGING CATEGORY The charging category relating to an OVERSEAS VISITOR STATUS. M
OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATE The date when the PATIENT's OVERSEAS VISITOR CHARGING CATEGORY was applicable from. If the applicable date is not available, this should be the date the OVERSEAS VISITOR CHARGING CATEGORY was recorded. R
OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE END DATE The date the OVERSEAS VISITOR CHARGING CATEGORY was applicable until. R


Mental Health Currency Model

Name Description Conformance Value Set
MENTAL HEALTH RESOURCE GROUP TYPE (SNOMED CT) The SNOMED CT EXPRESSION which is used to identify the Mental Health Resource Group type. P
START DATE (MENTAL HEALTH RESOURCE GROUP) When a PATIENT is assessed in a Mental Health Service and assigned a Mental Health Resource Group P
END DATE (MENTAL HEALTH RESOURCE GROUP) When a PATIENT either changes their Mental Health Resource Group or leaves the Mental Health Service. P


Service or Team Referral

Name Description Conformance Value Set
SERVICE REQUEST IDENTIFIER The unique identifier for a SERVICE REQUEST. It would normally be automatically generated by the local system upon recording a new Referral, although could be manually assigned. M
ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) This is the ORGANISATION IDENTIFIER of the ORGANISATION commissioning health care. M
REFERRAL REQUEST RECEIVED DATE This is the date the REFERRAL REQUEST was received by the Health Care Provider. M
REFERRAL REQUEST RECEIVED TIME This records the time the REFERRAL REQUEST was received. This item is only required for 'urgent' priority referrals into services with target waiting times measured in hours e.g. rapid response teams or urgent care. R
NHS SERVICE AGREEMENT LINE NUMBER A number (alphanumeric) to provide a unique identifier for a line within a NHS SERVICE AGREEMENT. An NHS SERVICE AGREEMENT is a formal agreement between a commissioner Organisation and one or more Health Care Provider Organisations for the provision of PATIENT care SERVICES. R
SPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE The category of the specialised Mental Health Service provided in a SERVICE PROVIDED UNDER AGREEMENT. The SPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE National Codes are published by NHS England and can be accessed at Specialised Services Reporting Requirements. R
SOURCE OF REFERRAL FOR MENTAL HEALTH SERVICES DATA SET The source of referral to a Mental Health Service. R
ORGANISATION IDENTIFIER (REFERRING) The ORGANISATION IDENTIFIER of the Organisation from which the referral is made, such as a GP Practice, NHS Trust or NHS Foundation Trust. R
REFERRING CARE PROFESSIONAL STAFF GROUP (MENTAL HEALTH) The will indicate the STAFF GROUP of the Care Professional referring the patient into the mental health service. This data item is not required where the referrer is not a care professional e.g. self-referral, carer or employer. R
CLINICAL RESPONSE PRIORITY TYPE The clinical response priority of a SERVICE REQUEST. R
PRIMARY REASON FOR REFERRAL (MENTAL HEALTH) This is the primary presenting condition or symptom for which the patient was referred to a Mental Health Service R
REASON FOR OUT OF AREA REFERRAL (ADULT ACUTE MENTAL HEALTH) The reason why a SERVICE has received a REFERRAL REQUEST, for a PATIENT: -with assessed acute mental health needs requiring adult mental health acute inpatient care and -who is resident outside of the ORGANISATION's usual local network of SERVICES. R
DECISION TO TREAT DATE (MENTAL HEALTH HOME TREATMENT) The date that it was first identified that the patient needs mental health treatment, but the formal service request has not yet been created. However, the patient may be formally under the care of the Home Treatment Service. This applies to home treatments: https://www.cwp.nhs.uk/services-and-locations/services/home-treatment/#:~:text=Home%20Treatment%20(HT)%20teams%20are,to%20admission%20as%20an%20inpatient R
DECISION TO TREAT TIME (MENTAL HEALTH HOME TREATMENT) The time that it was first identified that the patient needs mental health treatment, but the formal service request has not yet been created. However, the patient may be formally under the care of the Home Treatment Service. This applies to home treatments: https://www.cwp.nhs.uk/services-and-locations/services/home-treatment/#:~:text=Home%20Treatment%20(HT)%20teams%20are,to%20admission%20as%20an%20inpatient R
DISCHARGE PLAN CREATION DATE The date that a Discharge Plan was created for a patient. R
DISCHARGE PLAN CREATION TIME The time that a Discharge Plan was created for a patient. R
DISCHARGE PLAN LAST UPDATED DATE The date that the Discharge Plan was last updated for a patient. Where the Discharge Plan has not otherwise been updated this will be the same as the Discharge Plan Creation Date. R
DISCHARGE PLAN LAST UPDATED TIME The time that a Discharge Plan was last updated for a patient. Where the Discharge Plan has not otherwise been updated this will be the same as the Discharge Plan Creation Time. R
SERVICE DISCHARGE DATE Service Discharge Date is the date a PATIENT was discharged from a SERVICE. This would occur once all the services or teams (for example as part of a multidisciplinary team) have finished treating a patient under a specific referral. R
SERVICE DISCHARGE TIME Service Discharge Time is the time a PATIENT was discharged from a SERVICE. This would occur once all the services or teams (for example as part of a multidisciplinary team) have finished treating a patient under a specific referral. R


Other Reason for Referral

Name Description Conformance Value Set
OTHER REASON FOR REFERRAL (MENTAL HEALTH) The secondary presenting conditions or symptoms for which the patient was referred to a Mental Health Service. M


Service or Team Type Referred To

Name Description Conformance Value Set
CARE PROFESSIONAL TEAM LOCAL IDENTIFIER A unique local CARE PROFESSIONAL TEAM IDENTIFIER within a Health Care Provider which may be assigned automatically by the computer system. R
SERVICE OR TEAM TYPE REFERRED TO (MENTAL HEALTH) The type of service or team within a Mental Health Service that a patient was referred to M
REFERRAL CLOSURE DATE The date the Referral Request to a Health Care Provider's Service was closed by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient. R
REFERRAL CLOSURE TIME The time the Referral Request to a Health Care Provider's Service was closed by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient. R
REFERRAL REJECTION DATE The date the Referral Request to a Health Care Provider's Service was rejected by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient. R
REFERRAL REJECTION TIME The time the Referral Request to a Health Care Provider's Service was rejected by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient. R
REFERRAL CLOSURE REASON The reason that a Referral Request has been closed. A Referral Request can be closed as a result of a Patient being discharged from the SERVICE. Cancelled referrals such as those entered onto a system in error should not be submitted within the data set. R
REFERRAL REJECTION REASON The reason that a Referral Request has been rejected by the SERVICE. R


Referral to Treatment (RTT)

Name Description Conformance Value Set
PATIENT PATHWAY IDENTIFIER An identifier, which together with the ORGANISATION CODE of the issuer, uniquely identifies a PATIENT PATHWAY. R
ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER) This is the ORGANISATION IDENTIFIER of the ORGANISATION issuing the PATIENT PATHWAY IDENTIFIER. R
WAITING TIME MEASUREMENT TYPE (MENTAL HEALTH) The type of waiting time measurement methodology which may be applied during a PATIENT PATHWAY. The methodology applied may be for one part of a PATIENT PATHWAY, such as the measurement of a REFERRAL TO TREATMENT PERIOD, or other parts of the PATIENT PATHWAY according to Department of Health policy. M
REFERRAL TO TREATMENT PERIOD START DATE The start date of a REFERRAL TO TREATMENT PERIOD. R
REFERRAL TO TREATMENT PERIOD END DATE The end date of a REFERRAL TO TREATMENT PERIOD. R
REFERRAL TO TREATMENT PERIOD STATUS The status of an ACTIVITY (or anticipated ACTIVITY) for the REFERRAL TO TREATMENT PERIOD decided by the lead CARE PROFESSIONAL. R


Onward Referral

Name Description Conformance Value Set
DECISION TO REFER DATE (ONWARD REFERRAL) DECISION TO REFER DATE (ONWARD REFERRAL) is the DATE on which a decision was made to refer the PATIENT from one SERVICE to another SERVICE, which may be in the same or a different ORGANISATION. R
DECISION TO REFER TIME (ONWARD REFERRAL) DECISION TO REFER TIME (ONWARD REFERRAL) is the TIME on which a decision was made to refer the PATIENT from one SERVICE to another SERVICE, which may be in the same or a different ORGANISATION. R
ONWARD REFERRAL DATE The date the patient was referred to another service, which may be in the same or a different organisation. M
ONWARD REFERRAL TIME The time the patient was referred to another service, which may be in the same or a different organisation. R
ONWARD REFERRAL REASON (MENTAL HEALTH SERVICES DATA SET) The reason why the PATIENT was referred to another service, which may be in the same or a different organisation. R
REFERRED OUT OF AREA REASON (ADULT ACUTE MENTAL HEALTH) The reason that a patient with assessed acute mental health needs requiring adult mental health acute inpatient care is being referred to a unit that does not form part of the organisation's usual local network of services, where the patient's Mental Health Care Coordinator cannot visit the patient as often as stated in the Organisation's policy. R
ORGANISATION IDENTIFIER (RECEIVING) ORGANISATION IDENTIFIER (RECEIVING) is the ORGANISATION IDENTIFIER of the ORGANISATION that is receiving the PATIENT from another Health Care Provider. R
CODED REFERRAL PROCEDURE AND PROCEDURE STATUS (SNOMED CT) The SNOMED CT EXPRESSION which is used to identify a procedure plus the status of the procedure. Allows a specific purpose for the onward referral to be attributed. R


Discharge Plan Agreement

Name Description Conformance Value Set
DISCHARGE PLAN CONTENT AGREED BY The type of PERSON, SERVICE or ORGANISATION that agreed the content of the Discharge Plan for the PATIENT. M
DISCHARGE PLAN CONTENT AGREED DATE The date on which the content of the Discharge Plan was agreed by a PATIENT or Patient Proxy. R
DISCHARGE PLAN CONTENT AGREED TIME RThe time at which the content of the Discharge Plan was agreed by a PATIENT or Patient Proxy. R


Medication Prescription

Name Description Conformance Value Set
PRESCRIPTION IDENTIFIER The unique identifier of a PRESCRIPTION. P
PRESCRIPTION DATE (MEDICATION) The date on which the PRESCRIPTION of Medication was signed by the CARE PROFESSIONAL. P
PRESCRIPTION TIME (MEDICATION) The time on which the PRESCRIPTION of Medication was signed by the CARE PROFESSIONAL. P


Care Contact

Name Description Conformance Value Set
CARE CONTACT IDENTIFIER The CARE CONTACT IDENTIFIER is used to uniquely identify the CARE CONTACT within the Health Care Provider. It would normally be automatically generated by the local system upon recording a new Care Contact, although could be manually assigned. M
CARE PROFESSIONAL TEAM LOCAL IDENTIFIER A unique local CARE PROFESSIONAL TEAM IDENTIFIER within a Health Care Provider which may be assigned automatically by the computer system. R
CARE CONTACT DATE The date on which a Care Contact took place, or, if cancelled, was scheduled to take place. M
CARE CONTACT TIME The time at which a Care Contact took place. R
ADMINISTRATIVE CATEGORY CODE This is recorded for PATIENT ACTIVITY. A PATIENT who is an Overseas Visitor does not qualify for free NHS healthcare and can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS. The PATIENT's ADMINISTRATIVE CATEGORY CODE may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded. The category 'amenity PATIENT' is only applicable to PATIENTS using a Hospital Bed. R
CLINICAL CONTACT DURATION OF CARE CONTACT The total duration of the direct clinical contact at a CARE CONTACT in minutes, excluding any administration time prior to or after the CARE CONTACT and the CARE PROFESSIONAL's travelling time to the CARE CONTACT. CLINICAL CONTACT DURATION OF CARE CONTACT includes the time spent on the different CARE ACTIVITIES that may be performed in a single CARE CONTACT. The duration of each CARE ACTIVITY is recorded in CLINICAL CONTACT DURATION OF CARE ACTIVITY. This should be recorded in minutes. R
CONSULTATION TYPE The type of consultation between the CARE PROFESSIONAL and the PATIENT. R
CARE CONTACT SUBJECT The person who was the subject of the Care Contact. R
CONSULTATION MECHANISM (MENTAL HEALTH) The communication mechanism used to relay information between the CARE PROFESSIONAL and the PERSON who is the subject of the consultation, during a CARE CONTACT. A non-face to face consultation should directly support diagnosis and care planning and must replace a face to face Out-Patient Attendance Consultant, Clinic Attendance Nurse or Clinic Attendance Midwife, or other types of CARE CONTACT. A record of the consultation must be retained in the PATIENT's records. Contact with PATIENTS solely for the purpose of informing them of the outcome of Diagnostic Test results, with no other clinical interaction, are not classified as CARE CONTACTS. R
ACTIVITY LOCATION TYPE CODE The type of LOCATION for an ACTIVITY: • where PATIENTS are seen • where SERVICES are provided or • from which requests for SERVICES are sent. R
PLACE OF SAFETY INDICATOR An indication of whether a LOCATION is being used as a PLACE OF SAFETY. R
ORGANISATION SITE IDENTIFIER (OF TREATMENT) The ORGANISATION IDENTIFIER of the Organisation Site where the PATIENT was treated. R
COMMUNITY PERINATAL MENTAL HEALTH PARTNER ASSESSMENT OFFER INDICATOR An indication of whether a Community Perinatal Mental Health Partner Assessment has been offered to the partner of a PERSON in contact with a Specialist Perinatal Mental Health Community Service. R
PLANNED CARE CONTACT INDICATOR An indication as to whether a Care Contact is a result of a Planned Appointment. R
CARE CONTACT PATIENT THERAPY MODE The mode of therapy for the patient during a Care Contact. R
ATTENDED OR DID NOT ATTEND CODE This indicates whether or not an APPOINTMENT for a CARE CONTACT took place. If the APPOINTMENT did not take place it also indicates whether or not advanced warning was given. R
EARLIEST REASONABLE OFFER DATE The date of the earliest of the Reasonable Offers made to a PATIENT for an APPOINTMENT or Elective Admission. R
EARLIEST CLINICALLY APPROPRIATE DATE The earliest DATE that it was clinically appropriate for an ACTIVITY to take place. R
CARE CONTACT CANCELLATION DATE The date that a Care Contact was cancelled by the Provider or Patient. R
CARE CONTACT CANCELLATION REASON The reason that a Care Contact was cancelled. R
REASONABLE ADJUSTMENT MADE INDICATOR Was a reasonable adjustment made for this patient? R


Care Activity

Name Description Conformance Value Set
CARE ACTIVITY IDENTIFIER The unique identifier for a CARE ACTIVITY. It would normally be automatically generated by the local system upon recording a new activity, although could be manually assigned. M
CLINICAL CONTACT DURATION OF CARE ACTIVITY The duration of a CARE ACTIVITY in minutes, excluding any administration time prior to or after the CARE ACTIVITY and the CARE PROFESSIONAL's travelling time to the LOCATION where the CARE ACTIVITY was provided. This is calculated from the Start Time and End Time of the CARE ACTIVITY. R
CODED PROCEDURE AND PROCEDURE STATUS (SNOMED CT) The SNOMED CT EXPRESSION which is used to identify a procedure plus the status of the procedure. R
FINDING SCHEME IN USE (MENTAL HEALTH) The code scheme basis of a finding. R
CODED FINDING (CODED CLINICAL ENTRY) A unique identifier for a finding from a specific classification or clinical terminology. R
CODED OBSERVATION (SNOMED CT) A unique identifier for an observation from a specific clinical terminology. R
OBSERVATION VALUE The numeric value resulting from a clinical observation. R
UCUM UNIT OF MEASUREMENT The unit of measurement used to measure the result of a clinical observation. See http://unitsofmeasure.org/trac/. R


Other in Attendance

Name Description Conformance Value Set
OTHER PERSON IN ATTENDANCE AT CARE CONTACT The other PERSON in attendance, with the PATIENT, at the CARE CONTACT. M
REASON PATIENT DOES NOT HAVE INDEPENDENT MENTAL CAPACITY ADVOCATE Reason the patient does not have an Independent Mental Capacity Advocate (IMCA) This only needs to be captured for inpatients that are in scope of Transforming Care R
REASON PATIENT DOES NOT HAVE INDEPENDENT MENTAL HEALTH ADVOCATE Reason the patient does not have an Independent Mental Health Advocate (IMHA) This only needs to be captured for inpatients that are in scope of Transforming Care R


Indirect Activity

Name Description Conformance Value Set
INDIRECT ACTIVITY DATE The date that the indirect activity took place M
INDIRECT ACTIVITY TIME The time that the indirect activity took place R
DURATION OF INDIRECT ACTIVITY The duration of the indirect activity in minutes, excluding any administration time prior to or after the indirect activity and the CARE PROFESSIONAL's travelling time to the LOCATION where the indirect activity was provided. R
CODED INDIRECT ACTIVITY PROCEDURE AND PROCEDURE STATUS (SNOMED CT) The SNOMED CT EXPRESSION which is used to identify a procedure plus the status of the procedure. Allows the capture of indirect activity to be attributed. R


Group Session

Name Description Conformance Value Set
GROUP SESSION IDENTIFIER The GROUP SESSION IDENTIFIER is used to uniquely identify the GROUP SESSION within the Health Care Provider. It would normally be automatically generated by the local system upon recording a new Group Session, although could be manually assigned. M
GROUP SESSION DATE The date that a Group Session took place, or, if cancelled, was scheduled to take place. M
CLINICAL CONTACT DURATION OF GROUP SESSION The duration of a Group Session in minutes, excluding any administration time prior to or after the Group Session and the CARE PROFESSIONAL's travelling time to the LOCATION where the Group Session was provided. R
GROUP SESSION TYPE (MENTAL HEALTH) The type of Group Session provided by a Mental Health Service. R
NUMBER OF GROUP SESSION PARTICIPANTS The number of persons who participated in the Group Session excluding the care professionals. R


Mental Health Drop In Contact

Name Description Conformance Value Set
MENTAL HEALTH DROP IN CONTACT IDENTIFIER The Mental Health DROP IN CONTACT IDENTIFIER is used to uniquely identify the Mental Health DROP IN CONTACT within the Health Care Provider. It would normally be automatically generated by the local system upon recording a new Drop In Contact, although could be manually assigned. M
CARE CONTACT DATE (MENTAL HEALTH DROP IN CONTACT) The date that a Drop In Contact took place. M
MENTAL HEALTH DROP IN CONTACT SERVICE TYPE The type of SERVICE where the Mental Health Drop In Contact took place. R
START TIME (MENTAL HEALTH DROP IN CONTACT) The Start Time of the Mental Health Drop In Contact as reported by the Care Professional. R
END TIME (MENTAL HEALTH DROP IN CONTACT) The End Time of the Mental Health Drop In Contact as reported by the Care Professional. R


Mental Health Act Legal Status Classification Assignment Period

Name Description Conformance Value Set
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER A unique identifier allocated to each Mental Health Act Legal Status Classification Assignment Period. M
START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD) The Start Date of the Mental Health Act Legal Status Classification Assignment Period. M
START TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD) The Start Time of the Mental Health Act Legal Status Classification Assignment Period. M
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD START REASON The reason for the start of the current Mental Health Act Legal Status Classification Assignment Period. R
EXPIRY DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) The date when the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a patient expires. R
EXPIRY TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION) The time which the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION for a patient expires. R
END DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD) The date on which the Mental Health Act Legal Status Classification Assignment Period ended. R
END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD) The time on which the Mental Health Act Legal Status Classification Period ended. R
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD END REASON The reason for the end of the Mental Health Act Legal Status Classification Assignment Period. R
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE 'A code to identify the classification of Mental Health Act Legal Status. R
MENTAL HEALTH ACT 2007 MENTAL CATEGORY The primary reason for the detention of PATIENTS. R


Mental Health Responsible Clinician Assignment Period

Name Description Conformance Value Set
START DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT PERIOD) The start date of an assignment of a Mental Health Responsible Clinician to a patient. M
END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT PERIOD) The end date of an assignment of a Mental Health Responsible Clinician to a patient. R


Conditional Discharge

Name Description Conformance Value Set
START DATE (MENTAL HEALTH CONDITIONAL DISCHARGE) The start date of the Mental Health Conditional Discharge Period. M
END DATE (MENTAL HEALTH CONDITIONAL DISCHARGE) The end date of the Mental Health Conditional Discharge Period. R
MENTAL HEALTH CONDITIONAL DISCHARGE END REASON The reason a Mental Health Conditional Discharge Period ended. R
MENTAL HEALTH ABSOLUTE DISCHARGE RESPONSIBILITY The body or PERSON responsible for granting Mental Health Absolute Discharge. R


Community Treatment Order Recall

Name Description Conformance Value Set
START DATE (COMMUNITY TREATMENT ORDER RECALL) The start date for a period of Community Treatment Order under S17A of the Mental Health Act 1983 (as amended by the Mental Health Act 2007). M
EXPIRY DATE (COMMUNITY TREATMENT ORDER RECALL) The date which the Community Treatment Order for a patient was due to expire. This should be updated following the extension of a Community Treatment Order. NB - This data item should only be recorded where the Community Treatment Order for the patient has been extended R
END DATE (COMMUNITY TREATMENT ORDER RECALL) The end date for a period of Community Treatment Order under S17A of the Mental Health Act 1983 (as amended by the Mental Health Act 2007). R
COMMUNITY TREATMENT ORDER END REASON The reason for the termination of a period of a Community Treatment Order. R


Community Treatment Order Recall

Name Description Conformance Value Set
START TIME (COMMUNITY TREATMENT ORDER RECALL) The start time for a period of recall to hospital for treatment for a patient on a Community Treatment Order under S17A of the Mental Health Act 1983 (as amended by the Mental Health Act 2007). M
END TIME (COMMUNITY TREATMENT ORDER RECALL) The end time for a period of recall to hospital for treatment for a patient on a Community Treatment Order under S17A of the Mental Health Act 1983 (as amended by the Mental Health Act 2007). R


Hospital Provider Spell

Name Description Conformance Value Set
HOSPITAL PROVIDER SPELL IDENTIFIER A unique identifier for each Hospital Provider Spell for a Health Care Provider. M
DECIDED TO ADMIT DATE The date a DECISION TO ADMIT was made. R
DECIDED TO ADMIT TIME The time a DECISION TO ADMIT was made. R
START DATE (HOSPITAL PROVIDER SPELL) The start date of a Hospital Provider Spell. M
START TIME (HOSPITAL PROVIDER SPELL) The start time of a Hospital Provider Spell. R
ADMISSION SOURCE (MENTAL HEALTH HOSPITAL PROVIDER SPELL) The source of admission to a Hospital Provider Spell. R
METHOD OF ADMISSION (MENTAL HEALTH HOSPITAL PROVIDER SPELL) The method of admission to a Hospital Provider Spell.Note: see ELECTIVE ADMISSION TYPE for a full definition of Elective Admission. R
POSTCODE OF MAIN VISITOR The POSTCODE of the ADDRESS of the PATIENT's main visitor with ADDRESS ASSOCIATION TYPE 'Main Permanent Residence' or 'Other Permanent Residence', where the patient is being treated as part of a Hospital Provider Spell. R
ESTIMATED DISCHARGE DATE (HOSPITAL PROVIDER SPELL) The estimated discharge date from a Hospital Provider Spell. R
PLANNED DISCHARGE DATE (HOSPITAL PROVIDER SPELL) The planned discharge date from a Hospital Provider Spell. R
PLANNED DESTINATION OF DISCHARGE (HOSPITAL PROVIDER SPELL) The planned destination of a PATIENT on completion of a Hospital Provider Spell. R
DISCHARGE DATE (HOSPITAL PROVIDER SPELL) The discharge date from a Hospital Provider Spell. R
DISCHARGE TIME (HOSPITAL PROVIDER SPELL) The discharge time from a Hospital Provider Spell. R
METHOD OF DISCHARGE (MENTAL HEALTH HOSPITAL PROVIDER SPELL) The method of discharge from a Hospital Provider Spell. R
DESTINATION OF DISCHARGE (HOSPITAL PROVIDER SPELL) The destination of a PATIENT on completion of a Hospital Provider Spell, or a note that the PATIENT died. R
POSTCODE OF DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) The POSTCODE of the ADDRESS of a PATIENTS's destination on completion of a Hospital Provider Spell. R
TRANSFORMING CARE INDICATOR Indicator to show if the patient is in scope of Transforming Care This only needs to be captured for inpatients that are in scope of Transforming Care R
TRANSFORMING CARE CATEGORY Category of patients in scope of Transforming Care This only needs to be captured for inpatients that are in scope of Transforming Care R


Ward Stay

Name Description Conformance Value Set
WARD STAY IDENTIFIER A unique identifier allocated for each Ward Stay during the hospital provider spell. M
START DATE (WARD STAY) The start date of a ward stay. M
START TIME (WARD STAY) The start time of a ward stay. R
END DATE (MENTAL HEALTH TRIAL LEAVE) The End Date of a period of Mental Health Trial Leave for a PATIENT. R
END DATE (WARD STAY) The end date of a ward stay. R
END TIME (WARD STAY) The end time of a ward stay. R
WARD SETTING TYPE (MENTAL HEALTH) The type of WARD setting for a Mental Health Service's PATIENT during a Hospital Provider Spell. R
INTENDED AGE GROUP (MENTAL HEALTH) The age group of PATIENTS intended to use a WARD indicated in the operational plan. R
SEX OF PATIENTS CODE (MENTAL HEALTH) The intended SEX of PATIENTS for the ward as indicated in the operational plan in which the patient is placed. R
INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH) The intended level of resources and intensity of care for the ward in which the person is placed. R
WARD SECURITY LEVEL The level of security for a ward. R
LOCKED WARD INDICATOR An indication of whether a WARD is locked. For the Mental Health Services Data Set, LOCKED WARD INDICATOR indicates whether a WARD which is used to provide care by a Mental Health Service, and has a WARD SECURITY LEVEL National Code "General (non-secure)", is locked to prevent unauthorised entry and/or exit. R
MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION The classification of the admitted PATIENT during a Ward Stay. R
WARD CODE A unique identification of a WARD within a Health Care Provider. R
Assigned Care Professional
Name Description Conformance Value Set
START DATE (CARE PROFESSIONAL ADMITTED CARE EPISODE) The start date of an assignment of a Care Professional responsible for the care of the patient. M
END DATE (CARE PROFESSIONAL ADMITTED CARE EPISODE) The end date of an assignment of a Care Professional responsible for the care of the patient. R
TREATMENT FUNCTION CODE (MENTAL HEALTH) 'This is the TREATMENT FUNCTION under which the PATIENT is treated. It may be the same as the MAIN SPECIALTY CODE or a different TREATMENT FUNCTION which will be the CARE PROFESSIONAL's treatment interest. R
Mental Health Delayed Discharge
Name Description Conformance Value Set
START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) The date that the clinical decision was taken that the PATIENT is fit and ready for discharge, but external factors prevent the discharge taking place. M
END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD) The date that a period of delayed discharge for a patient who had previously been ready for discharge ended. This may end because the patient was discharged or because the patient was no longer ready for discharge. R
MENTAL HEALTH DELAYED DISCHARGE REASON The reason that a patient was not able to be discharged despite being medically ready for discharge. R
MENTAL HEALTH DELAYED DISCHARGE ATTRIBUTABLE TO INDICATION CODE An indication to which ORGANISATION the Mental Health Delayed Discharge Period is attributable. R
ORGANISATION IDENTIFIER (RESPONSIBLE LOCAL AUTHORITY MENTAL HEALTH DELAYED DISCHARGE) The Local Authority responsible for the social care attributed Mental Health Delayed Discharge Period. R
Restrictive Intervention Incident
Name Description Conformance Value Set
RESTRICTIVE INTERVENTION INCIDENT IDENTIFIER A unique identifier allocated for each Restrictive Intervention Incident during the Hospital Provider Spell M
START DATE (RESTRICTIVE INTERVENTION INCIDENT) The Start Date of the Restrictive Intervention Incident as reported by the Care Professional. M
START TIME (RESTRICTIVE INTERVENTION INCIDENT) The Start Time of the Restrictive Intervention Incident as reported by the Care Professional. R
END DATE (RESTRICTIVE INTERVENTION INCIDENT) The End Date of the Restrictive Intervention Incident as reported by the Care Professional. R
END TIME (RESTRICTIVE INTERVENTION INCIDENT) The End Time of the Restrictive Intervention Incident as reported by the Care Professional. R
RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (PATIENT) An indication of whether a Restrictive Intervention Post-Incident Review for the PATIENT was held within 48 hours of the incident of a Restrictive Intervention. R
RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW NOT HELD REASON (PATIENT) The reason why a Restrictive Intervention Post-Incident Review for the PATIENT was not held within 48 hours of the incident of a Restrictive Intervention. R
RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (CARE PERSONNEL) An indication of whether a Restrictive Intervention Post-Incident Review for Care Personnel was held within 24 hours of the incident of a Restrictive Intervention. R
RESTRICTIVE INTERVENTION REASON The reason that a Restrictive Intervention was used on a PATIENT during a Hospital Provider Spell. R
Restrictive Intervention Type
Name Description Conformance Value Set
RESTRICTIVE INTERVENTION TYPE IDENTIFIER A unique identifier allocated for each Restrictive Intervention Type during the Hospital Provider Spell M
START DATE (RESTRICTIVE INTERVENTION TYPE) The Start Date of the Restrictive Intervention Type as reported by the Care Professional. M
START TIME (RESTRICTIVE INTERVENTION TYPE) The Start Time of the Restrictive Intervention Type as reported by the Care Professional. R
RESTRICTIVE INTERVENTION TYPE Type of RESTRICTIVE INTERVENTION used. R
END DATE (RESTRICTIVE INTERVENTION TYPE) The End Date of the Restrictive Intervention Type as reported by the Care Professional. R
END TIME (RESTRICTIVE INTERVENTION TYPE) The End Time of the Restrictive Intervention Type as reported by the Care Professional. R
RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (PATIENT) An indication of whether an injury was sustained to the PATIENT during an incident of restraint during a Restrictive Intervention. R
RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (CARE PERSONNEL) An indication of whether an injury was sustained to a member of Care Personnel during an incident of restraint during a Restrictive Intervention. R
RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (OTHER PERSON) An indication of whether an injury was sustained to a person, other than the PATIENT or Care Personnel, during an incident of restraint during a Restrictive Intervention. R
Police Assistance Request
Name Description Conformance Value Set
POLICE ASSISTANCE REQUEST DATE The date the call was made to request police assistance M
POLICE ASSISTANCE REQUEST TIME The time the call was made to request police assistance R
POLICE ASSISTANCE ARRIVAL DATE The date the Police arrived following the request for assistance R
POLICE ASSISTANCE ARRIVAL TIME The time the Police arrived following the request for assistance R
POLICE RESTRAINT OR FORCE USED INDICATOR An indication of whether the police used restraint or force on a PATIENT. R
Assault
Name Description Conformance Value Set
DATE OF ASSAULT ON PATIENT The DATE that an instance of assault on the PATIENT by another PATIENT occurred. M
Self-Harm
Name Description Conformance Value Set
DATE OF SELF-HARM The date that an incident of self-harm for the patient occurred. M
OBSERVATION DATE (SUBSTANCE MISUSE EVIDENCE) The date that evidence of current substance misuse by a PATIENT was observed by a CARE PROFESSIONAL. M
Home Leave
Name Description Conformance Value Set
START DATE (HOME LEAVE) The start date for a period of Home Leave for patients NOT liable for detention under the Mental Health Act 1983. M
START TIME (HOME LEAVE) The start time for a period of Home Leave for patients NOT liable for detention under the Mental Health Act 1983. R
END DATE (HOME LEAVE) The end date for a period of Home Leave for patients NOT liable for detention under the Mental Health Act 1983. R
END TIME (HOME LEAVE) The end time for a period of Home Leave for patients NOT liable for detention under the Mental Health Act 1983. R
Leave Of Absence
Name Description Conformance Value Set
START DATE (MENTAL HEALTH LEAVE OF ABSENCE) The start date of a period of Mental Health Leave Of Absence for a PATIENT detained under the Mental Health Acts 1983 as amended by the Mental Health (Patients in the Community) Act 1995. M
START TIME (MENTAL HEALTH LEAVE OF ABSENCE) The start time of a period of Mental Health Leave Of Absence for a PATIENT detained under the Mental Health Acts 1983 as amended by the Mental Health (Patients in the Community) Act 1995. R
END DATE (MENTAL HEALTH LEAVE OF ABSENCE) The end date of a period of Mental Health Leave Of Absence for a PATIENT detained under the Mental Health Acts 1983 as amended by the Mental Health (Patients in the Community) Act 1995. R
END TIME (MENTAL HEALTH LEAVE OF ABSENCE) The end time of a period of Mental Health Leave Of Absence for a PATIENT detained under the Mental Health Acts 1983 as amended by the Mental Health (Patients in the Community) Act 1995. R
MENTAL HEALTH LEAVE OF ABSENCE END REASON The reason a Mental Health Leave of Absence ended. R
ESCORTED MENTAL HEALTH LEAVE OF ABSENCE INDICATOR An indication of whether a period of Mental Health Leave Of Absence is escorted or unescorted. R
Mental Health Trial Leave
Name Description Conformance Value Set
START DATE (MENTAL HEALTH TRIAL LEAVE) The Start Date of a period of Mental Health Trial Leave for a PATIENT. M
START TIME (MENTAL HEALTH TRIAL LEAVE) The Start Time of a period of Mental Health Trial Leave for a PATIENT. R
END TIME (MENTAL HEALTH TRIAL LEAVE) The End Time of a period of Mental Health Trial Leave for a PATIENT. R
Hospital Provider Spell Commissioner Assignment Period
Name Description Conformance Value Set
START DATE (COMMISSIONER ASSIGNMENT PERIOD) The Start Date of the Commissioner Assignment Period. M
END DATE (COMMISSIONER ASSIGNMENT PERIOD) The End Date of the Commissioner Assignment Period. R
Specialised Mental Health Exceptional Package of Care
Name Description Conformance Value Set
SPECIALISED MENTAL HEALTH EXCEPTIONAL PACKAGE OF CARE CHARGE The amount charged for the SMH EPC in the reporting period M
START DATE (SPECIALISED MENTAL HEALTH EXCEPTIONAL PACKAGE OF CARE) The start date of an SMH EPC. M
END DATE (SPECIALISED MENTAL HEALTH EXCEPTIONAL PACKAGE OF CARE) The End Date of an SMH EPC. R
Medical History (Previous Diagnosis)
Name Description Conformance Value Set
DIAGNOSIS SCHEME IN USE (MENTAL HEALTH) The code scheme basis of the Diagnosis. M
PREVIOUS DIAGNOSIS (CODED CLINICAL ENTRY) A unique identifier for a clinical diagnosis from a specific classification or clinical terminology. M
CODED DIAGNOSIS TIMESTAMP The date, time and time zone for the PATIENT DIAGNOSIS. R
Provisional Diagnosis
Primary Diagnosis