This additional guidance complements existing SUS+ submission guidance and is being made available to support the implementation of ECDS v4.0.
CDS ACTIVITY DATE
CDS ACTIVITY DATE is set to the new data element in ECDS v4.0, URGENT AND EMERGENCY CARE ACTIVITY START DATE AND TIME (which replaces EMERGENCY CARE ARRIVAL DATE which is in CDS v6-2-3 Type 011 (ECDS v3.0)).
As per existing SUS submission guidance, the CDS ACTIVITY DATE (for ECDS v4.0 URGENT AND EMERGENCY CARE ACTIVITY START DATE AND TIME as per the NHS Data Model and Dictionary) must be within the CDS REPORT PERIOD START DATE and CDS REPORT PERIOD END DATE header to the CDS record.
Net and Bulk submissions for ECDS v4.0
The ECDS v4.0 Information Standard Requirements Specification states at Section 3.1:
“All providers who are submitters of ECDS v4.0 SHOULD submit changes using the Data Set Net Change Protocol. This requires that all Providers ensure their suppliers of relevant clinical systems, patient administration systems and / or XML Middleware can incorporate the required changes to meet this capability.”
However, it is recognised that many Bulk submissions are still currently made for ECDS as at the ECDS v4.0 implementation date of 1 July 2023.
For Net users – each record has a Mandatory CDS UNIQUE IDENTIFIER which enables a single record previously submitted as Net in a data file, to be updated, as per the instruction given in the CDS UPDATE TYPE which is also in the header.
Therefore, if using Net to update the Urgent and Emergency Care Extended Care Episode activity type, the Provider needs to resubmit the Urgent and Emergency Care Extended Care Episode activity type records which need to be updated (for example when this closes), with their mandatory CDS UNIQUE IDENTIFIER and an instruction to update them.
Consistent to the principles of existing SUS guidance, all ECDS v4.0 activity types (Emergency Care Attendance, Same Day Emergency Care Attendance, Urgent and Emergency Care Extended Care Episode and Hot Clinic Attendance (when pilots enabled)) belong to the same Bulk Replacement Group. A sender should include all records for all these activity types in the same bulk interchange when they belong to the same period.
For example, sending Emergency Care Attendances, then Urgent and Emergency Care Extended Care Episode activity type in separate interchanges for the same period will result in only the Urgent and Emergency Care Extended Care Episode activity type appearing in SUS data for that period.
This means that for example, providers would need to submit the entire interchange they submitted on the day that included the Urgent and Emergency Care Extended Care Episode record, in order to close the Urgent and Emergency Care Extended Care Episode.