1. Emergency Care Data Set (ECDS)
General Show and Tell No.11, 04 October 2017
Peter Sherratt, ECDS implementation lead (NHS Digital)
Lizzie Poole, Information team (Nottingham University Hospitals FT)
Dr. Steve Moore, Clinical champion (Countess of Chester FT)
Richard Carpenter, ECDS implementation team (NHS Digital)
Steve Fenner, SUS+ team (NHS Digital)
Pat Carter, ECDS business analyst (NHS Digital)
Iain Wallen, Director of information and analytics (NHS Improvement)
Version: v1.0
The ECDS project is a collaborative project between the Department of Health, the Royal College of Emergency Medicine, NHS England, NHS Digital, NHS Improvement, NHS Providers and Public Health England. This document has been produced on behalf
of the ECDS Project Board in collaboration with the organisations listed above.

2. New: Includes all webinars and downloads
Before we start
We are recording the webinar for the benefit of others
Most people will be muted – please send your comments and questions via the WebEx chat function to Rozanne Addams
We’ll share the slides etc. after the meeting
Supporting documents are available on the ECDS web page (
New: Includes all webinars and downloads
Next general show and tell is 8th 2pm
Send your comments to :

3. On this afternoon’s call:
Live site feedback
Clinical champion update
Case studies and early adopters
ECDS extract formats
Corrigendum and updated SNOMED sub-sets DQ
Streaming update
QA session

4. Quick progress update: About 15% of the NHS is now live with ECDS
SUS+ is receiving data
Crib sheets are being printed and sent to Trusts
Request for help with a special project – commissioners

5. ECDS Go Lives
The following providers have advised us they are live with ECDS:
Airedale NHS Foundation Trust
Bedford Hospital NHS Trust
Buckinghamshire Healthcare NHS Trust
Cambridge University Hospitals NHS Foundation Trust
Croydon Health Services NHS Trust
Manchester University NHS Foundation Trust
Countess Of Chester Hospital NHS Foundation Trust (daily)
Doncaster and Bassetlaw Hospitals NHS Foundation Trust
Hampshire Hospitals NHS Foundation Trust
North West Anglia Trust (Hinchinbrooke Hospital)
Nottingham University Hospitals NHS Trust
Royal Berkshire NHS Foundation Trust
Salford Royal NHS Foundation Trust
Shrewsbury and Telford Hospital NHS Trust
Surrey and Sussex Healthcare NHS Trust
The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
University Hospital Southampton NHS Foundation Trust
University Hospitals Bristol NHS Foundation Trust
Warrington and Halton Hospitals NHS Foundation Trust

6. Feedback from Nottingham
Lizzie Poole – Nottingham University Hospitals NHS Trust

7. Clinical Champion Update
Dr. Steve Moore, Countess of Chester Hospital NHS Foundation Trust

8. ECDS Case Studies
We are working with 6 early adopters across the country to produce a series of case studies
The aim is to provide ‘real-life’ examples of what it takes to implement ECDS and what the benefits are
Focusing on:
Project Management – Buckinghamshire Healthcare NHS Trust
Nursing – Nottingham University Hospitals NHS Trust
Doctors – Countess of Chester Hospital NHS Foundation Trust
Administrators – Hampshire Hospitals NHS Foundation Trust
Service Managers – The Hillingdon Hospitals NHS Foundation Trust
Commissioners – Rotherham CCG
Target completion date is November 2017

9. ECDS Feedback
Over the last few weeks, multiple requests have been sent to the ECDS mailbox with suggested diagnoses.
This has led to amendments such as ‘Viral Wheeze’
We are in the process of creating a feedback webpage to formalise these requests
A flowchart to assist decision making has also been created
Your suggestions have been captured for discussion by the ECDS maintenance group

10. No No Is this purely a symptom? i.e. Chest Pain, Abdominal Pain etc.
Yes –
ECDS doesn’t code symptoms No
Please check the diagnosis doesn’t already exist in the ECDS data set No
Yes – Please use this code. It may be worthwhile checking how the search for this term can be improved
Is the diagnosis you wish to add a sub-set of a pre- existing ECDS diagnosis or closely approximate to an existing diagnosis?
Yes – use this higher level code
No – send code to feedback web page

11. SUS+ update
Presented by Steve Fenner

12. Key points:
CDS010 (A&E) extract will remain unchanged
An additional extract is available – ECDS (CDS011) mapped into CDS010 (A&E) “backward compatible”
A new extract in CSV format will be available
A new extract in JSON format will be available
Timescales for schemas
IGARD process for DSCROs

13. Corrigendum – October 2017
Presented by Pat Carter

14. Corrigendum WHY do we need a corrigendum?
Information Standard published in April 2017
Minor errors identified in Technical Output Specification (TOS) - Need to update to v1.01
WHAT are the changes?
Truncation issue on 9 x ‘Safeguarding’ SNOMED CT codes
e.g.
Injury Flag set incorrectly on 1 x diagnosis:
SNOMED CT code = (Infection of eye (disorder) – Inj_Flag = 1 corrected to 0
Typo’s, spelling mistakes
e.g. Patient Identity tab - PATIENT PATHWAY - VERIFIED IDENTITY STRUCTURE corrected to PATIENT IDENTITY - VERIFIED IDENTITY STRUCTURE
Previous
Corrected
SNOMED CT Description
At risk of radicalisation (finding)

15. Corrigendum WHAT are the changes (cont.)?
Corrections to ECDS Unique ID’s, Sort Codes and Descriptions
1 x Comorbidity, 1 x Diagnosis, 1 x Treatment e.g. Diagnosis
Inclusion of omitted Treatment code to allow differentiation of sedation and anaesthesia
Added 1 x SNOMED CT code = (Monitored anaesthesia care sedation (procedure) )
CQUIN flag set incorrectly on ‘EC Attendance Activity Characteristics’ tab
Acuity and Chief complaint have ‘CQUIN data item required’ column set to N, now corrected to ‘Y’
Status
ECDS UniqueID
Sort1
Sort2
Sort3
SNOMED CT Description
Previous 61 31
corneal burn (disorder)
Corrected 30
Welders' keratitis (disorder)

16. Change outside of the Corrigendum
Some ECDS SNOMED CT subsets were updated on Oct 1st
Background
Every April and October there is a SNOMED CT update
This may / may not affect ECDS subsets
Some changes are outside our control (e.g. If a SNOMED CT code is retired or replaced)
Some changes we can request (e.g. A new diagnosis SNOMED CT code for an ECDS subset)
Key Points for ECDS
No requirement to change anything immediately – all SNOMED CT codes in the TOS are still valid
Optionally you may use some / all the new SNOMED CT codes in the ECDS subsets on TRUD
The TOS and the TRUD SNOMED CT subsets are now slightly out of step
All SNOMED CT codes in the TOS AND the TRUD will be accepted by SUS+ and valid for CQUIN analysis
If you download the subsets from TRUD some existing codes may have been replaced
We plan to update the mappings document to allow for the new codes

17. DQ Feedback
Presented by Pete Sherratt

18. Key points about DQ feedback:
Initially we’ll focus on diagnosis and chief complaint (for CQUIN)
We’ll then increase the sophistication
For example:
More timely feedback
Presenting DQ metrics in PowerBI
Additional checks and metrics

19. Streaming
Presented by Pete Sherratt and Iain Wallen

20. Key points about streaming
4-hour standard
Existing guidance is applicable for 4-hour wait (link)
See guidance relating to “campus”
Co-located GP services
We need to clearly identify patients who have been streamed to co-located services
Precise guidance is in progress
Full guidance is under production

21. QA session
Presented by Peter Sherratt

22. Investigation mapping

23. Next webinar is 8th November @ 2pm
Future webinars….
They’re totally open – invite anyone
Future topics will include:
Lessons learned
The maintenance of ECDS
Let us know anything particular you’d like us to cover again or in more detail
Next webinar is 8th 2pm
Send your comments to :