Person—level of psychiatric symptom severity, Children's Global Assessment Scale score code N[NN]

Identifying and definitional attributes
Metadata item type:	Data Element
Short name:	Level of psychiatric symptom severity (CGAS score)
METEOR identifier:	575056
Registration status:	Health, Superseded 28/02/2017 Independent Hospital Pricing Authority, Standard 12/11/2015
Definition:	An assessment of the severity of a person's psychiatric symptoms, as represented by a Children's Global Assessment Scale (CGAS) score-based code.
Context:	Psychiatric symptom severity, persons aged 17 years and under.
Data Element Concept:	Person—level of psychiatric symptom severity
Value Domain:	Children's Global Assessment Scale score code N[NN]

Value domain attributes
Representational attributes
Representation class:	Code
Data type:	Number
Format:	N[NN]
Maximum character length:	3
	Value	Meaning
Supplementary values:	997	Unable to rate
	999	Not stated/missing

Collection and usage attributes

Guide for use:

The Children's Global Assessment Scale (CGAS) was developed to provide a measure of severity of disturbance in children and adolescents. It is designed to reflect the lowest level of functioning for a child or an adolescent during a specified period.

The measure provides a single global rating only, on a scale of 1 to 100. Clinicians assign a score, with 1 representing the most functionally impaired child, and 100 the healthiest child.

Scale ranges:

100-91	Superior functioning in all areas
90-81	Good functioning in all areas
80-71	No more than slight impairments in functioning
70-61	Some difficulty in a single area but generally functioning pretty well
60-51	Variable functioning with sporadic difficulties or symptoms in several but not all social areas
50-41	Moderate interference in functioning in most social areas or severe impairment of functioning in one area
40-31	Major impairment of functioning in several areas and unable to function in one of these areas
30-21	Unable to function in almost all areas
20-11	Needs considerable supervision
10-1	Needs constant supervision

Source and reference attributes
Submitting organisation:	Independent Hospital Pricing Authority
Reference documents:	Australian Mental Health Outcomes and Classification Network 2005. Training Manual: Child & Adolescent All Service Settings. Viewed 22 May 2014, http://amhocn.org/static/files/assets/7ceb5dda/ Child_Adolescent_Manual.pdf

Source and reference attributes

Submitting organisation:

Independent Hospital Pricing Authority

Reference documents:

Australian Mental Health Outcomes and Classification Network 2005. Training Manual: Child & Adolescent All Service Settings. Viewed 22 May 2014,

http://amhocn.org/static/files/assets/7ceb5dda/
Child_Adolescent_Manual.pdf

Data element attributes
Source and reference attributes
Submitting organisation:	Independent Hospital Pricing Authority
Reference documents:	Australian Mental Health Outcomes and Classification Network 2005. Training Manual: Child & Adolescent All Service Settings. Viewed 22 May 2014, http://amhocn.org/static/files/assets/7ceb5dda/ Child_Adolescent_Manual.pdf
Relational attributes
Related metadata references:	Has been superseded by Person—level of psychiatric symptom severity, Children's Global Assessment Scale score code N[NN] Health, Standard 28/02/2017
Implementation in Data Set Specifications: All attributes +	Activity based funding: Mental health care DSS 2016-17 Independent Hospital Pricing Authority, Superseded 28/02/2017 DSS specific attributes + Implementation start date: 01/07/2016 Implementation end date: 30/06/2017 Conditional obligation: Reporting of the CGAS at the start of the mental health phase of care is mandatory for patients in all settings. Reporting of the CGAS is not mandatory if mental health phase of care is reported as Assessment Only. The CGAS should only be reported for patients aged 17 years and under. Admitted patient mental health care cluster Independent Hospital Pricing Authority, Standard 15/10/2014 DSS specific attributes + Conditional obligation: Reporting of the CGAS is mandatory at admission and separation for admitted patients in psychiatric hospitals or designated psychiatric units in acute hospitals. Reporting is optional for admitted patients in non-designated hospitals or units. The CGAS should only be reported for patients aged 17 years and under. Ambulatory patient mental health care cluster Independent Hospital Pricing Authority, Standard 15/10/2014 DSS specific attributes + Conditional obligation: For the purposes of this DSS, an ambulatory episode is defined as a period of continuous contact between a consumer and a mental health service within an ambulatory service setting. This is consistent with the definition in the National Outcomes and Casemix Collection. Reporting of the CGAS is mandatory for the first service contact of an ambulatory mental health care episode provided by a specialised mental health service. Reporting is optional for service contacts provided by specialised mental health services from non-government organisations that receive state or territory government funding. Reporting is optional for service events provided by non-specialised mental health services. The CGAS should only be reported for patients aged 17 years and under. DSS specific information: The CGAS for the first service contact may be derived from the CGAS admission value submitted for the patient's ambulatory care episode as part of the National Outcomes and Casemix Collection reporting requirements. Residential patient mental health care cluster Independent Hospital Pricing Authority, Standard 15/10/2014 DSS specific attributes + Conditional obligation: Reporting of CGAS at admission is mandatory for residential mental health care services that are included in the General list of in-scope public hospital services, which have been developed under the National Health Reform Agreement (2011). Reporting is optional for episodes of residential mental health care provided by government-funded, non-government operated services. The CGAS should only be reported for patients aged 17 years and under.

Person—level of psychiatric symptom severity, Children's Global Assessment Scale score code N[NN]

Identifying and definitional attributes

Value domain attributes

Representational attributes

Collection and usage attributes

Source and reference attributes

Data element attributes

Source and reference attributes

Relational attributes

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Person—level of psychiatric symptom severity, Children's Global Assessment Scale score code N[NN]

Data Element Attributes

Identifying and definitional attributes

Value domain attributes

Representational attributes

Collection and usage attributes

Source and reference attributes

Data element attributes

Source and reference attributes

Relational attributes

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