Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type:![]() | Data Element |
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Short name:![]() | Level of psychiatric symptom severity (HoNOS score) |
METEOR identifier:![]() | 575166 |
Registration status:![]() |
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Definition:![]() | An assessment of the severity of a person's psychiatric symptoms, as represented by a HoNOS score-based code. |
Context:![]() | Psychiatric symptom severity, persons aged 18 to 64 years. |
Data Element Concept:![]() | Person—level of psychiatric symptom severity |
Value domain attributes | |||||||||||||
Representational attributes | |||||||||||||
Representation class:![]() | Code | ||||||||||||
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Data type:![]() | Number | ||||||||||||
Format:![]() | N | ||||||||||||
Maximum character length:![]() | 1 | ||||||||||||
Permissible values:![]() |
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Collection and usage attributes | |||||||||||||
Guide for use:![]() | The Health of the Nation Outcome Scale (HoNOS) is used to rate adult mental health service users. Together, the scales rate various aspects of mental and social health. HoNOS is answered on an item-specific anchored 4-point scale with higher scores indicating more problems. Each scale is assigned a value of between 0 and 4. The twelve scales are as follows:
The sum of the individual scores of each of the scales represents the total HoNOS score. The total HoNOS score ranges from 0 to 48, and represents the overall severity of an individual's psychiatric symptoms. | ||||||||||||
Source and reference attributes | |||||||||||||
Submitting organisation:![]() | Independent Hospital Pricing Authority | ||||||||||||
Data element attributes | |||||||||||||
Source and reference attributes | |||||||||||||
Submitting organisation:![]() | Independent Hospital Pricing Authority | ||||||||||||
Reference documents:![]() | Health of the Nation Outcome Scales (HoNOS), Royal College of Psychiatrists 1996. Viewed 17 October 2013, | ||||||||||||
Relational attributes | |||||||||||||
Related metadata references:![]() | Has been superseded by Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N
See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N
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Implementation in Data Set Specifications:![]() | Independent Hospital Pricing Authority, Superseded 28/02/2017 Implementation start date: 01/07/2016 Implementation end date: 30/06/2017 Conditional obligation: Reporting of the HoNOS at the start of the mental health phase of care is mandatory for patients in all settings. Reporting of the HoNOS is not mandatory if mental health phase of care is reported as Assessment Only. The HoNOS should only be reported for patients aged 18 years to 64 years. Independent Hospital Pricing Authority, Standard 15/10/2014 Conditional obligation: Reporting of the HoNOS at admission and separation is mandatory 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 HoNOS should only be reported for patients aged between 18 and 64 years. The HoNOS discharge rating is not required if the episode of admitted care had a length of stay of 3 days or less. Independent Hospital Pricing Authority, Standard 15/10/2014 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 HoNOS is mandatory for the first and last service contacts 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 HoNOS should only be reported for patients aged between 18 and 64 years. DSS specific information: The HoNOS for the first service contact may be derived from the HoNOSCA admission rating submitted for the patient's ambulatory care episode as part of the National Outcomes and Casemix Collection reporting requirements. The HoNOS for the last service contact may be derived from the HoNOSCA discharge rating submitted for the patient's ambulatory care episode as part of the National Outcomes and Casemix Collection reporting requirements. Independent Hospital Pricing Authority, Standard 15/10/2014 Conditional obligation: Reporting of HoNOS at admission and separation 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 HoNOS should only be reported for patients aged between 18 and 64 years. | ||||||||||||
Implementation in Indicators:![]() |
Used as Numerator
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