Hospital service—care type, code N[N]
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
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Short name: | Care type |
METEOR identifier: | 584408 |
Registration status: | Health, Superseded 03/04/2019 |
Definition: | The overall nature of a clinical service provided to an admitted patient during an episode of care (admitted care), or the type of service provided by the hospital for boarders or posthumous organ procurement (care other than admitted care), as represented by a code. |
Context: | Admitted patient care and hospital activity: For admitted patients, the type of care received will determine the appropriate casemix classification employed to classify the episode of care. |
Data element concept attributes | |
Identifying and definitional attributes | |
Data element concept: | Hospital service—care type |
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METEOR identifier: | 510083 |
Registration status: | Tasmanian Health, Standard 05/09/2016 Health, Superseded 03/04/2019 |
Definition: | The overall nature of a clinical service provided to an admitted patient during an episode of care (admitted care), or the type of service provided by the hospital for boarders or posthumous organ procurement (care other than admitted care). |
Context: | Admitted patient care and hospital activity: For admitted patients, the type of care received will determine the appropriate casemix classification employed to classify the episode of care. |
Object class: | Hospital service |
Property: | Care type |
Value domain attributes | |
Identifying and definitional attributes | |
Value domain: | Hospital care type code N[N] |
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METEOR identifier: | 544596 |
Registration status: | Health, Superseded 03/04/2019 |
Definition: | A code set representing the overall nature of a service provided by a hospital. |
Collection and usage attributes | |
Guide for use: | Admitted care can be one of the following: CODE 1 Acute care Acute care is care in which the primary clinical purpose or treatment goal is to:
Acute care excludes care which meets the definition of mental health care. CODE 2 Rehabilitation care Rehabilitation care is care in which the primary clinical purpose or treatment goal is improvement in the functioning of a patient with an impairment, activity limitation or participation restriction due to a health condition. The patient will be capable of actively participating. Rehabilitation care is always:
Rehabilitation care excludes care which meets the definition of mental health care. CODE 3 Palliative care Palliative care is care in which the primary clinical purpose or treatment goal is optimisation of the quality of life of a patient with an active and advanced life-limiting illness. The patient will have complex physical, psychosocial and/or spiritual needs. Palliative care is always:
Palliative care excludes care which meets the definition of mental health care. CODE 4 Geriatric evaluation and management Geriatric evaluation and management is care in which the primary clinical purpose or treatment goal is improvement in the functioning of a patient with multi-dimensional needs associated with medical conditions related to ageing, such as tendency to fall, incontinence, reduced mobility and cognitive impairment. The patient may also have complex psychosocial problems. Geriatric evaluation and management is always:
Geriatric evaluation and management excludes care which meets the definition of mental health care. CODE 5 Psychogeriatric care Psychogeriatric care is care in which the primary clinical purpose or treatment goal is improvement in the functional status, behaviour and/or quality of life for an older patient with significant psychiatric or behavioural disturbance, caused by mental illness, an age-related organic brain impairment or a physical condition. Psychogeriatric care is always:
Psychogeriatric care is not applicable if the primary focus of care is acute symptom control. Psychogeriatric care excludes care which meets the definition of mental health care. CODE 6 Maintenance care Maintenance (or non-acute) care is care in which the primary clinical purpose or treatment goal is support for a patient with impairment, activity limitation or participation restriction due to a health condition. Following assessment or treatment the patient does not require further complex assessment or stabilisation. Patients with a care type of maintenance care often require care over an indefinite period. Maintenance care excludes care which meets the definition of mental health care. CODE 7 Newborn care Newborn care is initiated when the patient is born in hospital or is nine days old or less at the time of admission. Newborn care continues until the care type changes or the patient is separated:
Within a newborn episode of care, each day after the baby turns 10 days of age is counted as a qualified patient day. Newborn qualified days are equivalent to acute days and may be denoted as such. CODE 11 Mental health care Mental health care is care in which the primary clinical purpose or treatment goal is improvement in the symptoms and/or psychosocial, environmental and physical functioning related to a patient’s mental disorder. Mental health care:
CODE 88 Other admitted patient care Other admitted patient care is care that does not meet the definitions above. Care other than admitted care can be one of the following: CODE 9 Organ procurement—posthumous Organ procurement—posthumous is the procurement of human tissue for the purpose of transplantation from a donor who has been declared brain dead. Diagnoses and procedures undertaken during this activity, including mechanical ventilation and tissue procurement, should be recorded in accordance with the relevant ICD-10-AM Australian Coding Standards. These patients are not admitted to the hospital but are registered by the hospital. CODE 10 Hospital boarder A hospital boarder is a person who is receiving food and/or accommodation at the hospital but for whom the hospital does not accept responsibility for treatment and/or care. Hospital boarders are not admitted to the hospital. However, a hospital may register a boarder. Babies in hospital at age 9 days or less cannot be boarders. They are admitted patients with each day of stay deemed to be either qualified or unqualified. |
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Comments: | Unqualified newborn days (and separations consisting entirely of unqualified newborn days) are not to be counted for all purposes, and they are ineligible for health insurance benefit purposes. |
Source and reference attributes | |
Submitting organisation: | Australian Institute of Health and Welfare |
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Steward: | Australian Institute of Health and Welfare |