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Cluster Admitted patient care NMDS 2015-16 Mandatory 1 -
Cluster Elective surgery waiting times cluster Conditional obligation:
This data element cluster is to be reported for patients on waiting lists for elective surgery, which are managed by public acute hospitals and have a category 1 or 2 assigned for the reason for removal from the elective surgery waiting list.Conditional 99 - Elective care waiting list episode—listing date for care, DDMMYYYY Mandatory 1 - Elective surgery waiting list episode—clinical urgency, code N Mandatory 1 - Elective surgery waiting list episode—extended wait patient indicator, code N Mandatory 1 - Elective surgery waiting list episode—indicator procedure, code NN Mandatory 1 - Elective surgery waiting list episode—overdue patient status, code N Mandatory 1 - Elective surgery waiting list episode—reason for removal from a waiting list, code N Mandatory 1 - Elective surgery waiting list episode—surgical specialty (of scheduled doctor), code NN Mandatory 1 - Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Mandatory 1 - Establishment—organisation identifier (Australian), NNX[X]NNNNN Conditional obligation:
This is the establishment identifier of the contracting hospital and is reported for contracted patients only.Conditional 1 - Address—Australian postcode, Australian postcode code (Postcode datafile) {NNNN} DSS specific information:
To be reported for the address of the patient.Mandatory 1 - Contracted hospital care—organisation identifier, NNX[X]NNNNN Mandatory 1 - Episode of admitted patient care (newborn)—number of qualified days, total N[NNNN] Conditional obligation:
Only required to be reported for episodes of care for patients with a care type of newborn care.
Conditional 1 - Episode of admitted patient care—admission date, DDMMYYYY DSS specific information:
Right justified and zero filled.
admission date ≤ separation date
admission date ≥ date of birth
Mandatory 1 - Episode of admitted patient care—admission mode, code N Mandatory 1 - Episode of admitted patient care—admission urgency status, code N Mandatory 1 - Episode of admitted patient care—condition onset flag, code N Mandatory 99 - Episode of admitted patient care—duration of continuous ventilatory support, total hours NNNN Conditional obligation:
This data element is only required to be reported for episodes of care where the admitted patient spent time on continuous ventilatory support.Conditional 1 - Episode of admitted patient care—intended length of hospital stay, code N Mandatory 1 - Episode of admitted patient care—length of stay in intensive care unit, total hours NNNN Conditional obligation:
The data element is only required to be reported for episodes of care where the admitted patient spent time in an intensive care unit.Conditional 1 - Episode of admitted patient care—number of days of hospital-in-the-home care, total {N[NN]} Mandatory 1 - Episode of admitted patient care—number of leave days, total N[NN] DSS specific information:
For the provision of state and territory hospital data to Commonwealth agencies:
(Episode of admitted patient care—separation date, DDMMYYYY minus Episode of admitted patient care—admission date, DDMMYYYY ) minus Admitted patient hospital stay—number of leave days, total N[NN] must be ≥ 0 days.
Mandatory 1 - Episode of admitted patient care—patient election status, code N Mandatory 1 - Episode of admitted patient care—procedure, code (ACHI 9th edn) NNNNN-NN DSS specific information:
As a minimum requirement procedure codes must be valid codes from the Australian Classification of Health Interventions (ACHI) procedure codes and validated against the nationally agreed age and sex edits. More extensive edit checking of codes may be utilised within individual hospitals and state and territory information systems.
An unlimited number of diagnosis and procedure codes should be able to be collected in hospital morbidity systems. Where this is not possible, a minimum of 20 codes should be able to be collected.
Record all procedures undertaken during an episode of care in accordance with the ACHI (9th edition) Australian Coding Standards.
The order of codes should be determined using the following hierarchy:
procedure performed for treatment of the principal diagnosis
procedure performed for the treatment of an additional diagnosis
diagnostic/exploratory procedure related to the principal diagnosis
diagnostic/exploratory procedure related to an additional diagnosis for the episode of care. Mandatory 99 - Episode of admitted patient care—referral source, public psychiatric hospital code NN Conditional obligation:
The data element is only required to be reported for episodes of care where the admitted patient spent time in a public psychiatric hospital.Conditional 1 - Episode of admitted patient care—separation date, DDMMYYYY DSS specific information:
For the provision of state and territory hospital data to Commonwealth agencies this field must:
be ≤ last day of financial year
be ≥ first day of financial year
be ≥ Admission date Mandatory 1 - Episode of admitted patient care—separation mode, code N Mandatory 1 - Episode of care—additional diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]} Conditional obligation:
This data element is only to be reported if the episode of care results in more than one diagnosis code being allocated.DSS specific information:
An unlimited number of diagnosis and procedure codes should be able to be collected in hospital morbidity systems. Where this is not possible, a minimum of 20 codes should be able to be collected.Conditional 99 - Episode of care—inter-hospital contracted patient status, code N Mandatory 1 - Episode of care—mental health legal status, code N Mandatory 1 - Episode of care—number of psychiatric care days, total N[NNNN] DSS specific information:
Total days in psychiatric care must be: ≥ zero; and ≤ length of stay.Mandatory 1 - Episode of care—principal diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]} Conditional obligation:
The principal diagnosis is a major determinant in the classification of Australian Refined Diagnosis Related Groups and Major Diagnostic Categories.
Where the principal diagnosis is recorded prior to discharge (as in the annual census of public psychiatric hospital patients), it is the current provisional principal diagnosis. Only use the admission diagnosis when no other diagnostic information is available. The current provisional diagnosis may be the same as the admission diagnosis.
Mandatory 1 - Episode of care—source of funding, patient funding source code NN Mandatory 1 - Establishment—Australian state/territory identifier, code N DSS specific information:
This data element applies to the location of the establishment and not to the patient's area of usual residence.Mandatory 1 - Establishment—geographic remoteness, admitted patient care remoteness classification (ASGS-RA) N Mandatory 1 - Establishment—organisation identifier (state/territory), NNNNN Mandatory 1 - Establishment—region identifier, X[X] Mandatory 1 - Establishment—sector, code N Mandatory 1 - Hospital service—care type, code N[N] Mandatory 1 - Injury event—activity type, code (ICD-10-AM 9th edn) ANN{.N[N]} DSS specific information:
As a minimum requirement, the external cause codes must be listed in the ICD-10-AM classification.Mandatory 99 - Injury event—external cause, code (ICD-10-AM 9th edn) ANN{.N[N]} DSS specific information:
As a minimum requirement, the external cause codes must be listed in the ICD-10-AM classification.Mandatory 99 - Injury event—place of occurrence, code (ICD-10-AM 9th edn) ANN{.N[N]} DSS specific information:
To be used with ICD-10-AM external cause codes.Mandatory 99 - Patient—hospital insurance status, code N Mandatory 1 - Person—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9) Mandatory 1 - Person—country of birth, code (SACC 2011) NNNN Mandatory 1 - Person—date of birth, DDMMYYYY DSS specific information:
This field must not be null.
National minimum data sets:
For the provision of state and territory hospital data to Commonwealth agencies this field must:
be less than or equal to 'Admission date', 'Date patient presents' or 'Service contact date'
be consistent with diagnoses and procedure codes, for records to be grouped. Mandatory 1 - Person—eligibility status, Medicare code N Mandatory 1 - Person—Indigenous status, code N Mandatory 1 - Person—person identifier, XXXXXX[X(14)] Mandatory 1 - Person—sex, code N Mandatory 1 - Person—weight (measured), total grams NNNN Conditional obligation:
Weight on the date the infant is admitted should be recorded if the weight is less than or equal to 9,000 grams and age is less than 365 days.DSS specific information:
For the provision of state and territory hospital data to Commonwealth agencies this metadata item must be consistent with diagnoses and procedure codes for valid grouping.Conditional 1 - Record—identifier, X[X(79)] DSS specific information:
In the context of the Admitted patient care NMDS, the Record identifier data element exists to aid with data processing. This data element is generated for inclusion in data submissions to facilitate referencing of specific records in discussions between the receiving agency and the reporting body. It is to be used solely for this purpose.
When stipulated in a data specification, each record in a data submission will be assigned a unique numeric or alphanumeric record identifier to permit easy referencing of individual records in discussions between the receiving agency and the reporting body. The unique record identifier assigned by the reporting body should be generated in a fashion that allows the associated data record to be traced to its original form in the reporting body's source database.
Reporting jurisdictions may use their own alphabetic, numeric or alphanumeric coding system.
This field cannot be left blank.
Mandatory 1 - Episode of admitted patient care—clinical assessment only indicator, yes/no/unknown/not stated/inadequately described code N Conditional obligation:
Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as:
Code 2, Rehabilitation care;
Code 3, Palliative care;
Code 4, Geriatric evaluation and management;
Code 5, Psychogeriatric care; or
Code 6, Maintenance care. Not required to be reported for patients aged 16 years and under at admission.
Conditional 1 - Episode of admitted patient care—palliative care phase, code N Conditional obligation:
Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care.
DSS specific information:
For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the palliative care phase palliative care phase
Conditional 11 - Episode of admitted patient care—palliative phase of care end date, DDMMYYYY Conditional obligation:
Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care.
DSS specific information:
For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the palliative care phase end date must be reported for each palliative care phase
Conditional 11 - Episode of admitted patient care—palliative phase of care start date, DDMMYYYY Conditional obligation:
Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care.
DSS specific information:
For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the palliative care phase start date must be reported for each palliative care phase
Conditional 11 - Episode of admitted patient care—primary impairment type, code (AROC 2012) NN.NNNN Conditional obligation:
Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 2, Rehabilitation care.
Conditional 1 - Episode of admitted patient care—type of maintenance care provided, code N[N] Conditional obligation:
Conditional obligation:
Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 6, Maintenance care.
Only required to be reported when the Episode of admitted patient care—clinical assessment only indicator, yes/no code N value is recorded as Code 2, No.
Not required to be reported for patients aged 16 years and under at admission.
Conditional 1 - Person—level of cognitive ability, Standardised Mini-Mental State Examination assessment code N Conditional obligation:
Only one set of SMMSE scores per Geriatric Evaluation and Management episode are required to be reported.
Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 4, Geriatric evaluation and management.
Only required to be reported when the Episode of admitted patient care—clinical assessment only indicator, yes/no code N value is recorded as Code 2, No.
Conditional 12 - Person—level of functional independence, Functional Independence Measure score code N Conditional obligation:
Only the Functional Independence Measure scores at admission are required to be reported.
Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as:
Code 2, Rehabilitation care; or
Code 4, Geriatric evaluation and management.
Conditional 18 - Person—level of functional independence, Resource Utilisation Groups– Activities of Daily Living total score code N[N] Conditional obligation:
Only the Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) scores at admission are required to be reported for maintenance care episodes.
RUG-ADL scores at palliative care phase start should be reported for all palliative care phases.
Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as:
Code 3, Palliative care; or
Code 6, Maintenance care. DSS specific information:
For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the RUG-ADL scores must be reported for each palliative care phase
Conditional 11 - Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N Conditional obligation:
Only the HoNOS65+ scores at admission are required to be reported.
Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 5, Psychogeriatric care.
Conditional 12 
