Episode of admitted patient care—palliative care phase, code N
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
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| Short name: | Palliative care phase |
| METEOR identifier: | 611627 |
| Registration status: | Health, Superseded 25/01/2018 Tasmanian Health, Superseded 19/05/2020 |
| Definition: | The patient's stage of illness or situation within the episode of care in terms of the recognised phases of palliative care, as represented by a code. |
| Data Element Concept: | Episode of admitted patient care—palliative care phase |
| Value Domain: | Palliative care phase code N |
Value domain attributes | ||
Representational attributes | ||
| Representation class: | Code | |
|---|---|---|
| Data type: | Number | |
| Format: | N | |
| Maximum character length: | 1 | |
| Value | Meaning | |
| Permissible values: | 1 | Stable |
| 2 | Unstable | |
| 3 | Deteriorating | |
| 4 | Terminal | |
| Supplementary values: | 9 | Not reported |
Collection and usage attributes | |
| Guide for use: | The palliative care phase is the stage of the palliative care patient’s illness. CODE 1 Stable The patient symptoms are adequately controlled by established management. Further interventions to maintain symptom control and quality of life have been planned. The situation of the family/carers is relatively stable and no new issues are apparent. Any needs are met by the established plan of care. CODE 2 Unstable The patient experiences the development of a new unexpected problem or a rapid increase in the severity of existing problems, either of which require an urgent change in management or emergency treatment. The family/carers experience a sudden change in their situation requiring urgent intervention by members of the multidisciplinary team. CODE 3 Deteriorating The patient experiences a gradual worsening of existing symptoms or the development of new but expected problems. These require the application of specific plans of care and regular review but not urgent or emergency treatment. The family/carers experience gradually worsening distress and other difficulties, including social and practical difficulties, as a result of the illness of the person. This requires a planned support program and counselling as necessary. CODE 4 Terminal Death is likely in a matter of days and no acute intervention is planned or required. The typical features of a person in this phase may include the following:
This requires the use of frequent, usually daily, interventions aimed at physical, emotional and spiritual issues. The family/carers recognise that death is imminent and care is focussed on emotional and spiritual issues as a prelude to bereavement. CODE 9 Not reported The phase of the illness has not been reported. Palliative care phases are not sequential and a patient may move back and forth between phases. Palliative care phases provide a clinical indication of the type of care required and have been shown to correlate strongly with survival within longitudinal prospective studies. |
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Source and reference attributes | |
| Origin: | Palliative Care Outcomes Collaboration (PCOC) 2009. PCOC V2 Data Definitions and Guidelines. Australian Health Services Research Institute, University of Wollongong, Wollongong. Viewed 24 August 2012, |
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Data element attributes | |
Collection and usage attributes | |
| Guide for use: | The bereavement phase of palliative care must not be recorded when reporting this data element. There are only three phases in the paediatric palliative care branch in the Australian National Subacute and Non‐Acute Patient (AN-SNAP) version 4: stable, complex and terminal. As there are no paediatric versions of the palliative care phase tool, a paediatric patient is considered to be in the complex phase when the palliative care phase tool indicates an unstable or deteriorating phase. Therefore, the unstable or deteriorating phase codes should be reported as assessed for paediatric patients. |
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| Collection methods: | The type of phase is to be recorded at the start of the episode of admitted patient palliative care and for every subsequent change in phase thereafter during the same admitted patient episode. The palliative care provider reviews the patient daily (or at each visit) and records phase changes if and when they occur during the episode. |
Source and reference attributes | |
| Submitting organisation: | Independent Hospital Pricing Authority |
| Reference documents: | Green J, Gordon R, Kobel C, Blanchard M and Eagar K. 2015. AN-SNAP V4 User Manual. Independent Hospital Pricing Authority, Sydney. Viewed 15 June 2015, http://ihpa.gov.au/internet/ihpa/publishing.nsf/ |
Relational attributes | |
| Related metadata references: | Supersedes Episode of admitted patient care—palliative care phase, code N Health, Superseded 19/11/2015 Independent Hospital Pricing Authority, Standard 31/10/2012 Has been superseded by Episode of admitted patient care—palliative care phase, code N Independent Hospital Pricing Authority, Standard 03/11/2016 |
| Implementation in Data Set Specifications: | Admitted subacute and non-acute hospital care NBEDS 2016-17 Health, Superseded 03/11/2016 Tasmanian Subacute/Non-acute Data Set - 2016 Tasmanian Health, Superseded 18/01/2018 Tasmanian Subacute/Non-acute Data Set - 2017 Tasmanian Health, Superseded 18/01/2018 Tasmanian Subacute/Non-acute Data Set - 2018 Tasmanian Health, Superseded 06/05/2020 Tasmanian Subacute/Non-acute Data Set - 2019 Tasmanian Health, Superseded 06/05/2020 |