Episode of admitted patient care—palliative care phase, code N

Identifying and definitional attributes
Metadata item type:	Data Element
Short name:	Palliative care phase
METEOR identifier:	638918
Registration status:	Independent Hospital Pricing Authority, Standard 03/11/2016
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 attributes

Identifying and definitional attributes

Data element concept:

Episode of admitted patient care—palliative care phase

METEOR identifier:

654609

Registration status:

Health, Not progressed 17/07/2017
Independent Hospital Pricing Authority, Standard 03/11/2016

Definition:

The patient's stage of illness or situation within the episode of care in terms of the recognised phases of palliative care.

Object class:

Episode of admitted patient care

Property:

Palliative care phase

Value domain attributes

Identifying and definitional attributes

Value domain:

Palliative care phase code N

METEOR identifier:

639015

Registration status:

Health, Not progressed 17/07/2017
Independent Hospital Pricing Authority, Standard 03/11/2016

Definition:

A code set representing the phases of palliative care.

Representational attributes

Representation class:

Code

Data type:

Number

Format:

Maximum character length:

Permissible values:

Value	Meaning
1	Stable
2	Unstable
3	Deteriorating
4	Terminal

Supplementary values:

Value	Meaning
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

Patient problems and symptoms are adequately controlled by established plan of care and

Further interventions to maintain symptom control and quality of life have been planned and
Family/carer situation is relatively stable and no new issues are apparent.

CODE 2 Unstable

An urgent change in the plan of emergency treatment is required because

Patient experiences a new problem that was not anticipated in the existing plan of care, and/or
Patient experiences a rapid increase in the severity of a current problem; and/or
Family/ carers circumstances change suddenly impacting on patient care.

CODE 3 Deteriorating

The care plan is addressing anticipated needs but requires periodic review because

Patients overall functional status is declining and
Patient experiences a gradual worsening of existing problemand/or
Patient experiences a new but anticipated problem and/or
Family/carers experience gradual worsening distress that impacts on the patient care.

CODE 4 Terminal

Death is likely within days.

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.

Source and reference attributes

Origin:

Palliative Care Outcomes Collaboration 2014. Palliative Care Outcomes Collaboration Clinical Manual. Australian Health Services Research Institute, University of Wollongong, Sydney. Viewed 19 May 2016, http://ahsri.uow.edu.au/content/groups/public/@web/@chsd/@pcoc/
documents/doc/uow129133.pdf

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.

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/
Content/C48C490F92D74111CA257AD900132744/$File/
AN-SNAP%20classification%20version%204%20User%20Manual.pdf

Relational attributes

Related metadata references:

Implementation in Data Set Specifications: