- | Admitted patient care NMDS 2017-18 | 641349 |
|
| |
- | Elective surgery waiting times cluster | 650219 |
|
| 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. |
- | Listing date for care | 269957 | Date/Time
[8]
| DDMMYYYY
The day of a particular month and year. | |
- | Clinical urgency | 598034 | Number
[1]
| 1 | Procedures that are clinically indicated within 30 days | 2 | Procedures that are clinically indicated within 90 days | 3 | Procedures that are clinically indicated within 365 days |
| |
- | Intended procedure | 683718 | String
[3]
| 001 | Cataract extraction (with or without intra-ocular lens insertion) | 002 | Cholecystectomy (open/laparoscopic) | 003 | Coronary artery bypass grafting | 004 | Cystoscopy | 005 | Haemorrhoidectomy | 006 | Hysterectomy (abdominal/vaginal/laparoscopic) | 007 | Inguinal herniotomy/herniorrhaphy | 008 | Myringoplasty/tympanoplasty | 010 | Prostatectomy (transurethral or open) | 011 | Septoplasty | 012 | Tonsillectomy (with or without adenoidectomy) | 013 | Total hip replacement | 014 | Total knee replacement | 015 | Varicose veins treatment | 016 | Myringotomy (without insertion of grommets) | 017 | Pressure equalising tubes (grommets) - insertion of | 018 | Abdominal or thoracic aortic aneurysm - repair/replacement | 019 | Acromioplasty/arthroscopy shoulder/sub acromial decompression | 020 | Adenoidectomy | 021 | Amputation of limb | 022 | Anal fissure - repair of | 023 | Anterior cruciate ligament reconstruction | 024 | Arthrodesis | 025 | Arthroplasty - revision of | 026 | Arthroscopy | 028 | Axillary node dissection | 029 | Bartholin's abscess drainage | 030 | Bartholin's cyst - removal of | 031 | Bladder neck incision | 032 | Blepharoplasty | 033 | Branchial apparatus remnant - removal of | 034 | Breast lump - excision and/or biopsy | 035 | Breast prosthesis - removal of | 036 | Breast reconstruction | 037 | Breast reduction | 038 | Bunion (hallux valgus) - removal of | 039 | Carotid endarterectomy | 040 | Carpal tunnel release | 041 | Cerebral haematoma - evacuation of | 042 | Cervical discectomy and fusion | 043 | Chalazion - excision of | 044 | Chiari malformation decompression | 045 | Circumcision | 046 | Cleft lip and palate - repair of | 047 | Colectomy/anterior resection/large bowel resection | 048 | Common peroneal nerve release | 049 | Cone biopsy | 050 | Congenital cardiac defect/s – procedure for | 051 | Congenital pulmonary lesion - removal of | 052 | Corneal graft | 053 | Cranioplasty | 054 | Craniotomy | 055 | Curettage and evacuation of uterus | 056 | Cystectomy | 057 | Dacryocystorhinostomy | 058 | Dermoid cyst - removal of | 059 | Dialysis access surgery | 060 | Diathermy of wart/s | 061 | Discectomy | 062 | Dupytren’s contracture release | 063 | Ectropion - correction of | 064 | Endometrial ablation | 065 | Epididymal cyst - removal of | 066 | Ethmoidectomy | 067 | Examination of eye under anaesthesia | 068 | Exostosis - excision of | 069 | Female sterilisation | 070 | Femoro-popliteal bypass graft | 071 | Fracture non-union - treatment of | 072 | Functional endoscopic sinus surgery | 073 | Fundoplication | 074 | Ganglion - excision of | 075 | Hammer/claw/mallet toe - correction of | 076 | Heart valve replacement | 077 | Herniorrhaphy | 078 | Hydrocele - repair of | 079 | Hypospadias - repair of | 080 | Hysteroscopy, dilatation and curettage | 081 | Insertion of ventricular peritoneal shunt | 082 | Laminectomy | 083 | Laparoscopy | 084 | Large loop excision of the transformation zone cervix (LLETZ) | 085 | Laryngectomy | 086 | Lingual or maxillary frenulum surgery | 087 | Lithotripsy | 088 | Lobectomy/wedge resection/pneumonectomy | 089 | Lymphangioma - surgery for | 090 | Mastectomy | 091 | Mastoidectomy | 092 | Meatoplasty | 093 | Meniscectomy | 094 | Microlaryngoscopy | 095 | Muscle biopsy/temporal artery biopsy | 096 | Muscle or tendon length - change of | 097 | Myomectomy | 098 | Nasal cautery | 099 | Nasal polypectomy | 100 | Nasendoscopy | 101 | Neonatal surgery | 102 | Nephrectomy | 103 | Nerve decompression | 104 | Nerve decompression of spinal cord | 105 | Orchidectomy | 106 | Orchidopexy | 107 | Osteotomy | 108 | Parathyroidectomy | 109 | Parotidectomy/submandibular gland - excision of | 110 | Pectus surgery | 111 | Pedicle screw fusion | 112 | Pharyngoplasty | 113 | Pharynx - excision of | 114 | Pilonidal sinus surgery | 115 | Pleurodesis | 116 | Posterior fossa decompression | 117 | Probing of naso-lacrimal duct | 118 | Procedure for strabismus (squint repair) | 119 | Prostate biopsy | 120 | Pterygium - excision of | 121 | Ptosis - repair of | 122 | Pyeloplasty/correction of ureteropelvic junction | 123 | Pyogenic granuloma - removal of | 124 | Radical neck dissection | 125 | Repair of obstructing hiatus hernia | 126 | Replacement of aortic aneurysm with bifurcation graft | 127 | Removal of intracranial lesion | 128 | Rhinoplasty | 129 | Rotator cuff - repair of | 130 | Salpingo-oophorectomy/oophorectomy/ovarian cystectomy | 131 | Scar revision | 132 | Shoulder joint replacement | 133 | Shoulder reconstruction | 134 | Skin lesion - excision of | 135 | Stapedectomy | 136 | Stone/s urinary tract - removal of | 137 | Stress incontinence surgery | 138 | Sub-mucosal resection | 139 | Tendon release | 140 | Tenotomy of hip | 141 | Thyroglossal remnant - removal of | 142 | Thyroidectomy/hemi-thyroidectomy | 143 | Toenail surgery | 144 | Trabeculectomy | 145 | Trigger finger/thumb release | 146 | Turbinectomy | 147 | Untethering of spinal cord | 148 | Ureteric - reimplantation | 149 | Ureteric stent - insertion of | 150 | Urethra - dilatation of | 151 | Vaginal repair - anterior/posterior | 152 | Vitrectomy (including buckling/cryotherapy) | 888 | Other |
| |
- | Overdue patient | 613691 | Number
[1]
| | |
- | Reason for removal from elective surgery waiting list | 471735 | Number
[1]
| 1 | Admitted as an elective patient for awaited procedure by or on behalf of this hospital or the state/territory | 2 | Admitted as an emergency patient for awaited procedure by or on behalf of this hospital or the state/territory | 3 | Could not be contacted (includes patients who have died while waiting, whether or not the cause of death was related to the condition requiring treatment) | 4 | Treated elsewhere for awaited procedure, but not on behalf of this hospital or the state/territory | 5 | Surgery not required or declined | 6 | Transferred to another hospital's waiting list | 9 | Not known |
| |
- | Surgical specialty | 605195 | String
[2]
| 01 | Cardio-thoracic surgery | 02 | Otolaryngology head and neck surgery | 03 | General surgery | 04 | Gynaecology surgery | 05 | Neurosurgery | 06 | Ophthalmology surgery | 07 | Orthopaedic surgery | 08 | Plastic and reconstructive surgery | 09 | Urological surgery | 10 | Vascular surgery | 11 | Other | 12 | Paediatric surgery |
| |
- | Waiting time at removal from elective surgery waiting list | 598074 | Number
[4]
| N[NNN] Total number of days. | |
- | Establishment identifier | 269973 | String
[9]
| NNX[X]NNNNN A combination of numeric and alphanumeric characters that identify an entity. | Conditional obligation: This is the establishment identifier of the contracting hospital and is reported for contracted patients only. |
- | Australian postcode | 611398 | String
[4]
| 0097 | Not applicable | 0098 | Unknown | 0099 | Not stated/inadequately described |
| DSS specific information: To be reported for the address of the patient. |
- | Contract establishment identifier | 270013 | String
[9]
| NNX[X]NNNNN A combination of numeric and alphanumeric characters that identify an entity. | |
- | Referral destination to further care (psychiatric patients) | 269990 | Number
[1]
| 1 | Not referred | 2 | Private psychiatrist | 3 | Other private medical practitioner | 4 | Mental health/alcohol and drug in-patient facility | 5 | Mental health/alcohol and drug non in-patient facility | 6 | Acute hospital | 7 | Other |
| Conditional obligation: Only supplied for specialised mental health care patients. |
- | Number of qualified days for newborns | 270033 | Number
[5]
| N[NNNN] Total number of days. | Conditional obligation: Only required to be reported for episodes of care for patients with a care type of newborn care. |
- | Admission date | 269967 | Date/Time
[8]
| DDMMYYYY
The day of a particular month and year. | DSS specific information: Right justified and zero filled. Admission date must be less than or equal to Separation date. Admission date must be greater than or equal to Date of birth. |
- | Mode of admission | 269976 | Number
[1]
| 1 | Admitted patient transferred from another hospital | 2 | Statistical admission - episode type change | 3 | Other |
| |
- | Urgency of admission | 269986 | Number
[1]
| 1 | Urgency status assigned - emergency | 2 | Urgency status assigned - elective | 3 | Urgency status not assigned | 9 | Not known/not reported |
| |
- | Condition onset flag | 651997 | Number
[1]
| 1 | Condition with onset during the episode of admitted patient care | 2 | Condition not noted as arising during the episode of admitted patient care | 9 | Not reported |
| |
- | Duration of continuous ventilatory support | 652006 | Number
[4]
| NNNN Total number of hours. | 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. |
- | Intended length of hospital stay | 270399 | Number
[1]
| 1 | Intended same-day | 2 | Intended overnight |
| |
- | Length of stay in intensive care unit | 471553 | Number
[4]
| NNNN Total number of hours. | 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. |
- | Number of days of hospital-in-the-home care | 270305 | Number
[3]
| {N[NN]} Total number of days. | |
- | Total leave days | 270251 | Number
[3]
| N[NN] Total number of days. | 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 greater than or equal to 0 days. |
- | Admitted patient election status | 326619 | Number
[1]
| | |
- | Procedure | 641379 | String
[8]
| NNNNN-NN
The Australian Classification of Health Interventions (10th edition) code set representing procedures. | 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 (10th 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.
|
- | Source of referral to public psychiatric hospital | 269947 | String
[2]
| 01 | Private psychiatric practice | 02 | Other private medical practice | 03 | Other public psychiatric hospital | 04 | Other health care establishment | 05 | Other private hospital | 06 | Law enforcement agency | 07 | Other agency | 08 | Outpatient department | 09 | Other | 10 | Unknown |
| 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. |
- | Separation date | 270025 | Date/Time
[8]
| DDMMYYYY
The day of a particular month and year. | DSS specific information: For the provision of state and territory hospital data to Commonwealth agencies this field must: - be less than or equal to the last day of the financial year
- be greater than or equal to the first day of the financial year
- be greater than or equal to Admission date
|
- | Mode of separation | 270094 | Number
[1]
| 1 | Discharge/transfer to (an)other acute hospital | 2 | Discharge/transfer to a residential aged care service, unless this is the usual place of residence | 3 | Discharge/transfer to (an)other psychiatric hospital | 4 | Discharge/transfer to other health care accommodation (includes mothercraft hospitals) | 5 | Statistical discharge - type change | 6 | Left against medical advice/discharge at own risk | 7 | Statistical discharge from leave | 8 | Died | 9 | Other (includes discharge to usual residence, own accommodation/welfare institution (includes prisons, hostels and group homes providing primarily welfare services)) |
| |
- | Additional diagnosis | 641014 | String
[6]
| ANN{.N[N]}
The ICD-10-AM (10th edition) code set representing diagnoses. | 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. |
- | Inter-hospital contracted patient | 647105 | Number
[1]
| | Contracted (destination) hospital | 1 | Inter-hospital contracted patient from public sector hospital | 2 | Inter-hospital contracted patient from private sector hospital | | Contracting (originating) hospital | 3 | Inter-hospital contracted patient to public sector hospital | 4 | Inter-hospital contracted patient to private sector hospital | 5 | Not inter-hospital contracted | 9 | Not stated |
| |
- | Mental health legal status | 534063 | Number
[1]
| 1 | Involuntary patient | 2 | Voluntary patient | 9 | Not reported/unknown |
| |
- | Total psychiatric care days | 552375 | Number
[5]
| N[NNNN] Total number of days. | DSS specific information: Total days in psychiatric care must be greater than or equal to zero; Total days in psychiatric care must be less than or equal to Length of stay. |
- | Principal diagnosis | 640978 | String
[6]
| ANN{.N[N]}
The ICD-10-AM (10th edition) code set representing diagnoses. | 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. |
- | Funding source for hospital patient | 649391 | String
[2]
| 01 | Health service budget (not covered elsewhere) | 02 | Health service budget (due to eligibility for Reciprocal Health Care Agreement) | 03 | Health service budget (no charge raised due to hospital decision) | 04 | Department of Veterans' Affairs | 05 | Department of Defence | 06 | Correctional facility | 07 | Medicare Benefits Schedule | 08 | Other hospital or public authority (contracted care) | 09 | Private health insurance | 10 | Worker's compensation | 11 | Motor vehicle third party personal claim | 12 | Other compensation (e.g. public liability, common law, medical negligence) | 13 | Self-funded | 88 | Other funding source | 98 | Not known |
| |
- | Australian State/Territory identifier (establishment) | 269941 | Number
[1]
| 1 | New South Wales | 2 | Victoria | 3 | Queensland | 4 | South Australia | 5 | Western Australia | 6 | Tasmania | 7 | Northern Territory | 8 | Australian Capital Territory | 9 | Other territories (Cocos (Keeling) Islands, Christmas Island and Jervis Bay Territory) |
| DSS specific information: This data element applies to the location of the establishment and not to the patient's area of usual residence. |
- | Geographic remoteness (establishment) | 539871 | Number
[1]
| 0 | Major cities of Australia | 1 | Inner regional Australia | 2 | Outer regional Australia | 3 | Remote Australia | 4 | Very remote Australia | 5 | Migratory | 9 | Not stated/inadequately described |
| |
- | Establishment number | 269975 | Number
[5]
| NNNNN A combination of numeric characters that identify an entity. | |
- | Region code | 269940 | String
[2]
| X[X] A combination of alphanumeric characters that identify an entity. | |
- | Establishment sector | 269977 | Number
[1]
| | |
- | Care type | 584408 | Number
[2]
| Admitted care | | 1 | Acute care | 2 | Rehabilitation care | 3 | Palliative care | 4 | Geriatric evaluation and management | 5 | Psychogeriatric care | 6 | Maintenance care | 7 | Newborn care | 11 | Mental health care | 88 | Other admitted patient care | Care other than admitted care | | 9 | Organ procurement—posthumous | 10 | Hospital boarder |
| DSS specific information: Code 11 - Mental health care is not restricted to care provided by a specialised mental health unit. |
- | Activity when injured | 641383 | String
[6]
| ANN{.N[N]}
The ICD-10-AM (10th edition) code set representing the type of activity being undertaken when injured. | DSS specific information: As a minimum requirement, the external cause codes must be listed in the ICD-10-AM classification. |
- | External cause | 641415 | String
[6]
| ANN{.N[N]}
The ICD-10-AM (10th edition) code set representing external cause of injury, poisoning or other adverse effect. | DSS specific information: As a minimum requirement, the external cause codes must be listed in the ICD-10-AM classification. |
- | Place of occurrence of external cause of injury (ICD-10-AM) | 641422 | String
[6]
| ANN{.N[N]}
The ICD-10-AM (10th edition) code set representing the place where the external cause of injury, poisoning or other adverse effect occurred. | DSS specific information: To be used with ICD-10-AM external cause codes. |
- | Hospital insurance status | 647326 | Number
[1]
| 1 | Hospital insurance | 2 | No hospital insurance | 9 | Unknown |
| |
- | Previous specialised treatment | 270374 | Number
[1]
| 1 | Patient has no previous admission(s) or service contact(s) for the specialised treatment now being provided | 2 | Patient has previous hospital admission(s) but no service contact(s) for the specialised treatment now being provided | 3 | Patient has previous service contact(s) but no hospital admission(s) for the specialised treatment now being provided | 4 | Patient has both previous hospital admission(s) and service contact(s) for the specialised treatment now being provided | 5 | Unknown/not stated |
| Conditional obligation: Only supplied for mental health care patients and palliative care patients. DSS specific information: For palliative care patients, the value of this item is in its use in enabling approximate identification of the number of new palliative care patients receiving specialised treatment. The use of this metadata item in this way would be improved by the reporting of this data by community-based services. |
- | Type of usual accommodation | 647330 | Number
[1]
| 1 | House or flat | 2 | Independent unit as part of retirement village or similar | 3 | Hostel or hostel type accommodation | 4 | Psychiatric hospital | 5 | Acute hospital | 6 | Other accommodation | 7 | No usual residence |
| Conditional obligation: Only supplied for specialised mental health care patients. |
- | Type of accommodation | 270088 | Number
[2]
| 1 | Private residence (e.g. house, flat, bedsitter, caravan, boat, independent unit in retirement village), including privately and publicly rented homes | 2 | Psychiatric hospital | 3 | Residential aged care service | 4 | Specialised alcohol/other drug treatment residence | 5 | Specialised mental health community-based residential support service | 6 | Domestic-scale supported living facility (e.g. group home for people with disability) | 7 | Boarding/rooming house/hostel or hostel type accommodation, not including aged persons' hostel | 8 | Homeless persons' shelter | 9 | Shelter/refuge (not including homeless persons' shelter) | 10 | Other supported accommodation | 11 | Prison/remand centre/youth training centre | 12 | Public place (homeless) | 13 | Other accommodation, not elsewhere classified | 14 | Unknown/unable to determine |
| Conditional obligation: Only supplied for specialised mental health care patients. |
- | Area of usual residence (SA2) | 659725 | String
[9]
| N(9)
A code set representing a medium-sized general purpose area aggregated from whole Statistical areas level 1 (SA1s). | DSS specific information: The following codes should be assigned as the admitted patient's area of usual residence in the following specialised situations: - Overseas resident: 099999299
- No fixed abode: state/territory identifier + 99999499
- Where the state/territory of the admitted patient's usual residence is not known, assign '0' as the state/territory identifier
- Migratory - Offshore - Shipping: state/territory identifier + 97979799
- Unknown SA2: state/territory identifier + 99999999
- Where the state/territory of the admitted patient's usual residence is not known, assign a blank space as the state/territory identifier
|
- | Country of birth | 659454 | Number
[4]
| NNNN
The Standard Australian Classification of Countries (SACC 2016) code set representing a country. | |
- | Date of birth | 287007 | Date/Time
[8]
| DDMMYYYY
The day of a particular month and year. | 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.
|
- | Medicare eligibility status | 481841 | Number
[1]
| 1 | Eligible | 2 | Not eligible | 9 | Not stated/unknown |
| |
- | Indigenous status | 602543 | Number
[1]
| 1 | Aboriginal but not Torres Strait Islander origin | 2 | Torres Strait Islander but not Aboriginal origin | 3 | Both Aboriginal and Torres Strait Islander origin | 4 | Neither Aboriginal nor Torres Strait Islander origin | 9 | Not stated/inadequately described |
| |
- | Employment status (admitted patient) | 269948 | Number
[1]
| 1 | Unemployed / pensioner | 2 | Other |
| Conditional obligation: Only supplied for specialised mental health care patients. |
- | Employment status—public psychiatric hospital admissions | 269955 | Number
[1]
| 1 | Child not at school | 2 | Student | 3 | Employed | 4 | Unemployed | 5 | Home duties | 6 | Other |
| Conditional obligation: Only supplied for specialised mental health care patients. |
- | Marital status | 291045 | Number
[1]
| 1 | Never married | 2 | Widowed | 3 | Divorced | 4 | Separated | 5 | Married (registered and de facto) | 6 | Not stated/inadequately described |
| Conditional obligation: Only supplied for specialised mental health care patients. |
- | Person identifier | 290046 | String
[20]
| XXXXXX[X(14)]
A logical combination of valid alphanumeric characters that identify an entity. | |
- | Sex | 287316 | Number
[1]
| 1 | Male | 2 | Female | 3 | Intersex or indeterminate | 9 | Not stated/inadequately described |
| |
- | Weight in grams (measured) | 310245 | Number
[4]
| NNNN Total number of grams. | 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. |
- | Record identifier (80 character maximum) | 555463 | String
[80]
| X[X(79)] A logical combination of alphanumeric characters that identify an entity. | 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. |
- | Palliative care phase | 638918 | Number
[1]
| 1 | Stable | 2 | Unstable | 3 | Deteriorating | 4 | Terminal | 9 | Not reported |
| 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 must be reported for each palliative care phase if the episode of admitted patient care had more than one phase. |
- | Palliative care phase end date | 654651 | Date/Time
[8]
| DDMMYYYY
The day of a particular month and year. | 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 if the episode of admitted patient care had more than one phase. |
- | Palliative care phase start date | 654672 | Date/Time
[8]
| DDMMYYYY
The day of a particular month and year. | 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 if the episode of admitted patient care had more than one phase. |
- | Primary impairment type (AROC 2012 code) | 611876 | String
[7]
| NN.NNNN A code set representing the primary patient impairment which is the reason for the episode of care. | 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. |
- | Level of cognitive ability (SMMSE item score) | 647335 | Number
[1]
| 0 | Score of 0 | 1 | Score of 1 | 2 | Score of 2 | 3 | Score of 3 | 4 | Score of 4 | 5 | Score of 5 | 7 | Not applicable - item has been omitted | 8 | Not known/not specified |
| Conditional obligation: 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 one array of SMMSE scores (i.e. 12 individual scores) per Geriatric Evaluation and Management episode are required to be reported. If multiple sets of SMMSE scores are recorded in the patient's record, the set of scores (12 individual scores) which demonstrate the lowest level of cognitive ability recorded during the Geriatric Evaluation and Management episode should be reported. |
- | Level of functional independence (FIM™ score) | 449150 | Number
[1]
| 1 | Total assistance with helper | 2 | Maximal assistance with helper | 3 | Moderate assistance with helper | 4 | Minimal assistance with helper | 5 | Supervision or setup with helper | 6 | Modified independence with no helper | 7 | Complete independence with no helper |
| 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.
Not required to be reported for patients aged 17 years and under at admission. |
- | Level of functional independence (total RUG-ADL score) | 588361 | Number
[2]
| N[N]
A total code set that represents an individual's need for assistance with four activities of daily living. | 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.
Not required to be reported for patients aged 17 years and under at admission. 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 if the episode of admitted patient care had more than one phase. |
- | Level of psychiatric symptom severity (HoNOS 65+ score) | 640065 | Number
[1]
| 0 | No problems within the period stated | 1 | Minor problem requiring no action | 2 | Mild problem but definitely present | 3 | Moderately severe problem | 4 | Severe to very severe problem | 8 | Unknown |
| 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. |