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Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N

Data Element Attributes

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termLevel of psychiatric symptom severity (HoNOS score)
METEOR identifier:Help on this term641215
Registration status:Help on this term

Health, Superseded 25/01/2018

Definition:Help on this term

An assessment of the severity of a person's psychiatric symptoms, as represented by a HoNOS score-based code.

Context:Help on this term

Psychiatric symptom severity, persons aged 18 to 64 years.

Data element concept attributes

Identifying and definitional attributes

Data element concept:Person—level of psychiatric symptom severity
METEOR identifier:Help on this term539187
Registration status:Help on this term

Health, Standard 11/04/2014

Independent Hospital Pricing Authority (retired), Standard 15/10/2014

Tasmanian Health (retired), Standard 20/12/2016

Definition:Help on this termAn assessment of the severity of a person's psychiatric symptoms.
Object class:Help on this termPerson
Property:Help on this termLevel of psychiatric symptom severity

Value domain attributes Help on this term

Identifying and definitional attributes

Value domain:Health of the Nation Outcome Scale score code N
METEOR identifier:Help on this term641217
Registration status:Help on this term

Health, Superseded 25/01/2018

Definition:Help on this term

A code set representing the severity of psychiatric symptoms of an individual aged 18 to 64 years.

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
  ValueMeaning
Permissible values:Help on this term0No problems within the period stated
  1Minor problem requiring no action
  2Mild problem but definitely present
  3Moderately severe problem
  4Severe to very severe problem
Supplementary values:Help on this term8
 
Unknown
 

Collection and usage attributes

Guide for use:Help on this term

CODE 8    Unknown

This code should be used for HoNOS values that are missing or recorded in the HoNOS tool as '9 - Unknown'.

The Health of the Nation Outcome Scale (HoNOS) is used to rate adult mental health service users. Together, the scales rate various aspects of mental and social health.

HoNOS is answered on an item-specific anchored 4-point scale with higher scores indicating more problems. Each scale is assigned a value of between 0 and 4. The twelve scales are as follows:

  • Behavioural disturbance
  • Non-accidental self injury
  • Problem drinking or drug use
  • Cognitive problems
  • Problems related to physical illness or disability
  • Problems associated with hallucinations and delusions
  • Problems associated with depressive symptoms
  • Other mental and behavioural problems
  • Problems with social or supportive relationships
  • Problems with activities of daily living
  • Overall problems with living conditions
  • Problems with work and leisure activities and the quality of the daytime environment.

The sum of the individual scores of each of the scales represents the total HoNOS score. The total HoNOS score ranges from 0 to 48, and represents the overall severity of an individual's psychiatric symptoms.

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Data element attributes Help on this term

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Reference documents:Help on this term

Royal College of Psychiatrists 2017. Health of the Nation Outcome Scales (HoNOS), Viewed 18 January 2017,
 http://www.rcpsych.ac.uk/training/honos/whatishonos.aspx

Relational attributes

Related metadata references:Help on this term
Supersedes Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N

Independent Hospital Pricing Authority (retired), Standard 15/10/2014

Has been superseded by Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N

Health, Superseded 17/01/2020

See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N

Health, Superseded 25/01/2018

Independent Hospital Pricing Authority (retired), Recorded 04/08/2016

Tasmanian Health (retired), Superseded 19/01/2018

See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale for Children and Adolescents score code N

Health, Superseded 25/01/2018

Implementation in Data Set Specifications:Help on this term
All attributes +
Activity based funding: Mental health care NBEDS 2017-18

Health, Superseded 25/01/2018

DSS specific attributes +
Implementation start date: 01/07/2017
Implementation end date: 30/06/2018
Conditional obligation:

Reporting of the HoNOS at the start of the mental health phase of care is mandatory for patients in all settings.

Reporting of the HoNOS is not mandatory if mental health phase of care is reported as Assessment Only.

The HoNOS should only be reported for patients aged 18 years to 64 years.


Implementation in Indicators:Help on this term
KPIs for Australian Public Mental Health Services: PI 01J – Change in consumer's clinical outcomes, 2017

Health, Superseded 13/01/2021

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