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:	681029
Registration status:	Health, Standard 25/01/2018 Independent Hospital Pricing Authority, Standard 01/01/2018 Tasmanian Health, Standard 19/05/2020
Definition:	The patient's stage of illness or situation within the episode of care in terms of the recognised palliative care phase, as represented by a code.
Data Element Concept:	Episode of admitted patient care—palliative care phase

Value domain attributes

Representational attributes

Representation class:

Code

Data type:

Number

Format:

N[N]

Maximum character length:

Permissible values:

Value	Meaning
1	Stable
2	Unstable
3	Deteriorating
4	Terminal

Supplementary values:

Value	Meaning
97	Not applicable
98	Unknown/unable to be determined
99	Not stated/inadequately described

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 an 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:

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

CODE 3 Deteriorating

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

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

CODE 4 Terminal

Death is likely within days.

CODE 97 Not applicable

This code is used where the assessment does not include palliative care phase or it is not required in relation to the aged care episode.

CODE 98 Unknown/unable to be determined

This code applies when 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.

CODE 99 Not stated/inadequately described

This code applies where the setting is not stated or inadequately described. This code is not to be used on primary collection forms.

Source and reference attributes

Origin:

Palliative Care Outcomes Collaboration 2014. Palliative care outcomes collaboration: Clinical manual. Wollongong: University of Wollongong.

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.