Allied health service event—clinical finding, text X[X(99)]
Identifying and definitional attributes
|Metadata item type:||Data Element|
|Short name:||Allied health service event clinical finding|
Profession specific diagnosis or diagnoses based on allied health clinical assessment during an allied health service event, as represented by text.
|Data Element Concept:||Allied health service event—clinical finding|
Value domain attributes
|Maximum character length:||100|
Data element attributes
Collection and usage attributes
|Guide for use:|
In the absence of nationally consistent code sets or values for recording clinical finding ‘free text’ may be used, with the future intention of mapping to and use of an established terminology.
There may be some professions that do not record a clinical finding.
Each allied health service event may have one or more than one clinical findings recorded, up to a maximum of ninety nine (99). Where code set values are used this field should record the code as well as the meaning of the code as text.
Each jurisdiction will implement a locally agreed codeset for collection of the data element. This may be borrowed or adapted from another jurisdiction.
Clinical findings code sets may be profession specific or shared amongst a number of professions. An allied health service provider may use a profession specific code set for this data element.
Subsequent analysis of locally agreed values will contribute to developing national standardised values in the future.
Source and reference attributes
Allied Health Professions Australia
|Related metadata references:|
See also Allied health service event—indicator for allied health intervention, text X[X(59)]
|Implementation in Data Set Specifications:|
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