Allied health service event—clinical finding, text X[X(99)]

Identifying and definitional attributes

• Health, Standard 12/12/2018

Value domain attributes

Representational attributes

Data element attributes

Collection and usage attributes

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.  

Clinical findings may be recorded for all allied health service events performed by an allied health service provider.

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

Relational attributes