Hospital service—care type, code N[N]
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type:![]() | Data Element |
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Short name:![]() | Care type |
METEOR identifier:![]() | 711010 |
Registration status:![]() | Health, Standard 03/04/2019 |
Definition:![]() | The overall nature of a clinical service provided to an admitted patient during an episode of care (admitted care), or the type of service provided by the hospital for boarders or posthumous organ procurement (care other than admitted care), as represented by a code. |
Context:![]() | Admitted patient care and hospital activity: For admitted patients, the type of care received will determine the appropriate casemix classification employed to classify the episode of care. |
Data Element Concept:![]() | Hospital service—care type |
Value Domain:![]() | Hospital care type code N[N] |
Collection and usage attributes | |
Guide for use:![]() | Admitted care can be one of the following: CODE 1 Acute care Acute care is care in which the primary clinical purpose or treatment goal is to:
Acute care excludes care which meets the definition of mental health care. CODE 2 Rehabilitation care Rehabilitation care is care in which the primary clinical purpose or treatment goal is improvement in the functioning of a patient with an impairment, activity limitation or participation restriction due to a health condition. The patient will be capable of actively participating. Rehabilitation care is always:
Rehabilitation care excludes care which meets the definition of mental health care. CODE 3 Palliative care Palliative care is care in which the primary clinical purpose or treatment goal is optimisation of the quality of life of a patient with an active and advanced life-limiting illness. The patient will have complex physical, psychosocial and/or spiritual needs. Palliative care is always:
Palliative care excludes care which meets the definition of mental health care. CODE 4 Geriatric evaluation and management Geriatric evaluation and management is care in which the primary clinical purpose or treatment goal is improvement in the functioning of a patient with multi-dimensional needs associated with medical conditions related to ageing, such as tendency to fall, incontinence, reduced mobility and cognitive impairment. The patient may also have complex psychosocial problems. Geriatric evaluation and management is always:
Geriatric evaluation and management excludes care which meets the definition of mental health care. CODE 5 Psychogeriatric care Psychogeriatric care is care in which the primary clinical purpose or treatment goal is improvement in the functional status, behaviour and/or quality of life for an older patient with significant psychiatric or behavioural disturbance, caused by mental illness, an age-related organic brain impairment or a physical condition. Psychogeriatric care is always:
Psychogeriatric care is not applicable if the primary focus of care is acute symptom control. Psychogeriatric care excludes care which meets the definition of mental health care. CODE 6 Maintenance care Maintenance (or non-acute) care is care in which the primary clinical purpose or treatment goal is support for a patient with impairment, activity limitation or participation restriction due to a health condition. Following assessment or treatment the patient does not require further complex assessment or stabilisation. Patients with a care type of maintenance care often require care over an indefinite period. Maintenance care excludes care which meets the definition of mental health care. CODE 7 Newborn care Newborn care is initiated when the patient is born in hospital or is nine days old or less at the time of admission. Newborn care continues until the care type changes or the patient is separated:
Within a newborn episode of care, each day after the baby turns 10 days of age is counted as a qualified patient day. Newborn qualified days are equivalent to acute days and may be denoted as such. CODE 11 Mental health care Mental health care is care in which the primary clinical purpose or treatment goal is improvement in the symptoms and/or psychosocial, environmental and physical functioning related to a patient’s mental disorder. Mental health care:
CODE 88 Other admitted patient care Other admitted patient care is care that does not meet the definitions above. Care other than admitted care can be one of the following: CODE 9 Organ procurement—posthumous Organ procurement—posthumous is the procurement of human tissue for the purpose of transplantation from a donor whose brain function or circulation of blood has permanently stopped. Any diagnoses and procedures related to this activity, including mechanical ventilation and tissue procurement, should be recorded in accordance with the relevant ICD-10-AM Australian Coding Standards. These patients are not admitted to the hospital but are registered by the hospital. CODE 10 Hospital boarder A hospital boarder is a person who is receiving food and/or accommodation at the hospital but for whom the hospital does not accept responsibility for treatment and/or care. Hospital boarders are not admitted to the hospital. However, a hospital may register a boarder. Babies in hospital at age 9 days or less cannot be boarders. They are admitted patients with each day of stay deemed to be either qualified or unqualified. |
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Comments:![]() | Unqualified newborn days (and separations consisting entirely of unqualified newborn days) are not to be counted for all purposes, and they are ineligible for health insurance benefit purposes. |
Source and reference attributes | |
Submitting organisation:![]() | Australian Institute of Health and Welfare |
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Steward:![]() | Australian Institute of Health and Welfare |
Data element attributes | |
Collection and usage attributes | |
Guide for use:![]() | Only one type of care can be assigned at a time. In cases when a patient is receiving multiple types of care, the care type that best describes the primary clinical purpose or treatment goal should be assigned. The care type is assigned by the clinician responsible for the management of the care, based on clinical judgements as to the primary clinical purpose of the care to be provided and, for mental health and subacute care types, the specialised expertise of the clinician who will be responsible for the management of the care. At the time of mental health or subacute care type assignment, a multidisciplinary management plan may not be in place but the intention to prepare one should be known to the clinician assigning the care type. Where the primary clinical purpose or treatment goal of the patient changes, the care type is assigned by the clinician who is taking over responsibility for the management of the care of the patient at the time of transfer. Note, in some circumstances the patient may continue to be under the management of the same clinician. Evidence of care type change (including the date of handover, if applicable) should be clearly documented in the patient’s medical record. The clinician responsible for the management of care may not necessarily be located in the same facility as the patient. In these circumstances, a clinician at the patient's location may also have a role in the care of the patient; the expertise of this clinician does not affect the assignment of care type. The care type should not be retrospectively changed unless it is:
Subacute care is specialised multidisciplinary care in which the primary need for care is optimisation of the patient's functioning and quality of life. A person's functioning may relate to their whole body or a body part, the whole person, or the whole person in a social context, and to impairment of a body function or structure, activity limitation and/or participation restriction. Subacute care comprises the defined care types of rehabilitation, palliative care, geriatric evaluation and management and psychogeriatric care. A multidisciplinary management plan comprises a series of documented and agreed initiatives or treatments (specifying program goals, actions and timeframes) which has been established through multidisciplinary consultation and consultation with the patient and/or carers. While psychogeriatric care is a subspecialty of mental health, it is an established component of subacute care. Therefore, if a patient meets the definition of psychogeriatric care, then the psychogeriatric care type should be allocated. It is highly unlikely that, for care type changes involving subacute or mental health care types, more than one change in care type will take place within a 24-hour period. Changes involving subacute or mental health care types are unlikely to occur on the date of formal separation. Patients who receive intervention(s) (for example dialysis, chemotherapy or radiotherapy) during the course of a subacute episode of care do not change care type. Instead, procedure codes for the acute same-day intervention(s) and an additional diagnosis (if relevant) should be added to the record of the subacute episode of care. Palliative care episodes can include grief and bereavement support for the family and carers of the patient where it is documented in the patient’s medical record. |
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Source and reference attributes | |
Submitting organisation:![]() | Australian Institute of Health and Welfare |
Relational attributes | |
Related metadata references:![]() | Supersedes Hospital service—care type, code N[N] Health, Superseded 03/04/2019 |
Implementation in Data Set Specifications:![]() | Admitted patient care NMDS 2020–21 Health, Superseded 05/02/2021 Implementation start date: 01/07/2020 Implementation end date: 30/06/2021 DSS specific information: Code 11 - Mental health care is not restricted to care provided by a specialised mental health unit. Admitted patient care NMDS 2021–22 Health, Superseded 20/10/2021 Implementation start date: 01/07/2021 Implementation end date: 30/06/2022 DSS specific information: Code 11 - Mental health care is not restricted to care provided by a specialised mental health unit. Admitted patient care NMDS 2022–23 Health, Superseded 20/12/2022 Implementation start date: 01/07/2022 Implementation end date: 30/06/2023 DSS specific information: Code 11 - Mental health care is not restricted to care provided by a specialised mental health unit. Admitted patient care NMDS 2023–24 Health, Superseded 06/12/2023 Implementation start date: 01/07/2023 Implementation end date: 30/06/2024 DSS specific information: Code 11 - Mental health care is not restricted to care provided by a specialised mental health unit. Admitted patient care NMDS 2024–25 Health, Standard 06/12/2023 Implementation start date: 01/07/2024 Implementation end date: 30/06/2025 DSS specific information: Code 11 - Mental health care is not restricted to care provided by a specialised mental health unit. |
Implementation in Indicators:![]() | Number of lumbar spinal decompression (excluding lumbar spinal fusion) hospitalisations per 100,000 people aged 18 years and over, 2012-13 to 2014-15 and 2015-16 to 2017-18 Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021 Number of lumbar spinal fusion (with or without lumbar spinal decompression) hospitalisations per 100,000 people, aged 18 years and over, 2012-13 to 2014-15 and 2015-16 to 2017-18 Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021 Number of myringotomy hospitalisations per 100,000 people aged 17 years and under, 2012-13, 2015-16 and 2017-18 Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021 Number of myringotomy hospitalisations per 100,000 people aged 17 years and under, 2012-13, 2015-16 and 2017-18 Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021 Number of myringotomy hospitalisations per 100,000 people aged 17 years and under, 2012-13, 2015-16 and 2017-18 Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021 Number of potentially preventable hospitalisations - cellulitis per 100,000 people of all ages, 2014-15 to 2017-18 Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021 Number of potentially preventable hospitalisations - chronic obstructive pulmonary disease (COPD) per 100,000 people of all ages, 2014-15 to 2017-18 Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021 Number of potentially preventable hospitalisations - diabetes complications per 100,000 people of all ages, 2014-15 to 2017-18 Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021 Number of potentially preventable hospitalisations - heart failure per 100,000 people, of all ages, 2014-15 to 2017-18 Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021 Number of potentially preventable hospitalisations - kidney and urinary tract infections per 100,000 people of all ages, 2014-15 to 2017-18 Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021 Number of tonsillectomy hospitalisations per 100,000 people aged 17 years and under, 2012-13, 2015-16 and 2017-18 Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021 |