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Admitted subacute and non-acute hospital care NBEDS 2020–21

Data Set Specification Attributes

Identifying and definitional attributes

Metadata item type:Help on this termData Set Specification
METEOR identifier:Help on this term713854
Registration status:Help on this term

Health, Superseded 05/02/2021

DSS type:Help on this termData Set Specification (DSS)
Scope:Help on this term

The Admitted subacute and non-acute hospital care national best endeavours data set (ASNAHC NBEDS) aims to ensure national consistency in relation to defining and collecting information about care provided to subacute and non-acute admitted public and private patients in activity based funded public hospitals.

Subacute care in this NBEDS is identified as admitted episodes in rehabilitation care, palliative care, geriatric evaluation and management care and psychogeriatric care.

Non-acute care in this NBEDS is identified as admitted episodes of maintenance care.

The scope of the NBEDS is:

  • same-day and overnight admitted subacute and non-acute care episodes
  • admitted public patients provided on a contracted basis by private hospitals
  • admitted patients in rehabilitation care, palliative care, geriatric evaluation and management care, psychogeriatric care and maintenance care treated in the hospital-in-the-home.

Excluded from the scope are:

  • hospitals operated by the Australian Defence Force, correctional authorities and Australia's external territories.

Collection and usage attributes

Statistical unit:Help on this term

Episodes of care for admitted patients

Collection methods:Help on this term

Data are collected at each hospital from patient administrative and clinical record systems. Hospitals forward data to the relevant state or territory health authority.

National reporting arrangements:

State and territory health authorities provide the data to the Independent Hospital Pricing Authority (IHPA) for national collection, on a quarterly basis as required under national health reform arrangements.

For palliative care type episodes, data elements for each change in phase of care will be required to be reported.

Periods for which data are collected and nationally collated:

Financial years ending 30 June each year.

Implementation start date:Help on this term01/07/2020
Implementation end date:Help on this term30/06/2021
Comments:Help on this term

Scope links with other National Minimum Data Sets (NMDSs):

The ASNAHC NBEDS includes the collection and reporting of additional metadata which forms part of the broader Admitted patient care NMDS.

Glossary items:

Glossary terms that are relevant to this data set specification are included here.

Activity based funding

Functional Independence Measure

Health of the Nation Outcome Scale 65+

Hospital-in-the-home care

Number of days of hospital-in-the-home care

Palliative care phase

Palliative care phase end date

Resource Utilisation Groups—Activities of Daily Living

Source and reference attributes

Reference documents:Help on this term

Green J, Gordon R, Kobel C, Blanchard M & Eagar K. 2015. AN-SNAP V4 User Manual. Independent Hospital Pricing Authority, Sydney. Viewed 24 May 2019, https://www.ihpa.gov.au/sites/g/files/net636/f/Documents/an-snap_classification_version_4_user_manual.pdf

Relational attributes

Related metadata references:Help on this term
Supersedes Admitted subacute and non-acute hospital care NBEDS 2019-20

        Health, Superseded 18/12/2019

Has been superseded by Admitted subacute and non-acute hospital care NBEDS 2021–22

        Health, Superseded 20/10/2021

See also Admitted patient care NMDS 2020–21

        Health, Superseded 05/02/2021

See also Admitted patient care NMDS 2021–22

        Health, Superseded 20/10/2021

Metadata items in this Data Set Specification Help on this term

Seq No.Help on this termMetadata itemHelp on this termObligationHelp on this termMax occursHelp on this term
- Admitted patient care NMDS 2020–21Mandatory1
      - Elective surgery waiting times cluster

Conditional obligation:

This data element cluster is to be reported for patients on waiting lists for elective surgery, which are managed by public acute hospitals and have a category 1 or 2 assigned for the reason for removal from the elective surgery waiting list.

DSS specific information:

Establishment sector component of organisation identifier to be reported as:

  1. Public (excluding psychiatric hospitals)
  2. Private (excluding free-standing day hospital facilities)
  3. Public psychiatric
  4. Private free-standing day hospital facility
Conditional99
            -Elective care waiting list episode—listing date for care, DDMMYYYYMandatory1
            -Elective surgery waiting list episode—clinical urgency, code NMandatory1
            -Elective surgery waiting list episode—intended procedure, code NNNMandatory1
            -Elective surgery waiting list episode—overdue patient status, code NMandatory1
            -Elective surgery waiting list episode—reason for removal from a waiting list, code NMandatory1
            -Elective surgery waiting list episode—surgical specialty of scheduled doctor, code NNMandatory1
            -Elective surgery waiting list episode—waiting time at removal, total days N[NNN]Mandatory1
            -Establishment—organisation identifier (Australian), NNX[X]NNNNN

Conditional obligation:

This is the establishment identifier of the contracting hospital and is reported for contracted patients only.

DSS specific information:

Establishment sector component of organisation identifier to be reported as:

  1. Public (excluding psychiatric hospitals)
  2. Private (excluding free-standing day hospital facilities)
  3. Public psychiatric
  4. Private free-standing day hospital facility
Conditional1
      -Address—Australian postcode, code (Postcode datafile) NNNN

DSS specific information:

To be reported for the address of the patient.

Mandatory1
      -Contracted hospital care—organisation identifier, NNX[X]NNNNN

DSS specific information:

Establishment sector component of organisation identifier to be reported as:

  1. Public (excluding psychiatric hospitals)
  2. Private (excluding free-standing day hospital facilities)
  3. Public psychiatric
  4. Private free-standing day hospital facility
Mandatory1
      -Episode of admitted patient care (mental health care)—referral destination, code N

Conditional obligation:

Only supplied for specialised mental health care patients.

Conditional1
      -Episode of admitted patient care (newborn)—number of qualified days, total N[NNNN]

Conditional obligation:

Only required to be reported for episodes of care for patients with a care type of newborn care.

Conditional1
      -Episode of admitted patient care—admission date, DDMMYYYY

DSS specific information:

Right justified and zero filled.

Admission date must be less than or equal to Separation date.

Admission date must be greater than or equal to Date of birth.

Mandatory1
      -Episode of admitted patient care—admission mode, code NMandatory1
      -Episode of admitted patient care—admission urgency status, code NMandatory1
      -Episode of admitted patient care—condition onset flag, code NMandatory99
      -Episode of admitted patient care—duration of continuous ventilatory support, total hours NNNN

Conditional obligation:

This data element is only required to be reported for episodes of care where the admitted patient spent time on continuous ventilatory support.

Conditional1
      -Episode of admitted patient care—intended length of hospital stay, code NMandatory1
      -Episode of admitted patient care—length of stay in intensive care unit, total hours NNNN

Conditional obligation:

The data element is only required to be reported for episodes of care where the admitted patient spent time in an intensive care unit.

Conditional1
      -Episode of admitted patient care—number of days of hospital-in-the-home care, total {N[NN]}Mandatory1
      -Episode of admitted patient care—number of leave days, total N[NN]

DSS specific information:

For the provision of state and territory hospital data to Australian Government agencies:

(Episode of admitted patient care—separation date, DDMMYYYY minus Episode of admitted patient care—admission date, DDMMYYYY) minus Admitted patient hospital stay—number of leave days, total N[NN] must be greater than or equal to 0 days.

Mandatory1
      -Episode of admitted patient care—patient election status, code NMandatory1
      -Episode of admitted patient care—procedure, code (ACHI 11th edn) NNNNN-NN

DSS specific information:

As a minimum requirement procedure codes must be valid codes from the Australian Classification of Health Interventions (ACHI) procedure codes and validated against the nationally agreed age and sex edits. More extensive edit checking of codes may be utilised within individual hospitals and state and territory information systems.

An unlimited number of diagnosis and procedure codes should be able to be collected in hospital morbidity systems. Where this is not possible, a minimum of 20 codes should be able to be collected.

Record all procedures undertaken during an episode of care in accordance with the ACHI (11th edition) Australian Coding Standards.

The order of codes should be determined using the following hierarchy:

  • procedure performed for treatment of the principal diagnosis
  • procedure performed for the treatment of an additional diagnosis
  • diagnostic/exploratory procedure related to the principal diagnosis
  • diagnostic/exploratory procedure related to an additional diagnosis for the episode of care.
Mandatory99
      -Episode of admitted patient care—referral source, public psychiatric hospital code NN

Conditional obligation:

The data element is only required to be reported for episodes of care where the admitted patient spent time in a public psychiatric hospital.

Conditional1
      -Episode of admitted patient care—separation date, DDMMYYYY

DSS specific information:

For the provision of state and territory hospital data to Australian Government agencies this field must:

  • be less than or equal to the last day of the financial year
  • be greater than or equal to the first day of the financial year
  • be greater than or equal to Admission date.
Mandatory1
      -Episode of admitted patient care—separation mode, code NNMandatory1
      -Episode of care—additional diagnosis, code (ICD-10-AM 11th edn) ANN{.N[N]}

Conditional obligation:

This data element is only to be reported if the episode of care results in more than one diagnosis code being allocated.

DSS specific information:

An unlimited number of diagnosis and procedure codes should be able to be collected in hospital morbidity systems. Where this is not possible, a minimum of 20 codes should be able to be collected.

Conditional99
      -Episode of care—inter-hospital contracted patient status, code NMandatory1
      -Episode of care—mental health legal status, code NMandatory1
      -Episode of care—number of psychiatric care days, total N[NNNN]

DSS specific information:

Total days in psychiatric care must be greater than or equal to zero;

Total days in psychiatric care must be less than or equal to Length of stay.

Mandatory1
      -Episode of care—principal diagnosis, code (ICD-10-AM 11th edn) ANN{.N[N]}

Conditional obligation:

The principal diagnosis is a major determinant in the classification of Australian Refined Diagnosis Related Groups and Major Diagnostic Categories.

Where the principal diagnosis is recorded prior to discharge (as in the annual census of public psychiatric hospital patients), it is the current provisional principal diagnosis. Only use the admission diagnosis when no other diagnostic information is available. The current provisional diagnosis may be the same as the admission diagnosis.

Mandatory1
      -Episode of care—source of funding, patient funding source code NNMandatory1
      -Establishment—Australian state/territory identifier, code N

DSS specific information:

This data element applies to the location of the establishment and not to the patient's area of usual residence.

Mandatory1
      -Establishment—geographic remoteness, admitted patient care remoteness classification (ASGS-RA) NMandatory1
      -Establishment—organisation identifier (state/territory), NNNNNMandatory1
      -Establishment—region identifier, X[X]Mandatory1
      -Establishment—sector, code N

DSS specific information:

To be reported as:

  1. Public (excluding psychiatric hospitals)
  2. Private (excluding free-standing day hospital facilities)
  3. Public psychiatric
  4. Private free-standing day hospital facility
Mandatory1
      -Hospital service—care type, code N[N]

DSS specific information:

Code 11 - Mental health care is not restricted to care provided by a specialised mental health unit.

Mandatory1
      -Injury event—activity type, code (ICD-10-AM 11th edn) ANN{.N[N]}

DSS specific information:

As a minimum requirement, the external cause codes must be listed in the ICD-10-AM classification.

Mandatory99
      -Injury event—external cause, code (ICD-10-AM 11th edn) ANN{.N[N]}

DSS specific information:

As a minimum requirement, the external cause codes must be listed in the ICD-10-AM classification.

Mandatory99
      -Injury event—place of occurrence, code (ICD-10-AM 11th edn) ANN{.N[N]}

DSS specific information:

To be used with ICD-10-AM external cause codes.

Mandatory99
      -Patient—hospital insurance status, code NMandatory1
      -Patient—previous specialised treatment, code N

Conditional obligation:

Only supplied for mental health care patients and palliative care patients.

DSS specific information:

For palliative care patients, the value of this item is in its use in enabling approximate identification of the number of new palliative care patients receiving specialised treatment. The use of this metadata item in this way would be improved by the reporting of this data by community-based services.

Conditional1
      -Person—accommodation type (prior to admission), code N

Conditional obligation:

Only supplied for specialised mental health care patients.

Conditional1
      -Person—accommodation type (usual), code N[N]

Conditional obligation:

Only supplied for specialised mental health care patients.

Conditional1
      -Person—area of usual residence, statistical area level 2 (SA2) code (ASGS 2016) N(9)

DSS specific information:

The following codes should be assigned as the admitted patient's area of usual residence in the following specialised situations:

  • Overseas resident: 099999299
  • No fixed abode: state/territory identifier + 99999499
    • Where the state/territory of the admitted patient's usual residence is not known, assign '0' as the state/territory identifier
  • Migratory - Offshore - Shipping: state/territory identifier + 97979799
  • Unknown SA2: state/territory identifier + 99999999
    • Where the state/territory of the admitted patient's usual residence is not known, assign a blank space as the state/territory identifier
Mandatory1
      -Person—country of birth, code (SACC 2016) NNNNMandatory1
      -Person—date of birth, DDMMYYYY

DSS specific information:

This field must not be null.

National minimum data sets:

For the provision of state and territory hospital data to Australian Government agencies this field must:

  • be less than or equal to Admission date, Date patient presents or Service contact date
  • be consistent with diagnoses and procedure codes, for records to be grouped.
Mandatory1
      -Person—eligibility status, Medicare code NMandatory1
      -Person—Indigenous status, code NMandatory1
      -Person—labour force status, acute hospital and private psychiatric hospital admission code N

Conditional obligation:

Only supplied for specialised mental health care patients.

Conditional1
      -Person—labour force status, public psychiatric hospital admission code N

Conditional obligation:

Only supplied for specialised mental health care patients.

Conditional1
      -Person—marital status, code N

Conditional obligation:

Only supplied for specialised mental health care patients.

Conditional1
      -Person—person identifier, XXXXXX[X(14)]Mandatory1
      -Person—sex, code XMandatory1
      -Person—weight (measured), total grams NNNN

Conditional obligation:

Weight on the date the infant is admitted should be recorded if the weight is less than or equal to 9,000 grams and age is less than 365 days.

DSS specific information:

For the provision of state and territory hospital data to Australian government agencies this metadata item must be consistent with diagnoses and procedure codes for valid grouping.

Conditional1
      -Record—identifier, X[X(79)]

DSS specific information:

In the context of the Admitted patient care NMDS, the Record identifier data element exists to aid with data processing. This data element is generated for inclusion in data submissions to facilitate referencing of specific records in discussions between the receiving agency and the reporting body. It is to be used solely for this purpose.

When stipulated in a data specification, each record in a data submission will be assigned a unique numeric or alphanumeric record identifier to permit easy referencing of individual records in discussions between the receiving agency and the reporting body. The unique record identifier assigned by the reporting body should be generated in a fashion that allows the associated data record to be traced to its original form in the reporting body's source database.

Reporting jurisdictions may use their own alphabetic, numeric or alphanumeric coding system.

This field cannot be left blank.

Mandatory1
-Episode of admitted patient care—palliative care phase end date, DDMMYYYY

Conditional obligation:

Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as:

  • Code 3, Palliative care.

DSS specific information:

The palliative care phase end date must be reported for each palliative care phase if the episode of admitted patient care had more than one phase for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care.

Conditional11
-Episode of admitted patient care—palliative care phase start date, DDMMYYYY

Conditional obligation:

Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as:

  • Code 3, Palliative care.

DSS specific information:

The palliative care phase start date must be reported for each palliative care phaseif the episode of admitted patient care had more than one phase for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care.

Conditional11
-Episode of admitted patient care—palliative care phase, code N

Conditional obligation:

Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as:

  • Code 3, Palliative care.

DSS specific information:

The palliative care phase must be reported for each palliative care phase if the episode of admitted patient care had more than one phase for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care.

Conditional11
-Episode of admitted patient care—primary impairment type, code (AROC 2012) NN.NNNN

Conditional obligation:

Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as:

  • Code 2, Rehabilitation care.
Conditional1
-Person—level of cognitive ability, Standardised Mini-Mental State Examination item score code N

Conditional obligation:

Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as:

  • Code 4, Geriatric evaluation and management.

DSS specific information:

Only one array of SMMSE scores (i.e. 12 individual scores) per Geriatric evaluation and management episode are required to be reported.

If multiple sets of SMMSE scores are recorded in the patient's record, the set of scores (12 individual scores) which demonstrate the lowest level of cognitive ability recorded during the Geriatric evaluation and management episode should be reported.

Conditional12
-Person—level of functional independence, Functional Independence Measure score code N

Conditional obligation:

Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as:

  • Code 2, Rehabilitation care; or
  • Code 4, Geriatric evaluation and management.

DSS specific information:

Only the Functional Independence Measure scores at admission are required to be reported.

Not required to be reported for patients aged 17 and under at admission.

Conditional18
-Person—level of functional independence, Resource Utilisation Groups–Activities of Daily Living total score code N[N]

Conditional obligation:

Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as:

  • Code 3, Palliative care; or
  • Code 6, Maintenance care.

DSS specific information:

Only the Resource Utilisation Groups—Activities of Daily Living (RUG-ADL) scores at admission are required to be reported for maintenance care episodes.

RUG-ADL scores at palliative care phase start should be reported for all palliative care phases.

Not required to be reported for patients aged 17 and under at admission.

For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the RUG-ADL scores must be reported for each palliative care phase if the episode of admitted patient care had more than one phase.

Conditional11
-Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N

Conditional obligation:

Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as:

  • Code 5, Psychogeriatric care.

DSS specific information:

Only the Health of the Nation Outcome Scale 65+ scores at admission are required to be reported.

Conditional12

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