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

Identifying and definitional attributes
Metadata item type:	Data Element
Short name:	Level of functional independence (total RUG-ADL score)
METEOR identifier:	717986
Registration status:	Health, Superseded 20/12/2022 Tasmanian Health, Superseded 28/03/2023
Definition:	A person's level of functional independence to carry out activities of daily living safely and autonomously, as represented by a total Resource Utilisation Groups-Activities of Daily Living score-based code.
Data Element Concept:	Person—level of functional independence
Value Domain:	Resource Utilisation Groups–Activities of Daily Living total score code N[N]

Value domain attributes
Representational attributes
Representation class:	Total
Data type:	Number
Format:	N[N]
Maximum character length:	2
	Value	Meaning
Supplementary values:	99	Not stated/inadequately described
Unit of measure:	Score

Collection and usage attributes
Guide for use:	The Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) is a four item scale measuring a person's motor function for activities of daily living including: • bed mobility • toileting • transfers • eating. Valid values for the bed mobility, toileting and transfers item scales: 1 - Independent or supervision only 3 - Limited physical assistance 4 - Other than two persons physical assist 5 - Two or more person physical assist Note: a score of 2 is not valid. Valid values for the eating item scale: 1 - Independent or supervision only 2 - Limited assistance 3 - Extensive assistance/total dependence/tube fed Note: a score of 4 or 5 is not valid. Scores are summed for the four Activities of Daily Living (ADL) variables (i.e. bed mobility, toileting, transfers and eating) to reach a total RUG-ADL score. A total RUG-ADL score ranges from a minimum score of 4 to a maximum score of 18. The RUG-ADL total score code is different from the Resource Utilisation Groups–Activities of Daily Living score code N as it represents the total of all the individual RUG-ADL item scores added together. CODE 99 Not stated/inadequately described This code should be used in circumstances where the RUG-ADL total score code can not be reported due to one or more item scales not being collected. This code is not to be used on RUG-ADL data collection forms.

Collection and usage attributes

Guide for use:

The Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) is a four item scale measuring a person's motor function for activities of daily living including:
• bed mobility
• toileting
• transfers
• eating.

Valid values for the bed mobility, toileting and transfers item scales:
1 - Independent or supervision only
3 - Limited physical assistance
4 - Other than two persons physical assist
5 - Two or more person physical assist
Note: a score of 2 is not valid.

Valid values for the eating item scale:
1 - Independent or supervision only
2 - Limited assistance
3 - Extensive assistance/total dependence/tube fed
Note: a score of 4 or 5 is not valid.

Scores are summed for the four Activities of Daily Living (ADL) variables (i.e. bed mobility, toileting, transfers and eating) to reach a total RUG-ADL score. A total RUG-ADL score ranges from a minimum score of 4 to a maximum score of 18.

The RUG-ADL total score code is different from the Resource Utilisation Groups–Activities of Daily Living score code N as it represents the total of all the individual RUG-ADL item scores added together.

CODE 99 Not stated/inadequately described

This code should be used in circumstances where the RUG-ADL total score code can not be reported due to one or more item scales not being collected. This code is not to be used on RUG-ADL data collection forms.

Source and reference attributes
Submitting organisation:	Independent Health and Aged Care Pricing Authority

Data element attributes
Collection and usage attributes
Guide for use:	The total RUG-ADL score differs from the individual RUG-ADL score as it is the total of all the individual RUG-ADL item scores added together.
Source and reference attributes
Submitting organisation:	Independent Hospital Pricing Authority
Reference documents:	Fries BE, Schneider DP et al. 1994. Refining a case-mix measure for nursing homes: Resource Utilization Groups (RUG-III). Medical Care 32: 668-685.
Relational attributes
Related metadata references:	Supersedes Person—level of functional independence, Resource Utilisation Groups– Activities of Daily Living total score code N[N] Health, Superseded 18/12/2019 Has been superseded by Person—level of functional independence, Resource Utilisation Groups–Activities of Daily Living total score code N[N] Health, Standard 20/12/2022 Tasmanian Health, Standard 28/03/2023 See also Person—level of functional independence, Resource Utilisation Groups - Activities of Daily Living score code N Health, Superseded 17/01/2020 See also Person—level of functional independence, Resource Utilisation Groups - Activities of Daily Living score code N Health, Superseded 23/12/2020 See also Person—level of functional independence, Resource Utilisation Groups - Activities of Daily Living score code N Health, Superseded 09/12/2022
Implementation in Data Set Specifications: All attributes +	Admitted subacute and non-acute hospital care NBEDS 2020–21 Health, Superseded 05/02/2021 DSS specific attributes + Implementation start date: 01/07/2020 Implementation end date: 30/06/2021 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. Admitted subacute and non-acute hospital care NBEDS 2021–22 Health, Superseded 20/10/2021 DSS specific attributes + Implementation start date: 01/07/2021 Implementation end date: 30/06/2022 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. Admitted subacute and non-acute hospital care NBEDS 2022–23 Health, Superseded 20/12/2022 DSS specific attributes + Implementation start date: 01/07/2022 Implementation end date: 30/06/2023 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. Tasmanian Subacute/Non-acute Data Set - 2020 Tasmanian Health, Superseded 23/11/2023 DSS specific attributes + Implementation start date: 01/07/2020 Implementation end date: 30/06/2021 Conditional obligation: Required when the Care Type is Palliative Care or Maintenance care Tasmanian Subacute/Non-acute Data Set - 2021 Tasmanian Health, Superseded 23/11/2023 DSS specific attributes + Implementation start date: 01/07/2021 Implementation end date: 30/06/2022 Conditional obligation: Required when the Care Type is Palliative Care or Maintenance care Tasmanian Subacute/Non-acute Data Set - 2022 Tasmanian Health, Superseded 23/11/2023 DSS specific attributes + Implementation start date: 01/07/2022 Implementation end date: 30/06/2023 Conditional obligation: Required when the Care Type is Palliative Care or Maintenance care

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

Identifying and definitional attributes

Value domain attributes

Representational attributes

Collection and usage attributes

Source and reference attributes

Data element attributes

Collection and usage attributes

Source and reference attributes

Relational attributes

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

Data Element Attributes

Identifying and definitional attributes

Value domain attributes

Representational attributes

Collection and usage attributes

Source and reference attributes

Data element attributes

Collection and usage attributes

Source and reference attributes

Relational attributes

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