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

Identifying and definitional attributes
Metadata item type:	Data Element
Short name:	Level of psychiatric symptom severity (HoNOS 65+ score)
METEOR identifier:	730844
Registration status:	Health, Superseded 20/12/2022 Tasmanian Health, Standard 28/03/2023
Definition:	An assessment of the severity of a person's psychiatric symptoms, as represented by a Health of the Nation Outcome Scale (HoNOS) 65+ score-based code.
Context:	Psychiatric symptom severity, persons aged 65 and over.
Data Element Concept:	Person—level of psychiatric symptom severity

Value domain attributes

Representational attributes

Representation class:

Code

Data type:

Number

Format:

Maximum character length:

Permissible values:

Value	Meaning
0	No problems within the period stated
1	Minor problem requiring no action
2	Mild problem but definitely present
3	Moderately severe problem
4	Severe to very severe problem

Supplementary values:

Value	Meaning
8	Unknown

Collection and usage attributes

Guide for use:

CODE 8 Unknown

This code should be used for Health of the Nation Outcome Scale for elderly people (HoNOS 65+) values that are missing or recorded in the HoNOS 65+ tool as '7 - Not stated/missing' or '9 - Unknown'.

The HoNOS 65+ is used to rate adult mental health service users. Together, the scales rate various aspects of mental and social health.

HoNOS 65+ is answered on an item-specific anchored 5-point scale with higher scores indicating more problems. Each scale is assigned a value of between 0 and 4, or 8 for unknown. The twelve scales are as follows:

behavioural disturbance
non-accidental self injury
problem drinking or drug use
cognitive problems
problems related to physical illness or disability
problems associated with hallucinations and delusions
problems associated with depressive symptoms
other mental and behavioural problems
problems with social or supportive relationships
problems with activities of daily living
overall problems with living conditions
problems with work and leisure activities and the quality of the daytime environment.

The sum of the individual scores of each of the scales (excluding code 8 'Unknown') represents the total HoNOS 65+ score. The total HoNOS 65+ score ranges from 0 to 48, and represents the overall severity of an individual's psychiatric symptoms.

Source and reference attributes

Submitting organisation:

Independent Hospital Pricing Authority

Data element attributes

Collection and usage attributes

Guide for use:

This data element is used to report a score for one of the 12 items that comprise the HoNOS 65+ tool. It should be reported in an array of 12 to gain the HoNOS 65+ score.