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Aged care assessment—reason for assessment, code N[N]

Data Element Attributes

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termReason for aged care assessment
Synonymous names:Help on this termAged care assessment trigger
METEOR identifier:Help on this term775221
Registration status:Help on this term

Aged Care, Superseded 31/10/2025

Definition:Help on this term

The reason an aged care assessment was undertaken, as represented by a code.

Data Element Concept:Help on this termAged care assessment—reason for assessment
Value Domain:Help on this termReason for aged care assessment code N[N]

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN[N]
Maximum character length:Help on this term2
  ValueMeaning
Permissible values:Help on this term1Hospital admission or discharge
  2Change in medical condition(s)
  3Change in care needs
  4Concerns about increasing frailty
  5Fall(s)
  6Change in cognitive status
  7Change in mental health status
  8Change in caring arrangements
  9Change in living arrangements
  10Risk of vulnerability
  20Other
Supplementary values:Help on this term97Not applicable
  98Unknown/unable to be determined
  99
 
Not stated/inadequately described
 

Collection and usage attributes

Guide for use:Help on this term

CODE 1     Hospital admission or discharge

This code applies where a recent hospitalisation (within three months) results in the initiation of an aged care assessment. This relates to an inpatient stays or emergency department presentations, not an outpatient visit at e.g., a hospital clinic.

CODE 2     Change in medical conditions

This code applies where a change in the person's medical conditions (including mental health and disability) has led to the initiation of an aged care assessment. The medical conditions impact on the persons need for assistance with activities and can include e.g., changes in pain levels or ability to self-manage the condition(s).

CODE 3     Change in care needs

This code applies where there is a change in care needs, such as the need for more assistance to complete everyday tasks, that trigger the need for an assessment. Use code 2 if the change in care needs is specific to a particular medical condition.

CODE 4     Concerns about increasing frailty

This code applies if the trigger for assessment relates to concerns about overall worsening health and mobility. Use code 2 if the concerns are specific to a particular medical condition and code 4 if the increasing frailty involves falls.

CODE 5     Fall(s)

This code applies to falls, including slips and trips that lead to the initiation of an assessment.

CODE 6     Change in cognitive status

This code applies where the assessment is triggered by a change in a person's memory and/or cognition. Changes may include declining memory, forgetfulness and confusion, poor judgement and decision-making, and other cognitive changes that impact on every day activities.

CODE 7     Change in mental health status

This code applies where the assessment is triggered by a change in a person's mental health. Changes may include increased symptoms of depression, anxiety, withdrawal or lack of enjoyment that impact on every day activities.

CODE 8     Change in caring arrangement

This code applies where the assessment is triggered by a change in caring arrangements. This includes changes where a co-resident, non-resident carer or informal support network are no longer able to provide care for the person, e.g., due to the carer's death, hospitalisation or moving away.

CODE 9     Change in living arrangement

This code applies where the assessment is triggered by a change in a person's accommodation or housing situation. This includes changes where the person needs to relocate to alternative or new accommodation e.g., due to cost, availability or suitability of housing. Where an assessment is needed because of a change in the carer's living arrangements or loss of a carer, use code 8.

CODE 10     Risk of vulnerability

This code applies where a person has a level of vulnerability that triggers the need for an assessment. It may relate to the person being identified as belonging to an at-risk group. Should a person choose not to disclose information about their situation or lifestyle, this choice should be respected.

CODE 20     Other

This code applies for any triggers which are not categorised or defined in the above and warranted an assessment.

CODE 97     Not applicable

This code is used where the assessment reason is not required. 

CODE 98     Unknown/unable to be determined

This code is used where the assessor was not able to determine the reason for the assessment.

CODE 99    Not stated/inadequately described

This code is not to be used on primary collection forms.

Source and reference attributes

Submitting organisation:Help on this term
Department of Health, Disability and Ageing

Data element attributes Help on this term

Collection and usage attributes

Guide for use:Help on this term

The "trigger" for an aged care assessment relates to the reason a person has been referred for an aged care assessment. It is used to identify whether the assessment is needed because of an event or change in the persons living and needs arrangements. These changes can determine whether an aged care service is suitable and which type of care is needed.

This data element collects information on the situation or trigger that has led the person to contact My Aged Care. The question is based on the information available, the assessor's judgement based on their conversation with the person, information on the inbound referral and/or information provided by another source such as a representative, carer or friend.

This element applies to home support and comprehensive assessments.

One or more codes can be selected.

Source and reference attributes

Submitting organisation:Help on this term
Department of Health, Disability and Ageing
Origin:Help on this term

My Aged Care – National Screening and Assessment Form User Guide | Australian Government Department of Health and Aged Care, viewed 16 February 2023. https://www.health.gov.au/resources/publications/my-aged-care-national-screening-and-assessment-form-user-guide?language=en

Relational attributes

Related metadata references:Help on this term
Has been superseded by Aged care assessment—reason for assessment, code N[N]

Aged Care, Standard 31/10/2025

Implementation in Data Set Specifications:Help on this term
All attributes +
Aged care assessment cluster

Aged Care, Superseded 31/10/2025

DSS specific attributes +
Conditional obligation:

For the Aged Care NMDS, this data element is conditional on codes 1, 2 or 3 being selected for Aged care assessment—assessment type, code N[N].


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