Emergency service stay—episode end status, code N
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
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Short name: | Emergency service stay episode end status |
Synonymous names: | Departure status |
METEOR identifier: | 778984 |
Registration status: | Health, Standard 06/12/2023 |
Definition: | The status of a patient at the end of the emergency service episode, as represented by a code. |
Context: | Emergency service care. |
Data Element Concept: | Emergency service stay—episode end status |
Value Domain: | Emergency service patient episode end status code N |
Collection and usage attributes | |
Guide for use: | CODE 1 Transferred for admitted patient care in this hospital (either short stay unit, hospital-in-the-home or other admitted patient care unit) This code should only be used for patients who physically depart the emergency service because they are admitted to a short stay unit, hospital-in-the-home or other admitted patient care unit. Patients for whom the intention is to admit to a short stay unit, hospital-in-the-home or other admitted patient care unit, but who die or otherwise leave the emergency service should not be recorded as Code 1. This code excludes patients who died in the emergency service. Such instances should be coded to Code 6. CODE 2 Emergency service stay completed - departed without being transferred to a short stay unit, hospital-in-the-home or other admitted patient care unit in this hospital or referred to another hospital This code includes patients who either departed under their own care, under police custody, under the care of a residential aged care facility or under the care of another carer. This code excludes those who died in the emergency service as a non-admitted patient. Such instances should be coded to Code 6. CODE 3 Emergency service stay completed - referred to another hospital for admission This code should only be used for patients who physically depart the emergency service because they are referred to another hospital for admission. Patients for whom the intention is to admit to another hospital, but who die or otherwise leave the emergency service before the emergency service stay is completed should not be recorded as Code 3. This code excludes patients who died in the emergency service. Such instances should be coded to Code 6. CODE 4 Did not wait to be attended by a health care professional This code excludes patients who are advised of other health care services that could attend to their condition, and who leave the emergency service with the intention of attending another health care service. These patients should be coded to Code 8. CODE 6 Died in emergency service This code should only be used for patients who die while physically located within the emergency service. CODE 7 Dead on arrival This code should only be used for patients who are dead on arrival and an emergency service clinician certifies the death of the patient. This includes where the clinician certifies the death outside the emergency service (e.g. in an ambulance outside the emergency service). Exclusion: When resuscitation or any other clinical care for the patient is attempted, Code 7 should not be used. Note: Where Code 7 is recorded for a patient, an Emergency service stay—type of visit to emergency service, code N, Code 5 (Dead on arrival) should also be recorded. CODE 8 Registered, advised of another health care service, and left the emergency service without being attended to by a health care professional Patients should be coded to Code 8 if they meet all of the criteria (that is, they undergo a clerical registration process, are provided with advice about another health care service that could provide assessment and/or treatment of their condition, and leave the emergency service without receiving clinical care). However, patients should only be coded to Code 8 if, at the time of their departure, they provided a reasonable indication that they did intend to seek assistance from another health care service including the service to which they were referred. They may leave the emergency service immediately after being advised of the other health care service, or may leave after a period of time. If it is unclear whether the person intended to seek further treatment from another health care service, they should be coded to Code 4. The health care service to which the patient is referred may include primary care/general practitioner (GP) clinics, other clinics that provide specialised treatment (e.g. for mental health care or drug and alcohol care), or other health services (such as the patient’s usual general practitioner). The service may be co-located with the hospital in which the emergency service is located, or may be a separate facility. |
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Source and reference attributes | |
Submitting organisation: | Independent Health and Aged Care Pricing Authority |
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Data element attributes | |
Collection and usage attributes | |
Guide for use: | When recording the episode end status of a patient, Codes 6 and 7 should first be considered for use. If Codes 6 and 7 are inappropriate, select the most suitable code for the patient from Codes 1-5 and Code 8. |
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Collection methods: | Some data systems may refer to this data element as 'Departure status'. |
Comments: | Code 8 has been included as a permissible value to capture situations where a person may have been diverted from the emergency service to another health care service. Inclusion of this code ensures consistency of reporting, and ensures that these patients are distinguished from patients who did not wait to be attended by a health care professional and for whom it is unknown if they sought any other treatment for their condition. |
Source and reference attributes | |
Submitting organisation: | Independent Health and Aged Care Pricing Authority |
Relational attributes | |
Related metadata references: | Supersedes Emergency service stay—episode end status, code N Health, Superseded 06/12/2023 See also Emergency service stay—type of visit to emergency service, code N Health, Standard 20/10/2021 See also Non-admitted patient emergency department service episode—episode end status, code N Health, Standard 20/10/2021 |
Implementation in Data Set Specifications: | Emergency service care aggregate NBEDS 2024–25 Health, Standard 06/12/2023 Implementation start date: 01/07/2024 Implementation end date: 30/06/2025 Emergency service care NBEDS 2024–25 Health, Standard 06/12/2023 Implementation start date: 01/07/2024 Implementation end date: 30/06/2025 |