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Establishment—number of individual session occasions of service for non-admitted patients (district nursing services), total N[NNNNNN]

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termIndividual sessions—district nursing services
Synonymous names:Help on this termType of non-admitted patient care - district nursing services individual sessions
METeOR identifier:Help on this term270512
Registration status:Help on this termHealth, Standard 01/03/2005
Definition:Help on this term

The total number of occasions of examination, consultation, treatment or other services provided as individual sessions to non-admitted patients by the district nursing services functional unit of an establishment.

Data Element Concept:Establishment—number of individual session occasions of service for non-admitted patients

Value domain attributes

Representational attributes

Representation class:Help on this termTotal
Data type:Help on this termNumber
Format:Help on this termN[NNNNNN]
Maximum character length:Help on this term7
Unit of measure:Help on this termOccasion of service

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

For occasions of service as individual sessions by district nursing services to non-admitted patients.

District nursing services:

  • are for medical/surgical/psychiatric care
  • are provided by a nurse, paramedic or medical officer
  • involve travel by the service provider*
  • are not provided by staff from a unit classified in the community health category above.

*Travel does not include movement within an establishment, movement between sites in a multi-campus establishment or between establishments. Such cases should be classified under the appropriate non-admitted patient category.

This metadata item identifies types of services provided to non-admitted patients in different institutional ways in different systems. It is not a summary casemix classification.

A patient who first contacts the hospital and receives non-admitted care, for example through emergency departments, and is subsequently admitted, should have both components of care enumerated separately. Where possible, non-admitted occasions of service that are provided to patients who are subsequently admitted should be identified as a subset of the total occasions of service.

The list of Type of non-admitted patient care categories was to be developed using typical functional units or cost centres within existing institutions. These would include designated wards or departments and specialised clinics. Although the current statistical/financial returns submitted to the various health authorities by their hospitals do not provide a minimum subset, an effort has been made to define the categories in respect to those areas commonly collected. Many functional units provide services to both admitted patients and non-admitted patients, for example pathology. Only occasions of service for non-admitted patients should be included in this section.

Collection methods:Help on this term

The definition does not distinguish case complexity for non-admitted patients.
For example, an occasion of service could vary in complexity from a simple urine glucose test to a complete biochemical analysis of all body fluids. Ideally, average case complexity values would be available for the various categories of non-admitted patients in the same way that average diagnosis related group weighted separations are becoming available for acute admitted patients. However, such measures would require the development of patient record databases for non-admitted patients. This does not imply an inadequacy in definition.

For admitted patients the concept of a separation is widely accepted. Separations can vary between admission for overnight observation to open heart surgery. The issue of case complexity for both admitted and non-admitted patients is a separate issue and beyond the scope of the proposed summary establishment-level activity data.

Comments:Help on this term

Outreach/community care is care delivered by hospital employees to the patient in the home, place of work or other non-hospital site. The distinction between non-admitted patient care and outreach care is that for non-admitted patient care the patients travel to the health care providers while for outreach care the health care providers travel to the patients.

This distinction creates difficulties for community health centres. These centres are to be included in the national minimum data set where they are funded as sections within establishments that fall within the scope of the National Health Data Dictionary. For example, baby clinics, immunisation groups or aged care assessment teams, which are funded through acute hospitals, may provide care to some clients within the hospital grounds or externally. It is intended that all community health activity be measured under community health regardless of where the services are provided.

Source and reference attributes

Submitting organisation:Help on this termNational minimum data set working parties

Relational attributes

Related metadata references:Help on this term

Supersedes Occasions of service, version 1, Derived DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.7 KB)

Supersedes Type of non-admitted patient care, version 1, Derived DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (26.0 KB)

Implementation in Data Set Specifications:Help on this term
All attributes +

Public hospital establishments NMDS Health, Superseded 21/03/2006

DSS specific attributes +

Public hospital establishments NMDS Health, Superseded 23/10/2006

DSS specific attributes +

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DSS specific attributes +

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DSS specific attributes +

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DSS specific attributes +

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DSS specific attributes +

Public hospital establishments NMDS 2011-12 Health, Superseded 07/12/2011
Commonwealth Department of Health, Candidate 16/07/2015

DSS specific attributes +

Public hospital establishments NMDS 2012-13 Health, Superseded 07/02/2013

DSS specific attributes +

Public hospital establishments NMDS 2013-14 Health, Superseded 11/04/2014

DSS specific attributes +
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