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:||Data Element|
|Short name:||Individual sessions—district nursing services|
|Synonymous names:||Type of non-admitted patient care - district nursing services individual sessions|
|Registration status:||Health, Standard 01/03/2005|
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
|Maximum character length:||7|
|Unit of measure:||Occasion of service|
Data element attributes
Collection and usage attributes
|Guide for use:|
For occasions of service as individual sessions by district nursing services to non-admitted patients.
District nursing services:
*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.
The definition does not distinguish case complexity for non-admitted patients.
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.
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:||National minimum data set working parties|
|Related metadata references:|
Supersedes Occasions of service, version 1, Derived DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.7 KB)
|Implementation in Data Set Specifications:|
All attributes +
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