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Separation

Identifying and definitional attributes
Metadata item type:	Glossary Item
METeOR identifier:	327268
Registration status:	Health, Standard 01/03/2005 Tasmanian Health, Endorsed 02/09/2016 Independent Hospital Pricing Authority, Standardisation pending 23/11/2015 National Health Performance Authority (retired), Retired 01/07/2016 ACT Health, Final 09/08/2018
Definition:	The process by which an episode of care for an admitted patient ceases. A separation may be formal or statistical. Formal separation: The administrative process by which a hospital records the cessation of treatment and/or care and/or accommodation of a patient. Statistical separation: The administrative process by which a hospital records the cessation of an episode of care for a patient within the one hospital stay.
Context:	Admitted patient care.
Collection and usage attributes
Comments:	This treatment and/or care provided to a patient prior to separation occurs over a period of time and can occur in hospital and/or in the person's home (for hospital-in-the-home patients). While this concept is also applicable to non-admitted patient care and welfare services, different terminology to 'separation' is often used in these other care settings.
Source and reference attributes
Submitting organisation:	National Health Data Committee
Relational attributes
Related metadata references:	Supersedes Separation, version 3, DEC, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.4 KB)
Metadata items which use this glossary item:	Activity based funding: Admitted acute hospital care DSS 2013-2014 Independent Hospital Pricing Authority, Superseded 01/03/2013 Activity based funding: Mental health care DSS 2015-16 Independent Hospital Pricing Authority, Standard 15/10/2014 Activity based funding: Mental health care DSS 2016-17 Independent Hospital Pricing Authority, Superseded 28/02/2017 Activity based funding: Mental health care NBEDS 2017-18 Health, Superseded 25/01/2018 Activity based funding: Mental health care NBEDS 2018-19 Health, Superseded 12/12/2018 Activity based funding: Mental health care NBEDS 2019-20 Health, Standard 12/12/2018 Acute stroke clinical care standard indicators: 3a-Proportion of patients with a final diagnosis of acute stroke who have documented treatment in a stroke unit Health, Candidate 14/03/2017 Acute stroke clinical care standard indicators: 3a-Proportion of patients with a final diagnosis of acute stroke who have documented treatment in a stroke unit, 2019- Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019 Acute stroke clinical care standard indicators: 3b-Proportion of patients with a final diagnosis of acute stroke who spent at least 90% of their acute hospital admission in a stroke unit, 2019- Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019 Acute stroke clinical care standard indicators: 3b-Proportion of stroke patients spending at least 90% of their acute hospital stay in a stroke unit Health, Candidate 14/03/2017 Acute stroke clinical care standard indicators: 4a-Assessment for rehabilitation by a physiotherapist within 24–48 hours of hospital presentation Health, Candidate 04/04/2017 Acute stroke clinical care standard indicators: 5a- Proportion of patients with a final diagnosis of acute stroke on blood pressure lowering medication on separation from hospital, 2019- Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019 Acute stroke clinical care standard indicators: 5a-Separation on antihypertensive medication for haemorrhagic stroke Health, Candidate 14/03/2017 Acute stroke clinical care standard indicators: 5b- Proportion of patients with a final diagnosis of ischaemic stroke on cholesterol lowering medication on separation from hospital, 2019 Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019 Acute stroke clinical care standard indicators: 5b-Separation on statin, antihypertensive and antithrombotic medications for ischaemic stroke Health, Candidate 14/03/2017 Acute stroke clinical care standard indicators: 5c-Oral anticoagulants prescribed for atrial fibrillation on separation from hospital Health, Candidate 04/04/2017 Acute stroke clinical care standard indicators: 5c-Proportion of patients with a final diagnosis of ischaemic stroke and atrial fibrillation prescribed oral anticoagulants on separation from hospital, 2019- Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019 Acute stroke clinical care standard indicators: 5d- Proportion of patients with a final diagnosis of ischaemic stroke on antithrombotic medications on separation from hospital, 2019- Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019 Acute stroke clinical care standard indicators: 5d-Risk factor modification advice before separating from hospital Health, Candidate 14/03/2017 Acute stroke clinical care standard indicators: 5e- Proportion of patients with a final diagnosis of acute stroke who have documented evidence of advice on risk factor modification prior to separation from hospital, 2019- Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019 Acute stroke clinical care standard indicators: 6a-Carer support needs assessment Health, Candidate 04/04/2017 Acute stroke clinical care standard indicators: 6a-Proportion of patients with a final diagnosis of acute stroke whose carer(s) received a formal needs assessment prior to separation from hospital, 2019- Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019 Acute stroke clinical care standard indicators: 6b-Carer training Health, Candidate 04/04/2017 Acute stroke clinical care standard indicators: 6b-Proportion of patients with a final diagnosis of acute stroke who require assistance with activities of daily living, and whose carer(s) received relevant training prior to separation from hospital, 2019- Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019 Acute stroke clinical care standard indicators: 7a-Proportion of patients with a final diagnosis of acute stroke provided with a documented care plan prior to separation from hospital, 2019- Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019 Acute stroke clinical care standard indicators: 7a-Proportion of stroke patients with a documented care plan prior to hospital separation Health, Candidate 14/03/2017 Admitted acute care activity based funding DSS 2012-2013 Independent Hospital Pricing Authority, Superseded 31/10/2012 Admitted patient care NBEDS 2017-18 Health, Superseded 06/09/2018 Admitted patient care NBEDS 2018-19 Health, Superseded 12/12/2018 Admitted patient care NBEDS 2019-20 Health, Standard 12/12/2018 Admitted patient care NBEDS 2020-21 Health, Standardisation pending 30/09/2019 Admitted patient care NMDS Health, Superseded 07/12/2005 Admitted patient care NMDS 2006-07 Health, Superseded 23/10/2006 Admitted patient care NMDS 2007-08 Health, Superseded 05/02/2008 Admitted patient care NMDS 2008-09 Health, Superseded 04/02/2009 Admitted patient care NMDS 2009-10 Health, Superseded 22/12/2009 Admitted patient care NMDS 2010-11 Health, Superseded 18/01/2011 Admitted patient care NMDS 2011-12 Health, Superseded 11/04/2012 Commonwealth Department of Health, Candidate 16/07/2015 Admitted patient care NMDS 2012-13 Health, Superseded 02/05/2013 Admitted patient care NMDS 2013-14 Health, Superseded 11/04/2014 Admitted patient care NMDS 2014-15 Health, Superseded 13/11/2014 Admitted patient care NMDS 2015-16 Health, Superseded 10/11/2015 Admitted patient care NMDS 2016-17 Health, Superseded 05/10/2016 Admitted patient care NMDS 2017-18 Health, Superseded 25/01/2018 Admitted patient care NMDS 2018-19 Health, Superseded 12/12/2018 ACT Health, Final 09/08/2018 Admitted patient care NMDS 2019-20 Health, Standard 12/12/2018 Admitted patient care NMDS 2020–21 Health, Standardisation pending 01/10/2019 Admitted patient hospital stay Health, Standard 01/03/2005 Tasmanian Health, Draft 23/07/2012 Admitted patient mental health care NMDS Health, Superseded 07/12/2005 Admitted patient mental health care NMDS Health, Superseded 23/10/2006 Admitted patient mental health care NMDS 2007-08 Health, Superseded 05/02/2008 Admitted patient mental health care NMDS 2008-09 Health, Superseded 04/02/2009 Admitted patient mental health care NMDS 2009-10 Health, Superseded 05/01/2010 Admitted patient mental health care NMDS 2010-11 Health, Superseded 18/01/2011 Admitted patient mental health care NMDS 2011-12 Health, Superseded 07/12/2011 Admitted patient mental health care NMDS 2012-13 Health, Superseded 02/05/2013 Admitted patient mental health care NMDS 2013-14 Health, Superseded 15/10/2014 Admitted patient mental health care NMDS 2014-15 Health, Superseded 04/02/2015 Admitted patient mental health care NMDS 2015-16 Health, Superseded 19/11/2015 Admitted patient palliative care NMDS 2013-14 Health, Superseded 15/10/2014 Admitted patient palliative care NMDS 2014-15 Health, Superseded 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Superseded 19/11/2015 Community mental health care NMDS 2005-06 Health, Superseded 07/12/2005 Community mental health care NMDS 2014-15 Health, Superseded 13/11/2014 Community mental health care NMDS 2015-16 Health, Superseded 04/09/2015 Community mental health care NMDS 2016-17 Health, Superseded 17/08/2017 Community mental health care NMDS 2017–18 Health, Superseded 25/01/2018 Community mental health care NMDS 2018–19 Health, Superseded 12/12/2018 ACT Health, Final 09/08/2018 Community mental health care NMDS 2019–20 Health, Standard 12/12/2018 Episode of admitted patient care Health, Standard 01/03/2005 Tasmanian Health, Endorsed 02/09/2016 Independent Hospital Pricing Authority, Standard 31/10/2012 Commonwealth Department of Health, Candidate 15/08/2016 National Health Performance Authority (retired), Retired 01/07/2016 ACT Health, Final 09/08/2018 Episode of admitted patient care—number of leave days Health, Standard 01/03/2005 Tasmanian Health, Endorsed 06/09/2016 ACT Health, Final 09/08/2018 Episode of admitted patient care—number of leave periods, total N[N] Health, Standard 01/03/2005 Episode of admitted patient care—separation date, DDMMYYYY Health, Standard 01/03/2005 Tasmanian Health, Endorsed 02/09/2016 Commonwealth Department of Health, Candidate 16/07/2015 ACT Health, Final 09/08/2018 Episode of admitted patient care—separation mode Health, Standard 01/03/2005 Tasmanian Health, Endorsed 05/09/2016 ACT Health, Final 09/08/2018 Episode of admitted patient care—separation mode, code N Health, Standard 01/03/2005 Commonwealth Department of Health, Candidate 16/07/2015 ACT Health, Final 09/08/2018 Episode of admitted patient care—separation mode, code N[N.N] Health, Standardisation pending 27/09/2019 Episode of care—principal diagnosis, code (ICD-10-AM 10th edn) ANN{.N[N]} Health, Superseded 12/12/2018 Tasmanian Health, Archived 08/04/2019 ACT Health, Final 09/08/2018 Episode of care—principal diagnosis, code (ICD-10-AM 10th edn) ANN{.N[N]} Health, Superseded 25/01/2018 Tasmanian Health, Archived 08/04/2019 Independent Hospital Pricing Authority, Recorded 04/08/2016 Episode of care—principal diagnosis, code (ICD-10-AM 11th edn) ANN{.N[N]} Health, Standard 12/12/2018 Tasmanian Health, Endorsed 08/04/2019 Episode of care—principal diagnosis, code (ICD-10-AM 3rd edn) ANN{.N[N]} Health, Superseded 28/06/2004 Episode of care—principal diagnosis, code (ICD-10-AM 4th edn) ANN{.N[N]} Health, Superseded 07/12/2005 Episode of care—principal diagnosis, code (ICD-10-AM 5th edn) ANN{.N[N]} Health, Superseded 05/02/2008 Episode of care—principal diagnosis, code (ICD-10-AM 6th edn) ANN{.N[N]} Health, Superseded 22/12/2009 Episode of care—principal diagnosis, code (ICD-10-AM 7th edn) ANN{.N[N]} Health, Superseded 02/05/2013 Tasmanian Health, Draft 23/07/2012 Commonwealth Department of Health, Candidate 16/07/2015 National Health Performance Authority (retired), Retired 01/07/2016 Episode of care—principal diagnosis, code (ICD-10-AM 8th edn) ANN{.N[N]} Health, Superseded 13/11/2014 Tasmanian Health, Endorsed 02/09/2016 National Health Performance Authority (retired), Not progressed 01/07/2016 Episode of care—principal diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]} Health, Superseded 05/10/2016 Tasmanian Health, Archived 10/07/2017 Independent Hospital Pricing Authority, Standard 16/03/2016 Episode of mental health care Health, Standard 28/02/2017 ACT Health, Final 09/08/2018 Episode of mental health care Independent Hospital Pricing Authority, Superseded 28/02/2017 Episode of mental health care—episode end mode Health, Superseded 25/01/2018 Episode of mental health care—episode end mode Health, Standard 25/01/2018 ACT Health, Final 09/08/2018 Episode of mental health care—episode end mode Independent Hospital Pricing Authority, Superseded 28/02/2017 Episode of mental health care—episode end mode, code N[N] Health, Superseded 25/01/2018 Episode of mental health care—episode end mode, code N[N] Health, Standard 25/01/2018 ACT Health, Final 09/08/2018 Episode of mental health care—episode end mode, code NN Independent Hospital Pricing Authority, Standard 16/03/2016 Episode of mental health care—episode start date, DDMMYYYY Health, Standard 25/01/2018 Episode of mental health care—episode start date, DDMMYYYY Health, Superseded 25/01/2018 Establishment—number of individual session occasions of service for non-admitted patients (alcohol and drug), total N[NNNNNN] Health, Standard 01/03/2005 Establishment—number of individual session occasions of service for non-admitted patients (community health services), total N[NNNNNN] Health, Standard 01/03/2005 Establishment—number of individual session occasions of service for non-admitted patients (district nursing services), total N[NNNNNN] Health, Standard 01/03/2005 Establishment—number of individual session occasions of service for non-admitted patients (emergency services), total N[NNNNNN] Health, Standard 01/03/2005 Establishment—number of individual session occasions of service for non-admitted patients (endoscopy and related procedures), total N[NNNNNN] Health, Standard 01/03/2005 Establishment—number of individual session occasions of service for non-admitted patients (mental health), total N[NNNNNN] Health, Standard 01/03/2005 Establishment—number of individual session occasions of service for non-admitted patients (other medical/surgical/diagnostic), total N[NNNNNN] Health, Standard 01/03/2005 Establishment—number of individual session occasions of service for non-admitted patients (other outreach services), total N[NNNNNN] Health, Standard 01/03/2005 Establishment—number of individual session occasions of service for non-admitted patients (pathology), total N[NNNNNN] Health, Standard 01/03/2005 Establishment—number of individual session occasions of service for non-admitted patients (pharmacy), total N[NNNNNN] Health, Standard 01/03/2005 Establishment—number of separations Health, Standard 01/03/2005 ACT Health, Final 17/08/2018 Establishment—number of separations (financial year), total N[NNNNN] Health, Standard 01/03/2005 ACT Health, Final 17/08/2018 Indigenous Better Cardiac Care measure: 3.1-Hospitalised ST-segment-elevation myocardial infarction events treated by percutaneous coronary intervention, 2016 Health, Standard 17/08/2017 Indigenous Better Cardiac Care measure: 3.3-Hospitalised acute coronary syndrome events that included diagnostic angiography or definitive revascularisation procedures, 2016 Health, Standard 17/08/2017 Indigenous Better Cardiac Care measure: 3.5-Hospitalised acute myocardial infarction events that ended with death of the patient, 2016 Health, Standard 17/08/2017 Indigenous Better Cardiac Care measure: 6.1-Rates of hospitalisation for cardiac conditions, 2016 Health, Standard 17/08/2017 Indigenous Better Cardiac Care measure: 6.2-Mortality due to cardiac conditions, 2016 Health, Standard 17/08/2017 Key Performance Indicators for Australian Public Mental Health Services (Jurisdictional level version) (2015) Health, Superseded 11/05/2016 Key Performance Indicators for Australian Public Mental Health Services (Jurisdictional level version) (2016) Health, Superseded 14/06/2017 Key Performance Indicators for Australian Public Mental Health Services (Jurisdictional level version) (2017) Health, Standard 14/06/2017 Key Performance Indicators for Australian Public Mental Health Services (Jurisdictional level version) (2018) Health, Candidate 09/08/2018 Key Performance Indicators for Australian Public Mental Health Services (Service level version) (2015–) Health, Standard 19/11/2015 Key Performance Indicators for Australian Public Mental Health Services (Service level version) (2018) Health, Candidate 09/08/2018 KPIs for Australian Public Mental Health Services: PI 02J – 28 day readmission rate, 2017 Health, Standard 14/06/2017 KPIs for Australian Public Mental Health Services: PI 12J – Rate of post-discharge community care, 2017 Health, Standard 14/06/2017 Mental health establishments NMDS 2014-15 Health, Superseded 13/11/2014 Mental health establishments NMDS 2015-16 Health, Superseded 04/09/2015 Mental health establishments NMDS 2016-17 Health, Superseded 17/08/2017 Mental health establishments NMDS 2017–18 Health, Superseded 25/01/2018 Mental health establishments NMDS 2018–19 Health, Superseded 12/12/2018 ACT Health, Final 17/08/2018 Mental health establishments NMDS 2019–20 Health, Standard 12/12/2018 Mental health readmissions to hospital, 2018 Health, Candidate 09/08/2018 Mental health readmissions to hospital, 2018 Health, Candidate 09/08/2018 National Bowel Cancer Screening Program NBEDS 2014-18 Health, Superseded 06/09/2018 National Bowel Cancer Screening Program NBEDS 2018–19 Health, Superseded 12/12/2018 National Bowel Cancer Screening Program NBEDS 2019–20 Health, Standard 12/12/2018 National Bowel Cancer Screening Program NBEDS 2020–21 Health, Standardisation pending 27/09/2019 Perinatal DSS 2014-15 Health, Superseded 13/11/2014 Perinatal DSS 2015-16 Health, Superseded 04/09/2015 Perinatal NBEDS 2016-17 Health, Superseded 05/10/2016 Perinatal NBEDS 2017-18 Health, Superseded 02/08/2017 Perinatal NBEDS 2018-19 Health, Superseded 12/12/2018 Perinatal NBEDS 2019–20 Health, Standard 12/12/2018 Perinatal NBEDS 2020–21 Health, Standardisation pending 17/09/2019 Perinatal NMDS 2013-14 Health, Superseded 07/03/2014 Perinatal NMDS 2014-18 Health, Superseded 02/08/2017 Perinatal NMDS 2018-19 Health, Superseded 12/12/2018 ACT Health, Final 14/08/2018 Perinatal NMDS 2019–20 Health, Standard 12/12/2018 Perinatal NMDS 2020–21 Health, Standardisation pending 17/09/2019 Person—congenital malformation Health, Standard 01/03/2005 Person—congenital malformation, code (BPA 1979) ANN.N[N] Health, Standard 01/03/2005 Person—congenital malformation, code (ICD-10-AM 3rd edn) ANN{.N[N]} Health, Superseded 28/06/2004 Person—congenital malformation, code (ICD-10-AM 4th edn) ANN{.N[N]} Health, Superseded 07/12/2005 Person—congenital malformation, code (ICD-10-AM 5th edn) ANN{.N[N]} Health, Superseded 05/02/2008 Person—congenital malformation, code (ICD-10-AM 6th edn) ANN{.N[N]} Health, Superseded 22/12/2009 Person—congenital malformation, code (ICD-10-AM 7th edn) ANN{.N[N]} Health, Standard 22/12/2009 Post-discharge community mental health care, 2018 Health, Candidate 09/08/2018 Post-discharge community mental health care, 2018 Health, Candidate 09/08/2018 Residential mental health care NMDS 2014-15 Health, Superseded 13/11/2014 Residential mental health care NMDS 2015-16 Health, Superseded 04/09/2015 Residential mental health care NMDS 2016-17 Health, Superseded 17/08/2017 Residential mental health care NMDS 2017–18 Health, Superseded 25/01/2018 Residential mental health care NMDS 2018–19 Health, Superseded 12/12/2018 ACT Health, Final 09/08/2018 Residential mental health care NMDS 2019–20 Health, Standard 12/12/2018 Separation mode Health, Standard 01/03/2005 Tasmanian Health, Endorsed 05/09/2016 ACT Health, Final 09/08/2018 Separation mode code N Health, Standard 01/03/2005 Commonwealth Department of Health, Candidate 16/07/2015 ACT Health, Final 09/08/2018 Separation mode code N[N.N] Health, Standardisation pending 27/09/2019

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