Palliative care phase code N
Identifying and definitional attributes
|Metadata item type:||Value Domain|
|Registration status:||Health, Standard 11/04/2014|
Tasmanian Health, Archived 19/05/2020
Independent Hospital Pricing Authority, Superseded 03/11/2016
|Definition:||A code set describing the phases of palliative care.|
|Maximum character length:||1|
Collection and usage attributes
|Guide for use:|
The palliative care phase is the stage of the palliative care patient’s illness.
CODE 1 Stable
The patient symptoms are adequately controlled by established management. Further interventions to maintain symptom control and quality of life have been planned. The situation of the family/carers is relatively stable and no new issues are apparent. Any needs are met by the established plan of care.
CODE 2 Unstable
The patient experiences the development of a new unexpected problem or a rapid increase in the severity of existing problems, either of which require an urgent change in management or emergency treatment. The family/carers experience a sudden change in their situation requiring urgent intervention by members of the multidisciplinary team.
CODE 3 Deteriorating
The patient experiences a gradual worsening of existing symptoms or the development of new but expected problems. These require the application of specific plans of care and regular review but not urgent or emergency treatment. The family/carers experience gradually worsening distress and other difficulties, including social and practical difficulties, as a result of the illness of the person. This requires a planned support program and counselling as necessary.
CODE 4 Terminal
Death is likely in a matter of days and no acute intervention is planned or required. The typical features of a person in this phase may include the following:
This requires the use of frequent, usually daily, interventions aimed at physical, emotional and spiritual issues. The family/carers recognise that death is imminent and care is focussed on emotional and spiritual issues as a prelude to bereavement.
CODE 9 Not reported
The phase of the illness has not been reported.
Palliative care phases are not sequential and a patient may move back and forth between phases. Palliative care phases provide a clinical indication of the type of care required and have been shown to correlate strongly with survival within longitudinal prospective studies.
Source and reference attributes
Palliative Care Outcomes Collaboration (PCOC) 2009. PCOC V2 Data Definitions and Guidelines. Australian Health Services Research Institute, University of Wollongong, Wollongong. Viewed 24 August 2012,
|Related metadata references:|
Has been superseded by Palliative care phase code N Health, Not progressed 17/07/2017, Independent Hospital Pricing Authority, Standard 03/11/2016
|Data elements implementing this value domain:|
Episode of admitted patient care—palliative care phase, code N Health, Superseded 19/11/2015
Episode of admitted patient care—palliative care phase, code N Health, Superseded 25/01/2018