Hospital service—care type, Tasmanian code X[XXXX]
Identifying and definitional attributes
|Metadata item type:||Data Element|
|Short name:||Care type|
|Registration status:||Tasmanian Health, Archived 12/04/2019|
The overall nature of a clinical service provided to an admitted patient during an episode of care (admitted care), or the type of service provided by the hospital for boarders or posthumous organ procurement (care other than admitted care), as represented by a code.
Admitted patient care and hospital activity:
For admitted patients, the type of care received will determine the appropriate casemix classification employed to classify the episode of care.
|Data Element Concept:||Hospital service—care type|
Value domain attributes
|Maximum character length:||5|
Collection and usage attributes
|Guide for use:|
Persons with mental illness may receive any one of the care types (except newborn and organ procurement). Classification depends on the principal clinical intent of the care received.
Admitted care can be one of the following:
CODE 1 Nursing home type
Patients whose care needs could have been adequately met by placement in a nursing home facility, but for whom a bed in such a facility is not available.
CODE 4 Acute incl qual newborn
Acute care is care in which the clinical intent or treatment goal is to:
A newborn can be allocated an care type of Acute incl qual newborn if the newborn is nine days old or less and meets at least one of the following criteria:
CODE 8 Palliative care
Palliative care is care in which the primary clinical purpose or treatment goal is optimisation of the quality of life of a patient with an active and advanced life-limiting illness. The patient will have complex physical, psychosocial and/or spiritual needs.
Palliative care is always:
Palliative care excludes care which meets the definition of mental health care.
CODE 9 Geriatric evaluation and management
Geriatric evaluation and management is care in which the primary clinical purpose or treatment goal is improvement in the functioning of a patient with multi-dimensional needs associated with medical conditions related to ageing, such as tendency to fall, incontinence, reduced mobility and cognitive impairment. The patient may also have complex psychosocial problems.
Geriatric evaluation and management is always:
Geriatric evaluation and management excludes care which meets the definition of mental health care.
CODE BOR Boarder
CODE NEO Neonate (unqualified)
To be used when the patient is born in hospital or is nine days old or less and doesn't meet at least one to be considered an admission as an Acute incl qual newborn care type at the time of admission and do not require clinical care. Neonate admission type continues until the care type changes or the patient is separated. The following points should be noted:
CODE ORG Organ procurement (posthumous)
CODE OTH Other
Other admitted patient care is care where the principal clinical intent does not meet the criteria for any of the above but should not be used except for persons accepted to the Transition Care Program.
A patient can only enter a Transitional Care Program immediately on discharge from their Acute or Subacute episode of care. Can ca be delivered in either a residential or community setting.
CODE PSY Psychogeriatric
Psychogeriatric care is care in which the primary clinical purpose or treatment goal is improvement in the functional status, behaviour and/or quality of life for an older patient with significant psychiatric or behavioural disturbance, caused by mental illness, an age-related organic brain impairment or a physical condition.
Psychogeriatric care is always:
Psychogeriatric care is not applicable if the primary focus of care is acute symptom control.
Psychogeriatric care excludes care which meets the definition of mental health care.
CODE REHAB Rehabilitation
Rehabilitation care is care in which the primary clinical purpose or treatment goal is improvement in the functioning of a patient with an impairment, activity limitation or participation restriction due to a health condition. The patient will be capable of actively participating.
Rehabilitation care is always:
Rehabilitation care excludes care which meets the definition of mental health care.
CODE RES Respite
Respite is care in which the primary clinical purpose or treatment goal is support for a patient with impairment, activity limitation or participation restriction due to a health condition. Respite care is planned and booked and the sole reason for admission is the care normally provided in the persons usual residence by a relative or guardian is not available in the short term.
Examples may include:
CODE SOC Social
These are patients who would not normally require hospitalisation, but due to factors in the home environment have been admitted as an interim measure. Includes unplanned respite.
Examples may include:
CODE MHC Mental health Care
Mental health care is care in which the primary clinical purpose or treatment goal is improvement in the symptoms and/or psychosocial, environmental and physical functioning related to a patient’s mental disorder. Mental health care:
CODE NSP Not specified
Not to be used.
Hospital boarder, Organ procurement (posthumous) and Unqualified newborn days (and separations consisting entirely of unqualified newborn days) are not to be counted under the National Health Care Reform Agreements Health Insurance Act 1973 and Australian Health Care Agreements, and they are ineligible for health insurance benefit purposes.
Data element attributes
Collection and usage attributes
This data element is collected at the time of patient's admission and discharge.
The data fields on Health Central are [AdmissionCareTypeRefId] and [DischargeCareTypeRefId].
|Comments:||The care type at the time of discharge is used for national reporting.|
|Related metadata references:|
Has been superseded by Hospital service—care type, Tasmanian code X[XXXX] Tasmanian Health, Endorsed 12/04/2019
Supersedes Hospital service—care type, Tasmanian code X[XXXX] Tasmanian Health, Archived 05/09/2016
|Implementation in Data Set Specifications:|
All attributes +
Tasmanian Admitted Patient Data Set - 2016 Tasmanian Health, Archived 10/01/2018
Tasmanian Admitted Patient Data Set - 2017 Tasmanian Health, Archived 10/01/2018
Tasmanian Admitted Patient Data Set - 2018 Tasmanian Health, Archived 12/04/2019
|Implementation in Indicators:||Used as numerator|
Service Agreement - Department of Health and Human Services Tasmania: 2016, ACT1, Admitted patient, Acute admitted raw separations, 2016 Tasmanian Health, Archived 28/03/2019