Episode end mode code N[N]

Identifying and definitional attributes

Metadata item type:Value Domain
METeOR identifier:641031
Registration status:Health, Standard 28/02/2017
Definition:

A code set representing the status and destination of a patient at the end of an episode of care or separation.

Representational attributes

Representation class:Code
Data type:Number
Format:N[N]
Maximum character length:2
Permissible values:
ValueMeaning
1Discharge/transfer to an acute hospital
2Discharge/transfer to a residential aged care service
3Discharge/transfer to (an)other psychiatric hospital
4Discharge/transfer to other health care accommodation
5End of reference period
6Left against medical advice/discharge at own risk
7Statistical discharge from leave
8Died
9Other
10Discharge due to inactivity
11Statistical discharge due to admitted care type change
12Did not return from leave
13Return to other residential mental health service
Supplementary values:
98Unknown
99Not stated/inadequately described

Collection and usage attributes

Guide for use:

CODE 1    Discharge/transfer to an acute hospital

This code refers to the discharge/transfer of a patient to another acute hospital. The transfer may be to a general ward or mental health ward at an acute hospital. If the discharge/transfer was to a psychiatric hospital as an admitted patient, then the episode end mode should be Code 3.

 

CODE 2    Discharge/transfer to a residential aged care service

This code refers to a discharge/transfer to a residential aged care service, unless this is the usual place of residence. If the residential aged care service is the patient's place of usual residence then they should have an episode end mode of Code 9.

 

CODE 3    Discharge/transfer to (an)other psychiatric hospital

This code refers to the discharge/transfer to (an)other psychiatric hospital as an admitted patient.

 

CODE 4    Discharge/transfer to other health care accommodation 

This code refers to a patient discharge/transfer to other health care accommodation, including mothercraft hospitals and residential mental health care services. In jurisdictions where mothercraft facilities are considered to be acute hospitals, patients separated to a mothercraft facility should have an episode end mode of Code 1.

 

CODE 5    End of reference period

This code refers to the statistical end of a residential or ambulatory mental health care episode.

 

CODE 6    Left against medical advice/discharge at own risk

This code refers to a patient who leaves a mental health care service against medical advice or are discharged at their own risk.

 

CODE 7    Statistical discharge from leave

This code refers to the administrative process by which a provider records the planned cessation of the episode of care while the patient is on leave.

 

CODE 8    Died

This code refers to the closing of an episode due to the death of a patient.

 

CODE 9    Other

This code includes discharges to other locations, including discharges to usual residence, own accommodation/ welfare institution (includes prisons, hostels, and group homes providing primarily welfare services). This code excludes discharge/transfer to other health care accommodation (Code 4) and residential aged care services (Code 2), unless they are the patient's place of usual residence.

 

CODE 10   Discharge due to inactivity

This code refers to the closing of an episode due to patient inactivity with the service provider. This code is only used in ambulatory mental health settings. For the purposes of activity based funding reporting, Code 10 Discharge after period of inactivity, is used after the episode of care has had a period of 120 days in which no service contact or event occurs.

 

CODE 11   Statistical discharge due to admitted care type change

This code is only to be used in admitted mental health settings when a care type has changed resulting in a statistical discharge but the patient has not physically left the hospital.

 

CODE 12    Did not return from leave

This code refers to the process by which a provider records an unplanned cessation of an episode of care while the patient is on leave, where there was a plan for the patient to return, however the patient did not return from leave.

 

CODE 13   Return to other residential mental health service

This code refers to the end of a concurrent short intervention stay when a resident returns to the original residential mental health service after a period of leave days.

 

Relational attributes

Related metadata references:

Supersedes Episode end mode code NN Independent Hospital Pricing Authority, Standard 16/03/2016

Has been superseded by Episode end mode code N[N] Health, Standard 25/01/2018, ACT Health, Final 09/08/2018

Data elements implementing this value domain:

Episode of mental health care—episode end mode, code N[N] Health, Superseded 25/01/2018