Health of the Nation Outcome Scale score code N

Identifying and definitional attributes

Metadata item type:Value Domain
METeOR identifier:676214
Registration status:Health, Standard 25/01/2018
Independent Hospital Pricing Authority, Proposed 03/07/2017
Definition:

A code set representing the severity of psychiatric symptoms of an individual aged 18 to 64 years.

Representational attributes

Representation class:Code
Data type:Number
Format:N
Maximum character length:1
Permissible values:
ValueMeaning
0No problems within the period stated
1Minor problem requiring no action
2Mild problem but definitely present
3Moderately severe problem
4Severe to very severe problem
Supplementary values:
8Unknown

Collection and usage attributes

Guide for use:

CODE 8    Unknown

This code should be used for HoNOS values that are missing or recorded in the HoNOS tool as '9 - Unknown'.

The Health of the Nation Outcome Scale (HoNOS) is used to rate adult mental health service users. Together, the scales rate various aspects of mental and social health.

HoNOS is answered on an item-specific anchored 5-point scale with higher scores indicating more problems. Each scale is assigned a value of between 0 and 4, or 8 for unknown. The twelve scales are as follows:

  • Behavioural disturbance
  • Non-accidental self injury
  • Problem drinking or drug use
  • Cognitive problems
  • Problems related to physical illness or disability
  • Problems associated with hallucinations and delusions
  • Problems associated with depressive symptoms
  • Other mental and behavioural problems
  • Problems with social or supportive relationships
  • Problems with activities of daily living
  • Overall problems with living conditions
  • Problems with work and leisure activities and the quality of the daytime environment.

The sum of the individual scores of each of the scales (excluding supplementary value 8 Unknown) represents the total HoNOS score. The total HoNOS score ranges from 0 to 48, and represents the overall severity of an individual's psychiatric symptoms.

Source and reference attributes

Submitting organisation:

Independent Hospital Pricing Authority

Relational attributes

Related metadata references:

See also Health of the Nation Outcome Scale 65+ score code N Health, Standard 25/01/2018, Independent Hospital Pricing Authority, Proposed 03/07/2017

See also Health of the Nation Outcome Scale for Children and Adolescents score code N Health, Standard 25/01/2018, Independent Hospital Pricing Authority, Proposed 03/07/2017

Supersedes Health of the Nation Outcome Scale score code N Health, Superseded 25/01/2018

Data elements implementing this value domain:

Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N Health, Standard 25/01/2018