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Episode of mental health care—episode end mode, code N[N]

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termEpisode of mental health care end mode
METeOR identifier:Help on this term676234
Registration status:Help on this termHealth, Standard 25/01/2018
ACT Health, Final 09/08/2018
Definition:Help on this term

The status of a patient at separation from an episode of mental health care and where applicable, place to which a patient is released, as represented by a code.

Data Element Concept:Episode of mental health care—episode end mode

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN[N]
Maximum character length:Help on this term2
Permissible values:Help on this term
ValueMeaning
1Discharge/transfer to a hospital
2Discharge/transfer to a residential aged care service, unless this is the usual place of residence
3Discharge/transfer to other health care accommodation, unless this is the usual place of residence
4Discharge due to inactivity
5Discharge from leave
6Left against medical advice/discharge at own risk
7Other (including place of usual residence)
8Statistical discharge due to admitted care type change
9End of reference period
10Died
Supplementary values:Help on this term
98Unknown
99Not stated/inadequately described

Collection and usage attributes

Guide for use:Help on this term

CODE 1    Discharge/transfer to a hospital

This code refers to the discharge/transfer of a patient to hospital (including acute or psychiatric whereby the patient physically leaves the facility. The transfer may be to a general ward or mental health ward.

 

CODE 2    Discharge/transfer to a residential aged care service, unless this is the usual place of residence

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 7.

 

CODE 3    Discharge/transfer to other health care accommodation, unless this is the usual place of residence 

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. If the residential mental health care service is the patient's place of usual residence, then they should have an episode end mode of Code 7.

 

CODE 4    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 4 is used after the episode of care has had a period of 120 days in which no service contact or event occurs.

 

CODE 5    Discharge from leave 

This code refers to the administrative process by which a provider records the cessation of the episode of care while the patient is on leave. This includes 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. This value does not apply to the Ambulatory setting.

 

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 is discharged at their own risk.

 

CODE 7    Other (including place of usual residence)

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 includes the end of a concurrent short intervention stay where a resident returns to the original residential mental health service after a period of leave days. This code excludes discharge/transfer to other health care accommodation (Code 3) and residential aged care services (Code 2), unless they are the patient's place of usual residence.

 

CODE 8    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 9    End of reference period

This code refers to the statistical end of a residential or ambulatory mental health care episode necessary at the end of a reporting period (i.e. calendar or financial year) where the patient has not been otherwise separated.

 

CODE 10   Died

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

 

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

When CODE 4 is used, the date of the last service event or contact in the episode should be recorded as the Episode of mental health care—episode end date, DDMMYYYY.

The applicable codes have changed from the superseded data element. For time series purposes the following applies:

NBEDS 201718 NBEDS 201819
CODE 1 Discharge/transfer to an acute hospital CODE 1 Discharge/transfer to a hospital
CODE 2 Discharge/transfer to a residential aged care service CODE 2 Discharge/transfer to a residential aged care service, unless this is the usual place of residence
CODE 3 Discharge/transfer to (an)other psychiatric hospital CODE 1 Discharge/transfer to a hospital
CODE 4 Discharge/transfer to other health care accommodation CODE 3 Discharge/transfer to other health care accommodation, unless this is the usual place of residence
CODE 5 End of reference period CODE 9 End of reference period
CODE 6 Left against medical advice/discharge at own risk CODE 6 Left against medical advice/discharge at own risk
CODE 7 Statistical discharge from leave CODE 5 Discharge from leave
CODE 8 Died CODE 10 Died
CODE 9 Other CODE 7 Other (including place of usual residence)
CODE 10 Discharge due to inactivity CODE 4 Discharge due to inactivity
CODE 11 Statistical discharge due to admitted care type change CODE 8 Statistical discharge due to admitted care type change
CODE 12 Did not return from leave CODE 5 Discharge from leave
CODE 13 Return to other residential mental health service CODE 7 Other (including place of usual residence)

 

Collection methods:Help on this term

For the purposes of activity based funding, this item can be derived from existing data elements.

Admitted patient care: This data element can be derived from Episode of admitted patient care—separation mode, code N.

Residential patient care: This data element can be derived from Episode of residential care—episode end mode, code N.

Relational attributes

Related metadata references:Help on this term

See also 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

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

See also Episode of residential care—episode end mode, code N Health, Standard 07/03/2014, ACT Health, Final 09/08/2018

Implementation in Data Set Specifications:Help on this term
All attributes +

Activity based funding: Mental health care NBEDS 2018-19 Health, Superseded 12/12/2018

DSS specific attributes +

Activity based funding: Mental health care NBEDS 2019-20 Health, Standard 12/12/2018

DSS specific attributes +
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