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Episode of admitted patient care—palliative care phase, code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termPalliative care phase
METeOR identifier:Help on this term681029
Registration status:Help on this termHealth, Standard 25/01/2018
Tasmanian Health, Endorsed 19/05/2020
Independent Hospital Pricing Authority, Standard 01/01/2018
Definition:Help on this term

The patient's stage of illness or situation within the episode of care in terms of the recognised palliative care phase, as represented by a code.

Data Element Concept:Episode of admitted patient care—palliative care phase

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
ValueMeaning
1Stable
2Unstable
3Deteriorating
4Terminal
Supplementary values:Help on this term
9Not stated/inadequately described

Collection and usage attributes

Guide for use:Help on this term

The palliative care phase is the stage of the palliative care patient’s illness.

CODE 1   Stable

Patient problems and symptoms are adequately controlled by an established plan of care and:

  • further interventions to maintain symptom control and quality of life have been planned and
  • family/carer situation is relatively stable and no new issues are apparent.

CODE 2   Unstable

An urgent change in the plan of emergency treatment is required because:

  • the patient experiences a new problem that was not anticipated in the existing plan of care, and/or
  • the patient experiences a rapid increase in the severity of a current problem; and/or
  • the family/ carers circumstances change suddenly impacting on patient care.

CODE 3   Deteriorating

The care plan is addressing anticipated needs but requires periodic review because:

  • the patient's overall functional status is declining and
  • the patient experiences a gradual worsening of an existing problem and/or
  • the patient experiences a new but anticipated problem and/or
  • the family/carers experience gradual worsening distress that impacts on the patient care.

CODE 4   Terminal

Death is likely within days.

CODE 9   Not stated/inadequately described

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.

Source and reference attributes

Origin:Help on this term

Palliative Care Outcomes Collaboration 2014. Palliative care outcomes collaboration: Clinical manual. Wollongong: University of Wollongong. 

 

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

The bereavement phase of palliative care must not be recorded when reporting this data element.

Collection methods:Help on this term

The type of phase is to be recorded at the start of the episode of admitted patient palliative care and for every subsequent change in phase thereafter during the same admitted patient episode.

The palliative care provider reviews the patient daily (or at each visit) and records phase changes if and when they occur during the episode.

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Reference documents:Help on this term

Green J, Gordon R, Kobel C, Blanchard M and Eagar K. 2015. AN-SNAP V4 User Manual. Independent Hospital Pricing Authority, Sydney. Viewed 23 August 2017, https://www.ihpa.gov.au/sites/g/files/net636/f/Documents/an-snap_classification_version_4_user_manual.pdf

Relational attributes

Related metadata references:Help on this term

Supersedes Episode of admitted patient care—palliative care phase, code N Health, Not progressed 17/07/2017, Independent Hospital Pricing Authority, Standard 03/11/2016

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

Admitted subacute and non-acute hospital care NBEDS 2018-19 Health, Superseded 17/10/2018

DSS specific attributes +

Admitted subacute and non-acute hospital care NBEDS 2019-20 Health, Superseded 18/12/2019

DSS specific attributes +

Admitted subacute and non-acute hospital care NBEDS 2020–21 Health, Superseded 05/02/2021

DSS specific attributes +

Admitted subacute and non-acute hospital care NBEDS 2021–22 Health, Standard 05/02/2021

DSS specific attributes +

Tasmanian Subacute/Non-acute Data Set - 2020 Tasmanian Health, Endorsed 15/06/2020

DSS specific attributes +
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