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Non-admitted patient emergency department service episode—episode end status, code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termEpisode end status
Synonymous names:Help on this termDeparture status
METeOR identifier:Help on this term685013
Registration status:Help on this termHealth, Standard 25/01/2018
Definition:Help on this term

The status of the patient at the end of the non-admitted patient emergency department service episode, as represented by a code.

Context:Help on this term

Emergency department care.

Data Element Concept:Non-admitted patient emergency department service episode—episode end status

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
1Admitted to this hospital (either short stay unit, hospital-in-the-home or non-emergency department hospital ward)
2Non-admitted patient emergency department service episode completed - departed without being admitted or referred to another hospital
3Non-admitted patient emergency department service episode completed - referred to another hospital for admission
4Did not wait to be attended by a health care professional
5Left at own risk after being attended by a health care professional but before the non-admitted patient emergency department service episode was completed
6Died in emergency department
7Dead on arrival
8Registered, advised of another health care service, and left the emergency department without being attended by a health care professional

Collection and usage attributes

Guide for use:Help on this term

CODE 1   Admitted to this hospital (either short stay unit, hospital-in-the-home or non-emergency department hospital ward)

This code excludes patients who died in the emergency department. Such instances should be coded to Code 6.

CODE 2   Non-admitted patient emergency department service episode completed - departed without being admitted or referred to another hospital

This code includes patients who departed under their own care, under police custody, under the care of a residential aged care facility or other carer.

This code excludes those who died in the emergency department as a non-admitted patient. Such instances should be coded to Code 6.

CODE 4  Did not wait to be attended by a health care professional

This code excludes patients who are advised of other health care services that could attend to their condition, and who leave the emergency department with the intention of attending another health care service. These patients should be coded to Code 8.

CODE 6   Died in emergency department

This code should only be used for patients who die while physically located within the emergency department.

CODE 7   Dead on arrival

This code should only be used for patients who are dead on arrival and an emergency department clinician certifies the death of the patient. This includes where the clinician certifies the death outside the emergency department (e.g. in an ambulance outside the emergency department).

Exclusion: When resuscitation or any other clinical care for the patient is attempted, Code 7 should not be used.

Note: Where Code 7 is recorded for a patient, a Type of visit to emergency department Code 5 (Dead on arrival) should also be recorded.

CODE 8  Registered, advised of another health care service, and left the emergency department without being attended to by a health care professional

Patients should be coded to Code 8 if they meet all of the criteria (that is, they undergo a clerical registration process, are provided with advice about another health care service that could provide assessment and/or treatment of their condition, and leave the emergency department without receiving clinical care). However, patients should only be coded to Code 8 if, at the time of their departure, they provided a reasonable indication that they did intend to seek assistance from another health care service including the service to which they were referred.

They may leave the emergency department immediately after being advised of the other health care service, or may leave after a period of time.

If it is unclear whether the person intended to seek further treatment from another health care service, they should be coded to Code 4.

The health care service to which the patient is referred may include primary care/general practitioner (GP) clinics, other clinics that provide specialised treatment (e.g. for mental health care or drug and alcohol care), or other health services (such as the patient’s usual general practitioner). The service may be co-located with the hospital in which the emergency department is located, or may be a separate facility.

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Australian Institute of Health and Welfare

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

When recording the episode end status of a patient, Codes 6 and 7 should first be considered for use. If Codes 6 and 7 are inappropriate, select the most suitable code for the patient from Codes 1-5 and Code 8.

Collection methods:Help on this term

Some data systems may refer to this data element as 'Departure status'.

Comments:Help on this term

Code 8 has been included as a permissible value to capture situations where a person may have been diverted from the emergency department to another health care service. Inclusion of this code ensures consistency of reporting, and ensures that these patients are distinguished from patients who did not wait to be attended by a health care professional and for whom it is unknown if they sought any other treatment for their condition.

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Australian Institute of Health and Welfare

Relational attributes

Related metadata references:Help on this term

See also Emergency service stay—episode end status, code N Health, Superseded 25/01/2018

Has been superseded by Non-admitted patient emergency department service episode—episode end status, code N Health, Standardisation pending 04/10/2019

Supersedes Non-admitted patient emergency department service episode—episode end status, code N Health, Superseded 25/01/2018

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

Allied health non-admitted patient emergency department NBPDS Health, Standard 12/12/2018

Non-admitted patient emergency department care NBEDS 2018-19 Health, Superseded 12/12/2018

DSS specific attributes +

Non-admitted patient emergency department care NBEDS 2019–20 Health, Standard 12/12/2018

DSS specific attributes +

Non-admitted patient emergency department care NMDS 2018-19 Health, Superseded 12/12/2018
ACT Health, Final 08/08/2018

DSS specific attributes +

Non-admitted patient emergency department care NMDS 2019–20 Health, Standard 12/12/2018

DSS specific attributes +

Non-admitted patient emergency department care NMDS 2020–21 Health, Standardisation pending 30/09/2019

DSS specific attributes +
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