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Admitted patient care NBEDS 2020-21

Identifying and definitional attributes

Metadata item type:Help on this termData Set Specification
METeOR identifier:Help on this term715998
Registration status:Help on this termHealth, Standardisation pending 30/09/2019
DSS type:Help on this termData Set Specification (DSS)
Scope:Help on this term

The purpose of the Admitted patient care national best endeavours data set (APC NBEDS) is to collect information about care provided to admitted patients in Australian hospitals.

The scope of the APC NBEDS is episodes of care for admitted patients in all public and private acute and psychiatric hospitals, free standing day hospital facilities and alcohol and drug treatment centres in Australia. Hospitals operated by the Australian Defence Force, corrections authorities and in Australia's off-shore territories may also be included. Hospitals specialising in dental, ophthalmic aids and other specialised acute medical or surgical care are included.

The scope of hospitals for which data are available may vary across jurisdictions.

Hospital boarders and still births are not included as they are not admitted to hospital. Posthumous organ procurement episodes are also not included.

Collection and usage attributes

Statistical unit:Help on this term

Episodes of care for admitted patients

Collection methods:Help on this term

Data are collected at each hospital from patient administrative and clinical record systems. Hospitals forward data to the relevant state or territory health authority on a regular basis (e.g. monthly).

National reporting arrangements

State and territory health authorities provide the data to the Australian Institute of Health and Welfare for national collation, on an annual basis.

State and territory health authorities provide the data to the Independent Hospital Pricing Authority for national collation, on a quarterly basis.

Implementation start date:Help on this term01/07/2020
Implementation end date:Help on this term30/06/2021
Comments:Help on this term

There may be some variation across jurisdictions in the definition of admission time and separation time. This variation would need to be documented in accompanying material regarding the data elements.

Interaction with the Admitted patient care National Minimum Data Set (APC NMDS) 201920

The APC NMDS and APC NBEDS work together to collect data on episodes of care for admitted patients.

It is intended that once the APC NBEDS is established, the data elements within the APC NBEDS will be integrated into the APC NMDS.

Glossary items

Glossary terms that are relevant to this NBEDS include:

Admission

Clinical intervention

Clinical review

Diagnosis

Elective surgery

Episode of acute care

Geographic indicator

Hospital boarder

Hospital-in-the-home care

Intensive care unit

Live birth

Neonate

Newborn qualification status

Organ procurement - posthumous

Resident

Residential mental health care service

Same-day patient

Separation

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Relational attributes

Related metadata references:Help on this term

Supersedes Admitted patient care NBEDS 2019-20 Health, Standard 12/12/2018

Metadata items in this Data Set SpecificationHelp on this term

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Seq No.Help on this termMetadata itemHelp on this term ObligationHelp on this term Max occursHelp on this term
-Admitted patient care NMDS 2020–21Mandatory1
    -    Elective surgery waiting times clusterConditional99
        -        Elective care waiting list episode—listing date for care, DDMMYYYYMandatory1
        -        Elective surgery waiting list episode—clinical urgency, code NMandatory1
        -        Elective surgery waiting list episode—intended procedure, code NNNMandatory1
        -        Elective surgery waiting list episode—overdue patient status, code NMandatory1
        -        Elective surgery waiting list episode—reason for removal from a waiting list, code NMandatory1
        -        Elective surgery waiting list episode—surgical specialty of scheduled doctor, code NNMandatory1
        -        Elective surgery waiting list episode—waiting time at removal, total days N[NNN]Mandatory1
        -        Establishment—organisation identifier (Australian), NNX[X]NNNNNConditional1
    -    Address—Australian postcode, code (Postcode datafile) NNNNMandatory1
    -    Contracted hospital care—organisation identifier, NNX[X]NNNNNMandatory1
    -    Episode of admitted patient care (mental health care)—referral destination, code NConditional1
    -    Episode of admitted patient care (newborn)—number of qualified days, total N[NNNN]Conditional1
    -    Episode of admitted patient care—admission date, DDMMYYYYMandatory1
    -    Episode of admitted patient care—admission mode, code NMandatory1
    -    Episode of admitted patient care—admission urgency status, code NMandatory1
    -    Episode of admitted patient care—condition onset flag, code NMandatory99
    -    Episode of admitted patient care—duration of continuous ventilatory support, total hours NNNNConditional1
    -    Episode of admitted patient care—intended length of hospital stay, code NMandatory1
    -    Episode of admitted patient care—length of stay in intensive care unit, total hours NNNNConditional1
    -    Episode of admitted patient care—number of days of hospital-in-the-home care, total {N[NN]}Mandatory1
    -    Episode of admitted patient care—number of leave days, total N[NN]Mandatory1
    -    Episode of admitted patient care—patient election status, code NMandatory1
    -    Episode of admitted patient care—procedure, code (ACHI 11th edn) NNNNN-NNMandatory99
    -    Episode of admitted patient care—referral source, public psychiatric hospital code NNConditional1
    -    Episode of admitted patient care—separation date, DDMMYYYYMandatory1
    -    Episode of admitted patient care—separation mode, code NMandatory1
    -    Episode of care—additional diagnosis, code (ICD-10-AM 11th edn) ANN{.N[N]}Conditional99
    -    Episode of care—inter-hospital contracted patient status, code NMandatory1
    -    Episode of care—mental health legal status, code NMandatory1
    -    Episode of care—number of psychiatric care days, total N[NNNN]Mandatory1
    -    Episode of care—principal diagnosis, code (ICD-10-AM 11th edn) ANN{.N[N]}Mandatory1
    -    Episode of care—source of funding, patient funding source code NNMandatory1
    -    Establishment—Australian state/territory identifier, code NMandatory1
    -    Establishment—geographic remoteness, admitted patient care remoteness classification (ASGS-RA) NMandatory1
    -    Establishment—organisation identifier (state/territory), NNNNNMandatory1
    -    Establishment—region identifier, X[X]Mandatory1
    -    Establishment—sector, code NMandatory1
    -    Hospital service—care type, code N[N]Mandatory1
    -    Injury event—activity type, code (ICD-10-AM 11th edn) ANN{.N[N]}Mandatory99
    -    Injury event—external cause, code (ICD-10-AM 11th edn) ANN{.N[N]}Mandatory99
    -    Injury event—place of occurrence, code (ICD-10-AM 11th edn) ANN{.N[N]}Mandatory99
    -    Patient—hospital insurance status, code NMandatory1
    -    Patient—previous specialised treatment, code NConditional1
    -    Person—accommodation type (prior to admission), code NConditional1
    -    Person—accommodation type (usual), code N[N]Conditional1
    -    Person—area of usual residence, statistical area level 2 (SA2) code (ASGS 2016) N(9)Mandatory1
    -    Person—country of birth, code (SACC 2016) NNNNMandatory1
    -    Person—date of birth, DDMMYYYYMandatory1
    -    Person—eligibility status, Medicare code NMandatory1
    -    Person—Indigenous status, code NMandatory1
    -    Person—labour force status, acute hospital and private psychiatric hospital admission code NConditional1
    -    Person—labour force status, public psychiatric hospital admission code NConditional1
    -    Person—marital status, code NConditional1
    -    Person—person identifier, XXXXXX[X(14)]Mandatory1
    -    Person—sex, code XMandatory1
    -    Person—weight (measured), total grams NNNNConditional1
    -    Record—identifier, X[X(79)]Mandatory1
-Episode of admitted patient care—admission time, hhmmOptional1
-Episode of admitted patient care—separation time, hhmmOptional1
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