Health of the Nation Outcome Scale 65+ score code N

Identifying and definitional attributes

Metadata item type:Value Domain
METeOR identifier:717764
Registration status:Health, Standard 18/12/2019

A code set representing the severity of psychiatric symptoms of an individual aged 65 and over.

Representational attributes

Representation class:Code
Data type:Number
Maximum character length:1
Permissible values:
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:

Collection and usage attributes

Guide for use:

CODE 8 Unknown

This code should be used for Health of the Nation Outcome Scale for elderly people (HoNOS 65+) values that are missing or recorded in the HoNOS 65+ tool as '7 - Not stated/missing' or '9 - Unknown'.

The HoNOS 65+ is used to rate adult mental health service users. Together, the scales rate various aspects of mental and social health.

HoNOS 65+ 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 code 8 'Unknown') represents the total HoNOS 65+ score. The total HoNOS 65+ 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:

Supersedes Health of the Nation Outcome Scale 65+ score code N Health, Superseded 18/12/2019, Independent Hospital Pricing Authority, Proposed 03/07/2017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 17/01/2020

See also Health of the Nation Outcome Scale score code N Health, Standard 17/01/2020

Data elements implementing this value domain:

Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N Health, Standard 18/12/2019