Episode of mental health care—episode end mode, code N[N]
Identifying and definitional attributes
|Metadata item type:||Data Element|
|Short name:||Episode of mental health care end mode|
|Registration status:||Health, Standard 17/01/2020|
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
|Maximum character length:||2|
Collection and usage attributes
|Guide for use:|
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:|
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 changed in 2018. For time series purposes the following applies:
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.
|Related metadata references:|
See also Episode of admitted patient care—separation mode, code N Health, Superseded 30/04/2020, 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 17/01/2020, ACT Health, Final 09/08/2018
See also Episode of residential care—episode end mode, code N Health, Standard 16/01/2020
See also Episode of residential care—number of leave days, total N[NN] Health, Standard 16/01/2020
|Implementation in Data Set Specifications:|
Activity based funding: Mental health care NBEDS 2020–21 Health, Standard 17/01/2020