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Episode of mental health care—episode end mode, code N[N{.N}]

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termEpisode of mental health care end mode
METeOR identifier:Help on this term730802
Registration status:Help on this termHealth, Standard 23/12/2020
Definition:Help on this term

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

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN[N{.N}]
Maximum character length:Help on this term3
Permissible values:Help on this term
ValueMeaning
1Discharge/transfer to a hospital
2.1Discharge/transfer to a residential aged care service, which is not the usual place of residence
2.2Discharge/transfer to a residential aged care service, which is the usual place of residence
3Discharge/transfer to other health care accommodation, unless this is the usual place of residence
4Discharge due to inactivity
5Discharge from leave
6Left against medical advice/discharge at own risk
7Other (including place of usual residence, unless usual place of residence is residential aged care)
8Statistical discharge due to admitted care type change
9End of reference period
10Died
Supplementary values:Help on this term
98Unknown
99Not stated/inadequately described

Collection and usage attributes

Guide for use:Help on this term

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 2.1   Discharge/transfer to a residential aged care service, which is not 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 2.2.

 

CODE 2.2   Discharge/transfer to a residential aged care service, which is the usual place of residence

This code refers to a discharge/transfer to a residential aged care service, which is the usual place of residence. If the residential aged care service is not the patient's place of usual residence, then they should have an episode end mode of Code 2.1.

 

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. 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. 

 

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 care service setting. For the purposes of activity based funding reporting, Code 9  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, unless usual place of residence is residential aged care)

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 that is not the usual place of residence (Code 3) and to residential aged care services (Code 2.1 or 2.2).

 

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:Help on this term

When CODE 8 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 2020. For time series purposes the following applies:

NBEDS 201819

NBEDS 2021-22

CODE 1 Discharge/transfer to a hospital

CODE 1 Discharge/transfer to a hospital

CODE 2 Discharge/transfer to a residential aged care service, unless this is the usual place of residence

CODE 2.1 Discharge/transfer to a residential aged care service, which is not the usual place of residence

CODE 3 Discharge/transfer to other health care accommodation, unless this is the usual place of residence

CODE 3 Discharge/transfer to other health care accommodation, unless this is the usual place of residence

CODE 4 Discharge due to inactivity

CODE 4 Discharge due to inactivity

CODE 5 Discharge from leave

CODE 5 Discharge from leave

CODE 6 Left against medical advice/discharge at own risk

CODE 6 Left against medical advice/discharge at own risk

CODE 7 Other (including place of usual residence)

CODE 2.2 Discharge/transfer to a residential aged care service, which is the usual place of residence

CODE 7 Other (including place of usual residence, unless usual place of residence is a residential aged care service)

CODE 8 Statistical discharge due to admitted care type change

CODE 8 Statistical discharge due to admitted care type change

CODE 9 End of reference period

CODE 9 End of reference period

CODE 10 Died

CODE 10 Died

Collection methods:Help on this term

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.

Relational attributes

Related metadata references:Help on this term

See also Episode of admitted patient care—separation mode, code NN Health, Standard 30/04/2020

Supersedes Episode of mental health care—episode end mode, code N[N] Health, Superseded 23/12/2020

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:Help on this term

Activity based funding: Mental health care NBEDS 2021–22 Health, Standard 23/12/2020

DSS specific attributes +
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