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Person—level of functional independence, Resource Utilisation Groups - Activities of Daily Living score code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termLevel of functional independence (RUG-ADL score)
METeOR identifier:Help on this term730829
Registration status:Help on this termHealth, Standard 23/12/2020
Definition:Help on this term

A person's level of functional independence to carry out activities of daily living safely and autonomously, as represented by a Resource Utilisation Groups-Activities of Daily Living (RUG-ADL) score-based code.

Data Element Concept:Person—level of functional independence

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
1Independent or supervision only
2Limited assistance
3Limited physical assistance or Extensive assistance/total dependence/tube fed
4Other than two persons physical assist
5Two or more persons physical assist
Supplementary values:Help on this term
8Unknown

Collection and usage attributes

Guide for use:Help on this term

The Resource Utilisation Groups –Activities of Daily Living (RUG-ADL) is an assessment tool that assesses a person's motor function for activities of daily living for the following four items:

Item number Activity of daily living
1 Bed mobility
2 Toileting
3 Transfers
4 Eating

Values 1, 3, 4 and 5 are valid for items 1, 2 and 3.

Values 1, 2 and 3 are valid for item 4.

CODE 1 Independent or supervision only

Tasks/transfers are performed independently or with prompting from carer. No hands-on assistance is required and may be undertaken independently with the use of a device. Specifically for the activity Eating, value 1 refers to the ability to cut, chew and swallow food, independently or with supervision, once meal has been presented in the customary fashion. 

CODE 2 Limited assistance

Refers to the act of assistance without manual handling. It is used for the activity Eating and is not eligible for other activities.

CODE 3 Limited physical assistance or Extensive assistance/total dependence/tube fed

For activities Bed mobility, Toileting, and Transfer value 3 refers to the act of assistance requiring manual handling (hence the inclusion of 'physical' in the title). For the activity Eating, value 3 refers to more significant assistance with feeding either through physical assistance or the use of medical assistance.

CODE 4 Other than two persons physical assist

For activities Bed mobility, Toileting and Transfers value 4 refers to the use of a device for assistance and may require the additional assistance of only one other person.

For the activity Bed mobility value 4 refers to use of a hoist or other assisting device to readjust position in bed and physical assist pressure relief. For the activity Toileting value 4 refers to the use of a catheter, uridome or urinal, or a colostomy, bedpan or commode chair, or insertion of enema or suppository. For the activity Transfer value 4 requires the use of a device for any of the transfers performed in the day or night. Value 4 is not eligible for the activity Eating.

CODE 5 Two or more persons physical assist

Refers to the requirement of two assistants to perform any step of the task/transfer. Value 5 is not eligible for the activity Eating.

Scores are summed for the four ADL items: bed mobility, toileting, transfer and eating. A total RUG-ADL scores ranges from a minimum 4 and maximum 18.

CODE 8 Unknown

This code should be used for Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) values that are missing or recorded in the RUG-ADL tool as '7 - Unable to rate' and '9 - Not stated/missing'.

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Data element attributes

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Reference documents:Help on this term

Fries BE, Schneider DP, Foley WJ, Gavazzi M, Burke R & Cornelius E 1994. Refining a case-mix measure for nursing homes: Resource Utilization Groups (RUG-III). Medical Care 32(7):668–685.

Relational attributes

Related metadata references:Help on this term

Supersedes Person—level of functional independence, Resource Utilisation Groups - Activities of Daily Living score code N Health, Superseded 23/12/2020

See also Person—level of functional independence, Resource Utilisation Groups– Activities of Daily Living total score code N[N] Health, Superseded 18/12/2019

See also Person—level of functional independence, Resource Utilisation Groups– Activities of Daily Living total score code N[N] Health, Standard 18/12/2019, Tasmanian Health, Endorsed 06/05/2020

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

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

DSS specific attributes +

Activity based funding: Mental health care NBEDS 2022–23 Health, Standardisation pending 22/10/2021

DSS specific attributes +
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