Admitted subacute and non-acute hospital care DSS 2015-16 Metadata Online Registry (METeOR)
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Health sector data set specifications from METeOR, Australia's repository for national metadata standards, developed by the Australian Institute of Health and Welfare (http://meteor.aihw.gov.au/content/index.phtml/itemId/345165) Admitted subacute and non-acute hospital care DSS 2015-16 The Admitted subacute and non-acute hospital care data set specification (DSS) aims to ensure national consistency in relation to defining and collecting information about care provided to subacute and non-acute admitted public and private patients in activity based funded public hospitals. Subacute care in this DSS is identified as admitted episodes in rehabilitation care, palliative care, geriatric evaluation and management care and psychogeriatric care, whereas maintenance care is identified as non-acute care. The scope of the DSS is: • Same day and overnight admitted subacute and non-acute care episodes. • Admitted public patients provided on a contracted basis by private hospitals. • Admitted patients in rehabilitation care, palliative care, geriatric evaluation and management, psychogeriatric and maintenance care treated in the hospital-in-the-home. Excluded from the scope are: • Hospitals operated by the Australian Defence Force, correctional authorities and Australia's external territories. © Australian Institute of Health and Welfare 2015 Metadata and Classifications Unit Australian Institute of Health and Welfare GPO Box 570 Canberra ACT 2601

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    Episode of admitted patient care

















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    Admitted subacute and non-acute hospital care DSS 2015-16 Metadata Online Registry (METeOR)

    Episode of admitted patient care

    Name: Episode of admitted patient care
    Description: Episode of admitted patient care

    Name Clinical assessment only indicator
    Question Clinical assessment only indicator
    Description Episode of admitted patient care—clinical assessment only indicator, yes/no/unknown/not stated/inadequately described code N Obligation: Conditional Identifying and definitional attributes Short name: Clinical assessment only indicator Synonymous names: Assessment only indicator METeOR identifier: 550492 Registration status: Health, Standard 11/04/2014 Definition: An indicator of whether an episode of admitted patient care resulted in the patient undergoing a clinical assessment only, as represented by a code. Data Element Concept: Episode of admitted patient care—clinical assessment only indicator Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Yes 2 No Supplementary values: 8 Unknown 9 Not stated/inadequately described Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as: • Code 2, Rehabilitation care; • Code 3, Palliative care; • Code 4, Geriatric evaluation and management; • Code 5, Psychogeriatric care; or • Code 6, Maintenance care. Not required to be reported for patients aged 16 years and under at admission. Data element attributes Collection and usage attributes Guide for use: An episode of care is regarded as ‘assessment only’ if a patient was seen for clinical assessment only and no treatment or further intervention was planned by the assessing clinical team. CODE 1 Yes This code is used when the patient was assessed by a clinical team but received no treatment during an episode. These episodes are usually of short duration, normally less than 3 days. CODE 2 No This code is used when the patient was assessed and then goes on to receive treatment. CODE 8 Unknown This code is used when it is unknown whether the patient was seen for assessment only. CODE 9 Not stated/inadequately described This code is used when it is has not been reported whether the patient was seen for assessment only. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Relational attributes Related metadata references: Supersedes Episode of admitted patient care—clinical assessment only indicator, yes/no/unknown code N Independent Hospital Pricing Authority, Standard 31/10/2012 Implementation in Data Set Specifications: Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014
    Datatype integer
    Aliases:  
    Codelistitems  
      Yes(1)
      No(2)
      Unknown(8)
      Not stated/inadequately described(9)
    Name Palliative care phase
    Question Palliative care phase
    Description Episode of admitted patient care—palliative care phase, code N Obligation: Conditional, Maximum occurences: 11 Identifying and definitional attributes Short name: Palliative care phase METeOR identifier: 445942 Registration status: Health, Standard 11/04/2014 Independent Hospital Pricing Authority, Standard 31/10/2012 Definition: The patient's stage of illness or situation within the episode of care in terms of the recognised phases of palliative care, as represented by a code. Data Element Concept: Episode of admitted patient care—palliative care phase Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Stable 2 Unstable 3 Deteriorating 4 Terminal Supplementary values: 9 Not reported Collection and usage attributes Guide for use: The palliative care phase is the stage of the palliative care patient’s illness. CODE 1 Stable The patient symptoms are adequately controlled by established management. Further interventions to maintain symptom control and quality of life have been planned. The situation of the family/carers is relatively stable and no new issues are apparent. Any needs are met by the established plan of care. CODE 2 Unstable The patient experiences the development of a new unexpected problem or a rapid increase in the severity of existing problems, either of which require an urgent change in management or emergency treatment. The family/carers experience a sudden change in their situation requiring urgent intervention by members of the multidisciplinary team. CODE 3 Deteriorating The patient experiences a gradual worsening of existing symptoms or the development of new but expected problems. These require the application of specific plans of care and regular review but not urgent or emergency treatment. The family/carers experience gradually worsening distress and other difficulties, including social and practical difficulties, as a result of the illness of the person. This requires a planned support program and counselling as necessary. CODE 4 Terminal Death is likely in a matter of days and no acute intervention is planned or required. The typical features of a person in this phase may include the following: • Profoundly weak. • Essentially bed bound. • Drowsy for extended periods. • Disoriented for time and has a severely limited attention span. • Increasingly disinterested in food and drink. • Finding it difficult to swallow medication. This requires the use of frequent, usually daily, interventions aimed at physical, emotional and spiritual issues. The family/carers recognise that death is imminent and care is focussed on emotional and spiritual issues as a prelude to bereavement. CODE 9 Not reported The phase of the illness has not been reported. Palliative care phases are not sequential and a patient may move back and forth between phases. Palliative care phases provide a clinical indication of the type of care required and have been shown to correlate strongly with survival within longitudinal prospective studies. Source and reference attributes Origin: Palliative Care Outcomes Collaboration (PCOC) 2009. PCOC V2 Data Definitions and Guidelines. Australian Health Services Research Institute, University of Wollongong, Wollongong. Viewed 24 August 2012, http://ahsri.uow.edu.au/content/groups/public/@web/@chsd/@pcoc/ documents/doc/uow090306.pdf Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care. DSS specific information: For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the palliative care phase must be reported for each palliative care phase if the episode of admitted patient care had more than one phase. Data element attributes Collection and usage attributes Guide for use: The bereavement phase of palliative care must not be recorded when reporting this data element. Collection methods: The type of phase is to be recorded at the start of the episode of admitted patient palliative care and for every subsequent change in phase thereafter during the same admitted patient episode. The palliative care provider reviews the patient daily (or at each visit) and records phase changes if and when they occur during the episode. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Relational attributes Implementation in Data Set Specifications: Activity based funding: Admitted sub-acute and non-acute hospital care DSS 2013-2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014
    Datatype integer
    Aliases:  
    Codelistitems  
      Stable(1)
      Unstable(2)
      Deteriorating(3)
      Terminal(4)
      Not reported(9)
    Name Palliative phase of care end date
    Question Palliative care phase end date
    Description Episode of admitted patient care—palliative phase of care end date, DDMMYYYY Obligation: Conditional, Maximum occurences: 11 Identifying and definitional attributes Short name: Palliative care phase end date METeOR identifier: 445598 Registration status: Health, Standard 11/04/2014 Independent Hospital Pricing Authority, Standard 31/10/2012 Definition: The date on which an admitted patient completes a phase of palliative care, expressed as DDMMYYYY. Data Element Concept: Episode of admitted patient care—palliative phase of care end date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care. DSS specific information: For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the palliative care phase end date must be reported for each palliative care phase if the episode of admitted patient care had more than one phase. Data element attributes Collection and usage attributes Guide for use: The end date is the date on which an admitted palliative care patient completes a palliative care phase type. Collection methods: The palliative phase of care end date is to be recorded at the completion of the palliative care phase and at the completion of every subsequent phase thereafter in the same admitted patient palliative care episode. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Reference documents: Palliative Care Outcomes Collaboration Assessment Toolkit. Palliative Care Outcomes Collaboration, University of Wollongong, Wollongong. Viewed 19 September 2012, http://ahsri.uow.edu.au/content/groups/public/@web/@chsd/@pcoc/ documents/doc/uow129133.pdf Relational attributes Implementation in Data Set Specifications: Activity based funding: Admitted sub-acute and non-acute hospital care DSS 2013-2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014
    Datatype date
    Aliases:  
    Name Palliative phase of care start date
    Question Palliative care phase start date
    Description Episode of admitted patient care—palliative phase of care start date, DDMMYYYY Obligation: Conditional, Maximum occurences: 11 Identifying and definitional attributes Short name: Palliative care phase start date METeOR identifier: 445848 Registration status: Health, Standard 11/04/2014 Independent Hospital Pricing Authority, Standard 31/10/2012 Definition: The date on which an admitted patient commences a phase of palliative care, expressed as DDMMYYYY. Data Element Concept: Episode of admitted patient care—palliative phase of care start date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care. DSS specific information: For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the palliative care phase start date must be reported for each palliative care phase if the episode of admitted patient care had more than one phase. Data element attributes Collection and usage attributes Guide for use: The commencement date is the date on which an admitted palliative care patient commences a new palliative care phase type. Subsequent phase begin dates are equal to the previous phase end date. Collection methods: The palliative phase of care start date is to be recorded at the commencement of the episode of admitted patient palliative care and at the commencement of every subsequent palliative care phase thereafter in the same admitted patient episode. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Reference documents: Palliative Care Outcomes Collaboration Assessment Toolkit. Palliative Care Outcomes Collaboration, University of Wollongong, Wollongong. Viewed 19 September 2012, http://ahsri.uow.edu.au/content/groups/public/@web/@chsd/@pcoc/ documents/doc/uow129133.pdf Relational attributes Implementation in Data Set Specifications: Activity based funding: Admitted sub-acute and non-acute hospital care DSS 2013-2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014
    Datatype date
    Aliases:  
    Name Primary impairment type (AROC 2012 code)
    Question Primary impairment type (AROC 2012 code)
    Description Episode of admitted patient care—primary impairment type, code (AROC 2012) NN.NNNN Obligation: Conditional Identifying and definitional attributes Short name: Primary impairment type (AROC 2012 code) METeOR identifier: 498519 Registration status: Health, Standard 11/04/2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Definition: The impairment which is the primary reason for the admission to the sub-acute episode, as represented by a code. Data Element Concept: Episode of admitted patient care—primary impairment type Value domain attributes Representational attributes Classification scheme: Impairment type code (AROC 2012) Representation class: Code Data type: String Format: NN.NNNN Maximum character length: 7 Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 2, Rehabilitation care. Data element attributes Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Relational attributes Related metadata references: Supersedes Episode of admitted patient care—primary impairment type, code NN.NNNN Independent Hospital Pricing Authority, Superseded 11/10/2012 Implementation in Data Set Specifications: Activity based funding: Admitted sub-acute and non-acute hospital care DSS 2013-2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014
    Datatype text
    Aliases:  
    Name Type of maintenance care provided
    Question Type of maintenance care provided
    Description Episode of admitted patient care—type of maintenance care provided, code N[N] Obligation: Conditional Identifying and definitional attributes Short name: Type of maintenance care provided METeOR identifier: 496467 Registration status: Health, Standard 11/04/2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Definition: The type of maintenance care provided to an admitted patient during an episode of care, as represented by a code. Maintenance care is care in which the clinical intent or treatment goal is prevention of deterioration in the functional and current health status of a patient with a disability or severe level of functional impairment. Data Element Concept: Episode of admitted patient care—type of maintenance care provided Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N[N] Maximum character length: 2 Permissible values: Value Meaning 1 Convalescent care 2 Respite care 3 Nursing home type care 8 Other maintenance care Supplementary values: 98 Unknown 99 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 1 Convalescent care Following assessment and/or treatment, the patient does not require further complex assessment or stabilisation but continues to require care over an indefinite period. Under normal circumstances the patient would be discharged but due to factors in the home environment, such as access issues or lack of available community services, the patient is unable to be discharged. Examples may include: • Patients awaiting the completion of home modifications essential for discharge. • Patients awaiting the provision of specialised equipment essential for discharge. • Patients awaiting rehousing. • Patients awaiting supported accommodation such as hostel or group home bed. • Patients for whom community services are essential for discharge but are not yet available. CODE 2 Respite care An episode where the primary reason for admission is the short-term unavailability of the patient's usual care. Examples may include: • Admission due to carer illness or fatigue. • Planned respite due to carer unavailability. • Short term closure of care facility. • Short term unavailability of community services. CODE 3 Nursing home type care The patient does not have a current acute care certificate and is awaiting placement in a residential aged care facility. CODE 8 Other maintenance care Any other reason the patient may require a maintenance episode other than those already stated. CODE 98 Unknown It is not known what type of maintenance care the patient is receiving. CODE 99 Not stated/inadequately described The type of maintenance care has not been reported. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Origin: Eagar K. et al (1997). The Australian National Sub-acute and Non-acute Patient Classification (AN-SNAP): Report of the National Sub-acute and Non-acute Casemix Classification Study. Centre for Health Service Development, University of Wollongong. Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Conditional obligation: Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 6, Maintenance care. Only required to be reported when the Episode of admitted patient care—clinical assessment only indicator, yes/no code N value is recorded as Code 2, No. Not required to be reported for patients aged 16 years and under at admission. Data element attributes Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Reference documents: Eagar K. et al (1997) The Australian National Sub-acute and Non-acute Patient Classification (AN-SNAP): Report of the National Sub-acute and Non-acute Casemix Classification Study. Centre for Health Service Development, University of Wollongong. Relational attributes Related metadata references: Supersedes Episode of admitted patient care—type of maintenance care provided, code N Independent Hospital Pricing Authority, Superseded 11/10/2012 Implementation in Data Set Specifications: Activity based funding: Admitted sub-acute and non-acute hospital care DSS 2013-2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014
    Datatype integer
    Aliases:  
    Codelistitems  
      Convalescent care(1)
      Respite care(2)
      Nursing home type care(3)
      Other maintenance care(8)
      Unknown(98)
      Not stated/inadequately described(99)
      ...
      There are 1 more items on this list. Click to show them.

    Person

    Name: Person
    Description: Person

    Name Level of cognitive ability (SMMSE score)
    Question Level of cognitive ability (SMMSE score)
    Description Person—level of cognitive ability, Standardised Mini-Mental State Examination assessment code N Obligation: Conditional, Maximum occurences: 12 Identifying and definitional attributes Short name: Level of cognitive ability (SMMSE score) Synonymous names: SMMSE score; Mini-Mental score METeOR identifier: 583796 Registration status: Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Definition: The person's degree of cognitive ability to process thoughts and respond appropriately and safely, as represented by a Standardised Mini-Mental State Examination (SMMSE) score-based code. Data Element Concept: Person—level of cognitive ability Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 0 Score of 0 1 Score of 1 2 Score of 2 3 Score of 3 4 Score of 4 5 Score of 5 Supplementary values: 7 Not applicable - item has been omitted 8 Not known/not specified Collection and usage attributes Guide for use: The Standardised Mini-Mental State Examination (SMMSE) is a clinical assessment tool which is used as a screening test for cognitive impairment (Molloy D, Alemayehu E, Roberts R 1991a). The SMMSE consists of 12 items or questions which cover a range of cognitive domains. Each item has a maximum score: Question/ Item number Cognitive domain Maximum score 1 Orientation - time 5 2 Orientation - place 5 3 Memory - immediate 3 4 Language/attention 5 5 Memory - short 3 6 Language/memory - long 1 7 Language/memory - long 1 8 Language/abstract thinking/verbal fluency 1 9 Language 1 10 Language/attention/comprehension 1 11 Attention/comprehension/follow commands/constructional 1 12 Attention/comprehension/ construction/follow commands 3 Total 30 Scores above 1 are not permissible for items 6-11. Scores above 3 are not permissible for items 3 and 12. Scores above 5 are not permissible for items 1, 2 and 4. The scores are summed for the 12 items ranging from a minimum of 0 to a maximum of 30. The SMMSE can be adjusted for non-cognitive disabilities. If an item cannot be modified or adjusted then the item is omitted, reducing the maximum obtainable score from 30. The formula ((Actual score x 30)/Maximum obtainable score) is used to readjust the score to be comparable with unadjusted scores. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Reference documents: Molloy D, Alemayehy E, Roberts R 1991a. Reliability of a standardized Mini-Mental State Examination compared with the traditional Mini-Mental state Examination. American Journal of Psychiatry, Vol. 14:102-105. Molloy D, Alemayehy E, Roberts R 1991a. The Standardised Mini-Mental State Examination tool, Independent Hospital Pricing Authority, Australia. Viewed 4 September 2014, http://ihpa.gov.au/internet/ihpa/publishing.nsf/Content/smmse-lp Molloy D, Alemayehy E, Roberts R 1991a. The Standardised Mini-Mental State Examination guidelines, Independent Hospital Pricing Authority, Australia. Viewed 4 September 2014, http://ihpa.gov.au/internet/ihpa/publishing.nsf/Content/smmse-lp Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only one set of SMMSE scores per Geriatric Evaluation and Management episode are required to be reported. Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 4, Geriatric evaluation and management. Only required to be reported when the Episode of admitted patient care—clinical assessment only indicator, yes/no code N value is recorded as Code 2, No. Data element attributes Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Relational attributes Implementation in Data Set Specifications: Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014
    Datatype integer
    Aliases:  
    Codelistitems  
      Score of 0(0)
      Score of 1(1)
      Score of 2(2)
      Score of 3(3)
      Score of 4(4)
      ...
      There are 3 more items on this list. Click to show them.
      Score of 5(5)
      Not applicable - item has been omitted(7)
      Not known/not specified(8)
    Name Level of functional independence (FIM™ score)
    Question Level of functional independence (FIM™ score)
    Description Person—level of functional independence, Functional Independence Measure score code N Obligation: Conditional, Maximum occurences: 18 Identifying and definitional attributes Short name: Level of functional independence (FIM™ score) METeOR identifier: 449150 Registration status: Health, Standard 11/04/2014 Definition: A person's level of functional independence, as represented by a FIM™ score-based code. Functional independence is the ability to carry out activities of daily living safely and autonomously. Data Element Concept: Person—level of functional independence Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Total assistance with helper 2 Maximal assistance with helper 3 Moderate assistance with helper 4 Minimal assistance with helper 5 Supervision or setup with helper 6 Modified independence with no helper 7 Complete independence with no helper Collection and usage attributes Guide for use: The Functional Independence Measure (FIM™) is an instrument which indicates a patient's disability level. FIM™ is comprised of 18 items, grouped into 2 subscales - motor and cognition. The motor subscale includes: • Eating • Grooming • Bathing • Dressing, upper body • Dressing, lower body • Toileting • Bladder management • Bowel management • Transfers - bed/chair/wheelchair • Transfers - toilet • Transfers - bath/shower • Walk/wheelchair • Stairs The cognition subscale includes: • Comprehension • Expression • Social interaction • Problem solving • Memory Each item is scored on a 7 point ordinal scale, ranging from a score of 1 to a score of 7. The higher the score, the more independent the patient is in performing the task associated with that item. The total FIM™ score ranges from 18 to 126. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only the Functional Independence Measure scores at admission are required to be reported. Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as: • Code 2, Rehabilitation care; or • Code 4, Geriatric evaluation and management. Data element attributes Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Relational attributes Implementation in Data Set Specifications: Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014
    Datatype integer
    Aliases:  
    Codelistitems  
      Total assistance with helper(1)
      Maximal assistance with helper(2)
      Moderate assistance with helper(3)
      Minimal assistance with helper(4)
      Supervision or setup with helper(5)
      ...
      There are 2 more items on this list. Click to show them.
      Modified independence with no helper(6)
      Complete independence with no helper(7)
    Name Level of functional independence (total RUG-ADL score)
    Question Level of functional independence (total RUG-ADL score)
    Description Person—level of functional independence, Resource Utilisation Groups - Activities of Daily Living total score code N[N] Obligation: Conditional, Maximum occurences: 11 Identifying and definitional attributes Short name: Level of functional independence (total RUG-ADL score) METeOR identifier: 588361 Registration status: Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014 Definition: A person's level of functional independence, as represented by a total RUG-ADL score-based code. Functional independence is the ability to carry out activities of daily living safely and autonomously. Data Element Concept: Person—level of functional independence Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N[N] Maximum character length: 2 Collection and usage attributes Guide for use: The Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) is a four item scale measuring a person's motor function for activities of daily living including: • Bed mobility • Toileting • Transfers • Eating For bed mobility, toileting and transfers, valid values are: 1 - Independent or supervision only 3 - Limited physical assistance 4 - Other than two persons physical assist 5 - Two or more person physical assist Note: a score of 2 is not valid. For eating, valid values are: 1 - Independent or supervision only 2 - Limited assistance 3 - Extensive assistance/total dependence/tube fed Note: a score of 4 or 5 is not valid. Scores are summed for the four ADL variables, i.e. bed mobility, toileting, transfers and eating. A total RUG-ADL score ranges from a minimum score of 4 to a maximum score of 18. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only the Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) scores at admission are required to be reported for maintenance care episodes. RUG-ADL scores at palliative care phase start should be reported for all palliative care phases. Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as: • Code 3, Palliative care; or • Code 6, Maintenance care. DSS specific information: For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the RUG-ADL scores must be reported for each palliative care phase if the episode of admitted patient care had more than one phase. Data element attributes Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Reference documents: Fries BE, Schneider DP et al 1994, 'Refining a case-mix measure for nursing homes: Resource Utilization Groups (RUG-III)' Medical Care, vol. 32, pp. 668-685. Relational attributes Implementation in Data Set Specifications: Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014
    Datatype integer
    Aliases:  
    Name Level of psychiatric symptom severity (HoNOS 65+ score)
    Question Level of psychiatric symptom severity (HoNOS 65+ score)
    Description Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N Obligation: Conditional, Maximum occurences: 12 Identifying and definitional attributes Short name: Level of psychiatric symptom severity (HoNOS 65+ score) METeOR identifier: 449363 Registration status: Health, Standard 11/04/2014 Definition: An assessment of the severity of a person's psychiatric symptoms, as represented by a HoNOS 65+ score-based code. Context: Psychiatric symptom severity, persons aged 65 years and over. Data Element Concept: Person—level of psychiatric symptom severity Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 0 No problems within the period stated 1 Minor problem requiring no action 2 Mild problem but definitely present 3 Moderately severe problem 4 Severe to very severe problem Collection and usage attributes Guide for use: The Health of the Nation Outcome Scale for elderly people (HoNOS65+) is used to rate adult mental health service users. Together, the scales rate various aspects of mental and social health. HoNOS65+ is answered on an item-specific anchored 4-point scale with higher scores indicating more problems. Each scale is assigned a value of between 0 and 4. 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 represents the total HoNOS65+ score. The total HoNOS65+ 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 Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only the HoNOS65+ scores at admission are required to be reported. Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 5, Psychogeriatric care. Data element attributes Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Reference documents: Health of the Nation Outcome Scales (HoNOS), Royal College of Psychiatrists 1996. Viewed 17 October 2013, http://www.rcpsych.ac.uk/training/honos/whatishonos.aspx Relational attributes Related metadata references: See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N Health, Candidate 20/01/2015, Independent Hospital Pricing Authority, Standard 15/10/2014 Implementation in Data Set Specifications: Admitted patient mental health care cluster Independent Hospital Pricing Authority, Standard 15/10/2014 Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014 Ambulatory patient mental health care cluster Health, Candidate 16/01/2015 Independent Hospital Pricing Authority, Standard 15/10/2014 Residential patient mental health care cluster Independent Hospital Pricing Authority, Standard 15/10/2014
    Datatype integer
    Aliases:  
    Codelistitems  
      No problems within the period stated(0)
      Minor problem requiring no action(1)
      Mild problem but definitely present(2)
      Moderately severe problem(3)
      Severe to very severe problem(4)

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CC BY-NC 3.0

License

THE WORK (AS DEFINED BELOW) IS PROVIDED UNDER THE TERMS OF THIS CREATIVE COMMONS PUBLIC LICENSE ("CCPL" OR "LICENSE"). THE WORK IS PROTECTED BY COPYRIGHT AND/OR OTHER APPLICABLE LAW. ANY USE OF THE WORK OTHER THAN AS AUTHORIZED UNDER THIS LICENSE OR COPYRIGHT LAW IS PROHIBITED.

BY EXERCISING ANY RIGHTS TO THE WORK PROVIDED HERE, YOU ACCEPT AND AGREE TO BE BOUND BY THE TERMS OF THIS LICENSE. TO THE EXTENT THIS LICENSE MAY BE CONSIDERED TO BE A CONTRACT, THE LICENSOR GRANTS YOU THE RIGHTS CONTAINED HERE IN CONSIDERATION OF YOUR ACCEPTANCE OF SUCH TERMS AND CONDITIONS.

1. Definitions

  1. "Adaptation" means a work based upon the Work, or upon the Work and other pre-existing works, such as a translation, adaptation, derivative work, arrangement of music or other alterations of a literary or artistic work, or phonogram or performance and includes cinematographic adaptations or any other form in which the Work may be recast, transformed, or adapted including in any form recognizably derived from the original, except that a work that constitutes a Collection will not be considered an Adaptation for the purpose of this License. For the avoidance of doubt, where the Work is a musical work, performance or phonogram, the synchronization of the Work in timed-relation with a moving image ("synching") will be considered an Adaptation for the purpose of this License.
  2. "Collection" means a collection of literary or artistic works, such as encyclopedias and anthologies, or performances, phonograms or broadcasts, or other works or subject matter other than works listed in Section 1(f) below, which, by reason of the selection and arrangement of their contents, constitute intellectual creations, in which the Work is included in its entirety in unmodified form along with one or more other contributions, each constituting separate and independent works in themselves, which together are assembled into a collective whole. A work that constitutes a Collection will not be considered an Adaptation (as defined above) for the purposes of this License.
  3. "Distribute" means to make available to the public the original and copies of the Work or Adaptation, as appropriate, through sale or other transfer of ownership.
  4. "Licensor" means the individual, individuals, entity or entities that offer(s) the Work under the terms of this License.
  5. "Original Author" means, in the case of a literary or artistic work, the individual, individuals, entity or entities who created the Work or if no individual or entity can be identified, the publisher; and in addition (i) in the case of a performance the actors, singers, musicians, dancers, and other persons who act, sing, deliver, declaim, play in, interpret or otherwise perform literary or artistic works or expressions of folklore; (ii) in the case of a phonogram the producer being the person or legal entity who first fixes the sounds of a performance or other sounds; and, (iii) in the case of broadcasts, the organization that transmits the broadcast.
  6. "Work" means the literary and/or artistic work offered under the terms of this License including without limitation any production in the literary, scientific and artistic domain, whatever may be the mode or form of its expression including digital form, such as a book, pamphlet and other writing; a lecture, address, sermon or other work of the same nature; a dramatic or dramatico-musical work; a choreographic work or entertainment in dumb show; a musical composition with or without words; a cinematographic work to which are assimilated works expressed by a process analogous to cinematography; a work of drawing, painting, architecture, sculpture, engraving or lithography; a photographic work to which are assimilated works expressed by a process analogous to photography; a work of applied art; an illustration, map, plan, sketch or three-dimensional work relative to geography, topography, architecture or science; a performance; a broadcast; a phonogram; a compilation of data to the extent it is protected as a copyrightable work; or a work performed by a variety or circus performer to the extent it is not otherwise considered a literary or artistic work.
  7. "You" means an individual or entity exercising rights under this License who has not previously violated the terms of this License with respect to the Work, or who has received express permission from the Licensor to exercise rights under this License despite a previous violation.
  8. "Publicly Perform" means to perform public recitations of the Work and to communicate to the public those public recitations, by any means or process, including by wire or wireless means or public digital performances; to make available to the public Works in such a way that members of the public may access these Works from a place and at a place individually chosen by them; to perform the Work to the public by any means or process and the communication to the public of the performances of the Work, including by public digital performance; to broadcast and rebroadcast the Work by any means including signs, sounds or images.
  9. "Reproduce" means to make copies of the Work by any means including without limitation by sound or visual recordings and the right of fixation and reproducing fixations of the Work, including storage of a protected performance or phonogram in digital form or other electronic medium.

2. Fair Dealing Rights. Nothing in this License is intended to reduce, limit, or restrict any uses free from copyright or rights arising from limitations or exceptions that are provided for in connection with the copyright protection under copyright law or other applicable laws.

3. License Grant. Subject to the terms and conditions of this License, Licensor hereby grants You a worldwide, royalty-free, non-exclusive, perpetual (for the duration of the applicable copyright) license to exercise the rights in the Work as stated below:

  1. to Reproduce the Work, to incorporate the Work into one or more Collections, and to Reproduce the Work as incorporated in the Collections;
  2. to create and Reproduce Adaptations provided that any such Adaptation, including any translation in any medium, takes reasonable steps to clearly label, demarcate or otherwise identify that changes were made to the original Work. For example, a translation could be marked "The original work was translated from English to Spanish," or a modification could indicate "The original work has been modified.";
  3. to Distribute and Publicly Perform the Work including as incorporated in Collections; and,
  4. to Distribute and Publicly Perform Adaptations.

The above rights may be exercised in all media and formats whether now known or hereafter devised. The above rights include the right to make such modifications as are technically necessary to exercise the rights in other media and formats. Subject to Section 8(f), all rights not expressly granted by Licensor are hereby reserved, including but not limited to the rights set forth in Section 4(d).

4. Restrictions. The license granted in Section 3 above is expressly made subject to and limited by the following restrictions:

  1. You may Distribute or Publicly Perform the Work only under the terms of this License. You must include a copy of, or the Uniform Resource Identifier (URI) for, this License with every copy of the Work You Distribute or Publicly Perform. You may not offer or impose any terms on the Work that restrict the terms of this License or the ability of the recipient of the Work to exercise the rights granted to that recipient under the terms of the License. You may not sublicense the Work. You must keep intact all notices that refer to this License and to the disclaimer of warranties with every copy of the Work You Distribute or Publicly Perform. When You Distribute or Publicly Perform the Work, You may not impose any effective technological measures on the Work that restrict the ability of a recipient of the Work from You to exercise the rights granted to that recipient under the terms of the License. This Section 4(a) applies to the Work as incorporated in a Collection, but this does not require the Collection apart from the Work itself to be made subject to the terms of this License. If You create a Collection, upon notice from any Licensor You must, to the extent practicable, remove from the Collection any credit as required by Section 4(c), as requested. If You create an Adaptation, upon notice from any Licensor You must, to the extent practicable, remove from the Adaptation any credit as required by Section 4(c), as requested.
  2. You may not exercise any of the rights granted to You in Section 3 above in any manner that is primarily intended for or directed toward commercial advantage or private monetary compensation. The exchange of the Work for other copyrighted works by means of digital file-sharing or otherwise shall not be considered to be intended for or directed toward commercial advantage or private monetary compensation, provided there is no payment of any monetary compensation in connection with the exchange of copyrighted works.
  3. If You Distribute, or Publicly Perform the Work or any Adaptations or Collections, You must, unless a request has been made pursuant to Section 4(a), keep intact all copyright notices for the Work and provide, reasonable to the medium or means You are utilizing: (i) the name of the Original Author (or pseudonym, if applicable) if supplied, and/or if the Original Author and/or Licensor designate another party or parties (e.g., a sponsor institute, publishing entity, journal) for attribution ("Attribution Parties") in Licensor's copyright notice, terms of service or by other reasonable means, the name of such party or parties; (ii) the title of the Work if supplied; (iii) to the extent reasonably practicable, the URI, if any, that Licensor specifies to be associated with the Work, unless such URI does not refer to the copyright notice or licensing information for the Work; and, (iv) consistent with Section 3(b), in the case of an Adaptation, a credit identifying the use of the Work in the Adaptation (e.g., "French translation of the Work by Original Author," or "Screenplay based on original Work by Original Author"). The credit required by this Section 4(c) may be implemented in any reasonable manner; provided, however, that in the case of a Adaptation or Collection, at a minimum such credit will appear, if a credit for all contributing authors of the Adaptation or Collection appears, then as part of these credits and in a manner at least as prominent as the credits for the other contributing authors. For the avoidance of doubt, You may only use the credit required by this Section for the purpose of attribution in the manner set out above and, by exercising Your rights under this License, You may not implicitly or explicitly assert or imply any connection with, sponsorship or endorsement by the Original Author, Licensor and/or Attribution Parties, as appropriate, of You or Your use of the Work, without the separate, express prior written permission of the Original Author, Licensor and/or Attribution Parties.
  4. For the avoidance of doubt:

    1. Non-waivable Compulsory License Schemes. In those jurisdictions in which the right to collect royalties through any statutory or compulsory licensing scheme cannot be waived, the Licensor reserves the exclusive right to collect such royalties for any exercise by You of the rights granted under this License;
    2. Waivable Compulsory License Schemes. In those jurisdictions in which the right to collect royalties through any statutory or compulsory licensing scheme can be waived, the Licensor reserves the exclusive right to collect such royalties for any exercise by You of the rights granted under this License if Your exercise of such rights is for a purpose or use which is otherwise than noncommercial as permitted under Section 4(b) and otherwise waives the right to collect royalties through any statutory or compulsory licensing scheme; and,
    3. Voluntary License Schemes. The Licensor reserves the right to collect royalties, whether individually or, in the event that the Licensor is a member of a collecting society that administers voluntary licensing schemes, via that society, from any exercise by You of the rights granted under this License that is for a purpose or use which is otherwise than noncommercial as permitted under Section 4(c).
  5. Except as otherwise agreed in writing by the Licensor or as may be otherwise permitted by applicable law, if You Reproduce, Distribute or Publicly Perform the Work either by itself or as part of any Adaptations or Collections, You must not distort, mutilate, modify or take other derogatory action in relation to the Work which would be prejudicial to the Original Author's honor or reputation. Licensor agrees that in those jurisdictions (e.g. Japan), in which any exercise of the right granted in Section 3(b) of this License (the right to make Adaptations) would be deemed to be a distortion, mutilation, modification or other derogatory action prejudicial to the Original Author's honor and reputation, the Licensor will waive or not assert, as appropriate, this Section, to the fullest extent permitted by the applicable national law, to enable You to reasonably exercise Your right under Section 3(b) of this License (right to make Adaptations) but not otherwise.

5. Representations, Warranties and Disclaimer

UNLESS OTHERWISE MUTUALLY AGREED TO BY THE PARTIES IN WRITING, LICENSOR OFFERS THE WORK AS-IS AND MAKES NO REPRESENTATIONS OR WARRANTIES OF ANY KIND CONCERNING THE WORK, EXPRESS, IMPLIED, STATUTORY OR OTHERWISE, INCLUDING, WITHOUT LIMITATION, WARRANTIES OF TITLE, MERCHANTIBILITY, FITNESS FOR A PARTICULAR PURPOSE, NONINFRINGEMENT, OR THE ABSENCE OF LATENT OR OTHER DEFECTS, ACCURACY, OR THE PRESENCE OF ABSENCE OF ERRORS, WHETHER OR NOT DISCOVERABLE. SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OF IMPLIED WARRANTIES, SO SUCH EXCLUSION MAY NOT APPLY TO YOU.

6. Limitation on Liability. EXCEPT TO THE EXTENT REQUIRED BY APPLICABLE LAW, IN NO EVENT WILL LICENSOR BE LIABLE TO YOU ON ANY LEGAL THEORY FOR ANY SPECIAL, INCIDENTAL, CONSEQUENTIAL, PUNITIVE OR EXEMPLARY DAMAGES ARISING OUT OF THIS LICENSE OR THE USE OF THE WORK, EVEN IF LICENSOR HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.

7. Termination

  1. This License and the rights granted hereunder will terminate automatically upon any breach by You of the terms of this License. Individuals or entities who have received Adaptations or Collections from You under this License, however, will not have their licenses terminated provided such individuals or entities remain in full compliance with those licenses. Sections 1, 2, 5, 6, 7, and 8 will survive any termination of this License.
  2. Subject to the above terms and conditions, the license granted here is perpetual (for the duration of the applicable copyright in the Work). Notwithstanding the above, Licensor reserves the right to release the Work under different license terms or to stop distributing the Work at any time; provided, however that any such election will not serve to withdraw this License (or any other license that has been, or is required to be, granted under the terms of this License), and this License will continue in full force and effect unless terminated as stated above.

8. Miscellaneous

  1. Each time You Distribute or Publicly Perform the Work or a Collection, the Licensor offers to the recipient a license to the Work on the same terms and conditions as the license granted to You under this License.
  2. Each time You Distribute or Publicly Perform an Adaptation, Licensor offers to the recipient a license to the original Work on the same terms and conditions as the license granted to You under this License.
  3. If any provision of this License is invalid or unenforceable under applicable law, it shall not affect the validity or enforceability of the remainder of the terms of this License, and without further action by the parties to this agreement, such provision shall be reformed to the minimum extent necessary to make such provision valid and enforceable.
  4. No term or provision of this License shall be deemed waived and no breach consented to unless such waiver or consent shall be in writing and signed by the party to be charged with such waiver or consent.
  5. This License constitutes the entire agreement between the parties with respect to the Work licensed here. There are no understandings, agreements or representations with respect to the Work not specified here. Licensor shall not be bound by any additional provisions that may appear in any communication from You. This License may not be modified without the mutual written agreement of the Licensor and You.
  6. The rights granted under, and the subject matter referenced, in this License were drafted utilizing the terminology of the Berne Convention for the Protection of Literary and Artistic Works (as amended on September 28, 1979), the Rome Convention of 1961, the WIPO Copyright Treaty of 1996, the WIPO Performances and Phonograms Treaty of 1996 and the Universal Copyright Convention (as revised on July 24, 1971). These rights and subject matter take effect in the relevant jurisdiction in which the License terms are sought to be enforced according to the corresponding provisions of the implementation of those treaty provisions in the applicable national law. If the standard suite of rights granted under applicable copyright law includes additional rights not granted under this License, such additional rights are deemed to be included in the License; this License is not intended to restrict the license of any rights under applicable law.