Admitted patient care NMDS 2015-16 Metadata Online Registry (METeOR)

Description

Address—Australian postcode, code (Postcode datafile) {NNNN} Identifying and definitional attributes Short name: Australian postcode (address) METeOR identifier: 429894 Registration status: Housing assistance, Standard 01/05/2013 Health, Standard 07/12/2011 Early Childhood, Standard 09/03/2012 Homelessness, Standard 01/05/2013 Tasmanian Health, Final 30/06/2014 WA Health, Endorsed 04/03/2014 Independent Hospital Pricing Authority, Standard 31/10/2012 Indigenous, Endorsed 13/03/2015 National Health Performance Authority, Standard 09/08/2013 Commonwealth Department of Health, Candidate 25/05/2015 Disability, Standard 07/10/2014 Community Services (retired), Standard 06/02/2012 Definition: The Australian numeric descriptor for a postal delivery area for an address. Data Element Concept: Address—Australian postcode Value domain attributes Representational attributes Classification scheme: Postcode datafile Representation class: Code Data type: Number Format: {NNNN} Maximum character length: 4 Data set specification specific attributes Admitted patient care NMDS 2015-16 DSS specific information: To be reported for the address of the patient. Data element attributes Collection and usage attributes Guide for use: Australian postal addresses should include a valid postcode. Refer to the Australia Post Address Presentation Standard for rules on presentation and positioning of postcodes on mail. For a full list of Australian postcodes visit the Australia Post website: www.auspost.com.au This data element may be used in the analysis of data on a geographical basis which involves coding data containing an address with a postcode to the Australian Bureau of Statistics (ABS) Australian Statistical Geography Standard (ASGS) areas. The ABS provides a number of coding indexes and correspondences to undertake this conversion from postcode to ASGS areas. (See the correspondences section of ABS geography portal www.abs.gov.au/geography). A more accurate way to convert address data to ASGS geography is to use the locality to SA2 coding index, available from ABS, where the locality, postcode and state, (which are all part of an address), used in conjunction can effectively code data to the SA2 level and above in the ASGS. Note that it is not possible to code to SA1 level using these correspondences or indexes. This data element is one of a number of items that can be used to create a primary address, as recommended by the AS 4590-2006 Interchange of client information standard. Components of the primary address are: • Address site (or Primary complex) name • Address number or number range • Road name (name/type/suffix) • Locality • State/Territory • Postcode (optional) • Country (if applicable). Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Origin: Standards Australia 2006. AS 4590—2006 Interchange of client information. Sydney: Standards Australia. Relational attributes Related metadata references: See also Address—statistical area, level 2 (SA2) code (ASGS 2011) N(9) Health, Standard 07/12/2011, Disability, Standard 13/08/2015, Community Services (retired), Standard 06/12/2011 Supersedes Dwelling—Australian postcode code (Postcode datafile) {NNNN} Housing assistance, Superseded 01/05/2013 Supersedes Housing assistance agency—Australian postcode code (Postcode datafile) {NNNN} Housing assistance, Superseded 01/05/2013 Supersedes Person (address)—Australian postcode, code (Postcode datafile) {NNNN} Housing assistance, Superseded 30/05/2013, Health, Superseded 07/12/2011, Early Childhood, Superseded 09/03/2012, Homelessness, Superseded 30/05/2013, Community Services (retired), Superseded 06/02/2012 Supersedes Service provider organisation (address)—Australian postcode, code (Postcode datafile) {NNNN} Housing assistance, Superseded 01/05/2013, Health, Superseded 07/12/2011, Early Childhood, Superseded 09/03/2012, Tasmanian Health, Proposed 30/09/2011, Community Services (retired), Superseded 06/02/2012 Supersedes Workplace (address)—Australian postcode, code (Postcode datafile) {NNNN} Health, Superseded 07/12/2011 Implementation in Data Set Specifications: Address details data dictionary Disability, Standard 13/08/2015 Community Services (retired), Standard 06/02/2012 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Alcohol and other drug treatment services NMDS 2015- Health, Standard 13/11/2014 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Community housing and Indigenous community housing service provider organisation address details cluster Housing assistance, Standard 01/05/2013 Indigenous, Endorsed 01/05/2013 Community housing dwelling address details cluster Housing assistance, Standard 01/05/2013 Disability Services NMDS 2012-14 Community Services (retired), Standard 13/03/2013 Disability Services NMDS 2014-15 Disability, Standard 07/10/2014 Community Services (retired), Proposed 23/04/2014 Dwelling (housing assistance) cluster Housing assistance, Standard 01/05/2013 Early Childhood Education and Care: Aggregate NMDS 2015 Early Childhood, Standard 01/06/2015 Early Childhood Education and Care: Unit Record Level NMDS 2015 Early Childhood, Standard 01/06/2015 Home purchase assistance DSS 2012-13 Housing assistance, Standard 03/07/2014 Indigenous community housing dwelling address details cluster Housing assistance, Standard 01/05/2013 Indigenous, Endorsed 01/05/2013 Indigenous primary health care DSS 2015- Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Juvenile Justice Order file cluster Community Services (retired), Standard 14/09/2009 National Bowel Cancer Screening Program DSS 2014- Health, Standard 29/08/2014 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Private rent assistance DSS 2012-13 Housing assistance, Standard 03/07/2014 Public dental waiting times NMDS 2013- Health, Standard 09/11/2012 Public hospital establishment address details DSS Health, Standard 07/12/2011 Socio-Economic Indexes for Areas (SEIFA) cluster 2011 Early Childhood, Superseded 28/05/2014 Disability, Standard 13/08/2015 Community Services (retired), Standard 21/02/2012 Specialist Homelessness Services NMDS 2014-15 Housing assistance, Standard 30/06/2014 Homelessness, Standard 30/06/2014 Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Health, Standard 15/11/2012 WA Abortion Notification System WA Health, Endorsed 04/03/2014 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2013-14 WA Health, Endorsed 19/03/2015 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2014-15 WA Health, Endorsed 24/04/2015 Implementation in Indicators: Used as numerator National Health Performance Authority, Healthy Communities: After-hours GP attendances, 2012–13 National Health Performance Authority, Standard 12/12/2013 National Health Performance Authority, Healthy Communities: Bulk-billed GP attendances, 2012–13 National Health Performance Authority, Standard 12/12/2013 National Health Performance Authority, Healthy Communities: Expenditure on after-hours GP attendances, 2012–13 National Health Performance Authority, Standard 12/12/2013 National Health Performance Authority, Healthy Communities: Expenditure on GP attendances, 2012–13 National Health Performance Authority, Standard 12/12/2013 National Health Performance Authority, Healthy Communities: Frequent GP attenders, 2012–13 National Health Performance Authority, Standard 19/03/2015 National Health Performance Authority, Healthy Communities: GP attendances, 2012–13 National Health Performance Authority, Standard 12/12/2013 National Health Performance Authority, Healthy Communities: Very high GP attenders, 2012–13 National Health Performance Authority, Standard 19/03/2015

Data type

integer

Description

Contracted hospital care—organisation identifier, NNX[X]NNNNN Identifying and definitional attributes Short name: Contract establishment identifier METeOR identifier: 270013 Registration status: Health, Standard 01/03/2005 National Health Performance Authority, Standard 13/03/2014 Definition: The unique establishment identifier of the other hospital involved in the contracted care. Data Element Concept: Contracted hospital care—organisation identifier Value domain attributes Representational attributes Representation class: Identifier Data type: String Format: NNX[X]NNNNN Maximum character length: 9 Data element attributes Collection and usage attributes Guide for use: The contracted hospital will record the establishment identifier of the contracting hospital. The contracting hospital will record the establishment identifier of the contracted hospital. Relational attributes Related metadata references: Supersedes Contract establishment identifier, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (13.9 KB) Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 National Health Performance Authority, Hospital Performance: National Staphylococcus aureus Bacteraemia Dataset 2013-14 National Health Performance Authority, Standard 09/04/2015

Data type

text

Description

Episode of admitted patient care (newborn)—number of qualified days, total N[NNNN] Obligation: Conditional Identifying and definitional attributes Short name: Number of qualified days for newborns METeOR identifier: 270033 Registration status: Health, Standard 01/03/2005 Commonwealth Department of Health, Candidate 16/07/2015 Definition: The number of qualified newborn days occurring within a newborn episode of care. Data Element Concept: Episode of admitted patient care (newborn)—number of qualified days Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[NNNN] Maximum character length: 5 Unit of measure: Day Data set specification specific attributes Admitted patient care NMDS 2015-16 Conditional obligation: Only required to be reported for episodes of care for patients with a care type of newborn care. Data element attributes Collection and usage attributes Guide for use: The rules for calculating the number of qualified newborn days are outlined below. The number of qualified days is calculated with reference to the Episode of admitted patient care—admission date, DDMMYYYY, Episode of admitted patient care—separation date, DDMMYYYY and any Episode of admitted patient care (newborn)—date of change to qualification status, DDMMYYYY: • the date of admission is counted if the patient was qualified at the end of the day • the date of change to qualification status is counted if the patient was qualified at the end of the day • the date of separation is not counted, even if the patient was qualified on that day • the normal rules for calculation of patient days apply, for example in relation to leave and same day patients The length of stay for a newborn episode of care is equal to the sum of the qualified and unqualified days. Relational attributes Related metadata references: Is formed using Episode of admitted patient care (newborn)—date of change to qualification status, DDMMYYYY Health, Standard 01/03/2005 Is used in the formation of Establishment—number of patient days, total N[N(7)] Health, Standard 01/03/2005, National Health Performance Authority, Standard 13/03/2014 Supersedes Number of qualified days for newborns, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.5 KB) Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

Data type

integer

Measurement units

• days

Description

Episode of admitted patient care—admission date, DDMMYYYY Identifying and definitional attributes Short name: Admission date METeOR identifier: 269967 Registration status: Health, Standard 01/03/2005 Tasmanian Health, Final 30/06/2014 National Health Performance Authority, Standard 07/11/2013 Commonwealth Department of Health, Candidate 16/07/2015 Definition: Date on which an admitted patient commences an episode of care. Data Element Concept: Episode of admitted patient care—admission 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 patient care NMDS 2015-16 DSS specific information: Right justified and zero filled. admission date ≤ separation date admission date ≥ date of birth Data element attributes Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Supersedes Admission date, version 4, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.4 KB) Is used in the formation of Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Superseded 13/12/2011 Is used in the formation of Elective surgery waiting list episode—waiting time (at removal), total days N[NNN] Health, Standard 13/12/2011, Tasmanian Health, Draft 24/03/2014, National Health Performance Authority, Standard 25/07/2013 Is used in the formation of Episode of admitted patient care (antenatal)—length of stay (including leave days), total N[NN] Health, Superseded 04/07/2007 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Health, Superseded 22/12/2009 Is used in the formation of Episode of admitted patient care—length of stay (excluding leave days), total N[NN] Health, Standard 01/03/2005, Tasmanian Health, Draft 23/07/2012, National Health Performance Authority, Standard 30/04/2015 Is used in the formation of Episode of admitted patient care—length of stay (including leave days) (antenatal), total N[NN] Health, Standard 04/07/2007 Is used in the formation of Episode of admitted patient care—length of stay (including leave days), total N[NN] Health, Superseded 04/07/2007 Is used in the formation of Episode of admitted patient care—length of stay (including leave days), total N[NN] Health, Standard 04/07/2007 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Health, Superseded 22/12/2009 Is used in the formation of Episode of care—number of psychiatric care days, total N[NNNN] Health, Standard 11/04/2014 Is used in the formation of Episode of care—number of psychiatric care days, total N[NNNN] Health, Superseded 11/04/2014, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Non-admitted patient emergency department service episode—waiting time (to hospital admission), total hours and minutes NNNN Health, Retired 02/04/2014 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Bowel cancer diagnosed cluster Health, Standard 29/08/2014 Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Health, Standard 15/11/2012 Implementation in Indicators: Used as numerator National Health Performance Authority, Healthy Communities: Number of selected potentially avoidable hospitalisations per 100,000 people, 2011–12 National Health Performance Authority, Standard 07/11/2013 National Healthcare Agreement: PB f-By 2014-15, improve the provision of primary care and reduce the proportion of potentially preventable hospital admissions by 7.6 per cent over the 2006-07 baseline to 8.5 per cent of total hospital admissions, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 18-Selected potentially preventable hospitalisations, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 27-Number of hospital patient days used by those eligible and waiting for residential aged care, 2015 Health, Standard 14/01/2015 Used as denominator National Healthcare Agreement: PB f-By 2014-15, improve the provision of primary care and reduce the proportion of potentially preventable hospital admissions by 7.6 per cent over the 2006-07 baseline to 8.5 per cent of total hospital admissions, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 27-Number of hospital patient days used by those eligible and waiting for residential aged care, 2015 Health, Standard 14/01/2015

Data type

date

Description

Episode of admitted patient care—admission mode, code N Identifying and definitional attributes Short name: Mode of admission METeOR identifier: 269976 Registration status: Health, Standard 01/03/2005 Commonwealth Department of Health, Candidate 16/07/2015 Definition: The mechanism by which a person begins an episode of care, as represented by a code. Data Element Concept: Episode of admitted patient care—admission mode Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Admitted patient transferred from another hospital 2 Statistical admission - episode type change 3 Other Collection and usage attributes Guide for use: CODE 2 Statistical admission - episode type change Use this code where a new episode of care is commenced within the same hospital stay. CODE 3 Other Use this code for all planned admissions and unplanned admissions (except transfers into the hospital from another hospital). Data element attributes Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Supersedes Mode of admission, version 4, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.1 KB) Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015

Data type

integer

Description

Episode of admitted patient care—admission urgency status, code N Identifying and definitional attributes Short name: Urgency of admission METeOR identifier: 269986 Registration status: Health, Standard 01/03/2005 Commonwealth Department of Health, Candidate 16/07/2015 Definition: Whether the admission has an urgency status assigned and, if so, whether admission occurred on an emergency basis, as represented by a code. Data Element Concept: Episode of admitted patient care—admission urgency status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Urgency status assigned - emergency 2 Urgency status assigned - elective 3 Urgency status not assigned Supplementary values: 9 Not known/not reported Data element attributes Collection and usage attributes Guide for use: CODE 1 Urgency status assigned - emergency Emergency admission: The following guidelines may be used by health professionals, hospitals and health insurers in determining whether an emergency admission has occurred. These guidelines should not be considered definitive. An emergency admission occurs if one or more of the following clinical conditions are applicable such that the patient required admission within 24 hours. Such a patient would be: • at risk of serious morbidity or mortality and requiring urgent assessment and/or resuscitation; or • suffering from suspected acute organ or system failure; or • suffering from an illness or injury where the viability or function of a body part or organ is acutely threatened; or • suffering from a drug overdose, toxic substance or toxin effect; or • experiencing severe psychiatric disturbance whereby the health of the patient or other people is at immediate risk; or • suffering severe pain where the viability or function of a body part or organ is suspected to be acutely threatened; or • suffering acute significant haemorrhage and requiring urgent assessment and treatment; or • suffering gynaecological or obstetric complications; or • suffering an acute condition which represents a significant threat to the patient's physical or psychological wellbeing; or • suffering a condition which represents a significant threat to public health. If an admission meets the definition of emergency above, it is categorised as emergency, regardless of whether the admission occurred within 24 hours of such a categorisation being made, or after 24 hours or more. CODE 2 Urgency status assigned - Elective Elective admissions: If an admission meets the definition of elective above, it is categorised as elective, regardless of whether the admission actually occurred after 24 hours or more, or it occurred within 24 hours. The distinguishing characteristic is that the admission could be delayed by at least 24 hours. Scheduled admissions: A patient who expects to have an elective admission will often have that admission scheduled in advance. Whether or not the admission has been scheduled does not affect the categorisation of the admission as emergency or elective, which depends only on whether it meets the definitions above. That is, patients both with and without a scheduled admission can be admitted on either an emergency or elective basis. Admissions from elective surgery waiting lists: Patients on waiting lists for elective surgery are assigned a Clinical urgency status which indicates the clinical assessment of the urgency with which a patient requires elective hospital care. On admission, they will also be assigned an urgency of admission category, which may or may not be elective: • Patients who are removed from elective surgery waiting lists on admission as an elective patient for the procedure for which they were waiting (see code 1 in metadata item Reason for removal from an elective surgery waiting list code N) will be assigned an Admission urgency status code N code of 2. In that case, their clinical urgency category could be regarded as further detail on how urgent their admission was. • Patients who are removed from elective surgery waiting lists on admission as an emergency patient for the procedure for which they were waiting (see code 2 in metadata item Reason for removal from an elective surgery waiting list code N), will be assigned an Admission urgency status code N code of 1. CODE 3 Urgency status not assigned Admissions for which an urgency status is usually not assigned are: • admissions for normal delivery (obstetric) • admissions which begin with the birth of the patient, or when it was intended that the birth occur in the hospital, commence shortly after the birth of the patient • statistical admissions • planned readmissions for the patient to receive limited care or treatment for a current condition, for example dialysis or chemotherapy. An urgency status can be assigned for admissions of the types listed above for which an urgency status is not usually assigned. For example, a patient who is to have an obstetric admission may have one or more of the clinical conditions listed above and be admitted on an emergency basis. CODE 9 Not known/not reported This code is used when it is not known whether or not an urgency status has been assigned, or when an urgency status has been assigned but is not known. Source and reference attributes Submitting organisation: Emergency definition working party Origin: National Health Data Committee Relational attributes Related metadata references: Supersedes Urgency of admission, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (21.4 KB) Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

Data type

integer

Description

Episode of admitted patient care—condition onset flag, code N Maximum occurences: unlimited Identifying and definitional attributes Short name: Condition onset flag Synonymous names: COF METeOR identifier: 496512 Registration status: Health, Standard 07/02/2013 Definition: A qualifier for each coded diagnosis to indicate the onset of the condition relative to the beginning of the episode of care, as represented by a code. Data Element Concept: Episode of admitted patient care—condition onset flag Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Condition with onset during the episode of admitted patient care 2 Condition not noted as arising during the episode of admitted patient care Supplementary values: 9 Not reported Collection and usage attributes Guide for use: COF 1 Condition with onset during the episode of admitted patient care • a condition which arises during the episode of admitted patient care and would not have been present or suspected on admission. Includes: • A condition resulting from misadventure during surgical or medical care in the current episode of admitted patient care (e.g. accidental laceration during procedure, foreign body left in cavity, medication infusion error). • An abnormal reaction to, or later complication of, surgical or medical care arising during the current episode of admitted patient care (e.g. postprocedural shock, disruption of wound, catheter associated urinary tract infection (UTI)). • A condition newly arising during the episode of admitted patient care (e.g. pneumonia, rash, confusion, UTI, hypotension, electrolyte imbalance). • A condition impacting on obstetric care arising after admission, including complications or unsuccessful interventions of labour and delivery or prenatal/postpartum management (e.g. labour and delivery complicated by fetal heart rate anomalies, postpartum haemorrhage). • For neonates, this also includes the condition(s) in the birth episode arising during the birth event (i.e. the labour and delivery process) (e.g. respiratory distress, jaundice, feeding problems, neonatal aspiration, conditions associated with birth trauma, newborn affected by delivery or intrauterine procedures). • Disease status or administrative codes arising during the episode of admitted patient care (e.g. cancelled procedure, multi-resistant Staphylococcus aureus (MRSA)). COF 2 Condition not noted as arising during the episode of admitted patient care • a condition previously existing or suspected on admission such as the presenting problem, a comorbidity or chronic disease. Includes: • A condition that has not been documented at the time of admission, but clearly did not develop after admission (e.g. newly diagnosed diabetes mellitus, malignancy and morphology). • A previously existing condition that is exacerbated during the current episode of admitted patient care (e.g. atrial fibrillation, unstable angina). • A condition that is suspected at the time of admission and subsequently confirmed during the current episode of admitted patient care (e.g. pneumonia, acute myocardial infarction (AMI), stroke, unstable angina). • A condition impacting on obstetric care arising prior to admission (e.g. venous complications, maternal disproportion). • For neonates, this also includes the condition(s) in the birth episode arising before the labour and delivery process (e.g. prematurity, birth weight, talipes, clicking hip). • Disease status or administrative codes not arising during the episode of admitted patient care (e.g. history of tobacco use, duration of pregnancy, colostomy status). • Outcome of delivery (Z37) and place of birth (Z38) codes. COF 9 Not reported The condition onset flag could not be reported due to limitations of the data management system. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Data element attributes Collection and usage attributes Guide for use: Assign the relevant COF value only to ICD-10-AM codes assigned in the principal diagnosis and additional diagnosis fields for the National Hospital Morbidity Database collection. Sequencing of ICD-10-AM codes must comply with the Australian Coding Standards and therefore codes should not be re-sequenced in an attempt to list codes with the same COF values together. The principal diagnosis code is always assigned COF 2. The exception to this is neonates in their admitted birth episode in that hospital where codes sequenced as the principal diagnosis may be assigned COF 1 if appropriate. For neonates, where a condition in the admitted birth episode is determined to have arisen during the birth event (i.e. labour and delivery process), these conditions should be considered as arising during the episode of admitted patient care and assigned COF 1. When a single ICD-10-AM code describes multiple concepts (i.e. a combination code) and any concept within that code meets the criteria of COF 1, assign COF 1. When it is difficult to decide if a condition was present at the beginning of the episode of care or if it arose during the episode, assign a COF 2. Explanatory notes: The COF value assigned to external cause, place of occurrence and activity codes should match that of the corresponding injury or disease code. Injuries which occur during the admitted episode of care but not on the hospital grounds (e.g. hospital in the home (HITH)) should be assigned COF 1 as 'arising during the episode of admitted patient care'. The COF value assigned to morphology codes should match that on the corresponding neoplasm code. The COF value on Z codes related to the outcome of delivery on the mother’s record (Z37), or the place of birth on the baby's record (Z38) should always be assigned COF 2. The COF value on aetiology and manifestation (dagger and asterisk) codes should be appropriate to each condition and therefore the dagger and asterisk codes may be assigned different COF values. An episode of admitted patient care includes all periods when the patient remains admitted and under the responsibility of the health care provider, including periods of authorised leave and HITH. Where diagnoses arising during this period meet the criteria for ACS 0002 Additional diagnoses, coders should apply the COF Guide for use instructions and assign COF 1 if appropriate. Unauthorised leave does not fall under the responsibility of the health care provider and conditions arising during this time should be assigned COF 2. Where an admission has multiple admitted patient episode 'care type' changes (e.g. acute to rehabilitation), COF assignment should be relevant to each episode. A condition arising in an episode should be assigned COF 1. If care for that condition continues in subsequent episodes those conditions should be assigned COF 2. Collection methods: A condition onset flag should be recorded and coded upon completion of an episode of admitted patient care. Comments: The condition onset flag is a means of differentiating those conditions which arise during, from those arising before, an admitted patient episode of care. Having this information will provide an insight into the kinds of conditions patients already have when entering hospital and those conditions that arise during the episode of admitted patient care. A better understanding of those conditions arising during the episode of admitted patient care may inform prevention strategies particularly in relation to complications of medical care. The flag only indicates when the condition had onset, and cannot be used to indicate whether a condition was considered to be preventable. Source and reference attributes Origin: Australian Institute of Health and Welfare Relational attributes Related metadata references: Supersedes Episode of admitted patient care—condition onset flag, code N Health, Superseded 07/02/2013, Commonwealth Department of Health, Candidate 16/07/2015 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

Data type

integer

Description

Episode of admitted patient care—duration of continuous ventilatory support, total hours NNNN Obligation: Conditional Identifying and definitional attributes Short name: Duration of continuous ventilatory support Synonymous names: Duration of mechanical ventilation METeOR identifier: 479010 Registration status: Health, Standard 07/02/2013 Independent Hospital Pricing Authority, Standard 31/10/2012 Definition: The total number of hours an admitted patient has spent on continuous ventilatory support. Data Element Concept: Episode of admitted patient care—duration of continuous ventilatory support Value domain attributes Representational attributes Representation class: Total Data type: Number Format: NNNN Maximum character length: 4 Unit of measure: Hour (h) Collection and usage attributes Guide for use: Total hours expressed as 0000, 0001, 0425 etc. Data set specification specific attributes Admitted patient care NMDS 2015-16 Conditional obligation: This data element is only required to be reported for episodes of care where the admitted patient spent time on continuous ventilatory support. Data element attributes Collection and usage attributes Guide for use: Continuous ventilatory support or invasive ventilation refers to the application of ventilation via an invasive artificial airway. For the purposes of this data element, invasive artificial airway is that provided via an endotracheal tube or a tracheostomy tube. An endotracheal tube can be placed orally or nasally. It is usually employed prior to a surgically placed tracheostomy tube. With prolonged ventilation, or when prolonged ventilation is expected, a tracheostomy tube is placed surgically. Collection methods: For the purposes of calculating the duration of continuous ventilatory support, begin calculation with one of the following: • Initiation of continuous ventilatory support. For example, for patients with endotracheal intubation and subsequent initiation of continuous ventilatory support, begin counting at the time of intubation. Patients with a tracheostomy, begin counting at the point when continuous ventilatory support is begun; or • Admission of a ventilated patient. For those patients admitted with continuous ventilatory support, begin counting the duration at the time of the admission. End the calculation with one of the following: • Extubation (e.g. removal of endotracheal tube); • Cessation of continuous ventilatory support after any period of weaning. For tracheostomy patients, the tracheal tube may not be withdrawn for days after discontinuation of continuous ventilatory support. Therefore, the duration would end with the cessation of continuous ventilatory support; • Discharge, death of transfer of a patient on continuous ventilatory support; or • Change of episode type. Subsequent periods of continuous ventilatory support should be added together. For example, if a patient is on continuous ventilatory support on the first day of their admission, then again on the fourth day of their admission, the hours should be added together. If there is a period of less than 1 hour between cessation and then restarting of ventilatory support, continue counting the duration. If there is removal and immediate replacement of airway devices, continue counting the duration. Ventilatory support which is provided to a patient during surgery is associated with anaesthesia and is considered an integral part of the surgical procedure. Duration of continuous ventilatory support should not be counted if it is part of a surgical procedure, except in the following circumstances: • Ventilatory support was performed for respiratory support prior to surgery and then continued during surgery and post surgery; or • Ventilatory support was initiated during surgery, continues after surgery and for more than 24 hours post surgery. Hours of ventilatory support should be reported as completed cumulative hours. For example, if the total duration of ventilatory support was 98 hours 45 minutes, report 98 hours. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Reference documents: National Centre for Classification in Health 2010. Australian Coding Standards for ICD-10-AM (The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification) and ACHI (The Australian Classification of Health Interventions) (7th edition). Sydney: National Centre for Classification in Health, Faculty of Health Sciences, The University of Sydney. Relational attributes Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

Data type

integer

Measurement units

• hours

Description

Episode of admitted patient care—intended length of hospital stay, code N Identifying and definitional attributes Short name: Intended length of hospital stay METeOR identifier: 270399 Registration status: Health, Standard 01/03/2005 Commonwealth Department of Health, Candidate 16/07/2015 Definition: The intention of the responsible clinician at the time of the patient's admission to hospital or at the time the patient is placed on an elective surgery waiting list, to discharge the patient either on the day of admission or a subsequent date, as represented by a code. Data Element Concept: Episode of admitted patient care—intended length of hospital stay Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Intended same-day 2 Intended overnight Data element attributes Collection and usage attributes Collection methods: The intended length of stay should be ascertained for all admitted patients at the time the patient is admitted to hospital. Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Health, Superseded 22/12/2009 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Health, Superseded 22/12/2009 Supersedes Intended length of hospital stay, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.4 KB) Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

Data type

integer

Description

Episode of admitted patient care—length of stay in intensive care unit, total hours NNNN Obligation: Conditional Identifying and definitional attributes Short name: Length of stay in intensive care unit METeOR identifier: 471553 Registration status: Health, Standard 07/02/2013 Independent Hospital Pricing Authority, Standard 31/10/2012 Definition: The total number of hours an admitted patient has spent in an intensive care unit, expressed as a number. Data Element Concept: Episode of admitted patient care—length of stay in intensive care unit Value domain attributes Representational attributes Representation class: Total Data type: Number Format: NNNN Maximum character length: 4 Unit of measure: Hour (h) Collection and usage attributes Guide for use: Total hours expressed as 0000, 0001, 0425 etc. Data set specification specific attributes Admitted patient care NMDS 2015-16 Conditional obligation: The data element is only required to be reported for episodes of care where the admitted patient spent time in an intensive care unit. Data element attributes Collection and usage attributes Guide for use: The total number of hours is to be reported by public hospitals that have either an approved level 3 adult intensive care unit or an approved paediatric intensive care unit. Adult intensive care unit, level 3 The unit must be capable of providing complex, multisystem life support for an indefinite period; be a tertiary referral centre for patients in need of intensive care services and have extensive backup laboratory and clinical service facilities to support the tertiary referral role. It must be capable of providing mechanical ventilation, extracorporeal renal support services and invasive cardiovascular monitoring for an indefinite period; or care of a similar nature. Paediatric intensive care unit The unit must be capable of providing complex, multisystem life support for an indefinite period; be a tertiary referral centre for children needing intensive care; and have extensive backup laboratory and clinical service facilities to support this tertiary role. It must be capable of providing mechanical ventilation, extracorporeal renal support services and invasive cardiovascular monitoring for an indefinite period to infants and children less than 16 years of age; or care of a similar nature. Collection methods: For the purposes of calculating the length of stay in an intensive care unit, begin the calculation with the following: • Arrival of the patient in the intensive care unit. End the calculation with one of the following: • Discharge, death or transfer of a patient from the intensive care unit; or • Change of episode type. Where an episode of admitted patient care involves more than one period spent in an intensive care unit, the total number of hours is to be reported for all periods during the episode of care. The time spent in an operating theatre or in a coronary care unit is not counted. Where there is a contracted service episode, Hospital A will report the total duration spent in the intensive care unit of Hospital B in addition to any length of time spent in Hospital A. Hospital B will only report the total time spent in the intensive care unit in Hospital B. The total duration of hours reported should be rounded to the nearest hour. For example, if the total length of stay in the intensive care unit was 98 hours 45 minutes, report 99 hours. If the duration of length of stay in an intensive care unit is equal to or greater than 9999 hours, report 9999 hours. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Relational attributes Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

Data type

integer

Measurement units

• hours

Description

Episode of admitted patient care—number of days of hospital-in-the-home care, total {N[NN]} Identifying and definitional attributes Short name: Number of days of hospital-in-the-home care METeOR identifier: 270305 Registration status: Health, Standard 01/03/2005 Tasmanian Health, Draft 23/07/2012 Commonwealth Department of Health, Candidate 16/07/2015 Definition: The number of hospital-in-the-home days occurring within an episode of care for an admitted patient. Data Element Concept: Episode of admitted patient care—number of days of hospital-in-the-home care Value domain attributes Representational attributes Representation class: Total Data type: Number Format: {N[NN]} Maximum character length: 3 Unit of measure: Day Data element attributes Collection and usage attributes Guide for use: The rules for calculating the number of hospital-in-the-home days are outlined below: • The number of hospital-in-the-home days is calculated with reference to the date of admission, date of separation, leave days and any date(s) of change between hospital and home accommodation; • The date of admission is counted if the patient was at home at the end of the day; • The date of change between hospital and home accommodation is counted if the patient was at home at the end of the day; • The date of separation is not counted, even if the patient was at home at the end of the day; • The normal rules for calculation of patient days apply, for example in relation to leave and same day patients. Comments: Number of days of hospital-in-the-home care data will be collected from all states and territories except Western Australia from 1 July 2001. Western Australia will begin to collect data from a later date. Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Supersedes Number of days of hospital-in-the-home care, version 1, Derived DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.0 KB) Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015

Data type

integer

Measurement units

• days

Description

Episode of admitted patient care—number of leave days, total N[NN] Identifying and definitional attributes Short name: Total leave days METeOR identifier: 270251 Registration status: Health, Standard 01/03/2005 Tasmanian Health, Draft 23/07/2012 Commonwealth Department of Health, Candidate 16/07/2015 Definition: Sum of the length of leave (date returned from leave minus date went on leave) for all periods within the hospital stay. Data Element Concept: Episode of admitted patient care—number of leave days Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[NN] Maximum character length: 3 Unit of measure: Day Data set specification specific attributes Admitted patient care NMDS 2015-16 DSS specific information: For the provision of state and territory hospital data to Commonwealth agencies: (Episode of admitted patient care—separation date, DDMMYYYY minus Episode of admitted patient care—admission date, DDMMYYYY) minus Admitted patient hospital stay—number of leave days, total N[NN] must be ≥ 0 days. Data element attributes Collection and usage attributes Guide for use: A day is measured from midnight to midnight. The following rules apply in the calculation of leave days for both overnight and same-day patients: • The day the patient goes on leave is counted as a leave day. • The day the patient is on leave is counted as a leave day. • The day the patient returns from leave is counted as a patient day. • If the patient is admitted and goes on leave on the same day, this is counted as a patient day, not a leave day. • If the patient returns from leave and then goes on leave again on the same day, this is counted as a leave day. • If the patient returns from leave and is separated on the same day, the day should not be counted as either a patient day or a leave day. Comments: It should be noted that for private patients in public and private hospitals, s.3 (12) of the Health Insurance Act 1973 (Cwlth) currently applies a different leave day count, Commonwealth Department of Human Services and Health HBF Circular 354 (31 March 1994). This metadata item was modified in July 1996 to exclude the previous differentiation between the psychiatric and other patients. Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Health, Superseded 22/12/2009 Is used in the formation of Episode of admitted patient care—length of stay (excluding leave days), total N[NN] Health, Standard 01/03/2005, Tasmanian Health, Draft 23/07/2012, National Health Performance Authority, Standard 30/04/2015 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Health, Superseded 22/12/2009 Is used in the formation of Episode of care—number of psychiatric care days, total N[NNNN] Health, Superseded 11/04/2014, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of care—number of psychiatric care days, total N[NNNN] Health, Standard 11/04/2014 Supersedes Total leave days, version 3, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.6 KB) Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015

Data type

integer

Measurement units

• days

Description

Episode of admitted patient care—patient election status, code N Identifying and definitional attributes Short name: Admitted patient election status METeOR identifier: 326619 Registration status: Health, Standard 23/10/2006 Commonwealth Department of Health, Candidate 16/07/2015 Definition: Accommodation chargeable status elected by a patient on admission, as represented by a code. Data Element Concept: Episode of admitted patient care—patient election status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Public 2 Private Collection and usage attributes Guide for use: Public patient: A person, eligible for Medicare, who receives or elects to receive a public hospital service free of charge. Includes: patients in public psychiatric hospitals who do not have the choice to be treated as a private patient. Also includes overseas visitors who are covered by a reciprocal health care agreement, and who elect to be treated as public patients. Private patient: A person who elects to be treated as a private patient and elects to be responsible for paying fees for the type referred to in clause 49 of the Australian Health Care Agreements (2003–2008). Clause 49 states that: Private patients, compensable patients and ineligible persons may be charged an amount for public hospital services as determined by (the state or territory). All patients in private hospitals (other than those receiving public hospital services and electing to be treated as a public patient) are private patients. Includes: all patients who are charged (regardless of the level of the charge) or for whom a charge is raised for a third party payer (for example, Department of Veterans’ Affairs and Compensable patients). Also includes patients who are Medicare ineligible and receive public hospital services free of charge at the discretion of the hospital, and prisoners, who are Medicare ineligible while incarcerated. Data element attributes Collection and usage attributes Guide for use: Australian Health Care Agreements 2003–08 state that eligible persons are to be given the choice to receive, free of charge as public patients, health and emergency services. At the time of, or as soon as practicable after, admission for a public hospital service, the patient must elect in writing to be treated as either - a public patient or - a private patient This item is independent of the patient’s hospital insurance status and room type. Notes: Inability to sign: In cases where the patient is unable to complete the patient election form, the patient should be assumed to be a public patient. Compensation funding decisions: A patient may be recorded as a public patient as an interim patient election status while the patient’s compensable status is being decided. Inter-hospital contracted care: If the patient receives inter-hospital contracted care the following guidelines can be used if no further information is available: • If the patient received contracted care that was purchased by a public hospital then it will be assumed that they elected to be treated as a public patient. • If the patient received contracted care that was purchased by a private hospital then it will be assumed that they elected to be treated as a private patient. Source and reference attributes Submitting organisation: Admitted patient care NMDS Technical Reference Group Relational attributes Related metadata references: Supersedes Episode of admitted patient care—elected accommodation status, code N Health, Superseded 23/10/2006 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

Data type

integer

Description

Episode of admitted patient care—procedure, code (ACHI 9th edn) NNNNN-NN Maximum occurences: unlimited Identifying and definitional attributes Short name: Procedure METeOR identifier: 589101 Registration status: Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Definition: A clinical intervention represented by a code that: • is surgical in nature, and/or • carries a procedural risk, and/or • carries an anaesthetic risk, and/or • requires specialised training, and/or • requires special facilities or equipment only available in an acute care setting. Data Element Concept: Episode of admitted patient care—procedure Value domain attributes Representational attributes Classification scheme: Australian Classification of Health Interventions (ACHI) 9th edition Representation class: Code Data type: Number Format: NNNNN-NN Maximum character length: 7 Data set specification specific attributes Admitted patient care NMDS 2015-16 DSS specific information: As a minimum requirement procedure codes must be valid codes from the Australian Classification of Health Interventions (ACHI) procedure codes and validated against the nationally agreed age and sex edits. More extensive edit checking of codes may be utilised within individual hospitals and state and territory information systems. An unlimited number of diagnosis and procedure codes should be able to be collected in hospital morbidity systems. Where this is not possible, a minimum of 20 codes should be able to be collected. Record all procedures undertaken during an episode of care in accordance with the ACHI (9th edition) Australian Coding Standards. The order of codes should be determined using the following hierarchy: • procedure performed for treatment of the principal diagnosis • procedure performed for the treatment of an additional diagnosis • diagnostic/exploratory procedure related to the principal diagnosis • diagnostic/exploratory procedure related to an additional diagnosis for the episode of care. Data element attributes Collection and usage attributes Collection methods: Record and code all procedures undertaken during the episode of care in accordance with the ACHI (9th edition). Procedures are derived from and must be substantiated by clinical documentation. Comments: The Independent Hospital Pricing Authority advises the National Health Information Standards and Statistics Committee of relevant changes to the ACHI. Source and reference attributes Origin: National Centre for Classification in Health National Health Information Standards and Statistics Committee Relational attributes Related metadata references: Supersedes Episode of admitted patient care—procedure, code (ACHI 8th edn) NNNNN-NN Health, Superseded 13/11/2014, Tasmanian Health, Final 01/07/2014, National Health Performance Authority, Proposed 27/11/2013 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

Data type

text

Description

Episode of admitted patient care—referral source, public psychiatric hospital code NN Obligation: Conditional Identifying and definitional attributes Short name: Source of referral to public psychiatric hospital METeOR identifier: 269947 Registration status: Health, Standard 01/03/2005 Commonwealth Department of Health, Candidate 16/07/2015 Definition: Source from which the person was transferred/referred to the public psychiatric hospital, as represented by a code. Context: To assist in analyses of intersectoral patient flow and health care planning. Data Element Concept: Episode of admitted patient care—referral source Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Private psychiatric practice 02 Other private medical practice 03 Other public psychiatric hospital 04 Other health care establishment 05 Other private hospital 06 Law enforcement agency 07 Other agency 08 Outpatient department 09 Other Supplementary values: 10 Unknown Data set specification specific attributes Admitted patient care NMDS 2015-16 Conditional obligation: The data element is only required to be reported for episodes of care where the admitted patient spent time in a public psychiatric hospital. Data element attributes Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Supersedes Source of referral to public psychiatric hospital, version 3, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.7 KB) Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015

Data type

text

Description

Episode of admitted patient care—separation date, DDMMYYYY Identifying and definitional attributes Short name: Separation date METeOR identifier: 270025 Registration status: Health, Standard 01/03/2005 Tasmanian Health, Final 01/07/2014 Commonwealth Department of Health, Candidate 16/07/2015 Definition: The date on which an admitted patient completes an episode of care, expressed as DDMMYYYY. Data Element Concept: Episode of admitted patient care—separation 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 patient care NMDS 2015-16 DSS specific information: For the provision of state and territory hospital data to Commonwealth agencies this field must: • be ≤ last day of financial year • be ≥ first day of financial year • be ≥ Admission date Data element attributes Collection and usage attributes Comments: There may be variations amongst jurisdictions with respect to the recording of separation date. This most often occurs for patients who are statistically separated after a period of leave (and who do not return for further hospital care). In this case, some jurisdictions may record the separation date as the date of statistical separation (and record intervening days as leave days) while other jurisdictions may retrospectively separate patients on the first day of leave. Despite the variations in recording of separation date for this group of patients, the current practices provide for the accurate recording of length of stay. Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Is used in the formation of Episode of admitted patient care (postnatal)—length of stay (including leave days), total N[NN] Health, Superseded 04/07/2007 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Health, Superseded 22/12/2009 Is used in the formation of Episode of admitted patient care—length of stay (excluding leave days), total N[NN] Health, Standard 01/03/2005, Tasmanian Health, Draft 23/07/2012, National Health Performance Authority, Standard 30/04/2015 Is used in the formation of Episode of admitted patient care—length of stay (including leave days) (postnatal), total N[NN] Health, Standard 04/07/2007 Is used in the formation of Episode of admitted patient care—length of stay (including leave days), total N[NN] Health, Superseded 04/07/2007 Is used in the formation of Episode of admitted patient care—length of stay (including leave days), total N[NN] Health, Standard 04/07/2007 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Health, Superseded 22/12/2009 Is used in the formation of Episode of care—number of psychiatric care days, total N[NNNN] Health, Superseded 11/04/2014, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of care—number of psychiatric care days, total N[NNNN] Health, Standard 11/04/2014 Is used in the formation of Establishment—number of separations (financial year), total N[NNNNN] Health, Standard 01/03/2005 Supersedes Separation date, version 5, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.2 KB) See also Specialised mental health service—number of episodes of admitted care, total episodes N[NNNN] Health, Standard 13/11/2014 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Perinatal NMDS 2014- Health, Standard 07/03/2014 Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Health, Standard 15/11/2012 Implementation in Indicators: Used as numerator National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 27-Number of hospital patient days used by those eligible and waiting for residential aged care, 2015 Health, Standard 14/01/2015 Used as denominator National Healthcare Agreement: PB f-By 2014-15, improve the provision of primary care and reduce the proportion of potentially preventable hospital admissions by 7.6 per cent over the 2006-07 baseline to 8.5 per cent of total hospital admissions, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 27-Number of hospital patient days used by those eligible and waiting for residential aged care, 2015 Health, Standard 14/01/2015

Data type

date

Description

Episode of admitted patient care—separation mode, code N Identifying and definitional attributes Short name: Mode of separation METeOR identifier: 270094 Registration status: Health, Standard 01/03/2005 Commonwealth Department of Health, Candidate 16/07/2015 Definition: Status at separation of person (discharge/transfer/death) and place to which person is released, as represented by a code. Data Element Concept: Episode of admitted patient care—separation mode Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Discharge/transfer to (an)other acute hospital 2 Discharge/transfer to a residential aged care service, unless this is the usual place of residence 3 Discharge/transfer to (an)other psychiatric hospital 4 Discharge/transfer to other health care accommodation (includes mothercraft hospitals) 5 Statistical discharge - type change 6 Left against medical advice/discharge at own risk 7 Statistical discharge from leave 8 Died 9 Other (includes discharge to usual residence, own accommodation/welfare institution (includes prisons, hostels and group homes providing primarily welfare services)) Collection and usage attributes Guide for use: CODE 4 Discharge/transfer to other health care accommodation (includes mothercraft hospitals) In jurisdictions where mothercraft facilities are considered to be acute hospitals, patients separated to a mothercraft facility should have a mode of separation of Code 1. If the residential aged care service is the patient's place of usual residence then they should have a mode of separation of Code 9. Data element attributes Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Health, Superseded 22/12/2009 See also Episode of admitted patient care—emergency department short stay unit departure destination, code N Health, Standardisation pending 01/05/2014 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Health, Superseded 22/12/2009 Supersedes Mode of separation, version 3, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (16.3 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Implementation in Indicators: Used as numerator National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 27-Number of hospital patient days used by those eligible and waiting for residential aged care, 2015 Health, Standard 14/01/2015

Data type

integer

Description

Episode of care—additional diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]} Obligation: Conditional, Maximum occurences: unlimited Identifying and definitional attributes Short name: Additional diagnosis METeOR identifier: 588981 Registration status: Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Definition: A condition or complaint either coexisting with the principal diagnosis or arising during the episode of admitted patient care, episode of residential care or attendance at a health care establishment, as represented by a code. Data Element Concept: Episode of care—additional diagnosis Value domain attributes Representational attributes Classification scheme: International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification 9th edition Representation class: Code Data type: String Format: ANN{.N[N]} Maximum character length: 6 Data set specification specific attributes Admitted patient care NMDS 2015-16 Conditional obligation: This data element is only to be reported if the episode of care results in more than one diagnosis code being allocated. DSS specific information: An unlimited number of diagnosis and procedure codes should be able to be collected in hospital morbidity systems. Where this is not possible, a minimum of 20 codes should be able to be collected. Data element attributes Collection and usage attributes Guide for use: Record each additional diagnosis relevant to the episode of care in accordance with the ICD-10-AM Australian Coding Standards. Generally, external cause, place of occurrence and activity codes will be included in the string of additional diagnosis codes. In some data collections these codes may also be copied into specific fields. The diagnosis can include a disease, condition, injury, poisoning, sign, symptom, abnormal finding, complaint, or other factor influencing health status. Additional diagnoses give information on the conditions that are significant in terms of treatment required, investigations needed and resources used during the episode of care. They are used for casemix analyses relating to severity of illness and for correct classification of patients into Australian Refined Diagnosis Related Groups (AR-DRGs). Collection methods: An additional diagnosis should be recorded and coded where appropriate upon separation of an episode of admitted patient care or the end of an episode of residential care or attendance at a health care establishment. The additional diagnosis is derived from and must be substantiated by clinical documentation. Comments: Additional diagnoses should be interpreted as conditions that affect patient management in terms of requiring any of the following: • Commencement, alteration or adjustment of therapeutic treatment • Diagnostic procedures • Increased clinical care and/or monitoring In accordance with the Australian Coding Standards, certain conditions that do not meet the above criteria may also be recorded as additional diagnoses. Additional diagnoses are significant for the allocation of Australian Refined Diagnosis Related Groups. The allocation of patient to major problem or complication and co-morbidity Diagnosis Related Groups is made on the basis of the presence of certain specified additional diagnoses. Additional diagnoses should be recorded when relevant to the patient's episode of care and not restricted by the number of fields on the morbidity form or computer screen. External cause codes, although not diagnosis of condition codes, should be sequenced together with the additional diagnosis codes so that meaning is given to the data for use in injury surveillance and other monitoring activities. Source and reference attributes Origin: Independent Hospital Pricing Authority Australian Consortium for Classification Development Relational attributes Related metadata references: Supersedes Episode of care—additional diagnosis, code (ICD-10-AM 8th edn) ANN{.N[N]} Health, Superseded 13/11/2014, Tasmanian Health, Final 30/06/2014, National Health Performance Authority, Proposed 12/12/2013 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015

Data type

text

Description

Episode of care—inter-hospital contracted patient status, code N Identifying and definitional attributes Short name: Inter-hospital contracted patient METeOR identifier: 472024 Registration status: Health, Standard 11/04/2012 Definition: An episode of care for an admitted patient whose treatment and/or care is provided under an arrangement between a hospital purchaser of hospital care (contracting hospital) and a provider of an admitted service (contracted hospital), and for which the activity is recorded by both hospitals, as represented by a code. Data Element Concept: Episode of care—inter-hospital contracted patient status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning Contracted (destination) hospital 1 Inter-hospital contracted patient from public sector hospital 2 Inter-hospital contracted patient from private sector hospital Contracting (originating) hospital 3 Inter-hospital contracted patient to public sector hospital 4 Inter-hospital contracted patient to private sector hospital 5 Not inter-hospital contracted Supplementary values: 9 Not stated Data element attributes Collection and usage attributes Guide for use: Hospital activity provided under contract is to be reported by both the contracting (originating) hospital and by the contracted (destination) hospital, where the activity is recorded by both hospitals. A specific arrangement should apply (either written or verbal) whereby one hospital contracts with another hospital for the provision of specific services. The arrangement may be between any combination of hospital; for example, public to public, public to private, private to private, or private to public. This data element is designed to enable elimination of double counting of episodes of admitted patient care in national data compiled as per the APC NMDS. As such, contracted arrangements where the patient is only admitted to one hospital (i.e. contract type 4 where contract role=A) are not considered to be inter-hospital contracted care for the purposes of this data element. In contracted arrangements where the patient is admitted to both hospitals, provide data according to the guide for use below. In contracted arrangements where the patient is only admitted to one hospital, use code 5. This data element item will be derived, using data elements Hospital—contract role, code A and Hospital—contract type, code N as follows. If Contract role = B (Hospital B, that is, the provider of the hospital service; contracted hospital), and Contract type = 2, 3, or 5 (that is, a hospital (Hospital A) purchases the activity, rather than a health authority or other external purchaser, and admits the patient for all or part of the episode of care, and/or records the contracted activity within the patient's record for the episode of care). Then record a value of 1, if Hospital A is a public hospital or record a value of 2, if Hospital A is a private hospital. If Contract role = A (Hospital A, that is, the hospital purchasing the activity; contracting hospital), and Contract type = 2, 3, or 5 (that is, the reporting hospital purchases the activity and admits the patient for all or part of the episode of care, and/or records the contracted activity within the patient's record for the episode of care). Then record a value of 3, if Hospital B is a public hospital or record a value of 4, if Hospital B is a private hospital. Collection methods: All services provided at both the originating and destination hospitals should be recorded and reported by both hospitals. The destination hospital should record the admission as an 'Inter-hospital contracted patient' so that these services can be identified in the various statistics produced about hospital activity. Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Supersedes Episode of care—inter-hospital contracted patient status, code N Health, Superseded 11/04/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is formed using Hospital—contract role, code A Health, Standard 01/03/2005 Is formed using Hospital—contract type, code N Health, Standard 01/03/2005 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

Data type

integer

Description

Episode of care—mental health legal status, code N Identifying and definitional attributes Short name: Mental health legal status METeOR identifier: 534063 Registration status: Health, Standard 07/03/2014 Definition: Whether a person is treated on an involuntary basis under the relevant state or territory mental health legislation, at any time during an episode of admitted patient care, an episode of residential care or treatment of a patient/client by a community based service during a reporting period, as represented by a code. Context: Mental health care: This metadata item is required to monitor trends in the use of compulsory treatment provisions under state and territory mental health legislation by Australian hospitals and community health care facilities, including 24-hour community based residential services. For those hospitals and community mental health services which provide psychiatric treatment to involuntary patients, mental health legal status information is an essential metadata item within local record systems. Data Element Concept: Episode of care—mental health legal status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Involuntary patient 2 Voluntary patient Supplementary values: 9 Not reported/unknown Collection and usage attributes Guide for use: CODE 1 Involuntary patient Involuntary patient should only be used by facilities which are approved for this purpose. While each state and territory mental health legislation differs in the number of categories of involuntary patient that are recognised, and the specific titles and legal conditions applying to each type, the legal status categories which provide for compulsory detention or compulsory treatment of the patient can be readily differentiated within each jurisdiction. These include special categories for forensic patients who are charged with or convicted of some form of criminal activity. Each state/territory health authority should identify which sections of their mental health legislation provide for detention or compulsory treatment of the patient and code these as involuntary status. CODE 2 Voluntary patient Voluntary patient to be used for reporting to the NMDS-Community mental health care, where applicable. CODE 9 Not reported/unknown This code is to be used if the mental health legal status for the patient is either not reported or unknown. Data element attributes Collection and usage attributes Guide for use: The mental health legal status of admitted patients treated within approved hospitals may change many times throughout the episode of care. Patients may be admitted to hospital on an involuntary basis and subsequently be changed to voluntary status; some patients are admitted as voluntary but are transferred to involuntary status during the hospital stay. Multiple changes between voluntary and involuntary status during an episode of care in hospital or treatment in the community may occur depending on the patient's clinical condition and his/her capacity to consent to treatment. Similarly, the mental health legal status of residents treated within residential care services may change on multiple occasions throughout the episode of residential care or residential stay. Approval is required under the state or territory mental health legislation in order to detain patients in hospital for the provision of compulsory mental health care or for patients to be treated compulsorily in the community. Collection methods: Admitted patients are to be reported as involuntary if the patient is involuntary at any time during the episode of care. Residents in residential mental health services are to be reported as involuntary if the resident is involuntary at any time during the episode of residential care. Patients of ambulatory mental health care services are to be reported as involuntary if the patient is involuntary at the time of a service contact. Relational attributes Related metadata references: Supersedes Episode of care—mental health legal status, code N Health, Superseded 07/03/2014 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014

Data type

integer

Description

Episode of care—number of psychiatric care days, total N[NNNN] Identifying and definitional attributes Short name: Total psychiatric care days METeOR identifier: 552375 Registration status: Health, Standard 11/04/2014 Definition: The sum of the number of days or part days of stay that the person received care as an admitted patient or resident within a designated psychiatric unit, minus the sum of leave days occurring during the stay within the designated unit. Data Element Concept: Episode of care—number of psychiatric care days Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[NNNN] Maximum character length: 5 Unit of measure: Day Data set specification specific attributes Admitted patient care NMDS 2015-16 DSS specific information: Total days in psychiatric care must be: ≥ zero; and ≤ length of stay. Data element attributes Collection and usage attributes Guide for use: Designated psychiatric units are staffed by health professionals with specialist mental health qualifications or training and have as their principal function the treatment and care of patients affected by mental disorder. The unit may or may not be recognised under relevant State and Territory legislation to treat patients on an involuntary basis. Patients are admitted patients in the acute and psychiatric hospitals and residents in community based residences. Public acute care hospitals: Designated psychiatric units in public acute care hospitals are normally recognised by the State/Territory health authority in the funding arrangements applying to those hospitals. Private acute care hospitals: Designated psychiatric units in private acute care hospitals normally require license or approval by the State/Territory health authority in order to receive benefits from health funds for the provision of psychiatric care. Psychiatric hospitals: Total psychiatric care days in stand-alone psychiatric hospitals are calculated by counting those days the patient received specialist psychiatric care. Leave days and days on which the patient was receiving other care (e.g. specialised intellectual ability or drug and alcohol care) should be excluded. Psychiatric hospitals are establishments devoted primarily to the treatment and care of admitted patients with psychiatric, mental or behavioural disorders. Private hospitals formerly approved by the Commonwealth Department of Health under the Health Insurance Act 1973 (Commonwealth) (now licensed/approved by each State/Territory health authority), catering primarily for patients with psychiatric or behavioural disorders are included in this category. Community-based residential services: Designated psychiatric units refers to 24-hour staffed community-based residential units established in community settings that provide specialised treatment, rehabilitation or care for people affected by a mental illness or psychiatric disability. Special psychiatric units for the elderly are covered by this category, including psychogeriatric hostels or psychogeriatric nursing homes. Note that residences occupied by admitted patients located on hospital grounds, whether on the campus of a general or stand-alone psychiatric hospital, should be counted in the category of admitted patient services and not as community-based residential services. Counting of patient days and leave days in designated psychiatric units should follow the standard definitions applying to these items. For each period of care in a designated psychiatric unit, total days is calculated by subtracting the date on which care commenced within the unit from the date on which the specialist unit care was completed, less any leave days that occurred during the period. Total psychiatric care days in 24-hour community-based residential care are calculated by counting those days the patient received specialist psychiatric care. Leave days and days on which the patient was receiving other care (e.g. specialised intellectual ability or drug and alcohol care) should be excluded. Admitted patients in acute care: Commencement of care within a designated psychiatric unit may be the same as the date the patient was admitted to the hospital, or occur subsequently, following transfer of the patient from another hospital ward. Where commencement of psychiatric care occurs by transfer from another ward, a new episode of care may be recorded, depending on whether the care type has changed (see metadata item Care type). Completion of care within a designated psychiatric unit may be the same as the date the patient was discharged from the hospital, or occur prior to this on transfer of the patient to another hospital ward. Where completion of psychiatric care is followed by transfer to another hospital ward, a new episode of care may be recorded, depending on whether the care type has changed (see metadata item Care type). Total psychiatric care days may cover one or more periods in a designated psychiatric unit within the overall hospital stay. Collection methods: Accurate counting of total days in psychiatric care requires periods in designated psychiatric units to be identified in the person-level data collected by state or territory health authorities. Several mechanisms exist for this data field to be implemented: • Ideally, the new data field should be collected locally by hospitals and added to the unit record data provided to the relevant state/territory health authority. • Acute care hospitals in most states and territories include details of the wards in which the patient was accommodated in the unit record data provided to the health authority. Local knowledge should be used to identify designated psychiatric units within each hospital's ward codes, to allow total psychiatric care days to be calculated for each episode of care. • Acute care hospitals and 24-hour staffed community-based residential services should be identified separately at the level of the establishment. Comments: This metadata item was originally designed to monitor trends in the delivery of psychiatric admitted patient care in acute care hospitals. It has been modified to enable collection of data in the community-based residential care sector. The metadata item is intended to improve understanding in this area and contribute to the ongoing evaluation of changes occurring in mental health services. Source and reference attributes Submitting organisation: National Mental Health Information Strategy Committee Reference documents: Health Insurance Act 1973 (Commonwealth) Relational attributes Related metadata references: Is formed using Episode of admitted patient care—admission date, DDMMYYYY Health, Standard 01/03/2005, Tasmanian Health, Final 30/06/2014, National Health Performance Authority, Standard 07/11/2013, Commonwealth Department of Health, Candidate 16/07/2015 Is formed using Episode of admitted patient care—number of leave days, total N[NN] Health, Standard 01/03/2005, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is formed using Episode of admitted patient care—separation date, DDMMYYYY Health, Standard 01/03/2005, Tasmanian Health, Final 01/07/2014, Commonwealth Department of Health, Candidate 16/07/2015 Supersedes Episode of care—number of psychiatric care days, total N[NNNN] Health, Superseded 11/04/2014, Commonwealth Department of Health, Candidate 16/07/2015 Is formed using Establishment—establishment type, sector and services provided code AN.N{.N} Health, Standard 01/03/2005 Is formed using Hospital service—care type, code N[N] Health, Standard 13/11/2014, Independent Hospital Pricing Authority, Proposed 23/09/2014 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015

Data type

integer

Measurement units

• days

Description

Episode of care—principal diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]} Identifying and definitional attributes Short name: Principal diagnosis—episode of care METeOR identifier: 588987 Registration status: Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Definition: The diagnosis established after study to be chiefly responsible for occasioning an episode of admitted patient care, an episode of residential care or an attendance at the health care establishment, as represented by a code. Data Element Concept: Episode of care—principal diagnosis Value domain attributes Representational attributes Classification scheme: International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification 9th edition Representation class: Code Data type: String Format: ANN{.N[N]} Maximum character length: 6 Data set specification specific attributes Admitted patient care NMDS 2015-16 Conditional obligation: The principal diagnosis is a major determinant in the classification of Australian Refined Diagnosis Related Groups and Major Diagnostic Categories. Where the principal diagnosis is recorded prior to discharge (as in the annual census of public psychiatric hospital patients), it is the current provisional principal diagnosis. Only use the admission diagnosis when no other diagnostic information is available. The current provisional diagnosis may be the same as the admission diagnosis. Data element attributes Collection and usage attributes Guide for use: The principal diagnosis must be determined in accordance with the Australian Coding Standards. Each episode of admitted patient care must have a principal diagnosis and may have additional diagnoses. The diagnosis can include a disease, condition, injury, poisoning, sign, symptom, abnormal finding, complaint, or other factor influencing health status. As a minimum requirement the Principal diagnosis code must be a valid code from the current edition of ICD-10-AM. For episodes of admitted patient care, some diagnosis codes are too imprecise or inappropriate to be acceptable as a principal diagnosis and will group to an error DRG in the Australian Refined Diagnosis Related Groups. Diagnosis codes starting with a V, W, X or Y, describing the circumstances that cause an injury, rather than the nature of the injury, cannot be used as principal diagnosis. Diagnosis codes which are morphology codes cannot be used as principal diagnosis. Collection methods: A principal diagnosis should be recorded and coded upon separation, for each episode of admitted patient care or episode of residential care or attendance at a health care establishment. The principal diagnosis is derived from and must be substantiated by clinical documentation. Comments: The principal diagnosis is one of the most valuable health data elements. It is used for epidemiological research, casemix studies and planning purposes. Source and reference attributes Origin: National Centre for Classification in Health National Data Standard for Injury Surveillance Advisory Group Relational attributes Related metadata references: Supersedes Episode of care—principal diagnosis, code (ICD-10-AM 8th edn) ANN{.N[N]} Health, Superseded 13/11/2014, Tasmanian Health, Final 01/07/2014, National Health Performance Authority, Proposed 27/11/2013 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015

Data type

text

Description

Episode of care—source of funding, patient funding source code NN Identifying and definitional attributes Short name: Funding source for hospital patient METeOR identifier: 553314 Registration status: Health, Standard 07/03/2014 Definition: The source of funds for an admitted patient episode or non-admitted patient service event, as represented by a code. Context: Admitted patient care. Hospital non-admitted patient care. Data Element Concept: Episode of care—source of funding Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Health service budget (not covered elsewhere) 02 Health service budget (due to eligibility for Reciprocal Health Care Agreement) 03 Health service budget (no charge raised due to hospital decision) 04 Department of Veterans' Affairs 05 Department of Defence 06 Correctional facility 07 Medicare Benefits Scheme 08 Other hospital or public authority (contracted care) 09 Private health insurance 10 Worker's compensation 11 Motor vehicle third party personal claim 12 Other compensation (e.g. public liability, common law, medical negligence) 13 Self-funded 88 Other funding source Supplementary values: 98 Not known Collection and usage attributes Guide for use: CODE 01 Health service budget (not covered elsewhere) Health service budget (not covered elsewhere) should be recorded as the funding source for Medicare eligible patients for whom there is no other funding arrangement. CODE 02 Health service budget (due to eligibility for Reciprocal Health Care Agreement) Patients who are overseas visitors from countries covered by Reciprocal Health Care Agreements. Australia has Reciprocal Health Care Agreements with the United Kingdom, the Netherlands, Italy, Malta, Sweden, Finland, Norway, Belgium, Slovenia, New Zealand and Ireland. The Agreements provide for free accommodation and treatment as public hospital services, but do not cover treatment as a private patient in any kind of hospital. The Agreements with Finland, Italy, Malta, the Netherlands, Norway, Sweden, Belgium, Slovenia and the United Kingdom provide free care as a public patient in public hospitals, subsidised out-of-hospital medical treatment under Medicare, and subsidised medicines under the Pharmaceutical Benefits Scheme. The Agreements with New Zealand and Ireland provide free care as a public patient in public hospitals and subsidised medicines under the Pharmaceutical Benefits Scheme, but do not cover out-of-hospital medical treatment. Visitors from Italy and Malta are covered for a period of six months from the date of arrival in Australia only. Visitors from Belgium, the Netherlands and Slovenia require their European Health Insurance card to enrol in Medicare. They are eligible for treatment in public hospitals until the expiry date indicated on the card, or to the length of their authorised stay in Australia if earlier. Excludes: Overseas visitors who elect to be treated as private patients or under travel insurance. CODE 03 Health service budget (no charge raised due to hospital decision) Patients who are Medicare ineligible and receive public hospital services free of charge at the discretion of the hospital or the state/territory. Also includes patients who receive private hospital services for whom no accommodation or facility charge is raised (for example, when the only charges are for medical services bulk-billed to Medicare) and patients for whom a charge is raised but is subsequently waived. CODE 07 Medicare Benefits Scheme Medicare eligible patients in scope of collection for whom services are billed to Medicare. Includes both bulk-billed patients and patients with out-of-pocket expenses. This value is not applicable for admitted patients. CODE 08 Other hospital or public authority (contracted care) Patients receiving treatment under contracted arrangements with another hospital (inter-hospital contracted patient) or a public authority (e.g. a state or territory government). CODE 09 Private health insurance Patients who are funded by private health insurance, including travel insurance for Medicare eligible patients. If patients receive any funding from private health insurance, choose Code 09, regardless of whether it is the majority source of funds. Excludes: Overseas visitors for whom travel insurance is the major funding source. CODE 13 Self-funded This code includes funded by the patient, by the patient's family or friends, or by other benefactors. CODE 88 Other funding source This code includes overseas visitors for whom travel insurance is the major funding source. Data element attributes Collection and usage attributes Guide for use: The source of funding should be assigned based on a best estimate of where the majority of funds come from, except for private health insurance, which should be assigned wherever there is a private health insurance contribution to the cost. This data element is not designed to capture information on out-of-pocket expenses to patients (for example, fees only partly covered by the Medicare Benefits Schedule). If a charge is raised for accommodation or facility fees for the episode/service event, the intent of this data element is to collect information on who is expected to pay, provided that the charge would cover most of the expenditure that would be estimated for the episode/service event. If the charge raised would cover less than half of the expenditure, then the funding source that represents the majority of the expenditure should be reported. If there is an expected funding source followed by a finalised actual funding source (for example, in relation to compensation claims), then the actual funding source known at the end of the reporting period should be recorded. The expected funding source should be reported if the fee has not been paid but is not to be waived. The major source of funding should be reported for nursing-home type patients. Relational attributes Related metadata references: See also Appointment—principal source of funding, patient funding source code AAA WA Health, Endorsed 24/04/2015 See also Appointment—principal source of funding, patient funding source code AAA WA Health, Endorsed 19/03/2015 Supersedes Episode of care—source of funding, patient funding source code NN Health, Superseded 07/03/2014 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Non-admitted patient care hospital aggregate NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 24/10/2014 Non-admitted patient care Local Hospital Network aggregate DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 13/09/2014 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014

Data type

text

Description

Establishment—Australian state/territory identifier, code N Identifying and definitional attributes Short name: Australian State/Territory identifier (establishment) METeOR identifier: 269941 Registration status: Health, Standard 01/03/2005 Commonwealth Department of Health, Candidate 16/07/2015 Definition: An identifier of the Australian state or territory in which an establishment is located, as represented by a code. Data Element Concept: Establishment—Australian state/territory identifier Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 New South Wales 2 Victoria 3 Queensland 4 South Australia 5 Western Australia 6 Tasmania 7 Northern Territory 8 Australian Capital Territory 9 Other territories (Cocos (Keeling) Islands, Christmas Island and Jervis Bay Territory) Collection and usage attributes Guide for use: The order presented here is the standard for the Australian Bureau of Statistics (ABS). Other organisations (including the Australian Institute of Health and Welfare) publish data in state order based on population (that is, Western Australia before South Australia and Australian Capital Territory before Northern Territory). Source and reference attributes Reference documents: Australian Bureau of Statistics. Australian Standard Geographical Classification (ASGC). Cat No. 1216.0. Canberra: ABS. Data set specification specific attributes Admitted patient care NMDS 2015-16 DSS specific information: This data element applies to the location of the establishment and not to the patient's area of usual residence. Data element attributes Collection and usage attributes Guide for use: This metadata item applies to the location of the establishment and not to the patient's area of usual residence. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Origin: National Health Data Committee National Community Services Data Committee Relational attributes Related metadata references: Supersedes Australian State/Territory identifier, version 4, DE, Int. NCSDD & NHDD, NCSIMG & NHIMG, Superseded 01/03/2005.pdf (18.8 KB) Is used in the formation of Establishment—Local Hospital Network identifier, code NNN Health, Superseded 13/11/2014 Is used in the formation of Establishment—Local Hospital Network identifier, code NNN Health, Standard 13/11/2014, Independent Hospital Pricing Authority, Standard 15/10/2014 Is used in the formation of Establishment—geographical location, code (ASGC 2005) NNNNN Health, Superseded 14/09/2006 Is used in the formation of Establishment—geographical location, code (ASGC 2006) NNNNN Health, Superseded 05/02/2008 Is used in the formation of Establishment—geographical location, code (ASGC 2007) NNNNN Health, Superseded 04/02/2009 Is used in the formation of Establishment—geographical location, code (ASGC 2008) NNNNN Health, Superseded 02/10/2009 Is used in the formation of Establishment—geographical location, code (ASGC 2009) NNNNN Health, Superseded 17/12/2010 Is used in the formation of Establishment—geographical location, code (ASGC 2010) NNNNN Health, Superseded 07/12/2011 Is used in the formation of Establishment—geographical location, code (ASGC 2011) NNNNN Health, Standard 07/12/2011 Is used in the formation of Establishment—organisation identifier (Australian), NNX[X]NNNNN Health, Standard 01/03/2005, WA Health, Endorsed 19/03/2015, Independent Hospital Pricing Authority, Standard 31/10/2012, Indigenous, Draft 18/10/2012, National Health Performance Authority, Standard 25/07/2013, Commonwealth Department of Health, Candidate 30/07/2015 Is used in the formation of Hospital—Local Hospital Network identifier, code NNN Health, Superseded 07/03/2014 Is used in the formation of Maternity model of care—identifier, NNNNNN Health, Standard 14/05/2015 Is used in the formation of Service delivery outlet—geographic location, code (ASGC 2004) NNNNN Health, Superseded 21/03/2006 Is used in the formation of Service delivery outlet—geographic location, code (ASGC 2005) NNNNN Health, Superseded 14/09/2006 Is used in the formation of Service delivery outlet—geographic location, code (ASGC 2006) NNNNN Health, Superseded 05/02/2008 Is used in the formation of Service delivery outlet—geographic location, code (ASGC 2007) NNNNN Health, Superseded 04/02/2009 Is used in the formation of Service delivery outlet—geographic location, code (ASGC 2008) NNNNN Health, Superseded 02/10/2009 Is used in the formation of Service delivery outlet—geographic location, code (ASGC 2009) NNNNN Health, Superseded 17/12/2010 Is used in the formation of Service delivery outlet—geographic location, code (ASGC 2010) NNNNN Health, Superseded 07/12/2011 Is used in the formation of Service delivery outlet—geographic location, code (ASGC 2011) NNNNN Health, Standard 07/12/2011 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Bowel cancer diagnostic assessment cluster Health, Standard 29/08/2014 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Local Hospital Networks DSS 2015-16 Health, Standard 04/02/2015 Mental health establishments NMDS 2015-16 Health, Standard 13/11/2014 Mental health seclusion and restraint DSS 2015- Health, Standard 13/11/2014 Prison entrants DSS Health, Standard 25/08/2011 Prison establishments DSS Health, Standard 25/08/2011 Public hospital establishments NMDS 2015-16 Health, Standard 04/02/2015 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014 Implementation in Indicators: Used as numerator National Healthcare Agreement: PI 20a-Waiting times for elective surgery: waiting times in days, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 20b-Waiting times for elective surgery: proportion seen on time, 2015 Health, Standard 14/01/2015

Data type

integer

Description

Establishment—geographic remoteness, admitted patient care remoteness classification (ASGS-RA) N Identifying and definitional attributes Short name: Geographic remoteness—admitted patient care Synonymous names: Geographic remoteness of establishment METeOR identifier: 539871 Registration status: Health, Standard 11/04/2014 Definition: The remoteness of an establishment providing admitted patient care, based on the physical road distance to the nearest urban centre and its population size, as represented by a code. Data Element Concept: Establishment—geographic remoteness Value domain attributes Representational attributes Classification scheme: Australian Statistical Geography Standard 2011 Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 0 Major cities of Australia 1 Inner regional Australia 2 Outer regional Australia 3 Remote Australia 4 Very remote Australia 5 Migratory Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: This value domain is intended exclusively for use when collecting data relating to admitted patient care. CODE 0 Major cities of Australia 'Major cities of Australia' includes Statistical Area Level 1s (SA1s) with an average Accessibility/Remoteness Index of Australia (ARIA+) index value of 0 to 0.2. CODE 1 Inner regional Australia 'Inner regional Australia' includes SA1s with an average ARIA+ index value greater than 0.2 and less than or equal to 2.4. CODE 2 Outer regional Australia 'Outer regional Australia' includes SA1s with an average ARIA+ index value greater than 2.4 and less than or equal to 5.92. CODE 3 Remote Australia 'Remote Australia' includes SA1s with an average ARIA+ index value greater than 5.92 and less than or equal to 10.53. CODE 4 Very remote Australia 'Very remote Australia' includes SA1s with an average ARIA+ index value greater than 10.53. CODE 5 Migratory 'Migratory' is composed of off-shore, shipping and migratory SA1s. This value domain allows for the allocation of remoteness codes in accordance with those used by the ABS remoteness structure. It is intended exclusively for use in the collection of admitted patient care data, where historically data has been remoteness coded to the value range 0-5. The similarly structured value domain, using the value range 1-6 for remoteness, should be used wherever possible (see the 'Related metadata references' section below). Collection methods: In this value domain, physical distance is defined in terms of ARIA+ codes, rather than a simple linear distance between points. The list of permissible values for this value domain, i.e. codes 0 to 5, is the same as that used by the ABS to describe remoteness areas, i.e. codes 0 to 5, and is directly mappable to the range of codes used (codes 1-6) in the related value domain linked below (see the 'Related metadata references' section). Comments: In its initial form, as developed by GISCA and the then Department of Health and Aged Care in 1999, ARIA scores ranged from 0 to 12 and were based on proximity to 4 points of reference. A new version, ARIA+, was introduced in 2003, with ARIA+ scores now based on proximity to 5 points of reference. Also, changes were made to allow for more accurate estimation of the cost of travelling from Tasmania to the mainland, and to increase accuracy for locations at the urban fringe. Prior to 2011, ARIA+ scores were calculated for individual Census Collection Districts (CCDs). Following the phasing out of the Australian Standard Geographical Classification (ASGC) and the introduction of the Australian Statistical Geography Standard (ASGS) by the ABS in 2011, ARIA+ scores are now calculated for individual Statistical Area Level 1s (SA1s). Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Origin: Information relating to remoteness and other aspects of statistical geography is available from the Statistical Geography portal on the ABS website: Australian Bureau of Statistics 2011. ABS Geography. Viewed 19 November 2013, http://www.abs.gov.au/websitedbs/D3310114.nsf/ home/Geography Information relating to the development of the ARIA and ARIA+ scores by the Australian Population and Migration Research Centre (APMRC) within the National Centre for Social Applications of Geographic Information Systems (GISCA) at the University of Adelaide is available from the APMRC website: Australian Population and Migration Research Centre 2013. ARIA - Accessibility/Remoteness Index of Australia. Viewed 19 November 2013, http://www.adelaide.edu.au/apmrc/research/ projects/category/about_aria.html Data element attributes Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Relational attributes Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

Data type

integer

Description

Establishment—organisation identifier (state/territory), NNNNN Identifying and definitional attributes Short name: Establishment number METeOR identifier: 269975 Registration status: Health, Standard 01/03/2005 National Health Performance Authority, Standard 27/11/2013 Commonwealth Department of Health, Candidate 16/07/2015 Definition: An identifier for an establishment, unique within the state or territory. Data Element Concept: Establishment—organisation identifier (state/territory) Value domain attributes Representational attributes Representation class: Identifier Data type: Number Format: NNNNN Maximum character length: 5 Data element attributes Collection and usage attributes Comments: Identifier should be a unique code for the health care establishment used in that state/territory. Relational attributes Related metadata references: Supersedes Establishment number, version 4, DE, NHDD, NHIMG, Superseded 01/03/2005 .pdf (14.6 KB) Is used in the formation of Establishment—organisation identifier (Australian), NNX[X]NNNNN Health, Standard 01/03/2005, WA Health, Endorsed 19/03/2015, Independent Hospital Pricing Authority, Standard 31/10/2012, Indigenous, Draft 18/10/2012, National Health Performance Authority, Standard 25/07/2013, Commonwealth Department of Health, Candidate 30/07/2015 See also Hospital—hospital identifier, XXXXX Health, Standard 07/12/2011 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Cancer (clinical) DSS Health, Standard 14/05/2015 Local Hospital Networks DSS 2015-16 Health, Standard 04/02/2015 Public hospital establishments NMDS 2015-16 Health, Standard 04/02/2015 Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Health, Standard 15/11/2012

Data type

integer

Description

Establishment—region identifier, X[X] Identifying and definitional attributes Short name: Region code METeOR identifier: 269940 Registration status: Health, Standard 01/03/2005 Commonwealth Department of Health, Candidate 16/07/2015 Definition: An alphanumeric identifier for the location of health services in a defined geographic or administrative area. Data Element Concept: Establishment—region identifier Value domain attributes Representational attributes Representation class: Identifier Data type: String Format: X[X] Maximum character length: 2 Data element attributes Collection and usage attributes Guide for use: Domain values are specified by individual states/territories. Regions may also be known as Areas or Districts. Any valid region code created by a jurisdiction is permitted. Relational attributes Related metadata references: Is used in the formation of Establishment—organisation identifier (Australian), NNX[X]NNNNN Health, Standard 01/03/2005, WA Health, Endorsed 19/03/2015, Independent Hospital Pricing Authority, Standard 31/10/2012, Indigenous, Draft 18/10/2012, National Health Performance Authority, Standard 25/07/2013, Commonwealth Department of Health, Candidate 30/07/2015 Supersedes Region code, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.3 KB) Implementation in Data Set Specifications: Activity based funding: Mental health care DSS 2015-16 Independent Hospital Pricing Authority, Standard 15/10/2014 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Mental health establishments NMDS 2015-16 Health, Standard 13/11/2014 Mental health seclusion and restraint DSS 2015- Health, Standard 13/11/2014 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014

Data type

text

Description

Establishment—sector, code N Identifying and definitional attributes Short name: Establishment sector METeOR identifier: 269977 Registration status: Health, Standard 01/03/2005 Commonwealth Department of Health, Candidate 16/07/2015 Definition: A section of the health care industry with which a health care establishment can identify, as represented by a code. Data Element Concept: Establishment—sector Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Public 2 Private Data element attributes Collection and usage attributes Guide for use: This data element is used to differentiate between establishments run by the government sector (code 1) and establishments that receive some government funding but are run by the non-government sector (code 2). CODE 1 is to be used when the establishment: • operates from the public accounts of a Commonwealth, state or territory government or is part of the executive, judicial or legislative arms of government, • is part of the general government sector or is controlled by some part of the general government sector, • provides government services free of charge or at nominal prices, and • is financed mainly from taxation. CODE 2 is to be used only when the establishment: • is not controlled by government, • is directed by a group of officers, an executive committee or a similar body • elected by a majority of members, and • may be an income tax exempt charity. Relational attributes Related metadata references: Supersedes Establishment sector, version 4, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.8 KB) Is used in the formation of Establishment—organisation identifier (Australian), NNX[X]NNNNN Health, Standard 01/03/2005, WA Health, Endorsed 19/03/2015, Independent Hospital Pricing Authority, Standard 31/10/2012, Indigenous, Draft 18/10/2012, National Health Performance Authority, Standard 25/07/2013, Commonwealth Department of Health, Candidate 30/07/2015 Implementation in Data Set Specifications: Activity based funding: Mental health care DSS 2015-16 Independent Hospital Pricing Authority, Standard 15/10/2014 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Mental health establishments NMDS 2015-16 Health, Standard 13/11/2014 Public hospital establishments NMDS 2015-16 Health, Standard 04/02/2015 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014 Implementation in Indicators: Used as numerator National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2015 Health, Standard 14/01/2015 Used as denominator National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2015 Health, Standard 14/01/2015

Data type

integer

Description

Hospital service—care type, code N[N] Identifying and definitional attributes Short name: Care type METeOR identifier: 584408 Registration status: Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/09/2014 Definition: The overall nature of a clinical service provided to an admitted patient during an episode of care (admitted care), or the type of service provided by the hospital for boarders or posthumous organ procurement (care other than admitted care), as represented by a code. Context: Admitted patient care and hospital activity: For admitted patients, the type of care received will determine the appropriate casemix classification employed to classify the episode of care. Data Element Concept: Hospital service—care type Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N[N] Maximum character length: 2 Permissible values: Value Meaning Admitted care 1 Acute care 2 Rehabilitation care 3 Palliative care 4 Geriatric evaluation and management 5 Psychogeriatric care 6 Maintenance care 7 Newborn care 11 Mental health care 88 Other admitted patient care Care other than admitted care 9 Organ procurement—posthumous 10 Hospital boarder Collection and usage attributes Guide for use: Admitted care can be one of the following: CODE 1 Acute care Acute care is care in which the primary clinical purpose or treatment goal is to: • manage labour (obstetric) • cure illness or provide definitive treatment of injury • perform surgery • relieve symptoms of illness or injury (excluding palliative care) • reduce severity of an illness or injury • protect against exacerbation and/or complication of an illness and/or injury which could threaten life or normal function • perform diagnostic or therapeutic procedures. Acute care excludes care which meets the definition of mental health care. CODE 2 Rehabilitation care Rehabilitation care is care in which the primary clinical purpose or treatment goal is improvement in the functioning of a patient with an impairment, activity limitation or participation restriction due to a health condition. The patient will be capable of actively participating. Rehabilitation care is always: • delivered under the management of or informed by a clinician with specialised expertise in rehabilitation, and • evidenced by an individualised multidisciplinary management plan, which is documented in the patient’s medical record, that includes negotiated goals within specified time frames and formal assessment of functional ability. Rehabilitation care excludes care which meets the definition of mental health care. CODE 3 Palliative care Palliative care is care in which the primary clinical purpose or treatment goal is optimisation of the quality of life of a patient with an active and advanced life-limiting illness. The patient will have complex physical, psychosocial and/or spiritual needs. Palliative care is always: • delivered under the management of or informed by a clinician with specialised expertise in palliative care, and • evidenced by an individualised multidisciplinary assessment and management plan, which is documented in the patient's medical record, that covers the physical, psychological, emotional, social and spiritual needs of the patient and negotiated goals. Palliative care excludes care which meets the definition of mental health care. CODE 4 Geriatric evaluation and management Geriatric evaluation and management is care in which the primary clinical purpose or treatment goal is improvement in the functioning of a patient with multi-dimensional needs associated with medical conditions related to ageing, such as tendency to fall, incontinence, reduced mobility and cognitive impairment. The patient may also have complex psychosocial problems. Geriatric evaluation and management is always: • delivered under the management of or informed by a clinician with specialised expertise in geriatric evaluation and management, and • evidenced by an individualised multidisciplinary management plan, which is documented in the patient's medical record that covers the physical, psychological, emotional and social needs of the patient and includes negotiated goals within indicative time frames and formal assessment of functional ability. Geriatric evaluation and management excludes care which meets the definition of mental health care. CODE 5 Psychogeriatric care Psychogeriatric care is care in which the primary clinical purpose or treatment goal is improvement in the functional status, behaviour and/or quality of life for an older patient with significant psychiatric or behavioural disturbance, caused by mental illness, an age-related organic brain impairment or a physical condition. Psychogeriatric care is always: • delivered under the management of or informed by a clinician with specialised expertise in psychogeriatric care, and • evidenced by an individualised multidisciplinary management plan, which is documented in the patient's medical record, that covers the physical, psychological, emotional and social needs of the patient and includes negotiated goals within indicative time frames and formal assessment of functional ability. Psychogeriatric care is not applicable if the primary focus of care is acute symptom control. Psychogeriatric care excludes care which meets the definition of mental health care. CODE 6 Maintenance care Maintenance (or non-acute) care is care in which the primary clinical purpose or treatment goal is support for a patient with impairment, activity limitation or participation restriction due to a health condition. Following assessment or treatment the patient does not require further complex assessment or stabilisation. Patients with a care type of maintenance care often require care over an indefinite period. Maintenance care excludes care which meets the definition of mental health care. CODE 7 Newborn care Newborn care is initiated when the patient is born in hospital or is nine days old or less at the time of admission. Newborn care continues until the care type changes or the patient is separated: • patients who turn 10 days of age and do not require clinical care are separated and, if they remain in the hospital, are designated as boarders • patients who turn 10 days of age and require clinical care continue in a newborn episode of care until separated • patients aged less than 10 days and not admitted at birth (for example, transferred from another hospital) are admitted with a newborn care type • patients aged greater than 9 days not previously admitted (for example, transferred from another hospital) are either boarders or admitted with an acute care type • within a newborn episode of care, until the baby turns 10 days of age, each day is either a qualified or unqualified day • a newborn is qualified when it meets at least one of the criteria detailed in Newborn qualification status. Within a newborn episode of care, each day after the baby turns 10 days of age is counted as a qualified patient day. Newborn qualified days are equivalent to acute days and may be denoted as such. CODE 11 Mental health care Mental health care is care in which the primary clinical purpose or treatment goal is improvement in the symptoms and/or psychosocial, environmental and physical functioning related to a patient’s mental disorder. Mental health care: • is delivered under the management of, or regularly informed by, a clinician with specialised expertise in mental health; • is evidenced by an individualised formal mental health assessment and the implementation of a documented mental health plan; and • may include significant psychosocial components, including family and carer support. CODE 88 Other admitted patient care Other admitted patient care is care that does not meet the definitions above. Care other than admitted care can be one of the following: CODE 9 Organ procurement—posthumous Organ procurement—posthumous is the procurement of human tissue for the purpose of transplantation from a donor who has been declared brain dead. Diagnoses and procedures undertaken during this activity, including mechanical ventilation and tissue procurement, should be recorded in accordance with the relevant ICD-10-AM Australian Coding Standards. These patients are not admitted to the hospital but are registered by the hospital. CODE 10 Hospital boarder A hospital boarder is a person who is receiving food and/or accommodation at the hospital but for whom the hospital does not accept responsibility for treatment and/or care. Hospital boarders are not admitted to the hospital. However, a hospital may register a boarder. Babies in hospital at age 9 days or less cannot be boarders. They are admitted patients with each day of stay deemed to be either qualified or unqualified. Comments: Unqualified newborn days (and separations consisting entirely of unqualified newborn days) are not to be counted for all purposes, and they are ineligible for health insurance benefit purposes. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Steward: Australian Institute of Health and Welfare Data element attributes Collection and usage attributes Guide for use: Only one type of care can be assigned at a time. In cases when a patient is receiving multiple types of care, the care type that best describes the primary clinical purpose or treatment goal should be assigned. The care type is assigned by the clinician responsible for the management of the care, based on clinical judgements as to the primary clinical purpose of the care to be provided and, for mental health and subacute care types, the specialised expertise of the clinician who will be responsible for the management of the care. At the time of mental health or subacute care type assignment, a multidisciplinary management plan may not be in place but the intention to prepare one should be known to the clinician assigning the care type. Where the primary clinical purpose or treatment goal of the patient changes, the care type is assigned by the clinician who is taking over responsibility for the management of the care of the patient at the time of transfer. Note, in some circumstances the patient may continue to be under the management of the same clinician. Evidence of care type change (including the date of handover, if applicable) should be clearly documented in the patient’s medical record. The clinician responsible for the management of care may not necessarily be located in the same facility as the patient. In these circumstances, a clinician at the patient's location may also have a role in the care of the patient; the expertise of this clinician does not affect the assignment of care type. The care type should not be retrospectively changed unless it is: • for the correction of a data recording error, or • the reason for change is clearly documented in the patient’s medical record and it has been approved by the hospital’s director of clinical services. Subacute care is specialised multidisciplinary care in which the primary need for care is optimisation of the patient's functioning and quality of life. A person's functioning may relate to their whole body or a body part, the whole person, or the whole person in a social context, and to impairment of a body function or structure, activity limitation and/or participation restriction. Subacute care comprises the defined care types of rehabilitation, palliative care, geriatric evaluation and management and psychogeriatric care. A multidisciplinary management plan comprises a series of documented and agreed initiatives or treatments (specifying program goals, actions and timeframes) which has been established through multidisciplinary consultation and consultation with the patient and/or carers. While psychogeriatric care is a subspecialty of mental health, it is an established component of subacute care. Therefore, if a patient meets the definition of psychogeriatric care, then the psychogeriatric care type should be allocated. It is highly unlikely that, for care type changes involving subacute or mental health care types, more than one change in care type will take place within a 24-hour period. Changes involving subacute or mental health care types are unlikely to occur on the date of formal separation. Patients who receive intervention(s) (for example dialysis, chemotherapy or radiotherapy) during the course of a subacute episode of care do not change care type. Instead, procedure codes for the acute same-day intervention(s) and an additional diagnosis (if relevant) should be added to the record of the subacute episode of care. Palliative care episodes can include grief and bereavement support for the family and carers of the patient where it is documented in the patient’s medical record. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Relational attributes Related metadata references: Is used in the formation of Episode of care—number of psychiatric care days, total N[NNNN] Health, Standard 11/04/2014 Supersedes Hospital service—care type, code N[N] Health, Superseded 13/11/2014 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015

Data type

integer

Description

Injury event—activity type, code (ICD-10-AM 9th edn) ANNNN Maximum occurences: Unlimited Identifying and definitional attributes Short name: Activity when injured METeOR identifier: 589002 Registration status: Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Definition: The type of activity being undertaken by the person when injured, as represented by a code. Data Element Concept: Injury event—activity type Value domain attributes Representational attributes Classification scheme: International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification 9th edition Representation class: Code Data type: String Format: ANNNN Maximum character length: 5 Data set specification specific attributes Admitted patient care NMDS 2015-16 DSS specific information: As a minimum requirement, the external cause codes must be listed in the ICD-10-AM classification. Data element attributes Collection and usage attributes Guide for use: Admitted patient: External cause codes V00 to Y34 must be accompanied by an activity code. Comments: Enables categorisation of injury and poisoning according to factors important for injury control. Necessary for defining and monitoring injury control targets, injury costing and identifying cases for in-depth research. This term is the basis for identifying work-related and sport-related injuries. Source and reference attributes Origin: Australian Consortium for Classification Development National Injury Surveillance Unit Relational attributes Related metadata references: Supersedes Injury event—activity type, code (ICD-10-AM 8th edn) ANNNN Health, Superseded 13/11/2014 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

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Injury event—external cause, code (ICD-10-AM 9th edn) ANN{.N[N]} Maximum occurences: Unlimited Identifying and definitional attributes Short name: External cause METeOR identifier: 589014 Registration status: Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Definition: The environmental event, circumstance or condition as the cause of injury, poisoning and other adverse effect, as represented by a code. Data Element Concept: Injury event—external cause Value domain attributes Representational attributes Classification scheme: International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification 9th edition Representation class: Code Data type: String Format: ANN{.N[N]} Maximum character length: 6 Data set specification specific attributes Admitted patient care NMDS 2015-16 DSS specific information: As a minimum requirement, the external cause codes must be listed in the ICD-10-AM classification. Data element attributes Collection and usage attributes Guide for use: This code must be used in conjunction with an injury or poisoning code and can be used with other disease codes. The external cause should be coded to the complete ICD-10-AM classification. An external cause code should be sequenced following the related injury or poisoning code, or following the group of codes, if more than one injury or condition has resulted from this external cause. Provision should be made to record more than one external cause if appropriate. External cause codes in the range V00 to Y84 must be accompanied by a place of occurrence code. External cause codes V00 to Y34 must be accompanied by an activity code. Comments: Enables categorisation of injury and poisoning according to factors important for injury control. This information is necessary for defining and monitoring injury control targets, injury costing and identifying cases for in-depth research. It is also used as a quality of care indicator of adverse patient outcomes. An extended activity code is being developed in consultation with the National Injury Surveillance Unit, Flinders University, Adelaide. Source and reference attributes Origin: Australian Consortium for Classification Development National Data Standards for Injury Surveillance Advisory Group Relational attributes Related metadata references: Supersedes Injury event—external cause, code (ICD-10-AM 8th edn) ANN{.N[N]} Health, Superseded 13/11/2014 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

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Injury event—place of occurrence, code (ICD-10-AM 9th edn) ANN{.N[N]} Maximum occurences: Unlimited Identifying and definitional attributes Short name: Place of occurrence of external cause of injury (ICD-10-AM) METeOR identifier: 589028 Registration status: Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Definition: The place where the external cause of injury, poisoning or adverse effect occurred, as represented by a code. Data Element Concept: Injury event—place of occurrence Value domain attributes Representational attributes Classification scheme: International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification 9th edition Representation class: Code Data type: String Format: ANN{.N[N]} Maximum character length: 6 Data set specification specific attributes Admitted patient care NMDS 2015-16 DSS specific information: To be used with ICD-10-AM external cause codes. Data element attributes Collection and usage attributes Guide for use: Admitted patient: External cause codes in the range V00 to Y89 must be accompanied by a place of occurrence code. External cause codes V00 to Y34 must be accompanied by an activity code. Comments: Enables categorisation of injury and poisoning according to factors important for injury control. Necessary for defining and monitoring injury control targets, injury costing and identifying cases for in-depth research. Source and reference attributes Origin: National Centre for Classification in Health AIHW National Injury Surveillance Unit National Data Standards for Injury Surveillance Advisory Group Relational attributes Related metadata references: Supersedes Injury event—place of occurrence, code (ICD-10-AM 8th edn) ANN{.N[N]} Health, Superseded 13/11/2014 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

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Patient—hospital insurance status, code N Identifying and definitional attributes Short name: Hospital insurance status METeOR identifier: 270253 Registration status: Health, Standard 01/03/2005 Commonwealth Department of Health, Candidate 16/07/2015 Definition: Hospital insurance as represented by a code under one of the following categories: • Registered insurance - hospital insurance with a health insurance fund registered under the National Health Act 1953 (Cwlth) • General insurance - hospital insurance with a general insurance company under a guaranteed renewable policy providing benefits similar to those available under registered insurance • No hospital insurance or benefits coverage under the above. Data Element Concept: Patient—hospital insurance status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Hospital insurance 2 No hospital insurance Supplementary values: 9 Unknown Data element attributes Collection and usage attributes Guide for use: Persons covered by insurance for benefits of ancillary services only are included in 2 - no hospital insurance. The 'unknown' category should not be used in primary collections but can be used to record unknown insurance status in databases. This metadata item is to determine whether the patient has hospital insurance, not their method of payment for the episode of care. Comments: Insurance status was reviewed and modified to reflect changes to new private health insurance arrangements under the Health Legislation (Private Health Insurance Reform) Amendment Act 1995. Employee health benefits schemes became illegal with the implementation of Schedule 2 of the private health insurance reforms, effective on 1 October 1995. Under Schedule 4 of the private health insurance reforms, on 1 July 1997, the definition of the 'basic private table' or 'basic table', and 'supplementary hospital table' and any references to these definitions was omitted from the National Health Act 1953. All hospital tables offered by registered private health insurers since 29 May 1995 have been referred to as 'Applicable Benefits Arrangements' and marketed under the insurer's own product name. Source and reference attributes Origin: National Health Data Committee Relational attributes Related metadata references: Supersedes Hospital insurance status, version 3, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.6 KB) Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

Data type

integer

Description

Person—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9) Identifying and definitional attributes Short name: Area of usual residence (SA2) METeOR identifier: 469909 Registration status: Health, Standard 07/12/2011 WA Health, Endorsed 19/03/2015 Independent Hospital Pricing Authority, Standard 01/11/2012 Disability, Standard 13/08/2015 Community Services (retired), Standard 10/04/2013 Definition: The geographical region in which a person or group of people usually reside, as represented by a code. Data Element Concept: Person—area of usual residence Value domain attributes Representational attributes Classification scheme: Australian Statistical Geography Standard 2011 Representation class: Code Data type: String Format: N(9) Maximum character length: 9 Collection and usage attributes Guide for use: SA2 coding structure: An SA2 is identifiable by a 9-digit fully hierarchical code. The SA2 identifier is a 4-digit code, assigned in alphabetical order within an SA3. An SA2 code is only unique within a state/territory if it is preceded by the state/territory identifier. For example: State/territory SA4 SA3 SA2 N NN NN NNNN Comments: There are 2,196 SA2 spatial units. In aggregate, they cover the whole of Australia without gaps or overlaps. Jervis Bay Territory, the Territory of the Cocos (Keeling) Islands and the Territory of Christmas Island are each represented by an SA2. Source and reference attributes Origin: 1270.0.55.001 - Australian Statistical Geography Standard (ASGS): Volume 1 - Main Structure and Greater Capital City Statistical Areas, July 2011 http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/ 1270.0.55.001July%202011?OpenDocument Data element attributes Collection and usage attributes Guide for use: The geographical location is reported using a nine digit numerical code to indicate the Statistical Area (SA) within the reporting state or territory, as defined in the Australian Statistical Geography Standard (ASGS) (Australian Bureau of Statistics (ABS), catalogue number 1270.0.55.001). Collection methods: When collecting the geographical location of a person's usual place of residence, the ABS recommends that 'usual' be defined as: 'the place where the person has or intends to live for 6 months or more, or the place that the person regards as their main residence, or where the person has no other residence, the place they currently reside.' Apart from collecting a person's usual place of residence there is also a need in some collections to collect area of residence immediately prior to or after assistance is provided, or at some other point in time. Comments: Geographical location is reported using Statistical Area to enable accurate aggregation of information to larger areas within the ASGS as well as detailed analysis at the SA2 level. The use of SA2 also allows analysis relating the data to information compiled by the ABS on the demographic and other characteristics of the population of each SA2. Analyses facilitated by the inclusion of SA2 information include: • comparison of the use of services by persons residing in different geographical areas; • characterisation of catchment areas and populations for establishments for planning purposes; and • documentation of the provision of services to residents of states or territories other than the state or territory of the provider. Relational attributes Related metadata references: Supersedes Person—area of usual residence, geographical location code (ASGC 2010) NNNNN Health, Superseded 22/11/2011, Commonwealth Department of Health, Candidate 16/07/2015 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Disability services carer details cluster Disability, Standard 13/08/2015 Community Services (retired), Standard 10/04/2013 Disability services client details cluster Disability, Standard 13/08/2015 Community Services (retired), Standard 10/04/2013 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Non-admitted patient emergency department care DSS 2015-16Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Perinatal NMDS 2014- Health, Standard 07/03/2014 Public dental waiting times NMDS 2013- Health, Standard 09/11/2012 Radiotherapy waiting times NMDS 2015- Health, Standard 13/11/2014 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014 Socio-Economic Indexes for Areas (SEIFA) (2011 Census, ASGS 2011) cluster Health, Standardisation pending 06/05/2014 Early Childhood, Standard 28/05/2014 Community Services (retired), Proposed 28/03/2013 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2013-14 WA Health, Endorsed 19/03/2015 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2014-15 WA Health, Endorsed 24/04/2015

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Person—country of birth, code (SACC 2011) NNNN Identifying and definitional attributes Short name: Country of birth METeOR identifier: 459973 Registration status: Housing assistance, Standard 13/10/2011 Health, Standard 13/10/2011 Homelessness, Standard 13/10/2011 Tasmanian Health, Final 30/06/2014 WA Health, Endorsed 19/03/2015 Independent Hospital Pricing Authority, Standard 01/11/2012 Disability, Standard 07/10/2014 Community Services (retired), Standard 13/10/2011 Definition: The country in which the person was born, as represented by a code. Data Element Concept: Person—country of birth Value domain attributes Representational attributes Classification scheme: Standard Australian Classification of Countries 2011 Representation class: Code Data type: Number Format: NNNN Maximum character length: 4 Collection and usage attributes Guide for use: The Standard Australian Classification of Countries 2011 (SACC) is a four-digit, three-level hierarchical structure specifying major group, minor group and country. A country, even if it comprises other discrete political entities such as states, is treated as a single unit for all data domain purposes. Parts of a political entity are not included in different groups. Thus, Hawaii is included in Northern America (as part of the identified country United States of America), despite being geographically close to and having similar social and cultural characteristics as the units classified to Polynesia. Data element attributes Collection and usage attributes Collection methods: Some data collections ask respondents to specify their country of birth. In others, a pre-determined set of countries is specified as part of the question, usually accompanied by an ‘other (please specify)’ category. Recommended questions are: In which country were you/was the person/was (name) born? Australia Other (please specify) Alternatively, a list of countries may be used based on, for example common Census responses. In which country were you/was the person/was (name) born? Australia England New Zealand Italy Viet Nam India Scotland Philippines Greece Germany Other (please specify) In either case coding of data should conform to the SACC. Sometimes respondents are simply asked to specify whether they were born in either 'English speaking' or 'non-English speaking' countries but this question is of limited use and this method of collection is not recommended. Comments: This metadata item is consistent with that used in the ABS collection methods and is recommended for use whenever there is a requirement for comparison with ABS data (last viewed 2/6/2008). Relational attributes Related metadata references: Supersedes Person—country of birth, code (SACC 2008) NNNN Housing assistance, Superseded 13/10/2011, Health, Superseded 22/11/2011, Homelessness, Superseded 13/10/2011, Commonwealth Department of Health, Candidate 16/07/2015, Community Services (retired), Superseded 13/10/2011 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Alcohol and other drug treatment services NMDS 2015- Health, Standard 13/11/2014 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Cultural and language diversity cluster Disability, Standard 13/08/2015 Community Services (retired), Standard 10/04/2013 Disability Services NMDS 2012-14 Community Services (retired), Standard 13/03/2013 Disability Services NMDS 2014-15 Disability, Standard 07/10/2014 Community Services (retired), Proposed 23/04/2014 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Perinatal NMDS 2014- Health, Standard 07/03/2014 Person details data dictionary Disability, Standard 13/08/2015 Community Services (retired), Standard 06/02/2012 Public dental waiting times NMDS 2013- Health, Standard 09/11/2012 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014 Specialist Homelessness Services NMDS 2014-15 Housing assistance, Standard 30/06/2014 Homelessness, Standard 30/06/2014 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2013-14 WA Health, Endorsed 19/03/2015 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2014-15 WA Health, Endorsed 24/04/2015

Data type

integer

Description

Person—date of birth, DDMMYYYY Identifying and definitional attributes Short name: Date of birth METeOR identifier: 287007 Registration status: Housing assistance, Standard 20/06/2005 Health, Standard 04/05/2005 Early Childhood, Standard 21/05/2010 Homelessness, Standard 23/08/2010 Tasmanian Health, Final 30/06/2014 WA Health, Endorsed 19/03/2015 Independent Hospital Pricing Authority, Standard 01/11/2012 Indigenous, Endorsed 11/08/2014 National Health Performance Authority, Standard 07/11/2013 Commonwealth Department of Health, Candidate 25/05/2015 Disability, Standard 07/10/2014 Community Services (retired), Standard 25/08/2005 Definition: The date of birth of the person, expressed as DDMMYYYY. Data Element Concept: Person—date of birth Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Admitted patient care NMDS 2015-16 DSS specific information: This field must not be null. National minimum data sets: For the provision of state and territory hospital data to Commonwealth agencies this field must: • be less than or equal to 'Admission date', 'Date patient presents' or 'Service contact date' • be consistent with diagnoses and procedure codes, for records to be grouped. Data element attributes Collection and usage attributes Guide for use: If date of birth is not known or cannot be obtained, provision should be made to collect or estimate age. Collected or estimated age would usually be in years for adults, and to the nearest three months (or less) for children aged less than two years. Additionally, an estimated date flag or a date accuracy indicator should be reported in conjunction with all estimated dates of birth. For data collections concerned with children's services, it is suggested that the estimated date of birth of children aged under 2 years should be reported to the nearest 3 month period, i.e. 0101, 0104, 0107, 0110 of the estimated year of birth. For example, a child who is thought to be aged 18 months in October of one year would have his/her estimated date of birth reported as 0104 of the previous year. Again, an estimated date flag or date accuracy indicator should be reported in conjunction with all estimated dates of birth. Collection methods: Information on date of birth can be collected using the one question: What is your/(the person's) date of birth? In self-reported data collections, it is recommended that the following response format is used: Date of birth: _ _ / _ _ / _ _ _ _ This enables easy conversion to the preferred representational layout (DDMMYYYY). For record identification and/or the derivation of other metadata items that require accurate date of birth information, estimated dates of birth should be identified by a date accuracy indicator to prevent inappropriate use of date of birth data. The linking of client records from diverse sources, the sharing of patient data, and data analysis for research and planning all rely heavily on the accuracy and integrity of the collected data. In order to maintain data integrity and the greatest possible accuracy an indication of the accuracy of the date collected is critical. The collection of an indicator of the accuracy of the date may be essential in confirming or refuting the positive identification of a person. For this reason it is strongly recommended that the data element Date—accuracy indicator, code AAA also be recorded at the time of record creation to flag the accuracy of the data. Comments: Privacy issues need to be taken into account in asking persons their date of birth. Wherever possible and wherever appropriate, date of birth should be used rather than age because the actual date of birth allows a more precise calculation of age. When date of birth is an estimated or default value, national health and community services collections typically use 0101 or 0107 or 3006 as the estimate or default for DDMM. It is suggested that different rules for reporting data may apply when estimating the date of birth of children aged under 2 years because of the rapid growth and development of children within this age group which means that a child's development can vary considerably over the course of a year. Thus, more specific reporting of estimated age is suggested. Source and reference attributes Origin: National Health Data Committee National Community Services Data Committee Reference documents: AS5017 Health Care Client Identification, 2002, Sydney: Standards Australia AS4846 Health Care Provider Identification, 2004, Sydney: Standards Australia Relational attributes Related metadata references: See also Date—accuracy indicator, code AAA Housing assistance, Standard 23/08/2010, Health, Standard 04/05/2005, Early Childhood, Standard 21/05/2010, Homelessness, Standard 23/08/2010, Disability, Standard 07/10/2014, Community Services (retired), Standard 30/09/2005 See also Date—estimate indicator, code N Tasmanian Health, Draft 23/07/2012, Community Services (retired), Standard 27/04/2007 Is used in the formation of Episode of admitted patient care (antenatal)—length of stay (including leave days), total N[NN] Health, Superseded 04/07/2007 Is used in the formation of Episode of admitted patient care (postnatal)—length of stay (including leave days), total N[NN] Health, Superseded 04/07/2007 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Health, Superseded 22/12/2009 Is used in the formation of Episode of admitted patient care—length of stay (including leave days) (antenatal), total N[NN] Health, Standard 04/07/2007 Is used in the formation of Episode of admitted patient care—length of stay (including leave days) (postnatal), total N[NN] Health, Standard 04/07/2007 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Health, Superseded 22/12/2009 See also Person with cancer—date of initial medical specialist consultation, DDMMYYYY Health, Standard 04/02/2015 See also Person with cancer—date of initial primary health care consultation, DDMMYYYY Health, Standard 04/02/2015 Supersedes Person—date of birth, DDMMYYYY Health, Superseded 04/05/2005, Community Services (retired), Superseded 25/08/2005 Is used in the formation of Record—linkage key, code 581 XXXXXDDMMYYYYN Housing assistance, Standard 23/08/2010, Health, Standard 07/12/2011, Early Childhood, Standard 21/05/2010, Homelessness, Standard 23/08/2010, Disability, Standard 07/10/2014, Community Services (retired), Standard 21/05/2010 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Alcohol and other drug treatment services NMDS 2015- Health, Standard 13/11/2014 Audiology assessment client cluster Indigenous, Endorsed 11/08/2014 Cancer (clinical) DSS Health, Standard 14/05/2015 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Child protection and support services (CPSS) client cluster Community Services (retired), Standard 30/04/2008 Child protection and support services (CPSS) sibling cluster Community Services (retired), Standard 30/04/2008 Closing the Gap in the Northern Territory: Dental Services DSS, 2011 Indigenous, Endorsed 08/10/2014 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Computer Assisted Telephone Interview demographic module DSS Health, Standard 03/12/2008 Diabetes (clinical) DSS Health, Standard 21/09/2005 Ear nose and throat services patient cluster Indigenous, Endorsed 05/09/2014 Early Childhood Education and Care: Unit Record Level NMDS 2015 Early Childhood, Standard 01/06/2015 Home purchase assistance DSS 2012-13 Housing assistance, Standard 03/07/2014 Household file cluster (Indigenous community housing) Housing assistance, Standard 01/05/2013 Indigenous, Endorsed 01/05/2013 Juvenile Justice Client file cluster Community Services (retired), Standard 14/09/2009 Medical indemnity DSS 2014- Health, Standard 21/11/2013 National Bowel Cancer Screening Program DSS 2014- Health, Standard 29/08/2014 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Perinatal NMDS 2014- Health, Standard 07/03/2014 Person (housing assistance) cluster Housing assistance, Standard 01/05/2013 Person details data dictionary Disability, Standard 13/08/2015 Community Services (retired), Standard 06/02/2012 Person file cluster (Mainstream community housing) Housing assistance, Standard 01/05/2013 Prison clinic contact DSS Health, Standard 25/08/2011 Prison entrants DSS Health, Standard 25/08/2011 Prisoners in custody repeat medications DSS Health, Standard 25/08/2011 Private rent assistance DSS 2012-13 Housing assistance, Standard 03/07/2014 Public dental waiting times NMDS 2013- Health, Standard 09/11/2012 Radiotherapy waiting times NMDS 2015- Health, Standard 13/11/2014 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014 Statistical linkage key 581 cluster Housing assistance, Standard 23/08/2010 Health, Standard 07/12/2011 Early Childhood, Standard 21/05/2010 Homelessness, Standard 23/08/2010 Disability, Standard 07/10/2014 Community Services (retired), Standard 21/05/2010 Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Health, Standard 15/11/2012 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2013-14 WA Health, Endorsed 19/03/2015 WA Health Non-Admitted Patient Activity and Wait List Data Collection (NAPAAWL DC) 2014-15 WA Health, Endorsed 24/04/2015 Implementation in Indicators: Used as numerator National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2012 National Health Performance Authority, Standard 27/03/2014 National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2013 National Health Performance Authority, Standard 27/08/2015 National Health Performance Authority, Healthy Communities: Immunisation rates for children, 2012–13 National Health Performance Authority, Standard 27/03/2014 National Health Performance Authority, Healthy Communities: Number of selected potentially avoidable hospitalisations per 100,000 people, 2011–12 National Health Performance Authority, Standard 07/11/2013 National Indigenous Reform Agreement: PI 02-Mortality rate by leading causes, 2014 Indigenous, Endorsed 13/12/2013 National Indigenous Reform Agreement: PI 03-Rates of current daily smokers, 2014 Indigenous, Endorsed 13/12/2013 National Indigenous Reform Agreement: PI 06-Under five mortality rate by leading cause, 2014 Indigenous, Endorsed 13/12/2013 National Indigenous Reform Agreement: PI 10-The proportion of Indigenous children aged 4 and 5 years who are enrolled in, and attending, a preschool program in the year before full-time schooling, by remoteness, 2014 Indigenous, Endorsed 13/12/2013 Used as denominator National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2012 National Health Performance Authority, Standard 27/03/2014 National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2013 National Health Performance Authority, Standard 27/08/2015 National Health Performance Authority, Healthy Communities: Immunisation rates for children, 2012–13 National Health Performance Authority, Standard 27/03/2014 National Indigenous Reform Agreement: PI 03-Rates of current daily smokers, 2014 Indigenous, Endorsed 13/12/2013

Data type

date

Description

Person—eligibility status, Medicare code N Identifying and definitional attributes Short name: Medicare eligibility status METeOR identifier: 481841 Registration status: Health, Standard 08/02/2012 Definition: An indicator of a person's eligibility for Medicare at the time of the episode of care, as specified under the Commonwealth Health Insurance Act 1973, as represented by a code. Context: Admitted patient care: To facilitate analyses of hospital utilisation and policy relating to health care financing. Data Element Concept: Person—eligibility status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Eligible 2 Not eligible Supplementary values: 9 Not stated/unknown Data element attributes Collection and usage attributes Guide for use: Eligible persons are • Permanent residents of Australia • Persons who have an application for permanent residence (not an aged parent visa), and have either: - a spouse, parent or child who is an Australian citizen or permanent resident, OR - authority from Department of Immigration and Multicultural and Indigenous Affairs to work • Foreign spouses of Australian residents: - must have an application for permanent residence, as above • Asylum seekers who have been issued with valid temporary visas. The list of visas is subject to changes which may be applied by the Department of Immigration and Multicultural Affairs. • American Fulbright scholars studying in Australia (but not their dependents) • Diplomats and their dependants from reciprocal health countries (excluding New Zealand and Norway) have full access to Medicare without the restrictions for American Fulbright scholars. Reciprocal health care agreements Residents of countries with whom Australia has Reciprocal health care agreements are also eligible under certain circumstances. Australia has Reciprocal Health Care Agreements with Ireland, Italy, Finland, Malta, the Netherlands, New Zealand, Norway, Sweden and the United Kingdom. These Agreements give visitors from these countries access to Medicare and the Pharmaceutical Benefits Scheme for the treatment of an illness or injury which occurs during their stay, and which requires treatment before returning home (that is, these Agreements cover immediately necessary medical treatment, elective treatment is not covered). The Agreements provide for free accommodation and treatment as public hospital services, but do not cover treatment as a private patient in any kind of hospital. – The Agreements with Finland, Italy, Malta, the Netherlands, Norway, Sweden and the United Kingdom provide free care as a public patient in public hospitals, subsidised out-of-hospital medical treatment under Medicare, and subsidised medicines under the Pharmaceutical Benefits Scheme. – The Agreements with New Zealand and Ireland provide free care as a public patient in public hospitals and subsidised medicines under the Pharmaceutical Benefits Scheme, but do not cover out-of-hospital medical treatment. – Visitors from Italy and Malta are covered for a period of six months from the date of arrival in Australia only. Eligible patients may elect to be treated as either a public or a private patient. A newborn will usually take the Medicare eligibility status of the mother. However, the eligibility status of the father will be applied to the newborn if the baby is not eligible solely by virtue of the eligibility status of the mother. For example, if the mother of a newborn is an ineligible person but the father is eligible for Medicare, then the newborn will be eligible for Medicare. Not eligible/ineligible: means any person who is not Medicare eligible. Ineligible patients may not elect to be treated as a public patient. Prisoners are ineligible for Medicare, under Section 19 (2) of the Health Insurance Act 1973. Collection methods: In practice, the primary method for ascertaining Medicare eligibility status is undertaken by the healthcare organisation sighting the patient’s Medicare card. Relational attributes Related metadata references: Supersedes Person—eligibility status, Medicare code N Health, Superseded 08/02/2012 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

Data type

integer

Description

Person—Indigenous status, code N Identifying and definitional attributes Short name: Indigenous status METeOR identifier: 291036 Registration status: Housing assistance, Standard 15/04/2010 Health, Standard 04/05/2005 Early Childhood, Standard 21/05/2010 Homelessness, Standard 23/08/2010 Tasmanian Health, Final 30/06/2014 WA Health, Endorsed 04/03/2014 Independent Hospital Pricing Authority, Standard 01/11/2012 Indigenous, Endorsed 11/09/2012 Commonwealth Department of Health, Candidate 16/07/2015 Disability, Standard 07/10/2014 Community Services (retired), Standard 25/08/2005 Definition: Whether a person identifies as being of Aboriginal or Torres Strait Islander origin, as represented by a code. This is in accord with the first two of three components of the Commonwealth definition. Data Element Concept: Person—Indigenous status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Aboriginal but not Torres Strait Islander origin 2 Torres Strait Islander but not Aboriginal origin 3 Both Aboriginal and Torres Strait Islander origin 4 Neither Aboriginal nor Torres Strait Islander origin Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: This metadata item is based on the Australian Bureau of Statistics (ABS) standard for Indigenous status. For detailed advice on its use and application please refer to the ABS Website as indicated in the Reference documents. The classification for Indigenous status has a hierarchical structure comprising two levels. There are four categories at the detailed level of the classification which are grouped into two categories at the broad level. There is one supplementary category for 'not stated' responses. The classification is as follows: Indigenous: • Aboriginal but not Torres Strait Islander origin. • Torres Strait Islander but not Aboriginal origin. • Both Aboriginal and Torres Strait Islander origin. Non-Indigenous: • Neither Aboriginal nor Torres Strait Islander origin. Not stated/ inadequately described: This category is not to be available as a valid answer to the questions but is intended for use: • Primarily when importing data from other data collections that do not contain mappable data. • Where an answer was refused. • Where the question was not able to be asked prior to completion of assistance because the client was unable to communicate or a person who knows the client was not available. Only in the last two situations may the tick boxes on the questionnaire be left blank. Data element attributes Collection and usage attributes Collection methods: The standard question for Indigenous Status is as follows: [Are you] [Is the person] [Is (name)] of Aboriginal or Torres Strait Islander origin? (For persons of both Aboriginal and Torres Strait Islander origin, mark both 'Yes' boxes.) No.................................................... Yes, Aboriginal............................... Yes, Torres Strait Islander............ This question is recommended for self-enumerated or interview-based collections. It can also be used in circumstances where a close relative, friend, or another member of the household is answering on behalf of the subject. It is strongly recommended that this question be asked directly wherever possible. When someone is not present, the person answering for them should be in a position to do so, i.e. this person must know well the person about whom the question is being asked and feel confident to provide accurate information about them. This question must always be asked regardless of data collectors' perceptions based on appearance or other factors. The Indigenous status question allows for more than one response. The procedure for coding multiple responses is as follows: If the respondent marks 'No' and either 'Aboriginal' or 'Torres Strait Islander', then the response should be coded to either Aboriginal or Torres Strait Islander as indicated (i.e. disregard the 'No' response). If the respondent marks both the 'Aboriginal' and 'Torres Strait Islander' boxes, then their response should be coded to 'Both Aboriginal and Torres Strait Islander Origin'. If the respondent marks all three boxes ('No', 'Aboriginal' and 'Torres Strait Islander'), then the response should be coded to 'Both Aboriginal and Torres Strait Islander Origin' (i.e. disregard the 'No' response). This approach may be problematical in some data collections, for example when data are collected by interview or using screen based data capture systems. An additional response category Yes, both Aboriginal and Torres Strait Islander... may be included if this better suits the data collection practices of the agency or establishment concerned. Comments: The following definition, commonly known as 'The Commonwealth Definition', was given in a High Court judgement in the case of Commonwealth v Tasmania (1983) 46 ALR 625. 'An Aboriginal or Torres Strait Islander is a person of Aboriginal or Torres Strait Islander descent who identifies as an Aboriginal or Torres Strait Islander and is accepted as such by the community in which he or she lives'. There are three components to the Commonwealth definition: • descent; • self-identification; and • community acceptance. In practice, it is not feasible to collect information on the community acceptance part of this definition in general purpose statistical and administrative collections and therefore standard questions on Indigenous status relate to descent and self-identification only. Source and reference attributes Origin: National Health Data Committee National Community Services Data Committee Reference documents: Australian Bureau of Statistics 1999. Standards for Social, Labour and Demographic Variables. Cultural Diversity Variables, Canberra. Viewed 3 August 2005. Relational attributes Related metadata references: See also Person—Indigenous status, code AAA WA Health, Endorsed 19/03/2015 Supersedes Person—Indigenous status, code N Health, Superseded 04/05/2005, Community Services (retired), Superseded 25/08/2005 Has been superseded by Person—Indigenous status, code N Health, Standardisation pending 05/03/2015 See also Service provider organisation—number of Indigenous children attending a preschool program, total number N[NNNN] Early Childhood, Superseded 28/05/2014, Indigenous, Endorsed 11/09/2012 See also Service provider organisation—number of Indigenous children attending an early childhood education program, total number N[NNNN] Early Childhood, Superseded 01/06/2015 See also Service provider organisation—number of Indigenous children attending an early childhood education program, total number N[NNNN] Early Childhood, Standard 01/06/2015 See also Service provider organisation—number of Indigenous children enrolled in a preschool program, total N[NNNN] Early Childhood, Superseded 28/05/2014, Indigenous, Endorsed 08/04/2013 See also Service provider organisation—number of Indigenous children enrolled in a preschool program, total N[NNNN] Early Childhood, Superseded 08/04/2013, Indigenous, Archived 08/04/2013 See also Service provider organisation—number of Indigenous children enrolled in an early childhood education program, total N[NNNN] Early Childhood, Standard 01/06/2015 See also Service provider organisation—number of Indigenous children enrolled in an early childhood education program, total N[NNNN] Early Childhood, Superseded 01/06/2015 Implementation in Data Set Specifications: Aboriginal and Torres Strait Islander primary health-care services client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander primary health-care services episodes of care cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander primary health-care services paid full-time equivalent positions cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander primary health-care services unpaid full-time equivalent positions cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services non-residential/follow-up/aftercare client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services non-residential/follow-up/aftercare episodes of care cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services paid full-time equivalent positions cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services residential treatment/rehabilitation client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services residential/rehabilitation episodes of care cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services sobering up/residential respite/short-term care client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services sobering-up/residential respite/short term care episodes of care cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services unpaid full-time equivalent positions cluster Indigenous, Endorsed 16/09/2014 Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Adoptions DSS 2011-13 Community Services (retired), Standard 20/05/2013 Alcohol and other drug treatment services NMDS 2015- Health, Standard 13/11/2014 Bringing Them Home/Link Up Counselling Program client contacts cluster Indigenous, Endorsed 16/09/2014 Bringing them Home/Link Up Counselling Program client numbers cluster Indigenous, Endorsed 16/09/2014 Bringing them Home/Link Up Counsellors cluster Indigenous, Endorsed 16/09/2014 Cancer (clinical) DSS Health, Standard 14/05/2015 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Child protection and support services (CPSS) client cluster Community Services (retired), Standard 30/04/2008 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Computer Assisted Telephone Interview demographic module DSS Health, Standard 03/12/2008 Cultural and language diversity cluster Disability, Standard 13/08/2015 Community Services (retired), Standard 10/04/2013 Diabetes (clinical) DSS Health, Standard 21/09/2005 Disability services client details cluster Disability, Standard 13/08/2015 Community Services (retired), Standard 10/04/2013 Disability Services NMDS 2012-14 Community Services (retired), Standard 13/03/2013 Disability Services NMDS 2014-15 Disability, Standard 07/10/2014 Community Services (retired), Proposed 23/04/2014 Early Childhood Education and Care: Aggregate NMDS 2015 Early Childhood, Standard 01/06/2015 Early Childhood Education and Care: Unit Record Level NMDS 2015 Early Childhood, Standard 01/06/2015 Elective surgery waiting times (census data) NMDS 2015- Health, Standard 12/06/2015 Elective surgery waiting times (removals data) NMDS 2015- Health, Standard 12/06/2015 Estimated resident population (ERP) cluster (early childhood education and care) Early Childhood, Standard 21/05/2010 Indigenous primary health care DSS 2015- Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Juvenile Justice Client file cluster Community Services (retired), Standard 14/09/2009 Medical indemnity DSS 2014- Health, Standard 21/11/2013 National Bowel Cancer Screening Program DSS 2014- Health, Standard 29/08/2014 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Perinatal NMDS 2014- Health, Standard 07/03/2014 Person (housing assistance) cluster Housing assistance, Standard 01/05/2013 Prison clinic contact DSS Health, Standard 25/08/2011 Prison entrants DSS Health, Standard 25/08/2011 Prisoners in custody repeat medications DSS Health, Standard 25/08/2011 Public dental waiting times NMDS 2013- Health, Standard 09/11/2012 Radiotherapy waiting times NMDS 2015- Health, Standard 13/11/2014 Registered chiropractic labour force DSS Health, Standard 10/12/2009 Registered dental and allied dental health professional labour force DSS Health, Standard 10/12/2009 Registered medical professional labour force DSS Health, Standard 10/12/2009 Registered midwifery labour force DSS Health, Standard 10/12/2009 Registered nursing professional labour force DSS Health, Standard 10/12/2009 Registered optometry labour force DSS Health, Standard 10/12/2009 Registered osteopathy labour force DSS Health, Standard 10/12/2009 Registered pharmacy labour force DSS Health, Standard 10/12/2009 Registered physiotherapy labour force DSS Health, Standard 10/12/2009 Registered podiatry labour force DSS Health, Standard 10/12/2009 Registered psychology labour force DSS Health, Standard 10/12/2009 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014 Specialist Homelessness Services NMDS 2014-15 Housing assistance, Standard 30/06/2014 Homelessness, Standard 30/06/2014 Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Health, Standard 15/11/2012 WA Abortion Notification System WA Health, Endorsed 04/03/2014 Implementation in Indicators: Used as numerator Indigenous primary health care: PI01a-Number of Indigenous babies born within the previous 12 months whose birth weight has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI01b-Proportion of Indigenous babies born within the previous 12 months whose birth weight has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI02a-Number of Indigenous babies born within the previous 12 months whose birth weight results were low, normal or high, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI02b-Proportion of Indigenous babies born within the previous 12 months whose birth weight results were low, normal or high, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI03a-Number of regular clients for whom an MBS Health Assessment for Aboriginal and Torres Strait Islander People (MBS Item 715) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI03b-Proportion of regular clients for whom an MBS Health Assessment for Aboriginal and Torres Strait Islander People (MBS Item 7155) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI04a-Number of Indigenous children who are fully immunised, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI04b-Proportion of Indigenous children who are fully immunised, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI05a-Number of regular clients with Type II diabetes who have had an HbA1c measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI05b-Proportion of regular clients with Type II diabetes who have had an HbA1c measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI06a-Number of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI06b-Proportion of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI07a-Number of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI07b-Proportion of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI08a-Number of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI08b-Proportion of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI09a-Number of regular clients whose smoking status has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI09b-Proportion of regular clients whose smoking status has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI10a-Number of regular clients with a smoking status result, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI10b-Proportion of regular clients with a smoking status result, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI11a-Number of regular clients who gave birth within the previous 12 months with a smoking status of 'current smoker', 'ex-smoker' or 'never smoked', 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI11b-Proportion of regular clients who gave birth within the previous 12 months with a smoking status of 'current smoker', 'ex-smoker' or 'never smoked', 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI12a-Number of regular clients who are classified as overweight or obese, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI12b-Proportion of regular clients who are classified as overweight or obese, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI13a-Number of regular clients who had their first antenatal care visit within specified periods, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI13b-Proportion of regular clients who had their first antenatal care visit within specified periods, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI14a-Number of regular clients aged 50 years and over who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI14b-Proportion of regular clients aged 50 years and over who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI15a-Number of regular clients with Type II diabetes or COPD who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI15b-Proportion of regular clients with Type II diabetes or COPD who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI16a-Number of regular clients whose alcohol consumption status has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI16b-Proportion of regular clients whose alcohol consumption status has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI17a-Number of regular clients who had an AUDIT-C with result within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI17b-Proportion of regular clients who had an AUDIT-C with result within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI18a-Number of regular clients with a selected chronic disease who have had a kidney function test, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI18b-Proportion of regular clients with a selected chronic disease who have had a kidney function test, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI19a-Number of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI19b-Proportion of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI20a-Number of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI20b-Proportion of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI21a-Number of regular clients aged 35 to 74 years who have had an absolute cardiovascular disease risk assessment with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI21b-Proportion of regular clients aged 35 to 74 years who have had an absolute cardiovascular disease risk assessment with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI22a-Number of regular clients who have had a cervical screening, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI22b-Proportion of regular clients who have had a cervical screening, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI23a-Number of regular clients with Type II diabetes who have had a blood pressure measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI23b-Proportion of regular clients with Type II diabetes who have had a blood pressure measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI24a-Number of regular clients with Type II diabetes whose blood pressure measurement result was less than or equal to 130/80 mmHg, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI24b-Proportion of regular clients with Type II diabetes whose blood pressure measurement result was less than or equal to 130/80 mmHg, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 National Disability Agreement: f(1)-Number of Indigenous people with disability receiving disability services as a proportion of the Indigenous potential population requiring services, 2012 Indigenous, Endorsed 11/09/2012 Community Services (retired), Superseded 23/05/2013 National Disability Agreement: f(2)-Number of Indigenous people with disability receiving disability services as a proportion of the Indigenous potential population requiring services, 2012 Indigenous, Endorsed 11/09/2012 Community Services (retired), Superseded 23/05/2013 National Disability Agreement: f(3)-Number of non-Indigenous persons and Indigenous persons who separated from permanent residential aged care to return home/family, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 64a-Indigenous Australians in the health workforce, 2012 Health, Retired 25/06/2013 Indigenous, Endorsed 11/09/2012 National Healthcare Agreement: PI 64b-Indigenous Australians in the health workforce, 2012 Health, Retired 25/06/2013 Indigenous, Endorsed 11/09/2012 National Indigenous Reform Agreement: PI 10-The proportion of Indigenous children aged 4 and 5 years who are enrolled in, and attending, a preschool program in the year before full-time schooling, by remoteness, 2014 Indigenous, Endorsed 13/12/2013 Used as denominator Indigenous primary health care: PI01b-Proportion of Indigenous babies born within the previous 12 months whose birth weight has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI02b-Proportion of Indigenous babies born within the previous 12 months whose birth weight results were low, normal or high, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI03b-Proportion of regular clients for whom an MBS Health Assessment for Aboriginal and Torres Strait Islander People (MBS Item 715) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI04b-Proportion of Indigenous children who are fully immunised, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI05b-Proportion of regular clients with Type II diabetes who have had an HbA1c measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI06b-Proportion of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI07b-Proportion of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI09b-Proportion of regular clients whose smoking status has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI10b-Proportion of regular clients with a smoking status result, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI11b-Proportion of regular clients who gave birth within the previous 12 months with a smoking status of 'current smoker', 'ex-smoker' or 'never smoked', 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI12b-Proportion of regular clients who are classified as overweight or obese, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI13b-Proportion of regular clients who had their first antenatal care visit within specified periods, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI14b-Proportion of regular clients aged 50 years and over who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI15b-Proportion of regular clients with Type II diabetes or COPD who are immunised against influenza, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI16b-Proportion of regular clients whose alcohol consumption status has been recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI17b-Proportion of regular clients who had an AUDIT-C with result within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI18b-Proportion of regular clients with a selected chronic disease who have had a kidney function test, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI19b-Proportion of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI20b-Proportion of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI21b-Proportion of regular clients aged 35 to 74 years who have had an absolute cardiovascular disease risk assessment with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI22b-Proportion of regular clients who have had a cervical screening, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI23b-Proportion of regular clients with Type II diabetes who have had a blood pressure measurement result recorded, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI24b-Proportion of regular clients with Type II diabetes whose blood pressure measurement result was less than or equal to 130/80 mmHg, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 National Disability Agreement: d(1)-Proportion of the potential population who used State/Territory delivered disability support services, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: d(2)-Proportion of people with a disability with an employment restriction who used Disability Employment Services (Open Employment), 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: d(3)-Proportion of the potential population who used Australian Disability Enterprises (Supported Employment), 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: f(1)-Number of Indigenous people with disability receiving disability services as a proportion of the Indigenous potential population requiring services, 2012 Indigenous, Endorsed 11/09/2012 Community Services (retired), Superseded 23/05/2013 National Disability Agreement: f(1)-Rate of non-Indigenous persons and Indigenous persons admitted to permanent residential aged care, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: f(2)-Number of Indigenous people with disability receiving disability services as a proportion of the Indigenous potential population requiring services, 2012 Indigenous, Endorsed 11/09/2012 Community Services (retired), Superseded 23/05/2013 -

Data type

integer

Description

Person—person identifier, XXXXXX[X(14)] Identifying and definitional attributes Short name: Person identifier METeOR identifier: 290046 Registration status: Health, Standard 04/05/2005 Early Childhood, Standard 08/04/2013 Independent Hospital Pricing Authority, Standard 01/11/2012 Indigenous, Endorsed 11/08/2014 National Health Performance Authority, Standard 28/05/2014 Commonwealth Department of Health, Candidate 16/07/2015 Disability, Standard 13/08/2015 Community Services (retired), Standard 25/08/2005 Definition: Person identifier unique within an establishment or agency. Data Element Concept: Person—person identifier Value domain attributes Representational attributes Representation class: Identifier Data type: String Format: XXXXXX[X(14)] Maximum character length: 20 Data element attributes Collection and usage attributes Guide for use: Individual agencies, establishments or collection authorities may use their own alphabetic, numeric or alphanumeric coding systems. Field cannot be blank. Source and reference attributes Reference documents: AS5017 Health Care Client Identification, 2002, Sydney: Standards Australia AS4846 Health Care Provider Identification, 2004, Sydney: Standards Australia Relational attributes Related metadata references: Supersedes Person—person identifier (within establishment/agency), XXXXXX[X(14)] Health, Superseded 04/05/2005, Community Services (retired), Superseded 25/08/2005 See also Person—person identifier, X(8) WA Health, Endorsed 19/03/2015 See also Person—unique identifier used indicator, yes/no code N Health, Standard 07/02/2013, Community Services (retired), Standard 19/09/2013 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Alcohol and other drug treatment services NMDS 2015- Health, Standard 13/11/2014 Audiology assessment client cluster Indigenous, Endorsed 11/08/2014 Cancer (clinical) DSS Health, Standard 14/05/2015 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Closing the Gap in the Northern Territory: Dental Services DSS, 2011 Indigenous, Endorsed 08/10/2014 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Disability services client details cluster Disability, Standard 13/08/2015 Community Services (retired), Standard 10/04/2013 Ear nose and throat services patient cluster Indigenous, Endorsed 05/09/2014 Early Childhood Education and Care DSS 2015 Early Childhood, Standard 01/06/2015 Juvenile Justice Client file cluster Community Services (retired), Standard 14/09/2009 Juvenile Justice Detention file cluster Community Services (retired), Standard 14/09/2009 Juvenile Justice Order file cluster Community Services (retired), Standard 14/09/2009 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Perinatal NMDS 2014- Health, Standard 07/03/2014 Prison clinic contact DSS Health, Standard 25/08/2011 Prison entrants DSS Health, Standard 25/08/2011 Prisoners in custody repeat medications DSS Health, Standard 25/08/2011 Radiotherapy waiting times NMDS 2015- Health, Standard 13/11/2014 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014 Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Health, Standard 15/11/2012 Implementation in Indicators: Used as numerator National Healthcare Agreement: PI 20a-Waiting times for elective surgery: waiting times in days, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 20b-Waiting times for elective surgery: proportion seen on time, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2015 Health, Standard 14/01/2015 Used as denominator National Health Performance Authority, Hospital Performance: Percentage of patients who commenced treatment within clinically recommended time 2014 National Health Performance Authority, Standard 28/05/2014 National Health Performance Authority, Hospital Performance: Waiting times for emergency hospital care: Percentage completed within four hours, 2014 National Health Performance Authority, Standard 28/05/2014 National Healthcare Agreement: PI 21a-Waiting times for emergency hospital care: Proportion seen on time, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 21b-Waiting times for emergency hospital care: Proportion completed within four hours, 2015 Health, Standard 14/01/2015 National Partnership Agreement on Improving Public Hospital Services: National Emergency Access Target Health, Standard 21/11/2013

Data type

text

Description

Person—sex, code N Identifying and definitional attributes Short name: Sex METeOR identifier: 287316 Registration status: Housing assistance, Standard 10/02/2006 Health, Standard 04/05/2005 Early Childhood, Standard 21/05/2010 Homelessness, Standard 23/08/2010 WA Health, Draft 23/08/2012 Independent Hospital Pricing Authority, Standard 01/11/2012 Indigenous, Endorsed 11/08/2014 National Health Performance Authority, Standard 07/11/2013 Commonwealth Department of Health, Candidate 16/07/2015 Disability, Standard 07/10/2014 Community Services (retired), Standard 25/08/2005 Definition: The biological distinction between male and female, as represented by a code. Data Element Concept: Person—sex Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Male 2 Female 3 Intersex or indeterminate Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: Diagnosis and procedure codes should be checked against the national ICD-10-AM sex edits, unless the person is undergoing, or has undergone a sex change or has a genetic condition resulting in a conflict between sex and ICD-10-AM code. CODE 3 Intersex or indeterminate Intersex or indeterminate, refers to a person, who because of a genetic condition, was born with reproductive organs or sex chromosomes that are not exclusively male or female or whose sex has not yet been determined for whatever reason. Intersex or indeterminate, should be confirmed if reported for people aged 90 days or greater. Comments: The definition for Intersex in Guide for use is sourced from the ACT Legislation (Gay, Lesbian and Transgender) Amendment Act 2003. Source and reference attributes Origin: Australian Capital Territory 2003. Legislation (Gay, Lesbian and Transgender) Amendment Act 2003 Reference documents: Legislation (Gay, Lesbian and Transgender) Amendment Act 2003. See http://www.legislation.act.gov.au/a/2003-14/20030328-4969/pdf/2003-14.pdf. Data element attributes Collection and usage attributes Collection methods: Operationally, sex is the distinction between male and female, as reported by a person or as determined by an interviewer. When collecting data on sex by personal interview, asking the sex of the respondent is usually unnecessary and may be inappropriate, or even offensive. It is usually a simple matter to infer the sex of the respondent through observation, or from other cues such as the relationship of the person(s) accompanying the respondent, or first name. The interviewer may ask whether persons not present at the interview are male or female. A person's sex may change during their lifetime as a result of procedures known alternatively as sex change, gender reassignment, transsexual surgery, transgender reassignment or sexual reassignment. Throughout this process, which may be over a considerable period of time, the person's sex could be recorded as either Male or Female. In data collections that use the ICD-10-AM classification, where sex change is the reason for admission, diagnoses should include the appropriate ICD-10-AM code(s) that clearly identify that the person is undergoing such a process. This code(s) would also be applicable after the person has completed such a process, if they have a procedure involving an organ(s) specific to their previous sex (e.g. where the patient has prostate or ovarian cancer). CODE 3 Intersex or indeterminate Is normally used for babies for whom sex has not been determined for whatever reason. Should not generally be used on data collection forms completed by the respondent. Should only be used if the person or respondent volunteers that the person is intersex or where it otherwise becomes clear during the collection process that the individual is neither male nor female. CODE 9 Not stated/inadequately described Is not to be used on primary collection forms. It is primarily for use in administrative collections when transferring data from data sets where the item has not been collected. Source and reference attributes Origin: Australian Institute of Health and Welfare (AIHW) National Mortality Database 1997/98 AIHW 2001 National Diabetes Register, Statistical Profile, December 2000 (Diabetes Series No. 2.) Reference documents: Australian Bureau of Statistics AS4846 Health Care Provider Identification, 2004, Sydney: Standards Australia AS5017 Health Care Client Identification, 2002, Sydney: Standards Australia In AS4846 and AS5017 alternative codes are presented. Refer to the current standard for more details. Relational attributes Related metadata references: Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Health, Superseded 22/12/2009 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Health, Superseded 22/12/2009 See also Person—gender, code N Housing assistance, Proposed 28/06/2013, Health, Proposed 28/06/2013, Early Childhood, Proposed 28/06/2013, Homelessness, Proposed 28/06/2013, Indigenous, Endorsed 05/09/2014, Community Services (retired), Candidate 02/09/2013 Supersedes Person—sex (housing assistance), code N Housing assistance, Superseded 10/02/2006 See also Person—sex, code A WA Health, Endorsed 19/03/2015 Supersedes Person—sex, code N Health, Superseded 04/05/2005, Community Services (retired), Superseded 31/08/2005 Is used in the formation of Record—linkage key, code 581 XXXXXDDMMYYYYN Housing assistance, Standard 23/08/2010, Health, Standard 07/12/2011, Early Childhood, Standard 21/05/2010, Homelessness, Standard 23/08/2010, Disability, Standard 07/10/2014, Community Services (retired), Standard 21/05/2010 Implementation in Data Set Specifications: Aboriginal and Torres Strait Islander primary health-care services episodes of care cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander primary health-care services individual client contacts cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services non-residential/follow-up/aftercare client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services non-residential/follow-up/aftercare episodes of care cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services residential treatment/rehabilitation client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services residential treatment/rehabilitation length of stay cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services residential/rehabilitation episodes of care cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services sobering up/residential respite/short-term care client numbers cluster Indigenous, Endorsed 16/09/2014 Aboriginal and Torres Strait Islander standalone substance use services sobering-up/residential respite/short term care episodes of care cluster Indigenous, Endorsed 16/09/2014 Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Admitted patient mental health care NMDS 2015-16 Health, Standard 04/02/2015 Admitted patient palliative care NMDS 2015-16 Health, Standard 04/02/2015 Adoptions DSS 2011-13 Community Services (retired), Standard 20/05/2013 Alcohol and other drug treatment services NMDS 2015- Health, Standard 13/11/2014 Audiology assessment client cluster Indigenous, Endorsed 11/08/2014 Bringing Them Home/Link Up Counselling Program client contacts cluster Indigenous, Endorsed 16/09/2014 Bringing them Home/Link Up Counselling Program client numbers cluster Indigenous, Endorsed 16/09/2014 Cancer (clinical) DSS Health, Standard 14/05/2015 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Child protection and support services (CPSS) client cluster Community Services (retired), Standard 30/04/2008 Child protection and support services (CPSS) sibling cluster Community Services (retired), Standard 30/04/2008 Closing the Gap in the Northern Territory: Dental Services DSS, 2011 Indigenous, Endorsed 08/10/2014 Community mental health care NMDS 2015-16 Health, Standard 13/11/2014 Computer Assisted Telephone Interview demographic module DSS Health, Standard 03/12/2008 Diabetes (clinical) DSS Health, Standard 21/09/2005 Early Childhood Education and Care: Unit Record Level NMDS 2015 Early Childhood, Standard 01/06/2015 Household file cluster (Indigenous community housing) Housing assistance, Standard 01/05/2013 Indigenous, Endorsed 01/05/2013 Indigenous primary health care DSS 2015- Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Juvenile Justice Client file cluster Community Services (retired), Standard 14/09/2009 Medical indemnity DSS 2014- Health, Standard 21/11/2013 National Bowel Cancer Screening Program DSS 2014- Health, Standard 29/08/2014 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Perinatal NMDS 2014- Health, Standard 07/03/2014 Person (housing assistance) cluster Housing assistance, Standard 01/05/2013 Person details data dictionary Disability, Standard 13/08/2015 Community Services (retired), Standard 06/02/2012 Person file cluster (Mainstream community housing) Housing assistance, Standard 01/05/2013 Prison clinic contact DSS Health, Standard 25/08/2011 Prison entrants DSS Health, Standard 25/08/2011 Prisoners in custody repeat medications DSS Health, Standard 25/08/2011 Private rent assistance DSS 2012-13 Housing assistance, Standard 03/07/2014 Public dental waiting times NMDS 2013- Health, Standard 09/11/2012 Radiotherapy waiting times NMDS 2015- Health, Standard 13/11/2014 Registered chiropractic labour force DSS Health, Standard 10/12/2009 Registered dental and allied dental health professional labour force DSS Health, Standard 10/12/2009 Registered medical professional labour force DSS Health, Standard 10/12/2009 Registered midwifery labour force DSS Health, Standard 10/12/2009 Registered nursing professional labour force DSS Health, Standard 10/12/2009 Registered optometry labour force DSS Health, Standard 10/12/2009 Registered osteopathy labour force DSS Health, Standard 10/12/2009 Registered pharmacy labour force DSS Health, Standard 10/12/2009 Registered physiotherapy labour force DSS Health, Standard 10/12/2009 Registered podiatry labour force DSS Health, Standard 10/12/2009 Registered psychology labour force DSS Health, Standard 10/12/2009 Residential mental health care NMDS 2015-16 Health, Standard 13/11/2014 Sex of prison entrants cluster Health, Standard 25/08/2011 Statistical linkage key 581 cluster Housing assistance, Standard 23/08/2010 Health, Standard 07/12/2011 Early Childhood, Standard 21/05/2010 Homelessness, Standard 23/08/2010 Disability, Standard 07/10/2014 Community Services (retired), Standard 21/05/2010 Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Health, Standard 15/11/2012 Implementation in Indicators: Used as numerator Indigenous primary health care: PI19a-Number of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI19b-Proportion of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI20a-Number of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI20b-Proportion of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI22a-Number of regular clients who have had a cervical screening, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI22b-Proportion of regular clients who have had a cervical screening, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2012 National Health Performance Authority, Standard 27/03/2014 National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2013 National Health Performance Authority, Standard 27/08/2015 National Healthcare Agreement: PI 24-Survival of people diagnosed with notifiable cancers, 2015 Health, Standard 14/01/2015 Used as denominator Indigenous primary health care: PI13b-Proportion of regular clients who had their first antenatal care visit within specified periods, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI19b-Proportion of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI20b-Proportion of regular clients who have had the necessary risk factors assessed to enable CVD assessment, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Indigenous primary health care: PI22b-Proportion of regular clients who have had a cervical screening, 2015 Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 National Disability Agreement: d(1)-Proportion of the potential population who used State/Territory delivered disability support services, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: d(2)-Proportion of people with a disability with an employment restriction who used Disability Employment Services (Open Employment), 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: d(3)-Proporttion of the potential population who used Australian Disability Enterprises (Supported Employment), 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: f(1)-Number of Indigenous people with disability receiving disability services as a proportion of the Indigenous potential population requiring services, 2012 Indigenous, Endorsed 11/09/2012 Community Services (retired), Superseded 23/05/2013 National Disability Agreement: f(1)-Rate of non-Indigenous persons and Indigenous persons admitted to permanent residential aged care, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: f(2)-Number of Indigenous people with disability receiving disability services as a proportion of the Indigenous potential population requiring services, 2012 Indigenous, Endorsed 11/09/2012 Community Services (retired), Superseded 23/05/2013 National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2012 National Health Performance Authority, Standard 27/03/2014 National Health Performance Authority, Healthy Communities: Human papillomavirus (HPV) vaccination rates for girls turning 15 years in 2013 National Health Performance Authority, Standard 27/08/2015 National Healthcare Agreement: PI 02-Incidence of selected cancers, 2015 Health, Standard 14/01/2015 National Healthcare Agreement: PI 24-Survival of people diagnosed with notifiable cancers, 2015 Health, Standard 14/01/2015

Data type

integer

Description

Person—weight (measured), total grams NNNN Obligation: Conditional Identifying and definitional attributes Short name: Weight in grams (measured) Synonymous names: Infant weight, neonate, stillborn METeOR identifier: 310245 Registration status: Health, Standard 01/03/2005 Tasmanian Health, Final 01/07/2014 Commonwealth Department of Health, Candidate 16/07/2015 Definition: The weight (body mass) of a person measured in grams. Data Element Concept: Person—weight Value domain attributes Representational attributes Representation class: Total Data type: Number Format: NNNN Maximum character length: 4 Unit of measure: Gram (g) Data set specification specific attributes Admitted patient care NMDS 2015-16 Conditional obligation: Weight on the date the infant is admitted should be recorded if the weight is less than or equal to 9,000 grams and age is less than 365 days. DSS specific information: For the provision of state and territory hospital data to Commonwealth agencies this metadata item must be consistent with diagnoses and procedure codes for valid grouping. Data element attributes Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Relational attributes Related metadata references: Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Health, Superseded 22/12/2009 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN Health, Standard 30/06/2013, Tasmanian Health, Draft 23/07/2012, Commonwealth Department of Health, Candidate 16/07/2015 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Health, Superseded 22/12/2009 Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

Data type

integer

Measurement units

• g

Description

Record—identifier, X[X(79)] Identifying and definitional attributes Short name: Record identifier (80 character maximum) Synonymous names: State record identifier METeOR identifier: 555463 Registration status: Health, Standard 07/03/2014 Definition: A record identifier that is unique to the reporting body, as represented by a code. Data Element Concept: Record—identifier Value domain attributes Representational attributes Representation class: Identifier Data type: String Format: X[X(79)] Maximum character length: 80 Data set specification specific attributes Admitted patient care NMDS 2015-16 DSS specific information: In the context of the Admitted patient care NMDS, the Record identifier data element exists to aid with data processing. This data element is generated for inclusion in data submissions to facilitate referencing of specific records in discussions between the receiving agency and the reporting body. It is to be used solely for this purpose. When stipulated in a data specification, each record in a data submission will be assigned a unique numeric or alphanumeric record identifier to permit easy referencing of individual records in discussions between the receiving agency and the reporting body. The unique record identifier assigned by the reporting body should be generated in a fashion that allows the associated data record to be traced to its original form in the reporting body's source database. Reporting jurisdictions may use their own alphabetic, numeric or alphanumeric coding system. This field cannot be left blank. Data element attributes Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Relational attributes Implementation in Data Set Specifications: Admitted patient care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014 Non-admitted patient DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Non-admitted patient emergency department care DSS 2015-16 Health, Standard 04/02/2015 Non-admitted patient emergency department care NMDS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 15/09/2014

Data type

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