ID

28875

Description

Health sector data set specifications from METeOR, Australia's repository for national metadata standards, developed by the Australian Institute of Health and Welfare (http://meteor.aihw.gov.au/content/index.phtml/itemId/345165) Cardiovascular disease (clinical) DSS The collection of cardiovascular data (CV-Data) in this metadata set is voluntary. The definitions used in CV-Data are designed to underpin the data collected by health professionals in their day-to-day practice. They relate to the realities of a clinical consultation and the ongoing nature of care and relationships that are formed between doctors and patients in clinical practice. The data elements specified in this metadata set provide a framework for: • promoting the delivery of high quality cardiovascular disease preventive and management care to patients, • facilitating ongoing improvement in the quality of cardiovascular and chronic disease care predominantly in primary care and other community settings in Australia, and • supporting general practice and other primary care services as they develop information systems to complement the above. This is particularly important as general practice is the setting in which chronic disease prevention and management predominantly takes place. Having a nationally recognised set of definitions in relation to defining a patient's cardiovascular behavioural, social and biological risk factors, and their prevention and management status for use in these clinical settings, is a prerequisite to achieving these aims. Many of the data elements in this metadata set are also used in the collection of diabetes clinical information. Where appropriate, it may be useful if the data definitions in this metadata set were used to address data definition needs for use in non-clinical environments such as public health surveys etc. This could allow for qualitative comparisons between data collected in, and aggregated from clinical settings (i.e. using application of CV-Data), with that collected through other means (e.g. public health surveys). © Australian Institute of Health and Welfare 2015 Metadata and Classifications Unit Australian Institute of Health and Welfare GPO Box 570 Canberra ACT 2601

Link

http://meteor.aihw.gov.au/content/index.phtml/itemId/345165

Keywords

  1. 7/24/16 7/24/16 -
  2. 9/2/16 9/2/16 -
  3. 2/9/18 2/9/18 - Julian Varghese
  4. 2/9/18 2/9/18 - Julian Varghese
Copyright Holder

METeOR

Uploaded on

February 9, 2018

DOI

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License

Creative Commons BY-NC 3.0

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Cardiovascular disease (clinical) DSS Metadata Online Registry (METeOR)

Cardiovascular disease (clinical) Metadata Online Registry (METeOR)

Address
Description

Address

Australian postcode (address)
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 Cardiovascular disease (clinical) DSS DSS specific information: To be reported for the address of the patient. The postcode can also be used in association with the Australian Bureau of Statistics Socio-Economic Indexes for Areas (SEIFA) index (Australian Bureau of Statistics Socio-Economic Indexes for Areas (SEIFA), Australia (CD-ROM)) to derive socio-economic disadvantage, which is associated with cardiovascular risk. People from lower socio-economic groups are more likely to die from cardiovascular disease than those from higher socio-economic groups. In 1997, people aged 25 - 64 living in the most disadvantaged group of the population died from cardiovascular disease at around twice the rate of those living in the least disadvantaged group (Australian Institute of Health and Welfare (AIHW) 2001. Heart, stroke and vascular diseases- Australian facts 2001.). This difference in death rates has existed since at least the 1970s. 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

Division of general practice
Description

Division of general practice

Division of General Practice number
Description

Division of general practice—organisation identifier, NNN Identifying and definitional attributes Short name: Division of General Practice number METeOR identifier: 270014 Registration status: Health, Standard 01/03/2005 Definition: The unique identifier for the Division of general practice number as designated by the Commonwealth Government of Australia. Each separately administered Division of general practice has a unique identifying number. Data Element Concept: Division of general practice—organisation identifier Value domain attributes Representational attributes Representation class: Identifier Data type: Number Format: NNN Maximum character length: 3 Data element attributes Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: The actual Division of General Practice numbers can be obtained by selecting the individual State or Territory from the Divisions Directory found within the Australian Division of General Practice website Relational attributes Related metadata references: Supersedes Division of general practice number, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.2 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

integer

Episode of care
Description

Episode of care

Behaviour-related risk factor intervention - purpose
Description

Episode of care—behaviour-related risk factor intervention purpose, code N Maximum occurences: 5 Identifying and definitional attributes Short name: Behaviour-related risk factor intervention - purpose METeOR identifier: 270338 Registration status: Health, Standard 01/03/2005 Definition: The behaviour-related risk factor(s) associated with an intervention(s), as represented by a code. Data Element Concept: Episode of care—behaviour-related risk factor intervention purpose Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Smoking 2 Nutrition 3 Alcohol misuse 4 Physical inactivity 8 Other Supplementary values: 9 Not stated/inadequately described Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: Behaviour-related risk factors include tobacco smoking, nutrition patterns that are high in saturated fats and excessive energy (calories /kilojoules) (National Heart Foundation of Australia - A review of the relationship between dietary fat and cardiovascular disease, AJND, 1999. 56 (Supp) S5-S22), alcohol misuse and physical inactivity. The importance of behaviour-related risk factors in health has become increasingly relevant in recent times because chronic diseases have emerged as the principal threat to the health of Australians. Most of the chronic diseases have their roots in these risk-taking behaviours (Chronic Diseases and associated risk factors in Australians, 2001; AIHW 2002 Canberra). Smoking, Nutrition, Alcohol, Physical Activity (SNAP) initiative: SNAP Framework for General Practice is an initiative of the Joint Advisory Group (JAG) on General Practice and Population Health. The lifestyle-related behavioural risk factors of smoking, poor nutrition (and associated overweight and obesity) and harmful and hazardous alcohol use and declining levels of physical activity have been identified as significant contributors to the burden of disease in Australia, and particularly towards the National Health Priority Areas (NHPAs) of diabetes, cardiovascular disease, some cancers, injury, mental health and asthma. The NHPAs represent about 70% of the burden of illness and injury in Australia. Substantial health gains could occur by public health interventions that address these contributory factors. Around 86% of the Australian population attends a general practice at least once a year. There is therefore substantial opportunity for general practitioners to observe and influence the lifestyle risk behaviours of their patients. Many general practitioners already undertake risk factor management with their patients. There are also a number of initiatives within general practices, Divisions of General Practice, state/territory and Commonwealth Governments and peak non-government organisations aimed at reducing disease related to these four behavioural risk factors. Within the health system, there is potential for greater collaboration and integration of approaches for influencing risk factor behaviour based on system-wide roll-out of evidence-based best practice interventions. The aim of the SNAP initiative is to reduce the health and socioeconomic impact of smoking, poor nutrition, harmful and hazardous alcohol use and physical inactivity on patients and the community through a systematic approach to behavioural interventions in primary care. This will provide an opportunity to make better use of evidence-based interventions and to ensure adoption of best practice initiatives widely through general practice. Data element attributes Collection and usage attributes Guide for use: More than one code can be recorded. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: Smoking, Nutrition, Alcohol, Physical Activity (SNAP) Framework - Commonwealth Department of Health and Ageing - June 2001. Australian Institute of Health and Welfare 2002. Chronic Diseases and associated risk factors in Australians, 2001; Canberra. Relational attributes Related metadata references: Supersedes Behaviour-related risk factor intervention - purpose, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (19.5 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

integer

Behaviour-related risk factor intervention
Description

Episode of care—behaviour-related risk factor intervention, code NN Maximum occurences: 8 Identifying and definitional attributes Short name: Behaviour-related risk factor intervention METeOR identifier: 270165 Registration status: Health, Standard 01/03/2005 Definition: The intervention taken to modify or manage the patient's behaviour-related risk factor(s), as represented by a code. Data Element Concept: Episode of care—behaviour-related risk factor intervention Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 No intervention 02 Information and education (not including written regimen) 03 Counselling 04 Pharmacotherapy 05 Referral provided to a health professional 06 Referral to a community program, support group or service 07 Written regimen provided 08 Surgery 98 Other Supplementary values: 99 Not stated/inadequately defined Collection and usage attributes Guide for use: CODE 01 No intervention Refers to no intervention taken with regard to the behaviour-related risk factor intervention-purpose. CODE 02 Information and education (not including written regimen) Refers to where there is no treatment provided to the patient for a behaviour-related risk factor intervention-purpose other than information and education. CODE 03 Counselling Refers to any method of individual or group counselling directed towards the behaviour-related risk factor intervention-purpose. This code excludes counselling activities that are part of referral options as defined in code 05 and 06. CODE 04 Pharmacotherapy Refers to pharmacotherapies that are prescribed or recommended for the management of the behaviour-related risk factor intervention-purpose. CODE 05 Referral provided to a health professional Refers to a referral to a health professional who has the expertise to assist the patient manage the behaviour-related risk factor intervention-purpose. CODE 06 Referral to a community program, support group or service Refers to a referral to community program, support group or service that has the expertise and resources to assist the patient manage the behaviour-related risk factor intervention-purpose. CODE 07 Written regimen provided Refers to the provision of a written regimen (nutrition plan, exercise prescription, smoking contract) given to the patient to assist them with the management of the behaviour-related risk factor intervention-purpose. CODE 08 Surgery Refers to a surgical procedure undertaken to assist the patient with the management of the behaviour-related risk factor intervention-purpose. Data element attributes Collection and usage attributes Guide for use: More than one code can be recorded. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Relational attributes Related metadata references: Supersedes Behaviour-related risk factor intervention, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (18.6 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

text

Health service event
Description

Health service event

Fasting status
Description

Health service event—fasting indicator, code N Identifying and definitional attributes Short name: Fasting status METeOR identifier: 302941 Registration status: Health, Standard 21/09/2005 Definition: Whether the patient was fasting at the time of an examination, test, investigation or procedure, as represented by a code. Data Element Concept: Health service event—fasting indicator Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Yes 2 No Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 9 Not stated/inadequately described This code is not for use in primary data collections. Data element attributes Collection and usage attributes Guide for use: CODE 1 Yes: Record if the patient is fasting at the time of an examination, test, investigation or procedure. CODE 2 No: Record if the patient is not fasting at the time of an examination, test, investigation or procedure. Comments: In settings where the monitoring of a person's health is ongoing and where management can change over time (such as general practice), the service contact date should be recorded. Source and reference attributes Submitting organisation: National Diabetes Data Working Group Cardiovascular Data Working Group Relational attributes Related metadata references: Supersedes Health service event—fasting status, code N Health, Superseded 21/09/2005 Is used in the formation of Person—low-density lipoprotein cholesterol level (calculated), total millimoles per litre N[N].N Health, Superseded 01/10/2008 Is used in the formation of Person—low-density lipoprotein cholesterol level (calculated), total millimoles per litre N[N].N Health, Standard 01/10/2008 Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Diabetes (clinical) DSS Health, Standard 21/09/2005

Data type

integer

Date of referral to rehabilitation
Description

Health service event—referral to rehabilitation service date, DDMMYYYY Obligation: Conditional Identifying and definitional attributes Short name: Date of referral to rehabilitation METeOR identifier: 269993 Registration status: Health, Standard 01/03/2005 Definition: The date on which a person is referred to a rehabilitation service. Data Element Concept: Health service event—referral to rehabilitation service date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data element attributes Collection and usage attributes Guide for use: If date of referral is not known then provision should be made to collect month and year as a minimum, using 01 as DD (as the date part) if only the month and year are known. Collection methods: To be collected at the time of commencement of rehabilitation. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Relational attributes Related metadata references: Supersedes Date of referral to rehabilitation, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.2 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

date

Patient
Description

Patient

Date of diagnosis
Description

Patient—diagnosis date, DDMMYYYY Identifying and definitional attributes Short name: Date of diagnosis METeOR identifier: 270544 Registration status: Health, Standard 01/03/2005 Definition: The date on which a patient is diagnosed with a particular condition or disease. Data Element Concept: Patient—diagnosis date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data element attributes Collection and usage attributes Comments: Classification systems, which enable the allocation of a code to the diagnostic information, can be used in conjunction with this metadata item. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Relational attributes Related metadata references: Supersedes Date of diagnosis, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005 .pdf (13.9 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

date

Person
Description

Person

Alcohol consumption in standard drinks per day (self reported)
Description

Person—alcohol consumption amount (self-reported), total standard drinks NN Identifying and definitional attributes Short name: Alcohol consumption in standard drinks per day (self reported) METeOR identifier: 270249 Registration status: Health, Standard 01/03/2005 Definition: A person's self-reported usual number of alcohol-containing standard drinks on a day when they consume alcohol. Data Element Concept: Person—alcohol consumption amount Value domain attributes Representational attributes Representation class: Total Data type: Number Format: NN Maximum character length: 2 Supplementary values: Value Meaning 99 Consumption not reported Unit of measure: Standard drink Collection and usage attributes Guide for use: Alcohol consumption is usually measured in standard drinks. An Australian standard drink contains 10 grams of alcohol, which is equivalent to 12.5 millilitres of alcohol. Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: These data are used to help determine the overall health profile of an individual. Certain patterns of alcohol consumption can be associated with a range of social and health problems. These problems include: • social problems such as domestic violence, unsafe sex, • financial and relationship problems, • physical conditions such as high blood pressure, gastrointestinal problems, pancreatitis, • an increased risk of physical injury. • Alcohol can also be a contributor to acute health problems. Evidence from prospective studies indicates that heavy alcohol consumption is associated with increased mortality and morbidity from coronary heart disease and stroke (Hanna et al. 1992). However, there is some evidence to suggest that alcohol appears to provide some protection against heart disease (both illness and death) for both men and women from middle age onwards. Most if not all of this benefit is achieved with 1-2 standard drinks per day for men and less than 1 standard drink for women (the National Health and Medical Research Council's Australian Alcohol Guidelines, October 2001). Data element attributes Collection and usage attributes Guide for use: This estimation is based on the person's description of the type (spirits, beer, wine, other) and number of standard drinks, as defined by the National Health and Medical Research Council (NH&MRC), consumed per day. One standard drink contains 10 grams of alcohol. The following gives the NH&MRC examples of a standard drink: • Light beer (2.7%): - 1 can or stubbie = 0.8 a standard drink • Medium light beer (3.5%): - 1 can or stubbie = 1 standard drink • Regular Beer - (4.9% alcohol): - 1 can = 1.5 standard drinks - 1 jug = 4 standard drinks - 1 slab (cans or stubbies) = about 36 standard drinks • Wine (9.5% - 13% alcohol): - 750-ml bottle = about 7 to 8 standard drinks - 4-litre cask = about 30 to 40 standard drinks • Spirits: - 1 nip = 1 standard drink - Pre-mixed spirits (around 5% alcohol) = 1.5 standard drinks When calculating consumption in standard drinks per day, the total should be reported with part drinks recorded to the next whole standard drink (e.g. 2.4 = 3). Collection methods: The World Health Organisation's 2000 International Guide for Monitoring Alcohol Consumption and Related Harm document suggests that in assessing alcohol consumption patterns a 'Graduated Quantity Frequency' method is preferred. This method requires that questions about the quantity and frequency of alcohol consumption should be asked to help determine short-term and long-term health consequences. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: The World Health Organisation's 2000 International Guide for Monitoring Alcohol Consumption and Related Harm document -National Health and Medical Research Council's Australian Alcohol Guidelines, October 2001. Relational attributes Related metadata references: Supersedes Alcohol consumption in standard drinks per day - self report, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (18.6 KB) See also Person—alcohol consumption frequency, AUDIT alcohol consumption frequency code N Health, Standard 25/08/2011 See also Person—consumption of 6 or more standard drinks on one occasion, AUDIT consumption of 6 or more standard drinks code N Health, Standard 25/08/2011 Implementation in Data Set Specifications: AUDIT score of risky alcohol consumption cluster Health, Standard 25/08/2011 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Implementation in Indicators: Used as numerator National Indigenous Reform Agreement: PI 04-Levels of risky alcohol consumption, 2014 Indigenous, Endorsed 13/12/2013

Data type

integer

Measurement units
  • standard drinks
standard drinks
Alcohol consumption frequency (self reported)
Description

Person—alcohol consumption frequency (self-reported), code NN Identifying and definitional attributes Short name: Alcohol consumption frequency (self reported) METeOR identifier: 270247 Registration status: Health, Standard 01/03/2005 Definition: A person's self-reported frequency of alcohol consumption, as represented by a code. Data Element Concept: Person—alcohol consumption frequency Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Every day/7 days per week 02 5 to 6 days per week 03 3 to 4 days per week 04 1 to 2 days per week 05 2 to 3 days per month 06 Once per month 07 7 to 11 days in the past year 08 4 to 6 days in the past year 09 2 to 3 days in the past year 10 Once in the past year 11 Never drank any alcoholic beverage in the past year 12 Never in my life Supplementary values: 99 Not reported Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: These data can be used to help determine the overall health profile of an individual or of a population. Certain patterns of alcohol consumption can be associated with a range of social and health problems. These problems include: • social problems such as domestic violence, unsafe sex, • financial and relationship problems, • physical conditions such as high blood pressure, gastrointestinal problems, pancreatitis, • an increased risk of physical injury. Alcohol can also be a contributor to acute health problems. Evidence from prospective studies indicates that heavy alcohol consumption is associated with increased mortality and morbidity from coronary heart disease and stroke (Hanna et al 1992). However, there is some evidence to suggest that alcohol appears to provide some protection against heart disease (both illness and death) for both men and women from middle age onwards. Most, if not all, of this benefit is achieved with 1-2 standard drinks per day for men and less than 1 standard drink for women (the National Health and Medical Research Council's Australian Alcohol Guidelines, October 2001). Where this information is collected by survey and the sample permits, population estimates should be presented by sex and 5-year age groups. Summary statistics may need to be adjusted for age and other relevant variables. It is recommended that, in surveys of alcohol consumption, data on age, sex, and other socio-demographic variables also be collected where it is possible and desirable to do so. It is also recommended that, when alcohol consumption is investigated in relation to health, data on other risk factors including overweight and obesity, smoking, high blood pressure and physical inactivity should be collected. The Australian Alcohol Guidelines: Health Risk and Benefits endorsed by the National Health and Medical Research Council in October 2001 have defined risk of harm in the short term and long term based on patterns of drinking. The table below outlines those patterns. Alcohol consumption shown in the tables is not recommended for people who: - have a condition made worse by drinking, • are on medication, • are under 18 years of age, • are pregnant, • are about to engage in activities involving risk or a degree of skill (e.g. driving, flying, water sports, skiing, operating machinery). Risk of harm in the short-term Low risk (standard drinks) Risky (standard drinks) High risk (standard drinks) Males (on a single occasion) Up to 6 7 to 10 11 or more Females (on a single occasion) Up to 4 5 to 6 7 or more Source: NH&MRC Australian Alcohol Guidelines: Health Risk and Benefits 2001. Risk of harm in the long-term Low risk (standard drinks) Risky (standard drinks) High risk (standard drinks) Males (on an average day) Up to 4 5 to 6 7 or more Overall weekly level Up to 28 Per week 29 to 42 Per week 43 or more Per week Females (on an average day) Up to 2 3 to 4 5 or more Overall weekly level Up to 14 Per week 15 to 28 Per week 29 or more Per week Source: NH&MRC Australian Alcohol Guidelines: Health Risk and Benefits 2001. Data element attributes Collection and usage attributes Collection methods: The World Health Organisation, in its 2000 International Guide for Monitoring Alcohol Consumption and Related Harm document, suggests that in assessing alcohol consumption patterns a 'Graduated Quantity Frequency' method is preferred. This method requires that questions about the quantity and frequency of alcohol consumption should be asked to help determine short-term and long-term health consequences. This information can be collected (but not confined to) the following ways: • in a clinical setting with questions asked by a primary healthcare professional • as a self-completed questionnaire in a clinical setting • as part of a health survey • as part of a computer aided telephone interview. It should be noted that, particularly in telephone interviews, the question(s) asked may not be a direct repetition of the Value domain; yet they may still yield a response that could be coded to the full Value domain or a collapsed version of the Value domain. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: Australian Alcohol Guidelines: Health Risks and Benefits, National Health & Medical Research Council, October 2001 Relational attributes Related metadata references: Supersedes Alcohol consumption frequency- self report, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (24.3 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Implementation in Indicators: Used as numerator National Indigenous Reform Agreement: PI 04-Levels of risky alcohol consumption, 2014 Indigenous, Endorsed 13/12/2013

Data type

text

Blood pressure—diastolic (measured)
Description

Person—blood pressure (diastolic) (measured), millimetres of mercury NN[N] Identifying and definitional attributes Short name: Blood pressure—diastolic (measured) METeOR identifier: 270072 Registration status: Health, Standard 01/03/2005 Definition: The person's diastolic blood pressure, measured in millimetres of mercury (mmHg). Data Element Concept: Person—blood pressure (diastolic) Value domain attributes Representational attributes Representation class: Total Data type: Number Format: NN[N] Maximum character length: 3 Supplementary values: Value Meaning 999 Not stated/inadequately described Unit of measure: Millimetre of mercury (mmHg) Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: In the primary care setting, blood pressure on both arms should be measured at the first visit, particularly if there is evidence of peripheral vascular disease. Variation of up to 5 mm Hg in blood pressure between arms can be acceptable. In certain conditions (e.g. chronic aortic dissection, subclavian artery stenosis) all blood pressure recordings should be taken from the arm with the highest reading. Measure sitting and standing blood pressures in elderly and diabetic patients or in other situations in which orthostatic hypotension might be suspected. Measure and record heart rate and rhythm. Note: Atrial fibrillation in a patient with hypertension indicates increased risk of stroke. In all patients, consideration should be given to obtaining blood pressure measurements outside the clinic setting either by self-measurement of blood pressure at home or by non-invasive ambulatory blood pressure monitoring. Target-organ damage and cardiovascular outcome relate more closely to blood pressures measured outside the clinic, particularly with ambulatory monitoring. An accurate, reliable machine and technique are essential if home blood pressure monitoring is to be used. In up to 30% of patients who are hypertensive in the clinic, blood pressure outside the clinic is within acceptable limits ('white coat' hypertension). High blood pressure is a major risk factor for coronary heart disease, heart failure, stroke, and renal failure with the risk increasing along with the level of blood pressure (Ashwell 1997; DHSH 1994b; Whelton 1994; Kannel 1991). The higher the blood pressure, the higher the risk of both stroke and coronary heart disease. The dividing line between normotension and hypertension is arbitrary. Both systolic and diastolic blood pressures are predictors of heart, stroke and vascular disease at all ages (Kannel 1991), although diastolic blood pressure is a weaker predictor of death due to coronary heart disease (Neaton & Wentworth 1992). The risk of disease increases as the level of blood pressure increases. When blood pressure is lowered by 4-6 mm Hg over two to three years, it is estimated that the risk reduces by14 per cent in patients with coronary heart disease and by 42 per cent in stroke patients (Collins et al 1990; Rose 1992.) When high blood pressure is controlled by medication, the risk of cardiovascular disease is reduced, but not to the levels of unaffected people. In settings such as general practice where the monitoring of a person's health is ongoing and where a measure can change over time, the service contact date should be recorded. Data element attributes Collection and usage attributes Guide for use: The diastolic pressure is recorded as phase V Korotkoff (disappearance of sound) however phase IV Korotkoff (muffling of sound) is used if the sound continues towards zero but does not cease. If Blood pressure - diastolic is not collected or not able to be collected, code 999. Collection methods: Measurement protocol for resting blood pressure: The diastolic blood pressure is one component of a routine blood pressure measurement (i.e. systolic/diastolic) and reflects the minimum pressure to which the arteries are exposed. • The patient should be relaxed and seated, preferably for several minutes, (at least 5 minutes). Ideally, patients should not take caffeine-containing beverages or smoke for two hours before blood pressure is measured. • Ideally, patients should not exercise within half an hour of the measurement being taken (National Nutrition Survey User's Guide). • Use a mercury sphygmomanometer. All other sphygmomanometers should be calibrated regularly against mercury sphygmomanometers to ensure accuracy. • Bladder length should be at least 80%, and width at least 40% of the circumference of the mid-upper arm. If the velcro on the cuff is not totally attached, the cuff is probably too small. • Wrap cuff snugly around upper arm, with the centre of the bladder of the cuff positioned over the brachial artery and the lower border of the cuff about 2 cm above the bend of the elbow. • Ensure cuff is at heart level, whatever the position of the patient. • Palpate the radial pulse of the arm in which the blood pressure is being measured. • Inflate cuff to the pressure at which the radial pulse disappears and note this value. Deflate cuff, wait 30 seconds, and then inflate cuff to 30 mm Hg above the pressure at which the radial pulse disappeared. • Deflate the cuff at a rate of 2-3 mm Hg/beat (2-3 mm Hg/sec) or less. • Recording the diastolic pressure use phase V Korotkoff (disappearance of sound). Use phase IV Korotkoff (muffling of sound) only if sound continues towards zero but does not cease. Wait 30 seconds before repeating the procedure in the same arm. Average the readings. • If the first two readings differ by more than 4 mmHg diastolic or if initial readings are high, take several readings after five minutes of quiet rest. Comments: The pressure head is the height difference a pressure can raise a fluid's equilibrium level above the surface subjected to pressure. (Blood pressure is usually measured as a head of Mercury, and this is the unit of measure nominated for this metadata item.) The current (2002) definition of hypertension is based on the level of blood pressure above which treatment is recommended, and this depends on the presence of other risk factors, e.g. age, diabetes etc. (NHF 1999 Guide to Management of Hypertension). Source and reference attributes Submitting organisation: Cardiovascular Data Working Group National Diabetes Data Working Group Origin: The National Heart Foundation Blood Pressure Advisory Committee's 'Guidelines for the Management of Hypertension - 1999' which are largely based on World Health Organization Recommendations. (Guidelines Subcommittee of the WHO-ISH: 1999 WHO-ISH guidelines for management of hypertension. J Hypertension 1999; 17:151-83). Australian Bureau of Statistics 1998. National Nutrition Survey User's Guide 1995. Cat. No. 4801.0. Canberra: ABS. (p. 20). National Diabetes Outcomes Quality Review Initiative (NDOQRIN) data dictionary. Reference documents: 'Guidelines for the Management of Hypertension - 1999' largely based on World Health Organization Recommendations. (Guidelines Subcommittee of the WHO) J Hypertension 1999; 17: 151-83.). Diabetes Control and Complications Trial: DCCT New England Journal of Medicine, 329(14), September 30, 1993. UKPDS 38 Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UK Prospective Diabetes Study Group. British Medical Journal (1998); 317: 703-713. Relational attributes Related metadata references: Supersedes Blood pressure - diastolic measured, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005 .pdf (26.3 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Diabetes (clinical) DSS Health, Standard 21/09/2005

Data type

integer

Measurement units
  • mmHg
mmHg
Blood pressure—systolic (measured)
Description

Person—blood pressure (systolic) (measured), millimetres of mercury NN[N] Identifying and definitional attributes Short name: Blood pressure—systolic (measured) METeOR identifier: 270073 Registration status: Health, Standard 01/03/2005 Definition: The person's systolic blood pressure, measured in millimetres of mercury (mmHg). Data Element Concept: Person—blood pressure (systolic) Value domain attributes Representational attributes Representation class: Total Data type: Number Format: NN[N] Maximum character length: 3 Supplementary values: Value Meaning 999 Not stated/inadequately described Unit of measure: Millimetre of mercury (mmHg) Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: In the primary care setting, blood pressure on both arms should be measured at the first visit, particularly if there is evidence of peripheral vascular disease. Variation of up to 5 mm Hg in blood pressure between arms can be acceptable. In certain conditions (e.g. chronic aortic dissection, subclavian artery stenosis) all blood pressure recordings should be taken from the arm with the highest reading. Measure sitting and standing blood pressures in elderly and diabetic patients or in other situations in which orthostatic hypotension might be suspected. Measure and record heart rate and rhythm. Note: Atrial fibrillation in a patient with hypertension indicates increased risk of stroke. In all patients, consideration should be given to obtaining blood pressure measurements outside the clinic setting either by self-measurement of blood pressure at home or by non-invasive ambulatory blood pressure monitoring. Target-organ damage and cardiovascular outcome relate more closely to blood pressures measured outside the clinic, particularly with ambulatory monitoring. An accurate, reliable machine and technique are essential if home blood pressure monitoring is to be used. In up to 30% of patients who are hypertensive in the clinic, blood pressure outside the clinic is within acceptable limits ('white coat' hypertension). High blood pressure is a major risk factor for coronary heart disease, heart failure, stroke, and renal failure with the risk increasing along with the level of blood pressure (Ashwell 1997; DHSH 1994b; Whelton 1994; Kannel 1991). The higher the blood pressure, the higher the risk of both stroke and coronary heart disease. The dividing line between normotension and hypertension is arbitrary. Both systolic and diastolic blood pressures are predictors of heart, stroke and vascular disease at all ages (Kannel 1991), although diastolic blood pressure is a weaker predictor of death due to coronary heart disease (Neaton & Wentworth 1992). The risk of disease increases as the level of blood pressure increases. When blood pressure is lowered by 4-6 mm Hg over two to three years, it is estimated that the risk reduces by14 per cent in patients with coronary heart disease and by 42 per cent in stroke patients (Collins et al 1990; Rose 1992.) When high blood pressure is controlled by medication, the risk of cardiovascular disease is reduced, but not to the levels of unaffected people. In settings such as general practice where the monitoring of a person's health is ongoing and where a measure can change over time, the service contact date should be recorded. Data element attributes Collection and usage attributes Guide for use: For recording the systolic reading, use phase I Korotkoff (the first appearance of sound). If Blood pressure - systolic is not collected or not able to be collected, code 999. Collection methods: Measurement protocol for resting blood pressure: The systolic blood pressure is one component of a routine blood pressure measurement (i.e. systolic/diastolic) and reflects the maximum pressure to which the arteries are exposed. • The patient should be relaxed and seated, preferably for several minutes, (at least 5 minutes). Ideally, patients should not take caffeine-containing beverages or smoke for two hours before blood pressure is measured. • Ideally, patients should not exercise within half an hour of the measurement being taken (National Nutrition Survey User's Guide). • Use a mercury sphygmomanometer. All other sphygmomanometers should be calibrated regularly against mercury sphygmomanometers to ensure accuracy. • Bladder length should be at least 80%, and width at least 40% of the circumference of the mid-upper arm. If the Velcro on the cuff is not totally attached, the cuff is probably too small. • Wrap cuff snugly around upper arm, with the centre of the bladder of the cuff positioned over the brachial artery and the lower border of the cuff about 2 cm above the bend of the elbow. • Ensure cuff is at heart level, whatever the position of the patient. • Palpate the radial pulse of the arm in which the blood pressure is being measured. • Inflate cuff to the pressure at which the radial pulse disappears and note this value. Deflate cuff, wait 30 seconds, and then inflate cuff to 30 mm Hg above the pressure at which the radial pulse disappeared. • Deflate the cuff at a rate of 2-3 mm Hg/beat (2-3 mm Hg/sec) or less. • For recording the systolic reading, use phase I Korotkoff (the first appearance of sound). Wait 30 seconds before repeating the procedure in the same arm. Average the readings. If the first two readings differ by more than 6 mm Hg systolic or if initial readings are high, take several readings after five minutes of quiet rest. Comments: The pressure head is the height difference a pressure can raise a fluid's equilibrium level above the surface subjected to pressure. (Blood pressure is usually measured as a head of Mercury, and this is the unit of measure nominated for this metadata item.) The current (2002) definition of hypertension is based on the level of blood pressure above which treatment is recommended, and this depends on the presence of other risk factors, e.g. age, diabetes etc. (NHF 1999 Guide to Management of Hypertension). Source and reference attributes Submitting organisation: Cardiovascular Data Working Group National Diabetes Data Working Group Origin: The National Heart Foundation Blood Pressure Advisory Committee's 'Guidelines for the Management of Hypertension - 1999' which are largely based on World Health Organization Recommendations. (Guidelines Subcommittee of the WHO-SH: 1999 WHO-ISH guidelines for management of hypertension. J Hypertension 1999; 17:151-83). Australian Bureau of Statistics 1998. National Nutrition Survey User's Guide 1995. Cat. No. 4801.0. Canberra: ABS. (p. 20). National Diabetes Outcomes Quality Review Initiative (NDOQRIN) data dictionary. Reference documents: 'Guidelines for the Management of Hypertension - 1999' largely based on World Health Organization Recommendations. (Guidelines Subcommittee of the WHO) J Hypertension 1999; 17: 151-83.). Diabetes Control and Complications Trial: DCCT New England Journal of Medicine, 329(14), September 30, 1993. UKPDS 38 Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UK Prospective Diabetes Study Group. British Medical Journal (1998); 317: 703-713. Relational attributes Related metadata references: Supersedes Blood pressure - systolic measured, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005 .pdf (25.9 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Diabetes (clinical) DSS Health, Standard 21/09/2005

Data type

integer

Measurement units
  • mmHg
mmHg
CVD drug therapy—condition
Description

Person—cardiovascular disease condition targeted by drug therapy, code NN Identifying and definitional attributes Short name: CVD drug therapy—condition METeOR identifier: 270193 Registration status: Health, Standard 01/03/2005 Definition: The condition(s) for which drug therapy is being used for the prevention or long-term treatment of cardiovascular disease, as represented by a code. Data Element Concept: Person—cardiovascular disease condition targeted by drug therapy Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Heart failure 02 Ischaemic heart disease 03 Hypertension 04 Atrial fibrillation (AF) 05 Other dysrhythmia or conductive disorder 06 Dyslipidaemia 07 Peripheral vascular disease (PVD) 08 Renal vascular disease 09 Stroke 10 Transient ischaemic attack (TIA) 97 Other 98 No CVD drugs prescribed Supplementary values: 99 Not recorded Collection and usage attributes Guide for use: The categorisations may be made using the most recent version of the Australian Modification of the appropriate International Classification of Diseases codes. Data element attributes Collection and usage attributes Guide for use: More than one code can be recorded. Comments: References such as the Australian Medicines Handbook can be used to identify specific drugs that are appropriate for use in the management of the conditions identified in the value domain. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Relational attributes Related metadata references: Supersedes CVD drug therapy - condition, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (16.0 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

text

Cholesterol—total (measured)
Description

Person—cholesterol level (measured), total millimoles per litre N[N].N Identifying and definitional attributes Short name: Cholesterol—total (measured) METeOR identifier: 359245 Registration status: Health, Standard 01/10/2008 Definition: A person's total cholesterol (TC), measured in millimoles per litre. Data Element Concept: Person—cholesterol level Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[N].N Maximum character length: 3 Supplementary values: Value Meaning 99.9 Not stated/inadequately described. Unit of measure: Millimole per litre (mmol/L) Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: Scientific studies have shown a continuous relationship between lipid levels and coronary heart disease and overwhelming evidence that lipid lowering interventions reduce coronary heart disease progression, morbidity and mortality. Studies show a positive relationship between an individual's total blood cholesterol level and risk of coronary heart disease as well as death (Kannel & Gordon 1970; Pocock et al. 1989). Many studies have demonstrated the significance of blood cholesterol components as risk factors for heart, stroke and vascular disease. Several generalisations can be made from these cholesterol lowering trials: • that the results of the intervention trials are consistent with the prospective population studies in which (excluding possible regression dilution bias) a 1.0 mmol/L reduction in plasma total cholesterol translates into an approximate 20% reduction in the risk of future coronary events. • It should be emphasised, however, that this conclusion does not necessarily apply beyond the range of cholesterol levels which have been tested in these studies. • That the benefits of cholesterol lowering are apparent in people with and without coronary artery disease. There is high level evidence that in patients with existing coronary heart disease, lipid intervention therapy reduces the risk of subsequent stroke Data element attributes Collection and usage attributes Guide for use: Measurement in mmol/L to 1 decimal place. Record the absolute result of the total cholesterol measurement. When reporting, record whether or not the measurement of Cholesterol-total - measured was performed in a fasting specimen. Collection methods: When reporting, record absolute result of the most recent Cholesterol-total - measured in the last 12 months to the nearest 0.1 mmol/L. Measurement of lipid levels should be carried out by laboratories, or practices, which have been accredited to perform these tests by the National Association of Testing Authorities. • To be collected as a single venous blood sample, preferably following a 12-hour fast where only water and medications have been consumed. • Prolonged tourniquet use can artefactually increase levels by up to 20%. Comments: In settings where the monitoring of a person's health is ongoing and where a measure can change over time (such as general practice), the Service contact—service contact date, DDMMYYYY should be recorded. High blood cholesterol is a key factor in heart, stroke and vascular disease, especially coronary heart disease. Poor nutrition can be a contributing factor to heart, stroke and vascular disease as a population's level of saturated fat intake is the prime determinant of its level of blood cholesterol. Large clinical trials have shown that people at highest risk of cardiovascular events (e.g. pre-existing ischaemic heart disease) will derive the greatest benefit from lipid lowering drugs. Recent trials have suggested that there should be no cholesterol level threshold for the initiation of treatment in tis group of patients. In October 2006, the PBS criteria for lipid-lowering drugs was expanded to include all patients identified as high-risk (based on PBS criteria) regardless of their cholesterol level. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand, Lipid Management Guidelines - 2001, MJA 2001; 175: S57-S88 National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand, Position Statement on Lipid Management - 2005, Heart Lung and Circulation 2005; 14: 275-291. National Health Priority Areas Report: Cardiovascular Health 1998. AIHW Cat. No. PHE 9. HEALTH and AIHW, Canberra. The Royal College of Pathologists of Australasia web based Manual of Use and Interpretation of Pathology Tests. Version 4.0. Relational attributes Related metadata references: Supersedes Person—cholesterol level (measured), total millimoles per litre N[N].N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

float

Measurement units
  • mmol/L
mmol/L
Country of birth
Description

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

Creatinine serum level (measured)
Description

Person—creatinine serum level, total micromoles per litre NN[NN] Identifying and definitional attributes Short name: Creatinine serum level (measured) METeOR identifier: 360936 Registration status: Health, Standard 01/10/2008 Definition: A person's serum creatinine level measured in micromoles per litre. Data Element Concept: Person—creatinine serum level Value domain attributes Representational attributes Representation class: Total Data type: String Format: NN[NN] Maximum character length: 4 Unit of measure: Micromole per litre (µmol/L) Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: In settings where the monitoring of a person's health is ongoing and where a measure can change over time (such as general practice), the Service contact—service contact date, DDMMYYYY should be recorded. Record absolute result of the most recent serum creatinine measurement in the last 12 months to the nearest µmol/L (micromoles per litre). Data element attributes Collection and usage attributes Guide for use: There is no agreed standard as to which units serum creatinine should be recorded in. Note: If the measurement is obtained in mmol/L it is to be multiplied by 1000. Collection methods: Measurement of creatinine should be carried out by laboratories, or practices, which have been accredited to perform these tests by the National Association of Testing Authority. • Single venous blood test taken at the time of other screening blood tests. • Fasting not required. Comments: Serum creatinine can be used to help determine renal function. Serum creatinine by itself is an insensitive measure of renal function because it does not increase until more than 50% of renal function has been lost. Serum creatinine together with a patient's age, weight and sex can be used to calculate glomerular filtration rate (GFR), which is an indicator of renal status/ function. The calculation uses the Cockcroft-Gault formula. Creatinine is normally produced in fairly constant amounts in the muscles, as a result the breakdown of phosphocreatine. It passes into the blood and is excreted in the urine. Serum creatinine can be used to help determine renal function. The elevation in the creatinine level in the blood indicates disturbance in kidney function. GFR decreases with age, but serum creatinine remains relatively stable. When serum creatinine is measured, renal function in the elderly tends to be overestimated, and GFR should be used to assess renal function, according to the Cockcroft-Gault formula: GFR (ml/min) = (140 - age [yrs]) x body wt (kg) [x 0.85 (for women)] 814 x serum creatinine (mmol/l) An alternative formula is derived from the Modification of Diet in Renal Disease (MDRD) study and does not rely on knowledge of body weight: GFR (ml/min/1.73m2) = 32788 x creatinine-1.154 (umol/L) x age-0.203 x (males: 1, females: 0.742). To determine the degree of chronic renal impairment GFR > 90ml/min - normal GFR >60 - 90ml/min - mild renal impairment GFR >30 - 60ml/min - moderate renal impairment GFR 0 - 30 ml/min - severe renal impairment Note: The above GFR measurement should be for a period greater than 3 months. GFR may also be assessed by 24-hour creatinine clearance adjusted for body surface area. In general, patients with GFR < 30 ml/min are at high risk of progressive deterioration in renal function and should be referred to a nephrology service for specialist management of renal failure. Patients should be assessed for the complications of chronic renal impairment including anaemia, hyperparathyroidism and be referred for specialist management if required. Patients with rapidly declining renal function or clinical features to suggest that residual renal function may decline rapidly (ie. hypertensive, proteinuric (>1g/24hours), significant comorbid illness) should be considered for referral to a nephrologist well before function declines to less than 30ml/min. (Draft CARI Guidelines 2002. Australian Kidney Foundation). Patients in whom the cause of renal impairment is uncertain should be referred to a nephrologist for assessment. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group National Diabetes Data Working Group Origin: Caring for Australians with Renal Impairment (CARI) Guidelines. Australian Kidney Foundation Relational attributes Related metadata references: Supersedes Person—creatinine serum level, micromoles per litre NN[NN] Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

integer

Measurement units
  • µmol/L
µmol/L
Date of birth
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 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

Diabetes status
Description

Person—diabetes mellitus status, code NN Identifying and definitional attributes Short name: Diabetes status METeOR identifier: 270194 Registration status: Health, Standard 01/03/2005 Indigenous, Endorsed 13/03/2015 Definition: Whether a person has or is at risk of diabetes, as represented by a code. Data Element Concept: Person—diabetes mellitus status Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Type 1 diabetes 02 Type 2 diabetes 03 Gestational diabetes mellitus (GDM) 04 Other (secondary diabetes) 05 Previous gestational diabetes mellitus (GDM) 06 Impaired fasting glucose (IFG) 07 Impaired glucose tolerance (IGT) 08 Not diagnosed with diabetes 09 Not assessed Supplementary values: 99 Not stated/inadequately described Collection and usage attributes Guide for use: Note that where there is a Gestational diabetes mellitus (GDM) or Previous GDM (i.e. permissible values 3 & 5) and a current history of Type 2 diabetes then record 'Code 2' Type 2 diabetes. This same principle applies where a history of either Impaired fasting glycaemia (IFG) or Impaired glucose tolerance (IGT) and a current history and Type 2 diabetes, then record 'Code 2' Type 2 diabetes. CODE 01 Type 1 diabetes Beta-cell destruction, usually leading to absolute insulin deficiency. Includes those cases attributed to an autoimmune process, as well as those with beta-cell destruction and who are prone to ketoacidosis for which neither an aetiology nor pathogenesis is known (idiopathic). It does not include those forms of beta-cell destruction or failure to which specific causes can be assigned (e.g. cystic fibrosis, mitochondrial defects). Some subjects with Type 1 diabetes can be identified at earlier clinical stages than 'diabetes mellitus'. CODE 02 Type 2 diabetes Type 2 includes the common major form of diabetes, which results from defect(s) in insulin secretion, almost always with a major contribution from insulin resistance. CODE 03 Gestational diabetes mellitus (GDM) GDM is a carbohydrate intolerance resulting in hyperglycaemia of variable severity with onset or first recognition during pregnancy. The definition applies irrespective of whether or not insulin is used for treatment or the condition persists after pregnancy. Diagnosis is to be based on the Australian Diabetes in Pregnancy Society (ADIPS) Guidelines. CODE 04 Other (secondary diabetes) This categorisation include less common causes of diabetes mellitus, but are those in which the underlying defect or disease process can be identified in a relatively specific manner. They include, for example, genetic defects of beta-cell function, genetic defects in insulin action, diseases of the exocrine pancreas, endocrinopathies, drug or chemical-induced, infections, uncommon forms of immune-mediated diabetes, other genetic syndromes sometimes associated with diabetes. CODE 05 Previous GDM Where the person has a history of GDM. CODE 06 Impaired fasting glycaemia (IFG) IFG or 'non-diabetic fasting hyperglycaemia' refers to fasting glucose concentrations, which are lower than those required to diagnose diabetes mellitus but higher than the normal reference range. An individual is considered to have IFG if they have a fasting plasma glucose of 6.1 or greater and less than 7.0 mmol/L if challenged with an oral glucose load, they have a fasting plasma glucose concentration of 6.1 mmol/L or greater, but less than 7.0 mmol/L, AND the 2 hour value in the Oral Glucose Tolerance Test (OGTT) is less than 7.8 mmol/L. CODE 07 Impaired glucose tolerance (IGT) IGT is categorised as a stage in the natural history of disordered carbohydrate metabolism; subjects with IGT have an increased risk of progressing to diabetes. IGT refers to a metabolic state intermediate between normal glucose homeostasis and diabetes. Those individuals with IGT manifest glucose intolerance only when challenged with an oral glucose load. IGT is diagnosed if the 2 hour value in the OGTT is greater than 7.8 mmol/L. and less than 11.1 mmol/L AND the fasting plasma glucose concentration is less than 7.0 mmol/L. CODE 08 Not diagnosed with diabetes The subject has no known diagnosis of Type 1, Type 2, GDM, Previous GDM, IFG, IGT or Other (secondary diabetes). CODE 09 Not assessed The subject has not had their diabetes status assessed. CODE 99 Not stated/inadequately described This code is for unknown or information unavailable. Collection methods: The diagnosis is derived from and must be substantiated by clinical documentation. Source and reference attributes Origin: Developed based on Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications Part 1: Diagnosis and Classifications of Diabetes Mellitus Provisional Report of a World Health Organization Consultation (Alberti & Zimmet 1998). Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: People with diabetes have two to five times increased risk of developing heart, stroke and vascular disease (Zimmet & Alberti 1997). Cardiovascular disease is the most common cause of death in people with diabetes. Diabetes is also an important cause of stroke, and people with diabetes may have a worse prognosis after stroke. Heart, stroke and vascular disease and diabetes share common risk factors, but also diabetes is an independent risk factor for heart, stroke and vascular disease. During the 1995 National Health Survey, about 15 per cent of those with diabetes reported having heart disease, at almost six times the rate noted among people without diabetes. In 1996-97, almost one in six hospital separations, with coronary heart disease as any listed diagnosis, also had diabetes recorded as an associated diagnosis. Heart disease appears earlier in life and is more often fatal among those with diabetes. Diabetes may accentuate the role of elevated blood pressure in stroke. The incidence and prevalence of peripheral vascular disease in those with diabetes increase with the duration of the peripheral vascular disease. Mortality is increased among patients with peripheral vascular disease and diabetes, in particular if foot ulcerations, infection or gangrene occur. There is limited information on whether the presence of heart, stroke and vascular disease promotes diabetes in some way. High blood pressure, high cholesterol and obesity are often present along with diabetes. As well as all being independent cardiovascular risk factors, when they are in combination with glucose intolerance (a feature of diabetes) and other risk factors such as physical inactivity and smoking, these factors present a greater risk for heart, stroke and vascular disease. Evidence is accumulating that high cholesterol and glucose intolerance, which often occur together, may have a common aetiological factor. Despite these similarities, trends in cardiovascular mortality and diabetes incidence and mortality are moving in opposite directions. While the ageing of the population following reductions in cardiovascular mortality may have contributed to these contrasting trends, the role of other factors also needs to be clearly understood if common risk factor prevention strategies are to be considered. (From Commonwealth Department of Health & Aged Care and Australian Institute of Health and Welfare (1999) National Health Priority Areas Report: Cardiovascular Health). In settings such as general practice where the monitoring of a person's health is ongoing and where diabetes status can change over time, the service contact date should be recorded. Data element attributes Collection and usage attributes Collection methods: Diabetes (clinical): A type of diabetes should be recorded and coded for each episode of patient care. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group National Diabetes Data Working Group Relational attributes Related metadata references: Supersedes Diabetes status, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (27.3 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Diabetes (clinical) DSS Health, Standard 21/09/2005 Indigenous primary health care DSS 2015- Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Implementation in Indicators: Used as numerator 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: 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: 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: 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 Used as denominator 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: 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: 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: 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: 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

Data type

text

Diabetes therapy type
Description

Person—diabetes therapy type, code NN Identifying and definitional attributes Short name: Diabetes therapy type METeOR identifier: 270236 Registration status: Health, Standard 01/03/2005 Definition: The type of diabetes therapy the person is currently receiving, as represented by a code. Data Element Concept: Person—diabetes therapy type Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Diet and exercise only 02 Oral hypoglycaemic - sulphonylurea only 03 Oral hypoglycaemic - biguanide (eg metformin) only 04 Oral hypoglycaemic - alpha-glucosidase inhibitor only 05 Oral hypoglycaemic - thiazolidinedione only 06 Oral hypoglycaemic - meglitinide only 07 Oral hypoglycaemic - combination (eg biguanide & sulphonylurea) 08 Oral hypoglycaemic - other 09 Insulin only 10 Insulin plus oral hypoglycaemic 98 Nil - not currently receiving diabetes treatment Supplementary values: 99 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 01 Diet & exercise only This code includes the options of generalised prescribed diet; avoid added sugar/simple carbohydrates (CHOs); low joule diet; portion exchange diet and uses glycaemic index and a recommendation for increased exercise. CODE 98 Nil - not currently receiving diabetes treatment This code is used when there is no current diet, tablets or insulin therapy(ies). CODE 99 Not stated/inadequately described Use this code when missing information. Data element attributes Collection and usage attributes Collection methods: To be collected at the commencement of treatment and at each review. Comments: In settings where the monitoring of a person's health is ongoing and where management can change over time (such as general practice), the Service contact—service contact date, DDMMYYYY should be recorded. The main use of this data element is to enable categorisation of management regimes against best practice for diabetes. Source and reference attributes Submitting organisation: National Diabetes Data Working Group Cardiovascular Data Working Group Reference documents: Berkow R, editor. The Merck Manual. 16th ed. Rahway (New Jersey, USA): Merck Research Laboratories; 1992. Relational attributes Related metadata references: Supersedes Diabetes therapy type, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (19.1 KB) See also Female—type of diabetes mellitus therapy during pregnancy, code N Health, Standard 07/03/2014 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Diabetes (clinical) DSS Health, Standard 21/09/2005

Data type

text

Formal community support access status
Description

Person—formal community support access indicator (current), code N Identifying and definitional attributes Short name: Formal community support access status METeOR identifier: 270169 Registration status: Health, Standard 01/03/2005 Definition: Whether a person is currently accessing a formal community support service or services, as represented by a code. Data Element Concept: Person—formal community support access indicator Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Currently accessing 2 Currently not accessing Supplementary values: 9 Not known/inadequately described Data element attributes Collection and usage attributes Guide for use: CODE 1: The person is currently accessing at least one paid community support service (i.e. meals on wheels, home help, in-home respite, service packages, district nursing services, etc). CODE 2: The person is not currently accessing any paid community support service or services. CODE 9: The person's current status with regards to accessing community support services is not known or inadequately described for more specific coding. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Relational attributes Related metadata references: Supersedes Formal community support access status, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (14.5 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

integer

Height (measured)
Description

Person—height (measured), total centimetres NN[N].N Identifying and definitional attributes Short name: Height (measured) METeOR identifier: 270361 Registration status: Health, Standard 01/03/2005 Definition: The height of a person measured in centimetres. Context: Public health and health care Data Element Concept: Person—height Value domain attributes Representational attributes Representation class: Total Data type: Number Format: NN[N].N Maximum character length: 4 Supplementary values: Value Meaning 999.9 Not measured Unit of measure: Centimetre (cm) Data element attributes Collection and usage attributes Guide for use: In order to ensure consistency in measurement, the measurement protocol described under Collection methods should be used. Measurements of height should be assessed in relation to children and adolescents' age and pubertal status. Collection methods: The measurement protocol described below are those recommended by the International Society for the Advancement of Kinanthropometry as described by Norton et al. (1996), and the World Health Organization (WHO Expert Committee 1995), which was adapted from Lohman et al. (1988). Measurement protocol: Height measurements can be based on recumbent length or standing height. In general, length measurements are recommended for children under 2 years of age and height measurements for others. The measurement of height requires a vertical metric rule, a horizontal headboard, and a non-compressible flat even surface on which the subject stands. The equipment may be fixed or portable, and should be described and reported. The graduations on the metric rule should be at 0.1 cm intervals, and the metric rule should have the capacity to measure up to at least 210 cm. Measurement intervals and labels should be clearly readable under all conditions of use of the instrument. Apparatus that allows height to be measured while the subject stands on a platform scale is not recommended. Adults and children who can stand: The subject should be measured without shoes (i.e. is barefoot or wears thin socks) and wears little clothing so that the positioning of the body can be seen. Anything that may affect or interfere with the measurement should be noted on the data collection form (e.g. hairstyles and accessories, or physical problems). The subject stands with weight distributed evenly on both feet, heels together, and the head positioned so that the line of vision is at right angles to the body. The correct position for the head is in the Frankfort horizontal plan (Norton et al. 1996). The arms hang freely by the sides. The head, back, buttocks and heels are positioned vertically so that the buttocks and the heels are in contact with the vertical board. To obtain a consistent measure, the subject is asked to inhale deeply and stretch to their fullest height. The measurer applies gentle upward pressure through the mastoid processes to maintain a fully erect position when the measurement is taken. Ensure that the head remains positioned so that the line of vision is at right angles to the body, and the heels remain in contact with the base board. The movable headboard is brought onto the top of the head with sufficient pressure to compress the hair. The measurement is recorded to the nearest 0.1 cm. Take a repeat measurement. If the two measurements disagree by more than 0.5 cm, then take a third measurement. All raw measurements should be recorded on the data collection form. If practical, it is preferable to enter the raw data into the database as this enables intra-observer and, where relevant, inter-observer errors to be assessed. The subject's measured height is subsequently calculated as the mean of the two observations, or the mean of the two closest measurements if a third is taken, and recorded on the form. If only a mean value is entered into the database then the data collection forms should be retained. It may be necessary to round the mean value to the nearest 0.1 cm. If so, rounding should be to the nearest even digit to reduce systematic over reporting (Armitage & Berry 1994). For example, a mean value of 172.25 cm would be rounded to 172.2 cm, while a mean value of 172.35 cm would be rounded to 172.4 cm. Infants: For the measurement of supine length of children up to and including 2 years of age, two observers are required. One observer positions the head correctly while the other ensures the remaining position is correct and brings the measuring board in contact with the feet. The subject lies in a supine position on a recumbent length table or measuring board. The crown of the head must touch the stationary, vertical headboard. The subject's head is held with the line of vision aligned perpendicular to the plane of the measuring surface. The shoulders and buttocks must be flat against the table top, with the shoulders and hips aligned at right angles to the long axis of the body. The legs must be extended at the hips and knees and lie flat against the table top and the arms rest against the sides of the trunk. The measurer must ensure that the legs remain flat on the table and must shift the movable board against the heels. In infants care has to be taken to extend the legs gently. In some older children two observers may also be required. In general, length or height is measured and reported to the nearest 0.1 cm. For any child, the length measurement is approximately 0.5 - 1.5 cm greater than the height measurement. It is therefore recommended that when a length measurement is applied to a height-based reference for children over 24 months of age (or over 85 cm if age is not known), 1.0 cm be subtracted before the length measurement is compared with the reference. It is also recommended that as a matter of procedure and data recording accuracy, the date be recorded when the change is made from supine to standing height measure. Validation and quality control measures: All equipment, whether fixed or portable should be checked prior to each measurement session to ensure that both the headboard and floor (or footboard) are at 90 degrees to the vertical rule. With some types of portable anthropometer it is necessary to check the correct alignment of the headboard, during each measurement, by means of a spirit level. Within- and, if relevant, between-observer variability should be reported. They can be assessed by the same (within-) or different (between-) observers repeating the measurement of height, on the same subjects, under standard conditions after a short time interval. The standard deviation of replicate measurements (technical error of measurement (Pederson & Gore 1996)) between observers should not exceed 5 mm and be less than 5 mm within observers. Extreme values at the lower and upper end of the distribution of measured height should be checked both during data collection and after data entry. Individuals should not be excluded on the basis of true biological difference. Last digit preference, and preference or avoidance of certain values, should be analysed in the total sample and (if relevant) by observer, survey site and over time if the survey period is long. Comments: This metadata item applies to persons of all ages. It is recommended for use in population surveys and health care settings. It is recommended that in population surveys, sociodemographic data including ethnicity should be collected, as well as other risk factors including physiological status (e.g. pregnancy), physical activity, smoking and alcohol consumption. Summary statistics may need to be adjusted for these variables. Metadata items currently exist for sex, date of birth, country of birth, Indigenous status and smoking. Metadata items are being developed for physical activity. Presentation of data: Means, 95% confidence intervals, medians and centiles should be reported to one decimal place. Where the sample permits, population estimates should be presented by sex and 5-year age groups. However 5-year age groups are not generally suitable for children and adolescents. Estimates based on sample surveys may need to take into account sampling weights. For consistency with conventional practice, and for current comparability with international data sets, recommended centiles are 5, 10, 15, 25, 50, 75, 85, 90 and 95. To estimate the 5th and 95th centiles, a sample size of at least 200 is recommended for each group for which the centiles are being specified. For some reporting purposes, it may be desirable to present height data in categories. It is recommended that 5 cm groupings are used for this purpose. Height data should not be rounded before categorisation. The following categories may be appropriate for describing the heights of Australian men, women, children and adolescents although the range will depend on the population: Height 70 cm = Height 75 cm = Height ... in 5 cm categories 185 cm = Height Height => 190 cm Relational attributes Related metadata references: Is used in the formation of Adult—body mass index (measured), ratio NN[N].N[N] Health, Standard 01/03/2005 Is used in the formation of Adult—body mass index (self-reported), ratio NN[N].N[N] Health, Standard 01/03/2005, National Health Performance Authority, Standard 24/10/2013 Is used in the formation of Child—body mass index (measured), ratio NN[N].N[N] Health, Standard 01/03/2005 Is used in the formation of Child—body mass index (self-reported), ratio NN[N].N[N] Health, Standard 01/03/2005 Supersedes Height - measured, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (28.7 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Diabetes (clinical) DSS Health, Standard 21/09/2005 Perinatal DSS 2015-16 Health, Standard 13/11/2014

Data type

float

Measurement units
  • cm
cm
Cholesterol—HDL (measured)
Description

Person—high-density lipoprotein cholesterol level (measured), total millimoles per litre [N].NN Identifying and definitional attributes Short name: Cholesterol—HDL (measured) METeOR identifier: 270401 Registration status: Health, Standard 01/03/2005 Definition: A person's high-density lipoprotein cholesterol (HDL-C), measured in mmol/L. Data Element Concept: Person—high-density lipoprotein cholesterol level Value domain attributes Representational attributes Representation class: Total Data type: Number Format: [N].NN Maximum character length: 3 Supplementary values: Value Meaning 9.99 Not measured/inadequately described Unit of measure: Millimole per litre (mmol/L) Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: High-density Lipoprotein Cholesterol (HDL-C) is easily measured and has been shown to be a negative predictor of future coronary events. An inverse relationship between the level of HDL-C and the risk of developing premature coronary heart disease (CHD) has been a consistent finding in a large number of prospective population studies. In many of these studies, the level of HDL-C has been the single most powerful predictor of future coronary events. Key studies of the relationship between HDLs and CHD include the Framingham Heart Study (Castelli et al. 1986), the PROCAM Study (Assman et al 1998), the Helsinki Heart Study (Manninen et al. 1992) and the MRFIT study (Stamler et al. 1986; Neaton et al 1992). There are several well-documented functions of HDLs that may explain the ability of these lipoproteins to protect against arteriosclerosis (Barter and Rye 1996). The best recognised of these is the cholesterol efflux from cells promoted by HDLs in a process that may minimise the accumulation of foam cells in the artery wall. The major proteins of HDLs and also other proteins (e.g. paraoxonase) that co-transport with HDLs in plasma have anti-oxidant properties. Thus, HDLs have the ability to inhibit the oxidative modification of LDLs and may therefore reduce the atherogenicity of these lipoproteins. Overall, it has been concluded from the prospective population studies that for every 0.025 mmol/L increase in HDL-C, the coronary risk is reduced by 2-5%. For a review of the relationship between HDL-C and CHD, see Barter and Rye (1996). A level below 1.0 mmol/L increases risk approximately 2-fold (Gordon et al. 1989; Assmann et al. 1998). (Lipid Management Guidelines - 2001, MJA 2001; 175: S57-S88. In settings such as general practice where the monitoring of a person's health is ongoing and where a measure can change over time, the Service contact date should be recorded. Data element attributes Collection and usage attributes Guide for use: When reporting, record whether or not the measurement of High-density Lipoprotein Cholesterol (HDL-C) was performed in a fasting specimen. In settings where the monitoring of a person's health is ongoing and where a measure can change over time (such as general practice), the date of assessment should be recorded. Collection methods: When reporting, record absolute result of the most recent HDL-Cholesterol measurement in the last 12 months to the nearest 0.01 mmol/L. Measurement of lipid levels should be carried out by laboratories, or practices, which have been accredited to perform these tests by the National Association of Testing Authorities. • To be collected as a single venous blood sample, preferably following a 12-hour fast where only water and medications have been consumed. • Prolonged tourniquet use can artefactually increase levels by up to 20%. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group National Diabetes Data Working Group Origin: National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand, Lipid Management Guidelines - 2001, MJA 2001; 175: S57-S88. Relational attributes Related metadata references: Supersedes Cholesterol-HDL - measured, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (22.0 KB) Is used in the formation of Person—low-density lipoprotein cholesterol level (calculated), total millimoles per litre N[N].N Health, Superseded 01/10/2008 Is used in the formation of Person—low-density lipoprotein cholesterol level (calculated), total millimoles per litre N[N].N Health, Standard 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Diabetes (clinical) DSS Health, Standard 21/09/2005

Data type

float

Measurement units
  • mmol/L
mmol/L
Indigenous status
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 715) wwas 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

Informal carer existence indicator
Description

Person—informal carer existence indicator, code N Identifying and definitional attributes Short name: Informal carer existence indicator Synonymous names: Informal carer availability, Informal carer existence flag, Carer arrangements (informal) METeOR identifier: 320939 Registration status: Health, Standard 04/07/2007 Disability, Standard 07/10/2014 Community Services (retired), Standard 29/04/2006 Definition: Whether a person has an informal carer, as represented by a code. Data Element Concept: Person—informal carer existence indicator Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Yes 2 No Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 9 Not stated/inadequately described This code is not for use in primary data collections. Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: Informal carers are now present in 1 in 20 households in Australia (Schofield HL. Herrman HE, Bloch S, Howe A and Singh B. ANZ J PubH. 1997) and are acknowledged as having a very important role in the care of stroke survivors (Stroke Australia Task Force. National Stroke Strategy. NSF; 1997) and in those with end-stage renal disease. Absence of a carer may also preclude certain treatment approaches (for example, home dialysis for end-stage renal disease). Social isolation has also been shown to have a negative impact on prognosis in males with known coronary artery disease with several studies suggesting increased mortality rates in those living alone or with no confidant. Data element attributes Collection and usage attributes Guide for use: Informal carers may include those people who receive a pension or benefit for their caring role and people providing care under family care agreements. Excluded from the definition of informal carers are volunteers organised by formal services and paid workers. This metadata item is purely descriptive of a client's circumstances. It is not intended to reflect whether the informal carer is considered by the service provider to be capable of undertaking the caring role. The expressed views of the client and/or their carer should be used as the basis for determining whether the client is recorded as having an informal carer or not. When asking a client whether they have an informal carer, it is important for agencies or establishments to recognise that a carer does not always live with the person for whom they care. That is, a person providing significant care and assistance to the client does not have to live with the client in order to be called an informal carer. Collection methods: Agencies or establishments and service providers may collect this item at the beginning of each service episode and /or assess this information at subsequent assessments. Some agencies, establishments/providers may record this information historically so that they can track changes over time. Historical recording refers to the practice of maintaining a record of changes over time where each change is accompanied by the appropriate date. Examples of questions that have been used for data collection include: Home and Community Care NMDS ‘Do you have someone who helps look after you?’ Commonwealth State/Territory Disability Agreement NMDS ‘Does the service user have an informal carer, such as family member, friend or neighbour, who provides care and assistance on a regular and sustained basis? Comments: Recent years have witnessed a growing recognition of the critical role that informal support networks play in caring for frail older people and people with disabilities within the community. Not only are informal carers responsible for maintaining people with often high levels of functional dependence within the community, but the absence of an informal carer is a significant risk factor contributing to institutionalisation. Increasing interest in the needs of carers and the role they play has prompted greater interest in collecting more reliable and detailed information about carers and the relationship between informal care and the provision of and need for formal services. This definition of informal carer is not the same as the Australian Bureau of Statistics (ABS) definition of principal carer, 2003 Survey of Disability, Ageing and Carers and primary carer used in the 1998 survey. The ABS definitions require that the carer has or will provide care for a certain amount of time and that they provide certain types of care. The ABS defines a primary carer as a person of any age who provides the most informal assistance, in terms of help or supervision, to a person with one or more disabilities. The assistance has to be ongoing, or likely to be ongoing, for at least six months and be provided for one or more of the core activities (communication, mobility and self care). This may not be appropriate for community services agencies wishing to obtain information about a person's carer regardless of the amount of time that care is for, or the types of care provided. Information such as the amount of time for which care is provided can of course be collected separately but, if it were not needed, it would place a burden on service providers. Source and reference attributes Origin: Australian Institute of Health and Welfare National Health Data Committee National Community Services Data Committee Reference documents: Australian Bureau of Statistics (ABS) 1993 Disability, Ageing and Carers Survey and 2003 Survey of Disability, Ageing and Carers. Australian Institute of Health and Welfare (2005) Commonwealth State/Territory Disability Agreement National Minimum Data Set collection (CSTDA NMDS) Data Guide: 2005-06. National HACC Minimum Data Set User Guide Version 2 July 2005. Home and Community Care (HACC) Program. Relational attributes Related metadata references: Supersedes Person (requiring care)—carer availability status, code N Health, Superseded 04/07/2007, Community Services (retired), Superseded 29/04/2006 Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 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

Data type

text

Labour force status
Description

Person—labour force status, code N Identifying and definitional attributes Short name: Labour force status METeOR identifier: 270112 Registration status: Housing assistance, Standard 01/03/2005 Health, Standard 01/03/2005 Homelessness, Standard 23/08/2010 WA Health, Draft 23/08/2012 Disability, Standard 07/10/2014 Community Services (retired), Standard 01/03/2005 Definition: The self reported status the person currently has in being either in the labour force (employed/unemployed) or not in the labour force, as represented by a code. Data Element Concept: Person—labour force status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Employed 2 Unemployed 3 Not in the labour force Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 1 Employed: Persons aged 15 years and over who, during the reference week: (a) worked for one hour or more for pay, profit, commission or payment in kind in a job or business, or on a farm (comprising 'Employees', 'Employers' and 'Own Account Workers'); or (b) worked for one hour or more without pay in a family business or on a farm (i.e. 'Contributing Family Worker'); or (c) were 'Employees' who had a job but were not at work and were: • on paid leave • on leave without pay, for less than four weeks, up to the end of the reference week • stood down without pay because of bad weather or plant breakdown at their place of employment, for less than four weeks up to the end of the reference week • on strike or locked out • on workers' compensation and expected to be returning to their job, or • receiving wages or salary while undertaking full-time study; or (d) were 'Employers', 'Own Account Workers' or 'Contributing Family Workers' who had a job, business or farm, but were not at work. CODE 2 Unemployed: Unemployed persons are those aged 15 years and over who were not employed during the reference week, and: (a) had actively looked for full-time or part-time work at any time in the four weeks up to the end of the reference week. Were available for work in the reference week, or would have been available except for temporary illness (i.e. lasting for less than four weeks to the end of the reference week). Or were waiting to start a new job within four weeks from the end of the reference week and would have started in the reference week if the job had been available then; or (b) were waiting to be called back to a full-time or part-time job from which they had been stood down without pay for less than four weeks up to the end of the reference week (including the whole of the reference week) for reasons other than bad weather or plant breakdown. Note: Actively looking for work includes writing, telephoning or applying in person to an employer for work. It also includes answering a newspaper advertisement for a job, checking factory or job placement agency notice boards, being registered with a job placement agency, checking or registering with any other employment agency, advertising or tendering for work or contacting friends or relatives. CODE 3 Not in the Labour Force: Persons not in the labour force are those persons aged 15 years and over who, during the reference week, were not in the categories employed or unemployed, as defined. They include persons who were keeping house (unpaid), retired, voluntarily inactive, permanently unable to work, persons in institutions (hospitals, gaols, sanatoriums, etc.), trainee teachers, members of contemplative religious orders, and persons whose only activity during the reference week was jury service or unpaid voluntary work for a charitable organisation. Collection methods: For information about collection, refer to the ABS website: http://www.abs.gov.au/Ausstats/abs@.nsf/0/AEB5AA310D 68DF8FCA25697E0018FED8?Open Source and reference attributes Origin: Australian Bureau of Statistics 1995. Directory of Concepts and Standards for Social, Labour and Demographic Variables. Australia 1995. Cat. no. 1361.0.30.001. Canberra: AGPS. http://www.abs.gov.au/Ausstats/abs@.nsf/0/AEB5AA310D68 DF8FCA25697E0018FED8?Open (last viewed 21 December 2005) Data element attributes Collection and usage attributes Comments: Labour force status is one indicator of the socio-economic status of a person and is a key element in assessing the circumstances and needs of individuals and families. Source and reference attributes Origin: Health Data Standards Committee Relational attributes Related metadata references: Supersedes Labour force status, version 3, DE, Int. NCSDD & NHDD, NCSIMG & NHIMG, Superseded 01/03/2005.pdf (19.5 KB) See also Person—occupation (main), code (ANZSCO 2013 Version 1.2) N[NNN]{NN} Disability, Standard 13/08/2015, Community Services (retired), Standard 01/10/2013 Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 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 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 Specialist Homelessness Services NMDS 2014-15 Housing assistance, Standard 30/06/2014 Homelessness, Standard 30/06/2014 Implementation in Indicators: Used as numerator National Disability Agreement: a(1)- Proportion of people with disability who are in the labour force, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: a(2)- Proportion of people with disability who are employed, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: a(3)- Proportion of people with disability who are unemployed, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: a(4)- Proportion of people with disability who are underemployed, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: g(1)-Proportion of carers (of people with disability) who are in the labour force, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: g(2)-Proportion of carers (of people with disability) who are employed, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: g(3)-Proportion of carers (of people with disability) in the labour force who are unemployed, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Indigenous Reform Agreement: PI 14a-Level of workforce participation (Census data), 2014 Indigenous, Endorsed 13/12/2013 National Indigenous Reform Agreement: PI 14a-Level of workforce participation (Census data), 2015 Indigenous, Endorsed 24/11/2014 National Indigenous Reform Agreement: PI 14b-Level of workforce participation (survey data), 2014 Indigenous, Endorsed 13/12/2013 Used as denominator National Disability Agreement: a(3)- Proportion of people with disability who are unemployed, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: a(4)- Proportion of people with disability who are underemployed, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Disability Agreement: g(3)-Proportion of carers (of people with disability) in the labour force who are unemployed, 2013 Disability, Standard 13/08/2015 Community Services (retired), Standard 23/05/2013 National Indigenous Reform Agreement: PI 14a-Level of workforce participation (Census data), 2014 Indigenous, Endorsed 13/12/2013

Data type

integer

Living arrangement
Description

Person—living arrangement, health sector code N Identifying and definitional attributes Short name: Living arrangement METeOR identifier: 299712 Registration status: Health, Standard 14/06/2005 Definition: Whether a person usually resides alone or with others, as represented by a code. Context: Client support needs and clinical setting. Data Element Concept: Person—living arrangement Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Lives alone 2 Lives with others Supplementary values: 9 Not stated/inadequately described Data element attributes Collection and usage attributes Collection methods: This item does not seek to describe the quality of the arrangements but merely the fact of the arrangement. It is recognised that this item may change on a number of occasions during the course of an episode of care. Comments: Whether or not a person lives alone is a significant determinant of risk. Living alone may preclude certain treatment approaches (e.g. home dialysis for end-stage renal disease). Social isolation has also been shown to have a negative impact on prognosis in males with known coronary artery disease with several studies suggesting increased mortality rates in those living alone or with no confidant. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Relational attributes Related metadata references: Supersedes Living arrangement, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.0 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

integer

Cholesterol—LDL (calculated)
Description

Person—low-density lipoprotein cholesterol level (calculated), total millimoles per litre N[N].N Identifying and definitional attributes Short name: Cholesterol—LDL (calculated) METeOR identifier: 359262 Registration status: Health, Standard 01/10/2008 Definition: A person's calculated low-density lipoprotein cholesterol (LDL-C) in millimoles per litre. Data Element Concept: Person—low-density lipoprotein cholesterol level Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[N].N Maximum character length: 3 Supplementary values: Value Meaning 99.9 Not stated/inadequately described Unit of measure: Millimole per litre (mmol/L) Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: Many studies have demonstrated the significance of blood cholesterol components as risk factors for heart, stroke and vascular disease. Scientific studies have shown a continuous relationship between lipid levels and Coronary Heart Disease (CHD) and overwhelming evidence that lipid lowering interventions reduces CHD progression, morbidity and mortality. There are many large-scale, prospective population studies defining the relationship between plasma total (and Low-density Lipoprotein (LDL)) cholesterol and the future risk of developing CHD. The results of prospective population studies are consistent and support several general conclusions: • the majority of people with CHD do not have markedly elevated levels of plasma total cholesterol or LDL-C, • there is a continuous positive but curvilinear relationship between the concentration of plasma total (and LDL) cholesterol and the risk of having a coronary event and of dying from CHD, • there is no evidence that a low level of plasma (or LDL) cholesterol predisposes to an increase in non-coronary mortality. The excess non-coronary mortality at low cholesterol levels in the Honolulu Heart Study (Yano et al. 1983; Stemmermann et al. 1991) was apparent only in people who smoked and is consistent with a view that smokers may have occult smoking related disease that is responsible for both an increased mortality and a low plasma cholesterol. It should be emphasised that the prospective studies demonstrate an association between plasma total cholesterol and LDL-C and the risk of developing CHD. (Lipid Management Guidelines - 2001, MJA 2001; 175: S57-S88 and Commonwealth Department of Health & Ageing and Australian Institute of Health and Welfare (1999) National Health Priority Areas Report: Cardiovascular Health 1998. AIHW Cat. No. PHE 9. HEALTH and AIHW, Canberra pgs 14-17). In settings such as general practice where the monitoring of a person's health is ongoing and where a measure can change over time, the service contact date should be recorded. Data element attributes Collection and usage attributes Guide for use: Formula: LDL-C = (plasma total cholesterol) - (high density lipoprotein cholesterol) - (fasting plasma triglyceride divided by 2.2). Collection methods: The LDL-C is usually calculated from the Friedwald Equation (Friedwald et al. 1972), which depends on knowing the blood levels of the total cholesterol and HDL-C and the fasting level of the triglyceride. Note that the Friedwald equation becomes unreliable when the plasma triglyceride exceeds 4.5 mmol/L. Note also that while cholesterol levels are reliable for the first 24 hours after the onset of acute coronary syndromes, they may be unreliable for the subsequent 8 weeks after an event. • Measurement of lipid levels should be carried out by laboratories, or practices, which have been accredited to perform these tests by the National Association of Testing Authorities. • To be collected as a single venous blood sample, preferably following a 12-hour fast where only water and medications have been consumed. Comments: High blood cholesterol is a key factor in heart, stroke and vascular disease, especially coronary heart disease (CHD). Poor nutrition can be a contributing factor to heart, stroke and vascular disease as a population's level of saturated fat intake is the prime determinant of its level of blood cholesterol. The majority of the cholesterol in plasma is transported as a component of LDL-C. Recent trials support a target LDL-C of <2.0 mmol/L for high risk patients with existing coronary heart disease. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand, Lipid Management Guidelines - 2001, MJA 2001; 175: S57-S88. National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand, Position Statement on Lipid Management - 2005, Heart, Lung and Circulation 2005; 14: 275-291. Relational attributes Related metadata references: Is formed using Health service event—fasting indicator, code N Health, Standard 21/09/2005 Is formed using Person—cholesterol level (measured), total millimoles per litre N[N].N Health, Superseded 01/10/2008 Is formed using Person—high-density lipoprotein cholesterol level (measured), total millimoles per litre [N].NN Health, Standard 01/03/2005 Supersedes Person—low-density lipoprotein cholesterol level (calculated), total millimoles per litre N[N].N Health, Superseded 01/10/2008 Is formed using Person—triglyceride level (measured), total millimoles per litre N[N].N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

float

Measurement units
  • mmol/L
mmol/L
Tobacco smoking—consumption/quantity (cigarettes)
Description

Person—number of cigarettes smoked (per day), total N[N] Identifying and definitional attributes Short name: Tobacco smoking—consumption/quantity (cigarettes) METeOR identifier: 270332 Registration status: Health, Standard 01/03/2005 Definition: The total number of cigarettes (manufactured or roll-your-own) smoked per day by a person. Context: Public health and health care Data Element Concept: Person—number of cigarettes smoked Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[N] Maximum character length: 2 Supplementary values: Value Meaning 99 Not stated/inadequately described Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: The number of cigarettes smoked is an important measure of the magnitude of the tobacco problem for an individual. Research shows that of Australians who smoke, the overwhelming majority smoke cigarettes (manufactured or roll-your-own) rather than other tobacco products. From a public health point of view, consumption level is relevant only for regular smokers (those who smoke daily or at least weekly). Data on quantity smoked can be used to: • evaluate health promotion and disease prevention programs (assessment of interventions) • monitor health risk factors and progress towards National Health Goals and Targets • ascertain determinants and consequences of smoking • assess a person's exposure to tobacco smoke. Data element attributes Collection and usage attributes Guide for use: This metadata item is relevant only for persons who currently smoke cigarettes daily or at least weekly. Daily consumption should be reported, rather than weekly consumption. Weekly consumption is converted to daily consumption by dividing by 7 and rounding to the nearest whole number. Quantities greater than 98 (extremely rare) should be recorded as 98. Collection methods: The recommended standard for collecting this information is the Standard Questions on the Use of Tobacco Among Adults (1998) - interviewer administered (Questions 3a and 3b) and self-administered (Questions 2a and 2b) versions. The questions cover persons aged 18 and over. Comments: The number of cigarettes smoked is an important measure of the magnitude of the tobacco problem for an individual. Research shows that of Australians who smoke, the overwhelming majority smoke cigarettes (manufactured or roll-your-own) rather than other tobacco products. From a public health point of view, consumption level is relevant only for regular smokers (those who smoke daily or at least weekly). Data on quantity smoked can be used to: • evaluate health promotion and disease prevention programs (assessment of interventions) • monitor health risk factors and progress towards National Health Goals and Targets • ascertain determinants and consequences of smoking • assess a person's exposure to tobacco smoke. Where this information is collected by survey and the sample permits, population estimates should be presented by sex and 5-year age groups. Summary statistics may need to be adjusted for age and other relevant variables. It is recommended that in surveys of smoking, data on age, sex and other socio-demographic variables should be collected. It is also recommended that when smoking is investigated in relation to health, data on other risk factors including pregnancy status, physical activity, overweight and obesity, and alcohol consumption should be collected. Relational attributes Related metadata references: Supersedes Tobacco smoking - consumption/quantity (cigarettes), version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (16.7 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Lung cancer (clinical) DSS Health, Standard 14/05/2015

Data type

integer

Person identifier
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

Physical activity sufficiency status
Description

Person—physical activity sufficiency status, code N Identifying and definitional attributes Short name: Physical activity sufficiency status METeOR identifier: 270054 Registration status: Health, Standard 01/03/2005 Definition: Sufficiency of moderate or vigorous physical activity to confer a health benefit, as represented by a code. Data Element Concept: Person—physical activity sufficiency status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Sufficient 2 Insufficient 3 Sedentary Supplementary values: 9 Not stated/inadequately described Data element attributes Collection and usage attributes Guide for use: The clinician makes a judgment based on assessment of the person's reported physical activity history for a usual 7-day period where: CODE 1: Sufficient physical activity for health benefit for a usual 7-day period is calculated by summing the total minutes of walking, moderate and/or vigorous physical activity. Vigorous physical activity is weighted by a factor of two to account for its greater intensity. Total minutes for health benefit need to be equal to or more than 150 minutes per week. CODE 2: Insufficient physical activity for health benefit is where the sum of the total minutes of walking, moderate and/or vigorous physical activity for a usual 7-day period is less than 150 minutes but more than 0 minutes. CODE 3: Sedentary is where there has been no moderate and/or vigorous physical activity during a usual 7-day period. CODE 9: There is insufficient information to more accurately define the person's physical activity sufficiency status or the information is not known. Note: The National Heart Foundation of Australia and the National Physical Activity Guidelines for Australians describes moderate-intensity physical activity as causing a slight but noticeable, increase in breathing and heart rate and suggests that the person should be able to comfortably talk but not sing. Examples of moderate physical activity include brisk walking, low pace swimming, light to moderate intensity exercise classes. Vigorous physical activity is described as activity, which causes the person to 'huff and puff', and where talking in a full sentence between breaths is difficult. Examples of vigorous physical activity include jogging, swimming (freestyle) and singles tennis. Comments: The above grouping subdivides a population into three mutually exclusive categories. A sufficiently physically active person is a person who is physically active on a regular weekly basis equal to or in excess of that required for a health benefit. Sufficient physical activity for health results from participation in physical activity of adequate duration and intensity. Although there is no clear absolute threshold for health benefit, the accrual of 150 minutes of moderate (at least) intensity physical activity over a period of one week is thought to confer health benefit. Walking is included as a moderate intensity physical activity. Note that the 150 minutes of moderate physical activity should be made up of 30 minutes on most days of the week and this can be accumulated in 10 minute bouts (National Physical Activity Guidelines for Australians). Health benefits can also be obtained by participation in vigorous physical activity, in approximate proportion to the total amount of activity performed, measured either as energy expenditure or minutes of physical activity (Pate et al. 1995). Physical activity - health benefit for vigorous physical activity is calculated by: • incorporating a weighted factor of 2, to account for its greater intensity • summing the total minutes of walking, moderate and/or vigorous physical activity will then give an indication if a health benefit is likely. Insufficient physical activity describes a person who engages in regular weekly physical activity but not to the level required for a health benefit through either moderate or vigorous physical activity. A sedentary person is a person who does not engage in any regular weekly physical activity. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: The National Heart Foundation of Australia's Physical Activity Policy, April 2001. National Physical Activity Guidelines For Australians, developed by the University of Western Australia & the Centre for Health Promotion Relational attributes Related metadata references: Supersedes Physical activity sufficiency status, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (19.5 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

integer

Preferred language
Description

Person—preferred language, code (ASCL 2011) NN{NN} Identifying and definitional attributes Short name: Preferred language METeOR identifier: 460123 Registration status: Housing assistance, Standard 13/10/2011 Health, Standard 13/10/2011 Homelessness, Standard 13/10/2011 Tasmanian Health, Draft 12/09/2012 Community Services (retired), Standard 13/10/2011 Definition: The language (including sign language) most preferred by the person for communication, as represented by a code. Data Element Concept: Person—preferred language Value domain attributes Representational attributes Classification scheme: Australian Standard Classification of Languages 2011 Representation class: Code Data type: Number Format: NN{NN} Maximum character length: 4 Collection and usage attributes Guide for use: The Australian Standard Classification of Languages (ASCL) has a three-level hierarchical structure. The most detailed level of the classification consists of base units (languages) which are represented by four-digit codes. The second level of the classification comprises narrow groups of languages (the Narrow group level), identified by the first two digits. The most general level of the classification consists of broad groups of languages (the Broad group level) and is identified by the first digit. The classification includes Australian Indigenous languages and sign languages. For example, the Lithuanian language has a code of 3102. In this case 3 denotes that it is an Eastern European language, while 31 denotes that it is a Baltic language. The Pintupi Aboriginal language is coded as 8713. In this case 8 denotes that it is an Australian Indigenous language and 87 denotes that the language is a Western Desert language. Language data may be output at the Broad group level, Narrow group level or base level of the classification. If necessary, significant languages within a Narrow group can be presented separately while the remaining languages in the Narrow group are aggregated. The same principle can be adopted to highlight significant Narrow groups within a Broad group. Data element attributes Collection and usage attributes Guide for use: This may be a language other than English even where the person can speak fluent English. Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Reference documents: ABS cat. no. 1267.0. Australian Standard Classification of Languages (ASCL), 2011. Canberra: Australian Bureau of Statistics Relational attributes Related metadata references: See also Person—main language other than English spoken at home, code (ASCL 2011) NN{NN} Housing assistance, Standard 13/10/2011, Health, Standard 13/10/2011, Homelessness, Standard 13/10/2011, Disability, Standard 13/08/2015, Community Services (retired), Standard 13/10/2011 Supersedes Person—preferred language, code (ASCL 2005) NN{NN} Health, Superseded 13/10/2011, Community Services (retired), Superseded 13/10/2011 Implementation in Data Set Specifications: Alcohol and other drug treatment services NMDS 2015- Health, Standard 13/11/2014 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Public dental waiting times NMDS 2013- Health, Standard 09/11/2012

Data type

integer

Premature cardiovascular disease family history (status)
Description

Person—premature cardiovascular disease family history status, code N Identifying and definitional attributes Short name: Premature cardiovascular disease family history (status) METeOR identifier: 359398 Registration status: Health, Standard 01/10/2008 Definition: Whether a person has a first degree relative (father, mother or sibling) who has had a vascular event or condition diagnosed before the age of 60 years, as represented by a code. Data Element Concept: Person—premature cardiovascular disease family history status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Yes 2 No 3 Family history status not known Supplementary values: 9 Not recorded Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: Having a family history of cardiovascular disease (CVD) is a risk factor for CVD and the risk increases if the event in the family member occurs at a young age. For vascular risk assessment a premature family history is considered to be present where a first-degree relative under age 60 years (woman or man) has had a vascular event/condition diagnosed. The evidence of family history being a strong risk factor for stroke only applies to certain limited stroke subtypes in certain populations. Data element attributes Collection and usage attributes Guide for use: CODE 1: Yes, the person has a first-degree relative under the age of 60 years who has had a vascular disease/condition diagnosed. CODE 2: No, the person does not have a first-degree relative under the age of 60 years who has had a vascular disease/condition diagnosed. CODE 3: Family history status not known, the existence of a premature family history for cardiovascular disease cannot be determined. CODE 9: Not recorded, the information as to the existence of a premature family history for cardiovascular disease has not been recorded. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: Guidelines Subcommittee of the World Health Organization/International Society of Hypertension (WHO-ISH): 1999 WHO-ISH guidelines for management of hypertension. J Hypertension 1999; 17: 151 - 83. Relational attributes Related metadata references: Supersedes Person—premature cardiovascular disease family history status, code N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

integer

Proteinuria status
Description

Person—proteinuria status, code N{.N} Identifying and definitional attributes Short name: Proteinuria status METeOR identifier: 270346 Registration status: Health, Standard 01/03/2005 Definition: Whether there is a presence of excessive protein in the urine of the person, as represented by a code. Data Element Concept: Person—proteinuria status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N{.N} Maximum character length: 2 Permissible values: Value Meaning 1 Negative for protein 1.1 Microalbuminuria present 1.2 Microalbuminuria not present 1.3 Microalbuminuria not tested 2 Proteinuria 3 Not tested Supplementary values: 9 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 1 Negative for protein Negative for proteinuria - less than 1 plus on dipstick-testing or excretion of 300 mg or less of protein from 24-hour urine collection. CODE 1.1 Microalbuminuria present Microalbuminuria present CODE 1.2 Microalbuminuria not present Microalbuminuria not present CODE 1.3 Microalbuminuria not tested Microalbuminuria not tested CODE 2 Proteinuria Proteinuria - one or more pluses of protein in dipstick urinalysis or for a 24-hour urine collection, where the patient excretes more than 300 mg/per day of protein. CODE 3 Not tested Not tested - no urinalysis for proteinuria was taken. Collection methods: Where laboratory testing is used to determine Proteinuria status the categorisation must be substantiated by clinical documentation such as an official laboratory report. Data element attributes Collection and usage attributes Collection methods: Dipstick testing can be used to test for protein in a urine specimen. Proteinuria (i.e. excessive protein in the urine) on dipstick urinalysis is described as one or more pluses of protein and for a 24-hour urine collection where the patient excretes more than 300 mg/day of protein. Microalbuminuria can be determining using any one of the following tests: spot urine, timed urine (24-hour collection) or albumin/creatinine ratio. Although the presence of microalbuminuria does not warrant categorisation as proteinuria, it is clinically significant in the diagnosis and treatment of diabetes. Comments: In settings where the monitoring of a person's health is ongoing and where a measure can change over time (such as general practice), the Patient—diagnosis date, DDMMYYYY should be recorded. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Relational attributes Related metadata references: Supersedes Proteinuria - status, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (16.7 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

text

Renal disease therapy
Description

Person—renal disease therapy, code N Identifying and definitional attributes Short name: Renal disease therapy METeOR identifier: 270264 Registration status: Health, Standard 01/03/2005 Definition: The therapy the person is receiving for renal disease, as represented by a code. Data Element Concept: Person—renal disease therapy Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Drugs for modification of renal disease 2 Drugs for treatment of complications of renal disease 3 Peritoneal dialysis 4 Haemodialysis 5 Functioning renal transplant Collection and usage attributes Guide for use: CODE 1 Drugs for modification of renal disease This code is used to indicate drugs for modification of renal disease, includes drugs intended to slow progression of renal failure. Examples include antiproteinurics such as angiotensin converting enzyme inhibitors (ACEI), angiotensin II receptor antagonists (ATRA) and immunosuppressants. CODE 2 Drugs for treatment of complications of renal disease This code is used to indicate drugs for the treatment of the complications of renal disease. Examples include antihypertensive agents and drugs that are intended to correct biochemical imbalances caused by renal disease (e.g. loop diuretics, ACEI, erythropoietin, calcitriol, etc). CODE 3 Peritoneal dialysis This code is used to indicate peritoneal dialysis, chronic peritoneal dialysis, delivered at home, at a dialysis satellite centre or in hospital. CODE 4 Haemodialysis This code is used to indicate haemodialysis, chronic haemodialysis delivered at home, at a dialysis satellite centre or in hospital. CODE 5 Functioning renal transplant This code is used to indicate functioning renal transplant, the presence of a functioning renal transplant. Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: Nephrotoxic agents (including radiocontrast) should be avoided where possible. Drugs that impair auto-regulation of glomerular filtration rate (GFR) (NSAIDs, COX-2, ACEI, ATRA) should be used with caution in renal impairment, particularly when patients are acutely unwell for other reasons (sepsis, peri-operative etc). Although combination ACEI and diuretic can be a very potent and efficacious means of reducing blood pressure (and thereby slowing progression), either drug should be introduced individually and carefully in a patient with underlying renal impairment. At the very least, diuretic therapy should be held or reduced when commencing an ACEI in a patient with renal impairment. Combination therapy with ACEI, diuretics and NSAIDs or COX-2 may be particularly harmful. Drugs, which are primarily excreted by the kidney (e.g. metformin, sotalol, cisapride, etc.) need to be used with caution in patients with renal impairment. The calculated GFR needs to be determined and the dose reduced or the drug avoided as appropriate. Data element attributes Collection and usage attributes Guide for use: More than one code can be recorded. Collection methods: To be collected on commencement of treatment and regularly reviewed. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: Caring for Australians with Renal Impairment Guidelines. Australian Kidney Foundation Relational attributes Related metadata references: Supersedes Renal disease therapy, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (17.5 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

integer

Sex
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 DSSHealth, 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, 2015Health, 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)-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 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

Tobacco smoking status
Description

Person—tobacco smoking status, code N Identifying and definitional attributes Short name: Tobacco smoking status METeOR identifier: 270311 Registration status: Health, Standard 01/03/2005 Indigenous, Endorsed 13/03/2015 Definition: A person's current and past smoking behaviour, as represented by a code. Context: Public health and health care Data Element Concept: Person—tobacco smoking status Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Daily smoker 2 Weekly smoker 3 Irregular smoker 4 Ex-smoker 5 Never smoked Collection and usage attributes Guide for use: CODE 1 Daily smoker A person who smokes daily CODE 2 Weekly smoker A person who smokes at least weekly but not daily CODE 3 Irregular smoker A person who smokes less than weekly CODE 4 Ex-smoker A person who does not smoke at all now, but has smoked at least 100 cigarettes or a similar amount of other tobacco products in his/her lifetime. CODE 5 Never-smoker A person who does not smoke now and has smoked fewer than 100 cigarettes or similar amount of other tobacco products in his/her lifetime. Source and reference attributes Reference documents: Standard Questions on the Use of Tobacco Among Adults (1998) Data element attributes Collection and usage attributes Collection methods: The recommended standard for collecting this information is the Standard Questions on the Use of Tobacco Among Adults - interviewer administered (Questions 1 and 4) and self-administered (Questions 1 and 1a) versions. The questionnaires are designed to cover persons aged 18 years and over. Comments: There are two other ways of categorising this information: • Regular and irregular smokers where a regular smoker includes someone who is a daily smoker or a weekly smoker. 'Regular' smoker is the preferred category to be reported in prevalence estimates. • Daily and occasional smokers where an occasional smoker includes someone who is a weekly or irregular smoker. The category of 'occasional' smoker can be used when the aim of the study is to draw contrast between daily smokers and other smokers. Where this information is collected by survey and the sample permits, population estimates should be presented by sex and 5-year age groups. Summary statistics may need to be adjusted for age and other relevant variables. Smoker type is used to define subpopulations of adults (age 18+ years) based on their smoking behaviour. Smoking has long been known as a health risk factor. Population studies indicate a relationship between smoking and increased mortality/morbidity. This data element can be used to estimate smoking prevalence. Other uses are: • To evaluate health promotion and disease prevention programs (assessment of interventions) • To monitor health risk factors and progress towards National Health Goals and Targets It is recommended that in surveys of smoking, data on age, sex and other socio-demographic variables should be collected. It is also recommended that when smoking is investigated in relation to health, data on other risk factors including pregnancy status, physical activity, overweight and obesity, and alcohol consumption should be collected. Relational attributes Related metadata references: See also Person—tobacco smoking status, code NN Health, Standard 13/03/2015, Indigenous, Endorsed 13/03/2015 Supersedes Tobacco smoking status, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (18.5 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Indigenous primary health care DSS 2015- Health, Standard 13/03/2015 Indigenous, Endorsed 13/03/2015 Lung cancer (clinical) DSS Health, Standard 14/05/2015 Implementation in Indicators: Used as numerator 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 National Health Performance Authority, Healthy Communities, Percentage of adults who are daily smokers, 2011–12 National Health Performance Authority, Standard 24/10/2013 National Indigenous Reform Agreement: PI 03-Rates of current daily smokers, 2014 Indigenous, Endorsed 13/12/2013

Data type

integer

Triglyceride level (measured)
Description

Person—triglyceride level (measured), total millimoles per litre N[N].N Identifying and definitional attributes Short name: Triglyceride level (measured) METeOR identifier: 359411 Registration status: Health, Standard 01/10/2008 Definition: A person's triglyceride level measured in millimoles per litre. Data Element Concept: Person—triglyceride level Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[N].N Maximum character length: 3 Supplementary values: Value Meaning 99.9 Not stated/inadequately described. Unit of measure: Millimole per litre (mmol/L) Data set specification specific attributes Cardiovascular disease (clinical) DSS DSS specific information: A relationship between triglyceride and High-density Lipoprotein Cholesterol (HDL-C) and chronic heart disease (CHD) event rates has been shown. This view is supported by the observation that the remnants of triglyceride-rich lipoproteins are the particles that occur in dysbetalipoproteinaemia, a condition associated with a very high risk of premature atherosclerotic vascular disease. There have been two comprehensive reviews of the relationship between plasma triglyceride and CHD (see Criqui et al. 1993 and Austin et al. 1991). Criqui concludes that triglyceride is not an independent predictor of CHD and is probably not causally related to the disease, while Austin provides a compelling case for a causal role of (at least) some triglyceride rich lipoproteins. Conclusions drawn from population studies of the relationship between plasma triglyceride and the risk of CHD include the following: • an elevated concentration of plasma triglyceride (> 2.0 mmol/L) is predictive of CHD when associated with either an increased concentration of LDL-C or a decreased concentration of HDL-C. • the relationship between CHD risk and plasma triglyceride is not continuous, with evidence that the risk is greatest in people with triglyceride levels between 2 and 6 mmol/L (Lipid Management Guidelines - 2001, MJA 2001; 175: S57-S88. National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand). It is likely that the positive relationship between plasma triglyceride and CHD, as observed in many population studies, is because an elevated level of plasma triglyceride in some people is a reflection of an accumulation of the atherogenic remnants of chylomicrons and very Low-density Lipoprotein (LDL). These particles are rich in both triglyceride and cholesterol and appear to be at least as atherogenic as LDL. Data element attributes Collection and usage attributes Guide for use: Record the absolute result of the total triglyceride measurement. Collection methods: Measurement of lipid levels should be carried out by laboratories, or practices, which have been accredited to perform these tests by the National Association of Testing Authorities. • To be collected as a single venous blood sample, preferably following a 12-hour fast where only water and medications have been consumed. Note that to calculate the low-density lipoprotein - cholesterol (LDL-C) from the Friedwald Equation (Friedwald et al, 1972): • a fasting level of plasma triglyceride and knowledge of the levels of plasma total cholesterol and high-density lipoprotein - cholesterol (HDL-C) is required, • the Friedwald equation becomes unreliable when the plasma triglyceride exceeds 4.5 mmol/L, and • that while levels are reliable for the first 24 hours after the onset of acute coronary syndromes, they may be unreliable for the subsequent 8 weeks after an event. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Relational attributes Related metadata references: Supersedes Person—triglyceride level (measured), total millimoles per litre N[N].N Health, Superseded 01/10/2008 Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

float

Measurement units
  • mmol/L
mmol/L
Vascular history
Description

Person—vascular condition status (history), code NN Identifying and definitional attributes Short name: Vascular history METeOR identifier: 269958 Registration status: Health, Standard 01/03/2005 Definition: Whether the person has had a history of vascular conditions, as represented by a code. Context: The vascular history of the patient is important as an element in defining future risk for a cardiovascular event and as a factor in determining best practice management for various cardiovascular risk factor(s). It may be used to map vascular conditions, assist in risk stratification and link to best practice management. Data Element Concept: Person—vascular condition status Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Myocardial infarction 02 Unstable angina pectoris 03 Angina 04 Heart failure 05 Atrial fibrillation 06 Other dysrhythmia or conductive disorder 07 Rheumatic heart disease 08 Non-rheumatic valvular heart disease 09 Left ventricular hypertrophy 10 Stroke 11 Transient ischaemic attack 12 Hypertension 13 Peripheral vascular disease (includes abdominal aortic aneurism) 14 Deep vein thrombosis 15 Other atherosclerotic disease 16 Carotid stenosis 17 Vascular renal disease 18 Vascular retinopathy (hypertensive) 19 Vascular retinopathy (diabetic) 97 Other vascular 98 No vascular history Supplementary values: 99 Unknown/not stated /not specified Collection and usage attributes Comments: Can be mapped to the current version of ICD-10-AM. Source and reference attributes Origin: International Classification of Diseases - Tenth Revision - Australian Modification (3rd Edition 2000), National Centre for Classification in Health, Sydney Data element attributes Collection and usage attributes Guide for use: More than one code can be recorded. Collection methods: Ideally, vascular history information is derived from and substantiated by clinical documentation. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: National Centre for Classification in Health National Data Standards for Injury Surveillance Advisory Group Relational attributes Related metadata references: Supersedes Vascular history, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (17.8 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

text

Vascular procedures (history)
Description

Person—vascular procedures (history), code NN Identifying and definitional attributes Short name: Vascular procedures METeOR identifier: 269962 Registration status: Health, Standard 01/03/2005 Definition: The vascular procedures the person has undergone, as represented by a code. Data Element Concept: Person—vascular procedure Value domain attributes Representational attributes Representation class: Code Data type: String Format: NN Maximum character length: 2 Permissible values: Value Meaning 01 Amputation for arterial vascular insufficiency 02 Carotid endarterectomy 03 Carotid angioplasty/stenting 04 Coronary angioplasty/stenting 05 Coronary artery bypass grafting 06 Renal artery angioplasty/stenting 07 Heart transplant 08 Heart valve surgery 09 Abdominal aortic aneurism repair/bypass graft/stenting 10 Cerebral circulation angioplasty/stenting 11 Femoral/popliteal bypass/graft/stenting 12 Congenital heart and blood vessel defect surgery 13 Permanent pacemaker implantation 14 Implantable cardiac defibrillator 98 Other Supplementary values: 99 Unknown/not recorded Data element attributes Collection and usage attributes Collection methods: Ideally, Vascular procedure information is derived from and substantiated by clinical documentation. Comments: In settings where the monitoring of a person's health is ongoing and where a history can change over time (such as general practice), the Service contact—service contact date, DDMMYYYY should be recorded. Source and reference attributes Submitting organisation: Cardiovascular Data Working Group Origin: Australian Institute of Health and Welfare (AIHW) 2001. Heart, stroke and vascular diseases - Australian facts 2001. AIHW Cat. No. CVD 13. Canberra: AIHW, National Heart foundation of Australia, National Stroke Foundation of Australia (CVD Series No. 14) Relational attributes Related metadata references: Supersedes Vascular procedures, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (16.5 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

text

Waist circumference (measured)
Description

Person—waist circumference (measured), total centimetres NN[N].N Identifying and definitional attributes Short name: Waist circumference (measured) METeOR identifier: 270129 Registration status: Health, Standard 01/03/2005 Definition: A person's waist circumference measured in centimetres. Data Element Concept: Person—waist circumference Value domain attributes Representational attributes Representation class: Total Data type: Number Format: NN[N].N Maximum character length: 4 Supplementary values: Value Meaning 999.9 Not measured Unit of measure: Centimetre (cm) Data element attributes Collection and usage attributes Collection methods: The collection of anthropometric measurements, particularly in those who are overweight or obese or who are concerned about their weight, should be performed with great sensitivity, and without drawing attention to an individual's weight. The measurement protocol described below is that recommended by the World Health Organization (WHO Expert Committee 1995) which was adapted from Lohman et al. (1988) and the International Society for the Advancement of Kinanthropometry as described by Norton et al. (1996). In order to ensure consistency in measurement, the following measurement protocol should be used. Measurement protocol: The measurement of waist circumference requires a narrow (7 mm wide), flexible, inelastic tape measure. The kind of tape used should be described and reported. The graduations on the tape measure should be at 0.1 cm intervals and the tape should have the capacity to measure up to 200 cm. Measurement intervals and labels should be clearly readable under all conditions of use of the tape measure. The subject should remove any belts and heavy outer clothing. Measurement of waist circumference should be taken over at most one layer of light clothing. Ideally the measure is made directly over the skin. The subject stands comfortably with weight evenly distributed on both feet, and the feet separated about 25-30 cm. The arms should hang loosely at the sides. Posture can affect waist circumference. The measurement is taken midway between the inferior margin of the last rib and the crest of the ilium, in the mid-axillary plane. Each landmark should be palpated and marked, and the midpoint determined with a tape measure and marked. The circumference is measured with an inelastic tape maintained in a horizontal plane, at the end of normal expiration. The tape is snug, but does not compress underlying soft tissues. The measurer is positioned by the side of the subject to read the tape. To ensure contiguity of the two parts of the tape from which the circumference is to be determined, the cross-handed technique of measurement, as described by Norton et al. (1996), should be used. Ideally an assistant will check the position of the tape on the opposite side of the subject's body. The measurement is recorded at the end of a normal expiration to the nearest 0.1 cm. Take a repeat measurement and record it to the nearest 0.1 cm. If the two measurements disagree by more than 1 cm, take a third measurement. All raw measurements should be recorded on the data collection form. If practical, it is preferable to enter the raw data into the database as this enables intra-observer and, where relevant, inter-observer errors to be assessed. The subject's measured waist circumference is subsequently calculated as the mean of the two observations, or the mean of the two closest measurements if a third is taken, and recorded on the form. If only a mean value is entered into the database then the data collection forms should be retained. It may be necessary to round the mean value to the nearest 0.1 cm. If so, rounding should be to the nearest even digit to reduce systematic over-reporting (Armitage & Berry 1994). For example, a mean value of 72.25 cm would be rounded to 72.2 cm, while a mean value of 72.35 cm would be rounded to 72.4 cm. Validation and quality control measures: Steel tapes should be checked against a 1 metre engineer's rule every 12 months. If tapes other than steel are used they should be checked daily against a steel rule. Within- and, if relevant, between-observer variability should be reported. They can be assessed by the same (within -) or different (between-) observers repeating the measurement, on the same subjects, under standard conditions after a short time interval. The standard deviation of replicate measurements (technical error of measurement (Pederson & Gore 1996) between observers should not exceed 2% and be less than 1.5% within observers. Extreme values at the lower and upper end of the distribution of measured waist circumference should be checked both during data collection and after data entry. Individuals should not be excluded on the basis of true biological difference. Last-digit preference, and preference or avoidance of certain values, should be analysed in the total sample and (if relevant) by observer, survey site and over time if the survey period is long. Comments: This metadata item is recommended for use in population surveys and health care settings. It is recommended that in population surveys, sociodemographic data including ethnicity should be collected, as well as other risk factors including physiological status (e.g. pregnancy), physical activity, smoking and alcohol consumption. Summary statistics may need to be adjusted for these variables. National health metadata items currently exist for sex, date of birth, country of birth, Indigenous status and smoking. Metadata items are being developed for physical activity. Presentation of data: Means, 95% confidence intervals, medians and centiles should be reported to one decimal place. Where the sample permits, population estimates should be presented by sex and 5-year age groups. However 5-year age groups are not generally suitable for children and adolescents. Estimates based on sample surveys may need to take into account sampling weights. For consistency with conventional practice, and for current comparability with international data sets, recommended centiles are 5, 10, 15, 25, 50, 75, 85, 90 and 95. To estimate the 5th and 95th centiles, a sample size of at least 200 is recommended for each group for which the centiles are being specified. For reporting purposes, it may be desirable to present waist circumference in categories. It is recommended that 5-cm groupings are used for this purpose. Waist circumference should not be rounded before categorisation. The following categories may be appropriate for describing the waist circumferences of Australian men, women children and adolescents, although the range will depend on the population. Waist 35 cm = Waist 40 cm = Waist ... in 5 cm categories 105 cm = Waist Waist => 110 cm Source and reference attributes Submitting organisation: World Health Organization International Society for the Advancement of Kinanthropometry Relational attributes Related metadata references: Is used in the formation of Adult—waist-to-hip ratio, N.NN Health, Standard 01/03/2005 Supersedes Waist circumference - measured, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (26.0 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012

Data type

float

Measurement units
  • cm
cm
Weight in kilograms (measured)
Description

Person—weight (measured), total kilograms N[NN].N Identifying and definitional attributes Short name: Weight in kilograms (measured) Synonymous names: Infant weight, neonate, stillborn METeOR identifier: 270208 Registration status: Health, Standard 01/03/2005 Definition: The weight (body mass) of a person measured in kilograms. Data Element Concept: Person—weight Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[NN].N Maximum character length: 4 Supplementary values: Value Meaning 999.9 Not collected Unit of measure: Kilogram (Kg) Unit of measure precision: 1 Collection and usage attributes Guide for use: A continuous variable measured to the nearest 0.1 kg. CODE 999.9 Not collected Use this code if measured weight is not collected. Data element attributes Collection and usage attributes Guide for use: In order to ensure consistency in measurement, the measurement protocol described under Collection methods should be used. Collection methods: The collection of anthropometric measurements, particularly in those who are overweight or obese or who are concerned about their weight, should be performed with great sensitivity and without drawing attention to an individual's weight. The measurement protocol described below is that recommended by the WHO Expert Committee (1995). Measurement protocol: Equipment used should be described and reported. Scales should have a resolution of at least 0.1kg and should have the capacity to weigh up to at least 200 kg. Measurement intervals and labels should be clearly readable under all conditions of use of the instrument. Scales should be capable of being calibrated across the entire range of measurements. Precision error should be no more than 0.1kg. Scales should be calibrated on each day of use. Manufacturers' guidelines should be followed with regard to the transportation of the scales. Adults and children who can stand: The subject stands over the centre of the weighing instrument, with the body weight evenly distributed between both feet. Heavy jewellery should be removed and pockets emptied. Light indoor clothing can be worn, excluding shoes, belts, and sweater. Any variations from light indoor clothing (e.g. heavy clothing, such as kaftans or coats worn because of cultural practices) should be noted on the data collection form. Adjustments for non-standard clothing (i.e. other than light indoor clothing) should only be made in the data checking/cleaning stage prior to data analysis. If the subject has had one or more limbs amputated, record this on the data collection form and weigh them as they are. If they are wearing an artificial limb, record this on the data collection form but do not ask them to remove it. Similarly, if they are not wearing the limb, record this but do not ask them to put it on. The measurement is recorded to the nearest 0.1 kg. If the scales do not have a digital readout, take a repeat measurement. If the two measurements disagree by more than 0.5 kg, then take a third measurement. All raw measurements should be recorded on the data collection form. If practical, it is preferable to enter the raw data into the database as this enables intra-observer and, where relevant, inter-observer errors to be assessed. The subject's measured weight is subsequently calculated as the mean of the two observations, or the mean of the two closest measurements if a third is taken, and recorded on the form. If only a mean value is entered into the database then the data collection forms should be retained. It may be necessary to round the mean value to the nearest 0.1 kg. If so, rounding should be to the nearest even digit to reduce systematic over reporting (Armitage and Berry 1994). For example, a mean value of 72.25 kg would be rounded to 72.2 kg, while a mean value of 72.35 kg would be rounded to 72.4 kg. Infants: Birth weight and gender should be recorded with gestational age. During infancy a levelled pan scale with a bean and movable weights or digital scales capable of measuring to two decimal places of a kilogram are acceptable. Birth weight should be determined within 12 hours of birth. The infant, with or without a nappy or diaper is placed on the scales so that the weight is distributed equally about the centre of the pan. When the infant is lying or suspended quietly, weight is recorded to the nearest 10 grams. If the nappy or diaper is worn, its weight is subtracted from the observed weight i.e. reference data for infants are based on nude weights. Validation and quality control measures: If practical, equipment should be checked daily using one or more objects of known weight in the range to be measured. It is recommended that the scale be calibrated at the extremes and in the mid range of the expected weight of the population being studied. Within- and, if relevant, between-observer variability should be reported. They can be assessed by the same (within -) or different (between-) observers repeating the measurement of weight, on the same subjects, under standard conditions after a short time interval. The standard deviation of replicate measurements (technical error of measurement) between observers should not exceed 0.5 kg and be less than 0.5 kg within observers. Extreme values at the lower and upper end of the distribution of measured height should be checked both during data collection and after data entry. Individuals should not be excluded on the basis of true biological difference. Last digit preference, and preference or avoidance of certain values, should be analysed in the total sample and (if relevant) by observer, survey site and over time if the survey period is long. Comments: This metadata item applies to persons of all ages. It is recommended for use in population surveys and health care settings. It is recommended that in population surveys, sociodemographic data including ethnicity should be collected, as well as other risk factors including physiological status (e.g. pregnancy), physical activity, smoking and alcohol consumption. Summary statistics may need to be adjusted for these variables. Metadata items currently exist for sex, date of birth, country of birth, Indigenous status and smoking. Metadata items are being developed for physical activity. Presentation of data: Means and 95% confidence intervals, medians and centiles should be reported to one decimal place. Where the sample permits, population estimates should be presented by sex and 5-year age groups. However 5-year age groups are not generally suitable for children and adolescents. Estimates based on sample surveys may need to take into account sampling weights. For consistency with conventional practice, and for current comparability with international data sets, recommended centiles are 5, 10, 15, 25, 50, 75, 85, 90 and 95. To estimate the 5th and 95th centiles, a sample size of at least 200 is recommended for each group for which the centiles are being specified. For some reporting purposes, it may be desirable to present weight data in categories. It is recommended that 5 kg groupings are used for this purpose. Weight data should not be rounded before categorisation. The following categories may be appropriate for describing the weights of Australian men, women, children and adolescents, although the range will depend on the population. Weight 10 kg = Weight 15 kg = Weight ... in 5 kg categories 135 kg = Weight Weight => 140 kg Source and reference attributes Submitting organisation: World Health Organization The consortium to develop standard methods for the collection and collation of anthropometric data in children as part of the National Food and Nutrition Monitoring and Surveillance Project, funded by the Commonwealth Department of Health and Ageing Reference documents: Clinical Guidelines on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults (US National Heart, Lung and Blood Institute (NHLBI) in cooperation with the National Institute of Diabetes and Digestive and Kidney Diseases). Chronic Diseases and Associated Risk Factors in Australia 2001 (AIHW). Relational attributes Related metadata references: Is used in the formation of Adult—body mass index (measured), ratio NN[N].N[N] Health, Standard 01/03/2005 Is used in the formation of Adult—body mass index (self-reported), ratio NN[N].N[N] Health, Standard 01/03/2005, National Health Performance Authority, Standard 24/10/2013 Is used in the formation of Child—body mass index (measured), ratio NN[N].N[N] Health, Standard 01/03/2005 Is used in the formation of Child—body mass index (self-reported), ratio NN[N].N[N] Health, Standard 01/03/2005 Supersedes Weight - measured, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (29.3 KB) Implementation in Data Set Specifications: Acute coronary syndrome (clinical) DSS 2013- Health, Standard 02/05/2013 Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Diabetes (clinical) DSS Health, Standard 21/09/2005 Perinatal DSS 2015-16 Health, Standard 13/11/2014

Data type

float

Measurement units
  • Kg
Kg
Service contact date
Description

Service contact—service contact date, DDMMYYYY Identifying and definitional attributes Short name: Service contact date METeOR identifier: 270122 Registration status: Health, Standard 01/03/2005 Indigenous, Draft 18/10/2012 National Health Performance Authority, Standard 09/08/2013 Definition: The date of service contact between a health service provider and patient/client. Data Element Concept: Service contact—service contact date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data element attributes Collection and usage attributes Guide for use: Requires services to record the date of each service contact, including the same date where multiple visits are made on one day (except where the visits may be regarded as a continuation of the one service contact). Where an individual patient/client participates in a group activity, a service contact date is recorded if the person's participation in the group activity results in a dated entry being made in the patient's/client's record. Collection methods: For collection from community based (ambulatory and non-residential) agencies. Relational attributes Related metadata references: Is used in the formation of Person—number of service contact dates, total N[NN] Health, Standard 01/03/2005 Supersedes Service contact date, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (15.1 KB) Implementation in Data Set Specifications: Cardiovascular disease (clinical) DSS Health, Standard 01/09/2012 Diabetes (clinical) DSS Health, Standard 21/09/2005 Implementation in Indicators: Used as numerator National Health Performance Authority, Healthy Communities: Immunisation rates for children, 2012–13 National Health Performance Authority, Standard 27/03/2014 Used as denominator National Health Performance Authority, Healthy Communities: Immunisation rates for children, 2012–13 National Health Performance Authority, Standard 27/03/2014

Data type

date

Similar models

Cardiovascular disease (clinical) Metadata Online Registry (METeOR)

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Address
Australian postcode (Postcode datafile)
Item
Australian postcode (address)
integer
Item Group
Division of general practice
Organisation identifier
Item
Division of General Practice number
integer
Item Group
Episode of care
Item
Behaviour-related risk factor intervention - purpose
integer
Code List
Behaviour-related risk factor intervention - purpose
CL Item
Smoking (1)
CL Item
Nutrition (2)
CL Item
Alcohol misuse (3)
CL Item
Physical inactivity (4)
CL Item
Other (8)
CL Item
Not stated/inadequately described (9)
Item
Behaviour-related risk factor intervention
text
Code List
Behaviour-related risk factor intervention
CL Item
No intervention (01)
CL Item
Information and education (not including written regimen) (02)
CL Item
Counselling (03)
CL Item
Pharmacotherapy (04)
CL Item
Referral provided to a health professional (05)
CL Item
Referral to a community program, support group or service (06)
CL Item
Written regimen provided (07)
CL Item
Surgery (08)
CL Item
Other (98)
CL Item
Not stated/inadequately defined (99)
Item Group
Health service event
Item
Fasting status
integer
Code List
Fasting status
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not stated/inadequately described (9)
Referral to rehabilitation service date
Item
Date of referral to rehabilitation
date
Item Group
Patient
Diagnosis date
Item
Date of diagnosis
date
Item Group
Person
Alcohol consumption amount (self-reported)
Item
Alcohol consumption in standard drinks per day (self reported)
integer
Item
Alcohol consumption frequency (self reported)
text
Code List
Alcohol consumption frequency (self reported)
CL Item
Every day/7 days per week (01)
CL Item
5 to 6 days per week (02)
CL Item
3 to 4 days per week (03)
CL Item
1 to 2 days per week (04)
CL Item
2 to 3 days per month (05)
CL Item
Once per month (06)
CL Item
7 to 11 days in the past year (07)
CL Item
4 to 6 days in the past year (08)
CL Item
2 to 3 days in the past year (09)
CL Item
Once in the past year (10)
CL Item
Never drank any alcoholic beverage in the past year (11)
CL Item
Never in my life (12)
CL Item
Not reported (99)
Blood pressure—diastolic (measured)
Item
Blood pressure—diastolic (measured)
integer
Blood pressure—systolic (measured)
Item
Blood pressure—systolic (measured)
integer
CL Item
Heart failure (01)
CL Item
Ischaemic heart disease (02)
CL Item
Hypertension (03)
CL Item
Atrial fibrillation (AF) (04)
CL Item
Other dysrhythmia or conductive disorder (05)
CL Item
Dyslipidaemia (06)
CL Item
Peripheral vascular disease (PVD) (07)
CL Item
Renal vascular disease (08)
CL Item
Stroke (09)
CL Item
Transient ischaemic attack (TIA) (10)
CL Item
Other (97)
CL Item
No CVD drugs prescribed (98)
CL Item
Not recorded (99)
Cholesterol level (measured)
Item
Cholesterol—total (measured)
float
Country of birth (SACC 2011)
Item
Country of birth
integer
Creatinine serum level
Item
Creatinine serum level (measured)
integer
Date of birth
Item
Date of birth
date
Item
Diabetes status
text
Code List
Diabetes status
CL Item
Type 1 diabetes (01)
CL Item
Type 2 diabetes (02)
CL Item
Gestational diabetes mellitus (GDM) (03)
CL Item
Other (secondary diabetes) (04)
CL Item
Previous gestational diabetes mellitus (GDM) (05)
CL Item
Impaired fasting glucose (IFG) (06)
CL Item
Impaired glucose tolerance (IGT) (07)
CL Item
Not diagnosed with diabetes (08)
CL Item
Not assessed (09)
CL Item
Not stated/inadequately described (99)
Item
Diabetes therapy type
text
Code List
Diabetes therapy type
CL Item
Diet and exercise only (01)
CL Item
Oral hypoglycaemic - sulphonylurea only (02)
CL Item
Oral hypoglycaemic - biguanide (eg metformin) only (03)
CL Item
Oral hypoglycaemic - alpha-glucosidase inhibitor only (04)
CL Item
Oral hypoglycaemic - thiazolidinedione only (05)
CL Item
Oral hypoglycaemic - meglitinide only (06)
CL Item
Oral hypoglycaemic - combination (eg biguanide & sulphonylurea) (07)
CL Item
Oral hypoglycaemic - other (08)
CL Item
Insulin only  (09)
CL Item
Insulin plus oral hypoglycaemic (10)
CL Item
Nil - not currently receiving diabetes treatment (98)
CL Item
Not stated/inadequately described (99)
Item
Formal community support access status
integer
Code List
Formal community support access status
CL Item
Currently accessing (1)
CL Item
Currently not accessing (2)
CL Item
Not known/inadequately described (9)
Height (measured)
Item
Height (measured)
float
High-density lipoprotein cholesterol level (measured)
Item
Cholesterol—HDL (measured)
float
Item
Indigenous status
integer
Code List
Indigenous status
CL Item
Aboriginal but not Torres Strait Islander origin (1)
CL Item
Torres Strait Islander but not Aboriginal origin (2)
CL Item
Both Aboriginal and Torres Strait Islander origin (3)
CL Item
Neither Aboriginal nor Torres Strait Islander origin (4)
CL Item
Not stated/inadequately described (9)
Item
Informal carer existence indicator
text
Code List
Informal carer existence indicator
CL Item
Yes (1)
CL Item
No (2)
CL Item
Not stated/inadequately described (9)
Item
Labour force status
integer
Code List
Labour force status
CL Item
Employed (1)
CL Item
Unemployed (2)
CL Item
Not in the labour force (3)
CL Item
Not stated/inadequately described (9)
Item
Living arrangement
integer
Code List
Living arrangement
CL Item
Lives alone (1)
CL Item
Lives with others (2)
CL Item
Not stated/inadequately described (9)
Low-density lipoprotein cholesterol level (calculated)
Item
Cholesterol—LDL (calculated)
float
Number of cigarettes smoked (per day)
Item
Tobacco smoking—consumption/quantity (cigarettes)
integer
Person identifier
Item
Person identifier
text
Item
Physical activity sufficiency status
integer
Code List
Physical activity sufficiency status
CL Item
Sufficient (1)
CL Item
Insufficient (2)
CL Item
Sedentary (3)
CL Item
Not stated/inadequately described (9)
Preferred language (ASCL 2011)
Item
Preferred language
integer
Item
Premature cardiovascular disease family history (status)
integer
Code List
Premature cardiovascular disease family history (status)
CL Item
Yes (1)
CL Item
No (2)
CL Item
Family history status not known (3)
CL Item
Not recorded (9)
Item
Proteinuria status
text
Code List
Proteinuria status
CL Item
Negative for protein (1)
CL Item
Microalbuminuria present (1.1)
CL Item
Microalbuminuria not present (1.2)
CL Item
Microalbuminuria not tested (1.3)
CL Item
Proteinuria (2)
CL Item
Not tested (3)
CL Item
Not stated/inadequately described (9)
Item
Renal disease therapy
integer
Code List
Renal disease therapy
CL Item
Drugs for modification of renal disease (1)
CL Item
Drugs for treatment of complications of renal disease (2)
CL Item
Peritoneal dialysis (3)
CL Item
Haemodialysis (4)
CL Item
Functioning renal transplant (5)
Item
Sex
integer
Code List
Sex
CL Item
Male (1)
CL Item
Female (2)
CL Item
Intersex or indeterminate (3)
CL Item
Not stated/inadequately described (9)
Item
Tobacco smoking status
integer
Code List
Tobacco smoking status
CL Item
Daily smoker (1)
CL Item
Weekly smoker (2)
CL Item
Irregular smoker (3)
CL Item
Ex-smoker (4)
CL Item
Never smoked (5)
Triglyceride level (measured)
Item
Triglyceride level (measured)
float
Item
Vascular history
text
Code List
Vascular history
CL Item
Myocardial infarction (01)
CL Item
Unstable angina pectoris (02)
CL Item
Angina (03)
CL Item
Heart failure (04)
CL Item
Atrial fibrillation (05)
CL Item
Other dysrhythmia or conductive disorder (06)
CL Item
Rheumatic heart disease (07)
CL Item
Non-rheumatic valvular heart disease (08)
CL Item
Left ventricular hypertrophy (09)
CL Item
Stroke (10)
CL Item
Transient ischaemic attack (11)
CL Item
Hypertension (12)
CL Item
Peripheral vascular disease (includes abdominal aortic aneurism) (13)
CL Item
Deep vein thrombosis (14)
CL Item
Other atherosclerotic disease (15)
CL Item
Carotid stenosis (16)
CL Item
Vascular renal disease (17)
CL Item
Vascular retinopathy (hypertensive) (18)
CL Item
Vascular retinopathy (diabetic) (19)
CL Item
Other vascular (97)
CL Item
No vascular history (98)
CL Item
Unknown/not stated /not specified (99)
Item
Vascular procedures (history)
text
Code List
Vascular procedures (history)
CL Item
Amputation for arterial vascular insufficiency (01)
CL Item
Carotid endarterectomy (02)
CL Item
Carotid angioplasty/stenting (03)
CL Item
Coronary angioplasty/stenting (04)
CL Item
Coronary artery bypass grafting (05)
CL Item
Renal artery angioplasty/stenting (06)
CL Item
Heart transplant (07)
CL Item
Heart valve surgery (08)
CL Item
Abdominal aortic aneurism repair/bypass graft/stenting (09)
CL Item
Cerebral circulation angioplasty/stenting (10)
CL Item
Femoral/popliteal bypass/graft/stenting (11)
CL Item
Congenital heart and blood vessel defect surgery (12)
CL Item
Permanent pacemaker implantation (13)
CL Item
Implantable cardiac defibrillator (14)
CL Item
Other (98)
CL Item
Unknown/not recorded (99)
Waist circumference (measured)
Item
Waist circumference (measured)
float
Weight (measured)
Item
Weight in kilograms (measured)
float
Service contact date
Item
Service contact date
date

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