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Data Element Detail

Non-admitted patient service event-care type (derived)
Identifying and Definitional Attributes
QH 041680 v2
Data Element
Derived Data Element
Draft
07-Nov-2014		Current
16-Mar-2015		Superseded
29-Feb-2016
Standard
01-Jul-2014
30-Jun-2015
A descriptor of the overall nature of care delivered during a non-admitted patient service event, derived from other service characteristics.
Hospital non-admitted patient care
Care type (NAP)
Representational Attributes
Numeric
Code
N
1
1
Permissible Values

Permissible_values

CodeDescription
1Rehabilitation care
2Palliative care
3Geriatric evaluation and management (GEM)
4Psychogeriatric care
5Mental health care
8Other care
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Subacute care comprises the defined care types of rehabilitation, palliative care, geriatric evaluation and management (GEM) and psychogeriatric care.

Subacute care is specialised multidisciplinary care in which the primary need for care is optimisation of the patient's functioning and quality of life. A person's functioning may relate to their whole body or a body part, the whole person, or the whole person in a social context, and to impairment of a body function or structure, activity limitation and/or participation restriction.

A multidisciplinary management plan comprises a series of documented and agreed initiatives or treatments (specifying program goals, actions and timeframes) which has been established through multidisciplinary consultation and consultation with the patient and/or carers.

Palliative care episodes can include grief and bereavement support for the family and carers of the patient where it is documented in the patient's medical record.

Code 1 Rehabilitation care
Rehabilitation care is care in which the primary clinical purpose or treatment goal is improvement in the functioning of a patient with an impairment, activity limitation or participation restriction due to a health condition. The patient will be capable of actively participating.

Rehabilitation care is always:
- delivered under the management of or informed by a clinician with specialised expertise in rehabilitation; and
- evidenced by an individualised multidisciplinary management plan, which is documented in the patient's medical record, that includes negotiated goals within specified time frames and formal assessment of functional ability.

Code 2 Palliative care
Palliative care is care in which the primary clinical purpose or treatment goal is optimisation of the quality of life of a patient with an active and advanced life-limiting illness. The patient will have complex physical, psychosocial and/or spiritual needs.

Palliative care is always:
- delivered under the management of or informed by a clinician with specialised expertise in palliative care; and
- evidenced by an individualised multidisciplinary assessment and management plan, which is documented in the patient's medical record, that covers the physical, psychological, emotional, social and spiritual needs of the patient and negotiated goals.

Code 3 Geriatric evaluation and management
Geriatric evaluation and management is care in which the primary clinical purpose or treatment goal is improvement in the functioning of a patient with multi-dimensional needs associated with medical conditions related to ageing, such as tendency to fall, incontinence, reduced mobility and cognitive impairment. The patient may also have complex psychosocial problems.

Geriatric evaluation and management is always:
- delivered under the management of or informed by a clinician with specialised expertise in geriatric evaluation and management; and
- evidenced by an individualised multidisciplinary management plan, which is documented in the patient's medical record that covers the physical, psychological, emotional and social needs of the patient and includes negotiated goals within indicative time frames and formal assessment of functional ability.

Code 4 Psychogeriatric care
Psychogeriatric care is care in which the primary clinical purpose or treatment goal is improvement in the functional status, behaviour and/or quality of life for an older patient with significant psychiatric or behavioural disturbance, caused by mental illness, an age-related organic brain impairment or a physical condition.

Psychogeriatric care is always:
- delivered under the management of or informed by a clinician with specialised expertise in psychogeriatric care; and
- evidenced by an individualised multidisciplinary management plan, which is documented in the patient's medical record, that covers the physical, psychological, emotional and social needs of the patient and includes negotiated goals within indicative time frames and formal assessment of functional ability.

Code 5 Mental health care
Mental health care is care in which the primary clinical purpose or treatment goal is improvement in the symptoms and/or psychosocial, environmental and physical functioning related to a patient's mental disorder.

Mental health care is:
- delivered under the management of, or regularly informed by, a clinician with specialised expertise in mental health;
- evidenced by an individualised formal mental health assessment and the implementation of a documented mental health plan; and
- may include significant psychosocial components, including family and carer support.

Code 8 Other care
Any care provided that does not fall within the categories above.
Classification depends on an assessment of the overall nature of care provided, based on other service event characteristics collected at the jurisdiction level such as clinic type, provider type and/or referral details. The method used to derive the care type should be submitted with the dataset.
The definition applies to non-admitted hospital patients and is not intended to apply to community based services.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 3
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Has been superseded byData ElementDerived Data ElementNon-admitted patient service event-care type (derived)QH 041680 Version 3Superseded
Is derived fromData ElementDerived Data ElementOutpatient clinic occasion of service-care type (derived, ODC)QH 041746 Version 2Retired
Relates toData ElementData Element ConceptNon-admitted patient service eventQH 041679 Version 1Superseded
Implementation in Metadata Sets

Implemented

  • 1 - 1
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Health Non-Admitted Patient Data Collection (QHNAPDC)QH 020262 Version 1MandatorySuperseded01-Jul-201430-Jun-2015
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data elements: Non-admitted patient service event-care type (derived), code N, identifier 548212, Health standard 07/03/2014 https://meteor.aihw.gov.au/content/index.phtml/itemId/512105/meteorItemView/long
CRDI; CRDI QHNAPDC; Care type;