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Data Element Detail

Outpatient clinic occasion of service-care type (derived) (HBCIS)
Identifying and Definitional Attributes
QH 041681 v1
Data Element
Derived Data Element
Current
23-Apr-2013		Superseded
29-Feb-2016
Standard
01-Jul-2013
30-Jun-2015
A descriptor of the overall nature of clinical care provided to a non-admitted patient during an occasion of service.
Hospital outpatient clinic services excluding community mental health care (which includes hospital-based mental health ambulatory services).
Care type (NAP) (HBCIS)
Representational Attributes
Numeric Character
Code
N(2)
2
2
Permissible Values

Permissible_values

CodeDescription
01Acute care
05Newborn care
06Other care
09Geriatric evaluation and management
10Psychogeriatric care
11Maintenance care
20Rehabilitation care
30Palliative care
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Code 01 Acute care
Acute care is care in which the primary clinical purpose or treatment goal is to:
- manage labour (obstetric)
- cure illness or provide definitive treatment of injury
- perform surgery
- relieve symptoms of illness or injury (excluding palliative care)
- reduce severity of an illness or injury
- protect against exacerbation and/or complication of an illness and/or injury which could threaten life or normal function
- perform diagnostic or therapeutic procedures.

Code 05 Newborn care
Newborn care is initiated when the patient is born in hospital or is nine days old or less. Patients that are 10 days of age or more are to be allocated a care type from within the other categories specified.

Code 06 Other care
Other care is care that does not meet the definitions for code 01, 05, 09, 10, 11, 20 or 30.

Code 09 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 10 Psychogeriatric care
Psychogeriatric care is care in which the primary clinical purpose or treatment goal is improvement in the functional status, behaviour and/or quality of life for an older patient with significant psychiatric or behavioural disturbance, caused by mental illness, an age-related organic brain impairment or a physical condition.

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

Psychogeriatric care is not applicable if the primary focus of care is acute symptom control.

Code 11 Maintenance care
Maintenance (or non-acute) care is care in which the primary clinical purpose or treatment goal is support for a patient with impairment, activity limitation or participation restriction due to a health condition. Following assessment or treatment the patient does not require further complex assessment or stabilisation. Patients with a care type of maintenance care often require care over an indefinite period.

Code 20 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 30 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.
The value domain is mapped to the Outpatient clinic occasion of service-care type (derived, ODC) data element as follows for reporting to the Health Statistics Unit (HSU):
Code 01 Acute care is mapped to code 8 Other care.
Code 05 Newborn care is mapped to code 8 Other care.
Code 09 Geriatric evaluation and management is mapped to code 3 Geriatric evaluation and management.
Code 10 Psychogeriatric care is mapped to code 4 Psychogeriatric care.
Code 11 Maintenance care is mapped to code 8 Other care.
Code 20 Rehabilitation care is mapped to code 1 Rehabilitation care.
Code 30 Palliative care is mapped to code 2 Palliative care.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 5
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Has been superseded byData ElementDerived Data ElementNon-admitted patient service event-care type (derived) (HBCIS)QH 041681 Version 2Superseded
Is derived fromData ElementData ElementNon-admitted patient service event-local clinic codeQH 041685 Version 1Superseded
Is used in the derivation ofData 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
Relates toData ElementData Element ConceptOutpatient clinicQH 041541 Version 1Current
Implementation in Metadata Sets

Implemented

No Metadata Items
Source and Reference Attributes
Care type; Outpatient clinic;