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Data Element Detail

Episode of admitted patient care-clinical assessment tool used
Identifying and Definitional Attributes
QH 040602 v3
Data Element
Data Element
Draft
08-Mar-2016		Current
15-Aug-2016
Standard
01-Jul-2016
The tool used to conduct the clinical assessment of an admitted patient.
Sub-acute and non-acute admitted patient (SNAP) care.
Clinical assessment tool used
ADL type (QHAPDC)
Representational Attributes
Alphabetic
Code
A(3)
3
3
Permissible Values

Permissible_values

CodeDescription
FIMFunctional Independence Measure (FIM)
HONHealth of the Nation Outcome Scale 65+ (HoNOS 65+)
RUGResource Utilisation Groups - Activities of Daily Living (RUG - ADL)
SMMStandardised Mini-Mental State Examination (SMMSE)
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Code FIM Functional Independence Measure (FIM)
The FIM is a basic indicator of patient disability and is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care or geriatric evaluation and management care.

The FIM is comprised of 18 items, grouped into 2 subscales - motor and cognition.

Patient function is assessed using the FIM instrument at the start of a rehabilitation episode of care and at the end of a rehabilitation episode of care.

Code HON Health of the Nation Outcome Scale 65+ (HoNOS 65+)
The HONOS 65+ is a clinical assessment tool used to evaluate psychiatric symptoms and psychosocial functioning in an older patient during an episode of psychogeriatric care.

The HoNOS 65+ is designed to be used by clinicians before and after interventions, so that changes attributable to interventions can be measured.

The HoNOS 65+ is comprised of 12 items that rate various aspects of mental and social health.

Code RUG Resource Utilisation Groups - Activities of Daily Living (RUG - ADL)
The RUG-ADL scale measures the motor function of a patient for four activities of daily living.

Code SMM Standardised Mini-Mental State Examination (SMMSE)
The SMMSE is a clinical assessment tool which is used as a screening test for cognitive impairment.

The SMMSE consists of 12 items or questions which assess a range of cognitive domains, requiring vocal and physical actions (such as memory recall and drawing) in response to reading and listening to commands.
Mandatory
For FIM, Hospital service-care type (QHAPDC) must be code 09 Geriatric Evaluation and Management, or code 20 Rehabilitation care.
For HON, Hospital service-care type (QHAPDC) must be code 10 Psychogeriatric care.
For RUG, Hospital service-care type (QHAPDC) must be code 11 Maintenance care, or code 30 Palliative care.

Optional
For SMM, Hospital service-care type (QHAPDC) must be code 09 Geriatric Evaluation and Management.

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Must not be null for admitted patient records with Sub-acute and non-acute activity.
Validated against a list of ADL type codes.
Hospital Based Corporate Information System (HBCIS):
For operational purposes SMMSE data is accessed via a separate field 'Other ADL type'.

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Collection of SMMSE is optional.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 9
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementEpisode of admitted patient care-clinical assessment tool usedQH 040602 Version 2Superseded
Is used in conjunction withData ElementData ElementEpisode of admitted patient care-clinical assessment scoreQH 040604 Version 4Current
Is used in conjunction withData ElementData ElementEpisode of admitted patient care-clinical assessment scoreQH 040604 Version 3Superseded
Is used in conjunction withData ElementData ElementEpisode of admitted patient care-clinical assessment tool sub-type usedQH 040603 Version 3Current
Is used in conjunction withData ElementData ElementEpisode of admitted patient care-date of clinical assessment scoreQH 040605 Version 3Current
Is used in conjunction withData ElementData ElementEpisode of admitted patient care-date of clinical assessment score (QHAPDC DSR)QH 042460 Version 1Current
Is used in conjunction withData ElementData ElementHospital service-care typeQH 040013 Version 8Superseded
Is used in conjunction withData ElementDerived Data ElementEpisode of admitted patient care-date of first clinical assessment scoreQH 042099 Version 2Current
Relates toData ElementData Element ConceptEpisode of admitted patient careQH 041604 Version 1Current
Implementation in Metadata Sets

Implemented

  • 1 - 15
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 2ConditionalCurrent01-Jul-2019
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1ConditionalSuperseded01-Jul-201630-Jun-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2016-2017QH 020315 Version 1MandatorySuperseded01-Jul-201630-Jun-2017
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2017-2018QH 020501 Version 1MandatorySuperseded01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2018-2019QH 020503 Version 1MandatorySuperseded01-Jul-201830-Jun-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2019-2020QH 020581 Version 1MandatorySuperseded01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2020-2021QH 020692 Version 1MandatorySuperseded01-Jul-202030-Jun-2021
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2021-2022QH 020780 Version 1MandatorySuperseded01-Jul-202130-Jun-2022
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2022-2023QH 0139401 Version 1MandatoryCurrent01-Jul-202230-Jun-2023
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2016-2017QH 020314 Version 1MandatorySuperseded01-Jul-201630-Jun-2017
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2017-2018QH 020329 Version 1MandatorySuperseded01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2018-2019QH 020504 Version 1MandatorySuperseded01-Jul-201830-Jun-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2019-2020QH 020582 Version 1MandatorySuperseded01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2020-2021QH 020693 Version 1MandatorySuperseded01-Jul-202030-Jun-2021
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2021-2022QH 020781 Version 1MandatorySuperseded01-Jul-202130-Jun-2022
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data element: Episode of admitted patient care-clinical assessment tool used, code N.N, identifier 497304, Independent Hospital Pricing Authority (IHPA) standard 11/10/2012 https://meteor.aihw.gov.au/content/index.phtml/itemId/497304/meteorItemView/long
ADL; Activity of daily living; SNAP;