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Data Element Detail

Episode of admitted patient care-clinical assessment score
Identifying and Definitional Attributes
QH 040604 v2
Data Element
Data Element
Draft
23-Apr-2013		Current
09-Jul-2013		Superseded
14-Aug-2016
Standard
01-Jul-2013
30-Jun-2016
The score achieved by an admitted patient via the ADL (activity of daily living) tool used to measure the patient's functional ability at the time of clinical assessment.
Sub-acute and non-acute admitted patient (SNAP) care.
Clinical assessment score
ADL score
Representational Attributes
Integer
Quantitative Value
[N(2)]N
1
3
Permissible Values

Permissible_values

-
Supplementary Values

Supplemenary_values

CodeDescription
999Supplementary score
Collection and Usage Attributes
The HoNOS (Health of the Nation Outcome Scale 65+) assessment tool requires 3 ADL scores to be reported, the FIM (Functional Independence Measure) assessment tool requires 2 ADL scores to be reported, and the Resource Utilisation Groups - Activities of Daily Living (RUG - ADL) assessment tool require only a single score.

Palliative care and Maintenance care SNAP episodes:
- One set of ADL scores must be provided within 24 hours after the start of the SNAP episode regardless of the SNAP episode length of stay.
- One set of ADL scores must be provided prior to separation for SNAP episodes with a length of stay less than 24 hours.

Rehabilitation care, Geriatric Evaluation and Management, and Psychogeriatric care SNAP episodes:
- One set of ADL scores must be provided within 72 hours after the start of the SNAP episode regardless of the SNAP episode length of stay.
- One set of ADL scores must be provided prior to separation for SNAP episodes with a length of stay less than 72 hours.

All SNAP episodes:
A score of 999 is to be used when the ADL score is not known or cannot be determined.
Hospital service-care type (QHAPDC) must be code 09 Geriatric Evaluation and Management, 10 Psychogeriatric care, 11 Maintenance care, 20 Rehabilitation care or 30 Palliative care.
When Clinical assessment tool used is FIM and Clinical assessment tool sub-type used is COG, Clinical assessment score must be between 5 and 35, or 999.
When Clinical assessment tool used is FIM and Clinical assessment tool sub-type used is MOT, Clinical assessment score must be between 13 and 91, or 999.
When Clinical assessment tool used is HON and Clinical assessment tool sub-type used is ADL, Clinical assessment score must be between 0 and 4, or 999.
When Clinical assessment tool used is HON and Clinical assessment tool sub-type used is BEH, Clinical assessment score must be between 0 and 4, or 999.
When Clinical assessment tool used is HON and Clinical assessment tool sub-type used is TOT, Clinical assessment score must be between 0 and 48, or 999.
When Clinical assessment tool used is RUG and Clinical assessment tool sub-type used is TOT, Clinical assessment score must be between 4 and 18, or 999.

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Must be transmitted as a 3 character string, right adjusted and zero filled from the left.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 7
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementADL (activity of daily living) scoreQH 040604 Version 1Superseded
Has been superseded byData 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 2Superseded
Is used in conjunction withData ElementData ElementEpisode of admitted patient care-clinical assessment tool usedQH 040602 Version 2Superseded
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-Australian national sub-acute and non-acute patient class (AN-SNAP v3)QH 040753 Version 2Superseded
Relates toData ElementData Element ConceptEpisode of admitted patient careQH 041604 Version 1Current
Relates toData ElementDerived Data ElementEpisode of admitted patient care-date of first clinical assessment scoreQH 042099 Version 1Superseded
Implementation in Metadata Sets

Implemented

  • 1 - 1
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1ConditionalSuperseded01-Jul-201330-Jun-2016
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data element: Episode of admitted patient care-clinical assessment score, code NN, identifier 497302, Independent Hospital Pricing Authority (IHPA) standard 30/10/2012 https://meteor.aihw.gov.au/content/index.phtml/itemId/497302/meteorItemView/long
ADL; Activity of daily living; SNAP;