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Data Element Detail

Outpatient clinic occasion of service-care type (derived, ODC)
Identifying and Definitional Attributes
QH 041746 v2
Data Element
Derived Data Element
Draft
23-Apr-2013		Current
09-Jul-2013		Retired
30-Jun-2015
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 (ODC)
Representational Attributes
Numeric
Code
N
1
1
Permissible Values

Permissible_values

CodeDescription
1Rehabilitation care
2Palliative care
3Geriatric evaluation and management
4Psychogeriatric care
8Other care
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
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.

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

Code 8 Other care
Any care provided that does not fall within the categories above, e.g. maintenance care, and acute care.
For national reporting of the Non-admitted patient service event-care type, subacute (derived) data element this data element is mapped as follows:
Code 1 Rehabilitation care is mapped to code 1 Rehabilitation care.
Code 2 Palliative care is mapped to code 2 Palliative care.
Code 3 Geriatric evaluation and management is mapped to code 3 Geriatric evaluation and management (GEM).
Code 4 Psychogeriatric care is mapped to code 4 Psychogeriatric care.
Code 8 Other care is mapped to code 8 Other care.
Used for analysis of system utilisation and for funding purposes.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 5
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementOutpatient clinic occasion of service-care type (derived, ODC)QH 041746 Version 1Superseded
Is derived fromData ElementDerived Data ElementOutpatient clinic occasion of service-care type (derived) (HBCIS)QH 041681 Version 1Superseded
Is used in the derivation ofData ElementDerived Data ElementNon-admitted patient service event-care type (derived)QH 041680 Version 2Superseded
Relates toData ElementData Element ConceptOccasion of serviceQH 040607 Version 1Retired
Relates toData ElementData Element ConceptOutpatient clinicQH 041541 Version 1Current
Implementation in Metadata Sets

Implemented

No Metadata Items
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data elements:
Non-admitted patient service event-care type, subacute (derived) code N, identifier 512105, Health standard 02/05/2013 https://meteor.aihw.gov.au/content/index.phtml/itemId/512105/meteorItemView/long
Non-admitted patient service event-care type, subacute (derived) code N, identifier 548212, Health standard 07/03/2014 https://meteor.aihw.gov.au/content/index.phtml/itemId/548212/meteorItemView/long
Care type; Occasion of service; Outpatient clinic;