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Data Element Detail

Episode of admitted patient care-admission source (HBCIS)
Identifying and Definitional Attributes
QH 041733 v3
Data Element
Data Element
Draft
12-Jun-2018		Current
15-Jul-2019		Superseded
20-Mar-2023
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2018
30-Jun-2023
Indicates the referral point of the patient immediately before they are admitted either formally (hospital admission) or statistically (type of episode change).
Admitted patient care
Admission source (HBCIS)
Source of referral/transfer (QHAPDC), Admission mode (NHDD)
Representational Attributes
Numeric Character
Code
N(2)
2
2
Permissible Values

Permissible_values

CodeDescription
01Private medical practitioner (excluding psychiatrist)
02Emergency department
03Outpatient department
06Episode change
08Outborn
09Born in hospital
10Retrieval from another hospital
14Other health care establishment
15Private psychiatrist
16Correctional facility
17Law enforcement agency
18Community service
19Retrieval not from other hospital
21Boarder
22Routine readmission not requiring referral
23Residential aged care service
24Admitted patient transferred from another hospital
25Non-admitted patient referred from another hospital
29Other
30Planned emergency
31Residential mental health care facility
32Change of reference period
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Code 01 Private medical practitioner (excluding psychiatrist)
Used for patients referred to the hospital admission office by a private doctor other than a psychiatrist. Such patients will generally be private shared or private single patients whose admission will have been arranged by their treating doctor or dentist.

Code 02 Emergency department
Used for patients who present to the Accident & Emergency or Casualty Department of this hospital and are subsequently admitted immediately following their emergency consultation. They will generally not be booked patients. For example, use this code for patients who are transported by the Royal Flying Doctor Service for an unplanned (not booked) admission.

Code 03 Outpatient department
Used for patients who have attended an outpatient clinic at this hospital and are subsequently referred for admitted patient treatment. They will generally have a prior booking. Use this code for patients who are transported by the Royal Flying Doctor Service to attend outpatients, and are then booked for admission, use this code. For unplanned (not booked) admissions refer to code 02 A&E.

Code 06 Episode change
Used for statistical admissions where the patient has previously been admitted to an episode of care during this hospital stay, and is now changing their care type (e.g. acute to maintenance). Do not use this code for a registered boarder changing status to become an admitted patient.

Code 08 Outborn
Used for babies (qualified and unqualified) who were born on the way to hospital and have not been admitted at any other hospital.

Code 09 Born in hospital
Used for babies born at this hospital during this episode only.

Code 10 Retrieval from another hospital
Used when a patient has been brought to the hospital from another hospital by a retrieval team.

Code 14 Other health care establishment
Used for patients who are admitted from alcohol and drug centres, or other health care establishments.

Code 15 Private psychiatrist
Used for patients referred to the hospital admission office by a psychiatrist.

Code 16 Correctional facility
Used for patients who have been referred to the hospital from a correctional facility.

Code 17 Law enforcement agency
Used for patients who have been referred to the hospital from a law enforcement agency (other than a correctional facility) such as the police or courts.

Code 18 Community service
Used for patients whose admission to the hospital has been arranged by a community health service.

Code 19 Retrieval not from other hospital
Used when a patient has been brought to the hospital from any place other than another hospital by a retrieval team.

Code 21 Boarder
Used to register a person who is receiving food and/or accommodation but for whom the hospital does not accept responsibility for treatment and/or care.

Code 22 Routine readmission not requiring referral
Used for patients who are not admitted through outpatients or the emergency department e.g. renal dialysis patients, chemotherapy patients directly presenting to the ward for planned treatment.

Code 23 Residential aged care service
Used for patients who are transferred to this hospital for further care and treatment from a residential aged care service where they are usually a resident. A residential aged care service includes former public and private nursing homes and hostels, but not independent living units (refer to Code14 Other health care establishment).

Code 24 Admitted patient transferred from another hospital
Used for all patients who are transferred from another hospital (including psychiatric hospitals) for continuation of their admitted patient care or treatment at this hospital. This code may also be used for patients who are transferred from hospitals interstate or overseas.

Code 25 Non-admitted patient referred from another hospital
Used for all patients who are referred from another hospital (including psychiatric hospitals) for continuation of their care or treatment at this hospital.

Code 29 Other
Used for patients who are admitted under circumstances that do not fit any other category. For example, a person who is currently a boarder at a hospital becoming ill and is admitted. However, it is expected that this code will rarely be used.

Code 30 Planned emergency
Used for Category E emergency surgery patients who re-present for admission for the purpose of undergoing surgery following their initial presentation / admission. This code can only be used where the urgency of the admission is elective. Where a Category E emergency surgery patient requires emergency admission (refer to Episode of admitted patient care-emergency/elective admission status and Episode of admitted patient care-admission urgency status data elements) code 30 (Planned Emergency) must not be used.

Code 31 Residential mental health care facility
Used for patients transferring from a residential mental health care facility providing treatment in a community based setting, including Community Care Unit, Step Up Step Down Unit and Youth Residential Rehabilitation Unit.

Code 32 Change of reference period
Used for statistical admissions to signify the start of a reference period, continuing from the previous reference period. This code should only be used at the start of the reference period at 00:01 on the 01/07/YYYY. Currently this code is only valid in residential mental health care facilities.
When code is 30 (Planned emergency), Episode of care-clinical assessment category (HBCIS) must be code E (Emergency priority category).
Hospital Based Corporate Information System (HBCIS):

Example 1
A patient attends a specialist (other than a psychiatrist) in the specialist's rooms. The specialist has admitting rights at your hospital. The patient is booked for admission and is admitted. The source of referral/transfer is code 01 Private medical practitioner (excluding psychiatrist).

Example 2
A patient is seen in the rooms of their local medical officer (general practitioner). The patient is sent to your hospital's outpatient department or emergency department for review by hospital staff and is admitted. The source of referral/transfer is 03 Outpatient department or code 02 Emergency department.

Example 3
A patient comes from their place of permanent residence in an aged care service to the outpatient department or emergency department for review by hospital staff and is admitted. The source of referral/transfer is code 03 Outpatient department or code 02 Emergency department.

Example 4
A patient comes from their place of permanent residence in a residential aged care service to the hospital ward. The source of referral/transfer is code 23 Residential aged care service.

Example 5
A patient attends your hospital's emergency department or outpatient department and is assessed as requiring emergency surgery within 10 days. The patient is triaged as Category E (defined as: non critical - patient is sent home to return for scheduled emergency surgery within 10 days of the decision for surgery being made). The patient is discharged to home to wait for surgery. When the patient presents for admission for the planned Category E surgery, the admission source is code 30 Planned emergency.

The values are mapped to the Episode of admitted patient care-source of referral/transfer (QHAPDC) data element as follows:
Code 01 Private medical practitioner (excluding psychiatrist) is mapped to code 01 Private medical practitioner (excluding psychiatrist).
Code 02 Emergency department is mapped to code 02 Emergency department - this hospital.
Code 03 Outpatient department is mapped to code 03 Outpatient department - this hospital.
Code 06 Episode change is mapped to code 06 Episode change.
Code 08 Outborn is mapped to code 02 Emergency department - this hospital.
Code 09 Born in hospital is mapped to code 09 Born in facility.
Code 10 Retrieval from another hospital is mapped to code 24 Admitted patient transferred from another hospital.
Code 14 Other health care establishment is mapped to code 14 Other health care establishment.
Code 15 Private psychiatrist is mapped to code 15 Private psychiatrist.
Code 16 Correctional facility is mapped to code 16 Correctional facility.
Code 17 Law enforcement agency is mapped to code 17 Law enforcement agency.
Code 18 Community service is mapped to code 18 Community service.
Code 19 Retrieval not from other hospital is mapped to code 02 Emergency department - this hospital.
Code 21 Boarder is mapped to code 21 Boarder.
Code 22 Routine readmission not requiring referral is mapped to code 19 Routine readmission not requiring referral.
Code 23 Residential aged care service is mapped to code 23 Residential aged care service.
Code 24 Admitted patient transferred from another hospital is mapped to code 24 Admitted patient transferred from another hospital.
Code 25 Non-admitted patient referred from another hospital is mapped to code 25 Non-admitted patient referred from another hospital.
Code 29 Other is mapped to code 29 Other.
Code 30 Planned Emergency is mapped to 30 Planned emergency.
Code 31 Residential mental health care facility is mapped to code 31 Residential mental health care facility.
Code 32 Change of reference period is mapped to code 32 Change of reference period.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 4
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementEpisode of admitted patient care-admission source (HBCIS)QH 041733 Version 2Superseded
Is used in conjunction withData ElementData ElementEpisode of care-facility referred/transferred from, codeQH 040116 Version 3Current
Is used in the derivation ofData ElementData ElementEpisode of admitted patient care-source of referral/transferQH 040010 Version 8Superseded
Relates toData ElementData Element ConceptEpisode of admitted patient careQH 041604 Version 1Current
Implementation in Metadata Sets

Implemented

No Metadata Items
Source and Reference Attributes
Admission mode; Admission source; Source of referral;