[WWW - 2023.07.31]
Identifying and Definitional Attributes
QH 040599 v4
Data Element
Data Element
Draft
08-Mar-2016
Current
15-Aug-2016
Standard
01-Jul-2016
Classification of an admitted patient's sub-acute and non-acute patient (SNAP) type based on characteristics of the person, the primary treatment goal and evidence.
Sub-acute and non-acute admitted patient (SNAP) care: to inform service planning, purchasing and clinical management.
SNAP type
Representational Attributes
Alphabetic
Code
A(3)
3
3
Permissible Values

Permissible_values

CodeDescription
GEMGeriatric evaluation and management
MCOMaintenance - convalescent care
MNHMaintenance - nursing home type
MOTMaintenance - other
MREMaintenance - respite
PALPalliative care
PSGPsychogeriatric
RALRehabilitation - amputation of limb
RARRehabilitation - arthritis
RBDRehabilitation - brain dysfunction
RBURehabilitation - burns
RCARehabilitation - cardiac
RCDRehabilitation - congenital deformities
RDDRehabilitation - developmental disabilities
RDERehabilitation - debility
RMTRehabilitation - major multiple trauma
RNERehabilitation - neurological
ROARehabilitation - orthopaedic conditions, all other
ROFRehabilitation - orthopaedic conditions, fractures
ROIRehabilitation - other disabling impairments
RORRehabilitation - orthopaedic conditions, replacement
RPSRehabilitation - pain syndromes
RPURehabilitation - pulmonary
RSCRehabilitation - spinal cord dysfunction
RSTRehabilitation - stroke
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Geriatric Evaluation and Management
Geriatric evaluation and management is provided for a person with complex multi-dimensional medical problems associated with disabilities and psychosocial problems, usually (but not always) an older person.

Code GEM Geriatric evaluation and management
Includes evaluation and management of younger adults with clinical problems generally associated with old age.

Maintenance
Maintenance is provided for a person with a disability who, following assessment or treatment, does not require further complex assessment or stabilisation.

Code MCO Maintenance - convalescent care
Following assessment and/or treatment the patient does not require further complex assessment or stabilisation but continues to require care over an indefinite period. Under normal circumstances the patient would be discharged but due to factors in the home environment, such as access issues or lack of available community services, the patient is unable to be discharged. Examples may include:
- Patients awaiting the completion of home modifications essential for discharge.
- Patients awaiting the provision of specialised equipment essential for discharge.
- Patients waiting for rehousing.
- Patients waiting for supported accommodation such as hostel or group home bed.
- Patients for whom community services are essential for discharge but are not yet available.

Code MNH Maintenance - nursing home type
The patient has been in hospital for a continuous period exceeding 35 days, does not have a current acute care certificate and is waiting placement in a residential aged care facility.

Code MOT Maintenance - other
Any other reason the patient may require a maintenance episode other than those already stated.

Code MRE Maintenance - respite
A patient who is not waiting for residential care and the primary reason for admission is the short-term unavailability of the patient's usual care arrangements. Examples may include:
- Admission due to carer illness or fatigue.
- Planned respite due to carer unavailability.
- Short term closure of care facility.
- Short term unavailability of community services.

Palliative care
Palliative care is provided for a person with an active, progressive, life limiting disease with little or no prospect of cure.

Code PAL Palliative care
Palliative care includes grief and bereavement support services for the family and carers during the life of the person and continuing after death.

Psychogeriatric
Psychogeriatric care is provided to persons with an age-related organic brain impairment with significant behavioural disturbance or late onset psychiatric disturbance or a physical condition accompanied by severe psychiatric or behavioural disturbance.

Code PSG Psychogeriatric
Includes psychogeriatric care of younger adults with clinical conditions generally associated with old age as well as care of people with long term psychiatric disturbance and/or substance abuse.

Rehabilitation
Rehabilitation care is provided for a person with an impairment, disability or handicap.

Code RAL Rehabilitation - amputation of limb
Includes: Single upper extremity above the elbow, Single upper extremity below the elbow, Single lower extremity above the knee, Single lower extremity below the knee, Double lower extremity above the knee, Double lower extremity above/below the knee, Double lower extremity below the knee, Partial foot, Other amputation not from trauma.

Code RAR Rehabilitation - arthritis
Includes: Rheumatoid Arthritis, Osteoarthritis, Other Arthritis.

Code RBD Rehabilitation - brain dysfunction
Includes: Non-Traumatic Sub-arachnoid haemorrhage, Anoxic brain damage, Other non-traumatic brain dysfunction, Traumatic-Open Injury, Closed Injury.

Code RBU Rehabilitation - burns

Code RCA Rehabilitation - cardiac
Includes: Following recent onset of new cardiac impairment, Chronic cardiac insufficiency, Heart and heart/lung transplant.

Code RCD Rehabilitation - congenital deformities
Includes: Spina Bifida, Other Congenital deformities.

Code RDD Rehabilitation - developmental disabilities
Includes: Developmental disabilities (excluding Cerebral Palsy).

Code RDE Rehabilitation - debility
Includes: Re-conditioning following surgery, Re-conditioning following medical illness, Cancer rehabilitation.

Code RMT Rehabilitation - major multiple trauma
Includes: Brain and spinal cord injury, Brain and multiple fracture/amputation, Spinal and multiple fracture/amputation, Other multiple trauma.

Code RNE Rehabilitation - neurological
Includes: Multiple Sclerosis, Parkinsonism, Polyneuropathy, Guillian-Barre, Cerebral Palsy, Neuromuscular disorders, Other neurologic conditions.

Code ROA Rehabilitation - orthopaedic conditions, all other
Includes: Soft tissue injury.

Code ROF Rehabilitation - orthopaedic conditions, fractures
Includes: Fracture of hip - unilateral, Fracture of hip - bilateral, Fracture of shaft of femur, Fracture of pelvis, Fracture of knee, Fracture of lower leg or ankle or foot, Fracture of upper limb, Fracture of spine, Fracture of multiple sites, Other orthopaedic fracture.

Code ROI Rehabilitation - other disabling impairments
Includes: Lymphoedema, Conversion disorder, Other disabling impairments that cannot be classified into a specific group.

Code ROR Rehabilitation - orthopaedic conditions, replacement
Includes: Hip replacement - unilateral or bilateral, Knee replacement - unilateral or bilateral, Knee and hip replacement - same or different side, Shoulder replacement.

Code RPS Rehabilitation - pain syndromes
Includes: Neck pain, Back pain, Extremity pain, Headache, Multi-site pain, Other pain.

Code RPU Rehabilitation - pulmonary
Includes: Chronic Obstructive Pulmonary Disease, Lung transplant, Other pulmonary

Code RSC Rehabilitation - spinal cord dysfunction
Includes: Non-Traumatic spinal cord dysfunction - Incomplete Paraplegia, Complete Paraplegia, Incomplete C1-4 quadriplegia, Incomplete C5-8 quadriplegia, Complete C1-4 quadriplegia, Complete C5-8 quadriplegia, Other non-traumatic spinal cord dysfunction, Traumatic spinal cord dysfunction - Incomplete paraplegia.
The codes for each SNAP type are validated against valid sub and non-acute episodes types.
Geriatric Evaluation and Management SNAP type GEM can only be used in conjunction with a care type of 09 Geriatric Evaluation and Management.
Maintenance SNAP types MCO, MNH, MOT and MRE can only be used in conjunction with a care type of 11 Maintenance care.
Palliative SNAP type PAL can only be used in conjunction with a care type of 30 Palliative care.
Psychogeriatric SNAP type PSG can only be used in conjunction with a care type of 10 Psychogeriatric care.
Rehabilitation SNAP types RAL, RAR, RBD, RBU, RCA, RCD, RDD, RDE, RMT, RNE, ROA, ROF, ROI, ROR, RPS, RPU, RSC and RST can only be used in conjunction with a care type of 20 Rehabilitation care.

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Must not be null for admitted patient sub-acute and non-acute records.
Validated against a list of SNAP type codes.
PAL is only valid for Palliative care.
RCD, ROI, RST, RBD, RNE, RSC, RAL, RPS, ROF, ROR, ROA, RCA, RMT, RPU, RDE, RDD, RBU, RAR are only valid for Rehabilitation care.
GEM is only valid for Geriatric Evaluation and Management care.
MRE, MNH, MCO, MOT are only valid for Maintenance care.
PSG is only valid for Psychogeriatric care.
For national reporting of the Episode of admitted patient care-type of maintenance care provided (NHDD) data element the following mapping occurs:
Code MCO is mapped to code 1 Convalescent care.
Code MNH is mapped to code 3 Nursing home type care.
Code MOT is mapped to code 8 Other maintenance care.
Code MRE is mapped to code 2 Respite care.
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-SNAP typeQH 040599 Version 3Superseded
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-Australian national sub-acute and non-acute patient class (AN-SNAP v4)QH 040753 Version 3Current
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-clinical assessment only indicatorQH 041660 Version 3Retired
Relates toData ElementData ElementEpisode of admitted patient care-SNAP episode end dateQH 040601 Version 2Current
Relates toData ElementData ElementEpisode of admitted patient care-SNAP episode numberQH 040598 Version 2Current
Relates toData ElementData ElementEpisode of admitted patient care-SNAP episode start dateQH 041745 Version 1Current
Relates toData ElementData ElementEpisode of admitted patient care-SNAP episode start date (QHAPDC DSR)QH 042475 Version 1Current
Relates toData ElementData ElementHospital service-care typeQH 040013 Version 8Superseded
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 1ConditionalSuperseded01-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 1ConditionalSuperseded01-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 1ConditionalSuperseded01-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 1ConditionalSuperseded01-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 1ConditionalSuperseded01-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 1ConditionalSuperseded01-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 1ConditionalCurrent01-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 1ConditionalSuperseded01-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 1ConditionalSuperseded01-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 1ConditionalSuperseded01-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 1ConditionalSuperseded01-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 1ConditionalSuperseded01-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 1ConditionalSuperseded01-Jul-202130-Jun-2022
Source and Reference Attributes