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Data Element Detail

Episode of admitted patient care-palliative care phase
Identifying and Definitional Attributes
QH 040606 v4
Data Element
Data Element
Draft
19-Sep-2017		Current
30-Jan-2018
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2017
The patient's stage of illness or situation within the episode of care in terms of the recognised phases of palliative care.
Sub-acute admitted patient care.
Palliative care phase
Representational Attributes
Numeric Character
Code
N(2)
2
2
Permissible Values

Permissible_values

CodeDescription
01Stable
02Unstable
03Deteriorating
04Terminal care
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
The palliative care phase is the stage of the palliative care patient's illness.

Palliative care phases are not sequential and a patient may move back and forth between phases. Palliative care phases provide a clinical indication of the type of care required and have been shown to correlate strongly with survival within longitudinal prospective studies.

The bereavement phase of palliative care must not be recorded when reporting this data element.

Code 01 Stable
Patient problems and symptoms are adequately controlled by established plan of care and
- Further interventions to maintain symptom control and quality of life have been planned and
- Family/carer situation is relatively stable and no new issues are apparent.

Code 02 Unstable
An urgent change in the plan of emergency treatment is required because
- Patient experiences a new problem that was not anticipated in the existing plan of care, and/or
- Patient experiences a rapid increase in the severity of a current problem; and/or
- Family/ carers circumstances change suddenly impacting on patient care.

Code 03 Deteriorating
The care plan is addressing anticipated needs but requires periodic review because
- Patients overall functional status is declining and
- Patient experiences a gradual worsening of existing problem and/or
- Patient experiences a new but anticipated problem and/or
- Family/carers experience gradual worsening distress that impacts on the patient care.

Code 04 Terminal
Death is likely within days.
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Can be null for admitted patient records with Sub-acute and non-acute activity.
Must not be null if SNAP type = PAL.
Validated against a list of phase type codes.
The type of phase is to be recorded at the start of the episode of admitted patient palliative care and for every subsequent change in phase thereafter during the same admitted patient episode.

The palliative care provider reviews the patient daily (or at each visit) and records phase changes if and when they occur during the episode.

For reporting of the national data element, Episode of admitted patient care-palliative care phase (NHDD), the following mapping occurs:
Code 01 Stable is mapped to code 1 Stable
Code 02 Unstable is mapped to code 2 Unstable
Code 03 Deteriorating is mapped to code 3 Deteriorating
Code 04 Terminal care is mapped to code 4 Terminal
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 1
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementEpisode of admitted patient care-palliative care phaseQH 040606 Version 3Superseded
Implementation in Metadata Sets

Implemented

  • 1 - 14
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-201730-Jun-2019
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) 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
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2022-2023QH 0140697 Version 1ConditionalCurrent01-Jul-202230-Jun-2023
Source and Reference Attributes
Independent Hospital Pricing Authority (IHPA); Australian Institute of Health and Welfare
METeOR data element: Episode of admitted patient care-palliative care phase, code N, identifier 638918, IHPA standard 03/11/2016 https://meteor.aihw.gov.au/content/index.phtml/itemId/638918/meteorItemView/long
METeOR data element: Episode of admitted patient care-palliative care phase, code N, identifier 681029, IHPA standard 25/01/2018 https://meteor.aihw.gov.au/content/index.phtml/itemId/681029/meteorItemView/long
Palliative care; SNAP;