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Data Element Detail

Episode of admitted patient care-number of leave days
Identifying and Definitional Attributes
QH 040984 v3
Data Element
Derived Data Element
Draft
16-Oct-2018		Current
16-Jul-2019
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2018
Sum of the length of leave (date returned from leave minus date went on leave) for all periods within the hospital stay.
Admitted patient care
Number of admitted patient leave days
Representational Attributes
Integer
Quantitative Value
[N(2)]N
1
3
Permissible Values

Permissible_values

A numeric value between 0 and 999.
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
A day is measured from midnight to midnight.

The following rules apply in the calculation of leave days for both overnight and same-day patients:
- The day the patient goes on leave is counted as a leave day.
- The day the patient is on leave is counted as a leave day.
- The day the patient returns from leave is counted as a patient day.
- If the patient is admitted and goes on leave on the same day, this is counted as a patient day, not a leave day.
- If the patient returns from leave and then goes on leave again on the same day, this is counted as a leave day.
- If the patient returns from leave and is separated on the same day, the day should not be counted as either a patient day or a leave day.
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Leave occurs when the patient leaves the hospital between treatments in hospital for a period of not more than seven days, and intends to return for the hospital to continue the current course of treatment. No patient day charges are raised whilst the patient is on leave nor are the days on leave counted as patient days.

If a patient who goes on leave fails to return within the seven-day limit, a separation should be recorded on the relevant admission form, to take effect from the date the patient left the hospital to go on leave.

If the patient subsequently returns to the hospital, a new admission is to be recorded. Any leave details are to be deleted in this instance.

Hospitals may report 'leave' for boarders if administrative practices at the hospital require boarders who are temporarily away from the hospital to be put on leave.

The calculation rules for the leave days in which the patient is out of hospital are as follows.
1. The sum of patient days and leave days must equal the number of days elapsed between admission date and separation date.
2. For any given date, either a patient day or a leave day may be counted, but not both.
3. Patient days are not accrued when the patient is out of hospital on leave, even though a bed may be "held" for the patient during his/her absence.
4. A same day patient cannot go on overnight leave.
5. A period of leave cannot exceed seven days.
6. Renal dialysis and day chemotherapy patients are not on leave between treatments; each dialysis session is a separate admission.
7. Normally, the day of going on leave is counted as a leave day, and the day of returning from leave is counted as a patient day.
8. When, on the same date, a patient is admitted and goes on leave, count this day as a patient day. When, on the same date, a patient returns from leave and again goes on leave, count this day as a leave day. When, on the same date, a patient returns from leave and is separated, do not count this day as either a patient day or a leave day.
9. For QHAPDC, leave is reported only where the patient is away at midnight. If an admitted patient goes from one hospital to another to receive same day treatment (as an admitted patient) and this is not on contract, they must be discharged and re-admitted on return (if applicable).
10. Patients cannot be charged for a "leave day" even if they had treatment and accommodation for part of that day.
Recording of leave days allows for exclusion of these from the calculation of patient days. This is important for analysis of costs per patient and for planning. The maximum limit allowed for leave affects admission and separation rates, particularly for long-stay patients who may have several leave periods. It should be noted that for private patients in public and private hospitals, s.3 (12) of the Health Insurance Act 1973 (Cwlth) currently applies a different leave day count, Commonwealth Department of Human Services and Health HBF Circular 354 (31 March 1994). This metadata item was modified in July 1996 to exclude the previous differentiation between the psychiatric and other patients.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 14
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementDerived Data ElementEpisode of admitted patient care-number of leave daysQH 040984 Version 2Superseded
Is derived fromData ElementData ElementEpisode of care-date of starting leaveQH 040121 Version 3Current
Is derived fromData ElementData ElementEpisode of care-date returned from leaveQH 040124 Version 3Current
Is derived fromData ElementData ElementEpisode of care-time of starting leaveQH 040122 Version 3Current
Is derived fromData ElementData ElementEpisode of care-time returned from leaveQH 040123 Version 3Current
Is used in the derivation ofData ElementDerived Data ElementAdmitted patient-length of stay (excluding leave days), total days at point during episode of careQH 040016 Version 2Current
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-diagnosis related group (AR-DRG v10.0)QH 041587 Version 11Current
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-diagnosis related group (AR-DRG v11.0)QH 041587 Version 12Draft
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-diagnosis related group (AR-DRG v9.0)QH 041587 Version 10Superseded
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-length of stay (excluding leave days), total daysQH 040015 Version 2Current
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-major diagnostic category (AR-DRG v10.0)QH 041588 Version 11Current
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-major diagnostic category (AR-DRG v11.0)QH 041588 Version 12Draft
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-major diagnostic category (AR-DRG v9.0)QH 041588 Version 10Superseded
Relates toData ElementData Element ConceptEpisode of admitted patient careQH 041604 Version 1Current
Implementation in Metadata Sets

Implemented

  • 1 - 2
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 2MandatoryCurrent01-Jul-2019
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1MandatorySuperseded01-Jul-201830-Jun-2019
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data element: Episode of admitted patient care-number of leave days, total N[NN], Identifier 270251, Health standard 01/03/2005 https://meteor.aihw.gov.au/content/index.phtml/itemId/270251/meteorItemView/long
Leave; Number of;