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Data Element Detail

Episode of admitted patient care-discharge status (HBCIS)
Identifying and Definitional Attributes
QH 041743 v3
Data Element
Data Element
Draft
05-May-2020		Current
16-Mar-2021
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2020
Status at separation of person (discharge/transfer/death) and place to which person is released.
Admitted patient care
Discharge status (HBCIS)
Mode of separation (QHAPDC), Separation mode (NHDD)
Representational Attributes
Numeric Character
Code
N(2)
2
2
Permissible Values

Permissible_values

CodeDescription
01Home/usual residence
04Other health care accommodation
05Died in hospital
06Care type change
07Discharged at own risk
09Non return from leave
12Correctional facility
14Boarder
16Hospital transfer
17Medi-Hotel
19Other
21Residential aged care service, which is not the usual place of residence
22Residential aged care service, which is the usual place of residence
31Residential mental health care facility
32Change of reference period
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Code 01 Home/usual residence
Used for those patients who return to their usual residence following the current hospital stay. If the patient is usually a resident of a boarding house, commercial hostel, independent living unit or other institution, use this code.

Do not use this code if the patient is being transferred from the hospital to a residential aged care service or a residential mental health care service.
- If being transferred to a residential aged care service for the first time, use code 21 Residential aged care service, which is not the usual place of residence.
- If being transferred back to the residential aged care service where they lived prior to their hospital stay, use code 22 Residential aged care service, which is the usual place of residence.
- If the patient is being transferred to, or transferred back to, a residential mental health care service, use code 31 Residential mental health care facility.

Code 04 Other health care accommodation
Used for patients who are transferred to alcohol and drug centres or other health care establishments.

Code 05 Died in hospital
Used when the patient died during his/her hospitalisation.

Code 06 Care type change
Used for statistical separations where the patient is to continue the hospital stay, but is now changing the type of episode of care (e.g. Acute to Maintenance). Do not use this code for registered boarders or residential mental health care consumers changing status to become an admitted patient.

Code 07 Discharged at own risk
Used for patients who abscond or leave hospital against medical advice.

Code 09 Non-return from leave
Used when a patient goes on leave and does not return to the hospital within seven days. Note that the patient is to be discharged from the date that he/she left the hospital.

Code 12 Correctional facility
Used when a patient is separated to a correctional facility.

Code 14 Boarder
Used to denote the completion of a boarder registration.

Code 16 Transferred to another hospital
Used for patients who are transferred to another hospital for continuation of their admitted care and management. The second hospital undertakes full responsibility for the patient. Note that this code may be used for patients transferred to hospitals which are interstate or overseas.

Code 17 Medi-Hotel
Used for patients who are discharged to accommodation, arranged and paid for by the facility, that is used for accommodating patients post discharge where the patient is: awaiting transport; receiving on-going treatment/investigation as a non-admitted patient (includes minimal (low) care nursing) or receiving a course of treatment (such as chemotherapy) and requires accommodation close to the hospital between treatments.

Code 19 Other
Used for patients who are separated under circumstances that do not fit any other category. It is expected this code will be rarely used.

Code 21 Residential aged care service, which is not the usual place of residence
Used for patients who are discharged to a residential aged care service which is not their usual place of residence.

Code 22 Residential aged care service, which is the usual place of residence
Used for patients who are discharged to a residential aged care service which is their usual place of residence.

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

Code 32 Change of reference period
Used for statistical separations to signify the end of a reference period. This code should only be used at the end of the reference period at 11:59 on the 30/06/YYYY. Currently this code is only valid in residential mental health care facilities.
This data element is mapped to the Episode of admitted patient care-mode of separation data element as follows:
Code 01 Home/usual residence is mapped to code 01 Home/usual residence.
Code 04 Other health care accommodation is mapped to code 04 Other health care accommodation.
Code 05 Died in Hospital is mapped to code 05 Died in Hospital.
Code 06 Care type change is mapped to code 06 Care type change.
Code 07 Discharged at own risk is mapped to code 07 Discharged at own risk.
Code 09 Non return from leave is mapped to code 09 Non return from leave.
Code 12 Correctional facility is mapped to code 12 Correctional facility.
Code 14 Boarder is mapped to code 14 Boarder.
Code 16 Hospital transfer is mapped to code 16 Transfer to another hospital.
Code 17 Medi-Hotel is mapped to code 17 Medi-Hotel.
Code 19 Other is mapped to code 19 Other.
Code 21 Residential aged care service, which is not the usual place of residence is mapped to code 21 Residential aged care service, which is not the usual place of residence.
Code 22 Residential aged care service, which is the usual place of residence is mapped to code 22 Residential aged care service, which is the usual place of residence.
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.

Hospital Based Corporate Information System (HBCIS):
Public hospitals utilising HBCIS do not have the capacity to register patients to the organ procurement care type. The Organ Procurement Team that carries out the organ procurement manually completes an Identification and Diagnosis sheet for the episode and forwards the sheet to the Statistical Collections and Integration (SCI) Team at Statistical Services Branch (SSB) where it is coded and entered onto the Queensland Hospital Admitted Patient Data Collection (QHAPDC) for inclusion in the data for the hospital at which the procurement episode took place.
This data element is required for outcome analyses, for analyses of intersectoral patient flows and to assist in the continuity of care and classification of episodes into diagnosis related groups.
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-discharge status (HBCIS)QH 041743 Version 2Superseded
Is used in conjunction withData ElementData ElementEpisode of care-facility referred/transferred to, codeQH 040120 Version 4Current
Is used in the derivation ofData ElementData ElementEpisode of admitted patient care-mode of separationQH 040119 Version 9Current
Relates toData ElementData Element ConceptEpisode of admitted patient careQH 041604 Version 1Current
Implementation in Metadata Sets

Implemented

No Metadata Items
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data element: Episode of admitted patient care-separation mode, code NN, Identifier 722644, Health standard 30/04/2020 https://meteor.aihw.gov.au/content/index.phtml/itemId/722644/meteorItemView/long
Discharge; Mode; Separation;