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Data Element Detail

Non-admitted patient service event-group session indicator
Identifying and Definitional Attributes
QH 041951 v2
Data Element
Data Element
Draft
09-Nov-2017		Current
30-Jan-2018		Superseded
16-Jul-2018
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2017
30-Jun-2018
An indicator of whether a non-admitted patient service event was delivered in a group.
Non-admitted patient care
Group session indicator (NAP)
Representational Attributes
Numeric
Code
N
1
1
Permissible Values

Permissible_values

CodeDescription
1Yes
2No
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
The Non-admitted patient (NAP) data set is intended to capture instances of healthcare provision from the point of view of the patient. This may be for assessment, examination, consultation, treatment and/or education.

One service event is recorded for each interaction, regardless of the number of healthcare providers present.

Events broken in time:
The period of interaction can be broken but still regarded as one service event if it was intended to be unbroken in time. This covers those circumstances in which treatment during a service event is temporarily interrupted for unexpected reasons, for example, a healthcare provider is called to assess another patient who requires more urgent care. Where a healthcare provider is unable to complete the interaction, it is considered to be a service event only if the definition of service event is met.

Setting:
Service events can occur in an outpatient clinic or other setting.

Mode:
Service events delivered via Information and Communication Technology (ICT) (including but not limited to telephone and where the patient is participating via a video link) are included if:
- they are a substitute for a face-to-face service event, and
- the definition of a service event is met.

Accompanied patients:
If a patient is accompanied by a carer/relative, or the carer/relative acts on behalf of the patient with or without the patient present (e.g. the mother of a two-year-old patient, or the carer for an incapacitated patient), only the patient's service event is recorded unless the carer/relative interaction meets the definition of a service event.

Note: carer refers to an informal carer only.

Service events delivered in groups:
Care provided to two or more patients by the same service provider(s) at the same time can also be referred to as a group session.

One service event is recorded for each patient who attends a group session regardless of the number of healthcare providers present, where the definition of a service event is met.

Service requests:
A service event is the result of a service request (including formal referral and self-referral or attendance at a walk-in clinic).

Activities which do not meet the definition of a service event include:
- Work-related services provided in clinics for staff.
- Non-attendances for a booked outpatient or booked outpatient services that did not go ahead.

Code 1 Yes
This code indicates care that has been provided to two or more patients by the same healthcare provider(s) at the same time.

A group must have two or more persons attending in the capacity of patients in their own right.

One service event is recorded for each patient who attends a group session.
Spouses, parents or carers attending the session are counted for the group session only if they are also participating in the service as a patient (see definition of a service event).

A group session may be delivered by more than one provider. This may be multidisciplinary care within one clinic appointment as part of a group, e.g. a group session jointly delivered by a physiotherapist and an occupational therapist.

In practice, this should be interpreted to mean that patients are receiving precisely the same services. For example:
- Patients may be part of a movement or hydrotherapy class where all participants are following the same intervention at the same time.
- Patients attending education sessions at chemotherapy or dialysis clinics are group sessions, if two or more people are receiving the same services at the same time.

Code 2 No
This code indicates that care was delivered to the patient as an individual. An individual service event is provided to one person by one or more healthcare providers. For example:
- Where a clinician works one-on-one with several different patients in the same space over a period of time but each patient is following their own personalised program (for example, where several patients are scheduled to use the physiotherapy gym at once).
- Where multiple persons, such as several family members and carers, meet with a clinician to discuss one patient only.
- Patients attending for treatment at a dialysis or a chemotherapy clinic are receiving individual services.
Must not be blank.
Non-admitted care provides a consistent framework for counting non-admitted patient service events for costing and funding purposes.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 2
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementNon-admitted patient service event-group session indicatorQH 041951 Version 1Superseded
Relates toData ElementData Element ConceptNon-admitted patient service eventQH 041679 Version 2Current
Implementation in Metadata Sets

Implemented

  • 1 - 1
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Health Non-Admitted Patient Data Collection (QHNAPDC)QH 020262 Version 1MandatorySuperseded01-Jul-201730-Jun-2018
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data element: Non-admitted patient event-group session status, yes/no/not stated/inadequately described code N, Identifier 650414, Health Standard 05/10/2016 https://meteor.aihw.gov.au/content/index.phtml/itemId/650414/meteorItemView/long
Group session;