[WWW - 2021.12.16]
Identifying and Definitional Attributes
Identifier
QH 040604
Version
2
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
23-Apr-2013  
Current
09-Jul-2013  
Superseded
14-Aug-2016  
Approval Type
Standard
Approving Authority
-
Effective From
01-Jul-2013
Effective To
30-Jun-2016
Definition
The score achieved by an admitted patient via the ADL (activity of daily living) tool used to measure the patient's functional ability at the time of clinical assessment.
Context
Sub-acute and non-acute admitted patient (SNAP) care.
Short Name
Clinical assessment score
Name in Other Contexts
-
Representational Attributes
Datatype
Integer
Representation Class
Quantitative Value
Format
[N(2)]N
Minimum Character Length
1
Maximum Character Length
3
Permissible Values
-
Supplementary Values
CodeDescription
999Supplementary score
Collection and Usage Attributes
Guide for Use
The HoNOS (Health of the Nation Outcome Scale 65+) assessment tool requires 3 ADL scores to be reported, the FIM (Functional Independence Measure) assessment tool requires 2 ADL scores to be reported, and the Resource Utilisation Groups - Activities of Daily Living (RUG - ADL) assessment tool require only a single score.

Palliative care and Maintenance care SNAP episodes:
- One set of ADL scores must be provided within 24 hours after the start of the SNAP episode regardless of the SNAP episode length of stay.
- One set of ADL scores must be provided prior to separation for SNAP episodes with a length of stay less than 24 hours.

Rehabilitation care, Geriatric Evaluation and Management, and Psychogeriatric care SNAP episodes:
- One set of ADL scores must be provided within 72 hours after the start of the SNAP episode regardless of the SNAP episode length of stay.
- One set of ADL scores must be provided prior to separation for SNAP episodes with a length of stay less than 72 hours.

All SNAP episodes:
A score of 999 is to be used when the ADL score is not known or cannot be determined.
Verification Rules
Hospital service-care type (QHAPDC) must be code 09 Geriatric Evaluation and Management, 10 Psychogeriatric care, 11 Maintenance care, 20 Rehabilitation care or 30 Palliative care.
When Clinical assessment tool used is FIM and Clinical assessment tool sub-type used is COG, Clinical assessment score must be between 5 and 35, or 999.
When Clinical assessment tool used is FIM and Clinical assessment tool sub-type used is MOT, Clinical assessment score must be between 13 and 91, or 999.
When Clinical assessment tool used is HON and Clinical assessment tool sub-type used is ADL, Clinical assessment score must be between 0 and 4, or 999.
When Clinical assessment tool used is HON and Clinical assessment tool sub-type used is BEH, Clinical assessment score must be between 0 and 4, or 999.
When Clinical assessment tool used is HON and Clinical assessment tool sub-type used is TOT, Clinical assessment score must be between 0 and 48, or 999.
When Clinical assessment tool used is RUG and Clinical assessment tool sub-type used is TOT, Clinical assessment score must be between 4 and 18, or 999.

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Must be transmitted as a 3 character string, right adjusted and zero filled from the left.
Collection Methods
-
Comment
-
Relational Attributes
Related Metadata References
Implementation in Metadata Sets

Otherrelational

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ViewMetadata Item TypeMetadata Set TypeNameAscendingIdentifier & VersionObligationEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1Conditional01-Jul-201330-Jun-2016
Data Quality Declaration
-
Source and Reference Attributes
Source Organisation
Australian Institute of Health and Welfare
Source Document
METeOR data element: Episode of admitted patient care-clinical assessment score, code NN, identifier 497302, Independent Hospital Pricing Authority (IHPA) standard 30/10/2012 https://meteor.aihw.gov.au/content/index.phtml/itemId/497302/meteorItemView/long