[WWW - 2021.12.16]
Identifying and Definitional Attributes
Identifier
QH 040376
Version
2
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
12-Jun-2014  
Current
04-Aug-2014  
Approval Type
Standard
Approving Authority
-
Effective From
01-Jul-2014
Effective To
-
Definition
Indicates whether the patient day within a newborn episode of admitted patient care is either acute (qualified) or unqualified.
Context
Admitted patient care: To provide accurate information on care provided in newborn episodes of care through exclusion of unqualified patient days to recognise health insurance benefits and Medicare patient days.
Short Name
Qualification status
Name in Other Contexts
-
Representational Attributes
Datatype
Alphabetic
Representation Class
Code
Format
A
Minimum Character Length
1
Maximum Character Length
1
Permissible Values
CodeDescription
AAcute
UUnqualified
Supplementary Values
-
Collection and Usage Attributes
Guide for Use
NEWBORN 9 DAYS OF AGE OR LESS
All newborns 9 days old or less are admitted for statistical purposes. However, only newborns with an acute qualification status attract health insurance benefits and count towards Medicare patient days. Note that all newborns 10 days old or more who require clinical care/treatment are classified as admitted patients.

Single live birth or first born of a multiple birth:
- If in ICN/SCN, qualification status is Acute, regardless of status of the mother.
- If not in ICN/SCN, regardless of need for clinical care/treatment:
- If mother admitted to the same hospital, qualification status is Unqualified.
- If mother and baby are admitted/transferred to separate hospitals, qualification status is Acute.
- If mother is discharged from hospital, qualification status is Acute.
- If mother is not admitted to hospital, qualification status is Acute.
- If mother is a boarder at the same hospital, qualification status is Acute.

Second or subsequent live birth of a multiple birth:
- Qualification status is Acute, regardless of status or mother or baby.

NEWBORN 10 DAYS OF AGE OR MORE
All newborns 10 days of age or more that require clinical care/treatment require admission. This includes new admission and care type changes.

Baby requires clinical care/treatment, inside or outside ICN/SCN:
- If qualification status was Acute before day 10, remains an admitted patient and qualification status is Acute until separated or care type changes, regardless of status of the mother.
- If qualification status was Unqualified before day 10, remains an admitted patient and qualification status is changed to Acute from day 10 until separated or care type changes, regardless of status of the mother.

Baby does not require clinical care/treatment:
- Admit as Boarder.

Examples include:
- If the mother is admitted/transferred for clinical care/treatment.
- If baby is for adoption and the mother is not in hospital.
- If the mother/carer is in the same hospital.
Verification Rules
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Can be null.
Must not be null if care type is 05 Newborn care.
Validated against a list of qualification status codes.
Collection Methods
-
Comment
All babies born in hospital are admitted patients.

The newborn baby's qualified days are eligible for health insurance benefits purposes and the patient day count under the Australian Health Care Agreements. In this context, newborn qualified days are equivalent to acute days and may be denoted as such.

The days when a newborn baby does not meet these criteria are classified as unqualified (if they are nine days old or less) and should not be counted as patient days under the Australian Health Care Agreements and are not eligible for health insurance benefit purposes.
Relational Attributes
Related Metadata References
Implementation in Metadata Sets

Otherrelational

  • 1 - 10
ViewMetadata Item TypeMetadata Set TypeNameAscendingIdentifier & VersionObligationEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1Conditional01-Jul-201430-Jun-2019
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 2Conditional01-Jul-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2016-2017QH 020315 Version 1Conditional01-Jul-201630-Jun-2017
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2017-2018QH 020501 Version 1Conditional01-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 1Conditional01-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 1Conditional01-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 1Conditional01-Jul-202030-Jun-2021
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2016-2017QH 020314 Version 1Conditional01-Jul-201630-Jun-2017
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2017-2018QH 020329 Version 1Conditional01-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 1Conditional01-Jul-201830-Jun-2019
Data Quality Declaration
-
Source and Reference Attributes
Source Organisation
Australian Institute of Health and Welfare
Source Document
METeOR glossary item: Newborn qualification status, Indicator 327254, Health standard 01/03/2005 https://meteor.aihw.gov.au/content/index.phtml/itemId/327254