[WWW - 2021.12.16]
Identifying and Definitional Attributes
Identifier
QH 040599
Version
3
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
12-Jun-2014  
Current
04-Aug-2014  
Superseded
14-Aug-2016  
Approval Type
Standard
Approving Authority
-
Effective From
01-Jul-2014
Effective To
30-Jun-2016
Definition
Classification of an admitted patient's sub-acute and non-acute patient (SNAP) type based on characteristics of the person, the primary treatment goal and evidence.
Context
Sub-acute and non-acute admitted patient (SNAP) care: to inform service planning, purchasing and clinical management.
Short Name
SNAP type
Name in Other Contexts
-
Representational Attributes
Datatype
Alphabetic
Representation Class
Code
Format
A(3)
Minimum Character Length
3
Maximum Character Length
3
Permissible Values
CodeDescription
GAOGeriatric evaluation and management - assessment only
GEMGeriatric evaluation and management
GSDGeriatric evaluation and management - planned same day
MAOMaintenance - assessment only
MCOMaintenance - convalescent care
MNHMaintenance - nursing home type
MOTMaintenance - other
MREMaintenance - respite
PAAPalliative - assessment only
PALPalliative care
PSAPsychogeriatric - assessment only
PSGPsychogeriatric
RALRehabilitation - amputation of limb
RAORehabilitation - assessment only
RARRehabilitation - arthritis
RBDRehabilitation - brain dysfunction
RBURehabilitation - burns
RCARehabilitation - cardiac
RCDRehabilitation - congenital deformities
RDDRehabilitation - developmental disabilities
RDERehabilitation - debility
RMTRehabilitation - major multiple trauma
RNERehabilitation - neurological
ROARehabilitation - orthopaedic conditions, all other
ROFRehabilitation - orthopaedic conditions, fractures
ROIRehabilitation - other disabling impairments
RORRehabilitation - orthopaedic conditions, replacement
RPSRehabilitation - pain syndromes
RPURehabilitation - pulmonary
RSCRehabilitation - spinal cord dysfunction
RSTRehabilitation - stroke
Supplementary Values
-
Collection and Usage Attributes
Guide for Use
GERIATRIC EVALUATION AND MANAGEMENT
Geriatric evaluation and management is provided for a person with complex multi-dimensional medical problems associated with disabilities and psychosocial problems, usually (but not always) an older person.

CODE GAO Geriatric evaluation and management - assessment only

CODE GEM Geriatric evaluation and management

CODE GSD Geriatric evaluation and management - planned same day

GAO/GEM/GSD includes evaluation and management of younger adults with clinical problems generally associated with old age.

MAINTENANCE
Maintenance is provided for a person with a disability who, following assessment or treatment, does not require further complex assessment or stabilisation.

CODE MAO Maintenance - assessment only

CODE MCO Maintenance - convalescent care
Following assessment and/or treatment the patient does not require further complex assessment or stabilisation but continues to require care over an indefinite period. Under normal circumstances the patient would be discharged but due to factors in the home environment, such as access issues or lack of available community services, the patient is unable to be discharged. Examples may include:
- Patients awaiting the completion of home modifications essential for discharge.
- Patients awaiting the provision of specialised equipment essential for discharge.
- Patients waiting for rehousing.
- Patients waiting for supported accommodation such as hostel or group home bed.
- Patients for whom community services are essential for discharge but are not yet available.

CODE MNH Maintenance - nursing home type
The patient has been in hospital for a continuous period exceeding 35 days, does not have a current acute care certificate and is waiting placement in a residential aged care facility.

CODE MOT Maintenance - other
Any other reason the patient may require a maintenance episode other than those already stated.

CODE MRE Maintenance - respite
A patient who is not waiting for residential care and the primary reason for admission is the short-term unavailability of the patient's usual care arrangements. Examples may include:
- Admission due to carer illness or fatigue.
- Planned respite due to carer unavailability.
- Short term closure of care facility.
- Short term unavailability of community services.

PALLIATIVE CARE
Palliative care is provided for a person with an active, progressive, life limiting disease with little or no prospect of cure.

CODE PAA Palliative - assessment only

CODE PAL Palliative care
Palliative care includes grief and bereavement support services for the family and carers during the life of the person and continuing after death.

PSYCHOGERIATRIC
Psychogeriatric care is provided to persons with an age-related organic brain impairment with significant behavioural disturbance or late onset psychiatric disturbance or a physical condition accompanied by severe psychiatric or behavioural disturbance.

CODE PSA Psychogeriatric - assessment only

CODE PSG Psychogeriatric

PSA and PSG includes psychogeriatric care of younger adults with clinical conditions generally associated with old age as well as care of people with long term psychiatric disturbance and/or substance abuse.

REHABILITATION
Rehabilitation care is provided for a person with an impairment, disability or handicap.

CODE RAL Rehabilitation - amputation of limb
Includes: Single upper extremity above the elbow, Single upper extremity below the elbow, Single lower extremity above the knee, Single lower extremity below the knee, Double lower extremity above the knee, Double lower extremity above/below the knee, Double lower extremity below the knee, Partial foot, Other amputation not from trauma.

CODE RAO Rehabilitation - assessment only
The person is seen on one occasion only for assessment and/or treatment and no further intervention by this service/team are planned.

CODE RAR Rehabilitation - arthritis
Includes: Rheumatoid Arthritis, Osteoarthritis, Other Arthritis.

CODE RBD Rehabilitation - brain dysfunction
Includes: Non-Traumatic Sub-arachnoid haemorrhage, Anoxic brain damage, Other non-traumatic brain dysfunction, Traumatic-Open Injury, Closed Injury.

CODE RBU Rehabilitation - burns

CODE RCA Rehabilitation - cardiac
Includes: Following recent onset of new cardiac impairment, Chronic cardiac insufficiency, Heart and heart/lung transplant.

CODE RCD Rehabilitation - congenital deformities
Includes: Spina Bifida, Other Congenital deformities.

CODE RDD Rehabilitation - developmental disabilities
Includes: Developmental disabilities (excluding Cerebral Palsy).

CODE RDE Rehabilitation - debility
Includes: Re-conditioning following surgery, Re-conditioning following medical illness, Cancer rehabilitation.

CODE RMT Rehabilitation - major multiple trauma
Includes: Brain and spinal cord injury, Brain and multiple fracture/amputation, Spinal and multiple fracture/amputation, Other multiple trauma.

CODE RNE Rehabilitation - neurological
Includes: Multiple Sclerosis, Parkinsonism, Polyneuropathy, Guillian-Barre, Cerebral Palsy, Neuromuscular disorders, Other neurologic conditions.

CODE ROA Rehabilitation - orthopaedic conditions, all other
Includes: Soft tissue injury.

CODE ROF Rehabilitation - orthopaedic conditions, fractures
Includes: Fracture of hip - unilateral, Fracture of hip - bilateral, Fracture of shaft of femur, Fracture of pelvis, Fracture of knee, Fracture of lower leg or ankle or foot, Fracture of upper limb, Fracture of spine, Fracture of multiple sites, Other orthopaedic fracture.

CODE ROI Rehabilitation - other disabling impairments
Includes: Lymphoedema, Conversion disorder, Other disabling impairments that cannot be classified into a specific group.

CODE ROR Rehabilitation - orthopaedic conditions, replacement
Includes: Hip replacement - unilateral or bilateral, Knee replacement - unilateral or bilateral, Knee and hip replacement - same or different side, Shoulder replacement.

CODE RPS Rehabilitation - pain syndromes
Includes: Neck pain, Back pain, Extremity pain, Headache, Multi-site pain, Other pain.

CODE RPU Rehabilitation - pulmonary
Includes: Chronic Obstructive Pulmonary Disease, Lung transplant, Other pulmonary

CODE RSC Rehabilitation - spinal cord dysfunction
Includes: Non-Traumatic spinal cord dysfunction - Incomplete Paraplegia, Complete Paraplegia, Incomplete C1-4 quadriplegia, Incomplete C5-8 quadriplegia, Complete C1-4 quadriplegia, Complete C5-8 quadriplegia, Other non-traumatic spinal cord dysfunction, Traumatic spinal cord dysfunction - Incomplete paraplegia.

CODE RST Rehabilitation - stroke
Includes: Left Body Involvement, Right Body Involvement, Bilateral Involvement, No Paresis, Other Stroke.
Verification Rules
The codes for each SNAP type are validated against valid sub and non-acute episodes types.
Geriatric Evaluation and Management SNAP types can only be used in conjunction with a care type of 09 Geriatric Evaluation and Management.
Maintenance SNAP types can only be used in conjunction with a care type of 11 Maintenance care.
Palliative SNAP types can only be used in conjunction with a care type of 30 Palliative care.
Psychogeriatric SNAP types can only be used in conjunction with a care type of 10 Psychogeriatric care.
Rehabilitation SNAP types can only be used in conjunction with a care type of 20 Rehabilitation care.
Collection Methods
For national reporting of the Episode of admitted patient care-clinical assessment only indicator (NHDD) data element the following mapping occurs:
Code GAO Geriatric evaluation and management - assessment only is mapped to code 1 Yes.
Code MAO Maintenance - assessment only is mapped to code 1 Yes.
Code PAA Palliative - assessment only is mapped to code 1 Yes.
Code PSA Psychogeriatric - assessment only is mapped to code 1 Yes.
Code RAO Rehabilitation - assessment only is mapped to code 1 Yes.
All other SNAP type codes are mapped to code 2 No.

For national reporting of the Episode of admitted patient care-type of maintenance care provided (NHDD) data element the the following mapping occurs:
Code MCO is mapped to code 1 Convalescent care.
Code MNH is mapped to code 3 Nursing home type care.
Code MOT is mapped to code 8 Other maintenance care.
Code MRE is mapped to code 2 Respite care.
Comment
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Relational Attributes
Related Metadata References
Implementation in Metadata Sets

Otherrelational

  • 1 - 1
ViewMetadata Item TypeMetadata Set TypeNameAscendingIdentifier & VersionObligationEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1Conditional01-Jul-201430-Jun-2016
Data Quality Declaration
-
Source and Reference Attributes
Source Organisation
-
Source Document
-
Keywords

Care type; SNAP