[WWW - 2021.12.16]
Identifying and Definitional Attributes
Identifier
QH 040603
Version
3
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
08-Mar-2016  
Current
15-Aug-2016  
Approval Type
Standard
Approving Authority
-
Effective From
01-Jul-2016
Effective To
-
Definition
The sub-scale of the tool used to conduct the clinical assessment of an admitted patient.
Context
Sub-acute and non-acute admitted patient (SNAP) care.
Short Name
Clinical assessment tool sub-type used
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
ACDAttention/comprehension/follow commands/constructional (diagram)
ACPAttention/comprehension/construction/follow commands (paper)
ADLProblems with activities of daily living
BDRBladder management
BEHBehavioural disturbance
BTHBathing
BWLBowel management
CGPCognitive problems
CMPComprehension
COGCognitive (total)
DDUProblem drinking or drug use
DPSProblems associated with depressive symptoms
DRLDressing - lower body
DRUDressing - upper body
EATEating
EXPExpression
GRMGrooming
HADProblems associated with hallucinations and delusions
LACLanguage/attention/comprehension
LATLanguage/attention
LAVLanguage/abstract thinking/verbal fluency
LMPLanguage/memory - long (pencil)
LMWLanguage/memory - long (wristwatch)
LNGLanguage
LSTLocomotion - stairs
LVCOverall problems with living conditions
LWWLocomotion - walk/wheelchair
MEMMemory
MIMMemory - immediate
MOTMotor (total)
MSHMemory - short
NASNon-accidental self injury
OMBOther mental and behavioural problems
ORPOrientation - place
ORTOrientation - time
PIDProblems related to physical illness or disability
PRSProblem solving
SOCSocial interaction
SSRProblems with social or supportive relationships
TBCTransfers - bed/chair/wheelchair
TBSTransfers - bath/shower
TLTToileting
TOTTotal
TTLTransfers - toilet
WLQProblems with work and leisure activities and the quality of the daytime environment
Supplementary Values
-
Collection and Usage Attributes
Guide for Use
For the Functional Independence Measure (FIM) tool record the following 5 cognitive subtypes and the total, and 13 motor subtypes and the  total:

Cognitive
CMP = 	Comprehension
EXP = 	Expression
MEM = 	Memory
PRS = 	Problem solving
SOC = 	Social interaction

COG = 	Cognitive (total)

Motor
BTH = 	Bathing
BDR = 	Bladder management
BWL = 	Bowel management
DRL = 	Dressing - lower body
DRU = 	Dressing - upper body
EAT = 	Eating
GRM = 	Grooming
LST = 	Locomotion - stairs
LWW = 	Locomotion - walk/wheelchair)
TLT = 	Toileting
TBC = 	Transfers - bed/chair/wheelchair
TTL = 	Transfers - toilet
TBS = 	Transfers -bath/shower

MOT = 	Motor (total)

For the Health of the Nation Outcome Scale 65+ (HoNOS 65+) tool record the following 12 subtypes and the total:

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
For patients assigned a Psychogeriatric care type:
ADL Type = HON and record scores for 12 ADL Subtypes and a Total ADL Subtype:

BEH = Behavioural disturbance
NAS = Non-accidental self-injury
DDU = Problem drinking or drug use
CGP = Cognitive problems
PID = Problems related to physical illness or disability
HAD = Problems associated with hallucinations and delusions
DPS = Problems with depressive symptoms
OMB = Other mental and behavioural problems
SSR = Problems with social or supportive relationships
ADL = Problems with activities of daily living
LVC = Overall problems with living conditions
WLQ = Problems with work and leisure activities and the quality of the daytime environment.
TOT = Total

The FIM tool has a cognitive and a motor sub-scale.
For patients assigned a Rehabilitation or Geriatric Evaluation and Management care type:
ADL Type = FIM and record scores for the 13 Motor ADL Subtypes, 5 Cognitive ADL Subtypes and a Total Cognitive and a Total Motor ADL Subtype:

Must not be null APPENDIX B - 2016-2017 v1.0 - 24 -
EAT = Eating
GRM = Grooming
BTH = Bathing
DRU = Dressing upper body
DRL = Dressing lower body
TLT = Toileting
BDR = Bladder management
BWL = Bowel management
TBC = Transfer (bed/chair/wheelchair)
TTL = Transfer (toileting)
TBS = Transfer (bath/shower)
LWW = Locomotion (walk/wheelchair)
LST = Locomotion (stairs)
CMP = Comprehension
EXP = Expression
SOC = Social interaction
PRS = Problem solving
MEM = Memory
MOT = Motor (total)
COG = Cognitive (total)

The RUG tool requires the collection of the total RUG score when assigning to a Maintenance or Palliative care type.
ADL Type = RUG and record 1 ADL Subtype:
TOT = Total

Reporting of Standardised Mini-Mental State Examination scores is optional for patients assigned a Geriatric Evaluation and Management care type and not required for any other sub and non-acute care type.
ADL Type = SMM and record scores for the 12 ADL Subtypes and a Total ADL Subtype:

ORT = Orientation - time
ORP = Orientation - place
MIM = Memory - immediate
LAT = Language/attention
MSH = Memory - short
LMW = Language memory - long (wristwatch)
LMP = Language memory - long (pencil)
LAV = Language/abstract thinking/verbal fluency
LNG = Language
LAC = Language/attention/comprehension
ACD = Attention/comprehension/follow commands/constructional (diagram)
ACP = Attention/comprehension/construction/ follow commands (paper)
TOT = Total

ADL = 	Problems with activities of daily living
BEH = 	Behavioural disturbance
CGP = 	Cognitive problems
DDU = 	Problem drinking or drug use
DPS = 	Problems associated with depressive symptoms
HAD = 	Problems associated with hallucinations and delusions
LVC = 	Overall problems with living conditions
NAS = 	Non-accidental self-injury
OMB = 	Other mental and behavioural problems
PID = 	Problems related to physical illness or disability
SSR = 	Problems with social or supportive relationships
WLQ = 	Problems with work and leisure activities and the quality of the daytime 	environment

TOT = 	Total

For the Resource Utilisation Groups - Activities of Daily Living (RUG - ADL) tool record the total only.

TOT = 	Total

For the Standardised Mini-Mental State Examination (SMMSE) tool record the following 12 subtypes and the total:

ACP = 	Attention/comprehension/construction/follow commands (paper)
ACD = 	Attention/comprehension/follow commands/constructional (diagram)
LNG = 	Language
LMP = 	Language memory - long (pencil)
LMW = 	Language memory - long (wristwatch)
LAV = 	Language/abstract thinking/verbal fluency
LAT = 	Language/attention
LAC = 	Language/attention/comprehension
MIM = 	Memory - immediate
MSH = 	Memory - short
ORP = 	Orientation - place
ORT = 	Orientation - time

TOT = 	Total
Verification Rules
Mandatory
Where Hospital service-care type (QHAPDC) is code 09 Geriatric Evaluation and Management or code 20 Rehabilitation care and Episode of admitted patient care-clinical assessment tool used (QHAPDC) is code FIM Functional Independence Measure (FIM): must be code 

For Cognitive scale:
CMP, EXP, MEM, PRS or SOC, with a total (COG).

For Motor scale:
BDR, BTH, BWL, DRL, DRU, EAT, GRM, LST, LWW, TBC, TBS, TLT or TTL, with a total (MOT).

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.
Where Hospital service-care type (QHAPDC) is code 10 Psychogeriatric care and Episode of admitted patient care-clinical assessment tool used (QHAPDC) is code HON Health of the Nation Outcome Scale 65+ (HoNOS 65+): must be code ADL, BEH, CGP, DDU, DPS, HAD, LVC, NAS, OMB, PID, SSR or WLQ, with a total (TOT).

Where Hospital service-care type (QHAPDC) is code 11 Maintenance care or code 30 Palliative care and Episode of admitted patient care-clinical assessment tool used (QHAPDC) is code RUG Resource Utilisation Groups - Activities of Daily Living (RUG - ADL): must be code TOT.

Optional
Where Hospital service-care type (QHAPDC) is code 09 Geriatric Evaluation and Management and Episode of admitted patient care-clinical assessment tool used (QHAPDC) is code SMM Standardised Mini-Mental State Examination (SMMSE): must be code ACD, ACP, LAC,LAT, LAV, LMP, LMW, LNG, MIM, MSH, ORP or ORT, with a total (TOT).

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Must not be null for admitted patient records with Sub-acute and non-acute episode of care.
Validated against a list of ADL sub-type codes.
Collection Methods
Hospital Based Corporate Information System (HBCIS):
For operational purposes SMMSE data is accessed via a separate field 'Other ADL type'.

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Collection of SMMSE is optional.
Comment
-
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-201630-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
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Source and Reference Attributes
Source Organisation
-
Source Document
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