Data Element Detail

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Identifying and Definitional Attributes
Representational Attributes
Collection and Usage Attributes
Relational Attributes
Source and Reference Attributes

Emergency department stay-Emergency Examination Authority indicator

Identifying and Definitional Attributes

Identifier & Version

QH 042217 v1

Metadata Item Type

Data Element

Data Element Type

Data Element

Approval Status

Draft
08-Aug-2017

Approval Type

Standard

Approving Authority

Information Management Strategic Governance Committee (IMSGC), Queensland Health

Effective From

01-Jul-2017

Effective To

Definition

Indicates whether an Emergency Examination Authority (EEA) has been used in an emergency presentation.

Context

Emergency department care

Short Name

Emergency examination authority indicator

Name in Other Contexts

Emergency examination authority flag (EDC)

Representational Attributes

Datatype

Numeric

Representation Class

Code

Format

Minimum Character Length

Maximum Character Length

Permissible Values

Permissible_values

Code	Description
1	The emergency presentation is related to an Emergency Examination Authority
2	The emergency presentation is not related to an Emergency Examination Authority

Supplementary Values

Supplemenary_values

Collection and Usage Attributes

Guide for Use

New

Verification Rules

Emergency Data Collection (EDC):
Can be blank.
If not null, must be either 1 or 2.
If data exists, then this data element should not be null.

Collection Methods

An EEA allows a person to be detained and transported by a police officer or ambulance officer without their consent, with the help and using the force that is necessary and reasonable in the circumstances. A police officer or ambulance officer must immediately make an EEA for the person (in the approved form) and give the completed authority to a health service employee at the facility. A health service employee must then complete Part B of the EEA form, acknowledging receipt of the authority. This emergency presentation will then need to be recorded in the relevant information system.

For systems that have a designated flag or field for EEA presentations, then the flag is used. If this is not available and the EEA status can be derived from the Non-admitted patient ED service episode-transport mode (arrival) then the Non-admitted patient ED service episode-transport mode (arrival) is used to derive the EEA status.

For all other sites, if data exists, set to 1 or 2 as per rules, otherwise set to NULL.

Comments

A review of the Mental Health Act 2000 identified a number of areas for improvement, including the EEA processes. Persons transported under the EEA provisions of the Mental Health Act 2000 were 'presumed' to have a mental illness in order to meet the legislative criteria for the making of an EEA.
The EEA provisions apply if a police officer or ambulance officer reasonably believe that: a person's behaviour indicates the person is at immediate risk of serious harm (e.g. by threatening to commit suicide), and the risk appears to be the result of major disturbance in the person's mental capacity caused by illness, disability, injury, intoxication or other reason, and the person appears to require urgent examination, treatment or care.
If all these criteria are established, an officer may detain and transport a person to a 'treatment or care place'. A treatment or care place means a public sector health service facility (including an authorised mental health service) or another place such as a person's home, where the person may receive appropriate treatment and care. A watch house is not a 'treatment or care place'.
A person will, in the vast majority of cases, be brought to an emergency department of a hospital. The person will then be admitted and assessed in accordance with local emergency department processes and procedures. The decision made by emergency department staff upon a person's presentation will determine a person's treatment needs.
It is possible that during an examination, a doctor or authorised mental health practitioner may be called upon to examine the person to decide whether there is an underlying mental illness. As a result, one possible outcome from an EEA is the making of a recommendation for assessment under the Mental Health Act 2016.

Relational Attributes

Related Metadata References

Related Metadata References_IR

1 - 1

View	Relationship	Metadata Item Type	Metadata Item Subtype	Name	Identifier & Version	Approval Status
	Relates to	Data Element	Data Element	Non-admitted patient ED service episode-transport mode (arrival)	QH 040977 Version 1	Current

Implementation in Metadata Sets

Implemented

1 - 4

Metadata Item Type	Metadata Item Subtype	Name	Identifer & Version	Obligation	Approval Status	Effective From	Effective To
Information Asset	Data Collection	Emergency Data Collection (EDC)	QH 020159 Version 3	Conditional	Draft	01-Jul-2021
Information Asset	Data Collection	Emergency Data Collection (EDC)	QH 020159 Version 2	Conditional	Current	01-Jul-2019	30-Jun-2021
Information Asset	Data Collection	Emergency Data Collection (EDC)	QH 020159 Version 1	Conditional	Superseded	01-Jul-2017	30-Jun-2019
Data Supply Requirement	HHS Service Agreement	Emergency Data Collection (EDC) Data Supply Requirement (DSR) 2018-2019	QH 020431 Version 1	Conditional	Superseded	01-Jul-2018	30-Jun-2019

Data Quality Declaration

Source and Reference Attributes

Source Organisation

Source Document

Keywords

Admitted by Ambulance; Admitted by Police; Detained and admitted; EEA; Suicide risk;