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Data Element Detail

Care type
Identifying and Definitional Attributes
QH 040013 v6
Data Element
Data Element
Current
01-Mar-2005		Superseded
08-Jul-2013
Standard
01-Mar-2005
30-Jun-2013
The overall nature of a clinical service provided to an admitted patient during an episode of care (admitted care), or the type of service provided by the hospital for boarders or posthumous organ procurement (other care).
Institutional health care: the identification of different care types is required in order to appropriately classify and count the care a person received whilst in hospital. The type of care received will determine the appropriate casemix classification that shall be employed to classify the episode of care.
Care type (QHAPDC)
Representational Attributes
Numeric Character
Code
N(2)
2
2
Permissible Values

Permissible_values

CodeDescription
01Acute
05Newborn
06Other care
07Organ procurement
08Boarder
09Geriatric Evaluation and Management
10Psychogeriatric
11Maintenance
21Rehabilitation - delivered in a designated unit
22Rehabilitation - according to a designated program
23Rehabilitation - principal clinical intent
31Palliative - delivered in a designated unit
32Palliative - according to a designated program
33Palliative - principal clinical intent
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
An episode of care begins on the date the person meets the criteria defined above for a particular type of care; this may be the same as the date the person was admitted to hospital or a date during the hospital stay. An episode of care ends when the principal intent of the care changes or when the patient is formally separated from the hospital. There may be more than one care type within the one overnight stay period.

Persons with mental illness may receive any one of the care types (except newborn and organ procurement). Classification depends on the principal clinical intent of the care received.

Admitted care can be one of the following:
CODE 01 Acute care
Acute care is care in which the clinical intent or treatment goal is to:
-manage labour (obstetric)
-cure illness or provide definitive treatment of injury
-perform surgery
-relieve symptoms of illness or injury (excluding palliative care)
-reduce severity of an illness or injury
-protect against exacerbation and/or complication of an illness and/or injury which could threaten life or normal function
-perform diagnostic or therapeutic procedures.
CODE 21 Rehabilitation care delivered in a designated unit
A designated rehabilitation care unit is a dedicated ward or unit (and can be a stand-alone unit) that receives identified funding for rehabilitation care and/or primarily delivers rehabilitation care.
CODE 22 Rehabilitation care according to a designated program
In a designated rehabilitation care program, care is delivered by a specialised team of staff who provide rehabilitation care to patients in beds that may or may not be dedicated to rehabilitation care. The program may, or may not be funded through identified rehabilitation care funding. Code 21 should be used instead of code 22 if care is being delivered in a designated rehabilitation care program and a designated rehabilitation care unit.
CODE 23 Rehabilitation care is the principal clinical intent
Rehabilitation as principal clinical intent occurs when the patient is primarily managed by a medical practitioner who is a specialist in rehabilitation care or when, in the opinion of the treating medical practitioner, the care provided is rehabilitation care even if the doctor is not a rehabilitation care specialist. The exception to this is when the medical practitioner is providing care within a designated unit or a designated program, in which case code 21 or 22 should be used, respectively.
CODE 31 Palliative care delivered in a designated unit
A designated palliative care unit is a dedicated ward or unit (and can be a stand-alone unit) that receives identified funding for palliative care and/or primarily delivers palliative care.
CODE 32 Palliative care according to a designated program
In a designated palliative care program, care is delivered by a specialised team of staff who provide palliative care to patients in beds that may or may not be dedicated to palliative care. The program may, or may not be funded through identified palliative care funding. Code 31 should be used instead of code 32 if care is being delivered in a designated palliative care program and a designated palliative care unit.
CODE 33 Palliative care is the principal clinical intent
Palliative care as principal clinical intent occurs when the patient is primarily managed by a medical practitioner who is a specialist in palliative care or when, in the opinion of the treating medical practitioner, the care provided is palliative care even if the doctor is not a palliative care specialist. The exception to this is when the medical practitioner is providing care within a designated unit or a designated program, in which case code 31 or 32 should be used, respectively. For example, code 33 would apply to a patient dying of cancer who was being treated in a geriatric ward without specialist input by palliative care staff.
CODE 09 Geriatric evaluation and management
Geriatric evaluation and management is care in which the clinical intent or treatment goal is to maximise health status and/or optimise the living arrangements for a patient with multi-dimensional medical conditions associated with disabilities and psychosocial problems, who is usually (but not always) an older patient. This may also include younger adults with clinical conditions generally associated with old age. This care is usually evidenced by multi-disciplinary management and regular assessments against a management plan that is working towards negotiated goals within indicative time frames. Geriatric evaluation and management includes care provided:
-in a geriatric evaluation and management unit; or
-in a designated geriatric evaluation and management program; or
-under the principal clinical management of a geriatric evaluation and management physician or,
-in the opinion of the treating doctor, when the principal clinical intent of care is geriatric evaluation and management.
CODE 10 Psychogeriatric care
Psychogeriatric care is care in which the clinical intent or treatment goal is improvement in health, modification of symptoms and enhancement in function, behaviour and/or quality of life for a patient with an age-related organic brain impairment with significant behavioural or late onset psychiatric disturbance or a physical condition accompanied by severe psychiatric or behavioural disturbance. The care is usually evidenced by multi-disciplinary management and regular assessments against a management plan that is working towards negotiated goals within indicative time frames. It includes care provided:
-in a psychogeriatric care unit;
-in a designated psychogeriatric care program; or
-under the principal clinical management of a psychogeriatric physician or,
-in the opinion of the treating doctor, when the principal clinical intent of care is psychogeriatric care.
CODE 11 Maintenance care
Maintenance care is care in which the clinical intent or treatment goal is prevention of deterioration in the functional and current health status of a patient with a disability or severe level of functional impairment. Following assessment or treatment the patient does not require further complex assessment or stabilisation, and requires care over an indefinite period. This care includes that provided to a patient who would normally receive care in another setting eg at home, or in a residential aged care service, by a relative or carer, that is unavailable in the short term.
CODE 05 Newborn care
Newborn care is initiated when the patient is born in hospital or is nine days old or less at the time of admission. Newborn care continues until the care type changes or the patient is separated:
-patients who turn 10 days of age and do not require clinical care are separated and, if they remain in the hospital, are designated as boarders
-patients who turn 10 days of age and require clinical care continue in a newborn episode of care until separated
-patients aged less than 10 days and not admitted at birth (eg transferred from another hospital) are admitted with newborn care type
-patients aged greater than 9 days not previously admitted (eg transferred from another hospital) are either boarders or admitted with an acute care type
-within a newborn episode of care, until the baby turns 10 days of age, each day is either a qualified or unqualified day
-a newborn is qualified when it meets at least one of the criteria detailed in Newborn qualification status.
Within a newborn episode of care, each day after the baby turns 10 days of age is counted as a qualified patient day. Newborn qualified days are equivalent to acute days and may be denoted as such.
CODE 06 Other admitted patient care
Other admitted patient care is care where the principal clinical intent does meet the criteria for any of the above.
Other care can be one of the following:
CODE 07 Organ procurement - posthumous (Other care)
Organ procurement - posthumous is the procurement of human tissue for the purpose of transplantation from a donor who has been declared brain dead.
Diagnoses and procedures undertaken during this activity, including mechanical ventilation and tissue procurement, should be recorded in accordance with the relevant ICD-10-AM Australian Coding Standards. These patients are not admitted to the hospital but are registered by the hospital.
CODE 08 Hospital boarder (Other care)
Hospital boarder is a person who is receiving food and/or accommodation but for whom the hospital does not accept responsibility for treatment and/or care.
Hospital boarders are not admitted to the hospital. However, a hospital may register a boarder. Babies in hospital at age 9 days of less cannot be boarders. They are admitted patients with each day of stay deemed to be either qualified or unqualified.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 2
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementCare typeQH 040013 Version 5Superseded
Has been superseded byData ElementData ElementHospital service-care typeQH 040013 Version 7Superseded
Implementation in Metadata Sets

Implemented

  • 1 - 2
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionMonthly Activity Collection (MAC)QH 020008 Version 1Superseded01-Mar-200530-Jun-2013
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1MandatorySuperseded01-Mar-200530-Jun-2013
Source and Reference Attributes
CRDI; CRDI QHAPDC; Care type;