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NationalHealthDataDictionaryVersion9NationalHealthDataCommittee2000AustralianInstituteofHealthandWelfareCanberraAIHWCatalogueNumberHWI24AustralianInstituteofHealthandWelfare2000Thisworkiscopyright.
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ISBN1740240502ISSN1329-4555SuggestedcitationAustralianInstituteofHealthandWelfare2000.
NationalHealthDataDictionary.
Version9.
AIHWCatalogueno.
HWI24.
Canberra:AustralianInstituteofHealthandWelfare.
AustralianInstituteofHealthandWelfareBoardChairProfessorJaniceReidDirectorDrRichardMaddenTheInstituteisanindependenthealthandwelfarestatisticsandinformationagency.
TheInstitutesmissionistoinformcommunitydiscussionanddecisionmakingthroughnationalleadershipinthedevelopmentandprovisionofauthoritativeandtimelyinformationandanalysisonthehealthandwelfareofAustralians.
TheAustralianInstituteofHealthandWelfareswebsitecanbefoundat:http://www.
aihw.
gov.
auAnyenquiriesaboutorcommentsonthispublicationshouldbedirectedto:NationalInformationDevelopmentUnitAustralianInstituteofHealthandWelfareGPOBox570CanberraACT2601Phone:(02)62441109Fax:(02)62441255PublishedbytheAustralianInstituteofHealthandWelfarePrintedbyNationalCapitalPrinting,CanberraNationalHealthDataDictionary,version9IntroductioniiiForewordTheAustralianInstituteofHealthandWelfareispleasedtoproducethisninthversionoftheNationalHealthDataDictionary,whichisavitaltoolforuseinensuringthequalityofAustralianhealthdata.
Thiseditionincludesthenewsubject/keywordindexintroducedinVersion8toassistuserstoexploretheDictionaryfornationaldatastandardsintheirareasofinterest.
DataelementsinthiseditioncontinuetobepresentedinaformatbasedontheISO/IECStandard11179SpecificationandStandardizationofDataElementstheinternationalstandardfordefiningdataelementsissuedbytheInternationalOrganizationforStandardizationandtheInternationalElectrotechnicalCommission.
AsinVersion8,dataelementsarealsopresentedaccordingtotheiralignmenttoentitiesintheNationalHealthInformationModel.
AllAustralianhealthdepartments,theAustralianBureauofStatistics,theAustralianInstituteofHealthandWelfare,theNationalCentreforClassificationinHealth,theDepartmentofVeteransAffairs,representativesofprivatehospitalsandtheprivatehealthinsuranceindustrycooperatetoproduceintheDictionaryasetofcoredefinitionsanddataitemsforuseinallAustralianhealthdatacollections.
UseoftheDictionarywillhelpensurethatdataelementsarecollecteduniformlyfromallservicesandjurisdictionsthroughoutAustraliaandtherebyimprovethequalityofinformationforcommunitydiscussionandpublicpolicydebateonhealthissuesinAustralia.
TheDictionarywasfirstmadeavailableinelectronicformfromJuly1997viatheKnowledgebaseAustraliasHealthandCommunityServicesMetadataRegistry(formerlyknownastheNationalHealthInformationKnowledgebaseorNHIK).
TheKnowledgebasehasbeenupdatedtoincorporatethisninthversionoftheDictionaryandisaccessibleviatheInstituteswebsite(http://www.
aihw.
gov.
au).
TheKnowledgebasehasbecomeastandardformofreleasefortheDictionaryand,asInternetaccessbecomesmorecommon,therequirementforthispublicationinhardcopyhasdiminished.
ThisversionisalsoavailableasaCD-ROMproducedinPDFformat.
AdownloadablecopyoftheDictionaryisalsoavailablefromtheInternetthroughthePublicationsareaoftheInstituteshomepage.
ThedownloadablecopyisidenticaltothatavailableonCD.
ThanksareduetoJoeChristensen,DavidNeilsen,andAlannahSmithoftheInstitutestaffwhohavepreparedthematerialforthisninthedition,andtoallmembersoftheNationalHealthDataCommitteewhohaveoverseenitspreparation.
Iurgeallcollectorsofhealth-relateddatainAustraliatousetheDictionaryandsoimprovethecomparabilityandqualityofAustralianhealthdata.
TheDictionarycontenthasbeenexpandingbeyondinstitutionalhealthcareandmanyofthenewdataelementsrelatetoothersectorsofhealthcare.
TheNationalHealthDataCommitteeandtheInstitutecontinuetowelcomecommentontheDictionary.
Readersareencouragedtocompleteandreturnthelift-outfeedbacksheetincludedatthebackoftheDictionary.
Inaddition,shouldreadershaveanyviewsonfutureimprovementstotheDictionary,pleasecontacttheInstitutesothattheissuescanbeaddressed.
RichardMaddenDirectorAustralianInstituteofHealthandWelfareNationalHealthDataDictionary,version9IntroductionvContentsForewordiiiContentsvIndextodataelementdefinitionsviiAlphabeticalindextodataelementdefinitionsxvIntroductionxxiTheNationalHealthDataCommitteexxiTheKnowledgebaseAustraliasHealthandCommunityServicesMetadataRegistryxxiiNationalMinimumDataSets.
xxiiiVersion9xxivFeedbackxxivSecretariatcontactdetailsxxvNationalMinimumDataSets.
1TheNationalHealthInformationModel.
28Dataelementdefinitions29AppendixA:TheNationalHealthDataCommitteemembershipasatFebruary2000461AppendixB:FormatfordataelementdefinitionsISO/IEC11179-basedstandards.
463AppendixC:TheNationalHealthInformationModelentitydefinitions466AppendixD:Cross-classificatoryvariablesStaffingCategory.
475AppendixE:Establishmentactivitydefinitions476AppendixF:Establishmentresourceusedefinitions477AppendixG:System-levelresourcedefinitions:478AppendixH:DataelementslistedbypreviousP,A,E,andSnumbers481AppendixI:KnowledgebaseIDnumberindextodataelements486AppendixJ:DataelementsincommonwithotherNMDSs494AppendixK:Subject/keywordindextodataelements502Feedbacksheet(lift-out)NationalHealthDataDictionary,version9IntroductionviiIndextodataelementdenitionsPartycharacteristics:Personcharacteristic:Demographiccharacteristic:Countryofbirth29Dateofbirth.
31Estimateddateflag.
32Indigenousstatus33PeriodofresidenceinAustralia36Sex.
37Physicalcharacteristic:Adultabdominalcircumference(concept)39Adultabdominalcircumferencemeasured40Adultabdomentohipratio43Adultbodymassindex45Adultbodymassindexclassification.
48Adultheight(concept)51Adultheightmeasured.
52Adultheightself-reported55Adulthipcircumference(concept)57Adulthipcircumferencemeasured.
58Adultweight(concept)61Adultweightmeasured62Adultweightself-reported.
65Labourcharacteristic:Classificationofhealthlabourforcejob75Employmentstatusacutehospitalandprivatepsychiatrichospitaladmissions70Employmentstatuspublicpsychiatrichospitaladmissions.
72Healthlabourforce(concept)74Hourson-call(notworked)bymedicalpractitioner.
85Hoursworkedbyhealthprofessional83Hoursworkedbymedicalpractitionerindirectpatientcare86Occupationofperson.
68Principalareaofclinicalpractice78Principalroleofhealthprofessional88Professionlabourforcestatusofhealthprofessional80Surgicalspecialty90Totalhoursworkedbyamedicalpractitioner87Lifestylecharacteristic:Injectingdruguse109Methodofuseforprincipaldrugofconcern110Tobaccosmokingstatus92Tobaccosmokingconsumption/quantity(cigarettes)94Tobaccosmokingduration(dailysmoking)96Tobaccosmokingever-dailyuse98Tobaccosmokingfrequency.
100NationalHealthDataDictionary,version9viiiIntroductionTobaccosmokingproduct102Tobaccosmokingstartage(dailysmoking)104Tobaccosmokingquitage(dailysmoking)105Tobaccosmokingtimesincequitting(dailysmoking)107Socialcharacteristic:Maritalstatus112Preferredlanguage.
114Needforinterpreterservice118Accommodationcharacteristic:Typeofaccommodation119Typeofusualaccommodation121Insurance/benefitcharacteristic:Admittedpatientelectionstatus126Compensablestatus125DepartmentofVeteransAffairspatient128Hospitalinsurancestatus122Medicareeligibilitystatus.
129Pensionstatusnursinghomeresidents124Legalcharacteristic:Mentalhealthlegalstatus131Partycharacteristics:Stateofhealthandwellbeing:Healthstatus:Physicalwellbeing:Additionaldiagnosis136Apgarscoreat1minute149Apgarscoreat5minutes.
150Behaviour-relatednursingrequirementsatnursinghomeadmission167Behaviour-relatednursingrequirementsatnursinghome,currentstatus.
168Birthweight(concept)148Bodilylocationofmaininjury177Complicationsofpregnancy.
151Congenitalmalformations158CongenitalmalformationsBPAcode159Continencestatus(faeces)ofnursinghomeresidentatadmission.
169Continencestatus(faeces)ofnursinghomeresidentcurrentstatus170Continencestatus(urine)ofnursinghomeresidentatadmission171Continencestatus(urine)ofnursinghomeresidentcurrentstatus.
172Dateofcompletionoflastpreviouspregnancy.
152Diagnosis(concept)134Diagnosisrelatedgroup140Firstdayofthelastmenstrualperiod154Functionalprofileofnursinghomeresidentatadmission173Functionalprofileofnursinghomeresidentcurrentstatus174Gestationalage156Gestationalage(concept)157Infantweight,neonate,stillborn160Majordiagnosticcategory.
142Maternalmedicalconditions155NationalHealthDataDictionary,version9IntroductionixNatureofmaininjurynon-admittedpatient.
179Neonatalmorbidity147Neonate(concept)146Nursingdiagnosis.
144Otherdrugsofconcern182Outcomeoflastpreviouspregnancy.
153Perinatalperiod(concept)162Perinealstatus163Postpartumcomplication164Previouspregnancies165Principaldiagnosis138Principaldrugofconcern183Specialisednursingrequirementsatnursinghomeadmission175Specialisednursingrequirementscurrentstatus176Statusofthebaby161Functionalwellbeing:Careravailability187Dependencyinactivitiesofdailyliving184Partycharacteristics:Organisationcharacteristic:Establishmenttype190Establishmentidentifier.
194Establishmentnumber.
196Regioncode197Teachingstatus198Specialisedserviceindicators200Location:Address:Areaofusualresidence204Geographicallocationofestablishment206Stateidentifier208State/Territoryofbirth209Setting:Organisationalsetting:Establishmentsector.
210Typeandsectorofemploymentestablishment211Servicedeliverysetting:Hospital(concept)213Intensivecareunit(concept)214Othersettings:Actualplaceofbirth.
216Locationimmediatelypriortoadmissiontonursinghome.
217Placeofoccurrenceofexternalcauseofinjury218NationalHealthDataDictionary,version9xIntroductionExpenditure:Capitalexpenditure:Capitalexpenditure221Capitalexpendituregross(accrualaccounting)223Capitalexpenditurenet(accrualaccounting)225Recurrentexpenditure:Administrativeexpenses.
226Depreciation227Domesticservices228Drugsupplies229Foodsupplies230Full-timeequivalentstaff231Indirecthealthcareexpenditure233Interestpayments.
235Medicalandsurgicalsupplies236Non-salaryoperatingcosts237Otherrecurrentexpenditure.
239Patienttransport.
240Paymentstovisitingmedicalofficers241Repairsandmaintenance242Salariesandwages243Superannuationemployercontributions(includingfundingbasis)245Outcome:Statedoutcome:Healthoutcome(concept)248Healthoutcomeindicator(concept)249Expectedoutcome:Goalofcare250Partyrole:Recipientrole:Admittedpatient(concept)256DepartmentofVeteransAffairsfilenumber.
266Hospitalboarder(concept)264Inter-hospitalcontractedpatient262Medicarenumber265Non-admittedpatient(concept)258Overnight-staypatient(concept)259Patient(concept)255Personidentifier254Same-daypatient(concept)260Event:Personevent:Birthevent:Birthorder275Birthplurality276Complicationoflabouranddelivery270Livebirth(concept)268NationalHealthDataDictionary,version9IntroductionxiMethodofbirth273Onsetoflabour269Presentationatbirth274Resuscitationofbaby277Typeofaugmentationoflabour271Typeoflabourinduction272Lifeevent:Crisisevent:Injuryevent:Activitywheninjured278Externalcauseadmittedpatient280Externalcausehumanintent282Externalcausenon-admittedpatient284Narrativedescriptionofinjuryevent286Deathevent:Neonataldeath(concept)287Stillbirth(foetaldeath)(concept)288Event:Healthandwelfareserviceevent:Requestfor/entryintoserviceevent:Admission(concept)290Admissiondate291Admissiontime.
292Clienttype319Commencementoftreatment(concept)320Contractestablishmentidentifier.
321Contractprocedureflag.
322Contractrole324Contracttype.
325Contractedcarecommencementdate327Contractedcarecompletiondate328Contractedhospitalcare(concept)329Dateofcommencementoftreatment.
331Datepatientpresents311Dateoffirstcontact.
295Electivecare(concept)297Electivesurgery(concept)299Hospitalwaitinglist(concept)300Listingdate305Modeofadmission.
293Non-electivecare(concept)298Patientlistingstatus306PatientpresentationatEmergencyDepartment(concept)310Previousspecialisedtreatment317Reasonforremoval.
308Sourceofreferraltoalcoholandotherdrugtreatmentservice332Sourceofreferraltopublicpsychiatrichospital316Timepatientpresents313Typeofnursinghomeadmission.
294Typeofvisit314Waitinglistcategory.
301NationalHealthDataDictionary,version9xiiIntroductionServiceprovisionevent:Acutecareepisodeforadmittedpatients(concept)335Anaesthesiaadministeredduringlabour365Analgesiaadministeredduringlabour.
366Caretype336Clinicalintervention(concept)341Dateofchangetoqualificationstatus364Dateoffirstdeliveryofservice348Dateofserviceevent350Dayprogramattendances.
352Episodeofcare379Groupsessions353Indicatorprocedure345Individual/groupsession354Minutesofoperatingtheatretime361Non-admittedpatientserviceevent(concept)370Non-admittedpatientservicemode372Non-admittedpatientservicetype374Numberofcontacts(psychiatricoutpatientclinic/dayprogram)358Numberofdaysinspecial/neonatalintensivecare360Numberofservicecontactdates359Nursinginterventions367Organprocurementposthumous378Procedure.
343Newbornqualificationstatus362Servicecontact(concept)355Servicecontactdate357Timeofserviceevent351Exit/leavefromserviceevent:Cessationoftreatment(concept)392Dateofcessationoftreatment395Dateoflastcontact386Departurestatus387Modeofseparation383Numberofleaveperiods.
389Reasonforcessationoftreatment393Referraltofurthercare(psychiatricpatients)385Separation(concept)381Separationdate382Totalleavedays390Assessmentevent:Agedcareassessmentstatus.
406Categoryreassignmentdate399Clinicalreview(concept)396Clinicalurgency397Dateoftriage.
400Levelofcare404Multi-disciplinaryteamstatus410New-repeatstatus411Non-admittedpatientserviceeventpatientpresentstatus412NationalHealthDataDictionary,version9IntroductionxiiiTimeoftriage.
401Triagecategory402Urgencyofadmission407Planningevent:Intendedlengthofhospitalstay.
413Intendedplaceofbirth.
414Scheduledadmissiondate.
415Businessfactors:Businessstatement:Performanceindicators:Censusdate418EmergencyDepartmentwaitingtimetoadmission446EmergencyDepartmentwaitingtimetoservicedelivery447Extendedwaitpatient419Hospitalcensus(concept)417Lengthofstay449Non-admittedpatientserviceeventcount453Numberofqualifieddaysfornewborns.
450Occasionsofservice448Overduepatient420Patientdays425Patientsinresidenceatyearend444Separations445Totalcontractpatientdays451Totalpsychiatriccaredays427Typeofadmittedpatientcareforlong-staypatients.
430Typeofadmittedpatientcareforovernightpatients431Typeofadmittedpatientcareforsame-daypatients433Typeofadmittedpatientcareforshort-staypatients435Typeofnon-admittedpatientcare.
436Typeofnon-admittedpatientcare(nursinghomesandhostels)440Typeofnon-admittedpatientcare(publicpsychiatric,alcoholanddrug)441Waitingtimeatacensusdate421Waitingtimeatadmission423Enablingfactors:Resource:Aggregateresourceitem:Numberofavailablebedsforadmittedpatients455Specificresourceitem:Financialresourceitem:Patientrevenue456Recoveries458Otherrevenues460NationalHealthDataDictionary,version9IntroductionxvAlphabeticalindextodataelementdenitionsDataelementnamePageno.
Activitywheninjured,version2278Actualplaceofbirth,version1.
216Acutecareepisodeforadmittedpatients,version1(concept)335Additionaldiagnosis,version4136Administrativeexpenses,version1226Admission,version3(concept)290Admissiondate,version4.
291Admissiontime,version2.
292Admittedpatient,version3(concept)256Admittedpatientelectionstatus,version1126Adultabdomentohipratio,version143Adultabdominalcircumference,version1(concept)39Adultabdominalcircumferencemeasured,version140Adultbodymassindex,version145Adultbodymassindexclassification,version1.
48Adultheight,version1(concept)51Adultheightmeasured,version1.
52Adultheightself-reported,version155Adulthipcircumference,version1(concept)57Adulthipcircumferencemeasured,version158Adultweight,version1(concept)61Adultweightmeasured,version162Adultweightself-reported,version1.
65Agedcareassessmentstatus,version1.
406Alcoholandotherdrugtreatmentservices9Anaesthesiaadministeredduringlabour,version1365Analgesiaadministeredduringlabour,version1366Apgarscoreat1minute,version1.
149Apgarscoreat5minute,version1.
150Areaofusualresidence,version3204Behaviour-relatednursingrequirementsatnursinghomeadmission,version1167Behaviour-relatednursingrequirementsatnursinghome,currentstatus,version1.
168Birthorder,version1275Birthplurality,version1276Birthweight,version1(concept)148Bodilylocationofmaininjury,version1.
177Capitalexpenditure,version1221Capitalexpendituregross(accrualaccounting),version2.
223Capitalexpenditurenet(accrualaccounting),version2225Caretype,version4336Careravailability,version2.
187newthisversionrevisedthisversionNationalHealthDataDictionary,version9xviIntroductionDataelementnamePageno.
Categoryreassignmentdate,version2399Censusdate,version2418Cessationoftreatment,version1(concept)392Classificationofhealthlabourforcejob,version175Clienttype,version1319Clinicalintervention,version1(concept)341Clinicalreview,version1(concept)396Clinicalurgency,version2397Commencementoftreatment,version1(concept)320Compensablestatus,version3125Complicationoflabouranddelivery,version2.
270Complicationsofpregnancy,version2151Congenitalmalformations,version1158CongenitalmalformationsBPAcode,version1159Continencestatus(faeces)ofnursinghomeresidentatadmission,version2.
169Continencestatus(faeces)ofnursinghomeresidentcurrentstatus,version2170Continencestatus(urine)ofnursinghomeresidentatadmission,version2171Continencestatus(urine)ofnursinghomeresidentcurrentstatus,version2172Contractedcarecommencementdate,version1327Contractedcarecompletiondate,version1328Contractedhospitalcare,version1(concept)329Contractestablishmentidentifier,version1321Contractprocedureflag,version1322Contractrole,version1324Contracttype,version1325Countryofbirth,version229Dateofbirth,version231Dateofcessationoftreatment,version1395Dateofchangetoqualificationstatus,version1364Dateofcommencementoftreatment,version1331Dateofcompletionoflastpreviouspregnancy,version1152Dateoffirstcontact,version2295Dateoffirstdeliveryofservice,version2348Dateoflastcontact,version2.
386Dateofserviceevent,version1350Dateoftriage,version1.
400Datepatientpresents,version1311Dayprogramattendances,version1.
352DepartmentofVeterans'Affairsfilenumber,version1266DepartmentofVeteransAffairspatient,version1128Departurestatus,version1387Dependencyinactivitiesofdailyliving,version2184Depreciation,version1227Diagnosis,version1(concept)134Diagnosisrelatedgroup,version1140Domesticservices,version1.
228Drugsupplies,version1229newthisversionrevisedthisversionNationalHealthDataDictionary,version9IntroductionxviiDataelementnamePageno.
Electivecare,version1(concept)297Electivesurgery,version1(concept)299EmergencyDepartmentwaitingtimetoadmission,version1446EmergencyDepartmentwaitingtimetoservicedelivery,version1447Employmentstatusacutehospitalandprivatepsychiatrichospitaladmissions,version2.
.
.
70Employmentstatuspublicpsychiatrichospitaladmissions,version2.
72Episodeofcare,version1(concept)379Establishmentidentifier,version2.
194Establishmentnumber,version2196Establishmentsector,version2.
210Establishmenttype,version1.
190Estimateddateflag,version132Extendedwaitpatient,version1419Externalcauseadmittedpatient,version4280Externalcausehumanintent,version4282Externalcausenon-admittedpatient,version4284Firstdayofthelastmenstrualperiod,version1154Foodsupplies,version1230Full-timeequivalentstaff,version2.
231Functionalprofileofnursinghomeresidentatadmission,version1173Functionalprofileofnursinghomeresidentcurrentstatus,version1174Geographiclocationofestablishment,version2206Gestationalage,version1157Gestationalage,version1(concept)156Goalofcare,version2250Groupsessions,version1353Healthlabourforce,version1(concept)74Healthoutcome,version1(concept)248Healthoutcomeindicator,version1(concept)249Hospital,version1(concept)213Hospitalboarder,version1(concept)264Hospitalcensus,version1(concept)417Hospitalinsurancestatus,version3122Hospitalwaitinglist,version1(concept)300Hourson-call(notworked)bymedicalpractitioner,version2.
85Hoursworkedbyhealthprofessional,version2.
83Hoursworkedbymedicalpractitionerindirectpatientcare,version286Indicatorprocedure,version3345Indigenousstatus,version333Indirecthealthcareexpenditure,version1.
233Individual/groupsession,version1354Infantweight,neonate,stillborn,version3160Injectingdruguse,version1109Intendedlengthofhospitalstay,version1413Intendedplaceofbirth,version1.
414Intensivecareunit,version1(concept)214Interestpayments,version1235newthisversionrevisedthisversionNationalHealthDataDictionary,version9xviiiIntroductionDataelementnamePageno.
Inter-hospitalcontractedpatient,version2262Lengthofstay,version2449Levelofcare,version1404Listingdate,version2305Livebirth,version1(concept)268Locationimmediatelypriortoadmissiontonursinghome,version1217Majordiagnosticcategory,version1142Maritalstatus,version2112Maternalmedicalconditions,version2155Medicalandsurgicalsupplies,version1236Medicareeligibilitystatus,version1129Medicarenumber,version1265Mentalhealthlegalstatus,version5131Methodofbirth,version1.
273Methodofuseofprincipaldrugofconcern,version1110Minutesofoperatingtheatretime,version1361Modeofadmission,version4.
293Modeofseparation,version2383Multi-disciplinaryteamstatus,version1410Narrativedescriptionofinjuryevent,version1286Natureofmaininjurynon-admittedpatient,version1179Needforinterpreterservice,version1118Neonataldeath,version1(concept)287Neonatalmorbidity,version2147Neonate,version1(concept)146Newbornqualificationstatus,version2362New/repeatstatus,version1411Non-admittedpatient,version1(concept)258Non-admittedpatientserviceevent(concept),version1370Non-admittedpatientserviceeventcount,version1453Non-admittedpatientserviceeventpatientpresentstatus,version1412Non-admittedpatientservicemode,version1372Non-admittedpatientservicetype,version1374Non-electivecare,version1(concept)298Non-salaryoperatingcosts,version1.
237Numberofavailablebedsforadmittedpatients,version2.
455Numberofcontacts(psychiatricoutpatientclinic/dayprogram),version1358Numberofdaysinspecial/neonatalintensivecare,version2360Numberofleaveperiods,version3.
389Numberofqualifieddaysfornewborns,version2450Numberofservicecontactdates,version2359Nursingdiagnosis,version2144Nursinginterventions,version2367Occasionsofservice,version1448Occupationofperson,version2.
68Onsetoflabour,version2269Organprocurementposthumous,version1(concept)378newthisversionrevisedthisversionNationalHealthDataDictionary,version9IntroductionxixDataelementnamePageno.
Otherdrugsofconcern,version1182Otherrecurrentexpenditure,version1239Otherrevenues,version1460Outcomeoflastpreviouspregnancy,version1153Overduepatient,version3420Overnight-staypatient,version2(concept)259Patient,version1(concept)255Patientdays,version3425Patientlistingstatus,version3306PatientpresentationatEmergencyDepartment,version1(concept)310Patientrevenue,version1456Patienttransport,version1240Patientsinresidenceatyearend,version1444Paymentstovisitingmedicalofficers,version1241Pensionstatusnursinghomeresidents,version2124Perinatalperiod,version1(concept)162Perinealstatus,version1163PeriodofresidenceinAustralia,version136Personidentifier,version1254Placeofoccurrenceofexternalcauseofinjury,version5218Postpartumcomplication,version2164Preferredlanguage,version2114Presentationatbirth,version1.
274Previouspregnancies,version1165Previousspecialisedtreatment,version3.
317Principalareaofclinicalpractice,version178Principaldiagnosis,version3138Principaldrugofconcern,version1183Principalroleofhealthprofessional,version188Procedure,version5.
343Professionlabourforcestatusofhealthprofessional,version180Reasonforcessationoftreatment,version1393Reasonforremoval,version2.
308Recoveries,version1458Referraltofurthercare(psychiatricpatients),version1.
385Regioncode,version2197Repairsandmaintenance,version1242Resuscitationofbaby,version1277Salariesandwages,version1243Same-daypatient,version1(concept)260Scheduledadmissiondate,version2.
415Separation,version3(concept)381Separationdate,version5382Separations,version2445Servicecontact,version1(concept)355Servicecontactdate,version1357Sex,version2.
37newthisversionrevisedthisversionNationalHealthDataDictionary,version9xxIntroductionDataelementnamePageno.
Sourceofreferraltopublicpsychiatrichospital,version3316Sourceofreferraltoalcoholandotherdrugtreatmentservice,version1332Specialisednursingrequirementsatnursinghomeadmission,version1175Specialisednursingrequirementscurrentstatus,version1176Specialisedserviceindicators,version1.
200Stateidentifier,version2.
208State/Territoryofbirth,version1209Statusofthebaby,version1161Stillbirth(foetaldeath),version1(concept)288Superannuationemployercontributions(includingfundingbasis),version1245Surgicalspecialty,version190Teachingstatus,version1198Timeofserviceevent,version1351Timeoftriage,version1401Timepatientpresents,version1.
313Tobaccosmokingconsumption/quantity(cigarettes),version1.
94Tobaccosmokingduration(dailysmoking),version196Tobaccosmokingeverdailyuse,version198Tobaccosmokingfrequency,version1.
100Tobaccosmokingproduct,version1102Tobaccosmokingquitage(dailysmoking),version1.
105Tobaccosmokingstatus,version1.
92Tobaccosmokingstartage(dailysmoking),version1104Tobaccosmokingtimesincequitting(dailysmoking),version1107Totalcontractpatientdays,version1451Totalhoursworkedbyamedicalpractitioner,version287Totalleavedays,version3390Totalpsychiatriccaredays,version2427Triagecategory,version1402Typeandsectorofemploymentestablishment,version1211Typeofaccommodation,version2119Typeofadmittedpatientcareforlong-staypatients,version3430Typeofadmittedpatientcareforovernightpatients,version3431Typeofadmittedpatientcareforsame-daypatients,version3433Typeofadmittedpatientcareforshort-staypatients,version3.
435Typeofaugmentationoflabour,version2271Typeoflabourinduction,version1.
272Typeofnon-admittedpatientcare,version1.
436Typeofnon-admittedpatientcare(nursinghomesandhostels),version1.
440Typeofnon-admittedpatientcare(publicpsychiatric,alcoholanddrug),version1443Typeofnursinghomeadmission,version1.
294Typeofusualaccommodation,version1121Typeofvisit,version1.
314Urgencyofadmission,version1407Waitinglistcategory,version3.
301Waitingtimeatacensusdate,version1421Waitingtimeatadmission,version1423newthisversionrevisedthisversionNationalHealthDataDictionary,version9IntroductionxxiIntroductionTheNationalHealthDataDictionarywasfirstpublishedastheNationalMinimumDataSetInstitutionalHealthCareinSeptember1989.
InMarch1993theNationalHealthDataDictionaryInstitutionalHealthCare(Version2.
0)waspublished.
SincetheestablishmentofthefirstNationalHealthInformationAgreementinJune1993therehavebeenmanychangesinthedevelopmentandmanagementofnationalhealthinformationresultingintheexpansionofboththescopeandcontentofthesevensubsequentversionsoftheNationalHealthDataDictionary.
TheNationalHealthInformationAgreementwasrenewedin1998forafurtherfive-yearterm.
UndertheNationalHealthInformationAgreement,theNationalHealthDataDictionaryistheauthoritativesourceofhealthdatadefinitionsusedinAustraliawherenationalconsistencyisrequired.
TheDictionaryisdesignedtoimprovethecomparabilityofdataacrossthehealthfield.
Itisalsodesignedtomakedatacollectionactivitiesmoreefficient,byreducingduplicationofeffortinthefield,andmoreeffective,byensuringthatinformationtobecollectedisappropriatetoitspurpose.
TheobjectivesoftheNationalHealthDataDictionaryareto:establishacoresetofuniformdefinitionsrelatingtothefullrangeofhealthservicesandarangeofpopulationparameters(includinghealthstatusanddeterminants);promoteuniformity,availability,reliability,validity,consistencyandcompletenessinthedata;accordwithnationallyandinternationallyagreedprotocolsandstandards,whereverpossible;andpromotethenationalstandarddefinitionsbybeingreadilyavailabletoallindividualsandorganisationsinvolvedinthegeneration,useand/ordevelopmentofhealthandhealthservicesinformation.
TheNationalHealthDataCommitteeisresponsibleforcoordinatingthedevelopmentandrevisionoftheNationalHealthDataDictionary.
TheNationalHealthDataCommitteeTheNationalHealthDataCommitteeisastandingcommitteeoftheNationalHealthInformationManagementGroupabodyestablishedundertheNationalHealthInformationAgreementtooverseeimplementationoftheAgreement.
AlldataelementdefinitionstobeincludedintheNationalHealthDataDictionaryrequireendorsementbytheNationalHealthInformationManagementGroup.
TheprimaryroleoftheNationalHealthDataCommitteeistoassessdatadefinitionsproposedforinclusionintheNationalHealthDataDictionaryandtomakerecommendationstotheNationalHealthInformationManagementGrouponrevisionsandadditionstoeachsuccessiveversionoftheDictionary.
Inparticular,theCommitteesroleistoensurethattheNationalHealthDataDictionarydefinitionscomplywithendorsedstandardsforthedefinitionofdataelementsandthatalldatadefinitionsbeingconsideredfortheDictionaryhaveundergonesufficientnationalconsultationwithrecognisedexpertsandstakeholdersintherelevantfield.
Therulesappliedtoeachdataelementdefinitionaredesignedtoensurethateachdefinitionisclear,concise,comprehensiveandprovidessufficientinformationtoensurethatallthosewhocollect,provide,analyseandusethedataunderstanditsmeaning.
AlldefinitionsintheNationalHealthDataDictionaryarepresentedinaformatthatisdescribedinmoredetailatAppendixB.
NationalHealthDataDictionary,version9xxiiIntroductionTheNationalHealthDataCommitteecomprisesrepresentativesof:theCommonwealthDepartmentofHealthandAgedCareeachStateandTerritorygovernmenthealthauthoritytheAustralianInstituteofHealthandWelfaretheAustralianBureauofStatisticstheAustralianPrivateHospitalsAssociationLysaghtsHospitalandMedicalClub(representingprivatehealthinsurance)theDepartmentofVeteransAffairstheNationalCentreforClassificationinHealththeHealthInsuranceCommissionothermembersdesignatedbytheNationalHealthInformationManagementGroup.
TheNationalHealthInformationManagementGroupappointstheChairoftheNationalHealthDataCommittee,currentlyGeoffSimsoftheAustralianInstituteofHealthandWelfare.
AlistofCommitteemembersandtheircontactdetails(asatFebruary2000)isprovidedatAppendixA.
TheNationalHealthDataCommitteedoesnotnormallydevelopdatadefinitionsdirectly.
Rather,itprovidesachannelthroughwhichstandardsemergingfromnationallyfocuseddatadevelopmentworkaredocumentedandendorsedbytheNationalHealthInformationManagementGroupforimplementationinnationaldatacollectionsandmademorewidelyavailabletostakeholdersinthenationalhealthinformationarena.
TherangeandrelevanceofthedatadefinitionsincludedintheNationalHealthDataDictionaryaredependent,toasignificantextent,onthematerialsubmittedtotheNationalHealthDataCommitteebytheexpertworkinggroupsthatareactivelydevelopingdatainthehealthfield.
MoreinformationabouttheNationalHealthDataCommitteeanditsprocessesisavailableintheNationalHealthDataCommittee:ProceduresandBusinessPlan,2000.
ThisdocumentisavailableinhardcopyfromtheNationalHealthDataCommitteeSecretariatattheAustralianInstituteofHealthandWelfare(seepagexxvforSecretariatcontactdetails)orcanbedownloadedfromtheInstituteswebsiteathttp://www.
aihw.
gov.
au.
ItisalsoavailableasaCDwithdocumentsinPDFformat.
TheCDisidenticaltothedownloadavailableonthewebsite.
TheKnowledgebaseAustraliasHealthandCommunityServicesMetadataRegistryTheKnowledgebaseAustraliasHealthandCommunityServicesMetadataRegistry(formerlyknownastheNationalHealthInformationKnowledgebaseorNHIK)isanelectronicallyaccessiblerepositoryofNationalHealthDataDictionarydataelementdefinitions.
TheorganisationauthorisedtoregisterNationalHealthDataDictionarydataelementsintheKnowledgebase(thatis,theRegistrationAuthority)istheNationalHealthInformationManagementGroup.
TheKnowledgebaseisalsoaregistryforAustralianInstituteofHealthandWelfaredatacollectionsandthoseofotherRegistrationAuthoritiesapprovedbytheNationalHealthInformationManagementGroup.
TheKnowledgebaseintegratesandpresentsinformationabout:theNationalHealthInformationModeltheNationalCommunityServicesInformationModeltheNationalHealthDataDictionarytheNationalCommunityServicesDataDictionaryNationalMinimumDataSets.
NationalHealthDataDictionary,version9IntroductionxxiiiTheintegratingfeaturesoftheKnowledgebaseenableinformationmanagersandpolicydeveloperstoqueryandviewinformationinwaysnotpossiblewithtraditionalpaper-basedrecords,repositories,dictionariesormanuals.
Itisenvisagedthat,overtime,accesstotheNationalHealthDataDictionarywillbeprimarilyelectronicviatheKnowledgebase.
AlldatadefinitionsthatareincludedinVersion9oftheNationalHealthDataDictionaryaswellasallpreviousversionsofthosedatadefinitionsareavailableontheKnowledgebase.
DraftdatadefinitionsunderdevelopmentbytheNationalHealthDataCommitteearealsoavailableontheKnowledgebaseundertheNationalHealthDataCommitteeasRegistrationAuthority,butarenotavailableinprintform.
TheKnowledgebasehasbeendesignedandcreatedbytheAustralianInstituteofHealthandWelfareonbehalfoftheNationalHealthInformationManagementGroup.
TheKnowledgebaseisanInternetapplication,accessiblethroughanybrowsercompatiblewithHTMLversion3.
2orlater.
IthasbeenwrittenusingOraclesWebservertechnology.
NationalMinimumDataSetsInordertoenhanceconsistencyinthedescriptionofNationalMinimumDataSets(NMDS)atemplatehasbeendevisedforusewithallNMDSintheNationalHealthDataDictionary.
Fromthisversion(Version9),allNMDSwillbedescribedinthisfashion.
AnewsectiontitledNationalMinimumDataSetswillformthefirstsectionoftheDictionary.
WithintheKnowledgebasetherewillbehot-linkstootherareasandtheCDwillalsocontainsomelinks.
ThenamesofsomeoftheNMDShavebeenchangedtoreflectthetypeofdatacontainedtherein.
TwoNMDS(InstitutionalhealthcareandCommunitymentalhealthcare)havebeensplitintotwo.
InstitutionalhealthcarebecomespatientleveldatainAdmittedpatientcareandestablishmentleveldatainPublichospitalestablishments.
CommunitymentalhealthcarebecomespatientleveldatainCommunitymentalhealthcareandestablishmentleveldatainCommunitymentalhealthestablishments.
AnewNMDSAlcoholandotherdrugtreatmentservicesisnewinVersion9.
ThefollowingtableshowsthenewandoldnamesforalltheNMDSassociatedwiththeNationalHealthDataDictionary,Version9.
TableofNMDSnamechangesOldnameNewnameInstitutionalhealthcareAdmittedpatientcarePublichospitalestablishmentsInstitutionalmentalhealthcareAdmittedpatientmentalhealthcarePalliativecareAdmittedpatientpalliativecareCommunitymentalhealthcareCommunitymentalhealthcareCommunitymentalhealthestablishmentsElectivesurgerywaitingtimesnochangeEmergencydepartmentwaitingtimesnochangeHealthlabourforcenochangeInjurysurveillancenochangePerinatalnochangeAlcoholandotherdrugtreatmentservicesnewNationalHealthDataDictionary,version9xxivIntroductionVersion9ThisversionoftheDictionarycontains275datadefinitions,including32newdataelementsand17newversionsofdataelementsthathavebeenagreedbythemembersoftheNationalHealthDataCommittee,andendorsedbytheNationalHealthInformationManagementGroup.
AsforVersion8,afullalphabeticallistingofalldataelementsinthisversionoftheDictionaryisprovidedatthefrontofthispublication.
Inaddition,anewsubject/keywordindextothisversionoftheDictionaryisprovidedatAppendixJ.
ThishardcopypublicationofVersion9onlyincludesdataelementsthatareCURRENTasat1July2000.
However,alldataelementsincludingthosethathavebeensupersededorrenderedobsoletebynewdataelementsornewversionsofdataelementsinVersion9areavailableontheKnowledgebase.
AsinVersion8,datadefinitionsarepresentedinaformatbasedonISO/IECStandard11179SpecificationandStandardizationofDataElementstheinternationalstandardfordefiningdataelementsissuedbytheInternationalOrganizationforStandardizationandtheInternationalElectrotechnicalCommission.
ThisformatisexplainedindetailatAppendixB.
Version9continuestheformatofVersion8inthatalldataelementsareorganisedandpresentedaccordingtotheiralignmentwithentitiesintheNationalHealthInformationModel(Version2.
0,Draft).
ThemappingofdataelementstotheModelisbeingprogressivelyrefinedfollowingconsultationwithstakeholdersinthenationalhealthinformationfield.
ThispresentationformatisdesignedtoenhancetheintegrationoftheModelwiththedataelementsthusprovidingamorecompleteframeworkforunderstandingandimplementingexistingdefinitionsandforidentifyingareasforfurtherdatadevelopmentactivity.
AcopyofthefullNationalHealthInformationModel(Version2.
0,Draft)isincludedfollowingthisintroductorysection.
Toassistwithunderstandingtherelationshipbetweenthedataelementsandtheirassociatedmodelentities,definitionsofallentitiesintheNationalHealthInformationModel(Version2.
0,Draft)areprovidedatAppendixC.
FeedbackReadersareinvitedtocommentonanyaspectoftheNationalHealthDataDictionarybycompletingandreturningthelift-outfeedbackformincludedatthebackofthispublication.
CommentsandsuggestionscanalsobeprovidedelectronicallyviatheFeedbackareaontheKnowledgebase.
NationalHealthDataDictionary,version9IntroductionxxvSecretariatcontactdetailsFurtherinformationabouttheNationalHealthDataDictionaryandtheNationalHealthDataCommitteecanbeobtainedthroughtheNationalHealthDataCommitteeSecretariatattheAustralianInstituteofHealthandWelfare.
JoeChristensenPhone:(02)62441148Fax:(02)62441255Email:joe.
christensen@aihw.
gov.
auDavidNeilsenPhone:(02)62441223Fax:(02)62441166Email:david.
neilsen@aihw.
gov.
auPostaladdress:NHDCSecretariatAustralianInstituteofHealthandWelfareGPOBox570CanberraACT2601NationalHealthDataDictionary,version9xxviiPARTYROLEEnablingFactorsEVENTPERSONEVENTHEALTHANDWELFARESERVICEEVENTPARTYRELATIONSHIPROLEBIRTHEVENTLIFEEVENTDEATHEVENTCOMMUNITYEVENTOTHEREVENTPERSONROLECITIZENROLENationalHealthInformationModelVersion2.
0DRAFTPreparedbytheNationalInformationDevelopmentUnitAustralianInstituteofHealthandWelfareGPOBox570,CanberraACTAustralia2601Phone:(02)62441000Fax:(02)62441255RECIPIENTROLEORGANISATIONROLESERVICEFUNDERROLEOTHERROLEOTHERLIFEEVENTCRISISEVENTILLNESSEVENTACUTEEVENTNON-ACUTEEVENTINJURYEVENTOTHERCRISISEVENTREQUESTFOR/ENTRYINTOSERVICEEVENTSERVICEPROVISIONEVENTEXIT/LEAVEFROMSERVICEEVENTSCREENINGEVENTPLANNINGEVENTOTHERHEALTHANDWELFARESERVICEEVENTPARTYORGANISATIONPARTYGROUPPERSONLEGALLYCONSTITUTEDORGANISATIONORGANISATIONSUB-UNITOTHERENABLINGFACTORKNOWLEDGEFACTORACCESSIBILITYFACTORAVAILABILITYFACTORBusinessFactorsBUSINESSAGREEMENTPERFORMANCEGOALBUSINESSPROGRAMEnvironmentalFactorsPHYSICALENVIRONMENTNATURALENVIRONMENTBUILTENVIRONMENTFAMILYMEMBERROLECARERROLEADVOCATEROLERESOURCEROLEPARTYGROUPROLERESEARCHROLEASSESSMENTEVENTEDUCATIONEVENTADVOCACYEVENTLEGALSTATUSEVENTENVIRONMENTALEVENTRESEARCHEVENTSURVEILLANCE/MONITORINGEVENTPAYMENT/CONTRIBUTIONEVENTSERVICEPURCHASERROLEBUSINESSSTATEMENTHEALTHANDWELFAREPOLICY/PLANHEALTHANDWELFAREPOLICY/PLANELEMENTVISION/MISSIONGOAL/OBJECTIVEPRIORITYPERFORMANCEINDICATOROTHERPOLICY/PLANELEMENTHEALTHANDWELFAREPROGRAMPartycharacteristicsPERSONCHARACTERISTICPERSONVIEWLABOURCHARACTERISTICSOCIALCHARACTERISTICDEMOGRAPHICCHARACTERISTICLIFESTYLECHARACTERISTICEDUCATIONCHARACTERISTICACCOMMODATIONCHARACTERISTICPARENTINGCHARACTERISTICCULTURALCHARACTERISTICPHYSICALCHARACTERISTICOTHERPERSONCHARACTERISTICATTITUDEBELIEFEXPECTATIONSTATEOFHEALTHANDWELLBEINGVALUEAGGREGATEHEALTHANDWELLBEINGCOMPONENTHEALTHANDWELLBEINGHEALTHSTATUSPHYSICALWELLBEINGMENTALWELLBEINGFUNCTIONALWELLBEINGSOCIALWELLBEINGECONOMICWELLBEINGCULTURALWELLBEINGSPIRITUALWELLBEINGINSURANCE/BENEFITCHARACTERISTICLEGALCHARACTERISTICPARTYGROUPCHARACTERISTICORGANISATIONCHARACTERISTICSELFHELPEVENTOTHERPERSONROLEOTHERORGANISATIONROLENEED/ISSUEOUTCOMESTATEDOUTCOMEEXPECTEDOUTCOMECAREPLANEXPENDITURECAPITALEXPENDITURERECURRENTEXPENDITUREHEALTHANDWELFAREPROGRAMELEMENTPROGRAMEVALUATIONPROGRAMACTIVITYPROGRAMSTRATEGYFUNDINGAGREEMENTOTHERAGREEMENTEMPLOYMENTAGREEMENTBENCHMARKSTANDARDRESOURCESPECIFICRESOURCEITEMHUMANRESOURCEITEMINFORMATIONRESOURCEITEMMATERIALRESOURCEITEMFINANCIALRESOURCEITEMAGGREGATERESOURCEITEMSOCIALENVIRONMENTJUDICIALSYSTEMEDUCATIONALSYSTEMCOMMUNITYORGANISATIONOTHERSOCIALENVIRONMENTSERVICEPROVIDERROLESERVICESUPPORTEVENTLOCATIONSETTINGOTHERSETTINGSERVICEDELIVERYSETTINGADDRESSORGANISATIONASETTINGNationalHealthDataDictionary,version9Nationalminimumdatasets1NationalMinimumDataSetsANationalMinimumDataSetisacoresetofdataelementsagreedbytheNationalHealthInformationManagementGroupformandatorycollectionandreportingatanationallevel.
OneNationalMinimumDataSetmayincludedataelementsthatarealsoincludedinanotherNationalMinimumDataSet.
ANationalMinimumDataSetiscontingentuponanationalagreementtocollectuniformdataandtosupplyitaspartofthenationalcollection,butdoesnotprecludeagenciesandserviceprovidersfromcollectingadditionaldatatomeettheirownspecificneeds.
TheNationalHealthDataDictionarycontainsdefinitionsofdataelementsthatareincludedinNationalMinimumDataSetcollectionsinthehealthsector,includingdataelementsusedtoderivesomeoftheperformanceindicatorsrequiredunderAustralianHealthCareAgreements(bilateralagreementsbetweentheCommonwealthandState/Territorygovernmentsaboutfundinganddeliveryofhealthservices).
TheDictionaryalsocontainssomedataelementsthatarenotcurrentlyincludedinanyagreedNationalMinimumDataSetcollectionbuthavebeendevelopedandendorsedasappropriatenationalstandards.
Thatis,alldataelementsusedinNationalMinimumDataSetsareincludedintheDictionary,butnotalldataelementsintheDictionaryareincludedinNationalMinimumDataSets.
TheNationalHealthDataDictionary,version9,identifiesdataelementsfromthefollowingNationalMinimumDataSets(NMDS):1.
AdmittedpatientcareNMDS(formerlypartofInstitutionalhealthcareNMDS)2.
AdmittedpatientmentalhealthcareNMDS(formerlynamedInstitutionalmentalhealthcareNMDS)3.
AdmittedpatientpalliativecareNMDS(formerlynamedPalliativecareNMDS)4.
AlcoholandotherdrugtreatmentservicesNMDS(newfrom1/07/2000)5.
CommunitymentalhealthcareNMDS(nowcontainsonlypatientleveldata)6.
CommunitymentalhealthestablishmentsNMDS(splitfromCommunitymentalhealthcareNMDSandnowcontainsonlyestablishmentleveldata)7.
ElectivesurgerywaitingtimesNMDS8.
EmergencyDepartmentwaitingtimesNMDS9.
HealthlabourforceNMDS10.
InjurysurveillanceNMDS11.
PerinatalNMDS12.
PublichospitalestablishmentsNMDS(formerlypartofInstitutionalhealthcareNMDSandnowcontainsonlyestablishmentleveldata)DescriptionsoftheseNationalMinimumDataSetsfollow.
NationalHealthDataDictionary,version92NationalminimumdatasetsAdmittedpatientcareNMDSAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:Versionnumber:1Datarecordtype:NATIONALMINIMUMDATASETStartdate:1July1989Enddate:Latestevaluationdate:Scope:Episodesofcareforadmittedpatientsinallpublicandprivateacuteandpsychiatrichospitals,freestandingdayhospitalfacilitiesandalcoholanddrugtreatmentcentresinAustralia.
HospitalsoperatedbytheAustralianDefenceForce,correctionsauthoritiesandinAustraliasoff-shoreTerritoriesmayalsobeincluded.
Hospitalsspecialisingindental,ophthalmicaidsandotherspecialisedacutemedicalorsurgicalcareareincluded.
Statisticalunits:EpisodesofcareforadmittedpatientsCollectionmethodology:Dataarecollectedateachhospitalfrompatientadministrativeandclinicalrecordsystems.
HospitalsforwarddatatotherelevantStateorTerritoryhealthauthorityonaregularbasis(forexample,monthly).
Nationalreportingarrangements:StateandTerritoryhealthauthoritiesprovidethedatatotheAustralianInstituteofHealthandWelfarefornationalcollation,onanannualbasis.
Periodsforwhichdataarecollectedandnationallycollated:Financialyearsending30JuneeachyearDataelementsincluded:Activitywheninjured,version2278Additionaldiagnosis,version4136Admissiondate,version4291Admittedpatientelectionstatus,version1126Areaofusualresidence,version3204Caretype,version4336Compensablestatus,version3125Countryofbirth,version229Dateofbirth,version231DepartmentofVeteransAffairspatient,version1128Diagnosisrelatedgroup,version1140Establishmentnumber,version2196Establishmentsector,version2210Establishmenttype,version1190Externalcauseadmittedpatient,version280newthisversionrevisedthisversionNationalHealthDataDictionary,version9Nationalminimumdatasets3AdmittedpatientcareNMDS(continued)Dataelementsincluded(continued):Indigenousstatus,version333Infantweight,neonate,stillborn,version3160Intendedlengthofhospitalstay,version1413Inter-hospitalcontractedpatient,version2262Majordiagnosticcategory,version1142Medicareeligibilitystatus,version1129Mentalhealthlegalstatus,version5131Modeofadmission,version4293Modeofseparation,version3383Numberofleaveperiods,version3389Numberofqualifieddaysfornewborns,version2450Personidentifier,version1254Placeofoccurrenceofexternalcauseofinjury,version5218Principaldiagnosis,version3138Procedure,version5343Regioncode,version2197Separationdate,version5382Sex,version237Sourceofreferraltopublicpsychiatrichospital,version3pageStateidentifier,version2208Totalleavedays,version3390Totalpsychiatriccaredays,version2427Urgencyofadmission,version1407Supportingdataelementconcepts:Acutecareforadmittedpatients,version1335Admission,version3290Episodeofcare,version1379Hospital,version1.
213Hospitalboarder,version1264Livebirth,version1268Neonate,version1146Newbornqualificationstatus,version2362Organprocurementposthumous,version1378Patient,version1255Same-daypatient,version1260Separation,version3381newthisversionrevisedthisversionNationalHealthDataDictionary,version94NationalminimumdatasetsAdmittedpatientcareNMDS(continued)DataelementsincommonwithotherNMDS:SeeAppendixJScopelinkswithotherNMDS:Episodesofcareforadmittedpatientswhichoccurpartlyorfullyindesignatedpsychiatricunitsofpublicacutehospitalsorinpublicpsychiatrichospitals:AdmittedpatientmentalhealthcareNMDS,version1.
Episodesofcareforadmittedpatientswherecaretypeispalliativecare:AdmittedpatientpalliativecareNMDS,version1.
Sourceorganisation:NationalHealthInformationManagementGroupComments:Statisticalunitsareentitiesfromoraboutwhichstatisticsarecollectedorinrespectofwhichstatisticsarecompiled,tabulatedorpublished.
NationalHealthDataDictionary,version9Nationalminimumdatasets5AdmittedpatientmentalhealthcareNMDSAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:Versionnumber:1Datarecordtype:NATIONALMINIMUMDATASETStartdate:1July1997Enddate:Latestevaluationdate:Scope:Thescopeofthisminimumdatasetisrestrictedtoadmittedpatientsreceivingcareinpsychiatrichospitalsorindesignatedpsychiatricunitsinacutehospitals.
Thescopedoesnotcurrentlyincludepatientswhomaybereceivingtreatmentforpsychiatricconditionsinacutehospitalswhoarenotinpsychiatricunits.
Statisticalunits:EpisodesofcareforadmittedpatientsCollectionmethodology:Dataarecollectedateachhospitalfrompatientadministrativeandclinicalrecordsystems.
HospitalsforwarddatatotherelevantStateorTerritoryhealthauthorityonaregularbasis(forexample,monthly).
Nationalreportingarrangements:StateandTerritoryhealthauthoritiesprovidethedatatotheAustralianInstituteofHealthandWelfarefornationalcollation,onanannualbasis.
Periodsforwhichdataarecollectedandnationallycollated:Financialyearsending30JuneeachyearDataelementsincluded:Additionaldiagnosis,version4136Admissiondate,version4291Admittedpatientelectionstatus,version1126Areaofusualresidence,version3204Caretype,version4336Compensablestatus,version3125Countryofbirth,version229Dateofbirth,version231DepartmentofVeteransAffairspatient,version1128Diagnosisrelatedgroup,version1140Employmentstatusacutehospitalandprivatepsychiatrichospitaladmissions,version270Employmentstatuspublicpsychiatrichospitaladmissions,version272Establishmentidentifier,version2194Establishmentnumber,version2196Establishmentsector,version2210Hospitalinsurancestatus122newthisversionrevisedthisversionNationalHealthDataDictionary,version96NationalminimumdatasetsAdmittedpatientmentalhealthcareNMDS(continued)Dataelementsincluded(continued):Indigenousstatus,version333Majordiagnosticcategory,version1142Maritalstatus,version2112Medicareeligibilitystatus,version1129Mentalhealthlegalstatus,version5131Modeofadmission,version4293Modeofseparation,version3383Numberofleaveperiods,version3389Personidentifier,version1254Previousspecialisedtreatment,version3317Principaldiagnosis,version3138Regioncode,version2197Separationdate,version5382Sex,version237Stateidentifier,version2208Totalleavedays,version3390Totalpsychiatriccaredays,version2427Typeofaccommodation,version2119Typeofusualaccommodation,version1121Supportingdataelementconcepts:DataelementsincommonwithotherNMDS:SeeAppendixJScopelinkswithotherNMDS:Episodesofcareforadmittedpatientswhichoccurpartlyorfullyindesignatedpsychiatricunitsofpublicacutehospitalsorinpublicpsychiatrichospitals:AdmittedpatientcareNMDS,version1AdmittedpatientpalliativecareNMDS,version1Sourceorganisation:NationalHealthInformationManagementGroupComments:Statisticalunitsareentitiesfromoraboutwhichstatisticsarecollectedorinrespectofwhichstatisticsarecompiled,tabulatedorpublished.
newthisversionrevisedthisversionNationalHealthDataDictionary,version9Nationalminimumdatasets7AdmittedpatientpalliativecareNMDSAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:Versionnumber:1Datarecordtype:NATIONALMINIMUMDATASETStartdate:1July2000Enddate:Latestevaluationdate:Scope:Thescopeofthisdatasetisadmittedpatientsreceivingpalliativecareinallpublicandprivateacutehospitals,andfreestandingdayhospitalfacilities.
HospitalsoperatedbytheAustralianDefenceForce,correctionalauthoritiesandAustraliasexternalTerritoriesarenotcurrentlyincluded.
PalliativecarepatientsareidentifiedbythedataelementCaretype.
Statisticalunits:EpisodesofcareforadmittedpatientsCollectionmethodology:Nationalreportingarrangements:StateandTerritoryhealthauthoritiesprovidethedatatotheAustralianInstituteofHealthandWelfarefornationalcollation,onanannualbasis.
Periodsforwhichdataarecollectedandnationallycollated:Financialyearsending30JuneeachyearDataelementsincluded:Additionaldiagnosis,version4136Admissiondate,version4291Areaofusualresidence,version3204Caretype,version4336Countryofbirth,version229Dateofbirth,version231Establishmentidentifier,version2194Indigenousstatus,version333Modeofadmission,version4293Modeofseparation,version3383Personidentifier,version1254Previousspecialisedtreatment,version3317Principaldiagnosis,version3138Separationdate,version5382Sex,version237Supportingdataelementconcepts:newthisversionrevisedthisversionNationalHealthDataDictionary,version98NationalminimumdatasetsAdmittedpatientpalliativecareNMDS(continued)DataelementsincommonwithotherNMDS:SeeAppendixJScopelinkswithotherNMDS:Episodesofcareforadmittedpatientswhichoccurpartlyorfullyindesignatedpsychiatricunitsofpublicacutehospitalsorinpublicpsychiatrichospitals:AdmittedpatientcareNMDS,version1AdmittedpatientmentalhealthcareNMDS,version1Sourceorganisation:NationalHealthInformationManagementGroupComments:Statisticalunitsareentitiesfromoraboutwhichstatisticsarecollectedorinrespectofwhichstatisticsarecompiled,tabulatedorpublished.
NationalHealthDataDictionary,version9Nationalminimumdatasets9AlcoholandotherdrugtreatmentservicesNMDSAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:Versionnumber:1Datarecordtype:NATIONALMINIMUMDATASETStartdate:1July2000Enddate:Latestevaluationdate:Scope:Publiclyfundedgovernmentandnon-governmentagenciesprovidingalcoholand/ordrugtreatmentservices.
Servicesinprisonsandothercorrectionalinstitutionswillbeexcludedfromthecoverageofthecollectionatthisstage.
Methadonetreatmentservicesarealsoexcluded.
Sobering-upshelterswillbeexcludedfromthecoveragewheretheyareprimarilyconcernedwithovernightstays.
Half-wayhouseswillbeexcludediftheyareprimarilyaccommodationservices.
Admittedpatientsinpsychiatrichospitalsorgeneralhospitalwardsarenottobeincluded.
Informationrequiredaboutpatientsinhospitalswillbeextractedfromcurrentlyavailablemorbiditydata.
Statisticalunits:Newclientsonly,oreachreturnofclientswithaneworrecurringprobleminthereportingperiod(whowillbecountedasnewclients).
Collectionmethodology:Datatobecollectedineachagency,andthenforwardedtoState/Territoryauthoritiesforcollation.
Nationalreportingarrangements:StateandTerritoryhealthauthoritiesprovidethedatatotheAustralianInstituteofHealthandWelfarefornationalcollation,onanannualbasis.
Periodsforwhichdataarecollectedandnationallycollated:Financialyearsending30JuneeachyearDataelementsincluded:Clienttype,version1319Countryofbirth,version229Dateofbirth,version231Dateofcommencementoftreatment,version1331Establishmentidentifier,version2194Establishmenttype,version1190Geographiclocationofestablishment,version2206Indigenousstatus,version333Injectingdruguse,version1109Methodofuseforprincipaldrugofconcern,version1110Otherdrugsofconcern,version1182Personidentifier,version1254newthisversionrevisedthisversionNationalHealthDataDictionary,version910NationalminimumdatasetsAlcoholandotherdrugtreatmentservicesNMDS(continued)Dataelementsincluded(continued):Preferredlanguage,version1114Principaldrugofconcern,version1183Sex,version237Sourceofreferraltoalcoholandotherdrugtreatmentservice,version1.
.
.
.
332Supportingdataelementconcepts:Commencementoftreatment,version1320Cessationoftreatment,version1392DataelementsincommonwithotherNMDS:SeeAppendixJScopelinkswithotherNMDS:Sourceorganisation:NationalHealthInformationManagementGroupComments:Statisticalunitsareentitiesfromoraboutwhichstatisticsarecollectedorinrespectofwhichstatisticsarecompiled,tabulatedorpublished.
newthisversionrevisedthisversionNationalHealthDataDictionary,version9Nationalminimumdatasets11CommunitymentalhealthcareNMDSAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:Versionnumber:1Datarecordtype:NATIONALMINIMUMDATASETStartdate:1July2000Enddate:Latestevaluationdate:Scope:Patientleveldata:Datarequiredforreportingbyspecialisedpsychiatricservicesthatdeliverambulatoryservices,inbothinstitutionalandcommunitysettingsand/orcommunity-basedresidentialcare.
Itdoesnotextendtoservicesprovidedtopatientswhoareingeneral(non-specialised)carewhomaybereceivingtreatmentorrehabilitationforpsychiatricconditions.
ThedataprovidedthroughtheNationalMinimumDataSetCommunityMentalHealthCaresupplementsthatreportedforpsychiatricandacutecarehospitalsthroughtheNMDSInstitutionalMentalHealthCare.
Statisticalunits:NumberofpatientcontactdatesCollectionmethodology:Nationalreportingarrangements:StateandTerritoryhealthauthoritiesprovidethedatatotheAustralianInstituteofHealthandWelfarefornationalcollation,onanannualbasis.
Periodsforwhichdataarecollectedandnationallycollated:Financialyearsending30JuneeachyearDataelementsincluded:Dateofbirth,version231Establishmentidentifier,version2194Indigenousstatus,version333Mentalhealthlegalstatus,version5131Personidentifier,version1254Principaldiagnosis,version3138Servicecontactdate,version1.
357Sex,version237Supportingdataelementconcepts:newthisversionrevisedthisversionNationalHealthDataDictionary,version912NationalminimumdatasetsCommunitymentalhealthcareNMDS(continued)DataelementsincommonwithotherNMDS:SeeAppendixJScopelinkswithotherNMDS:Sourceorganisation:NationalHealthInformationManagementGroupComments:Statisticalunitsareentitiesfromoraboutwhichstatisticsarecollectedorinrespectofwhichstatisticsarecompiled,tabulatedorpublished.
NationalHealthDataDictionary,version9Nationalminimumdatasets13CommunitymentalhealthestablishmentsNMDSAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:Versionnumber:1Datarecordtype:NATIONALMINIMUMDATASETStartdate:1July1998Enddate:Latestevaluationdate:Scope:Datarequiredforreportingbyspecialisedpsychiatricservicesthatdeliverambulatoryservices,inbothinstitutionalandcommunitysettingsand/orcommunity-basedresidentialcare.
Itdoesnotextendtoservicesprovidedtopatientswhoareingeneral(non-specialised)carewhomaybereceivingtreatmentorrehabilitationforpsychiatricconditions.
ThedataprovidedthroughtheNMDSCommunityMentalHealthEstablishmentssupplementsthatreportedforpsychiatricandacutecarehospitalsthroughtheNMDSAdmittedPatientMentalHealthCare.
Statisticalunits:EstablishmentleveldataCollectionmethodology:Nationalreportingarrangements:StateandTerritoryhealthauthoritiesprovidethedatatotheAustralianInstituteofHealthandWelfarefornationalcollation,onanannualbasis.
Periodsforwhichdataarecollectedandnationallycollated:Financialyearsending30JuneeachyearDataelementsincluded:Administrativeexpenses,version1226Depreciation,version1227Domesticservices,version1228Drugsupplies,version1.
229Establishmentidentifier,version2194Foodsupplies,version1.
230Geographicallocationofestablishment,version2206Interestpayments,version1235Medicalandsurgicalsupplies,version1236Non-salaryoperatingcosts,version1237Numberofavailablebedsforadmittedpatients,version2455Otherrecurrentexpenditure,version1239Patienttransport,version1240Paymentstovisitingmedicalofficers,version1.
241newthisversionrevisedthisversionNationalHealthDataDictionary,version914NationalminimumdatasetsCommunitymentalhealthestablishmentsNMDS(continued)Dataelementsincluded(continued):Repairsandmaintenance,version1.
242Salariesandwages,version1243Separations,version2.
381Superannuationemployercontributions(includingfundingbasis),version1245Totalpsychiatriccaredays,version2427Supportingdataelementconcepts:Patient,version2255Separation,version3381DataelementsincommonwithotherNMDS:SeeAppendixJScopelinkswithotherNMDS:Sourceorganisation:NationalHealthInformationManagementGroupComments:Statisticalunitsareentitiesfromoraboutwhichstatisticsarecollectedorinrespectofwhichstatisticsarecompiled,tabulatedorpublished.
newthisversionrevisedthisversionNationalHealthDataDictionary,version9Nationalminimumdatasets15ElectivesurgerywaitingtimesNMDSAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:Versionnumber:1Datarecordtype:NATIONALMINIMUMDATASETStartdate:1July1994Enddate:Latestevaluationdate:Scope:Thescopeofthisminimumdatasetisbasedonwaitinglistsforelectivesurgicalcareinpublicacutehospitals.
HospitalsoperatedbytheAustralianDefenceForce,correctionsauthoritiesandAustraliasexternalTerritoriesarenotcurrentlyincluded.
Tomonitortimewaitedbypatientswhoareyettobeadmittedtohospital,thescopeispatientsonorremovedfromthewaitinglistsonadateorduringaperiod.
Tomonitortimewaitedbypatientswhohavebeenadmittedforelectivecare,thescopeispatientsadmittedtohospitalfromtheelectivesurgicalwaitinglist.
HospitalsoperatedbytheAustralianDefenceForces,correctionsauthoritiesandAustraliasexternalTerritoriesareexcluded.
Statisticalunits:Collectionmethodology:Nationalreportingarrangements:StateandTerritoryhealthauthoritiesprovidethedatatotheAustralianInstituteofHealthandWelfarefornationalcollation,onanannualbasis.
Periodsforwhichdataarecollectedandnationallycollated:Financialyearsending30JuneeachyearNationalHealthDataDictionary,version916NationalminimumdatasetsElectivesurgerywaitingtimesNMDS(continued)Dataelementsincluded:Categoryreassignmentdate,version2399Censusdate,version2418Clinicalurgency,version2397Extendedwaitpatient,version1.
419Indicatorprocedure,version3345Listingdate,version2.
305Overduepatient,version3.
420Patientlistingstatus,version3306Reasonforremoval,version2308Surgicalspecialty,version1.
90Waitinglistcategory,version3301Waitingtimeatacensusdate,version1421Waitingtimeatadmission,version1423Supportingdataelementconcepts:Clinicalreview,version1396Electivecare,version1297Electivesurgery,version1299Hospitalcensus,version1417Hospitalwaitinglist,version1300Non-electivecare,version1298DataelementsincommonwithotherNMDS:NilScopelinkswithotherNMDS:Sourceorganisation:NationalHealthInformationManagementGroupComments:Statisticalunitsareentitiesfromoraboutwhichstatisticsarecollectedorinrespectofwhichstatisticsarecompiled,tabulatedorpublished.
NationalHealthDataDictionary,version9Nationalminimumdatasets17EmergencyDepartmentwaitingtimesNMDSAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:Versionnumber:1Datarecordtype:NATIONALMINIMUMDATASETStartdate:1July1999Enddate:Latestevaluationdate:Scope:ThescopeofthisdatasetistobenegotiatedbetweenCommonwealthandState/Territoryhealthauthorities.
Itislikelythatdatawillonlyberequiredforreportingbymetropolitanhospitalsandlargerrural/regionalhospitals.
Statisticalunits:Collectionmethodology:Nationalreportingarrangements:StateandTerritoryhealthauthoritiesprovidethedatatotheAustralianInstituteofHealthandWelfarefornationalcollation,onanannualbasis.
Periodsforwhichdataarecollectedandnationallycollated:Financialyearsending30JuneeachyearDataelementsincluded:Dateofserviceevent,version1350Dateoftriage,version1400Datepatientpresents,version1311Departurestatus,version1387EmergencyDepartmentwaitingtimetoservicedelivery,version1446Establishmentnumber,version2196Timeoftriage,version1401Timepatientpresents,version1313Triagecategory,version1402Typeofvisit,version1314Supportingdataelementconcepts:PatientpresentationatEmergencyDepartment,version2310newthisversionrevisedthisversionNationalHealthDataDictionary,version918NationalminimumdatasetsEmergencyDepartmentwaitingtimesNMDS(continued)DataelementsincommonwithotherNMDS:SeeAppendixJScopelinkswithotherNMDS:Sourceorganisation:NationalHealthInformationManagementGroupComments:Statisticalunitsareentitiesfromoraboutwhichstatisticsarecollectedorinrespectofwhichstatisticsarecompiled,tabulatedorpublished.
NationalHealthDataDictionary,version9Nationalminimumdatasets19HealthlabourforceNMDSAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:Versionnumber:1Datarecordtype:NATIONALMINIMUMDATASETStartdate:1July1989Enddate:Latestevaluationdate:Scope:Thescopeofthissetofdataelementsisallhealthoccupations.
Nationalcollectionsusingthisdatasethavebeenundertakenfortheprofessionsofmedicine,nursing,dentistry,pharmacy,physiotherapyandpodiatry,usinglabourforcequestionnairesintheannualrenewalofregistrationtopractice.
Statisticalunits:Collectionmethodology:Nationalreportingarrangements:StateandTerritoryhealthauthoritiesprovidethedatatotheAustralianInstituteofHealthandWelfarefornationalcollation,onanannualbasis.
Periodsforwhichdataarecollectedandnationallycollated:Financialyearsending30JuneeachyearDataelementsincluded:Classificationofhealthlabourforcejob,version1.
75Dateofbirth,version231Hourson-call(notworked)bymedicalpractitioner,version285Hoursworkedbyhealthprofessional,version283Hoursworkedbymedicalpractitionerindirectpatientcare,version2.
86Principalareaofclinicalpractice,version1.
78Principalstatusofhealthprofessional,version188Professionlabourforcestatusofhealthprofessional,version1.
80Totalhoursworkedbymedicalpractitioner,version287Typeandsectorofemploymentestablishment,version1212Supportingdataelementconcepts:Healthlabourforce,version174newthisversionrevisedthisversionNationalHealthDataDictionary,version920NationalminimumdatasetsHealthlabourforceNMDS(continued)DataelementsincommonwithotherNMDS:SeeAppendixJScopelinkswithotherNMDS:Sourceorganisation:NationalHealthInformationManagementGroupComments:Statisticalunitsareentitiesfromoraboutwhichstatisticsarecollectedorinrespectofwhichstatisticsarecompiled,tabulatedorpublished.
NationalHealthDataDictionary,version9Nationalminimumdatasets21InjurysurveillanceNMDSAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:Versionnumber:1Datarecordtype:NATIONALMINIMUMDATASETStartdate:1July1989Enddate:Latestevaluationdate:Scope:Thescopeofthisminimumdatasetispatientleveldatafromselectedemergencydepartmentsofhospitalsandothersettings.
Statisticalunits:Collectionmethodology:Nationalreportingarrangements:StateandTerritoryhealthauthoritiesprovidethedatatotheAustralianInstituteofHealthandWelfarefornationalcollation,onanannualbasis.
Periodsforwhichdataarecollectedandnationallycollated:Financialyearsending30JuneeachyearDataelementsincluded:Activitywheninjured,version2278Bodilylocationofmaininjury,version1177Externalcauseadmittedpatient,version4.
280Externalcausehumanintent,version4282Narrativedescriptionofinjuryevent,version1.
286Natureofmaininjurynon-admittedpatient,version1179Placeofoccurrenceofexternalcauseofinjury,version5218Supportingdataelementconcepts:NilnewthisversionrevisedthisversionNationalHealthDataDictionary,version922NationalminimumdatasetsInjurysurveillanceNMDS(continued)DataelementsincommonwithotherNMDS:SeeAppendixJScopelinkswithotherNMDS:Sourceorganisation:NationalHealthInformationManagementGroupComments:Statisticalunitsareentitiesfromoraboutwhichstatisticsarecollectedorinrespectofwhichstatisticsarecompiled,tabulatedorpublished.
NationalHealthDataDictionary,version9Nationalminimumdatasets23PerinatalNMDSAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:Versionnumber:1Datarecordtype:NATIONALMINIMUMDATASETStartdate:1July1997Enddate:Latestevaluationdate:Scope:ThescopeofthisminimumdatasetisallbirthsinAustraliainhospitals,birthcentresandthecommunity.
Thedatasetincludesinformationonallbirths,bothliveandstillborn,ofatleast20weeksgestationor400gbirthweight.
Statisticalunits:Collectionmethodology:Nationalreportingarrangements:StateandTerritoryhealthauthoritiesprovidethedatatotheAustralianInstituteofHealthandWelfarefornationalcollation,onanannualbasis.
Periodsforwhichdataarecollectedandnationallycollated:Financialyearsending30JuneeachyearDataelementsincluded:Actualplaceofbirth,version1216Birthorder,version1.
275Birthplurality,version1276Countryofbirth,version2.
29Dateofbirth,version231Establishmentidentifier,version2194Establishmentnumber,version2196Establishmentsector,version2210Firstdayoflastmenstrualperiod,version1.
154Gestationalage,version1.
156Indigenousstatus,version333Infantweight,neonate,stillborn,version3160Methodofbirth,version1273Onsetoflabour,version2269Perinatalperiod,version1162Personidentifier,version1.
254Regioncode,version2197Separationdate,version5382newthisversionrevisedthisversionNationalHealthDataDictionary,version924NationalminimumdatasetsPerinatalNMDS(continued)Dataelementsincluded(continued):Sex,version237Stateidentifier,version2208State/Territoryofbirth,version1.
209Statusofthebaby,version1161Supportingdataelementconcepts:Birthweight,version1.
148Gestationalage,version1156Livebirth,version1268Neonate,version1.
146Neonataldeath,version1287Stillbirth(foetaldeath),version1288DataelementsincommonwithotherNMDS:SeeAppendixJScopelinkswithotherNMDS:Sourceorganisation:NationalHealthInformationManagementGroupComments:Statisticalunitsareentitiesfromoraboutwhichstatisticsarecollectedorinrespectofwhichstatisticsarecompiled,tabulatedorpublished.
newthisversionrevisedthisversionNationalHealthDataDictionary,version9Nationalminimumdatasets25PublichospitalestablishmentsNMDSAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:Versionnumber:1Datarecordtype:NATIONALMINIMUMDATASETStartdate:1July1989Enddate:Latestevaluationdate:Scope:Thescopeofthisdatasetisestablishmentleveldataforpublicacuteandpsychiatrichospitals,includinghospitalsoperatedfororbytheDepartmentofVeteransAffairs,andalcoholanddrugtreatmentcentres.
Fromversion9PatientleveldataremainsinthenewNMDScalledAdmittedpatientcare.
ThesenewNMDSreplacetheversion8NMDScalledInstitutionalhealthcare.
SimilardataforprivatehospitalsandfreestandingdayhospitalfacilitiesiscollectedbytheAustralianBureauofStatisticsinthePrivateHealthEstablishmentsCollection.
HospitalsoperatedbytheAustralianDefenceForce,correctionsauthoritiesandAustraliasexternalTerritoriesarenotcurrentlyincluded.
Hospitalsspecialisingindental,ophthalmicaidsandotherspecialisedacutemedicalorsurgicalcareareincluded.
Statisticalunits:PublichospitalestablishmentsCollectionmethodology:Dataarecollectedateachhospitalfrompatientadministrativeandclinicalrecordsystems.
HospitalsforwarddatatotherelevantStateorTerritoryhealthauthorityonaregularbasis(forexample,monthly.
Nationalreportingarrangements:StateandTerritoryhealthauthoritiesprovidethedatatotheAustralianInstituteofHealthandWelfarefornationalcollation,onanannualbasis.
Periodsforwhichdataarecollectedandnationallycollated:Financialyearsending30JuneeachyearNationalHealthDataDictionary,version926NationalminimumdatasetsPublichospitalestablishmentsNMDS(continued)Dataelementsincluded:Administrativeexpenses,version1226Capitalexpenditure,version1a221Capitalexpendituregross(accrualaccounting),version2a223Capitalexpenditurenet(accrualaccounting),version2a225Depreciation,version1.
227Domesticservices,version1228Drugsupplies,version1.
229Establishmentnumber,version2196Establishmentsector,version2210Establishmenttype,version1190Foodsupplies,version1.
230Full-timeequivalentstaff,version2231Geographicallocationofestablishment,version2.
206Groupsessions.
353Hospitalinsurancestatus,version3.
122Indirecthealthcareexpenditure,version1a233Individual/groupsession,version1354Interestpayments,version1235Medicalandsurgicalsupplies,version1.
236Numberofavailablebedsforadmittedpatients,version2455Numberofleaveperiods,version3389Occasionsofservice,version1448Otherrecurrentexpenditure,version1239Otherrevenues,version1460Patientdays,version3425Patientrevenue,version1456Patienttransport,version1240Paymentstovisitingmedicalofficers,version1.
241Recoveries,version1.
458Regioncode,version2197Repairsandmaintenance,version1.
242Salariesandwages,version1243Separations,version2.
445Specialisedserviceindicators200Stateidentifier,version2208Superannuationemployercontributions(includingfundingbasis),version1245newthisversionrevisedthisversionaDatareportedatState/TerritorylevelNationalHealthDataDictionary,version9Nationalminimumdatasets27PublichospitalestablishmentsNMDS(continued)Dataelementsincluded(continued):Teachingstatus,version1.
198Typeofnon-admittedpatientcare,version1436Typeofnon-admittedpatientcare(publicpsychiatric,alcoholanddrug),version1441Supportingdataelementconcepts:Hospital,version1.
213Hospitalboarder,version1264Non-admittedpatient,version1258Overnight-staypatient,version2259Patient,version2255Same-daypatient,version1.
260Separation,version3381DataelementsincommonwithotherNMDS:SeeAppendixJScopelinkswithotherNMDS:Episodesofcareforadmittedpatientswhichoccurpartlyorfullyindesignatedpsychiatricunitsofpublicacutehospitalsorinpublicpsychiatrichospitals:AdmittedpatientcareNMDS,version1AdmittedpatientmentalhealthcareNMDS,version1AdmittedpatientpalliativecareNMDS,version1Sourceorganisation:NationalHealthInformationManagementGroupComments:Statisticalunitsareentitiesfromoraboutwhichstatisticsarecollectedorinrespectofwhichstatisticsarecompiled,tabulatedorpublished.
newthisversionrevisedthisversionNationalHealthDataDictionary,version928NationalHealthInformationModelentitiesNationalHealthDataDictionary,version9Dataelementdefinitions29CountryofbirthAdmin.
status:CURRENT1/07/1994IdentifyinganddenitionalattributesNHIKidentifier:000035Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
4Max.
4Representationallayout:NNNNAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thecountryinwhichthepersonwasborn.
Context:Countryofbirthisimportantinthestudyofaccesstoservicesbydifferentpopulationsub-groups.
Countryofbirthisthemosteasilycollectedandconsistentlyreportedofpossibledataitems.
TheitemprovidesalinkbetweentheCensusofPopulationandHousing,otherABSstatisticalcollectionsandregionaldatacollections.
CountryofbirthmaybeusedinconjunctionwithotherdataelementssuchasperiodofresidenceinAustralia,etc.
,toderivemoresophisticatedmeasuresofaccesstoservicesbydifferentpopulationsub-groups.
Datadomain:AustralianStandardClassificationofCountriesforSocialStatistics(ASCCSS)4-digit(individualcountry)level.
ABScatalogueno.
1269.
0Guideforuse:Acountry,evenifitcomprisesotherdiscretepoliticalentitiessuchasstates,istreatedasasingleunitforalldatadomainpurposes.
Partsofapoliticalentityarenotincludedindifferentgroups.
Thus,HawaiiisincludedinNorthernAmerica(aspartoftheidentifiedcountryUnitedStatesofAmerica),despitebeinggeographicallyclosetoandhavingsimilarsocialandculturalcharacteristicsastheunitsclassifiedtoPolynesiaintheASCCSS.
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementCountryofbirth,version1Sourcedocument:ABSCatalogueNo.
1269.
0Sourceorganisation:AustralianBureauofStatisticsNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toAdmittedpatientmentalhealthcarefrom1/07/2000toPerinatalfrom1/07/1997toAdmittedpatientpalliativecarefrom1/07/2000toNationalHealthDataDictionary,version930DataelementdefinitionsCountryofbirth(continued)Comments:TheAustralianStandardClassificationofCountriesforSocialStatistics(ASCCSS)inABScatalogueno.
1269.
0hasbeensupercededbytheStandardAustralianClassificationofCountries(SACC)(ABS1269.
01998).
WhilenotformallyadoptedbytheNationalHealthDataCommittee,theuseofSACCisconsistentwiththedatadomainsdescribedasthereisadirectconcordancebetweenthetwoclassifications.
TheNHDCwillbeevaluatingthisdataelementin2000.
NationalHealthDataDictionary,version9Dataelementdefinitions31DateofbirthAdmin.
status:CURRENT1/07/1994IdentifyinganddenitionalattributesNHIKidentifier:000036Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thedateofbirthoftheperson.
Context:Requiredtoderiveagefordemographicanalyses,foranalysisbyageatapointoftimeandforusetoderiveaDiagnosisRelatedGroup(admittedpatients).
Datadomain:ValiddatesGuideforuse:Ifdateofbirthisnotknown,provisionshouldbemadetocollectage(inyears)andadateofbirthderivedfromage.
Verificationrules:FortheprovisionofStateandTerritoryhospitaldatatoCommonwealthagenciesthisfieldmust:-be0.
9formalesand>0.
8forfemaleswereusedintheAustralianBureauofStatistics1995NationalNutritionSurvey.
Datadomain:Guideforuse:Adultabdomentohipratiocannotbecalculatedifeithercomponentnecessaryforitscalculation(i.
e.
abdominalcircumferenceorhipcircumference)hasnotbeencollected(i.
e.
iscodedto999.
9).
NationalHealthDataDictionary,version944DataelementdefinitionsAdultabdomentohipratio(continued)AdministrativeattributesVerificationrules:Collectionmethods:AHRshouldbederivedafterthedataentryofabdominalcircumferenceandhipcircumference.
Itshouldbestoredontherawdatasetasacontinuousvariableandshouldnotbeaggregatedorrounded.
Itisrecommendedthatinpopulationsurveys,sociodemographicdataincludingethnicityshouldbecollected,aswellasotherriskfactorsincludingphysiologicalstatus(e.
g.
pregnancy),physicalactivity,smokingandalcoholconsumption.
Summarystatisticsmayneedtobeadjustedforthesevariables.
Relateddata:iscalculatedusingAdulthipcircumferencemeasured,version1iscalculatedusingAdultabdominalcircumferencemeasured,version1Sourcedocument:Sourceorganisation:Responsibleorganisations:NationalHealthDataCommittee(NHDC)/NationalCentreforMonitoringCardiovascularDisease,AustralianInstituteofHealthandWelfare.
(SeealsoComments.
)Nationalminimumdatasets:Comments:Submittingorganisation:TheExpertWorkingGrouponDataStandardsforIndicatorsofBodyFatnessinAustralianAdultsthroughtheNationalCentreforMonitoringCardiovascularDisease,AustralianInstituteofHealthandWelfare.
Dateofsubmission:October1997Thisdataelementappliestopersonsaged18yearsorolder.
Itisrecommendedforuseinpopulationsurveysandhealthcaresettings.
Presentationofdata:Means,95%confidenceintervals,mediansandcentilesshouldbereportedtoonedecimalplace.
Wherethesamplepermits,populationestimatesshouldbepresentedbysexand5-yearagegroups.
Estimatesbasedonsamplesurveysmayneedtotakeintoaccountsamplingweights.
Forconsistencywithconventionalpractice,andforcurrentcomparabilitywithinternationaldatasets,recommendedcentilesare5,10,15,25,50,75,85,90and95.
Toestimatethe5thand95thcentilesasamplesizeofatleast200isrecommendedforeachgroupforwhichthecentilesarebeingspecified.
NationalHealthDataDictionary,version9Dataelementdefinitions45AdultbodymassindexAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000367Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
3Max.
4Representationallayout:NN.
NN*/NN.
N**Dataelementtype:DATAELEMENTDefinition:Apersonsweight(bodymass)relativetoheight.
Itisameasureofbodymasscorrectedforheightwhichisusedtoassesstheextentofweightdeficitorexcess.
Insedentarypopulations,bodymassindex(BMI)alsoprovidesanimprecisebutpracticalindicatorofthelevelofbodyfat.
Adultbodymassindexisacontinuousvariable.
Adultbodymassindexiscalculatedby:weight(kg)dividedby(height(m)squared)Context:Publichealthandhealthcare.
BMIisusedasanindicatorofbothunderweightand,overweightandobesity,insedentaryWesternadults.
OnapopulationbasisthereisastrongassociationbetweenBMIandhealthrisk.
Inpopulationbasedsurveys,BMImaybeused:-toindicatetheprevalenceofthinnessandoverweightandtheirsociodemographicdistribution(problemidentification);-toevaluatehealthpromotionanddiseasepreventionprograms(assessmentofinterventions);-tomonitorprogresstowardsNationalHealthGoalsandTargets;-toascertaindeterminantsandconsequencesofthinnessandoverweight;and-innutritionalsurveillanceandlong-termplanning.
Datadomain:Guideforuse:Adultbodymassindexcannotbecalculatedifeithercomponentnecessaryforitscalculation(i.
e.
weightorheight)isunknownorhasnotbeencollected(i.
e.
iscodedto888.
8or999.
9)Verificationrules:Collectionmethods:*NN.
NNforBMIcalculatedfrommeasuredheightandweight.
**NN.
NforBMIcalculatedfromself-reportedheightand/orself-reportedweightNationalHealthDataDictionary,version946DataelementdefinitionsAdultbodymassindex(continued)AdministrativeattributesCollectionmethods(continued):BMIcalculatedfrommeasuredheightandweightshouldbedistinguishedfromBMIcalculatedfromself-reportedheightand/orweight.
Wheneitherself-reportedheightorself-reportedweightisusedinthecalculation,BMIshouldberecordedasself-reportedBMI.
BMIshouldbederivedafterthedataentryofweightandheight.
Itshouldbestoredontherawdatasetasacontinuousvariableandshouldnotbeaggregatedorrounded.
Itisrecommendedthatinpopulationsurveys,sociodemographicdataincludingethnicityshouldbecollected,aswellasotherriskfactorsincludingphysiologicalstatus(e.
g.
pregnancy),physicalactivity,smokingandalcoholconsumption.
Summarystatisticsmayneedtobeadjustedforthesevariables.
Nationalhealthdataelementscurrentlyexistforsex,dateofbirth,countryofbirthandIndigenousStatus.
Dataelementsarebeingdevelopedforphysicalactivityandsmoking.
Relateddata:iscalculatedusingAdultheightmeasured,version1iscalculatedusingAdultheightself-reported,version1iscalculatedusingAdultweightmeasured,version1iscalculatedusingAdultweightself-reported,version1isusedinthederivationofAdultbodymassindexclassification,version1Sourcedocument:Sourceorganisation:Responsibleorganisations:NationalHealthDataCommittee(NHDC)/NationalCentreforMonitoringCardiovascularDisease,AustralianInstituteofHealthandWelfare.
(SeealsoComments)Nationalminimumdatasets:Comments:Submittingorganisation:TheExpertWorkingGrouponDataStandardsforIndicatorsofBodyFatnessinAustralianAdultsthroughtheNationalCentreforMonitoringCardiovascularDisease,AustralianInstituteofHealthandWelfare.
Dateofsubmission:October1997.
Thisdataelementappliestopersonsaged18yearsorolder.
Itisrecommendedforuseinpopulationsurveysandhealthcaresettings.
Presentationofdata:Means,95%confidenceintervals,mediansandcentilesshouldbereportedtoonedecimalplace.
Wherethesamplepermits,populationestimatesshouldbepresentedbysexand5-yearagegroups.
Estimatesbasedonsamplesurveysmayneedtotakeintoaccountsamplingweights.
NationalHealthDataDictionary,version9Dataelementdefinitions47Adultbodymassindex(continued)Comments(continued):Forconsistencywithconventionalpractice,andforcurrentcomparabilitywithinternationaldatasets,recommendedcentilesare5,10,15,25,50,75,85,90and95.
Toestimatethe5thand95thcentilesasamplesizeofatleast200isrecommendedforeachgroupforwhichthecentilesarebeingspecified.
Bodymassindexcanbecalculatedfrommeasuredheightandweight,orself-reportedheightandweight.
Bodymassindextendstobeunderestimatedwhenbasedonself-reported,ratherthanmeasured,heightandweight.
Thisisduetothefactthat,onaverage,heighttendstobeoverestimatedandweighttendstobeunderestimatedwhenself-reportedbyrespondents.
TherearemanyindividualsforwhomBMIisaninappropriatemeasureofbodyfatness.
Theseareindividualswhosehighbodymassisduetoexcessmuscleratherthanfat(e.
g.
bodybuildersorothersinwhomthelevelofphysicalactivitypromotesanincreaseinmusclemass);orinthosewithosteoporosiswhowillhavealowerthanusualBMI;orthosewhohaveadifferentbodybuild(e.
g.
individualswithunusuallylongorshortlegsoradifferentbodyfatdistribution)(WHOExpertCommittee1995).
Thisisparticularlyimportantwhenassessingindividualsbutshouldalsobetakenintoaccountininterpretingdatafrompopulationsinwhichtherearesub-groupswithgeneticorenvironmentaldifferencesinbodybuild,composition,skeletalproportionsorbodyfatdistribution.
EpidemiologicalresearchshowsthatthereisastrongassociationbetweenBMIandhealthrisk.
Excessadiposetissueinadultsisassociatedwithexcessmorbidityandmortalityfromconditionssuchashypertension,unfavourablebloodlipidconcentrations,diabetesmellitus,coronaryheartdisease,somecancers,gallbladderdisease,andosteoarthritis.
Itmayalsoleadtosocialandeconomicdisadvantageaswellaspsychosocialproblems.
Itisamajorpublichealthissueinmostindustrialisedsocieties.
Thinness(lowBMI)isalsoanindicatorofhealthrisk,oftenbeingassociatedwithgeneralillness,anorexia,cigarettesmoking,drugaddictionandalcoholism.
LowBMIisconsistentlyassociatedwithincreasedriskofosteoporosisandfracturesintheelderly.
NationalHealthDataDictionary,version948DataelementdefinitionsAdultbodymassindexclassicationAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000368Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:Thecategoryofweightdeficitorexcess.
Context:Publichealthandhealthcare.
BMIisusedasanindicatorofbothunderweightand,overweightandobesity,insedentaryWesternadults.
OnapopulationbasisthereisastrongassociationbetweenBMIandhealthrisk.
Datadomain:1Grade3thinness(BMI5roundup,e.
g.
172.
7cmwouldberoundedto173cm.
nnn.
xwherex=5roundtothenearestevennumber,e.
g.
172.
5cmwouldberoundedto172cm,while173.
5cmwouldberoundedto174cm.
Itisrecommendedthatinpopulationsurveys,sociodemographicdataincludingethnicityshouldbecollected,aswellasotherriskfactorsincludingphysiologicalstatus(e.
g.
pregnancy),physicalactivity,smokingandalcoholconsumption.
NationalHealthDataDictionary,version956DataelementdefinitionsAdultheightself-reported(continued)AdministrativeattributesCollectionmethods(continued):Summarystatisticsmayneedtobeadjustedforthesevariables.
Nationalhealthdataelementscurrentlyexistforsex,dateofbirth,countryofbirthandIndigenousStatus.
Dataelementsarebeingdevelopedforphysicalactivityandsmoking.
Relateddata:isusedinthecalculationofAdultbodymassindex,version1Sourcedocument:Sourceorganisation:Responsibleorganisations:NationalHealthDataCommittee(NHDC)/NationalCentreforMonitoringCardiovascularDisease,AustralianInstituteofHealthandWelfare.
(SeealsoComments)Nationalminimumdatasets:Comments:Submittingorganisation:TheExpertWorkingGrouponDataStandardsforIndicatorsofBodyFatnessinAustralianAdultsthroughtheNationalCentreforMonitoringCardiovascularDisease,AustralianInstituteofHealthandWelfare.
Dateofsubmission:October1997.
Thisdataelementappliestopersonsaged18yearsorolder.
Itisrecommendedforuseinpopulationsurveyswhenitisnotpossibletomeasureheight.
Presentationofdata:Means,95%confidenceintervals,mediansandcentilesshouldbereportedtoonedecimalplace.
Wherethesamplepermits,populationestimatesshouldbepresentedbysexand5-yearagegroups.
Estimatesbasedonsamplesurveysmayneedtotakeintoaccountsamplingweights.
Forconsistencywithconventionalpractice,andforcurrentcomparabilitywithinternationaldatasets,recommendedcentilesare5,10,15,25,50,75,85,90and95.
Toestimatethe5thand95thcentilesasamplesizeofatleast200isrecommendedforeachgroupforwhichthecentilesarebeingspecified.
Forsomereportingpurposes,itmaybedesirabletopresentheightdataincategories.
Itisrecommendedthat5cmgroupingsareusedforthispurpose.
Heightdatashouldnotberoundedbeforecategorisation.
ThefollowingcategoriesmaybeappropriatefordescribingtheheightsofAustralianmenandwomen,althoughtherangewilldependonthepopulation.
TheWorldHealthOrganizationsrangeforheightis140190cm.
Ht5roundup,e.
g.
72.
7kgwouldberoundedto73kg.
nnn.
xwherex=5roundtothenearestevennumber,e.
g.
72.
5kgwouldberoundedto72kg,while73.
5kgwouldberoundedto74kg.
Itisrecommendedthatinpopulationsurveys,sociodemographicdataincludingethnicityshouldbecollected,aswellasotherriskfactorsincludingphysiologicalstatus(e.
g.
pregnancy),physicalactivity,smokingandalcoholconsumption.
NationalHealthDataDictionary,version966DataelementdefinitionsAdultweightself-reported(continued)AdministrativeattributesCollectionmethods(continued):Summarystatisticsmayneedtobeadjustedforthesevariables.
Nationalhealthdataelementscurrentlyexistforsex,dateofbirth,countryofbirthandIndigenousstatus.
Dataelementsarebeingdevelopedforphysicalactivityandsmoking.
Relateddata:isusedinthecalculationofAdultbodymassindex,version1Sourcedocument:Sourceorganisation:Responsibleorganisations:NationalHealthDataCommittee(NHDC)/NationalCentreforMonitoringCardiovascularDisease,AustralianInstituteofHealthandWelfare.
(SeealsoComments)Nationalminimumdatasets:Comments:Submittingorganisation:TheExpertWorkingGrouponDataStandardsforIndicatorsofBodyFatnessinAustralianAdultsthroughtheNationalCentreforMonitoringCardiovascularDisease,AustralianInstituteofHealthandWelfare.
Dateofsubmission:October1997.
Thisdataelementappliestopersonsaged18yearsorolder.
Itisrecommendedforuseinpopulationsurveyswhenitisnotpossibletomeasureweight.
Presentationofdata:Meansand95%confidenceintervals,mediansandcentilesshouldbereportedtoonedecimalplace.
Wherethesamplepermits,populationestimatesshouldbepresentedbysexand5-yearagegroups.
Estimatesbasedonsamplesurveysmayneedtotakeintoaccountsamplingweights.
Forconsistencywithconventionalpractice,andforcurrentcomparabilitywithinternationaldatasets,recommendedcentilesare5,10,15,25,50,75,85,90and95.
Toestimatethe5thand95thcentilesasamplesizeofatleast200isrecommendedforeachgroupforwhichthecentilesarebeingspecified.
Forsomereportingpurposes,itmaybedesirabletopresentweightdataincategories.
Itisrecommendedthat5kggroupingsareusedforthispurpose.
Weightdatashouldnotberoundedbeforecategorisation.
ThefollowingcategoriesmaybeappropriatefordescribingtheweightsofAustralianmenandwomen,althoughtherangewilldependonthepopulation.
TheWorldHealthOrganizationsrangeforweightis30140kg.
Wt10percentofpatientsbodysurfaceaffected).
E4.
16Majorplastic/reconstructivesurgeryunit(SS)Aspecialisedfacilitydedicatedtogeneralpurposeplasticandspecialisedreconstructivesurgery,includingmaxillofacial,microsurgeryandhandsurgery.
E4.
17Oncology(cancertreatment)unit(SS)Aspecialisedfacilitydedicatedtomultidisciplinaryinvestigation,management,rehabilitationandsupportservicesforcancerpatients.
Treatmentservicesincludesurgery,chemotherapyandradiation.
E4.
18Neonatalintensivecareunit(levelIII)(SS)Aspecialisedfacilitydedicatedtothecareofneonatesrequiringcareandsophisticatedtechnologicalsupport.
Patientsusuallyrequireintensivecardiorespiratorymonitoring,sustainedassistanceventilation,long-termoxygenadministrationandparenteralnutrition.
E4.
19In-vitrofertilisationunitAspecialisedfacilitydedicatedtotheinvestigationofinfertilityprovisionofin-vitrofertilisationservices.
E4.
20Comprehensiveepilepsycentre(SS)Aspecialisedfacilitydedicatedtoseizurecharacterisation,evaluationoftherapeuticregimes,pre-surgicalevaluationandepilepsysurgeryforpatientswithrefractoryepilepsy.
NationalHealthDataDictionary,version9202DataelementdefinitionsAdministrativeattributesSpecialisedserviceindicators(continued)Guideforuse(continued):E4.
21TransplantationunitAspecialisedfacilitydedicatedtoorganretrieval,transplantationandongoingcareofthetransplantrecipient.
-bonemarrow-renal-heart,includingheart-lung-liver-pancreasE4.
22Clinicalgeneticsunit(SS)Aspecialisedfacilitydedicatedtodiagnosticandcounsellingservicesforclientswhoareaffectedby,atriskoforanxiousaboutgeneticdisorders.
E4.
23SleepcentreAspecialisedfacilitylinkedtoasleeplaboratorydedicatedtotheinvestigationandmanagementofsleepdisorders.
E4.
24NeurosurgicalunitAspecialisedfacilitydedicatedtothesurgicaltreatmentofneurologicalconditions.
E4.
25InfectiousdiseasesunitAspecialisedfacilitydedicatedtothetreatmentofinfectiousdiseases.
E4.
26AIDSunitAspecialisedfacilitydedicatedtothetreatmentofAIDSpatients.
E4.
27DiabetesunitAspecialisedfacilitydedicatedtothetreatmentofdiabetics.
E4.
28RehabilitationunitDedicatedunitswithinrecognisedhospitalswhichprovidepost-acuterehabilitationandaredesignedassuchbytheStatehealthauthorities(seedataelementCaretype).
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toComments:NationalHealthDataDictionary,version9203NationalHealthInformationModelentitiesNationalHealthDataDictionary,version9204DataelementdefinitionsAreaofusualresidenceAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000016Versionnumber:3RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
5Max.
5Representationallayout:NNNNNDataelementtype:DATAELEMENTDefinition:Geographicallocationofusualresidenceoftheperson.
Context:GeographicallocationisreportedusingStatisticalLocalAreatoenableaccurateaggregationofinformationtolargerareaswithintheAustralianStandardGeographicalClassification(suchasStatisticalSubdivisionsandStatisticalDivisions)aswellasdetailedanalysisattheStatisticalLocalArealevel.
TheuseofStatisticalLocalAreasalsoallowsanalysisrelatingthedatatoinformationcompiledbytheAustralianBureauofStatisticsonthedemographicandothercharacteristicsofthepopulationofeachStatisticalLocalArea.
AnalysesfacilitatedbytheinclusionofStatisticalLocalAreainformationinclude-comparisonoftheuseofservicesbypersonsresidingindifferentgeographicalareas,-characterisationofcatchmentareasandpopulationsforestablishmentsforplanningpurposes,and-documentationoftheprovisionofservicestoresidentsofStatesorTerritoriesotherthantheStateorTerritoryoftheprovider.
Datadomain:Thegeographicallocationisreportedusingafivedigitnumericalcode.
Thefirstdigitisthesingle-digitcodetoindicateStateorTerritory.
TheremainingfourdigitsarethenumericalcodefortheStatisticalLocalArea(SLA)withintheStateorTerritory.
ThesingledigitcodesfortheStatesandTerritoriesandthefourdigitcodesfortheSLAsareasdefinedintheAustralianStandardGeographicalClassification(AustralianBureauofStatistics,cataloguenumber1216.
0).
Guideforuse:TheAustralianStandardGeographicalClassification(ASGC)isupdatedonanannualbasiswithadateofeffectof1Julyeachyear.
Therefore,theeditioneffectiveforthedatacollectionreferenceyearshouldbeused.
ThecodesforStatisticalLocalAreasareuniquewithineachStateandTerritory,butnotwithinthewholecountry.
Thus,todefineauniquelocation,thecodeoftheStateorTerritoryisrequiredinadditiontothecodefortheStatisticalLocalArea.
NationalHealthDataDictionary,version9Dataelementdefinitions205AdministrativeattributesAreaofusualresidence(continued)Guideforuse(continued):TheAustralianBureauofStatisticsNationalLocalitiesIndex(NLI)(ABSCataloguenumber1252.
0)canbeusedtoassigneachlocalityoraddressinAustraliatoaStatisticalLocalArea.
TheNLIisacomprehensivelistoflocalitiesinAustraliawiththeirfullcode(includingStateorTerritoryandStatisticalLocalArea)fromthemainstructureoftheASGC.
Forthemajorityoflocalities,thelocalityname(suburbortown,forexample)issufficienttoassignaStatisticalLocalArea.
However,somelocalitieshavethesamename.
Formostofthese,limitedadditionalinformationsuchasthepostcodeorStatecanbeusedwiththelocalitynametoassigntheStatisticalLocalArea.
Inaddition,otherlocalitiescrossoneormoreStatisticalLocalAreaboundariesandarereferredtoassplitlocalities.
Forthese,themoredetailedinformationofthenumberandstreetofthepersonsresidenceisusedwiththeStreetsSub-indexoftheNLItoassigntheStatisticalLocalArea.
IftheinformationavailableonthepersonsaddressindicatesthatitisinasplitlocalitybutisinsufficienttoassignanStatisticalLocalArea,thecodefortheStatisticalLocalAreawhichincludesmostofthesplitlocalityshouldbereported.
ThisisinaccordancewiththeNLIassignmentofStatisticalLocalAreaswhenasplitlocalityisidentifiedandfurtherdetailabouttheaddressisnotavailable.
TheNLIdoesnotassignaStatisticalLocalAreacodeiftheinformationabouttheaddressisinsufficienttoidentifyalocality,orisnotanAustralianlocality.
Inthesecases,theappropriatecodesforundefinedStatisticalLocalAreawithinAustralia(StateorTerritoryunstated),undefinedStatisticalLocalAreawithinastatedStateorTerritory,nofixedplaceofabode(withinAustraliaorwithinastatedStateorTerritory)oroverseasshouldbeused.
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementAreaofusualresidence,version2Sourcedocument:AustralianStandardGeographicalClassification(ASGC)Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toAdmittedpatientmentalhealthcarefrom1/07/2000toAdmittedpatientpalliativecarefrom1/07/2000toComments:NationalHealthDataDictionary,version9206DataelementdefinitionsGeographicallocationofestablishmentAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000260Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
5Max.
5Representationallayout:NNNNNDataelementtype:DATAELEMENTDefinition:Geographicallocationoftheestablishment.
Forestablishmentswithmorethanonegeographicallocation,thelocationisdefinedasthatofthemainadministrativecentre.
Context:Healthservices:Toenabletheanalysisofserviceprovisioninrelationtodemographicandothercharacteristicsofthepopulationofageographicarea.
Datadomain:ThegeographicallocationisreportedusingafivedigitnumericalcodetoindicatetheStatisticalLocalArea(SLA)withinthereportingStateorTerritory,asdefinedintheAustralianStandardGeographicalClassification(AustralianBureauofStatistics,cataloguenumber1216.
0).
Guideforuse:TheAustralianStandardGeographicalClassification(ASGC)isupdatedonanannualbasiswithadateofeffectof1Julyeachyear.
Therefore,theeditioneffectiveforthedatacollectionreferenceyearshouldbeused.
TheAustralianBureauofStatisticsNationalLocalitiesIndex(NLI)canbeusedtoassigneachlocalityoraddressinAustraliatoanSLA.
TheNLIisacomprehensivelistoflocalitiesinAustraliawiththeirfullcode(includingSLA)fromthemainstructureoftheASGC.
Forthemajorityoflocalities,thelocalityname(suburbortown,forexample)issufficienttoassignanSLA.
However,somelocalitieshavethesamename.
Formostofthese,limitedadditionalinformationsuchasthepostcodeorStatecanbeusedwiththelocalitynametoassigntheSLA.
Inaddition,otherlocalitiescrossoneormoreSLAboundariesandarereferredtoassplitlocalities.
Forthese,themoredetailedinformationofthenumberandstreetoftheestablishmentisusedwiththeStreetsSub-indexoftheNLItoassigntheSLA.
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementGeographiclocation,version1relatestothedataelementEstablishmenttype,version1NationalHealthDataDictionary,version9Dataelementdefinitions207Geographicallocationofestablishment(continued)AdministrativeattributesSourcedocument:AustralianStandardGeographicalClassification(AustralianBureauofStatisticsCatalogueNo.
1216.
0)Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:Thegeographicallocationdoesnotprovidedirectinformationonthegeographicalcatchmentareaorcatchmentpopulationoftheestablishment.
NationalHealthDataDictionary,version9208DataelementdefinitionsStateidentierAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000380Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:AnidentifierforStateorTerritory.
Context:HealthservicesDatadomain:1NewSouthWales2Victoria3Queensland4SouthAustralia5WesternAustralia6Tasmania7NorthernTerritory8AustralianCapitalTerritory9Otherterritories(Cocos(Keeling)Islands,ChristmasIslandandJervisBayTerritory)Guideforuse:Verificationrules:Collectionmethods:Relateddata:isacompositepartofEstablishmentidentifier,version2Sourcedocument:DomainvaluesarederivedfromtheAustralianStandardGeographicClassification(AustralianBureauofStatistics,CatalogueNumber1216.
0)Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toAdmittedpatientcarefrom1/07/2000toAdmittedpatientmentalhealthcarefrom1/07/2000toPerinatalfrom1/07/1997toComments:NationalHealthDataDictionary,version9Dataelementdefinitions209State/TerritoryofbirthAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000155Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:TheState/Territoryinwhichthebirthoccurred.
Context:Perinatalstatistics:toenableanalysesbyState/Territoryofdelivery.
Datadomain:0Notapplicable(includesresidentoverseas,nofixedaddress)1NewSouthWales2Victoria3Queensland4SouthAustralia5WesternAustralia6Tasmania7NorthernTerritory8AustralianCapitalTerritory9ExternalAustralianterritories(Cocos(Keeling)Islands,ChristmasIslandandJervisBayTerritory)Guideforuse:Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Perinatalfrom1/07/1997toComments:NationalHealthDataDictionary,version9210DataelementdefinitionsEstablishmentsectorAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000379Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Asectionofthehealthcareindustry.
Context:Publichospitalestablishmentsandadmittedpatientcare.
Datadomain:1Public2Private3RepatriationGuideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementHospital,version1isacompositepartofEstablishmentidentifier,version2Sourcedocument:Sourceorganisation:Nationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toAdmittedpatientcarefrom1/07/2000toAdmittedpatientmentalhealthcarefrom1/07/2000toPerinatalfrom1/07/1997toComments:NationalHealthDataDictionary,version9Dataelementdefinitions211TypeandsectorofemploymentestablishmentAdmin.
status:CURRENT1/07/1995IdentifyinganddenitionalattributesKnowledgebaseID:000166Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
2Max.
2Representationallayout:NNDataelementtype:DATAELEMENTDefinition:Foreachhealthprofession,typeofemploymentestablishmentisaselfreporting,condensedindustryofemploymentclassificationthatcanbecross-referencedtotheAustralianandNewZealandStandardIndustrialClassification.
Sectorofemploymentestablishmentisgovernment(public)ornon-government(private),accordingtowhetherornottheemployerisaCommonwealth,Stateorlocalgovernmentagency.
Context:Healthlabourforce:toanalysedistributionofserviceprovidersbysetting(definedbyindustryofemployerandsector),cross-classifiedwithmaintypeofworkand/orspecialtyarea.
Datadomain:01Privatemedicalpractitionerrooms/surgery(including24-hourmedicalclinics)02Otherpublicnon-residentialhealthcarefacility(e.
g.
Aboriginalhealthservice,ambulatorycentre,outpatientclinic,daysurgerycentre,medicalcentre,communityhealthcentre)03Otherprivatenon-residentialhealthcare(e.
g.
Aboriginalhealthservice,ambulatorycentre,outpatientclinic,daysurgerycentre,medicalcentre,communityhealthcentre)04Hospitalacutecare*(includingpsychiatricorspecialisthospital)hospital(public)05Hospitalacutecare(includingpsychiatricorspecialisthospital)hospital(private)06Residentialhealthcare(e.
g.
nursinghome,hospice,physicaldisabilitiesresidentialcentre)facility(public)07Residentialhealthcare(e.
g.
nursinghome,hospice,physicaldisabilitiesresidentialcentre)facility(private)08Tertiaryeducationinstitution(public)09Tertiaryeducationinstitution(private)10Defenceforces11Governmentdepartmentoragency(e.
g.
laboratory,researchorganisationetc.
)12Privateindustry/privateenterprise(e.
g.
insurance,pathology,bank)13Other(specified)Public14Other(specified)Private99Unknown/inadequatelydescribed/notstatedNationalHealthDataDictionary,version9212DataelementdefinitionsAdministrativeattributesTypeandsectorofemploymentestablishment(continued)Guideforuse:Establishmentsarecodedintoselfreportinggroupingsinthepublicandprivatesectors.
Thiscanbeseenbelowinthecodelistformedicalpractitioners.
Minorvariationsinorderingofsequenceanddisaggregationoftheprincipalcategorieswillbeprofession-specificasappropriate;whereamoredetailedsetofcodesisused,theessentialcriterionisthatthereshouldnotbeanoverlapofthedetailedcodesacrosstheAustralianandNewZealandStandardIndustrialClassificationcategorydefinitions.
Note:Publicpsychiatrichospitalsarenon-acutecarefacilities,whereasprivatepsychiatrichospitalsareacutecarefacilities.
Tominimisethepossibilityofrespondentconfusionandmis-reporting,publicpsychiatrichospitalsareincludedinthegroupingforacutecarepublichospitals.
Daysurgerycentres,outpatientclinicsandmedicalcentresapprovedashospitalsundertheHealthInsuranceAct1973(Commonwealth)haveemergedasanewcategoryforinvestigation.
ThesewillbeincludedinareviewoftheNationalHealthLabourForceCollectionquestionsandcodingframes.
Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:NationalHealthLabourForceDataWorkingGroupNationalminimumdatasets:Healthlabourforcefrom1/07/1989toComments:NationalHealthDataDictionary,version9Dataelementdefinitions213HospitalAdmin.
status:CURRENT1/07/1994IdentifyinganddenitionalattributesKnowledgebaseID:000064Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:AhealthcarefacilityestablishedunderCommonwealth,StateorTerritorylegislationasahospitalorafree-standingdayprocedureunitandauthorisedtoprovidetreatmentand/orcaretopatients.
Context:Admittedpatientcare,admittedpatientpalliativecare,admittedpatientmentalhealthcareandpublichospitalestablishments.
Datadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementEstablishmentsector,version2Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toAdmittedpatientpalliativecarefrom1/07/2000toAdmittedpatientmentalhealthcarefrom1/07/2000toPublichospitalestablishmentsfrom1/07/2000toComments:Ahospitalthusdefinedmaybelocatedatonephysicalsiteormaybeamulticampushospital.
Amulticampushospitaltreatsmovementsofpatientsbetweensitesaswardtransfers.
Forthepurposesofthesedefinitions,thetermhospitalincludessatelliteunitsmanagedandstaffedbythehospital.
Thisdefinitionincludes,butisnotlimitedto,hospitalsasrecognisedunderAustralianHealthCareAgreements.
NursinghomesasapprovedundertheNationalHealthAct1953(Commonwealth)orequivalentStatelegislationandhostelsapprovedundertheAgedorDisabledPersonsCareAct1954(Commonwealth)areexcludedfromthisdefinition.
Thisdefinitionincludesentitieswithmultipurposefacilities(e.
g.
thosewhichcontainbothrecognisedandnon-recognisedcomponents).
NationalHealthDataDictionary,version9214DataelementdefinitionsIntensivecareunitAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000078Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Anintensivecareunit(ICU)isadesignatedwardofahospitalwhichisspeciallystaffedandequippedtoprovideobservation,careandtreatmenttopatientswithactualorpotentiallife-threateningillnesses,injuriesorcomplications,fromwhichrecoveryispossible.
TheICUprovidesspecialexpertiseandfacilitiesforthesupportofvitalfunctionsandutilisestheskillsofmedical,nursingandotherstafftrainedandexperiencedinthemanagementoftheseproblems.
Context:AdmittedpatientcareDatadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:NationalIntensiveCareWorkingGroupNationalminimumdatasets:Comments:TherearefivedifferenttypesandlevelsofICUdefinedaccordingtothreemaincriteria:thenatureofthefacility,thecareprocessandtheclinicalstandardsandstaffingrequirements.
AlllevelsandtypesofICUmustbeseparateandself-containedfacilitiesinhospitalsand,forclinicalstandardsandstaffingrequirements,substantiallyconformtorelevantguidelinesoftheAustralianCouncilonHealthcareStandards.
ThefivetypesofICUarebrieflydescribedbelow:Adultintensivecareunit.
level3:mustbecapableofprovidingcomplex,multisystemlifesupportforanindefiniteperiod;beatertiaryreferralcentreforpatientsinneedofintensivecareservicesandhaveextensivebackuplaboratoryandclinicalservicefacilitiestosupportthetertiaryreferralrole.
Itmustbecapableofprovidingmechanicalventilation,extracorporealrenalsupportservicesandinvasivecardiovascularmonitoringforanindefiniteperiod;orcareofasimilarnature.
NationalHealthDataDictionary,version9Dataelementdefinitions215Intensivecareunit(continued)Comments(continued):Adultintensivecareunit,level2:mustbecapableofprovidingcomplex,multisystemlifesupportandbecapableofprovidingmechanicalventilation,extracorporealrenalsupportservicesandinvasivecardiovascularmonitoringforaperiodofatleastseveraldays,orforlongerperiodsinremoteareasorcareofasimilarnature(seeACHSguidelines).
Adultintensivecareunit,level1:mustbecapableofprovidingbasicmultisystemlifesupportusuallyforlessthana24hourperiod.
Itmustbecapableofprovidingmechanicalventilationandsimpleinvasivecardiovascularmonitoringforaperiodofatleastseveralhours;orcareofasimilarnature.
Paediatricintensivecareunit:mustbecapableofprovidingcomplex,multisystemlifesupportforanindefiniteperiod;beatertiaryreferralcentreforchildrenneedingintensivecareandhaveextensivebackuplaboratoryandclinicalservicefacilitiestosupportthistertiaryrole.
Itmustbecapableofprovidingmechanicalventilation,extracorporealrenalsupportservicesandinvasivecardiovascularmonitoringforanindefiniteperiodtoinfantsandchildrenlessthan16yearsofage;orcareofasimilarnature.
Neonatalintensivecareunit,level3:mustbecapableofprovidingcomplex,multisystemlifesupportforanindefiniteperiod.
Itmustbecapableofprovidingmechanicalventilationandinvasivecardiovascularmonitoring;orcareofasimilarnature.
Definitionsforhigh-dependencyunit,coronarycareunitareunderdevelopment.
NationalHealthDataDictionary,version9216DataelementdefinitionsActualplaceofbirthAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000003Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Theactualplacewherethebirthoccurred.
Context:Perinatalcare:usedtoanalysetheriskfactorsandoutcomesbyplaceofbirth.
Whilemostdeliveriesoccurwithinhospitalsanincreasingnumberofbirthsnowoccurinothersettings.
Itisimportanttomonitorthebirthsoccurringoutsidehospitalsandtoascertainwhetherornottheactualplaceofdeliverywasplanned.
Datadomain:1Hospital2Birthcentre,attachedtohospital3Birthcentre,freestanding4Home8Other9NotstatedGuideforuse:Thisistoberecordedforeachbabythewomandeliversfromthispregnancy.
Verificationrules:Collectionmethods:Relateddata:isaqualifierofIntendedplaceofbirth,version1Sourcedocument:Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Perinatalfrom1/07/2000toComments:ThedevelopmentofadefinitionofabirthcentreiscurrentlyunderconsiderationbytheCommonwealthinconjunctionwiththeStatesandTerritories.
NationalHealthDataDictionary,version9Dataelementdefinitions217LocationimmediatelypriortoadmissiontonursinghomeAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000084Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Sourcefromwhichthepatientwastransferred/referredtothehospital.
Context:Nursinghomestatistics:toassistinanalysesofintersectoralpatientflowandhealthcareplanning.
Datadomain:1Home(usualresidence)2Homeofrelative(butnotusualresidence)3Hostel4Otherresidence5Acutehospital6Otherhospital7Nursinghome(checkontransfers)8Otherlocation9UnknownGuideforuse:Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9218DataelementdefinitionsPlaceofoccurrenceofexternalcauseofinjuryAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000384Versionnumber:5RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
2Representationallayout:NNDataelementtype:DATAELEMENTDefinition:Theplacewheretheexternalcauseofinjury,poisoningoradverseeffectoccurred.
Context:Enablescategorisationofinjuryandpoisoningaccordingtofactorsimportantforinjurycontrol.
Necessaryfordefiningandmonitoringinjurycontroltargets,injurycostingandidentifyingcasesforin-depthresearch.
Datadomain:0Home1Residentialinstitution2School,otherinstitutionandpublicadministrativearea21School22Healthservicearea23Buildingusedbygeneralpublicorpublicgroup3Sportsandathleticsarea4Streetandhighway5Tradeandservicearea6Industrialandconstructionarea7Farm8Otherspecifiedplaces9UnspecifiedplaceGuideforuse:Admittedpatients:UsetheappropriatecodesasfourthandfifthcharacterstoY92whenusingtheICD-10-AM2ndedition.
UsedwithallICD-10-AMexternalcausecodesV01Y89andassignedaccordingtotheAustralianCodingStandards.
Non-admittedpatients:tobeusedforinjurysurveillancepurposesfornon-admittedpatientswhenitisnotpossibletouseICD-10-AMcodes.
Selectthecodewhichbestcharacterisesthetypeofplacewherethepersonwassituatedwhentheinjuryoccurredonthebasisoftheinformationavailableatthetimeitisrecorded.
Iftwoormorecategoriesarejudgedtobeequallyappropriate,selecttheonethatcomesfirstinthecodelist.
Verificationrules:Admittedpatients:tobeusedwithICD-10-AMexternalcausecodesV01Y89.
Collectionmethods:NationalHealthDataDictionary,version9Dataelementdefinitions219AdministrativeattributesPlaceofoccurrenceofexternalcauseofinjury(continued)Relateddata:supersedespreviousdataelementPlaceofOccurrenceofExternalCauseofInjuryadmittedpatient,version4supersedespreviousdataelementPlaceofOccurrenceofExternalCauseofInjurynon-admittedpatient,version3isusedinconjunctionwithExternalCauseadmittedpatient,version4isusedinconjunctionwithExternalCausenon-admittedpatient,version4Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeandNationalCentreforClassificationinHealth.
Nationalminimumdatasets:Admittedpatientcarefrom1/07/2000toInjurysurveillancefrom1/07/2000toComments:NationalHealthDataDictionary,version9220NationalHealthInformationModelentitiesNationalHealthDataDictionary,version9Dataelementdefinitions221CapitalexpenditureAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000248Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:Dataelementtype:DATAELEMENTDefinition:GrosscapitalexpenditureiscapitalexpenditureasreportedbytheparticularestablishmenthavingregardtoStatehealthauthorityandotherauthoritativeguidelinesastothedifferentiationbetweencapitalandrecurrentexpenditure.
(Aconciseindicationofthebasisonwhichcapitalandrecurrentexpenditurehavebeendifferentiatedistoformpartofnationalminimumdatasets).
Context:Healthexpenditure:capitalexpenditureisasignificant,thoughvariable,elementoftotalhealthestablishmentexpenditure.
Justasrecurrentexpenditureisbrokendownintoanumberofmajorcategoriestoenableaproperanalysisofhealthexpenditureatthenationallevel,socapitalexpenditureistobebrokendownintoanumberofmajorcategories.
Capitalexpenditureinthecontextofhospitalsandcloselyrelatedestablishmentsisarelativelyundevelopedarea.
Nevertheless,thereisaconsiderableinterestinhealthestablishmentcapitalexpendituredataatthenationallevelfrommanydifferentpotentialusers.
Datadomain:1Landandbuildings2Computerequipment/installations3Majormedicalequipment4Plantand(other)equipment5Expenditureinrelationtointangibleassets6OthercapitalexpenditureGuideforuse:Expenditurecalculatedseparatelyforeachtypedescribedbelow:1.
LandandbuildingsThisincludesoutlaysonconstruction,majoralterationsandadditionstobuildingsthatrelatetotheestablishment.
Includedaretransferandsimilarcostsinrespectofthepurchase(sale)ofsecondhanddwellingsandinstallationofnewpermanentfixturessuchasstoves,airconditioning,lighting,plumbingandotherfixedequipmentnormallyinstalledbeforedwellingsareoccupied.
Costsrelatingtorepairandmaintenancereplacementofbuildingsthatamounttorecurrentexpenditureshouldnotbeincluded.
2.
Computerequipment/installationsExpenditureofacapitalnatureoncomputerinstallationsandequipmentsuchasmainframecomputers,mini-computers,extensivepersonalcomputernetworksandrelatedhardwareshouldbeincludedhere.
NationalHealthDataDictionary,version9222DataelementdefinitionsAdministrativeattributesCapitalexpenditure(continued)Guideforuse(continued):3.
MajormedicalequipmentExpenditureonmajoritemsofmedicalequipmentsuchasCTscanners,MRIequipment,X-rayequipment,ICUmonitorsandtransplantequipmentshouldbeincludedhere.
4.
Plantand(other)equipmentDetailsofexpenditureonplantandotherequipmentshouldbeincludedhere.
Plantand/orequipmentthatisanintegralpartofanybuildingorconstruction(andisthusincludedunderexpenditureonlandandbuildings),equipmentincludedaboveundermajormedicalequipment,motorvehiclesanditemsofequipmentthatwouldnormallybeclassifiedasrecurrentexpenditureshouldnotbeincluded.
5.
ExpenditureinrelationtointangibleassetsThiscategorybearsspecificregardtotheprivatesector.
Includedhereisanyexpenditureduringthefinancialyearinrespectofintangibleassetssuchasformationexpensesorgoodwill.
6.
OthercapitalexpenditureAnyexpenditureofacapitalnaturenotincludedelsewhereshouldbeincludedhere.
Forexample,ifanyStateorestablishmenttreatsexpenditureonnewandsecondhandmotorvehicles(includingambulances)ascapitalexpenditure,thisshouldbeincludedasshouldanyexpenditureonfurnitureandfittingsiftreatedbyaStateorestablishmentasexpenditureofacapitalnature.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementCapitalexpenditurenet(accrualaccounting),version2relatestothedataelementCapitalexpendituregross(accrualaccounting),version2Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toComments:NationalHealthDataDictionary,version9Dataelementdefinitions223Capitalexpendituregross(accrualaccounting)Admin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000325Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:Dataelementtype:DATAELEMENTDefinition:Expenditureinaperiodontheacquisitionorenhancementofanasset(excludingfinancialassets).
Context:Healthexpenditure:grosscapitalexpenditureisasignificant,thoughvariable,elementoftotalhealthestablishmentexpenditure.
Justasrecurrentexpenditureisbrokendownintoanumberofmajorcategoriestoenableaproperanalysisofhealthexpenditureatthenationallevel,socapitalexpenditureistobebrokendownintoanumberofmajorcategories.
Capitalexpenditureinthecontextofhospitalsandcloselyrelatedestablishmentsisarelativelyundevelopedarea.
Nevertheless,thereisaconsiderableinterestinhealthestablishmentcapitalexpendituredataatthenationallevelfrommanydifferentpotentialusers.
Datadomain:1Land2Buildingsandbuildingservices(includingplant)3Constructions(otherthanbuildings)4Informationtechnology5Majormedicalequipment6Transport7Otherequipment8IntangibleGuideforuse:Thisdefinitionisforusewheretheaccrualmethodofaccountinghasbeenadopted.
Tobecodedseparatelyforeachtypeofgrosscapitalexpendituredescribedbelow:1.
LandAsolidsectionoftheearthssurfacewhichisheldbytheentityunderacertificateoftitleorreserve,leasedinbytheentityorallocatedtotheentitybyanotheragency.
2.
Buildingsandbuildingservices(includingplant)Anedificethathasaservicepotentialconstructed,acquiredorheldbyafinancialleaseforthespecificpurposesoftheentity.
Includeshospitals,hostels,nursinghomesandotherbuildingsusedforprovidingtheservice.
Includesexpenditureoninstallation,alterationandimprovementoffixtures,facilitiesandequipmentthatareanintegralpartofthebuildingandthatcontributetotheprimaryfunctionofabuildingtoeitherdirectlyorindirectlysupportthedeliveryofproductsandservices.
Excludesrepairandreplacementofworn-outordamagedfixtures(tobetreatedasmaintenance).
NationalHealthDataDictionary,version9224DataelementdefinitionsAdministrativeattributesCapitalexpendituregross(accrualaccounting)(continued)Guideforuse(continued):3.
Constructions(otherthanbuildings)Expenditureonconstruction,majoralterationsandadditionstofixedassetsotherthanbuildingssuchascarparks,roads,bridges,stormwaterchannels,dams,drainageandsanitationsystems,sportingfacilities,gas,waterandelectricitymains,communicationsystems,landscapingandgroundsreticulationsystems.
Includesexpenditureonlandreclamation,landclearanceandraisingorlevellingofbuildingsites.
47.
EquipmentAnasset,notanintegralpartofanybuildingorconstruction,usedbyanentitytosupportthedeliveryofproductsandservices.
Itemsmaybefixedormoveable.
4.
InformationtechnologyComputerinstallationsandequipmentsuchasmainframeandmini-computers,personalcomputernetworksandrelatedhardware.
5.
MajormedicalequipmentMajoritemsofmedicalequipmentsuchasmedicalimaging(CTscanners,MRI,radiology),ICUmonitorsandtransplantequipment.
6.
TransportExpenditureonvehiclesorequipmentusedfortransportsuchasmotorvehicles,aircraft,ships,railway,tramwayrollingstock,andattachments(suchastrailers).
Includesmajorpartssuchasengines.
7.
OtherequipmentIncludesmachineryandequipmentnotelsewhereclassified,suchasfurniture,artobjects,professionalinstrumentsandcontainers.
8.
IntangibleAnassetwhichdoesnothavephysicalsubstance,suchascopyright,design,patent,trademark,franchiseorlicence.
Verificationrules:Australiandollars.
Roundedtothenearestwholedollar.
Collectionmethods:Relateddata:supersedespreviousdataelementCapitalexpenditure,version1relatestothedataelementCapitalexpenditurenet(accrualaccounting),version2Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toComments:Thecapitalexpendituredataelementsonanaccrualaccountingbasisandonacashaccountingbasiswillremaininuseuntilallhealthauthoritieshaveadoptedaccrualaccounting.
NationalHealthDataDictionary,version9Dataelementdefinitions225Capitalexpenditurenet(accrualaccounting)Admin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000396Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Grosscapitalexpenditurelesstrade-invaluesofreplaceditemsandreceiptsfromthesaleofreplacedorotherwisedisposeditems.
Context:Healthexpenditure:netcapitalexpenditureisasignificant,thoughvariable,elementoftotalhealthestablishmentexpenditure.
Justasrecurrentexpenditureisbrokendownintoanumberofmajorcategoriestoenableaproperanalysisofhealthexpenditureatthenationallevel,socapitalexpenditureistobebrokendownintoanumberofmajorcategories.
Capitalexpenditureinthecontextofhospitalsandcloselyrelatedestablishmentsisarelativelyundevelopedarea.
Nevertheless,thereisaconsiderableinterestinhealthestablishmentcapitalexpendituredataatthenationallevelfrommanydifferentpotentialusers.
Datadomain:1Land2Buildingsandbuildingservices(includingplant)3Constructions(otherthanbuildings)4Informationtechnology5Majormedicalequipment6Transport7Otherequipment8IntangibleGuideforuse:Tobecalculatedseparatelyforeachtypeofnetcapitalexpendituredescribedincapitalexpendituregross(accrualaccounting).
Verificationrules:Australiandollars.
Roundedtonearestwholedollar.
Collectionmethods:Relateddata:supersedespreviousdataelementCapitalexpenditure,version1relatestothedataelementCapitalexpendituregross(accrualaccounting),version2Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toComments:NationalHealthDataDictionary,version9226DataelementdefinitionsAdministrativeexpensesAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000244Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Allexpenditureincurredbyestablishments(butnotcentraladministrations)ofamanagementexpenses/administrativesupportnaturesuchasanyratesandtaxes,printing,telephone,stationeryandinsurance(includingworkerscompensation).
Context:Healthexpenditure:consideredtobeasufficientlysignificantelementofnon-salaryrecurrentexpenditureastobeseparatelyidentifiedatthenationallevelandalsoreadilyandeasilycollectable.
Datadomain:Guideforuse:Verificationrules:Australiandollars.
Roundedtonearestwholedollar.
Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:NationalHealthDataDictionary,version9Dataelementdefinitions227DepreciationAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000246Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Depreciationrepresentstheexpensingofalong-termassetoveritsusefullifeandisrelatedtothebasicaccountingprincipleofmatchingrevenueandexpensesforthefinancialperiod.
Depreciationchargesforthecurrentfinancialyearonlyshouldbeshownasexpenditure.
Whereintangibleassetsareamortised(suchaswithsomeprivatehospitals)thisshouldalsobeincludedinrecurrentexpenditure.
Context:Healthexpenditure:thisitemhasbeenretainedfornationalminimumdatasetsbecauseofitssignificancefortheprivatesector.
Currentperioddepreciationchargesformasignificantcomponentofexpenditureforanyhealthestablishmentwhosefinancialstatementsarebasedonaccrualaccounting.
Datadomain:Guideforuse:Verificationrules:Australiandollars.
Roundedtonearestwholedollar.
Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:Withthelong-termtrendtowardsaccrualaccountinginthepublicsector,thisitemwillultimatelybecomesignificantforpublicsectorestablishments.
PublicsectorestablishmentsinsomeStateshaveadoptedmodifiedaccrualaccountingidentifyingdepreciationonly,beforereachingfullaccrualaccounting.
Depreciationisnowreported(March1999)formostpublicsectorestablishmentsandshouldbereportedasaseparaterecurrentexpenditure.
Depreciationshouldbeidentifiedseparatelyfromotherrecurrentexpenditurecategories.
NationalHealthDataDictionary,version9228DataelementdefinitionsDomesticservicesAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000241Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thecostsofalldomesticservicesincludingelectricity,otherfuelandpower,domesticservicesforstaff,accommodationandkitchenexpensesbutnotincludingsalariesandwages,foodcostsorequipmentreplacementandrepaircosts.
Grossexpenditureshouldbereportedwithnorevenueoffsets,exceptforinter-hospitaltransfers.
Context:Healthexpenditure:thisisasignificantelementofnon-salaryrecurrentexpenditureformostestablishmentswithinthedatasetandisthusrequiredforanyhealthexpenditureanalysisatthenationallevel.
Datadomain:Guideforuse:Verificationrules:Australiandollars.
Roundedtonearestwholedollar.
Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:Thepossibilityofseparatingfuel,lightandpowerfromdomesticserviceswhichwouldbringtheoverallnon-salaryrecurrentexpenditurecategoriesclosertotheoldHospitalsandAlliedServicesAdvisoryCouncilcategorieswasbrieflyconsideredbytheResourcesWorkingPartybutmembersdidnotholdstrongviewsinthisarea.
NationalHealthDataDictionary,version9Dataelementdefinitions229DrugsuppliesAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000238Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thecostofalldrugsincludingthecostofcontainers.
Grossexpenditureshouldbereportedwithnorevenueoffsets,exceptforinter-hospitaltransfers.
Context:Healthexpenditure:thisisasignificantelementofnon-salaryrecurrentexpenditureandalsonationalleveldataondrugexpenditureinhospitalsisofconsiderableinterestinitsownrighttoawiderangeofpersonsandorganisations.
Datadomain:Guideforuse:Verificationrules:Australiandollars.
Roundedtonearestwholedollar.
Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:NationalHealthDataDictionary,version9230DataelementdefinitionsFoodsuppliesAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000240Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thecostofallfoodandbeveragesbutnotincludingkitchenexpensessuchasutensils,cleaningmaterials,cutleryandcrockery.
Grossexpenditureshouldbereportedwithnorevenueoffsets,exceptforinter-hospitaltransfers.
Context:Healthexpenditure:thisisasignificantelementofnon-salaryrecurrentexpenditureformostestablishmentswithinthedatasetandisthusrequiredforanyhealthexpenditureanalysisatthenationallevel.
Datadomain:Guideforuse:Verificationrules:Australiandollars.
Roundedtonearestwholedollar.
Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:NationalHealthDataDictionary,version9Dataelementdefinitions231Full-timeequivalentstaffAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000252Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
5Representationallayout:NNNNNDataelementtype:DERIVEDDATAELEMENTDefinition:Fulltimeequivalentstaffunitsaretheon-jobhourspaidfor(includingovertime)andhoursofpaidleaveofanytypeforastaffmember(orcontractemployeewhereapplicable)dividedbythenumberofordinarytimehoursnormallypaidforafull-timestaffmemberwhenonthejob(orcontractemployeewhereapplicable)undertherelevantawardoragreementforthestaffmember(orcontractemployeeoccupationwhereapplicable).
Hoursofunpaidleavearetobeexcluded.
Contractstaffemployedthroughanagencyareincludedwherethecontractisforthesupplyoflabour(e.
g.
nursing)ratherthanofproducts(e.
g.
photocopiermaintenance).
Intheformercase,thecontractwouldnormallyspecifytheamountoflaboursuppliedandcouldbereportedasfull-timeequivalentunits.
Context:Healthexpenditure:toassistinanalysesoftheresourceuseandactivityofpublichospitalestablishments.
Inclusionofthesedata,classifiedbystaffingcategory,allowsanalysisofcostsperunitoflabourandanalysisofstaffinginputsagainstestablishmentoutputs.
Datadomain:Averagefull-timeequivalentstaffunitsforeachstaffingcategory.
Guideforuse:Staffingcategories:C1.
1SalariedmedicalofficersC1.
2RegisterednursesC1.
3EnrollednursesC1.
4StudentnursesC1.
5Trainee/pupilnursesC1.
6OtherpersonalcarestaffC1.
7DiagnosticandhealthprofessionalsC1.
8AdministrativeandclericalstaffC1.
9DomesticandotherstaffTheaverageistobecalculatedfrompayperiodfigures.
Thelengthofthepayperiodisassumedtobeafortnight.
Ifundertherelevantawardofagreementafull-timenurseispaidforan80(ordinarytime)hourfortnight,thefull-timeequivalentforapart-timenursewhoworks64hoursis0.
8.
Ifafull-timenurseunderthesameawardispaidfor100hoursforthatfortnight(20hoursovertime),thenthefull-timeequivalentis100dividedby80=1.
25.
NationalHealthDataDictionary,version9232DataelementdefinitionsAdministrativeattributesFull-timeequivalentstaff(continued)Guideforuse(continued):Dataonfull-timeequivalentstaffingnumbersbycategoryshouldbeconsistentwithdataonsalariesandwagesbystaffingcategory.
Ifthefull-timeequivalentforcontractstaffisnotcollectedthensalariesforthosecontractstaffshouldbeincludedinotherrecurrentexpendituredataitems.
Wherestaffprovideservicestomorethanoneestablishment,full-timeequivalentstaffmembersshouldbeapportionedbetweenallestablishmentstowhichservicesareprovidedonthebasisofhourspaidforineach.
(Salarycostsshouldbeapportionedonthesamebasis).
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementTotalfull-timeequivalentstaff,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toComments:ThisNationalHealthDataDictionaryentrywasamendedduring199697.
Untilthen,bothaverageandendofyearcountsoffull-timeequivalentstaffwereincluded,andtheendofyearcountsusedassurrogatesfortheaveragecountsifthelatterwereunavailable.
Theaveragecountismoreusefulforaccurateanalysisofstaffinginputsforestablishmentoutputsandforassessmentsandcomparisonsoflabourcosts.
NationalHealthDataDictionary,version9Dataelementdefinitions233IndirecthealthcareexpenditureAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000326Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:Dataelementtype:DATAELEMENTDefinition:Expendituresonhealthcarethatcannotbedirectlyrelatedtoprogramsoperatedbyaparticularestablishment(thatis,canonlybeindirectlyrelatedtoparticularestablishments).
TobeprovidedattheStatelevelbutdisaggregatedintopatienttransportservices,publichealthandmonitoringservices,centralandstatewidesupportservices,centraladministrationsandotherindirecthealthcareexpenditure.
Context:Healthexpenditure:toimproveandsubstantiatefianncialreportinginrelationtoindirecthealthcareexpenditureandassistinunderstandingdifferencesincostsforsimilarestablishmentsindifferentStatesandregions,duetodifferencesintheextenttowhichsupportservicesandotherservicestoresidents/inpatientsandoutpatientsofestablishmentsmaybeprovidedbytheestablishmentitselforbyotherbodies.
Datadomain:Guideforuse:Indirecthealthcareexpenditureistobereportedseparatelyforeachofthefollowingcategories:1.
PatienttransportservicesPublicorregisterednon-profitorganisationswhichprovidepatienttransport(orambulance)forservicesassociatedwithinpatientorresidentialepisodesatresidentialestablishmentswithinthescopeofthisdataset.
Thiscategoryexcludespatienttransportservicesprovidedbyothertypesofestablishments(forexample,publichospitals)aspartoftheirnormalservices.
Thiscategoryincludescentralisedandstatewidepatienttransportservices(forexample,QueenslandAmbulanceTransportBrigade)whichoperateindependentlyofindividualinpatientestablishments.
2.
PublichealthandmonitoringservicesPublicorregisterednon-profitservicesandorganisationswithcentralised,statewideornationalpublichealthormonitoringservices.
Theseincludeprogramsconcernedprimarilywithpreventingtheoccurrenceofdiseasesandmitigatingtheireffect,andincludessuchactivitiesasmasschestX-raycampaigns,immunisationandvaccinationprograms,controlofcommunicablediseases,ante-natalandpost-natalclinics,preschoolandschoolmedicalservices,infantwelfareclinics,hygieneandnutritionadvisoryservices,foodanddruginspectionservices,regulationofstandardsofsanitation,quarantineservices,pestcontrol,anti-cancer,anti-drugandanti-smokingcampaignsandotherprogramstoincreasepublicawarenessofdiseasesymptomsandhealthhazards,occupationalhealthservices,WorksafeAustralia,theAustralianInstituteofHealthandWelfareandtheNationalHealthandMedicalResearchCouncil.
NationalHealthDataDictionary,version9234DataelementdefinitionsAdministrativeattributesIndirecthealthcareexpenditure(continued)Guideforuse:(continued)Includedherewouldbechilddentalservicescomprisingexpenditureincurred(otherthanbyindividualestablishments)ordentalexaminations,provisionofpreventiveandcurativedentistry,dentalhealtheducationforinfantsandschoolchildrenandexpenditureincurredinthetrainingofdentaltherapists.
3.
CentralandstatewidesupportservicesPublicorregisteredserviceswhichprovidecentralorstatewidesupportservicesforresidentialestablishmentswithinthescopeofthisdataset.
Theseincludecentralpathologyservices,centrallinenservicesandfrozenfoodservicesandbloodbanksprovidedonacentralorstatewidebasissuchasRedCross.
4.
CentraladministrationsExpendituresrelatingtocentralhealthadministration,researchandplanningforcentralandregionalofficesofState,TerritoryandCommonwealthhealthauthoritiesandrelateddepartments(forexample,theDepartmentofVeteransAffairs).
5.
OtherAnyotherindirecthealthcareexpenditureasdefinedabovenotcateredforintheabovecategories.
Thismightincludesuchthingsasfamilyplanningandparentalhealthcounsellingservicesandexpenditureincurredintheregistrationofnotifiablediseasesandothermedicalinformation.
Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toComments:ResourcesWorkingPartymemberswereconcernedaboutthepossibilitythatdoublecountingofprogramsatthehospitalandagainattheStatelevelandwerealsoconcernedatthelackofuniformitybetweenStates.
Wherepossibleexpenditurerelatingtoprogramsoperatedbyhospitalsshouldbeatthehospitallevel.
NationalHealthDataDictionary,version9Dataelementdefinitions235InterestpaymentsAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000245Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Paymentsmadebyoronbehalfoftheestablishmentinrespectofborrowings(e.
g.
interestonbankoverdraft)providedtheestablishmentispermittedtoborrow.
Thisdoesnotincludethecostofequitycapital(i.
e.
dividendsonshares)inrespectofprofitmakingprivateestablishments.
Context:Healthexpenditure:thisitemhasbeenretainedinthedatasetbecauseofitssignificancefortheprivatesector.
Privateprofitmakingestablishmentswillseektofundtheiroperationseitherbyloanborrowings(debtcapital)orraisingshares(equitycapital).
Thecostofeithercanbesignificant,althoughthecostofthelatter(thatis,dividendsonshares)wouldcomeoutofprofits.
Datadomain:Guideforuse:Verificationrules:Australiandollars.
Roundedtonearestwholedollar.
Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:Theitemwouldnothavebeenretainedifthedatasetwasrestrictedtothepublicsector.
InsomeStates,publichospitalsmaynotbepermittedtoborrowfundsoritmaybeentirelyaStatetreasurymatter,notidentifiablebythehealthauthority.
Evenwherepublicsectorestablishmentborrowingsmightbeidentified,thisappearstobeasensitiveareaandalsooflessoverallsignificancethanintheprivatesector.
NationalHealthDataDictionary,version9236DataelementdefinitionsMedicalandsurgicalsuppliesAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000239Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thecostofallconsumablesofamedicalorsurgicalnature(excludingdrugsupplies)butnotincludingexpenditureonequipmentrepairs.
Grossexpenditureshouldbereportedwithnorevenueoffsets,exceptforinter-hospitaltransfers.
Context:Healthexpenditure:asforthedataelementDrugsuppliesthisisasignificantelementofnon-salaryexpenditureandnational-leveldataonmedicalandsurgicalsuppliesisofconsiderableinterestinitsownrighttoawiderangeofpersonsandorganisations.
Datadomain:Guideforuse:Verificationrules:Australiandollars.
Roundedtonearestwholedollar.
Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:NationalHealthDataDictionary,version9Dataelementdefinitions237Non-salaryoperatingcostsAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000360Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:Dataelementtype:DERIVEDDATAELEMENTDefinition:Totalexpenditurerelatingtonon-salaryoperatingitems.
Context:Healthcare:thisdataelementisrequiredtomonitortrendsofexpenditureinthesector.
Datadomain:Guideforuse:Reportallexpenditureinthousandsofdollars($000s).
Totaliscalculatedfromexpenditureincluding:Paymentstovisitingmedicalofficers,Superannuationemployercontributions(includingfundingbasis),Drugsupplies;Medicalandsurgicalsupplies;Foodsupplies;Domesticservices;Repairsandmaintenance;Patienttransport;Administrativeexpenses;Interestpayments;Depreciation;Otherrecurrentexpenditure.
Expenditureshouldincludeboththespecificcostsdirectlyassociatedwiththeserviceandindirectcostsforexamplepersonnelservices.
Researchandacademicunitsthatfunctionasanintegralpartofambulatorycareshouldbereportedagainsttheappropriateservice.
Verificationrules:Collectionmethods:Relateddata:iscalculatedusingPaymentstovisitingmedicalofficers,version1iscalculatedusingSuperannuationemployercontributions(includingfundingbasis),version1iscalculatedusingDrugsupplies,version1iscalculatedusingMedicalandsurgicalsupplies,version1iscalculatedusingFoodsupplies,version1iscalculatedusingDomesticservices,version1iscalculatedusingRepairsandmaintenance,version1iscalculatedusingPatienttransport,version1iscalculatedusingAdministrativeexpenses,version1iscalculatedusingInterestpayments,version1iscalculatedusingDepreciation,version1iscalculatedusingOtherrecurrentexpenditure,version1NationalHealthDataDictionary,version9238DataelementdefinitionsNon-salaryoperatingcosts(continued)AdministrativeattributesSourcedocument:Sourceorganisation:Nationalminimumdatasets:Communitymentalhealthcarefrom1/07/1998toComments:NationalHealthDataDictionary,version9Dataelementdefinitions239OtherrecurrentexpenditureAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000247Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Otherpaymentsareallotherrecurrentexpenditurenotincludedelsewhereinanyoftherecurrentexpenditurecategories.
Grossexpenditureshouldbereportedwithnorevenueoffsets(exceptforinter-hospitaltransfers).
Context:Healthexpenditure:thiscategoryisrequiredforbalancingpurposesandtocaptureallthoseadditionalexpenditureswhichcanbesignificantinaggregate.
Datadomain:Guideforuse:Verificationrules:Australiandollars.
Roundedtonearestwholedollar.
Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:NationalHealthDataDictionary,version9240DataelementdefinitionsPatienttransportAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000243Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thedirectcostoftransportingpatientsexcludingsalariesandwagesoftransportstaff.
Context:Healthexpenditure:consideredtobeasignificantelementofnon-salaryrecurrentexpenditureformanyestablishmentswithinthedatasetandisthusrequiredforanyhealthexpenditureanalysisatthenationallevel.
Datadomain:Guideforuse:Verificationrules:Australiandollars.
Roundedtonearestwholedollar.
Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:NationalHealthDataDictionary,version9Dataelementdefinitions241PaymentstovisitingmedicalofcersAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000236Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Allpaymentsmadebyapublichospitalestablishmenttovisitingmedicalofficersformedicalservicesprovidedtohospital(public)patientsonanhonorary,sessionallypaid,orfeeforservicebasis.
Avisitingmedicalofficerisamedicalpractitionerappointedbythehospitalboardtoprovidemedicalservicesforhospital(public)patientsonanhonorary,sessionallypaid,orfeeforservicebasis.
ThiscategoryincludesthesameAustralianStandardClassificationofOccupationscodesasthesalariedmedicalofficerscategory.
Context:Healthexpenditure:thisisasignificantelementofexpenditureformanyhospitals(althoughnotforotherestablishments)andneededforhealthfinancingandhealthexpenditureanalysisatthenationallevel.
Anyanalysisofhealthexpendituresatthenationallevelwouldtendtobreakdownifsignificantcomponentsofexpenditurewerenotavailable.
Datadomain:Guideforuse:Verificationrules:Australiandollars.
Roundedtonearestwholedollar.
Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:Althoughacceptingtheneedtoincludevisitingmedicalofficerpayments,theResourcesWorkingPartydecidednottoincludedataonvisitingmedicalofficerservices(whetherhoursornumberofsessionsornumberofservicesprovided)duetocollectiondifficultiesandtheperceptionthatuseofvisitingmedicalofficerswaspurelyahospitalmanagementissue.
NationalHealthDataDictionary,version9242DataelementdefinitionsRepairsandmaintenanceAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000242Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thecostsincurredinmaintaining,repairing,replacingandprovidingadditionalequipment,maintainingandrenovatingbuildingandminoradditionalworks.
Expenditureofacapitalnatureshouldnotbeincludedhere.
Donotincludesalariesandwagesofrepairandmaintenancestaff.
Grossexpenditureshouldbereportedwithnorevenueoffsets(exceptforinter-hospitaltransfers).
Context:Healthexpenditure:thisisasignificantelementofnon-salaryrecurrentexpenditureformostestablishmentswithinthedatasetandisthusrequiredforanyhealthexpenditureanalysisatthenationallevel.
Datadomain:Guideforuse:Verificationrules:Australiandollars.
Roundedtonearestwholedollar.
Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:NationalHealthDataDictionary,version9Dataelementdefinitions243SalariesandwagesAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000254Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:Dataelementtype:DATAELEMENTDefinition:Salaryandwagepaymentsforallemployeesoftheestablishment(includingcontractstaffemployedbyanagency,providedstaffing(ME)dataisalsoavailable).
Thisistoincludeallpaidleave(recreation,sickandlong-service)andsalaryandwagepaymentsrelatingtoworkerscompensationleaveforthefollowingstaffingcategories(seebelow).
Generally,salarydatabystaffingcategoriesshouldbebroadlyconsistentwithfull-timeequivalentstaffingnumbers.
Wherestaffprovideservicestomorethanonehospital,theirsalariesshouldbeapportionedbetweenallhospitalstowhomservicesareprovidedonthebasisofhoursworkedineachhospital.
Salarypaymentsforcontractstaffemployedthroughanagencyshouldbeincludedundersalariesfortheappropriatestaffcategoryprovidedtheyareincludedinfull-timeequivalentstaffing.
Iftheyarenotsalary,paymentsshouldbeshownseparately.
Context:Healthexpenditure:salariesandwagesinvariablyconstitutethemajorcomponentofrecurrentand,indeed,totalexpenditurefortheestablishmentsformingpartofthisdatasetandarevitaltoanyanalysisofhealthexpenditureatthenationallevel.
Thecategoriescorrespondwiththoserelatingtofull-timeequivalentstaffingwhichisarequirementforanyproperanalysisofaveragesalarycosts.
Datadomain:Expenditureforeachstaffingcategory.
Guideforuse:Figuresshouldbesuppliedforeachofthestaffingcategories:C1.
1SalariedmedicalofficersC1.
2RegisterednursesC1.
3EnrollednursesC1.
4StudentnursesC1.
5Trainee/pupilnursesC1.
6OtherpersonalcarestaffC1.
7DiagnosticandhealthprofessionalsC1.
8AdministrativeandclericalstaffC1.
9DomesticandotherstaffVerificationrules:NationalHealthDataDictionary,version9244DataelementdefinitionsAdministrativeattributesSalariesandwages(continued)Collectionmethods:Forcontractstaff,seecommentsunderthedataelementTotalfull-timeequivalentstaff.
Salarydataforcontractstaff,providedthecontractisforthesupplyoflabour(e.
g.
nursing)ratherthanproducts(e.
g.
photocopiermaintenance),shouldbeshownundertheappropriatestaffsalarycategoryprovidedthatcorrespondingstaffing(full-timeequivalent)dataisavailable.
Ifnot,itshouldbeshownseparately.
Relateddata:relatestothedataelementEstablishmenttype,version1relatestothedataelementFull-timeequivalentstaff,version2Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:NationalHealthDataDictionary,version9Dataelementdefinitions245Superannuationemployercontributions(includingfundingbasis)Admin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000237Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:Dataelementtype:DATAELEMENTDefinition:SuperannuationemployercontributionsContributionspaidor(foranemergingcostscheme)thatshouldbepaid(asdeterminedbyanactuary)onbehalfofestablishmentemployeeseitherbytheestablishmentoracentraladministrationsuchasaStatehealthauthority,toasuperannuationfundprovidingretirementandrelatedbenefitstoestablishmentemployees.
FundingbasisThefollowingdifferentfundingbasesareidentified:-paidbyhospitaltofullyfundedscheme;-paidbyCommonwealthgovernmentorStategovernmenttofullyfundedscheme;and-unfundedoremergingcostsschemeswhereemployercomponentisnotpresentlyfunded.
Fullyfundedschemesarethoseinwhichemployerandemployeecontributionsarepaidintoaninvestedfund.
Benefitsarepaidfromthefund.
Mostprivatesectorschemesarefullyfunded.
Emergingcostschemesarethoseinwhichthecostofbenefitsismetatthetimeabenefitbecomespayable;thatis,thereisnoongoinginvestedfundfromwhichbenefitsarepaid.
TheCommonwealthsuperannuationfundisanexampleofthistypeofschemeasemployeebenefitsarepaidoutofgeneralrevenue.
Context:Healthexpenditure:superannuationemployercontributionsareasignificantelementofestablishmentexpenditureand,assuch,arerequiredforhealthexpenditureanalysisatthenationallevel.
Thefundingbasisisrequiredforcostcomparisonpurposesparticularlyinthecaseofunfundedoremergingcostschemeswherenoactualcontributionisbeingpresentlymadebutultimatelyemployerliabilitywillhavetobefunded.
Datadomain:Guideforuse:Verificationrules:Australiandollars.
Roundedtonearestwholedollar.
Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1NationalHealthDataDictionary,version9246DataelementdefinitionsSuperannuationemployercontributions(includingfundingbasis)(continued)AdministrativeattributesSourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:Thedefinitionspecificallyexcludesemployeesuperannuationcontributions(notacosttotheestablishment)andsuperannuationfinalbenefitpayments.
Inprivateenterprisesomesuperannuationschemesarepartiallyfundedbutthisisconsideredtoocomplexadistinctionfornationalminimumdatasets.
Itisnotedthattheemergenceofsalarysacrificeschemesallowsemployeestoforegosalaryforhighersuperannuationcontributions.
Ifthesebecomesignificant,nationalminimumdatasetsmayhavetotakethemintoaccountatafuturestage.
NationalHealthDataDictionary,version9247NationalHealthInformationModelentitiesNationalHealthDataDictionary,version9248DataelementdefinitionsHealthoutcomeAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000062Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Achangeinthehealthofanindividual,oragroupofpeopleorapopulation,whichiswhollyorpartiallyattributabletoaninterventionoraseriesofinterventionsContext:Admittedpatientandnon-admittedpatienthealthcareDatadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:NationalHealthInformationManagementGroupNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions249HealthoutcomeindicatorAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000063Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Astatisticorotherunitofinformationwhichreflects,directlyorindirectly,theeffectofanintervention,facility,serviceorsystemonthehealthofitstargetpopulation,orthehealthofanindividual.
-Agenericindicatorprovidesinformationonhealth,perceivedhealthoraspecificdimensionofhealthusingmeasurementmethodsthatcanbeappliedtopeopleinanyhealthcondition.
-Acondition-specificindicatorprovidesinformationonspecificclinicalconditionsorhealthproblems,oraspectsofphysiologicalfunctionpertainingtospecificconditionsorproblems.
Epidemiologicalterminology-Anassociationexistsbetweentwophenomena(suchasaninterventionandahealthoutcome)iftheoccurrenceorquantitativecharacteristicsofoneofthephenomenavarieswiththeoccurrenceorquantitativecharacteristicsoftheother.
-Onephenomenonisattributabletoanotherifthereisacasuallinkbetweenthephenomena.
Attributiondependsupontheweightofevidenceforcausality.
-Associationisnecessary(butnotsufficient)forattribution.
Associationsmaybefortuitousorcausal.
Thetermrelationshipistobetakenassynonymouswithassociation.
Context:Admittedpatientandnon-admittedpatienthealthcareDatadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:NationalHealthInformationManagementGroupNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9250DataelementdefinitionsGoalofcareAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000111Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
2Max.
2Representationallayout:NNDataelementtype:DATAELEMENTDefinition:Thegoalorexpectedoutcomeofaplanofcare,negotiatedbytheserviceproviderandrecipient,whichoutlinestheoverallaimofactionsplannedbyacommunityserviceandrelatestoapersonshealthneed.
Thisgoalreflectsatotalcareplanandtakesintoaccountthepossibilitythatarangeofcommunityservicesmaybeprovidedwithinaspecifiedtimeframe.
Context:Thisitemfocusesonthebroadgoalwhichthepersonandservicesproviderhopetoachievewithinanexpectedtimeperiodandtakesintoaccounttheinterventionorservicesprovidedbyarangeofcommunityservices.
Datadomain:01Wellpersonforpreventative/maintenance/healthpromotionprogram;02Personwillmakeacompleterecovery;03Personwillnotmakeacompleterecovery;butwillrehabilitatetoastatewhereformalon-goingserviceisnolongerrequired;04Personhasalong-termcareneedandthegoalisaimedaton-goingsupporttomaintainathome;05Personinend-stageofillnessthegoalisaimedatsupporttostayathomeincomfortanddignityandfacilitationofchoiceofwheretodie;06Personisunabletoremainathomeforextendedperiodandgoalisaimedatinstitutionalisationataplannedandappropriatetime;07Forassessmentonly/notapplicable.
Guideforuse:1.
GOAL1servicerecipientsarethosemakingcontactwiththehealthserviceprimarilyasapartofapreventative/maintenancehealthpromotionprogram.
Thismeanstheyarewellanddonotrequirecareforestablishedhealthproblems.
Theyincludewellantenatalpersonsattendingorbeingseenbytheserviceforscreeningorhealtheducationpurposes.
2.
GOAL2describesthosepersonswhoseconditionisself-limitingandfromwhichcompleterecoveryisanticipated,orthosewithestablishedorlongtermhealthproblemswhoarenormallyindependentintheirmanagement.
Goal2servicerecipientincludes:-postsurgicaloracutemedicalservicerecipientswhosecareathomeistofacilitateconvalescence.
Suchadmissionstohomecareoccurasaresultofearlydischargefromhospital;post-surgicalcomplicationsuchaswoundinfection;orbecausethepersonisatriskduringtherecoveryphaseandrequiressurveillanceforalimitedperiod;-personsrecoveringfromanacuteillnessandreferredfromthegeneralpractitionerorothercommunitybasedfacility;-personswithdisabilityorestablishedhealthproblemnormallyindependentofhealthservices,andcurrentlyrecoveringfromanacuteconditionorillnessasabove.
NationalHealthDataDictionary,version9Dataelementdefinitions251Goalofcare(continued)Guideforuse(continued):3.
GOAL3referstothoseservicerecipientswhosecareplanisaimedatreturningthemtoindependentfunctioningathomeeitherthroughself-careorwithinformalassistance,suchthatformalserviceswillbediscontinued.
Thedistinguishingcharacteristicofthisgroupisthatcompleterecoveryisnotexpectedbutsomefunctionalgainmaybepossible.
Further,theconditionisnotexpectedtodeterioraterapidlyorotherwisecausetheclienttobeatriskwithoutcontactorsurveillancefromthecommunityservice.
4.
GOAL4referstothoseservicerecipientswhosehealthproblem/conditionisnotexpectedtoresolveandwhowillrequireongoingmaintenancecarefromthenursingservice.
SuchclientsaredistinguishedfromthoseinGoal3inthattheirconditionisofanunknownorlong-termnatureandnotexpectedtocausedeathintheforeseeablefuture.
Theymayrequiretherapyforrestorationoffunctioninitiallyandintermittently,andmayalsohaveintermittentadmissionsforrespite.
However,themajorpartoftheircareisplannedtobeathome.
5.
GOAL5referstopersonswhosefocusofcareispalliationofsymptomsandfacilitationofthechoicetodieathome.
6.
GOAL6includespersonswhohavealimitedabilitytoremainathomebecauseoftheirintensivecarerequirementsandtheinabilityofformalandinformalservicestomeettheseneeds.
Admissiontoadmittedpatientcareisthereforeapartofthecareplanningprocessandthetimingdependentuponthecapacityand/orwishtoremainathome.
Thedistinguishingfeatureofthisgroupisthattheadmissionisnotplannedtobeanintermittenteventtoboostthecapacityforhomecarebutisexpectedtobeofamorepermanent(orindeterminate)nature.
-Excludedfromthisgrouparepersonswithestablishedhealthproblemsorpermanentdisability,ifthecontactisrelatedtothecondition.
Forexample,personswithdiabetesandinadiabetesprogramwouldbeincludedinGoal3;however,suchpersonswouldbeincludedingoal6ifthecontactwiththeserviceisnotrelatedtoanestablishedhealthproblembutisprimarilyforpreventative/maintenancecareasdescribedabove.
7.
GOAL7servicerecipientsarethoseforwhomthereasonforthevisitistoundertakeanassessment.
ThismayincludeclientsinreceiptofaDomiciliaryNursingCareBenefit(DNCB)forwhomthepurposeofthevisitistodetermineongoingDNCBeligibilityandrequirementsforcare.
Implicitinthisvisitisreviewofthepersonshealthstatusandcircumstances,toensurethattheirongoingsupportdoesnotplacethemortheircareratavoidablerisk.
Verificationrules:Onlyoneoptionispermissibleandwherecode7isselected,code9mustbeusedinNursinginterventions.
Collectionmethods:Attimeofformalreviewoftheclient,theoriginalGoalofcareshouldberetainedandnotover-writtenbythesystem.
ThegoalofcarerelatestotheepisodeboundedbytheDateoffirstcontactwithcommunitynursingserviceandDateoflastcontactandinthisformatprovidesafocussingeffectatthetimeofplanningforcare.
Relateddata:supersedespreviousdataelementNursinggoal,version1relatestothedataelementDateoffirstcontact,version2relatestothedataelementNursingdiagnosis,version2relatestothedataelementNursinginterventions,version2relatestothedataelementDateoflastcontact,version2NationalHealthDataDictionary,version9252DataelementdefinitionsGoalofcare(continued)AdministrativeattributesSourcedocument:Sourceorganisation:AustralianCouncilofCommunityNursingServicesNationalminimumdatasets:Comments:Agencieswhohadpreviouslyimplementedthisitemshouldnotechangestothecodesetindatadomain.
NationalHealthDataDictionary,version9253NationalHealthInformationModelentitiesNationalHealthDataDictionary,version9254DataelementdefinitionsPersonidentierAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000127Versionnumber:1RelationalandrepresentationalattributesDatatype:AlphanumericRepresentationalform:CODEFieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Personidentifieruniquewithinestablishmentoragency.
Context:Thisitemcouldbeusedforeditingattheestablishmentorcollectionauthorityleveland,potentially,forepisodelinkage.
Thereisnointentionthatthisitemwouldbeavailablebeyondcollectionauthoritylevel.
Datadomain:Guideforuse:Individualestablishmentsorcollectionauthoritiesmayusetheirownalphabetic,numericoralphanumericcodingsystems.
Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toAdmittedpatientmentalhealthcarefrom1/07/2000toPerinatalfrom1/07/1997toCommunitymentalhealthcarefrom1/07/2000toAdmittedpatientpalliativecarefrom1/07/2000toComments:Foradmittedpatientcarestatistics,personidentifierisusedinconjunctionwithotherdataelementsrecordingindividualepisodesofcareorevents.
Todate,therehasbeenlimiteddevelopmentofpatient-baseddatai.
e.
linkingdatawithinhospitalmorbiditycollectionsaboutallepisodesofcareforindividuals.
NationalHealthDataDictionary,version9Dataelementdefinitions255PatientAdmin.
status:CURRENT1/07/1995IdentifyinganddenitionalattributesKnowledgebaseID:000117Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Apatientisapersonforwhomahospitalacceptsresponsibilityfortreatmentand/orcare.
Therearetwocategoriesofpatient,admittedandnon-admittedpatients.
Boardersarenotpatients.
Context:Admittedpatientcareandpublichospitalestablishments.
Datadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementconceptAdmittedpatient,version3Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toPublichospitalestablishmentsfrom1/07/2000toComments:Whiletheconceptofapersonforwhomaserviceprovideracceptsresponsibilityfortreatmentorcareisalsoapplicabletonon-admittedpatientandpublichospitalestablishmentscareandtowelfareservices,differentterminologyisoftenusedintheseothercaresettingse.
g.
client,resident.
NationalHealthDataDictionary,version9256DataelementdefinitionsAdmittedpatientAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000011Versionnumber:3RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:Dataelementtype:DATAELEMENTCONCEPTDefinition:Apatientwhoundergoesahospital'sadmissionprocesstoreceivetreatmentand/orcare.
Thistreatmentand/orcareisprovidedoveraperiodoftimeandcanoccurinhospitaland/orintheperson'shome(forhospital-in-the-homepatients).
Thepatientmaybeadmittedifoneormoreofthefollowingapply:-thepatient'sconditionrequiresclinicalmanagementand/orfacilitiesnotavailableintheirusualresidentialenvironment;-thepatientrequiresobservationinordertobeassessedordiagnosed;-thepatientrequiresatleastdailyassessmentoftheirmedicationneeds;-thepatientrequiresaprocedure(s)thatcannotbeperformedinastand-alonefacility,suchasadoctor'sroomwithoutspecialisedsupportfacilitiesand/orexpertiseavailable(e.
g.
cardiaccatheterisation);-thereisalegalrequirementforadmission(e.
g.
underchildprotectionlegislation);-thepatientisagedninedaysorless.
Context:Admittedpatientcare.
Datadomain:Guideforuse:Thisdataelementshouldbeusedinconjunctionwiththedefinitionofsame-daypatientinthedataelementSame-daypatient.
Part2ofSchedule3oftheNationalHealthAct(typeC)professionalattentionmaybeusedasaguideforthemedicalservicesnotnormallyrequiringhospitaltreatmentandthereforenotgenerallyrelatedtoadmittedpatients.
Allbabiesborninhospitalareadmittedpatients.
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementconceptAdmittedpatient,version2relatestothedataelementPatientdays,version3relatestothedataelementNewbornqualificationstatus,version2relatestothedataelementNumberofqualifieddaysfornewborns,version2relatestothedataelementCaretype,version4NationalHealthDataDictionary,version9Dataelementdefinitions257Admittedpatient(continued)AdministrativeattributesSourcedocument:Sourceorganisation:Nationalminimumdatasets:Comments:Thisdefinitionincludesallbabieswhoareninedaysoldorless.
However,allnewborndaysofstayarefurtherdividedintocategoriesofqualifiedandunqualifiedforAustralianHealthcareAgreementsandhealthinsurancebenefitpurposes.
Anewborndayisacute(qualified)whenanewbornmeetsatleastoneofthefollowingcriteria:-isthesecondorsubsequentliveborninfantofamultiplebirth,whosemotheriscurrentlyanadmittedpatient;-isadmittedtoanintensivecarefacilityinahospital,beingafacilityapprovedbytheCommonwealthHealthMinisterforthepurposeoftheprovisionofspecialcare;-remainsinhospitalwithoutitsmother;-isadmittedtothehospitalwithoutitsmother.
Acute(qualified)newborndaysareeligibleforhealthinsurancebenefitpurposesandshouldbecountedundertheAustralianHealthCareAgreements.
Dayswhenthenewborndoesnotmeetthesecriteriaareclassifiedasunqualified(iftheyareninedaysoldorless)andshouldberecordedassuch.
UnqualifiednewborndaysshouldnotbecountedundertheAustralianHealthCareAgreementsandarenoteligibleforhealthinsurancebenefitpurposes.
NationalHealthDataDictionary,version9258DataelementdefinitionsNon-admittedpatientAdmin.
status:CURRENT1/07/1994IdentifyinganddenitionalattributesKnowledgebaseID:000104Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Apatientwhodoesnotundergoahospitalsformaladmissionprocess.
Therearethreecategoriesofnon-admittedpatient:-emergencydepartmentpatient-outpatient-othernon-admittedpatient(treatedbyhospitalemployeesoffthehospitalsiteincludescommunity/outreachservices)Context:Non-admittedpatientcareDatadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementconceptPatient,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Non-admittedpatientcarefrom1/07/2000toComments:NationalHealthDataDictionary,version9Dataelementdefinitions259Overnight-staypatientAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000116Versionnumber:2RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Apatientwho,followingaclinicaldecision,receiveshospitaltreatmentforaminimumofonenighti.
e.
whoisadmittedtoandseparatedfromthehospitalondifferentdates.
Context:Admittedpatientcare.
Datadomain:Guideforuse:Anovernight-staypatientinonehospitalcannotbeconcurrentlyanovernight-staypatientinanotherhospital,unlesstheyarereceivingcontractedcare.
Ifnotunderahospitalcontract,apatientmustbeseparatedfromonehospitalandadmittedtotheotherhospitaloneachoccasionoftransfer.
Treatmentprovidedtoanintendedsame-daypatientwhoissubsequentlyclassifiedasanovernight-staypatientshallberegardedaspartoftheovernightepisode.
Anon-admitted(emergency/outpatient)serviceprovidedtoapatientwhoissubsequentlyclassifiedasanadmittedpatientshallberegardedaspartoftheadmittedepisode.
Anyoccasionofserviceshouldberecordedandidentifiedaspartoftheadmittedpatientsepisodeofcare.
Thedefinitionofanovernight-staypatientexcludespatientswholeaveoftheirownaccord,dieoraretransferredontheirfirstdayinthehospital.
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementconceptOvernight-staypatient,version1relatestothedataelementconceptAdmittedpatient,version3Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toComments:NationalHealthDataDictionary,version9260DataelementdefinitionsSame-daypatientAdmin.
status:CURRENT1/07/1994IdentifyinganddenitionalattributesKnowledgebaseID:000146Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:Dataelementtype:DATAELEMENTCONCEPTDefinition:Asame-daypatientisapatientwhoisadmittedandseparatesonthesamedate,andwhomeetsoneofthefollowingminimumcriteria:-ThatthepatientreceiveSame-daySurgicalandDiagnosticServicesasspecifiedinbands1A,1B,2,3,and4butexcludinguncertifiedtypeCProfessionalAttentionProcedureswithintheHealthInsuranceBasicTableasdefinedins.
4(1)oftheNationalHealthAct1953(Commonwealth);or-ThatthepatientreceivetypeCProfessionalAttentionProceduresasspecifiedintheHealthInsuranceBasicTableasdefinedins.
4(1)oftheNationalHealthAct1953(Commonwealth)withaccompanyingcertificationfromamedicalpractitionerthatanadmissionwasnecessaryonthegroundsofthemedicalconditionofthepatientorotherspecialcircumstancesthatrelatetothepatient.
Context:AdmittedpatientcareDatadomain:Guideforuse:Same-daypatientsmaybeeitherintendedtobeseparatedonthesameday,orintendedovernight-staypatientswholeftoftheirownaccord,diedorweretransferredontheirfirstdayinthehospital.
Treatmentprovidedtoanintendedsame-daypatientwhoissubsequentlyclassifiedasanovernight-staypatientshallberegardedaspartoftheovernightepisode.
Non-admitted(emergencyoroutpatient)servicesprovidedtoapatientwhoissubsequentlyclassifiedasanadmittedpatientshallberegardedaspartoftheadmittedepisode.
Anyoccasionofserviceshouldberecordedandidentifiedaspartoftheadmittedpatientsepisodeofcare.
Dataonsame-daypatientsarederivedbyareviewofadmissionandseparationdates.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementconceptAdmittedpatient,version3NationalHealthDataDictionary,version9Dataelementdefinitions261Same-daypatient(continued)AdministrativeattributesSourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toComments:NationalHealthDataDictionary,version9262DataelementdefinitionsInter-hospitalcontractedpatientAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000079Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DERIVEDDATAELEMENTDefinition:Anepisodeofcareforanadmittedpatientwhosetreatmentand/orcareisprovidedunderanarrangementbetweenahospitalpurchaserofhospitalcare(contractinghospital)andaproviderofanadmittedservice(contractedhospital),andforwhichtheactivityisrecordedbybothhospitals.
Context:Admittedpatientcare:toidentifypatientsreceivingservicesthathavebeencontractedbetweenhospitals.
Thisitemisusedtoeliminatepotentialdoublecountingofhospitalactivityintheanalysisofpatternsofhealthcaredeliveryandfundingandepidemiologicalstudies.
Datadomain:1Inter-hospitalcontractedpatientfrompublicsectorhospital2Inter-hospitalcontractedpatientfromprivatesectorhospital3Other9NotreportedGuideforuse:Aspecificarrangementshouldapply(eitherwrittenorverbal)wherebyonehospitalcontractswithanotherhospitalfortheprovisionofspecificservices.
Thearrangementmaybebetweenanycombinationofhospital;forexample,publictopublic,publictoprivate,privatetoprivate,orprivatetopublic.
Verificationrules:Collectionmethods:Allservicesprovidedatboththeoriginatinganddestinationhospitalsshouldberecordedandreportedbytheoriginatinghospital.
ThedestinationhospitalshouldrecordtheadmissionasanInter-hospitalcontractedpatientsothattheseservicescanbeidentifiedinthevariousstatisticsproducedabouthospitalactivity.
Thisdataelementwillbederivedasfollows.
IfContractrole=B(HospitalB,thatis,theproviderofthehospitalservice;contractedhospital),andContracttype=2,3,4or5(thatis,ahospital(HospitalA)purchasestheactivity,ratherthanahealthauthorityorotherexternalpurchaser,andadmitsthepatientforallorpartoftheepisodeofcare,and/orrecordsthecontractedactivitywithinthepatientsrecordfortheepisodeofcare)Thenrecordavalueof1,ifHospitalAisapublichospitalorrecordavalueof2,ifHospitalAisaprivatehospital.
OtherwiseiftheContractroleisnotB,and/ortheContracttypeisnot2,3,4or5recordavalueof3.
NationalHealthDataDictionary,version9Dataelementdefinitions263Inter-hospitalcontractedpatient(continued)AdministrativeattributesRelateddata:supersedespreviousdataelementInter-hospitalsame-daycontractedpatient,version1isusedinconjunctionwithContractedhospitalcare,version1isderivedfromContracttype,version1isderivedfromContractrole,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toComments:NationalHealthDataDictionary,version9264DataelementdefinitionsHospitalboarderAdmin.
status:CURRENT1/07/1994IdentifyinganddenitionalattributesKnowledgebaseID:000065Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Apersonwhoisreceivingfoodand/oraccommodationbutforwhomthehospitaldoesnotacceptresponsibilityfortreatmentand/orcare.
Context:AdmittedpatientcareDatadomain:Guideforuse:Aboarderthusdefinedisnotadmittedtothehospital.
However,ahospitalmayregisteraboarder.
Babiesinhospitalatage9daysorlesscannotbeboarders.
Theyareadmittedpatientswitheachdayofstaydeemedtobeeitheraqualifiedorunqualifiedday.
Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admitedpatientcarefrom1/07/2000toComments:NationalHealthDataDictionary,version9Dataelementdefinitions265MedicarenumberAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000091Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
11Max.
11Representationallayout:NNNNNNNNNNNAdministrativeattributesDataelementtype:DATAELEMENTDefinition:PersonalidentifierallocatedbytheHealthInsuranceCommissiontoeligiblepersonsundertheMedicarescheme.
Context:Medicareutilisationstatisticsandadmittedpatientcare.
Datadomain:FullMedicarenumberforanindividual(i.
e.
familynumberpluspersonnumber)Guideforuse:Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:UnderMedicare,eacheligiblefamilyinthepopulationisassignedauniqueidentifyingnumber.
Thisnumber,togetherwithageandsex,providesanessentiallyuniqueidentifier.
NationalHealthDataDictionary,version9266DataelementdefinitionsDepartmentofVeteransAffairslenumberAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000204Versionnumber:1RelationalandrepresentationalattributesDatatype:AlphanumericRepresentationalform:IDENTIFICATIONNUMBERFieldsize:Min.
7Max.
7Representationallayout:AAANNNNAdministrativeattributesDataelementtype:DATAELEMENTDefinition:TheDepartmentofVeteransAffairsfilenumberoftheperson.
Context:Admittedpatientcare,admittedpatientpalliativecare,admittedpatientmentalhealthcare.
Thisnumbermustberecordedbyaserviceprovidereachtimeaserviceisprovidedtoapersonwhoholdstheentitlementforreimbursementpurposes.
Datadomain:Guideforuse:ThefilereferenceisasevendigitidentifierthatcanhaveaStatecode(N,V,Q,S,W,T)included,andinsomecircumstancesafiletypecodeisadded.
ACTisincludedinNSW(N)andNTwithSA(S).
Individualsareidentifiedbyanalphanumericcodeattheendofthefilenumber.
AveteransspouseandchildrenhavethesamefilenumberbutareidentifiedwithintheDVAClientDatabasewithasegmentlinkorsuffix.
Thesegmentlinkandsuffixaredifferentandcanchange.
Forexample,thesuffixusuallychangeswhenawifebecomesawidow.
ChangestotheinformationsystemintheDepartmentofVeteransAffairsmaypermittheidentificationofallindividualStatesandTerritoriesinthefuture.
Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:DepartmentofVeteransAffairs,NationalHealthDataCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9267NationalHealthInformationModelentitiesNationalHealthDataDictionary,version9268DataelementdefinitionsLivebirthAdmin.
status:CURRENT1/07/1994IdentifyinganddenitionalattributesKnowledgebaseID:000083Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:AlivebirthisdefinedbytheWorldHealthOrganizationtobethecompleteexpulsionorextractionfromthemotherofababy,irrespectiveofthedurationofthepregnancywhich,aftersuchseparation,breathesorshowsanyotherevidenceoflife,suchasbeatingoftheheart,pulsationoftheumbilicalcord,ordefinitemovementofthevoluntarymuscles,whetherornottheumbilicalcordhasbeencutortheplacentaisattached.
Eachproductofsuchabirthisconsideredliveborn.
Context:PerinatalDatadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementStatusofthebaby,version1Sourcedocument:InternationalClassificationofDiseasesandRelatedHealthProblems,10thRevision,Vol1,WHO1992Sourceorganisation:NationalHealthDataCommittee,NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toPerinatalfrom1/07/1997toComments:NationalHealthDataDictionary,version9Dataelementdefinitions269OnsetoflabourAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000113Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Mannerinwhichlabourstarted.
Context:Perinatalcare:howlabourcommencediscloselyassociatedwithmethodofbirthandmaternalandneonatalmorbidity.
Inductionratesvaryformaternalriskfactorsandobstetriccomplicationsandareimportantindicatorsofobstetricintervention.
Datadomain:1Spontaneous2Induced3Nolabour9NotstatedGuideforuse:Labourcommencesattheonsetofregularuterinecontractions,whichacttoproduceprogressivecervicaldilatation,andisdistinctfromspuriouslabourorpre-labourruptureofmembranes.
Verificationrules:Nolabourcanonlybeassociatedwithcaesareansection.
Collectionmethods:Ifprostaglandinsweregiventoinducelabourandthereisnoresultinglabouruntilafter24hours,thencodetheonsetoflabourasspontaneous.
Relateddata:superesdespreviousdataelementOnsetoflabour,version1isusedinconjunctionwithTypeoflabourinduction,version1isusedinconjunctionwithMethodofbirth,version1Sourcedocument:Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Perinatalfrom1/07/2000toComments:NationalHealthDataDictionary,version9270DataelementdefinitionsComplicationoflabouranddeliveryAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000027Versionnumber:2RelationalandrepresentationalattributesDatatype:AlphanumericRepresentationalform:CODEFieldsize:Min.
3Max.
6Representationallayout:ANN.
NNAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Medicalandobstetriccomplications(necessitatingintervention)arisingaftertheonsetoflabourandbeforethecompleteddeliveryofthebabyandplacenta.
Context:Perinatalstatistics:complicationsoflabouranddeliverymaycausematernalmorbidityandmayaffectthehealthstatusofthebabyatbirth.
Datadomain:ICD-10-AMGuideforuse:Thereisnoarbitrarylimitonthenumberofconditionsspecified.
Verificationrules:ComplicationsshouldbecodedwithinthePregnancy,Childbirth,Puerperiumchapter15ofVolume1,ICD-10-AMCollectionmethods:Relateddata:isusedinconjunctionwithPresentationatbirth,version1isusedinconjunctionwithMethodofbirth,version1isusedinconjunctionwithPerinealstatus,version1supersedespreviousdataelementComplicationoflabouranddeliveryICD-9-CMcode,version1isusedinconjunctionwithPostpartumcomplication,version2Sourcedocument:InternationalStatisticalClassificationofDiseasesandRelatedhealthProblems10thRevision,AustralianModification,2ndedition(July2000)NationalCentreforClassificationinHealth,Sydney.
Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions271TypeofaugmentationoflabourAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000167Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Methodsusedtoassistprogressoflabour.
Context:Perinatalcare:typeofaugmentationdeterminestheprogressanddurationoflabourandmayinfluencethemethodofdeliveryandthehealthstatusofthebabyatbirth.
Datadomain:0None1Oxytocin2Prostaglandins3Artificialruptureofmembranes(ARM)4Other5NotstatedGuideforuse:Morethanonemethodofaugmentationcanberecorded,exceptwhere0=noneapplies.
Verificationrules:Collectionunitsneedtoeditcarefullytheuseofprostaglandinsasanaugmentationmethod.
Resultsfromcheckingrecordshaveshownthateithertheonsetoflabourwasincorrectorthattheaugmentationmethodwasincorrectlyselected.
Collectionmethods:Relateddata:supersedespreviousdataelementTypeofaugmentationoflabour,version1isusedinconjunctionwithOnsetoflabour,version2isusedinconjunctionwithTypeoflabourinduction,version1isusedinconjunctionwithMethodofbirth,version1Sourcedocument:Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Perinatalfrom1/07/2000toComments:Prostaglandinislistedasamethodofaugmentationinthedatadomain.
AdvicefromRANZCOGandthemanufacturerindicatesthatvaginalprostaglandinuseisnotrecommendedorsupportedasamethodofaugmentationoflabourasitmaysignificantlyincreasetheriskofuterinehyperstimulation.
Inspiteofthis,themethodisbeingusedanditisconsideredimportanttomonitoritsuseforaugmentation.
NationalHealthDataDictionary,version9272DataelementdefinitionsTypeoflabourinductionAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000171Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Methodsusedtoinducelabour.
Context:Perinatalstatistics:typeofinductiondeterminestheprogressanddurationoflabourandmayinfluencethemethodofdeliveryandthehealthstatusofthebabyatbirth.
Datadomain:0None1Oxytocin2Prostaglandins3Artificialruptureofmembranes(ARM)4OtherGuideforuse:Morethanonemethodofinductioncanberecorded,exceptwhere0=noneapplies.
Verificationrules:Collectionmethods:Relateddata:isusedinconjunctionwithOnsetoflabour,version2isusedinconjunctionwithTypeofaugmentationoflabour,version2Sourcedocument:Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions273MethodofbirthAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000093Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Themethodofcompleteexpulsionorextractionfromitsmotherofaproductofconception.
Context:Perinatalstatistics:themethodofdeliverymayaffectthehealthstatusofthemotherandthebabyatbirthandduringthepostpartumperiod.
Datadomain:1Spontaneousvaginal2Forceps(assistedvaginalbirth)3Vaginalbreech4Caesareansection5Vacuumextraction8Other9NotstatedGuideforuse:Inavaginalbreechwithforcepstotheaftercominghead,codeasvaginalbreech.
Verificationrules:Collectionmethods:Relateddata:isusedinconjunctionwithPresentationatbirth,version1Sourcedocument:Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Perinatalfrom1/07/1997toComments:NationalHealthDataDictionary,version9274DataelementdefinitionsPresentationatbirthAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000133Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Presentingpartofthefoetus(atlowersegmentofuterus)atbirth.
Context:Perinatalstatistics:presentationtypesotherthanvertexareassociatedwithhigherratesofcaesareansection,instrumentaldelivery,perinatalmortalityandneonatalmorbidity.
Datadomain:1Vertex2Breech3Face4Brow8Other9NotstatedGuideforuse:Verificationrules:Collectionmethods:Relateddata:isusedinconjunctionwithMethodofbirth,version1Sourcedocument:Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions275BirthorderAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000019Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Theorderofeachbabyofamultiplebirth.
Context:Perinatalstatistics:requiredtoanalysepregnancyoutcomeaccordingtobirthorderandidentifytheindividualbabyresultingfromamultiplebirthpregnancy.
Multiplebirthshavehigherrisksofperinatalmortalityandmorbidity.
Multiplebirthpregnanciesareoftenassociatedwithobstetriccomplications,labouranddeliverycomplications,higherratesofneonatalmorbidity,lowbirthweight,andahigherperinataldeathrate.
Datadomain:1Singletonorfirstofamultiplebirth2Secondofamultiplebirth3Thirdofamultiplebirth4Fourthofamultiplebirth5Fifthofamultiplebirth6Sixthofamultiplebirth8Other9NotstatedGuideforuse:Verificationrules:Collectionmethods:Relateddata:isaqualifierofBirthplurality,version1Sourcedocument:Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Perinatalfrom1/07/1997toComments:NationalHealthDataDictionary,version9276DataelementdefinitionsBirthpluralityAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000020Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thetotalnumberofbirthsresultingfromthispregnancy.
Context:Perinatalstatistics:multiplepregnancyincreasestheriskofcomplicationsduringpregnancy,labouranddeliveryandisassociatedwithhigherriskofperinatalmorbidityandmortality.
Datadomain:1Singleton2Twins3Triplets4Quadruplets5Quintuplets6Sextuplets8Other9NotstatedGuideforuse:Pluralityofapregnancyisdeterminedbythenumberoflivebirthsorbythenumberoffoetusesthatremaininuteroat20weeksgestationandthataresubsequentlybornseparately.
Inmultiplepregnancies,orifgestationalageisunknown,onlylivebirthsofanybirthweightorgestationalage,orfoetusesweighing400gormore,aretakenintoaccountindeterminingplurality.
Foetusesabortedbefore20completedweeksorfoetusescompressedintheplacentaat20ormoreweeksareexcluded.
Verificationrules:Collectionmethods:Relateddata:isqualifiedbyBirthorder,version1Sourcedocument:Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Perinatalfrom1/07/1997toComments:NationalHealthDataDictionary,version9Dataelementdefinitions277ResuscitationofbabyAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000145Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Activemeasurestakenimmediatelyafterbirthtoestablishindependentrespirationandheartbeat,ortotreatdepressedrespiratoryeffortandtocorrectmetabolicdisturbances.
Context:Perinatalstatistics:requiredtoanalyseneedforresuscitationaftercomplicationsoflabouranddeliveryandtoevaluatelevelofservicesneededfordifferentbirthsettings.
Datadomain:1None2Suctiononly3Oxygentherapyonly4Intermittentpositivepressurerespiration(IPPR)throughbagandmask5EndotrachealintubationandIPPR6Externalcardiacmassageandventilation8OtherGuideforuse:Verificationrules:Collectionmethods:Relateddata:isusedinconjunctionwithStatusofthebaby,version1isusedinconjunctionwithApgarscoreat1minute,version1isusedinconjunctionwithApgarscoreat5minutes,version1Sourcedocument:Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9278DataelementdefinitionsActivitywheninjuredAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000002Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
2Representationallayout:NNDataelementtype:DATAELEMENTDefinition:Thetypeofactivitybeingundertakenbythepersonwheninjured.
Context:Injurysurveillance:enablescategorisationofinjuryandpoisoningaccordingtofactorsimportantforinjurycontrol.
Necessaryfordefiningandmonitoringinjurycontroltargets,injurycostingandidentifyingcasesforin-depthresearch.
Thisitemisthebasisforidentifyingwork-relatedandsport-relatedinjuries.
Datadomain:0Sportsactivity00Football,rugby01Football,Australian02Football,soccer03Hockey04Squash05Basketball06Netball07Cricket08Rollerblading09Otherandunspecifiedsportingactivity1Leisureactivity(excludingsportingactivity)2Workingforincome3Othertypesofwork4Resting,sleeping,eatingorengaginginothervitalactivities5Otherspecifiedactivities9UnspecifiedactivitiesGuideforuse:Admittedpatients:UsetheappropriatecodesasfourthandfifthcharacterstoY93whenusingtheICD-10-AM2ndedition.
UsedwithICD-10-AMexternalcausecodesV01Y34andassignedaccordingtotheAustralianCodingStandards.
Non-admittedpatients:Tobeusedforinjurysurveillancepurposesfornon-admittedpatientswhenitisnotpossibletouseICD-10-AMcodes.
Selectthecodewhichbestcharacterisesthetypeofactivitybeingundertakenbythepersonwheninjured,onthebasisoftheinformationavailableatthetimeitisrecorded.
Iftwoormorecategoriesarejudgedtobeequallyappropriate,selecttheonethatcomesfirstinthecodelist.
NationalHealthDataDictionary,version9Dataelementdefinitions279AdministrativeattributesActivitywheninjured(continued)Verificationrules:Admittedpatients:tobeusedwithICD-10-AMexternalcausecodesV01Y34only.
Collectionmethods:Relateddata:supersedespreviousdataelementActivitywheninjuredversion1isusedinconjunctionwithExternalCausemajorexternalcause,version3isusedinconjunctionwithExternalcausehumanintent,version4isaqualifierofNarrativedescriptionofinjuryevent,version1isusedinconjunctionwithNatureofmaininjurynon-admittedpatient,version1isusedinconjunctionwithBodilylocationofmaininjury,version1Sourcedocument:ICD-10-AM2ndeditionSourceorganisation:NationalCentreforClassificationinHealth,NationalInjurySurveillanceUnitNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toInjurysurveillancefrom1/07/2000toComments:NationalHealthDataDictionary,version9280DataelementdefinitionsExternalcauseadmittedpatientAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000053Versionnumber:4RelationalandrepresentationalattributesDatatype:AlphanumericRepresentationalform:CODEFieldsize:Min.
3Max.
6Representationallayout:ANN.
NNDataelementtype:DATAELEMENTDefinition:Environmentalevent,circumstanceorconditionasthecauseofinjury,poisoningandotheradverseeffect.
Context:Enablescategorisationofinjuryandpoisoningaccordingtofactorsimportantforinjurycontrol.
Thisinformationisnecessaryfordefiningandmonitoringinjurycontroltargets,injurycostingandidentifyingcasesforin-depthresearch.
Itisalsousedasaqualityofcareindicatorofadversepatientoutcomes.
Datadomain:ICD-10-AMGuideforuse:Thiscodemustbeusedinconjunctionwithaninjuryorpoisoningcodesandcanbeusedwithotherdiseasecodes.
AdmittedpatientsshouldbecodedtothecompleteICD-10-AMclassification.
Anexternalcausecodeshouldbesequencedfollowingtherelatedinjuryorpoisoningcode,orfollowingthegroupofcodes,ifmorethanoneinjuryorconditionhasresultedfromthisexternalcause.
Provisionshouldbemadetorecordmorethanoneexternalcauseifappropriate.
ExternalcausecodesintherangeW00toY34,exceptY06andY07mustbeaccompaniedbyaplaceofoccurrencecode(dataelementPlaceofoccurrenceofexternalcause).
ExternalcausecodesV01toY34mustbeaccompaniedbyanactivitycode(dataelementActivitywheninjured).
Verificationrules:Asaminimumrequirement,theexternalcausecodesmustbelistedintheICD-10-AMclassification.
Collectionmethods:Relateddata:isusedinconjunctionwithActivitywheninjured,version2isusedinconjunctionwithPlaceofoccurrenceofexternalcause,version2supersedespreviousdataelementExternalcauseadmittedpatientICD-9-CMcode,version3isusedinconjunctionwithPrincipaldiagnosis,version3isusedinconjunctionwithAdditionaldiagnosis,version4NationalHealthDataDictionary,version9Dataelementdefinitions281Externalcauseadmittedpatient(continued)AdministrativeattributesSourcedocument:InternationalStatisticalClassificationofDiseasesandRelatedHealthProblems10thRevisionAustralianModification,2ndedition(July2000)NationalCentreforClassificationinHealth,Sydney.
Sourceorganisation:NationalHealthDataCommittee,NationalCentreforClassificationinHealthandNationalDataStandardsforInjurySurveillanceAdvisoryGroupNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toInjurysurveillancefrom1/07/1989toComments:AnextendedactivitycodeisbeingdevelopedinconsultationwiththeNationalInjurySurveillanceUnit,FlindersUniversity,Adelaide.
NationalHealthDataDictionary,version9282DataelementdefinitionsExternalcausehumanintentAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000382Versionnumber:4RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
2Max.
2Representationallayout:NNDataelementtype:DATAELEMENTDefinition:Themostlikelyroleofhumanintentintheoccurrenceoftheinjuryorpoisoningasassessedbyclinician.
Context:Injurysurveillance:enablescategorisationofinjuryandpoisoningaccordingtofactorsimportantforinjurycontrol.
Thisinformationisnecessaryfordefiningandmonitoringinjurycontroltargets,injurycostingandidentifyingcasesforin-depthresearch.
Datadomain:01Accidentinjurynotintended02Intentionalselfharm03Sexualassault04Maltreatmentbyparent05Maltreatmentbyspouseorpartner06Otherandunspecifiedassault07Eventofundeterminedintent08Legalintervention(includingpolice)oroperationsofwar09Adverseeffectorcomplicationsofmedicalandsurgicalcare10Otherspecifiedintent11IntentnotspecifiedGuideforuse:Selecttheitemwhichbestcharacterisestheroleofintentintheoccurrenceoftheinjury,onthebasisoftheinformationavailableatthetimeitisrecorded.
Iftwoormorecategoriesarejudgedtobeequallyappropriate,selecttheonethatcomesfirstinthecodelist.
ThisitemmustalwaysbeaccompaniedbyanExternalcausenon-admittedpatientcode.
Thisdatadomainisforuseininjurysurveillancepurposesonly,whenitisnotpossibletouseacompleteICD-10-AMcode(e.
g.
non-admittedpatientsinemergencydepartments).
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementExternalcausehumanintent,version3isusedinconjunctionwithPlaceofoccurrenceofexternalcauseofinjury,version5NationalHealthDataDictionary,version9Dataelementdefinitions283Externalcausehumanintent(continued)AdministrativeattributesRelateddata(continued):isusedinconjunctionwithNarrativedescriptionofinjuryevent,version1isusedinconjunctionwithNatureofmaininjurynon-admittedpatient,version1isusedinconjunctionwithBodilylocationofmaininjury,version1isusedinconjunctionwithActivitywheninjured,version2Sourcedocument:Sourceorganisation:NationalHealthDataCommittee;NationalDataStandardsforInjurySurveillanceAdvisoryGroupNationalminimumdatasets:Injurysurveillancefrom1/07/1989toComments:NationalHealthDataDictionary,version9284DataelementdefinitionsExternalcausenon-admittedpatientAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000381Versionnumber:4RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
2Max.
2Representationallayout:NNDataelementtype:DATAELEMENTDefinition:Event,circumstanceorconditionassociatedwiththeoccurrenceofinjury,poisoningoradverseeffect.
Context:Injurysurveillance:enablescategorisationofinjuryandpoisoningaccordingtofactorsimportantforinjurycontrol.
Thisinformationisnecessaryfordefiningandmonitoringinjurycontroltargets,injurycostingandidentifyingcasesforin-depthresearch.
Datadomain:01Motorvehicledriver02Motorvehiclepassengerorunspecifiedoccupant03Motorcycledriver04Motorcyclepassengerorunspecified05Pedalcyclistorpedalcyclepassenger06Pedestrian07Otherorunspecifiedtransport-relatedcircumstance08Horse-related(includesfallfrom,struckorbittenby)09Falllow(onsamelevelor=dateofbirthCollectionmethods:Relateddata:isusedinthecalculationofLengthofstay,version2supersedespreviousdataelementAdmissiondate,version3isusedinthederivationofDiagnosisrelatedgroup,version1isusedinthecalculationofEmergencyDepartmentwaitingtimetoadmission,version1relatestothedataelementTypeofvisit,version1relatestothedataelementDeparturestatus,version1isusedinconjunctionwithCaretype,version4relatestothedataelementconceptAdmittedpatient,version3isusedinthecalculationofWaitingtimeatadmission,version1relatestothedataelementconceptAdmission,version3relatestothedataelementAdmissiontime,version2Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toAdmittedpatientmentalhealthcarefrom1/07/2000toAdmittedpatientpalliativecarefrom1/07/2000toComments:NationalHealthDataDictionary,version9292DataelementdefinitionsAdmissiontimeAdmin.
status:CURRENT1/07/1999IdentifyinganddenitionalattributesKnowledgebaseID:000358Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
4Max.
4Representationallayout:HHMMAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Timeatwhichanadmittedpatientcommencesanepisodeofcare.
Context:Admittedpatientcare:Requiredtoidentifythetimeofcommencementoftheepisodeorhospitalstay,forcalculationofwaitingtimesandlengthofstay.
Datadomain:Expressedashoursandminutesusing24-hourclockGuideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementTypeofvisit,version1supersedespreviousdataelementAdmissiontime,version1relatestothedataelementDeparturestatus,version1relatestothedataelementconceptAdmittedpatient,version3relatestothedataelementconceptAdmission,version3isusedinconjunctionwithAdmissiondate,version4Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions293ModeofadmissionAdmin.
status:CURRENT1/07/1999IdentifyinganddenitionalattributesKnowledgebaseID:000385Versionnumber:4RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Describesthemechanismbywhichapersonbeginsanepisodeofcare.
Context:Toassistinanalysesofintersectoralpatientflowandhealthcareplanning.
Datadomain:1Admittedpatienttransferredfromanotherhospital2Statisticaladmissionepisodetypechange3OtherGuideforuse:Code2usethiscodewhereanewepisodeofcareiscommencedwithinthesamehospitalstay.
Code3usethiscodeforallplannedadmissionsandunplannedadmissions(excepttransfersintothehospitalfromanotherhospital).
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementSourceofreferraltoacutehospitalorprivatepsychiatrichospital,version3supplementsthedataelementModeofseparation,version3Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toAdmittedpatientmentalhealthcarefrom1/07/2000toAdmittedpatientpalliativecarefrom1/07/2000toComments:NationalHealthDataDictionary,version9294DataelementdefinitionsTypeofnursinghomeadmissionAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000172Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Typeofadmissiondistinguishesrespite/crisiscareepisodesfromothernursinghomesepisodes.
Context:Nursinghomestatistics:thisitemwillassistinanalysesofdemandforinstitutionalservicesandplanningstudies.
Datadomain:1Respite/crisiscare(short-termadmission,usuallyinordertogiveacarerrespitefromtheprovisionofcare2Other(continuingcare)Guideforuse:Verificationrules:Collectionmethods:ThisitemisbasedontheformNH5,whichhasbeenreplaced.
Relateddata:Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions295DateofrstcontactAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000039Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYDataelementtype:DATAELEMENTDefinition:Thedateoffirstcontactwiththecommunitynursingserviceforanepisodeofcare,betweenastaffmemberandapersonorapersonsfamily.
Thedefinitionincludes:-visitsmadetoapersonininstitutionalsettingssuchasliaisonvisitsordischargeplanningvisits,madeinahospitalornursinghomewiththeintentofplanningforthefuturedeliveryofserviceathome;-telephonecontactswhentheseareinlieuofafirsthomeorhospitalvisitforthepurposeofpreliminaryassessmentforcareathome;-visitsmadetothepersonshomepriortoadmissionforthepurposeofassessingthesuitabilityofthehomeenvironmentforthepersonscare.
Thisappliesirrespectiveofwhetherthepersonispresentornot.
Thedefinitionexcludes:-firstvisitswherethevisitobjectiveisnotmet,suchasfirstvisitmadewherenooneishome.
Context:Toenableanalysisoftimeperiodsthroughoutacareepisode,especiallythepre-admissionperiodandassociatedactivities.
Thisdataelementenablesthecaptureofthecommencementofcareirrespectiveofthesettinginwhichtheactivitiestookplace.
Datadomain:ValiddateGuideforuse:Verificationrules:ThisshouldoccurafterapreviousDateoflastcontactofapreviouscareepisodeandpriortooronthesameasDateoffirstdeliveryofservice.
Collectionmethods:TheDateoffirstcontactcanbethesameasDateoffirstdeliveryofserviceandapplywhetherapersonisenteringcareforthefirsttimeoranysubsequentepisode.
Thisdateshouldberecordedwhenitisthesameasthefirstdeliveryofservicedate.
Relateddata:supersedespreviousdataelementDateoffirstcontactwiththecommunitynursingservice,version1relatestothedataelementDateoflastcontact,version2NationalHealthDataDictionary,version9296DataelementdefinitionsDateofrstcontact(continued)AdministrativeattributesSourcedocument:Sourceorganisation:AustralianCouncilofCommunityNursingServicesNationalminimumdatasets:Comments:Thisitemisrecommendedforuseincommunityserviceswhicharefundedforliaisonordischargeplanningpositionsorprovidespecialistconsultancyorassessmentservices.
Furtherdevelopmentsincommunitycare,includingcasemixandcoordinatedcarewillrequirecollectionofdatarelatingtoresourceexpenditureacrossthesector.
NationalHealthDataDictionary,version9Dataelementdefinitions297ElectivecareAdmin.
status:CURRENT1/07/1995IdentifyinganddenitionalattributesKnowledgebaseID:000348Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Carethat,intheopinionofthetreatingclinician,isnecessaryandadmissionforwhichcanbedelayedforatleasttwenty-fourhours.
Context:AdmittedpatientcareDatadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementWaitinglistcategory,version3Sourcedocument:Sourceorganisation:HospitalAccessProgramWaitingListWorkingGroup/NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:NationalHealthDataDictionary,version9298DataelementdefinitionsNon-electivecareAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000105Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Carethat,intheopinionofthetreatingclinician,isnecessaryandadmissionforwhichcannotbedelayedformorethan24hours.
Context:AdmittedpatientcareDatadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:HospitalAccessProgramWaitingListsWorkingGroup/NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:NationalHealthDataDictionary,version9Dataelementdefinitions299ElectivesurgeryAdmin.
status:CURRENT1/07/1995IdentifyinganddenitionalattributesKnowledgebaseID:000046Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:ElectivecarewheretheproceduresrequiredbypatientsarelistedinthesurgicaloperationssectionoftheMedicarebenefitsschedulebook,withtheexclusionofspecificproceduresfrequentlydonebynon-surgicalclinicians.
Context:AdmittedpatientcareDatadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementWaitinglistcategory,version3Sourcedocument:Sourceorganisation:HospitalAccessProgramWaitingListWorkingGroup/NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:NationalHealthDataDictionary,version9300DataelementdefinitionsHospitalwaitinglistAdmin.
status:CURRENT1/07/1995IdentifyinganddenitionalattributesKnowledgebaseID:000067Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Aregisterwhichcontainsessentialdetailsaboutpatientswhohavebeenassessedasneedingelectivehospitalcare.
Context:AdmittedpatientcareDatadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementPatientlistingstatus,version3relatestothedataelementWaitinglistcategory,version3Sourcedocument:Sourceorganisation:Nationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:NationalHealthDataDictionary,version9Dataelementdefinitions301WaitinglistcategoryAdmin.
status:CURRENT1/01/1995IdentifyinganddenitionalattributesKnowledgebaseID:000176Versionnumber:3RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:Thetypeofelectivehospitalcarethatapatientrequires.
Context:Admittedpatients:hospitalsmaintainwaitinglistswhichmayincludepatientsawaitinghospitalcareotherthanelectivesurgeryforexample,dentalsurgeryandoncologytreatments.
Thisitemisnecessarytodistinguishpatientsawaitingelectivesurgery(code1)fromthoseawaitingothertypesofelectivehospitalcare(code2).
Thewaitingperiodforpatientsawaitingtransplantorobstetricproceduresislargelyindependentofsystemresourcefactors.
Datadomain:1Electivesurgery2OtherGuideforuse:ElectivesurgerycompriseselectivecarewheretheproceduresrequiredbypatientsarelistedinthesurgicaloperationssectionoftheMedicareBenefitsSchedule,withtheexclusionofspecificproceduresfrequentlydonebynon-surgicalclinicians.
Electivecareiscarethat,intheopinionofthetreatingclinician,isnecessaryandadmissionforwhichcanbedelayedforatleasttwenty-fourhours.
Patientsawaitingthefollowingproceduresshouldbeclassifiedascode2other:-organortissuetransplantprocedures-proceduresassociatedwithobstetrics(e.
g.
electivecaesareansection,cervicalsuture)-cosmeticsurgery,i.
e.
whentheprocedurewillnotattractaMedicarerebate-biopsyof:-kidney(needleonly)-lung(needleonly)-liverandgallbladder(needleonly)-bronchoscopy(includingfibre-opticbronchoscopy)-peritonealrenaldialysis;haemodialysis-colonoscopy-endoscopicretrogradecholangiopancreatography(ERCP)-endoscopyof:-biliarytract-oesophagus-smallintestine-stomachNationalHealthDataDictionary,version9302DataelementdefinitionsAdministrativeattributesWaitinglistcategory(continued)Guideforuse(continued):-endovascularinterventionalprocedures:-gastroscopy-miscellaneouscardiacprocedures-oesophagoscopy-panendoscopy(exceptwheninvolvingthebladder)-proctosigmoidoscopy-sigmoidoscopy-anoscopy-urethroscopyandassociatedprocedures-dentalproceduresnotattractingaMedicarerebate-otherdiagnosticandnon-surgicalprocedures.
TheseproceduretermsarealsodefinedbytheICD-10-AM(InternationalStatisticalClassificationofDiseasesandRelatedHealthProblems10thRevisionAustralianModification,2ndedition(July2000)NationalCentreforClassificationinHealth,Sydney)codeswhicharelistedunderCommentsbelow.
Thiscodedlististherecommended,butoptional,methodfordeterminingwhetherapatientisclassifiedasrequiringelectivesurgeryorothercare.
Allotherelectivesurgeryshouldbeincludedinwaitinglistcode1electivesurgery.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementconceptElectivecare,version1supersedespreviousdataelementWaitinglistcategoryICD-9-CMcode,version2isusedinconjunctionwithPatientlistingstatus,version3issupplementedbythedataelementIndicatorprocedure,version3Sourcedocument:InternationalStatisticalClassificationofDiseasesandRelatedHealthProblems10thRevisionAustralianModification,2ndedition(July2000)NationalCentreforClassificationinHealth,Sydney.
Sourceorganisation:HospitalAccessProgramWaitingListsWorkingGroup/WaitingTimesWorkingGroup/NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:ThetableofICD-10-AMprocedurecodeswaspreparedbytheNationalCentreforClassificationinHealth.
Somecodeswereexcludedfromthelistonthebasisthattheyareusuallyperformedbynon-surgeonclinicians.
NationalHealthDataDictionary,version9Dataelementdefinitions303Waitinglistcategory(continued)Comments(continued)Amoreextensiveanddetailedlistingofproceduredescriptorsisunderdevelopment.
ThiswillreplacethelistintheGuideforuseabove,tofacilitatemorereadilytheidentificationoftheexclusionswhenthelistofcodesisnotused.
ICD-10-AMCODESFORTHEEXCLUDEDPROCEDURESOrganortissuetransplant90172-00[555]30204-00[659]90204-01[659]13706-08[802]90172-01[555]90324-00[981]90205-00[660]36503-00[1057]13706-00[802]13706-06[802]13706-07[802]36503-01[1057]13700-00[801]30375-21[817]90317-00[954]90324-00[981]14203-01[1906]Proceduresassociatedwithobstetrics16511-00[1274]16512-00[1274]90467-00[1336]90469-00[1338]90469-01[1338]90470-00[1339]90468-00[1337]90468-01[1337]90472-00[1343]90470-02[1339]90470-01[1339]90470-04[1339]90470-03[1339]90468-02[1337]90468-04[1337]90478-00[1334]90477-00[1343]90465-03[1342]90477-00[1343]90466-00[1335]90466-01[1335]90466-02[1335]90466-01[1335]90471-01[1342]90471-02[1342]90471-03[1342]16564-00[1345]16564-01[1345]90465-04[1334]90471-05[1342]90471-04[1342]90468-05[1337]90465-00[1334]90465-01[1334]90465-02[1334]90471-06[1342]90476-00[1343]90471-00[1342]90473-00[1343]90474-00[1343]90475-00[1343]90477-00[1343]16567-00[1347]16520-01[1340]16520-02[1340]16520-03[1340]16520-00[1340]16603-00[1795]16627-00[1330]90461-00[1330]16600-00[1330]16618-00[1330]16609-00[1330]16612-00[1330]16615-00[1330]16624-00[1331]90486-00[1333]90486-01[1333]90486-02[1333]90460-00[1330]16514-00[1341]16514-01[1341]16606-00[1330]90464-00[1332]90482-00[1345]90463-00[1330]16621-00[1330]16571-00[1344]90485-00[1344]90480-00[1344]90480-01[1344]90481-00[1344]16573-00[1344]90483-00[1347]16567-00[1347]90484-00[1347]90484-02[1347]90484-01[1347]16570-01[1346]16570-00[1346]CosmeticsurgeryBiopsy(needle)of:-kidney36561-00[1046]-lung38412-00[550]-liverandgallbladder30409-00[953]30412-00[953]90319-01[951]30094-04[964]Bronchoscopy41889-00[543]41892-00[544]41904-00[546]41764-02[416]41895-00[544]41764-04[532]41892-01[545]41901-00[545]41846-00[520]41898-00[543]41898-01[544]41889-01[543]41849-00[520]41764-03[520]41855-00[520]Peritonealrenaldialysis13100-06[1060]13100-07[1060]13100-08[1060]13100-00[1059]NationalHealthDataDictionary,version9304DataelementdefinitionsComments(continued):Endoscopyof:biliarytract,ERCP30484-00[957]30484-01[957]30484-02[974]30494-00[971]30452-00[971]30491-00[958]30491-01[963]30485-00[958]30485-01[963]30452-01[963]30450-00[958]30452-02[959]30485-01[959]90349-00[975]oesophagus30473-03[850]30473-04[861]41822-00[861]30478-11[856]41819-00[862]30478-10[852]30478-13[861]41816-00[850]41822-00[861]41825-00[852]30478-12[856]41831-00[862]30478-12[856]30490-00[853]30479-00[856]smallintestine30473-00[1005]30473-01[1008]32095-00[891]30569-00[894]30478-04[1008]30478-02[1007]30478-03[1007]30478-00[1006]30568-00[893]stomach30473-00[1005]30476-03[874]30473-01[1008]30478-01[1007]30478-04[1008]30478-02[1007]30478-03[1007]30478-00[1006]30473-02[1005]largeintestine,colonoscopy,proctosigmoidoscopy,sigmoidoscopy,anoscopy32090-00[905]32090-01[911]90315-00[943]90308-00[908]32093-00[911]32084-00[905]32084-01[911]30479-02[908]32087-00[911]30479-01[930]32075-00[904]32075-01[910]32078-00[910]32081-00[910]32072-00[904]32072-01[910]32171-00[938]Miscellaneouscardiac38200-00[667]38203-00[667]38206-00[667]38212-00[665]38209-00[665]38278-00[648]38278-01[648]38284-00[648]38470-00[649]38473-00[649]38278-02[654]38456-07[654]90203-00[654]38284-00[654]38256-00[647]38256-01[647]38256-02[647]90202-00[649]90219-00[663]38253-00[652]38253-01[650]38253-02[650]38253-03[650]38253-04[650]38253-05[650]38253-06[650]38253-07[651]38253-08[651]38253-09[651]38253-10[651]38253-11[655]38253-12[655]35315-00[758]35315-01[758]35324-00[740]38603-00[642]38600-00[642]Endovascularinterventional35304-01[670]35305-00[670]35310-00[971]35310-01[671]35310-03[671]35310-04[671]35310-02[671]35310-05[671]34524-00[694]90220-00[738]35304-00[670]32500-01[722]32500-00[722]Urethroscopy36800-00[1089]36800-01[1089]37011-00[1092]37008-01[1092]37008-00[1092]37315-00[1111]37315-01[1115]37318-01[1115]36815-01[1115]37854-00[1115]37318-04[1116]35527-00[1115]DentalBlocks[450]to[490]Otherdiagnosticandnon-surgical90347-01[983]90760-00[1780]90767-00[1780]13915-00[1780]13918-00[1780]13921-00[1780]13927-00[1780]13939-00[1780]13942-00[1780]90768-00[1780]Blocks[1820]to1939],[1940]to[2016]NationalHealthDataDictionary,version9Dataelementdefinitions305ListingdateAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000082Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thedateonwhichahospitalacceptsnotificationthatapatientrequiresadmissionforelectivehospitalcare.
Context:Electivesurgery:thisitemisnecessaryforthecalculationofWaitingtimeatadmissionorWaitingtimeatacensusdate.
Datadomain:ValiddatesGuideforuse:Theacceptanceofthenotificationbythehospitalisconditionalupontheprovisionofadequateinformationaboutthepatientandtheappropriatenessofreferralofthepatienttothehospitalfortheprocedureplanned.
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementListingdate,version1isusedinconjunctionwithPatientlistingstatus,version3isusedinconjunctionwithScheduledadmissiondate,version2isusedinthecalculationofWaitingtimeatacensusdate,version1isusedinthecalculationofWaitingtimeatadmission,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:ThehospitalshouldonlyacceptapatientontothewaitinglistwhensufficientinformationhasbeenprovidedtofulfilState/Territory,localandnationalreportingrequirements.
Hospitalsmaydeclinetoacceptareferralforserviceswhichthehospitaldoesnotprovide.
Forexample,theproposedproceduremaynotbeperformedatthehospitalbecauseofalackofasuitablyqualifiedsurgeonornecessaryequipment.
NationalHealthDataDictionary,version9306DataelementdefinitionsPatientlistingstatusAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000120Versionnumber:3RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:Anindicatorofthepersonsreadinesstobegintheprocessleadingdirectlytobeingadmittedtohospitalfortheawaitedprocedure.
Apatientmaybereadyforcareornotreadyforcare.
Context:Datadomain:1Readyforcare2NotreadyforcareGuideforuse:Readyforcarepatientsarethosewhoarepreparedtobeadmittedtohospitalortobegintheprocessleadingdirectlytoadmission.
Thesecouldincludeinvestigations/proceduresdoneonanoutpatientbasis,suchasautologousbloodcollection,pre-operativediagnosticimagingorbloodtests.
Notreadyforcarepatientsarethosewhoarenotinapositiontobeadmittedtohospital.
Thesepatientsareeither:-stagedpatientswhosemedicalconditionwillnotrequireorbeamenabletosurgeryuntilsomefuturedate;forexample,apatientwhohashadinternalfixationofafracturedboneandwhowillrequireremovalofthefixationdeviceafterasuitabletime;or-deferredpatientswhoforpersonalreasonsarenotyetpreparedtobeadmittedtohospital;forexample,patientswithworkorothercommitmentswhichprecludetheirbeingadmittedtohospitalforatime.
Notreadyforcarepatientscouldbetermedstagedanddeferredwaitinglistpatients,althoughcurrentlyhealthauthoritiesmayusedifferenttermsforthesameconcepts.
Stagedanddeferredpatientsshouldnotbeconfusedwithpatientswhoseoperationispostponedforreasonsotherthantheirownunavailability;forexample,surgeonunavailable,operatingtheatretimeunavailableowingtoemergencyworkload.
Thesepatientsarestillreadyforcare.
PeriodswhenpatientsarenotreadyforcareshouldbeexcludedindeterminingWaitingtimeatadmissionandWaitingtimeatacensusdate.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementconceptHospitalwaitinglist,version1supersedespreviousdataelementPatientlistingstatus,version2isusedinconjunctionwithWaitinglistcategory,version3isaqualifierofCategoryreassignmentdate,version2NationalHealthDataDictionary,version9Dataelementdefinitions307Patientlistingstatus(continued)AdministrativeattributesSourcedocument:Sourceorganisation:HospitalAccessProgramWaitingListsWorkingGroup/WaitingTimesWorkingGroup/NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:OnlypatientsreadyforcarearetobeincludedintheNationalMinimumDataSetwaitingtimes.
Thedateswhenapatientlistingstatuschangesneedtoberecorded.
Apatientsclassificationmaychangeifheorsheisexaminedbyaclinicianduringthewaitingperiod,i.
e.
undergoesclinicalreview.
Theneedforclinicalreviewvarieswiththepatientsconditionandisthereforeatthediscretionofthetreatingclinician.
Thewaitinglistinformationsystemshouldbeabletorecorddateswhentheclassificationischanged(dataelementCategoryreassignmentdate).
AttheWaitingTimesWorkingGroupmeetingon9September1996,itwasagreedtoseparatedataelementsPatientlistingstatusandClinicalurgencyasthecombinationoftheseitemshadledtoconfusion.
NationalHealthDataDictionary,version9308DataelementdefinitionsReasonforremovalAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000142Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:Thereasonwhyapatientisremovedfromthewaitinglist.
Context:Electivesurgery:routineadmissionfortheawaitedprocedureisonlyonereasonwhypatientsareremovedfromthewaitinglist.
Eachreasonforremovalprovidesdifferentinformation.
Thesedataarenecessarytoaugmentcensusandthroughputdata.
Forexample,afteranauditthenumbersofpatientsonalistwouldbeexpectedtoreduce.
Ifanauditwereundertakenimmediatelypriortoacensusthenumbersonthelistmayappearlowandnotinkeepingwiththenumberofadditionstothelistandpatientsadmittedfromthelist.
Datadomain:1Admittedasanelectivepatientforawaitedprocedureinthishospital2Admittedasanemergencypatientforawaitedprocedureinthishospital3Couldnotbecontacted(includespatientswhohavediedwhilewaitingwhetherornotthecauseofdeathwasrelatedtotheconditionrequiringtreatment)4Treatedelsewhereforawaitedprocedure5SurgerynotrequiredordeclinedGuideforuse:Patientsundergoingtheawaitedprocedurewhilstadmittedforanotherreasonaretobecodedascode1.
Code2identifiespatientswhowereadmittedaheadoftheirnormalpositioninthequeuebecausetheconditionrequiringtreatmentdeterioratedwhilstwaiting.
Admissionasanemergencypatientcouldalsobeduetoothercausessuchasinappropriateurgencyrating,delaysinthesystem,orunpredictedbiologicalvariation.
Codes35provideanindicationoftheamountofclericalauditofthewaitinglists.
Code4givesanindicationofpatientstreatedinotherhospitalsfortheawaitedprocedure.
Theproceduremayhavebeenperformedasanemergencyorasanelectiveprocedure.
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementReasonforremoval,version1NationalHealthDataDictionary,version9Dataelementdefinitions309Reasonforremoval(continued)AdministrativeattributesSourcedocument:Sourceorganisation:HospitalAccessProgramWaitingListsWorkingGroup/WaitingTimesWorkingGroup/NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:NationalHealthDataDictionary,version9310DataelementdefinitionsPatientpresentationatEmergencyDepartmentAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000349Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:ThepresentationofapatientatanEmergencyDepartmentoccursfollowingthearrivalofthepatientattheEmergencyDepartmentandistheearliestoccasionofbeing:-registeredclerically;or-triagedContext:AdmittedpatientcareDatadomain:Guideforuse:Providedwithaservicebyatreatingmedicalofficerornurse.
(Inhospitaldatacollectionsystems,thetimeanddateofthefirstcontactwouldbeselectedfromtheearliestthreedifferentrecordedtimes.
)TheactofreceivingtreatmentintheEmergencyDepartmentislogicallyprecededbysomeformoftriageeventeitherformallyorinformally.
Forinstance,apatientmaybesocriticallyillthattheyby-passtheformaltriageprocesstoreceiveresuscitativeintervention.
However,theactofprioritisingaccesstocareaccordingtothelevelofneedhasstilloccurred.
Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:Nationalminimumdatasets:EmergencyDepartmentwaitingtimesfrom1/07/1999toComments:Thisdataelementsupportstheprovisionofunitrecordand/orsummaryleveldatabyStateandTerritoryhealthauthoritiesaspartoftheEmergencyDepartmentWaitingTimesNationalMinimumDataSet.
NationalHealthDataDictionary,version9Dataelementdefinitions311DatepatientpresentsAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000350Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYDataelementtype:DATAELEMENTDefinition:ThedayonwhichthepatientpresentsattheEmergencyDepartmentforthedeliveryofaservice.
Context:Admittedpatientcare:requiredtoidentifycommencementofavisitandforcalculationofwaitingtimes.
Datadomain:ValiddatesGuideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementAdmissiondate,version3relatestothedataelementEmergencyDepartmentwaitingtimetoservicedelivery,version1relatestothedataelementEmergencyDepartmentwaitingtimetoadmission,version1relatestothedataelementconceptPatientpresentationatEmergencyDepartment,version1relatestothedataelementTimepatientpresents,version1relatestothedataelementTypeofvisit,version1relatestothedataelementDateoftriage,version1relatestothedataelementTimeoftriage,version1relatestothedataelementTriagecategory,version1relatestothedataelementDateofserviceevent,version1relatestothedataelementTimeofserviceevent,version1relatestothedataelementAdmissiontime,version1relatestothedataelementDeparturestatus,version1NationalHealthDataDictionary,version9312DataelementdefinitionsDatepatientpresents(continued)AdministrativeattributesSourcedocument:Sourceorganisation:NationalInstitutionBasedAmbulatoryModelReferenceGroup;NHDCNationalminimumdatasets:EmergencyDepartmentwaitingtimesfrom1/07/1999toComments:Thisdataelementsupportstheprovisionofunitrecordand/orsummaryleveldatabyStateandTerritoryhealthauthoritiesaspartoftheEmergencyDepartmentWaitingTimesNationalMinimumDataSet.
NationalHealthDataDictionary,version9Dataelementdefinitions313TimepatientpresentsAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000351Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
4Max.
4Representationallayout:HHMMAdministrativeattributesDataelementtype:DATAELEMENTDefinition:ThetimeatwhichthepatientpresentsattheEmergencyDepartmentforthedeliveryofaservice.
Context:Admittedpatientcare:requiredtoidentifycommencementofavisitandforcalculationofwaitingtimes.
Datadomain:Expressedashoursandminutesusing24-hourclockGuideforuse:ThetimeofpatientpresentationattheEmergencyDepartmentistheearliestoccasionofbeingregisteredclericallyortriaged.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementAdmissiondate,version3relatestothedataelementEmergencyDepartmentwaitingtimetoservicedelivery,version1relatestothedataelementEmergencyDepartmentwaitingtimetoadmission,version1relatestothedataelementconceptPatientpresentationatEmergencyDepartment,version1relatestothedataelementDatepatientpresents,version1relatestothedataelementDateoftriage,version1relatestothedataelementTimeoftriage,version1relatestothedataelementTriagecategory,version1relatestothedataelementDateofserviceevent,version1relatestothedataelementTimeofserviceevent,version1relatestothedataelementAdmissiontime,version1Sourcedocument:Sourceorganisation:NationalInstitutionBasedAmbulatoryModelReferenceGroup;NHDCNationalminimumdatasets:EmergencyDepartmentwaitingtimesfrom1/07/1999toComments:Thisdataelementsupportstheprovisionofunitrecordand/orsummaryleveldatabyStateandTerritoryhealthauthoritiesaspartoftheEmergencyDepartmentWaitingTimesNationalMinimumDataSet.
NationalHealthDataDictionary,version9314DataelementdefinitionsTypeofvisitAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000352Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:ThereasonthepatientpresentstotheEmergencyDepartment.
Context:Admittedpatientcare:RequiredforanalysisofEmergencyDepartmentservices.
Datadomain:1Emergencypresentation:Attendanceforanactualorsuspectedconditionwhichissufficientlyseriousastorequireacuteunscheduledcare.
2Returnvisitplanned:PresentationisplannedandisaresultofapreviousEmergencyDepartmentpresentationorreturnvisit.
3Pre-arrangedadmission:ApatientwhopresentsattheEmergencyDepartmentforeitherclerical,nursingormedicalprocessestobeundertaken,andadmissionhasbeenpre-arrangedbythereferringmedicalofficerandabedallocated.
4Patientintransit:TheEmergencyDepartmentisresponsibleforcareandtreatmentofapatientawaitingtransporttoanotherinstitution5Deadonarrival:ApatientwhoisdeadonarrivalatpresentationtotheEmergencyDepartmentGuideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementAdmissiondate,version3relatestothedataelementEmergencyDepartmentwaitingtimetoservicedelivery,version1relatestothedataelementEmergencyDepartmentwaitingtimetoadmission,version1relatestothedataelementconceptPatientpresentationatEmergencyDepartment,version1relatestothedataelementDatepatientpresents,version1relatestothedataelementTimepatientpresents,version1relatestothedataelementDateoftriage,version1relatestothedataelementTimeoftriage,version1relatestothedataelementTriagecategory,version1relatestothedataelementDateofserviceevent,version1relatestothedataelementTimeofserviceevent,version1relatestothedataelementAdmissiontime,version1NationalHealthDataDictionary,version9Dataelementdefinitions315Typeofvisit(continued)AdministrativeattributesSourcedocument:Sourceorganisation:NationalInstitutionBasedAmbulatoryModelReferenceGroup;NHDCNationalminimumdatasets:EmergencyDepartmentwaitingtimesfrom1/07/1999toComments:Thisdataelementsupportstheprovisionofunitrecordand/orsummaryleveldatabyStateandTerritoryhealthauthoritiesaspartoftheEmergencyDepartmentWaitingTimesNationalMinimumDataSet.
NationalHealthDataDictionary,version9316DataelementdefinitionsSourceofreferraltopublicpsychiatrichospitalAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000150Versionnumber:3RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
2Max.
2Representationallayout:NNAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Sourcefromwhichthepersonwastransferred/referredtothepublicpsychiatrichospital.
Context:Toassistinanalysesofintersectoralpatientflowandhealthcareplanning.
Datadomain:01Privatepsychiatricpractice02Otherprivatemedicalpractice03Otherpublicpsychiatrichospital04Otherhealthcareestablishment05Otherprivatehospital06Lawenforcementagency07Otheragency08Outpatientdepartment09Other10UnknownGuideforuse:Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementSourceofreferral,version1supplementsthedataelementModeofseparation,version3Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toComments:NationalHealthDataDictionary,version9Dataelementdefinitions317PreviousspecialisedtreatmentAdmin.
status:CURRENT1/07/1999IdentifyinganddenitionalattributesKnowledgebaseID:000139Versionnumber:3RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:Whetherapatienthashadapreviousadmissionorservicecontactfortreatmentinthespecialtyareawithinwhichtreatmentisnowbeingprovided.
Context:Datadomain:1Patienthasnopreviousadmission(s)orservicecontact(s)forthespecialisedtreatmentnowbeingprovided2Patienthasprevioushospitaladmission(s)butnoservicecontact(s)forthespecialisedtreatmentnowbeingprovided3Patienthaspreviousservicecontact(s)butnohospitaladmission(s)forthespecialisedtreatmentnowbeingprovided4Patienthasbothprevioushospitaladmission(s)andservicecontact(s)forthespecialisedtreatmentnowbeingprovided5Unknown/notstatedGuideforuse:Forcodes24.
Includespatientswhohavebeenseenatanytimeinthepastwithinthespecialitywithinwhichthepatientiscurrentlybeingtreated(mentalhealthorpalliativecare),regardlessofwhetheritwaspartofthecurrentepisodeorapreviousadmission/servicecontactmanyyearsinthepast.
Usethesecodesregardlessofwhethertheprevioustreatmentwasprovidedwithintheserviceinwhichthepersonisnowbeingtreated,oranotherequivalentspecialisedservice(eitherinstitutionalorcommunity-based).
Admittedpatients,whoseonlypriorspecialisedtreatmentcontactwastheservicecontactthatreferredthepatientforadmissionshouldbecodedascategory1.
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementFirstadmissionforpsychiatrictreatment,version2relatestothedataelementconceptServicecontact,version1NationalHealthDataDictionary,version9318DataelementdefinitionsPreviousspecialisedtreatment(continued)AdministrativeattributesSourcedocument:Sourceorganisation:NationalHealthDataCommittee/NationalMentalHealthInformationStrategyCommitteeNationalminimumdatasets:Admittedpatientmentalhealthcarefrom1/07/2000toAdmittedpatientpalliativecarefrom1/07/2000toComments:Thisdataitemwasoriginallydevelopedinthecontextofmentalhealthadmittedpatientcaredatadevelopment(originallyProblemstatusandlaterFirstadmissionforpsychiatrictreatment).
Morerecentdatadevelopmentwork,particularlyintheareaofpalliativecare,ledtotheneedforthisdataitemtobere-wordedinmoregenerictermsforinclusioninotherdatasets.
Forpalliativecare,thevalueofthisdataelementisinitsuseinenablingapproximateidentificationofthenumberofnewpalliativecarepatientsreceivingspecialisedtreatment.
Theuseofthisdataelementinthiswaywouldbeimprovedbythereportingofthisdatabycommunity-basedservices.
NationalHealthDataDictionary,version9Dataelementdefinitions319ClienttypeAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000426Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thestatusofapersonintermsofwhethercontactwiththeserviceconcernstheirownalcoholand/orotherdruguseorthatofanotherperson.
Context:Alcoholandotherdrugtreatmentservices.
Requiredtodifferentiatebetweenclientstoprovideabasisfordescriptionofthepeopleaccessingalcoholandotherdrugtreatmentservices.
Datadomain:1Owndruguse2Othersdruguse3Bothownandothersdruguse9Notstated/inadequatelydescribedGuideforuse:Code1.
Aclientwhocontactsaservicetoreceivetreatmentorassistanceconcerningtheirownalcoholand/orotherdruguse.
Theseclientsaresometimesreferredtoasprimaryclients.
.
Code2.
Aclientwhocontactsaservicetoreceivesupportand/orassistanceinrelationtothealcoholand/orotherdruguseofanotherperson.
Theseclientsaresometimesreferredtoassecondaryclients.
Code3.
Aclientwhocontactsaservicetoreceivetreatmentorassistanceconcerningboththeirownalcoholand/orotherdruguseandthealcoholand/orotherdruguseofanotherperson.
Verificationrules:Collectionmethods:Tobecollectedoncommencementoftreatmentwithaservice.
Relateddata:Sourcedocument:Sourceorganisation:IntergovernmentalCommitteeonDrugsNMDS-WGNationalminimumdatasets:Alcoholandotherdrugtreatmentservicesfrom1/07/2000toComments:NationalHealthDataDictionary,version9320DataelementdefinitionsCommencementoftreatmentAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000427Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Commencementoftreatmentisthefirstservicecontactwhenassessmentand/ortreatmentoccurswiththeserviceprovider.
Context:Alcoholandotherdrugtreatmentservices.
Datadomain:Guideforuse:Aclientisidentifiedascommencingtreatmentifoneormoreofthefollowingapply:-theyareanewclient;-theyhavehadnocontactwiththeserviceforaperiodofthreemonths,norplaninplaceforfurthercontact;-theirPrincipaldrugofconcernhaschanged.
Commencementwouldnotnormallyincludeclientintakebeforeassessment,forexamplethoseclientsonwaitinglists,norwoulditincludetelephoneortriageassessmentVerificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:IntergovernmentalCommitteeonDrugsNMDS-WGNationalminimumdatasets:Alcoholandotherdrugtreatmentservicesfrom1/07/2000toComments:NationalHealthDataDictionary,version9Dataelementdefinitions321ContractestablishmentidentierAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000416Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
6Max.
6Representationallayout:NNANNNAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Theestablishmentidentifieroftheotherhospitalinvolvedinthecontractedcare.
Context:Admittedpatientcareandpublichospitalestablishments.
Datadomain:Guideforuse:Thecontractedhospitalwillrecordtheestablishmentidentifierofthecontractinghospital.
Thecontractinghospitalwillrecordtheestablishmentidentifierofthecontractedhospital.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementEstablishmentidentifierrelatestothedataelementconceptContractedhospitalcarerelatestothedataelementContracttyperelatestothedataelementContractrolerelatestothedataelementContractedcarecommencementdaterelatestothedataelementContractedcarecompletiondaterelatestothedataelementTotalcontractpatientdaysrelatestothedataelementContractprocedureflagSourcedocument:Sourceorganisation:Nationalminimumdatasets:Comments:NationalHealthDataDictionary,version9322DataelementdefinitionsContractprocedureagAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000417Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:Designationthataprocedurewasnotperformedinthishospitalbutwasperformedbyanotherhospitalasacontractedservice.
Context:Admittedpatientcare.
Datadomain:1Contractedadmittedprocedure2Contractednon-admittedprocedureOtherwiseblankGuideforuse:Proceduresperformedatanotherhospitalundercontract(HospitalB)arerecordedbybothhospitals,butflaggedbythecontractinghospitalonly(HospitalA).
Thisflagistobeusedbythecontractinghospitaltoindicateaprocedureperformedbyacontractedhospital.
Italsoindicateswhethertheprocedurewasperformedasanadmittedornon-admittedservice.
Allocationofprocedurecodesshouldnotbeaffectedbythecontractstatusofanepisode:theAustralianCodingStandardsshouldbeappliedwhencodingallepisodes.
Inparticular,procedureswhichwouldnototherwisebecodedshouldnotbecodedsolelybecausetheywereperformedatanotherhospitalundercontract.
Proceduresperformedbyahealthcareservice(i.
e.
notarecognisedhospital)shouldbecodedifappropriate.
Somejurisdictionsmayrequirethesetobeseparatelyidentifiedandtheycouldbedistinguishedfromcontractedhospitalproceduresthroughtheuseofanadditionalcodeinthecontractprocedureflagdataitem.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementconceptContractedhospitalcarerelatestothedataelementContracttyperelatestothedataelementContractrolerelatestothedataelementContractestablishmentidentifierrelatestothedataelementContractedcarecommencementdaterelatestothedataelementContractedcarecompletiondaterelatestothedataelementTotalcontractpatientdaysNationalHealthDataDictionary,version9Dataelementdefinitions323Contractprocedureag(continued)AdministrativeattributesSourcedocument:Sourceorganisation:Nationalminimumdatasets:Comments:NationalHealthDataDictionary,version9324DataelementdefinitionsContractroleAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000418Versionnumber:1RelationalandrepresentationalattributesDatatype:AlphabeticRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:AAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Identifieswhetherthehospitalisthepurchaserofhospitalcare(contractinghospital)ortheproviderofanadmittedornon-admittedservice(contractedhospital).
Context:Admittedpatientcareandpublichospitalestablishments.
Datadomain:AHospitalABHospitalBGuideforuse:HospitalAisthecontractinghospital(purchaser).
HospitalBisthecontractedhospital(provider).
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementconceptContractedhospitalcarerelatestothedataelementContracttyperelatestothedataelementContractestablishmentidentifierrelatestothedataelementContractedcarecommencementdaterelatestothedataelementContractedcarecompletiondaterelatestothedataelementTotalcontractpatientdaysrelatestothedataelementContractprocedureflagSourcedocument:Sourceorganisation:Nationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions325ContracttypeAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000419Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:ContractTypedescribesthecontractarrangementbetweenthecontractorandthecontractedhospital.
Contracttypesaredistinguishedbythephysicalmovementofthepatientbetweenthecontracting(whereapplicable)andcontractedhospitals.
Context:Admittedpatientcareandpublichospitalestablishments.
Datadomain:1ContracttypeB2ContracttypeABA3ContracttypeAB4Contracttype(A)B5ContracttypeBAGuideforuse:Thecontractinghospital(purchaser)istermedHospitalA.
Thecontractedhospital(provider)istermedHospitalB.
1ContractTypeBAhealthauthority/otherexternalpurchasercontractshospitalBforadmittedservicewhichisfundedoutsidethestandardfundingarrangements.
2ContractTypeABAPatientadmittedbyHospitalA.
HospitalAcontractsHospitalBforadmittedornon-admittedpatientservice.
PatientreturnstoHospitalAoncompletionofservicebyHospitalB.
Forexample,apatienthasahipreplacementatHospitalA,thenreceivesaftercareatHospitalB,undercontracttoHospitalA.
ComplicationsariseandthepatientreturnstoHospitalAfortheremainderofcare.
3ContractTypeABPatientadmittedbyHospitalA.
HospitalAcontractsHospitalBforadmittedornon-admittedpatientservice.
PatientdoesnotreturntoHospitalAoncompletionofservicebyHospitalB.
Forexample,apatienthasahipreplacementatHospitalAandthenreceivesaftercareatHospitalB,undercontracttoHospitalA.
PatientisseparatedfromHospitalB.
NationalHealthDataDictionary,version9326DataelementdefinitionsContracttype(continued)AdministrativeattributesGuideforuse(continued):4ContractType(A)BThiscontracttypeoccurswhereaHospitalAcontractsHospitalBforthewholeepisodeofcare.
ThepatientdoesnotattendHospitalA.
Forexample,apatientisadmittedforendoscopyatHospitalBundercontracttoHospitalA.
5ContractTypeBAHospitalAcontractsHospitalBforanadmittedpatientservicefollowingwhichthepatientmovestoHospitalAforremainderofcare.
Forexample,apatientisadmittedtoHospitalBforagastricresectionprocedureundercontracttoHospitalAandHospitalAprovidesaftercare.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementconceptContractedhospitalcarerelatestothedataelementContractrolerelatestothedataelementContractestablishmentidentifierrelatestothedataelementContractedcarecommencementdaterelatestothedataelementContractedcarecompletiondaterelatestothedataelementTotalcontractpatientdaysrelatestothedataelementContractprocedureflagSourcedocument:Sourceorganisation:Nationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions327ContractedcarecommencementdateAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000420Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thedatetheperiodofcontractedcarecommenced.
Context:Admittedpatientcare.
Datadomain:ValiddatesGuideforuse:Thisitemistobeusedbythecontractinghospitaltorecordthecommencementdateofthecontractedhospitalcareandwillbetheadmissiondateforthecontractedhospital.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementconceptContractedhospitalcarerelatestothedataelementContracttyperelatestothedataelementContractrolerelatestothedataelementContractestablishmentidentifierrelatestothedataelementContractedcarecompletiondaterelatestothedataelementTotalcontractpatientdaysrelatestothedataelementContractprocedureflagSourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9328DataelementdefinitionsContractedcarecompletiondateAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000428Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thedatetheperiodofcontractedcarecommenced.
Context:Admittedpatientcare.
Datadomain:ValiddatesGuideforuse:Thisitemistobeusedbythecontractinghospitaltorecordthecommencementdateofthecontractedhospitalcareandwillbetheadmissiondateforthecontractedhospital.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementconceptContractedhospitalcarerelatestothedataelementContracttyperelatestothedataelementContractrolerelatestothedataelementContractestablishmentidentifierrelatestothedataelementContractedcarecompletiondaterelatestothedataelementTotalcontractpatientdaysrelatestothedataelementContractprocedureflagSourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions329ContractedhospitalcareAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000337Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:Dataelementtype:DATAELEMENTCONCEPTDefinition:Contractedhospitalcareisprovidedtoapatientunderanagreementbetweenapurchaserofhospitalcare(contractinghospitalorexternalpurchaser)andaproviderofanadmittedornon-admittedservice(contractedhospital).
Context:Admittedpatientcare.
Datadomain:ValiddatesGuideforuse:Relatedcontractedhospitalcaredataitemsshouldonlybecompletedwhereservicesareprovidedwhichrepresentsome,butnotallofthecontractedhospital'stotalservices.
Itisnotnecessarytocompletecontractedhospitalcaredataitemswhereallofthehospitalservicesarecontractedbyahealthauthority,e.
g.
privatelyownedand/oroperatedpublichospitals.
Contractedhospitalcaremustinvolveallofthefollowing:-apurchaser,whichcanbeapublicorprivatehospital,orahealthauthority(DepartmentorRegion)oranotherexternalpurchaser;and-acontractedhospital,whichcanbeapublicorprivatehospitalordayprocedurecentre;and-thepurchaserpayingthecontractedhospitalforthecontractedservice.
Thus,servicesprovidedtoapatientinaseparatefacilityduringtheirepisodeofcare,wherethepatientisdirectlyresponsibleforpaymentofthisadditionalservice,arenotconsideredcontractedservicesforreportingpurposes;and-thepatientbeingphysicallypresentinthecontractedhospitalfortheprovisionofthecontractedservice.
Thus,pathologyorotherinvestigationsperformedatanotherlocationonspecimensgatheredatthecontractinghospitalwouldnotbeconsideredcontractedservicesforreportingpurposes.
Allocationofdiagnosisandprocedurecodesshouldnotbeaffectedbythecontractstatusofanepisode:theAustralianCodingStandardsshouldbeappliedwhencodingallepisodes.
Inparticular,procedureswhichwouldnototherwisebecodedshouldnotbecodedsolelybecausetheywereperformedatanotherhospitalundercontract.
Proceduresperformedbyahealthcareservice(i.
e.
notarecognisedhospital)shouldbecodedifappropriatebutarenotconsideredtobecontractedhospitalprocedures.
AnyDRGderivedforepisodesinvolvingcontractedhospitalcare,shouldreflectthetotaltreatmentprovided(allpatientdaysandprocedures),evenwherepartofthetreatmentwasprovidedundercontractbyanotherhospital.
NationalHealthDataDictionary,version9330DataelementdefinitionsContractedhospitalcare(continued)AdministrativeattributesVerificationrules:Collectionmethods:Relateddata:relatestothedataelementContracttyperelatestothedataelementContractrolerelatestothedataelementContractestablishmentidentifierrelatestothedataelementContractedcarecommencementdaterelatestothedataelementContractedcarecompletiondaterelatestothedataelementTotalcontractpatientdaysrelatestothedataelementContractprocedureflagSourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions331DateofcommencementoftreatmentAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000430Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Dateonwhichcommencementoftreatmentoccurs.
Context:Alcoholandotherdrugtreatmentservices.
Requiredtoidentifythecommencementoftreatmentinaservice.
Datadomain:ValiddatesGuideforuse:Thefirstdateoftreatmentisthefirstservicecontactwhenassessmentand/ortreatmentoccurs.
Verificationrules:MustbelessthanorequaltotheDateofcessationoftreatment.
Collectionmethods:Relateddata:relatestothedataelementconceptCommencementoftreatment,version1Sourcedocument:Sourceorganisation:IntergovernmentalCommitteeonDrugsNMDS-WGNationalminimumdatasets:Alcoholandotherdrugtreatmentservicesfrom1/07/2000toComments:NationalHealthDataDictionary,version9332DataelementdefinitionsSourceofreferraltoalcoholandotherdrugtreatmentserviceAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000444Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
2Representationallayout:NNDataelementtype:DATAELEMENTDefinition:Thesourcefromwhichthepersonwastransferredorreferredcarebythealcoholandotherdrugtreatmentservice.
Context:Alcoholandotherdrugtreatmentservices.
Sourceofreferralisimportantinassistingintheanalysesofinter-sectoralpatient/clientflowandforhealthcareplanning.
Datadomain:1Self2Familymember/friend3Generalpractitioner4Medicalspecialist5Psychiatrichospital6Otherhospital7Residentialcommunitymentalhealthcareunit8Residentialalcoholandotherdrugtreatment/careunit9Otherresidentialcommunitycareunit10Non-residentialmedicaland/oralliedhealthcareagency11Non-residentialcommunitymentalhealthcareagencyoroutpatientclinic12Non-residentialalcoholandotherdrugtreatmentagencyoroutpatientclinic13Othernon-residentialcommunityhealthcareagencyoroutpatientclinic14Othercommunityserviceagency15Communitybasedcorrections16Policediversion17Courtdiversion18Other99Notstated/inadequatelydescribedGuideforuse:3Generalpractitionerincludesvocationallyregisteredgeneralpractitioners,vocationallyregisteredgeneralpractitionertraineesandotherprimary-caremedicalpractitionersinprivatepractice4Includesspecialistsinprivatepractice.
Includespublicandprivatehospitals,hospitalsspecialisingindental,ophthalmicaidsandotherspecialisedmedicalorsurgicalcare,satelliteunitsmanagedandstaffedbyahospital,EmergencyDepartmentsofhospitals,andMothercrafthospitals.
Excludesoutpatientclinics(whichshouldbecodedto1417),Non-residentialcommunityhealthcareagenciesoroutpatientclinics.
NationalHealthDataDictionary,version9Dataelementdefinitions333Sourceofreferraltoalcoholandotherdrugtreatmentservice(continued)AdministrativeattributesGuideforuse(continued):79Includessettingsinwhichpersonsresidetemporarilyatanaccommodationunitprovidingsupport,non-acutecareandotherservicestopeoplewithparticularpersonal,socialorbehaviouralproblems.
Includesmentalhealthcareunitsforpeoplewithseverementalillnessorseverepsychosocialdisabilityanddrugandalcoholresidentialtreatmentunits.
10Non-residentialservicecentresthatoperatearangeofmedicaland/oralliedhealthservicesfromacentre-basedestablishment,includingblooddonationcentres,breast-screeningclinics,dentalclinics,generalmedicalcentres,HIVorAIDSclinics,sexualhealthclinics;dayprocedurecentresorfacilities,Aboriginalmedicalcentres.
Excludesanyoftheaboveoperatingfromhospitaloutpatientclinics,whichshouldbecodedto17Othernon-residentialcommunityhealthcareagencyoroutpatientclinic.
1113Non-residentialcentre-basedestablishmentsprovidingarangeofcommunitybasedhealthservices,includingcommunityhealthcentres,familyplanningcentres,maternalandchildhealthcentres,migrantwomenshealthcentres,multipurposehealthcentres.
14IncludesHomeandCommunityCareagencies,AgedCareAssessmentTeams,agenciesprovidingcareorassistancetopersonsintheirownhomes,childcarecentres/pre-schoolsorkindergartens,communitycentres,familysupportservices,domesticviolenceandincestresourcecentresorservices,Aboriginalcooperatives.
Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:Nationalminimumdatasets:Alcoholandotherdrugtreatmentservicesfrom1/07/2000toComments:AworkinggroupoftheNationalHealthDataCommitteewillbeconvenedtodeveloptheSourceofreferraldataelementforuseinallsettings,forusebyJuly2001.
NationalHealthDataDictionary,version9334NationalHealthInformationModelentitiesNationalHealthDataDictionary,version9Dataelementdefinitions335AcutecareepisodeforadmittedpatientsAdmin.
status:CURRENT1/07/1995IdentifyinganddenitionalattributesKnowledgebaseID:000004Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Anepisodeofacutecareforanadmittedpatientisoneinwhichtheprincipalclinicalintentistodooneormoreofthefollowing:-managelabour(obstetric);-cureillnessorprovidedefinitivetreatmentofinjury;-performsurgery;-relievesymptomsofillnessorinjury(excludingpalliativecare);-reduceseverityofillnessorinjury;-protectagainstexacerbationand/orcomplicationofanillnessand/orinjurywhichcouldthreatenlifeornormalfunctions;-performdiagnosticortherapeuticprocedures.
Context:AdmittedpatientcareDatadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementCaretype,version4Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toComments:NationalHealthDataDictionary,version9336DataelementdefinitionsCaretypeAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000168Versionnumber:4RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
3Max.
4Representationallayout:(N)N.
NDataelementtype:DATAELEMENTDefinition:Thecaretypedefinestheoverallnatureofaclinicalserviceprovidedtoanadmittedpatientduringanepisodeofcare(admittedcare),orthetypeofserviceprovidedbythehospitalforboardersorposthumousorganprocurement(othercare).
Context:Admittedpatientcareandhospitalactivity.
Foradmittedpatients,thetypeofcarereceivedwilldeterminetheappropriatecasemixclassificationemployedtoclassifytheepisodeofcare.
Datadomain:Admittedcare:1.
0Acutecare2.
0RehabilitationcareOptional2.
1Rehabilitationcaredeliveredinadesignatedunit2.
2Rehabilitationcareaccordingtoadesignatedprogram2.
3Rehabilitationcareistheprincipalclinicalintent3.
0PalliativecareOptional3.
1Palliativecaredeliveredinadesignatedunit3.
2Palliativecareaccordingtoadesignatedprogram3.
3Palliativecareistheprincipalclinicalintent4.
0Geriatricevaluationandmanagement5.
0Psychogeriatriccare6.
0Maintenancecare7.
0Newborncare8.
0OtheradmittedpatientcareOthercare:9.
0Organprocurementposthumous10.
0HospitalboarderGuideforuse:Personswithmentalillnessmayreceiveanyoneofthecaretypes(exceptnewbornandorganprocurement).
Classificationdependsontheprincipalclinicalintentofthecarereceived.
NationalHealthDataDictionary,version9Dataelementdefinitions337Caretype(continued)Guideforuse(continued):Admittedcarecanbeoneofthefollowing:1.
0Acutecareiscareinwhichtheclinicalintentortreatmentgoalisto:-managelabour(obstetric);-cureillnessorprovidedefinitivetreatmentofinjury;-performsurgery;-relievesymptomsofillnessorinjury(excludingpalliativecare);-reduceseverityofanillnessorinjury;-protectagainstexacerbationand/orcomplicationofanillnessand/orinjurywhichcouldthreatenlifeornormalfunction;and/or-performdiagnosticortherapeuticprocedures.
2.
0Rehabilitationcareiscareinwhichtheclinicalintentortreatmentgoalistoimprovethefunctionalstatusofapatientwithanimpairment,disabilityorhandicap.
Itisusuallyevidencedbyamulti-disciplinaryrehabilitationplancomprisingnegotiatedgoalsandindicativetimeframeswhichareevaluatedbyaperiodicassessmentusingarecognisedfunctionalassessmentmeasure.
Itincludescareprovided:-inadesignatedrehabilitationunit(code2.
1),or-inadesignatedrehabilitationprogram,orinapsychiatricrehabilitationprogramasdesignatedbythestatehealthauthorityforpublicpatientsinarecognisedhospital,forprivatepatientsinapublicorprivatehospitalasapprovedbyaregisteredhealthbenefitsorganisation(code2.
2),or-undertheprincipalclinicalmanagementofarehabilitationphysicianor,intheopinionofthetreatingdoctor,whentheprincipalclinicalintentofcareisrehabilitation(code2.
3).
Optional2.
1Adesignatedrehabilitationcareunit(code2.
1)isadedicatedwardorunit(andcanbeastand-aloneunit)thatreceivesidentifiedfundingforrehabilitationcareand/orprimarilydeliversrehabilitationcare.
2.
2Inadesignatedrehabilitationcareprogram(code2.
2),careisdeliveredbyaspecialisedteamofstaffwhoproviderehabilitationcaretopatientsinbedsthatmayormaynotbededicatedtorehabilitationcare.
Theprogrammay,ormaynotbefundedthroughidentifiedrehabilitationcarefunding.
code2.
1shouldbeusedinsteadofcode2.
2ifcareisbeingdeliveredinadesignatedrehabilitationcareprogramandadesignatedrehabilitationcareunit.
2.
3Rehabilitationasprincipalclinicalintent(code2.
3)occurswhenthepatientisprimarilymanagedbyamedicalpractitionerwhoisaspecialistinrehabilitationcareorwhen,intheopinionofthetreatingmedicalpractitioner,thecareprovidedisrehabilitationcareevenifthedoctorisnotarehabilitationcarespecialist.
Theexceptiontothisiswhenthemedicalpractitionerisprovidingcarewithinadesignatedunitoradesignatedprogram,inwhichcasecode2.
1or2.
2shouldbeused,respectively.
NationalHealthDataDictionary,version9338DataelementdefinitionsCaretype(continued)Guideforuse(continued):3.
0Palliativecareiscareinwhichtheclinicalintentortreatmentgoalisprimarilyqualityoflifeforapatientwithanactive,progressivediseasewithlittleornoprospectofcure.
Itisusuallyevidencedbyaninterdisciplinaryassessmentand/ormanagementofthephysical,psychological,emotionalandspiritualneedsofthepatient;andagriefandbereavementsupportserviceforthepatientandtheircarers/family.
Itincludescareprovided:-inapalliativecareunit(code3.
1);or-inadesignatedpalliativecareprogram(code3.
2);or-undertheprincipalclinicalmanagementofapalliativecarephysicianor,intheopinionofthetreatingdoctor,whentheprincipalclinicalintentofcareispalliation(code3.
3).
Optional3.
1Adesignatedpalliativecareunit(code3.
1)isadedicatedwardorunit(andcanbeastand-aloneunit)thatreceivesidentifiedfundingforpalliativecareand/orprimarilydeliverspalliativecare.
3.
2Inadesignatedpalliativecareprogram(code3.
2),careisdeliveredbyaspecialisedteamofstaffwhoprovidepalliativecaretopatientsinbedsthatmayormaynotbededicatedtopalliativecare.
Theprogrammay,ormaynotbefundedthroughidentifiedpalliativecarefunding.
code3.
1shouldbeusedinsteadofcode3.
2ifcareisbeingdeliveredinadesignatedpalliativecareprogramandadesignatedpalliativecareunit.
3.
3Palliativecareasprincipalclinicalintent(code3.
3)occurswhenthepatientisprimarilymanagedbyamedicalpractitionerwhoisaspecialistinpalliativecareorwhen,intheopinionofthetreatingmedicalpractitioner,thecareprovidedispalliativecareevenifthedoctorisnotapalliativecarespecialist.
Theexceptiontothisiswhenthemedicalpractitionerisprovidingcarewithinadesignatedunitoradesignatedprogram,inwhichcasecode3.
1or3.
2shouldbeused,respectively.
Forexample,code3.
3wouldapplytoapatientdyingofcancerwhowasbeingtreatedinageriatricwardwithoutspecialistinputbypalliativecarestaff.
4.
0Geriatricevaluationandmanagementiscareinwhichtheclinicalintentortreatmentgoalistomaximisehealthstatusand/oroptimisethelivingarrangementsforapatientwithmulti-dimensionalmedicalconditionsassociatedwithdisabilitiesandpsychosocialproblems,whoisusually(butnotalways)anolderpatient.
Thismayalsoincludeyoungeradultswithclinicalconditionsgenerallyassociatedwitholdage.
Thiscareisusuallyevidencedbymulti-disciplinarymanagementandregularassessmentsagainstamanagementplanthatisworkingtowardsnegotiatedgoalswithinindicativetimeframes.
Geriatricevaluationandmanagementincludescareprovided:-inageriatricevaluationandmanagementunit;or-inadesignatedgeriatricevaluationandmanagementprogram;or-undertheprincipalclinicalmanagementofageriatricevaluationandmanagementphysicianor,intheopinionofthetreatingdoctor,whentheprincipalclinicalintentofcareisgeriatricevaluationandmanagement.
NationalHealthDataDictionary,version9Dataelementdefinitions339Caretype(continued)Guideforuse(continued):5.
0Psychogeriatriccareiscareinwhichtheclinicalintentortreatmentgoalisimprovementinhealth,modificationofsymptomsandenhancementinfunction,behaviourand/orqualityoflifeforapatientwithanage-relatedorganicbrainimpairmentwithsignificantbehaviouralorlateonsetpsychiatricdisturbanceoraphysicalconditionaccompaniedbyseverepsychiatricorbehaviouraldisturbance.
Thecareisusuallyevidencedbymulti-disciplinarymanagementandregularassessmentsagainstamanagementplanthatisworkingtowardsnegotiatedgoalswithinindicativetimeframes.
Itincludescareprovided:-inapsychogeriaticcareunit;-inadesignatedpsychogeriaticcareprogram;or-undertheprincipalclinicalmanagementofapsychogeriaticphysicianor,intheopinionofthetreatingdoctor,whentheprincipalclinicalintentofcareispsychogeriaticcare.
6.
0Maintenancecareiscareinwhichtheclinicalintentortreatmentgoalispreventionofdeteriorationinthefunctionalandcurrenthealthstatusofapatientwithadisabilityorsevereleveloffunctionalimpairment.
Followingassessmentortreatmentthepatientdoesnotrequirefurthercomplexassessmentorstabilisation,andrequirescareoveranindefiniteperiod.
Thiscareincludesthatprovidedtoapatientwhowouldnormallyreceivecareinanothersettinge.
g.
athome,orinanursinghome,byarelativeorcarer,thatisunavailableintheshortterm.
7.
0Newborncareisinitiatedwhenthepatientisborninhospitalorisninedaysoldorlessatthetimeofadmission.
Newborncarecontinuesuntilthecaretypechangesorthepatientisseparated:-patientswhoturn10daysofageanddonotrequireclinicalcareareseparatedand,iftheyremaininthehospital,aredesignatedasboarders;-patientswhoturn10daysofageandrequireclinicalcarecontinueinanewbornepisodeofcareuntilseparated.
-patientsagedlessthan10daysandnotadmittedatbirth(e.
g.
transferredfromanotherhospital)areadmittedwithnewborncaretype;-patientsagedgreaterthan9daysnotpreviouslyadmitted(e.
g.
transferredfromanotherhospital)areeitherboardersoradmittedwithanacutecaretype;-withinanewbornepisodeofcare,untilthebabyturns10daysofage,eachdayiseitheraqualifiedorunqualifiedday.
-anewbornisqualifiedwhenitmeetsatleastoneofthecriteriadetailedinNewbornqualificationstatus.
Withinanewbornepisodeofcare,eachdayafterthebabyturns10daysofageiscountedasaqualifiedpatientday.
Newbornqualifieddaysareequivalenttoacutedaysandmaybedenotedassuch.
8.
0Otheradmittedpatientcareiscarewheretheprincipalclinicalintentdoesnotmeetthecriteriaforanyoftheabove.
NationalHealthDataDictionary,version9340DataelementdefinitionsAdministrativeattributesCaretype(continued)Guideforuse(continued):Othercarecanbeoneofthefollowing:9.
0Organprocurementposthumousistheprocurementofhumantissueforthepurposeoftransplantationfromadonorwhohasbeendeclaredbraindead.
Diagnosesandproceduresundertakenduringthisactivity,includingmechanicalventilationandtissueprocurement,shouldberecordedinaccordancewiththerelevantICD-10-AMAustralianCodingStandards.
Thesepatientsarenotadmittedtothehospitalbutareregisteredbythehospital.
10.
0Hospitalboarderisapersonwhoisreceivingfoodand/oraccomodationbutforwhomthehospitaldoesnotacceptresponsibilityfortreatmentand/orcare.
Hospitalboardersarenotadmittedtothehospital.
However,ahospitalmayregisteraboarder.
Babiesinhospitalatage9daysoflesscannotbeboarders.
Theyareadmittedpatientswitheachdayofstaydeemedtobeeitherqualifiedorunqualified.
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementTypeofepisodeofcare,version3isusedinconjunctionwithNewbornqualificationstatus,version2isusedinconjunctionwithNumberofqualified)daysfornewborns,version2Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toAdmittedpatientmentalhealthcarefrom1/07/2000toAdmittedpatientpalliativecarefrom1/07/2000toComments:Unqualifiednewborndays(andseparationsconsistingentirelyofunqualifiednewborndaysarenottobecountedundertheAustralianHealthCareAgreementsandtheyareineligibleforhealthinsurancebenefitpurposes.
NationalHealthDataDictionary,version9Dataelementdefinitions341ClinicalinterventionAdmin.
status:CURRENT1/07/1999IdentifyinganddenitionalattributesKnowledgebaseID:000399Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:Dataelementtype:DATAELEMENTCONCEPTDefinition:Aninterventioncarriedouttoimprove,maintainorassessthehealthofaperson,inaclinicalsituation.
Clinicalinterventionsincludeinvasiveandnon-invasiveprocedures,andcognitiveinterventions.
Invasive:(a)Therapeuticinterventionswherethereisadisruptionoftheepitheliallininggenerally,butnotexclusively,withanimpliedclosureofanincision(e.
g.
operationssuchascholecystectomyoradministrationofachemotherapeuticdrugthroughavascularaccessdevice);(b)Diagnosticinterventionswhereanincisionisrequiredand/orabodycavityisentered(e.
g.
laparoscopywith/withoutbiopsy,bonemarrowaspiration).
Non-invasive:Therapeuticordiagnosticinterventionsundertakenwithoutdisruptionofanepitheliallining(e.
g.
lithotripsy,hyperbaricoxygenation;alliedhealthinterventionssuchashydrotherapy;diagnosticinterventionsnotrequiringanincisionorentryintoabodypartsuchaspelvicultrasound,diagnosticimaging).
Cognitive:Aninterventionwhichrequirescognitiveskillssuchasevaluating,advising,planning(e.
g.
dietaryeducation,physiotherapyassessment,crisisintervention,bereavementcounselling).
Context:Healthservices:Informationaboutthesurgicalandnon-surgicalinterventionsprovidesthebasisforanalysisofhealthserviceusage,especiallyinrelationtospecialisedresources,forexampletheatresandequipmentorhumanresources.
Datadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:NationalHealthDataDictionary,version9342DataelementdefinitionsClinicalintervention(continued)AdministrativeattributesSourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:ClassificationandcodingsystemsforproceduresincludetheInternationalStatisticalClassificationofDiseasesandRelatedHealthProblems10thRevisionAustralianModification,1998(ICD-10-AM)andtheInternationalClassificationofPrimaryCare(1987).
NationalHealthDataDictionary,version9Dataelementdefinitions343ProcedureAdmin.
status:CURRENT1/07/1999IdentifyinganddenitionalattributesKnowledgebaseID:000137Versionnumber:5RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
7Max.
7Representationallayout:NNNNN-NNDataelementtype:DATAELEMENTDefinition:Aclinicalinterventionthat:-issurgicalinnature;and/or-carriesaproceduralrisk;and/or-carriesananaestheticrisk;and/or-requiresspecialisedtraining;and/or-requiresspecialfacilitiesorequipmentonlyavailableinanacutecaresetting.
Context:Thisitemgivesanindicationoftheextenttowhichspecialisedresources,forexample,humanresources,theatresandequipment,areused.
Italsoprovidesanestimateofthenumbersofsurgicaloperationsperformedandtheextenttowhichparticularproceduresareusedtoresolvemedicalproblems.
ItisusedforclassificationofepisodesofacutecareforadmittedpatientsintoAustralianRefinedDiagnosisRelatedGroups.
Datadomain:Guideforuse:Admittedpatients:recordallproceduresundertakenduringanepisodeofcareinaccordancewiththeICD-10-AMAustralianCodingStandards.
Theorderofcodesshouldbedeterminedusingthefollowinghierarchy:-procedureperformedfortreatmentoftheprincipaldiagnosis-procedureperformedforthetreatmentofanadditionaldiagnosis-diagnostic/exploratoryprocedurerelatedtotheprincipaldiagnosis;or-diagnostic/exploratoryprocedurerelatedtoanadditionaldiagnosisfortheepisodeofcare.
ThefirsteditionofICD-10-AM,theAustralianmodificationofICD-10,waspublishedbytheNationalCentreforClassificationinHealthandimplementedfromJuly1998.
ThesecondeditionwillbepublishedforusefromJuly2000.
Verificationrules:AsaminimumrequirementprocedurecodesmustbevalidcodesfromICD-10-AMprocedurecodesandvalidatedagainstthenationallyagreedageandsexedits.
MoreextensiveeditcheckingofcodesmaybeutilisedwithinindividualhospitalsandStateandTerritoryinformationsystems.
NationalHealthDataDictionary,version9344DataelementdefinitionsProcedure(continued)AdministrativeattributesCollectionmethods:RecordandcodeallproceduresundertakenduringtheepisodeofcareinaccordancewiththeICD-10-AMAustralianCodingStandards.
Anunlimitednumberofdiagnosisandprocedurecodesshouldbeabletobecollectedinhospitalmorbiditysystems.
Wherethisisnotpossible,aminimumof20codesshouldbeabletobecollected.
Proceduresarederivedfromandmustbesubstantiatedbyclinicaldocumentation.
Relateddata:supersedespreviousdataelementPrincipalprocedureICD-9-CMcode,version3supersedespreviousdataelementAdditionalproceduresICD-9-CMcode,version3isusedinconjunctionwithIndicatorprocedure,version3isqualifiedbyPrincipaldiagnosis,version3isqualifiedbyAdditionaldiagnosis,version4supersedespreviousdataelementPrincipalprocedureICD-10-AMcode,version4supersedespreviousdataelementAdditionalproceduresICD-10-AMcode,version4Sourcedocument:InternationalStatisticalClassificationofDiseasesandRelatedHealthProblems10thRevisionAustralianModification,2ndedition(July2000);NationalCentreforClassificationinHealth,Sydney.
Sourceorganisation:NationalCentreforClassificationinHealth,NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/1999toComments:TheNationalCentreforClassificationinHealthadvisestheNationalHealthDataCommitteeofrelevantchangestotheICD-10-AM.
NationalHealthDataDictionary,version9Dataelementdefinitions345IndicatorprocedureAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000073Versionnumber:3RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
2Max.
2Representationallayout:NNDataelementtype:DATAELEMENTDefinition:Anindicatorprocedureisaprocedurewhichisofhighvolume,andisoftenassociatedwithlongwaitingperiods.
Context:Waitingliststatisticsforindicatorproceduresgiveaspecificindicationofperformanceinparticularareasofelectivecareprovision.
Itisnotalwayspossibletocodeallelectivesurgeryproceduresatthetimeofadditiontothewaitinglist.
Reasonsforthisincludethatthesurgeonmaybeuncertainoftheexactproceduretobeperformed,andthatthelargenumberofprocedurespossibleandlackofconsistentnomenclaturewouldmakecodingerrorslikely.
Furthermore,theincreaseinworkloadforclericalstaffmaynotbeacceptable.
However,arelativelysmallnumberofproceduresaccountforthebulkoftheelectivesurgeryworkload.
Therefore,alistofcommonprocedureswithatendencytolongwaitingtimesisuseful.
Waitingtimestatisticsbyprocedureareusefultopatientsandreferringdoctors.
Inaddition,waitingtimedatabyprocedureassistsinplanningandresourceallocation,auditandperformancemonitoring.
Datadomain:01Cataractextraction02Cholecystecomy03Coronaryarterybypassgraft04Cystoscopy05Haemorrhoidectomy06Hysterectomy07Inguinalherniorrhaphy08Myringoplasty09Myringotomy10Prostatectomy11Septoplasty12Tonsillectomy13Totalhipreplacement14Totalkneereplacement15Varicoseveinsstrippingandligation16NotapplicableGuideforuse:TheseproceduretermsaredefinedbytheICD-10-AM,2ndedition(July2000)codeswhicharelistedincommentsbelow.
Whereapatientisawaitingmorethanoneindicatorprocedure,allcodesshouldbelisted.
Thisisbecausetheintentionistocountproceduresratherthanpatientsinthisinstance.
NationalHealthDataDictionary,version9346DataelementdefinitionsIndicatorprocedure(continued)AdministrativeattributesGuideforuse(continued):Theseareplannedproceduresforthewaitinglist,notwhatisactuallyperformedduringhospitalisation.
Verificationrules:Zerofilled,rightjustified.
Collectionmethods:Relateddata:supersedespreviousdataelementIndicatorprocedureICD-9-CMcode,version2supplementsthedataelementWaitinglistcategory,version3isusedinconjunctionwithProcedure,version5Sourcedocument:InternationalStatisticalClassificationofDiseasesandRelatedHealthProblems10thRevisionAustralianModification,2ndedition(July2000)NationalCentreforClassificationinHealth,Sydney.
Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:Thelistofindicatorproceduresmaybereviewedfromtimetotime.
Somehealthauthoritiesalreadycodealargernumberofwaitinglistprocedures.
ICD-10-AMcodes.
Cataractextraction42698-00[195]42702-00[195]42702-01[195]42698-01[196]42702-02[196]42702-03[196]42698-02[197]42702-04[197]42702-05[197]42698-03[198]42702-06[198]42702-07[198]42698-04[199]42702-08[199]42702-09[199]42731-01[200]42698-05[200]42702-10[200]42722-00[201]42734-00[201]42788-00[201]42719-00[201]42731-00[201]42719-02[201]42791-02[201]42702-11[200]42716-00[202]42702-11[200]42719-00[201]42722-00[201]Cholecystectomy30443-00[965]30454-01[965]30455-00[965]30445-00[965]30446-00[965]30448-00[965]30449-00[965]CABG38497-00[672]38497-01[672]39497-02[672]38497-03[672]38497-04[673]38497-05[673]38497-06[673]39497-07[673]38500-00[674]38503-00[674]38500-01[675]38503-01[675]38500-02[676]38503-02[676]38500-03[677]38503-03[677]38500-04[678]38503-04[678]90201-00[679]90201-01[679]90201-02[679]90201-03[679]Cystoscopy36812-00[1088]36812-01[1088]36836-00[1097]Haemorrhoidectomy32138-00[949]32132-00[949]92135-00[949]32135-01[949]NationalHealthDataDictionary,version9Dataelementdefinitions347Indicatorprocedure(continued)Comments(continued):Hysterectomy35653-00[1268]35653-01[1268]35653-02[1268]35653-03[1268]35661-00[1268]35670-00[1268]35667-00[1268]35664-00[1268]35657-00[1269]35750-00[1269]35756-00[1269]35673-00[1269]35673-01[1269]35753-00[1269]35753-01[1269]35756-01[1269]35756-02[1269]35667-01[1269]35664-01[1269]90450-00[989]90450-01[989]90450-02[989]Inguinalherniarrhaphy30614-03[990]30615-00[997]30609-03[990]30614-02[99030609-02[990]Myringoplasty41527-00[313]41530-00[313]41533-01[313]41542-00[315]41635-10[313]Myringotomy41626-00[309]31626-01[309]41632-00[309]41632-01[309]Prostatectomy37203-00[1165]37203-01[1165]37203-02[1165]37207-00[1166]37207-01[1166]37200-00[1166]37200-01[1166]37203-05[1166]37203-06[1166]37200-03[1167]37200-04[1167]37209-00[1167]37200-05[1167]90407-00[1168]36839-03[1162]36869-01[1162]Septoplasty41672-02[379]41679-03[379]41671-00[378]Tonsillectomy41789-00[412]41789-01[412]Totalhipreplacement49318-00[1489]49319-00[1489]49324-00[1492]49327-00[1492]49330-00[1492]49333-00[1492]49345-00[1492]49346-00[1492]Totalkneereplacement49518-00[1518]49519-00[1518]49521-00[1519]49521-01[1519]49521-02[1519]49521-03[1519]49524-00[1519]49524-01[1519]49527-00[1524]49530-00[1523]49530-01[1523]49533-00[1523]49554-00[1523]49534-00[1519]49517-00[1518]Varicoseveins32508-00[727]32508-01[727]32511-00[727]32504-01[728]32505-00[728]32514-00[737]NationalHealthDataDictionary,version9348DataelementdefinitionsDateofrstdeliveryofserviceAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000038Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYDataelementtype:DATAELEMENTDefinition:Thedateoffirstdeliveryofservicetoapersoninanon-institutionalsetting.
Thedefinitionexcludes:-visitsmadetopersonsininstitutionalsettingssuchasliaisonvisitsordischargeplanningvisits,madeinahospitalornursinghome,withtheintentofplanningforthefuturedeliveryofcommunity-basedservices;-firstvisitswherethereisnocontactwiththeperson,suchasafirstvisitwhereno-oneisathome.
-telephone,letterorothersuchcontactsmadewiththepersonpriortothefirsthomevisit.
Insituationswherethefirstdeliveryofservicedeterminesthatnofuturevisitneedstobemade,theDateoffirstDeliveryofserviceandtheDateoflastdeliveryofservicewillbethesame.
Context:TheDateoffirstdeliveryofserviceisusedfortheanalysisoftimeperiodswithinacareepisodeandtolocatethatepisodeintime.
Thedaterelatestothefirstdeliveryofformalserviceswithinthecommunitysetting.
Datadomain:ValiddatesGuideforuse:Verificationrules:ThisdatemayoccuronthesamedayorpriortotheDateoflastdeliveryofservice,butmustneveroccurafterthatdatewithinthecurrentepisodeofcare.
ThedatemaybethesameastheDateoffirstcontact.
Collectionmethods:Aslongascontactismadewiththepersoninanon-institutionalsetting,theDateoffirstdeliveryofservicemustberecorded.
Normallythiswillbethefirsthomeorclinicvisitandisthedatemostoftenreferredtoinaserviceagencyastheadmission.
Thisdateapplieswhetherapersonisbeingadmittedforthefirsttime,orisbeingre-admittedforcare.
Relateddata:supersedespreviousdataelementDateoffirstcommunitynursingvisit,version1relatestothedataelementDateoffirstdeliveryofservice,version2NationalHealthDataDictionary,version9Dataelementdefinitions349Dateofrstdeliveryofservice(continued)AdministrativeattributesSourcedocument:Sourceorganisation:AustralianCouncilofCommunityNursingServicesNationalminimumdatasets:Comments:Thisdatemarksthemoststandardevent,whichoccursatthebeginningofanepisodeofcareincommunitysetting.
ItshouldnotbeconfusedwiththeDateoffirstcontactwithacommunitynursingservice;althoughtheycouldbethesame,thedatesforbothitemsmustberecorded.
AgenciesprovidinghospitalintheHomeservicesshoulddeveloptheirownmethodofdistinguishingbetweentheperiodthepersonremainsaformalpatientofthehospital,withfundingtoreceiveservicesathome,andthedischargeofthepersonintothecareofthecommunityservice.
NationalHealthDataDictionary,version9350DataelementdefinitionsDateofserviceeventAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000356Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thedayonwhichthedeliveryofaservicecommences.
Theserviceisdefinedascommencingwhenamedicalofficer(or,ifnomedicalofficerisondutyintheEmergencyDepartment,atreatingnurse)firsttakesresponsibilityforthepatientscare.
Thecommencementofassessmentofthepatientbythemedicalofficerisincludedastakingresponsibilityforcare.
Context:Admittedpatientcare:Requiredtoidentifythecommencementoftheserviceandcalculationofwaitingtimes.
Datadomain:ValiddatesGuideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementEmergencyDepartmentwaitingtimetoservicedelivery,version1relatestothedataelementconceptPatientpresentationatEmergencyDepartment,version1relatestothedataelementTimeofserviceevent,version1Sourcedocument:Sourceorganisation:NationalInstitutionBasedAmbulatoryModelReferenceGroup;NHDCNationalminimumdatasets:EmergencyDepartmentwaitingtimesfrom1/07/1999toComments:Thisdataelementsupportstheprovisionofunitrecordand/orsummaryleveldatabyStateandTerritoryhealthauthoritiesaspartoftheEmergencyDepartmentWaitingTimesNationalMinimumDataSet.
NationalHealthDataDictionary,version9Dataelementdefinitions351TimeofserviceeventAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000357Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
4Max.
4Representationallayout:HHMMAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thetimeatwhichthedeliveryofaservicecommences.
Theserviceisdefinedascommencingwhenamedicalofficer(or,ifnomedicalofficerisondutyintheEmergencyDepartment,atreatingnurse)firsttakesresponsibilityforthepatientscare.
Thecommencementofassessmentofthepatientbythemedicalofficerisincludedastakingresponsibilityforcare.
Context:AdmittedpatientcareDatadomain:Expressedashoursandminutesusing24-hourclockGuideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementAdmissiondate,version3relatestothedataelementEmergencyDepartmentwaitingtimetoservicedelivery,version1relatestothedataelementEmergencyDepartmentwaitingtimetoadmission,version1relatestothedataelementconceptPatientpresentationatEmergencyDepartment,version1relatestothedataelementDatepatientpresents,version1relatestothedataelementTimepatientpresents,version1relatestothedataelementTypeofvisit,version1relatestothedataelementTimeoftriage,version1relatestothedataelementDateofserviceevent,version1relatestothedataelementAdmissiontime,version1Sourcedocument:Sourceorganisation:NationalInstitutionBasedAmbulatoryModelReferenceGroup;NHDCNationalminimumdatasets:EmergencyDepartmentwaitingtimesfrom1/07/1999toComments:NationalHealthDataDictionary,version9352DataelementdefinitionsDayprogramattendancesAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000211Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
5Representationallayout:NNNNNAdministrativeattributesDataelementtype:DERIVEDDATAELEMENTDefinition:Acountofthenumberofpatient/clientvisitstodaycentres.
Eachindividualistobecountedonceforeachtimetheyattendadaycentre.
Whereanindividualisreferredtoanothersectionofthehospital/centreandreturnstothedaycentreaftertreatmentonlyonevisitistoberecorded.
Context:Requiredtomeasureadequatelynon-admittedpatientservicesinpsychiatrichospitalsandalcoholanddrughospitals.
Datadomain:NumberofattendancesGuideforuse:Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Comments:Difficultieswereenvisagedinusingtheproposeddefinitionsofanindividualorgroupoccasionofserviceforclientsattendingpsychiatricdaycarecentres.
Theseindividualsmayreceivebothtypesofservicesduringavisittoacentre.
ThisdataelementisderivedfromdataelementsthatarenotcurrentlyspecifiedintheNationalHealthDataDictionary,butwhicharerecordedinvariouswaysbyhospitalsand/oroutpatientdepartments.
Examplesincludeidentifiersofindividualconsultations/visits,diagnostictests,etc.
Furtherspecification/developmentofthesedataelementsisexpectedaspartoftheNationalInstitutionBasedAmbulatoryCareModelling(NIBAM)Project.
NationalHealthDataDictionary,version9Dataelementdefinitions353GroupsessionsAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000210Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
6Representationallayout:NNNNNNAdministrativeattributesDataelementtype:DERIVEDDATAELEMENTDefinition:Thenumberofgroupsofpatients/clientsreceivingservices.
Eachgroupistocountonce,irrespectiveofsizeorthenumberofstaffprovidingservices.
Context:Theresourcesrequiredtoprovideservicestogroupsofpatientsaredifferentfromthoserequiredtoprovideservicestoanequivalentnumberofindividuals.
Henceservicestogroupsofnon-admittedpatientsoroutreachclientsshouldbecountedseparatelyfromservicestoindividuals.
Datadomain:NumberofgroupsreceivingservicesGuideforuse:Verificationrules:Collectionmethods:Atpresent,occasionsofservicetogroupsarecountedinaninconsistentmanner.
Thenumbersofoccasionsofserviceshouldbecollectedforbothindividualandgroupsessionsforpublicpsychiatrichospitalsandalcoholanddrughospitals.
Relateddata:Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toComments:ThisdataelementisderivedfromdataelementsthatarenotcurrentlyspecifiedintheNationalHealthDataDictionary,butwhicharerecordedinvariouswaysbyhospitalsand/oroutpatientdepartments.
Examplesincludeidentifiersofindividualconsultations/visits,diagnostictests,etc.
NationalHealthDataDictionary,version9354DataelementdefinitionsIndividual/groupsessionAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000235Versionnumber:1RelationalandrepresentationalattributesDatatype:AlphanumericRepresentationalform:CODEFieldsize:Min.
5Max.
5Representationallayout:ANNN.
NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Agroupisdefinedastwoormorepatientsreceivingservicesatthesametimefromthesamehospitalstaff.
However,thisexcludesthesituationwhereindividualsallbelongtothesamefamily.
Insuchcasestheserviceisbeingprovidedtothefamilyunitandasaresultthesessionshouldbecountedasasingleoccasionofservicetoanindividual.
Context:Requiredtodistinguishbetweenthoseoccasionsofserviceonanindividualpatientbasisandthoseservicinggroupsofpatients.
Thisdistinctionhasresourceimplications.
Datadomain:A12.
1IndividualsessionsA12.
2GroupsessionsGuideforuse:Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:Nationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toComments:NationalHealthDataDictionary,version9Dataelementdefinitions355ServicecontactAdmin.
status:CURRENT1/07/1999IdentifyinganddenitionalattributesKnowledgebaseID:000401Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:Dataelementtype:DATAELEMENTCONCEPTDefinition:Acontactbetweenapatient/clientandanambulatorycarehealthunit(includingoutpatientandcommunityhealthunits)whichresultsinadatedentrybeingmadeinthepatient/clientrecord.
Context:Identifiesservicedeliveryatthepatientlevelformentalhealthservices(includingconsultation/liaison,mobileandoutreachservices).
Aservicecontactcanincludeeitherface-to-face,telephoneorvideolinkservicedeliverymodes.
Servicecontactswouldeitherbewithaclient,carerorfamilymemberoranotherprofessionalormentalhealthworkerinvolvedinprovidingcareanddonotincludecontactsofanadministrativenature(e.
g.
telephonecontacttoscheduleanappointment)exceptwhereamatterwouldneedtobenotedonapatientsrecord.
Servicecontactsmaybedifferentiatedfromadministrativeandothertypesofcontactsbytheneedtorecorddataintheclientrecord.
However,theremaybeinstanceswherenotesaremadeintheclientrecordthathavenotbeenpromptedbyaservicecontactwithapatient/client(e.
g.
notingreceiptoftestresultsthatrequirenofurtheraction).
Theseinstanceswouldnotberegardedasaservicecontact.
Datadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementNumberofservicecontactdates,version2relatestothedataelementServicecontactdate,version1NationalHealthDataDictionary,version9356DataelementdefinitionsServicecontact(continued)AdministrativeattributesSourcedocument:Sourceorganisation:Nationalminimumdatasets:Comments:Theproposeddefinitionisnotabletomeasurecasecomplexityorlevelofresourceusagewitheachservicecontactalone.
Thislimitationalsoappliestotheconceptofoccasionsofservice(inadmittedpatientcare)andhospitalseparations.
SomeoverlapwiththedataelementOccasionsofserviceisacknowledgedbytheNationalHealthDataCommitteeandissubjecttofurtherworkduring1999.
TheNationalHealthDataCommitteealsoacknowledgesthatinformationaboutgroupsessionsoractivitiesthatdonotresultinadatedentrybeingmadeineachindividualparticipantspatient/clientrecordisnotcurrentlycoveredbythisdataelementconcept.
NationalHealthDataDictionary,version9Dataelementdefinitions357ServicecontactdateAdmin.
status:CURRENT1/07/1999IdentifyinganddenitionalattributesKnowledgebaseID:000402Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thedateofeachservicecontactbetweenahealthserviceproviderandpatient/client.
Context:Community-basedmentalhealthcare:Collectionofthedateofeachservicecontactwithhealthserviceprovidersallowsadescriptionorprofileofserviceutilisationbyapersonorpersonsduringanepisodeofcare.
Datadomain:ValiddateGuideforuse:Requiresservicestorecordthedateofeachservicecontact,includingthesamedatewheremultiplevisitsaremadeononeday(exceptwherethevisitsmayberegardedasacontinuationoftheoneservicecontact).
Whereanindividualpatient/clientparticipatesinagroupactivityaservicecontactdateisrecordedifthepersonsparticipationinthegroupactivityresultsinadatedentrybeingmadeinthepatients/clientsrecord.
Verificationrules:Collectionmethods:Forcollectionfromcommunitybased(ambulatoryandnon-residential)agencies.
Relateddata:isusedinthederivationofNumberofservicecontactdates,version2relatestothedataelementconceptServicecontact,version1Sourcedocument:Sourceorganisation:Nationalminimumdatasets:Communitymentalhealthcarefrom1/07/2000toComments:TheNationalHealthDataCommitteeacknowledgesthatinformationaboutgroupsessionsoractivitiesthatdonotresultinadatedentrybeingmadeineachindividualparticipantspatient/clientrecordisnotobtainedviathisdataelement.
NationalHealthDataDictionary,version9358DataelementdefinitionsNumberofcontacts(psychiatricoutpatientclinic/dayprogram)Admin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000141Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
3Representationallayout:NNNAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Numberofdaysthatapatientattendedapsychiatricoutpatientclinicoradayprogramduringtherelevantfinancialyear.
Context:Mentalhealthstatistics:thisdataelementgivesameasureofthelevelofserviceprovided.
Datadomain:CountinnumberofdaysGuideforuse:Verificationrules:Collectionmethods:AllStatesandTerritorieswheretherearepublicpsychiatrichospitalsalsocollectdateofcontact,andnumberofcontactsduringthefinancialyearcanbederivedfromthis.
(CollectionstatusforNewSouthWalesisunknownattimeofwriting.
)Relateddata:isanalternativetoNumberofservicecontactdates,version2Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Comments:ThisdataelementwillbereviewedbytheNationalHealthDataCommitteein2000.
NationalHealthDataDictionary,version9Dataelementdefinitions359NumberofservicecontactdatesAdmin.
status:CURRENT1/07/1999IdentifyinganddenitionalattributesKnowledgebaseID:000141Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
3Representationallayout:NNNAdministrativeattributesDataelementtype:DERIVEDDATAELEMENTDefinition:Thenumberofdateswhereaservicecontactwasrecordedforthepatient/client.
Context:Community-basedmentalhealthcare:Thisdataelementgivesameasureofthelevelofserviceprovidedtoapatient/client.
Datadomain:Guideforuse:Thisdataelementisacountofservicecontactdatesrecordedonapatientorclientrecord.
Wheremultipleservicecontactsoccuronthesamedate,thedateiscountedonlyonce.
Verificationrules:Collectionmethods:Forcollectionfromcommunitybased(ambulatoryandnon-residential)agencies.
Includesmentalhealthdayprogramsandpsychiatricoutpatients.
Relateddata:isanalternativetoNumberofcontact(psychiatricoutpatientclinic/dayprogram),version1relatestothedataelementconceptServicecontact,version1isderivedfromServicecontactdate,version1Sourcedocument:Sourceorganisation:NationalMentalHealthInformationStrategyCommitteeNationalminimumdatasets:Comments:ThisdataelementwillbereviewedbytheNationalHealthDataCommitteein2000.
NationalHealthDataDictionary,version9360DataelementdefinitionsNumberofdaysinspecial/neonatalintensivecareAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000009Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
3Representationallayout:NNNAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Numberofdaysspentbyaneonateinaspecialcareorneonatalintensivecarenursery(inthehospitalofbirth).
Context:Admittedpatientcareandperinatalstatistics:anindicatoroftherequirementsforhospitalcareofhigh-riskbabiesinspecialisednurseriesthataddtocostsbecauseofextrastaffingandfacilities.
Datadomain:Number,representingthenumberofdaysspentinthespecial/intensivecarenursery.
Guideforuse:Thenumberofdaysiscalculatedfromthedatethebabyleftthespecial/neonatalintensivecareunitminusthedatethebabywasadmittedtothespecial/neonatalintensivecareunit.
Verificationrules:Collectionmethods:Thisitemistobecompletedifbabyhasbeentreatedinanintensivecareunitoraspecialcarenursery.
Specialcarenurseries(SCN)arestaffedandequippedtoprovideafullrangeofneonatalservicesforthemajorityofcomplicatedneonatalproblems,includingshort-termassistedventilationandintravenoustherapy.
Neonatalintensivecarenurseries(NICN)arestaffedandequippedtotreatcriticallyillnewbornbabiesincludingthoserequiringprolongedassistedrespiratorysupport,intravenoustherapy,andalimentationandtreatmentofseriousinfections.
Fullsupportiveservicesarereadilyavailablethroughoutthehospital.
TheseNICNsalsoprovideconsultativeservicestootherhospitals.
Relateddata:supersedespreviousdataelementAdmissiontospecial/neonatalintensivecare,version1Sourcedocument:Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions361MinutesofoperatingtheatretimeAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000094Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
4Max.
4Representationallayout:HHMMAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Totaltimespentbyapatientinoperatingtheatresduringcurrentepisodeofhospitalisation.
Context:AdmittedpatientcareDatadomain:Guideforuse:Verificationrules:Rightjustified,zerofilled.
Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:ThisitemwasrecommendedforinclusionintheNationalhealthdatadictionarybyHindle(1988a,1988b)toassistwithDiagnosisRelatedGroupcostingstudiesinAustralia.
ThisdataelementhasnotbeenacceptedforinclusionintheNationalminimumdatasetadmittedpatientcare.
NationalHealthDataDictionary,version9362DataelementdefinitionsNewbornqualicationstatusAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000343Versionnumber:2RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:Dataelementtype:DATAELEMENTCONCEPTDefinition:Qualificationstatusindicateswhetherthepatientdaywithinanewbornepisodeofcareiseitherqualifiedorunqualified.
Context:Admittedpatientcare.
Toprovideaccurateinformationoncareprovidedinnewbornepisodesofcarethroughexclusionofunqualifiedpatientdays.
Datadomain:Guideforuse:Anewbornqualificationstatusisassignedtoeachpatientdaywithinanewbornepisodeofcare.
Anewbornpatientdayisqualifiediftheinfantmeetsatleastoneofthefollowingcriteria:-isthesecondorsubsequentliveborninfantofamultiplebirth,whosemotheriscurrentlyanadmittedpatient;-isadmittedtoanintensivecarefacilityinahospital,beingafacilityapprovedbytheCommonwealthMinisterforthepurposeoftheprovisionofspecialcare;-isadmittedto,orremainsinhospitalwithoutitsmother.
Anewbornpatientdayisunqualifiediftheinfantdoesnotmeetanyoftheabovecriteria.
Thedayonwhichachangeinqualificationstatusoccursiscountedasadayofthenewqualificationstatus.
Ifthereismorethanonequalificationstatusinasingleday,thedayiscountedasadayofthefinalqualificationstatusforthatday.
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementQualificationstatus,version1isusedinconjunctionwithAdmittedpatient,version3isusedinconjunctionwithCaretype,version4isusedinthecalculationofDateofchangetoqualificationstatus,version1isusedinthecalculationofNumberofqualifieddaysfornewborns,version2NationalHealthDataDictionary,version9Dataelementdefinitions363Newbornqualicationstatus(continued)AdministrativeattributesSourcedocument:Sourceorganisation:Nationalminimumdatasets:Comments:Allbabiesborninhospitalareadmittedpatients.
ThenewbornbabysqualifieddaysareeligibleforhealthinsurancebenefitspurposesandthepatientdaycountundertheAustralianHealthCareAgreements.
Inthiscontext,newbornqualifieddaysareequivalenttoacutedaysandmaybedenotedassuch.
Thedayswhenanewbornbabydoesnotmeetthesecriteriaareclassifiedasunqualified(iftheyareninedaysoldorless)andshouldnotbecountedaspatientdaysundertheAustralianHealthCareAgreementsandarenoteligibleforhealthinsurancebenefitpurposes.
NationalHealthDataDictionary,version9364DataelementdefinitionsDateofchangetoqualicationstatusAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000342Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thedate,withinanewbornepisodeofcare,onwhichthenewbornsQualificationstatuschangesfromacute(qualified)tounqualifiedorviceversa.
Context:Datadomain:ValiddateGuideforuse:RecordthedateordatesonwhichthenewbornsQualificationStatuschangesfromacute(qualified)tounqualifiedorviceversa.
Ifmorethanonechangeofqualificationstatusoccursonasingleday,thedayiscountedagainstthefinalqualificationstatus.
Verificationrules:MustbegreaterthanorequaltoadmissiondateCollectionmethods:Relateddata:isusedinconjunctionwithAdmittedpatient,version3isusedinconjunctionwithCaretype,version4isusedinconjunctionwithNewbornqualificationstatus,version2isusedinthecalculationofNumberofqualifieddaysfornewborns,version2Sourcedocument:Sourceorganisation:Nationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions365AnaesthesiaadministeredduringlabourAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000013Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Anaesthesiaadministeredfortheoperativedeliveryofthebaby(caesarean,forcepsorvacuumextraction).
Context:Perinatalstatistics:anaestheticusemayinfluencethedurationoflabour,mayaffectthehealthstatusofthebabyatbirthandisanindicatorofobstetricintervention.
Datadomain:1None2Localanaesthetictoperineum3Pudendal4Epiduralorcaudal5Spinal6General8Other9NotstatedGuideforuse:Ifmorethanoneagentisused,selectthelargestnumber(excluding8or9)asthisishowthedataaretabulated.
Verificationrules:Collectionmethods:Relateddata:isusedinconjunctionwithMethodofbirth,version1isusedinconjunctionwithApgarscore,version1Sourcedocument:Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9366DataelementdefinitionsAnalgesiaadministeredduringlabourAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000014Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Agentsadministeredtothemotherbyinjectionorinhalationtorelievepainduringlabouranddelivery.
Context:Perinatalstatistics:analgesiausemayinfluencethedurationoflabour,mayaffectthehealthstatusofthebabyatbirthandisanindicatorofobstetricintervention.
Datadomain:1None2Nitrousoxide3Intra-muscularnarcotics4Epidural/caudal5Spinal8Other9NotstatedGuideforuse:Ifmorethanoneagentisused,selectthelargestnumber(excluding8or9)asthisishowthedatawillbetabulated.
Verificationrules:Collectionmethods:Relateddata:isusedinconjunctionwithMethodofbirth,version1Sourcedocument:Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions367NursinginterventionsAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000112Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:Thenursingaction/sintendedtorelieveoralterapersonsresponsestoactualorpotentialhealthproblems.
Context:Toenableanalysisoftheinterventionswithinanepisodeofcare,inrelationtotheoutcomeofthiscare,especiallywhenlinkedwithinformationonthediagnosisandgoals.
TherecordingofNursinginterventionsiscriticalinformationforhealthservicemonitoringandplanning.
Itisamajordescriptorofthecareprovidedthroughoutanepisode.
Datadomain:1Coordinationandcollaborationofcare2Supportinginformalcarers3Generalnursingcare4Technicalnursingtreatmentorprocedure5Counsellingandemotionalsupport6Teaching/education7Monitoringandsurveillance8Formalcasemanagement9ServiceneedsassessmentonlyGuideforuse:ForthepurposesoftheCNMDSA,theinterventionsarenotnecessarilylinkedtoeachnursingproblem,noraretheyspecifictasks,butrather,broader-levelinterventioncategoriesfocusingonthemajorareasofapersonsneed.
Thesesummarycategoriessubsumearangeofspecificactionsortasks.
Thefollowingdefinitionsaretoassistincoding:1.
COORDINATIONANDCOLLABORATIONOFCAREoccurswhentherearemultiplecaredeliverers.
Thegoalofcoordinationandcollaborationistheefficient,appropriateintegrateddeliveryofcaretotheperson.
Taskswhichmaybeinvolvedinclude:liaison,advocacy,planning,referral,informationandsupportivediscussionand/oreducation.
Althoughsimilarinnaturetoformalcasemanagementthisinterventionisnottheoneformallyrecognisedbyspecificfunding(seecode8).
2.
SUPPORTINGINFORMATIONCARERSincludesactivities,whichthenurseundertakestoassistthecarerinthedeliveryofthecarersrole.
Thisdoesnotincludecaregivendirectlytotheperson.
Examplesoftasksinvolvedinsupportingthecarerinclude:counselling,teaching,informing,advocacy,coordinating,andgrieforbereavementsupport.
NationalHealthDataDictionary,version9368DataelementdefinitionsNursinginterventions(continued)Guideforuse(continued):3.
GENERALNURSINGCAREincludesabroadrangeofactivities,whichthenurseperformstodirectlyassisttheperson;inmanycases,thisassistancewillfocusonactivitiesofdailyliving.
Thisassistancewillhelpapersonwhosehealthstatus,levelofdependency,and/ortherapeuticneedsaresuchthatnursingskillsarerequired.
Examplesoftasksinclude:assistancewithwashing,groomingandmaintaininghygiene,dressing,pressureareacare,assistancewithtoileting,bladderandbowelcare,assistancewithmobilityandtherapeuticexercise,attentiontophysicalcomfortandmaintainingatherapeuticenvironment.
4.
TECHNICALNURSINGTREATMENTORPROCEDUREreferstotechnicaltasksandproceduresforwhichnursesreceivespecifictrainingandwhichrequirenursingknowledgeofexpectedtherapeuticeffect,possibleside-effects,complicationsandappropriateactionsrelatedtoeach.
Someexamplesoftechnicalcareactivitiesare:medicationadministration(includinginjections),dressingsandotherprocedures,venipuncture,monitoringofdialysis,andimplementationofpainmanagementtechnology.
5.
COUNSELLINGANDEMOTIONALSUPPORTfocusesonnon-physicalcaregiventotheperson,whichaimstoaddresstheaffective,psychologicaland/orsocialneeds.
Examplesoftheseinclude:bereavement,wellbeing,decision-makingsupportandvalues-clarification.
6.
TEACHING/EDUCATIONreferstoprovidinginformationand/orinstructionaboutaspecificbodyofknowledgeand/orprocedure,whichisrelevanttothepersonssituation.
Examplesofteachingareasinclude:diseaseprocess,technicalprocedure,healthmaintenance,healthpromotionandtechniquesforcopingwithadisability.
7.
MONITORINGANDSURVEILLANCEreferstoanyactionbywhichthenurseevaluatesandmonitorsphysical,behavioural,socialandemotionalresponsestodisease,injury,andnursingormedicalinterventions.
8.
FORMALCASEMANAGEMENTreferstothespecificformalservice,whichisfundedtoprovidecasemanagementforaperson.
Notethatcoordinationandcollaborationofcare(code1)isnotthesameasFormalCaseManagement.
9.
SERVICENEEDSASSESSMENTONLYisassessmentofthepersonwhenthisistheonlyactivitycarriedoutandnofurthernursingcareisgiven;forexample,assessmentforongoingcareand/orinappropriatereferrals.
Selectionofthisoptionmeansthatnootherinterventionmaybenominated.
Thus,ifanassessmentfortheDomiciliaryCareBenefitisthereasonforavisit,butotherinterventionssuchas,counsellingandsupport;coordination/collaborationofcarearecarriedout,thentheAssessmentonlyisnotanappropriatecode.
Verificationrules:Uptoeightcodesmaybeselected.
Ifcode9isselectednoothernursinginterventionsarecollected.
Ifcode9isselectedthencode7inGoalofcaremustalsobeselected.
NationalHealthDataDictionary,version9Dataelementdefinitions369Nursinginterventions(continued)AdministrativeattributesCollectionmethods:Collectoncontinuingbasisthroughouttheepisodeintheeventofdatacollectionthatoccurspriortodischarge.
Uptoeightcodesmaybecollected.
WithinacomputerisedinformationsystemthedetailedactivitiescanbemappedtotheCNMDSAinterventionsenablingtheoptionofarichlevelofdetailofactivitiesorsummarisedinformation.
Relateddata:relatestothedataelementNursinggoal,version1supersedespreviousdataelementNursinginterventions,version1relatestothedataelementNursingdiagnosis,version2Sourcedocument:Sourceorganisation:AustralianCouncilofCommunityNursingServicesNationalminimumdatasets:Comments:TheCNMDSANursinginterventionsaresummaryinformationoverlyingthedetailednursingactivityusuallyincludedinanagencydatacollection.
TheyarenotintendedasadescriptionofnursingactivitiesintheCNMDSA.
Forinstance,TechnicalnursingtreatmentorProcedureisthegenerictermforabroadrangeofnursingactivitiessuchas:medicationadministrationandwoundcaremanagement.
Collectionofthisinformationatdischargecarrieswithittheexpectationthatnursingrecordswilllendthemselvestothislevelofsummarisationofthecareepisode.
Theselectionofeightinterventionsifmorearespecifiedisapotentiallysubjectivetaskunlessthenursingrecordisstructuredandclearenoughtoenablesuchaselectionagainstthereasonsforadmissiontocare,andthemajorfocusofcaredelivery.
Clearly,thetaskiseasierifongoingautomatedrecordingofinterventionswithinanagencyinformationsystemenablesdischargereportingofallinterventionsandtheirfrequency,overacareepisode.
ThoseagenciesprovidingalliedhealthservicesmaywishtousethePhysiotherapyandOccupationalTherapyInterventionsdevelopedinconjunctionwiththeNationalCentreforClassificationinHealthinadditiontotheCNMDSANursinginterventionsorothermorerelevantcodesets.
NationalHealthDataDictionary,version9370DataelementdefinitionsNon-admittedpatientserviceeventAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000438Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:Dataelementtype:DATAELEMENTCONCEPTDefinition:Aninteractionbetweenoneormorehealthcareprofessionalswithoneormorenon-admittedpatients,forassessment,consultationand/ortreatmentintendedtobeunbrokenintime.
Aserviceeventmeansthatadatedentryismadeinthepatient/clientsmedicalrecord.
Context:Hospitalnon-admittedpatientcare.
Thisdefinitionappliestonon-admittedhospitalpatientsandisnotintendedtoapplytocommunitybasedservices.
Datadomain:Guideforuse:Theperiodofinteractioncanbebrokenbutstillregardedasoneserviceeventifitwasintendedtobeunbrokenintime.
Thiscoversthosecircumstancesinwhichtreatmentduringaserviceeventistemporarilyinterruptedforunexpectedreasons,forexample,aclinicianiscalledtoassessanotherpatientwhorequiresmoreurgentcare.
Serviceeventscanoccurinanoutpatient,emergency,radiology,pathologyand/orpharmacydepartmentor,byahospital-basedoutreachservice,inalocationthatisnotpartofthehospitalcampus.
Serviceeventsmayormaynotbepre-arranged(exceptfortelephonecalls).
Imaging,pathologyand/orpharmacyservicesthatareASSOCIATEDwithaserviceeventinanoutpatientclinic,emergencydepartmentoroutreachserviceareNOTregardedasserviceeventsthemselves.
Imaging,pathologyorpharmacyservicesprovidedINDEPENDENTofaserviceeventinanoutpatientclinic,emergencydepartmentoroutreachserviceareregardedasindividualserviceevents.
Serviceeventsdeliveredviaatelephonecallareincludedif-theyareasubstituteforaface-to-faceserviceevent,and-theyarepre-arranged,and-arecordoftheserviceeventisincludedinthepatientsmedicalrecord.
Serviceeventsincludewhenthepatientisparticipatingviaavideolink(telemedicine).
Aserviceeventcanbecountedateachsiteparticipatingviathevideolink.
NationalHealthDataDictionary,version9Dataelementdefinitions371Non-admittedpatientserviceevent(continued)AdministrativeattributesGuideforuse(continued):Ifacarer/relativeaccompaniesapatientduringaserviceevent,thisisnotconsideredtobeaserviceeventforthecarer/relative,providedthatthecarer/relativeisnotapatientintheirownrightfortheservicecontact.
Wherebotharepatients,itisconsideredthatserviceeventshavebeenprovidedfortheperson(s)inwhosemedicalrecordtheserviceeventisnoted.
Aserviceeventisregardedashavingoccurredwhenaconsultationoccursbetweentheircarer/relativeandaserviceprovideratanappointmentwhenthepatientisnotpresent,providedthatthecarer/relativeisnotapatientintheirownrightfortheservicecontact.
Wherebotharepatients,itisconsideredthatserviceeventshavebeenprovidedfortheperson(s)inwhosemedicalrecordtheserviceeventisnoted.
Aserviceeventisregardedashavingoccurredforeachpatientwhoattendsagroupsessionsuchasanantenatalclass.
Outpatientdepartmentservicesprovidedtoadmittedpatientsarenotregardedasserviceevents.
Work-relatedservicesprovidedinclinicsforstaffarenotserviceevents.
Definitions:Anemergencydepartmentprovidestriage,assessment,careand/ortreatmentforpatientssufferingfrommedicalcondition/sand/orinjury.
Hospitalbasedoutreachserviceseventsrelatetotreatmentofpatientsbyhospitalstaffinalocationthatisnotpartofthehospitalcampus(suchasinthepatientshomeorplaceofwork).
Verificationrules:Collectionmethods:Relateddata:isusedinconjunctionwithNon-admittedpatientserviceeventcount,version1isusedinconjunctionwithMulti-disciplinaryteamstatus,version1isusedinconjunctionwithNon-admittedpatientservicetype,version1isusedinconjunctionwithNon-admittedpatientservicemode,version1isusedinconjunctionwithNon-admittedpatientserviceevent-patientpresentstatus,version1isusedinconjunctionwithIndividual/groupsession,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9372DataelementdefinitionsNon-admittedpatientservicemodeAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000439Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:Relativephysicallocationofthepatient,providerandthehospitalcampusoftheproviderofanon-admittedpatientserviceevent.
Context:Hospitalnon-admittedpatientcare.
Datadomain:1Patientandproviderinthesamephysicallocation1.
1Onthehospitalcampusoftheprovider1.
2Notonthehospitalcampusoftheprovider2Patientandprovidernotinthesamephysicallocation,andcommunicatingvia:2.
1Telephone2.
2TelemedicineGuideforuse:Patientandproviderinthesamephysicallocationreferstofacetofacecontacts.
Ifthisoccursatthehospitalcampusoftheprovider,usecode1.
1.
Iftheserviceeventdoesnotoccuronthehospitalcampusoftheprovider(hospital-basedoutreachservices),usecode1.
2.
Hospital-basedoutreachserviceeventsoccurwhenthepatientistreatedbyhospitalstaffinalocationthatisnotpartofthehospitalcampus(suchasinthepatientshomeorplaceofwork).
Patientandprovidernotinthesamephysicallocationreferstoserviceeventsdeliveredviaatelephonecallorvideolink(telemedicine).
Theprovidermayormaynotbephysicallypresentontheirhospitalcampus.
Aserviceeventdeliveredviaatelephonecallisincludedif-itisasubstituteforaface-to-faceserviceevent,and-itispre-arranged,and-arecordoftheserviceeventisincludedinthepatientsmedicalrecord.
Aserviceeventcanbecountedateachsiteparticipatingviaavideolink.
Verificationrules:Collectionmethods:Relateddata:isusedinconjunctionwithNon-admittedpatientserviceeventcount,version1isusedinconjunctionwithNon-admittedpatientserviceevent,version1isusedinconjunctionwithNon-admittedpatientservicetype,version1isusedinconjunctionwithMulti-disciplinaryteamstatus,version1isusedinconjunctionwithIndividual/groupsession,version1NationalHealthDataDictionary,version9Dataelementdefinitions373Non-admittedpatientservicemode(continued)AdministrativeattributesSourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9374DataelementdefinitionsNon-admittedpatientservicetypeAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000440Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
2Representationallayout:NNDataelementtype:DATAELEMENTDefinition:Thetypeofclinicalserviceprovidedtoanon-admittedpatientinanon-admittedpatientserviceevent.
Context:Hospitalnon-admittedpatientcare.
Thisdefinitionappliestonon-admittedhospitalpatientsandisnotintendedtoapplytocommunitybasedservices.
Datadomain:1Alliedhealthand/orclinicalnursespecialist2Dental3Imaging4Medical5Obstetricsandgynaecology6Paediatrics7Pathology8Pharmacy9Psychiatric10Surgical11EmergencydepartmentGuideforuse:Thefollowingprovidesaguidetotypesofclinicalservicesthatareincludedineachofthecategoriesinthedatadomain.
ClinicalservicesthatarenotspecificallyidentifiedinthisGuideforuseshouldbeclassifiedasoneofthegroupsinthedatadomainonthebasisofthetypeofclinicalprofessionalstaffinvolvedinprovidingtheserviceevent.
Inpaediatrichospitals,thefullrangeofservicetypesshouldbeused.
Thatis,paediatricmedicalshouldbereportedasmedicalandpaediatricsurgicalshouldbereportedassurgical.
NationalHealthDataDictionary,version9Dataelementdefinitions375Non-admittedpatientservicetype(continued)Guideforuse(continued):ClinicalservicetypeClinicalserviceexamplesAlliedHealthand/orAudiologyclinicalnursespecialistClinicalpharmacyDiabeteseducationNeuropsychologyNutrition/dieteticsOccupationaltherapyOptometryOrthopticsOrthoticsPhysiotherapyPodiatryProstheticsPsychologySocialworkSpeechpathologyStomaltherapyWoundmanagementDentalDentalImagingMedicalimagingMedicalAgedCareAlcoholandotherdrugAllergyAnti-coagulantAsthmaCardiologyClinicalmeasurementDermatologyDementiaDevelopmentaldisabilitiesDiabetesEndocrineEpilepsyFallsGastroenterologyGeneralinternalmedicineGeneticHaematologyHepatobiliaryHypertensionNationalHealthDataDictionary,version9376DataelementdefinitionsNon-admittedpatientservicetype(continued)Guideforuse(continued):Medical(continued)HyperbaricmedicineImmunologyInfectiousdiseasesMedicaloncologyMetabolicboneNephrologyNeurologyOccupationalmedicinePalliativecarePainmanagementPulmonaryRadiationoncologyRehabilitationRespiratoryRheumatologySpinalTransplantsObstetricsandgynaecologyFamilyplanningGynaecologyGynaecologyoncologyObstetricsAssistedReproductiveTechnologyPathologyPathologyPaediatricsAdolescenthealthNeonatalPaediatricmedicinePaediatricsurgeryPharmacyDispensingpharmacyPsychiatricPsychiatrySurgicalBreastBurnsCardiacsurgeryColorectalCraniofacialEar,noseandthroatFractureGeneralsurgeryNeurosurgeryOphthalmologyOrthopaedicsNationalHealthDataDictionary,version9Dataelementdefinitions377Non-admittedpatientservicetype(continued)AdministrativeattributesGuideforuse(continued):Surgical(continued)PlasticsurgeryPre-admissionPre-anaesthesiaThoracicsurgeryUrologyVascularsurgeryEmergencydepartmentEmergencydepartmentAnemergencydepartmentprovidestriage,assessment,careand/ortreatmentforpatientssufferingfrommedicalcondition/sand/orinjury.
Verificationrules:Collectionmethods:Relateddata:isusedinconjunctionwithNon-admittedpatientserviceeventcount,version1isusedinconjunctionwithNon-admittedpatientserviceevent,version1isusedinconjunctionwithMulti-disciplinaryteamstatus,version1(isusedinconjunctionwithNew/repeatstatus,version1,ifrequired)isusedinconjunctionwithIndividual/groupsession,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9378DataelementdefinitionsOrganprocurementposthumousAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000441Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Organprocurementposthumousisanactivityundertakenbyhospitalsinwhichhumantissueisprocuredforthepurposeoftransplantationfromadonorwhohasbeendeclaredbraindead.
Context:HospitalactivityDatadomain:Guideforuse:Thisactivityisnotregardedascareortreatmentofanadmittedpatient,butisregisteredbythehospital.
Diagnosesandproceduresundertakenduringthisactivity,includingmechanicalventilationandtissueprocurement,arerecordedinaccordancewiththeAustralianCodingStandards.
DeclarationsofbraindeatharemadeinaccordancewithrelevantState/Territorylegislation.
Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:Nationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions379EpisodeofcareAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000445Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Theperiodofadmittedpatientcarebetweenaformalorstatisticaladmissionandaformalorstatisticalseparation,characterisedbyonlyonecaretype.
Context:AdmittedpatientcareDatadomain:Guideforuse:Thistreatmentand/orcareprovidedtoapatientduringanepisodeofcarecanoccurinhospitaland/orintheperson'shome(forhospital-in-the-homepatients).
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementCaretype,version4relatestothedataelementconceptAdmittedpatient,version3relatestothedataelementSeparationdate,version5relatestothedataelementconceptAdmissiondate,version4relatestothedataelementconceptAdmission,version3relatestothedataelementconceptSeparation,version3Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9380NationalHealthInformationModelentitiesNationalHealthDataDictionary,version9Dataelementdefinitions381SeparationAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000148Versionnumber:3RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Separationistheprocessbywhichanepisodeofcareforanadmittedpatientceases.
Aseparationmaybeformalorstatistical.
Formalseparation:theadministrativeprocessbywhichahospitalrecordsthecessationoftreatmentand/orcareand/oraccommodationofapatient.
Statisticalseparation:theadministrativeprocessbywhichahospitalrecordsthecessationofanepisodeofcareforapatientwithintheonehospitalstay.
Context:AdmittedpatientcareDatadomain:Guideforuse:Thistreatmentand/orcareprovidedtoapatientpriortoseparationoccursoveraperiodoftimeandcanoccurinhospitaland/orintheperson'shome(forhospital-in-the-homepatients).
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementSeparation,version2relatestothedataelementCaretype,version4relatestothedataelementconceptAdmittedpatient,version3relatestothedataelementSeparationdate,version5relatestothedataelementconceptAdmission,version3Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:Whilethisconceptisalsoapplicabletonon-Admittedpatientcareandwelfareservices,differentterminologytoseparationisoftenusedintheseothercaresettings.
NationalHealthDataDictionary,version9382DataelementdefinitionsSeparationdateAdmin.
status:CURRENT1/07/1999IdentifyinganddenitionalattributesKnowledgebaseID:000043Versionnumber:5RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Dateonwhichanadmittedpatientcompletesanepisodeofcare.
Context:Requiredtoidentifytheperiodinwhichanadmittedpatienthospitalstayorepisodeoccurredandforderivationoflengthofstay.
Datadomain:ValiddatesGuideforuse:Verificationrules:FortheprovisionofStateandTerritoryhospitaldatatoCommonwealthagenciesthisfieldmust:-be=firstdayoffinancialyear-be>=AdmissiondateCollectionmethods:Relateddata:supersedespreviousdataelementDischargedate,version4Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/1999toAdmittedpatientmentalhealthcarefrom1/07/2000toAdmittedpatientpalliativecarefrom1/07/2000toComments:Theremaybevariationsamongstjurisdictionswithrespecttotherecordingofseparationdate.
Thismostoftenoccursforpatientswhoarestatisticallyseparatedafteraperiodofleave(andwhodonotreturnforfurtherhospitalcare).
Inthiscase,somejurisdictionsmayrecordtheseparationdateasthedateofstatisticalseparation(andrecordinterveningdaysasleavedays)whileotherjurisdictionsmayretrospectivelyseparatepatientsonthefirstdayofleave.
Despitethevariationsinrecordingofseparationdateforthisgroupofpatients,thecurrentpracticesprovidefortheaccuraterecordingoflengthofstay.
NationalHealthDataDictionary,version9Dataelementdefinitions383ModeofseparationAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000096Versionnumber:3RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:Statusatseparationofperson(discharge/transfer/death)andplacetowhichpersonisreleased(whereapplicable).
Context:Requiredforoutcomeanalyses,foranalysesofintersectoralpatientflowsandtoassistinthecontinuityofcareandclassificationofepisodesintoDiagnosisRelatedGroups.
Datadomain:1Discharge/transfertoan(other)acutehospital2Discharge/transfertoaResidentialAgedCareService,unlessthisistheusualplaceofresidence3Discharge/transfertoan(other)psychiatrichospital4Discharge/transfertootherhealthcareaccommodation(includesmothercrafthospitals)5Statisticaldischarge-typechange6Leftagainstmedicaladvice/dischargeatownrisk7Statisticaldischargefromleave8Died9Other(includesdischargetousualresidence/ownaccommodation/welfareinstitution(includesprisons,hostelsandgrouphomesprovidingprimarilywelfareservices))Guideforuse:Forcode4Injurisdictionswheremothercraftfacilitiesareconsideredtobeacutehospitals,patientsseparatedtoamothercraftfacilityshouldhaveamodeofseparationofcode1.
Iftheresidentialagedcareserviceisthepatientsplaceofusualresidencethentheyshouldhaveamodeofseparationofcode9.
Verificationrules:Collectionmethods:Relateddata:issupplementedbythedataelementSourceofreferraltopublicpsychiatrichospital,version3issupplementedbythedataelementSourceofreferraltoacutehospitalorprivatepsychiatrichospital,version3supersedespreviousdataelementModeofseparation,version2isusedinthederivationofDiagnosisrelatedgroup,version1NationalHealthDataDictionary,version9384DataelementdefinitionsModeofseparation(continued)AdministrativeattributesSourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toAdmittedpatientmentalhealthcarefrom1/07/2000toAdmittedpatientpalliativecarefrom1/07/2000toComments:During2000,theNationalMentalHealthInformationStrategyCommitteeisreviewingadraftdataelementReferraltofurthercarewhichwillinvolveareviewofthedataelementModeofseparation.
NationalHealthDataDictionary,version9Dataelementdefinitions385Referraltofurthercare(psychiatricpatients)Admin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000143Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Referraltofurthercarebyhealthserviceagencies/facilities.
Context:Mentalhealthcare:manypsychiatricinpatientshavecontinuingneedsforpost-dischargecare.
Continuityofcareacrossthehospital-communityinterfaceisakeypolicythemeemerginginthevariousStatesandTerritories.
InclusionofthisitemallowstheopportunitytomonitorinteragencylinkagesandiscomplementarytothedataelementSourceofreferral.
Datadomain:1Notreferred2Privatepsychiatrist3Otherprivatemedicalpractitioner4Mentalhealth/alcoholanddrugin-patientfacility5Mentalhealth/alcoholanddrugnonin-patientfacility6Acutehospital7OtherGuideforuse:Verificationrules:Collectionmethods:Relateddata:Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9386DataelementdefinitionsDateoflastcontactAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000040Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Dateofthelastcontactbetweenastaffmemberofthecommunityserviceandapersoninanysetting.
Thedefinitionincludes:-visitsmadetopersonsininstitutionalsettingsforthepurposeofhandingoverorotherwisecompletingacareepisode;-bereavementvisitsinanysetting;-visitsmadetothepersonshometocompletetheservice,includingthecollectionofequipment.
Thedefinitionexcludes:-visitsmadebyliaison/dischargeplanningstaffofacommunityserviceforthepurposeofassessmentofneedrelatedtoasubsequentepisodeofcare.
Context:Toenableanalysisoftimeperiodsthroughoutacareepisode,especiallythebereavementperiod.
Thisdatehasbeenincludedinordertocapturetheendofacareepisodeintermsofinvolvementofthecommunitynursingservice.
Datadomain:ValiddatesGuideforuse:Thiscouldbethesameasthedateofdischarge.
Verificationrules:MayoccurafteroronthesamedayasDateoflastdeliveryofserviceCollectionmethods:Relateddata:supersedespreviousdataelementDateoflastcommunityservicecontactwithclient/family,version1relatestothedataelementDateoffirstcontact,version2Sourcedocument:Sourceorganisation:AustralianCouncilofCommunityNursingServicesNationalminimumdatasets:Comments:AlthoughthedataitemhasRecommendedstatusonly,ifserviceagenciesarecommittedtomonitoringallresourceutilisationassociatedwithanepisodeofcare,thispost-dischargedateandthecorrespondingpre-admissionitemDateoffirstcontact,haveaplacewithinanagencyinformationsystem.
Thisisparticularlytrueforthoseagenciesprovidingdischargeplanningserviceorspecialistconsultancyorassessmentservices.
NationalHealthDataDictionary,version9Dataelementdefinitions387DeparturestatusAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000359Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:ThestatusofthepatientondeparturefromtheEmergencyDepartment.
Context:Admittedpatientcare:Requiredforanalysisofclientcare.
Datadomain:1Admittedtowardorotheradmittedpatientunit(includespatientswhomayhavebeeninobservationareainEmergencyDepartmentpriortoadmission).
2Emergencydepartmentserviceeventcompleted,departedunderowncare.
3Transferredtoanotherhospitalforadmission.
4Didnotwaittobeattended(bymedicalofficer).
5Leftatownrisk,aftermedicalofficerassumedresponsibilityforthepatientbutbeforeEmergencyDepartmentserviceeventwascompleted.
6DiedinEmergencyDepartment.
7Deadonarrival,nottreatedinEmergencyDepartment.
Guideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementAdmissiondate,version3relatestothedataelementEmergencyDepartmentwaitingtimetoservicedelivery,version1relatestothedataelementEmergencyDepartmentwaitingtimetoadmission,version1relatestothedataelementconceptPatientpresentationatEmergencyDepartment,version1relatestothedataelementDatepatientpresents,version1relatestothedataelementTimepatientpresents,version1relatestothedataelementTypeofvisit,version1relatestothedataelementDateoftriage,version1relatestothedataelementTimeoftriage,version1relatestothedataelementTriagecategory,version1relatestothedataelementDateofserviceevent,version1relatestothedataelementTimeofserviceevent,version1relatestothedataelementAdmissiontime,version1NationalHealthDataDictionary,version9388DataelementdefinitionsDeparturestatus(continued)AdministrativeattributesSourcedocument:Sourceorganisation:NationalInstitutionBasedAmbulatoryModelReferenceGroup;NHDCNationalminimumdatasets:EmergencyDepartmentwaitingtimesfrom1/07/1999toComments:Thisdataelementsupportstheprovisionofunitrecordand/orsummaryleveldatabyStateandTerritoryhealthauthoritiesaspartoftheEmergencyDepartmentWaitingTimesNationalMinimumDataSet.
NationalHealthDataDictionary,version9Dataelementdefinitions389NumberofleaveperiodsAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000107Versionnumber:3RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
2Representationallayout:NNAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Numberofleaveperiodsinahospitalstay(excludingone-dayleaveperiodsforadmittedpatients).
Leaveperiodisatemporaryabsencefromhospital,withmedicalapprovalforaperiodnogreaterthansevenconsecutivedays.
Context:Recordingofleaveperiodsallowsforthecalculationofpatientdaysexcludingleave.
Thisisimportantforanalysisofcostsperpatientandforplanning.
Themaximumlimitallowedforleaveaffectsadmissionandseparationrates,particularlyforlong-staypatientswhomayhaveseveralleaveperiods.
Datadomain:NumberofleaveperiodsGuideforuse:Iftheperiodofleaveisgreaterthansevendaysorofthepatientfailstoreturnfromleave,thepatientisdischarged.
Verificationrules:Collectionmethods:Relateddata:isusedinthederivationofLengthofstay,version2supersedespreviousdataelementNumberofleaveperiods,version2Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toAdmittedpatientmentalhealthcarefrom1/07/2000toComments:ThisdataelementwasmodifiedinJuly1996toexcludethepreviousdifferentiationbetweenthepsychiatricandotherpatientsattheinstigationoftheNationalMentalHealthStrategyCommittee.
NationalHealthDataDictionary,version9390DataelementdefinitionsTotalleavedaysAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000163Versionnumber:3RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
3Representationallayout:NNNDataelementtype:DATAELEMENTDefinition:Sumofthelengthofleave(datereturnedfromleaveminusdatewentonleave)forallperiodswithinthehospitalstay.
Context:Recordingofleavedaysallowsforexclusionofthesefromthecalculationofpatientdays.
Thisisimportantforanalysisofcostsperpatientandforplanning.
Themaximumlimitallowedforleaveaffectsadmissionandseparationrates,particularlyforlong-staypatientswhomayhaveseveralleaveperiods.
Datadomain:CountisnumberofdaysGuideforuse:Adayismeasuredfrommidnighttomidnight.
Thefollowingrulesapplyinthecalculationofleavedaysforbothovernightandsame-daypatients:-Thedaythepatientgoesonleaveiscountedasaleaveday.
-Thedaythepatientisonleaveiscountedasaleaveday.
-Thedaythepatientreturnsfromleaveiscountedasapatientday.
-Ifthepatientisadmittedandgoesonleaveonthesameday,thisiscountedasapatientday,notaleaveday.
-Ifthepatientreturnsfromleaveandthengoesonleaveagainonthesameday,thisiscountedasaleaveday.
-Ifthepatientreturnsfromleaveandisseparatedonthesameday,thedayshouldnotbecountedaseitherapatientdayoraleaveday.
Verificationrules:FortheprovisionofStateandTerritoryhospitaldatatoCommonwealthagencies(DateofseparationminusDateofadmission)minusTotalleavedaysmustbe>=0days.
Collectionmethods:Relateddata:supersedespreviousdataelementTotalleavedays,version2NationalHealthDataDictionary,version9Dataelementdefinitions391Totalleavedays(continued)AdministrativeattributesSourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toAdmittedpatientmentalhealthcarefrom1/07/2000toComments:Itshouldbenotedthatforprivatepatientsinpublicandprivatehospitals,s.
3(12)oftheHealthInsuranceAct1973(Commonwealth)currentlyappliesadifferentleavedaycount,CommonwealthDepartmentofHumanServicesandHealthHBFCircular354(31March1994).
ThisitemwasmodifiedinJuly1996toexcludethepreviousdifferentiationbetweenthepsychiatricandotherpatients.
NationalHealthDataDictionary,version9392DataelementdefinitionsCessationoftreatmentAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000422Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Cessationoftreatmentisthedecisiontocompletetreatmentortodiscontinuefurtherservicecontactbyeitheraclientandaserviceprovider.
Context:Alcoholandotherdrugtreatmentservices.
Datadomain:Guideforuse:Aclientisidentifiedasceasingtreatmentifoneormoreofthefollowingapply:-theirneedforthetreatmentservicehasended;-theyhavehadnocontactwiththeserviceforaperiodofthreemonths,norplaninplaceforfurthercontact;-theirPrincipaldrugofconcernhaschanged.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementReasonforcessationoftreatment,version1relatestothedataelementDateofcessationoftreatment,version1Sourcedocument:Sourceorganisation:IntergovernmentalCommitteeonDrugsNMDS-WGNationalminimumdatasets:Alcoholandotherdrugtreatmentservicesfrom01/07/2000toComments:NationalHealthDataDictionary,version9Dataelementdefinitions393ReasonforcessationoftreatmentAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000423Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:Thereasonfortheclientceasingtoreceivetreatmentfromanalcoholandotherdrugtreatmentservice.
Context:Alcoholandotherdrugtreatmentservices.
Giventhelevelsofattritionwithinalcoholandotherdrugtreatmentprograms,itisimportanttoidentifytherangeofdifferentreasonsforceasingtreatmentwithaservice.
Datadomain:1Servicecompleted2Transferredtoanotherservice3Ceasedtoparticipate4Movedoutofarea5Drugcourtand/orsanctionedbycourtdiversionservice6Imprisoned,otherthandrugcourtsanctioned7Died9Other99Notstated/inadequatelydescribedGuideforuse:Code2.
Includessituationswheretheserviceisnolongerthemostappropriateandtheclientistransferredtoanotherservice.
Forexample,transferscouldoccurforclientsbetweennon-residentialandresidentialservicesorbetweenresidentialservicesandahospital.
Code3.
Includessituationswheretheservicedeemsthattheclienthasceasedtoparticipateintreatmentaccordingtotheirowncriteria.
.
Code4.
Includessituationswheretheclientceasedtoreceivetreatmentfromtheservicebecausetheclientmovedoutofthegeographicarea.
Code5.
Appliestodrugcourtand/orcourtdiversionserviceclientswhoaresanctionedbackintojailfornon-compliancewithprogram.
Code6.
Appliestoclientswhoareimprisonedforreasonsotherthancode5.
Verificationrules:Collectionmethods:Tobecollectedoncessationoftreatmentwithaservice.
Relateddata:relatestothedataelementconceptCessationoftreatment,version1relatestothedataelementDateofcessationoftreatment,version1NationalHealthDataDictionary,version9394DataelementdefinitionsReasonforcessationoftreatment(continued)AdministrativeattributesSourcedocument:Sourceorganisation:IntergovernmentalCommitteeonDrugsNMDS-WGNationalminimumdatasets:Alcoholandotherdrugtreatmentservicesfrom01/07/2000toComments:NationalHealthDataDictionary,version9Dataelementdefinitions395DateofcessationoftreatmentAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000424Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Dateonwhichaclientceasestoreceivetreatment.
Context:Alcoholandotherdrugtreatmentservices.
Requiredtoidentifythecompletionoftreatmentbyanalcoholandotherdrugtreatmentservice.
Datadomain:ValiddatesGuideforuse:Verificationrules:MustbegreaterthanorequaltotheDateofentryintotreatment.
Collectionmethods:Relateddata:relatestothedataelementReasonforcessationoftreatment,version1relatestothedataelementconceptCessationoftreatment,version1Sourcedocument:Sourceorganisation:IntergovernmentalCommitteeonDrugsNMDS-WGNationalminimumdatasets:Alcoholandotherdrugtreatmentservicesfrom01/07/2000toComments:NationalHealthDataDictionary,version9396DataelementdefinitionsClinicalreviewAdmin.
status:CURRENT1/07/1995IdentifyinganddenitionalattributesKnowledgebaseID:000024Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Theexaminationofapatientbyaclinicianafterthepatienthasbeenaddedtothewaitinglist.
Thisexaminationmayresultinthepatientbeingassignedadifferenturgencyratingfromtheinitialclassification.
Theneedforclinicalreviewvarieswithapatientsconditionandisthereforeatthediscretionofthetreatingclinician.
Context:AdmittedpatientcareDatadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementClinicalurgency,version1relatestothedataelementClinicalurgency,version2Sourcedocument:Sourceorganisation:HospitalAccessProgramWaitingListWorkingGroup/NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:NationalHealthDataDictionary,version9Dataelementdefinitions397ClinicalurgencyAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000025Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:Aclinicalassessmentoftheurgencywithwhichapatientrequireselectivehospitalcare.
Context:Electivesurgery:categorisationofwaitinglistpatientsbyclinicalurgencyassistshospitalmanagementandcliniciansintheprioritisationoftheirworkloads.
Itgiveshealthconsumersareasonableestimateofthemaximumtimetheyshouldexpecttowaitforcare.
Clinicalurgencyclassificationallowsameaningfulmeasureofsystemperformancetobecalculated,namelythenumberorproportionofpatientswhowaitfortimesinexcessofthemaximumdesirabletimelimitfortheirurgencycategory(dataelementOverduepatient).
Datadomain:1Admissionwithin30daysdesirableforaconditionthathasthepotentialtodeterioratequicklytothepointthatitmaybecomeanemergency.
2Admissionwithin90daysdesirableforaconditioncausingsomepain,dysfunctionordisabilitybutwhichisnotlikelytodeterioratequicklyorbecomeanemergency.
3Admissionatsometimeinthefutureacceptableforaconditioncausingminimalornopain,dysfunctionordisability,whichisunlikelytodeterioratequicklyandwhichdoesnothavethepotentialtobecomeanemergency.
Guideforuse:Theclassificationemploysasystemofurgencycategorisationbasedonfactorssuchasthedegreeofpain,dysfunctionanddisabilitycausedbytheconditionanditspotentialtodeterioratequicklyintoanemergency.
Allpatientsreadyforcaremustbeassignedtooneoftheurgencycategories,regardlessofhowlongitisestimatedtheywillneedtowaitforsurgery.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementconceptClinicalreview,version1supersedespreviousdataelementPatientlistingstatus,version2isusedinconjunctionwithPatientlistingstatus,version3isusedinconjunctionwithCategoryreassignmentdate,version2isaqualifierofOverduepatient,version3isaqualifierofExtendedwaitpatient,version1isaqualifierofWaitingtimeatacensusdate,version1isaqualifierofWaitingtimeatadmission,version1NationalHealthDataDictionary,version9398DataelementdefinitionsClinicalurgency(continued)AdministrativeattributesSourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:Apatientsclassificationmaychangeifheorsheundergoesclinicalreviewduringthewaitingperiod.
Theneedforclinicalreviewvarieswiththepatientsconditionandisthereforeatthediscretionofthetreatingclinician.
Thewaitinglistinformationsystemshouldbeabletorecorddateswhentheclassificationischanged(dataelementCategoryreassignmentdate).
NationalHealthDataDictionary,version9Dataelementdefinitions399CategoryreassignmentdateAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000391Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thedateonwhichapatientawaitingelectivehospitalcareisassignedtoadifferenturgencycategoryasaresultofclinicalreviewfortheawaitedprocedure,orisassignedtoadifferentpatientlistingstatuscategory(readyforcareornotreadyforcare).
Context:Electivesurgery:thisdateisnecessaryforthecalculationofWaitingtimeatadmissionandWaitingtimeatacensusdate.
Datadomain:Guideforuse:Thedateneedstoberecordedeachtimeapatientsurgencyclassificationorlistingstatuschanges.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementClinicalreview,version1isusedinconjunctionwithPatientlistingstatus,version3isusedinconjunctionwithClinicalurgency,version2supersedespreviousdataelementUrgencyreassignmentdate,version1isusedinthecalculationofWaitingtimeatacensusdate,version1isusedinthecalculationofWaitingtimeatadmission,version1Sourcedocument:Sourceorganisation:AIHW,NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:NationalHealthDataDictionary,version9400DataelementdefinitionsDateoftriageAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000353Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thedayonwhichthepatientistriaged.
Context:Admittedpatientcare:Requiredtoidentifythecommencementoftheserviceandcalculationofwaitingtimes.
Datadomain:ValiddatesGuideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementEmergencyDepartmentwaitingtimetoservicedelivery,version1relatestothedataelementconceptPatientpresentationatEmergencyDepartment,version1relatestothedataelementTimeoftriage,version1Sourcedocument:Sourceorganisation:NationalInstitutionBasedAmbulatoryModelReferenceGroup;NHDCNationalminimumdatasets:EmergencyDepartmentwaitingtimesfrom1/07/1999toComments:Thisdataelementsupportstheprovisionofunitrecordand/orsummaryleveldatabyStateandTerritoryhealthauthoritiesaspartoftheEmergencyDepartmentWaitingTimesNationalMinimumDataSet.
NationalHealthDataDictionary,version9Dataelementdefinitions401TimeoftriageAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000354Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
4Max.
4Representationallayout:HHMMAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thetimeatwhichthepatientistriaged.
Context:Admittedpatientcare:Requiredtoidentifythecommencementoftheserviceandcalculationofwaitingtimes.
Datadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementAdmissiondate,version3relatestothedataelementEmergencyDepartmentwaitingtimetoservicedelivery,version1relatestothedataelementEmergencyDepartmentwaitingtimetoadmission,version1relatestothedataelementconceptPatientpresentationatEmergencyDepartment,version1relatestothedataelementDatepatientpresents,version1relatestothedataelementTimepatientpresents,version1relatestothedataelementTypeofvisit,version1relatestothedataelementDateoftriage,version1relatestothedataelementTriagecategory,version1relatestothedataelementDateofserviceevent,version1relatestothedataelementTimeofserviceevent,version1relatestothedataelementAdmissiontime,version1Sourcedocument:Sourceorganisation:NationalInstitutionBasedAmbulatoryModelReferenceGroup;NHDCNationalminimumdatasets:EmergencyDepartmentwaitingtimesfrom1/07/1999toComments:Thisdataelementsupportstheprovisionofunitrecordand/orsummaryleveldatabyStateandTerritoryhealthauthoritiesaspartoftheEmergencyDepartmentWaitingTimesNationalMinimumDataSet.
NationalHealthDataDictionary,version9402DataelementdefinitionsTriagecategoryAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000355Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:Theurgencyofthepatientsneedformedicalandnursingcare.
Context:Admittedpatienthealthcare:RequiredtoprovidedataforanalysisofEmergencyDepartmentprocesses.
Datadomain:1Resuscitation:Immediate(withinseconds)2Emergency:Within10minutes3Urgent:Within30minutes4Semi-urgent:Within60minutes5Non-urgent:Within120minutesGuideforuse:Verificationrules:Collectionmethods:ThistriageclassificationistobeusedintheEmergencyDepartmentsofhospitals.
PatientswillbetriagedintooneoffivecategoriesontheNationalTriageScaleaccordingtothetriageursresponsetothequestion:Thispatientshouldwaitformedicalcarenolongerthan.
.
.
.
Thetriagecategoryisallocatedbyanexperiencedregisterednurseormedicalpractitioner.
Ifthetriagecategorychanges,recordthemoreurgentcategory.
Relateddata:relatestothedataelementNon-admittedpatient,version1relatestothedataelementAdmissiondate,version3supersedespreviousdataelementTriagecategory(trial),version1relatestothedataelementEmergencyDepartmentwaitingtimetoservicedelivery,version1relatestothedataelementEmergencyDepartmentwaitingtimetoadmission,version1relatestothedataelementconceptPatientpresentationatEmergencyDepartment,version1relatestothedataelementDatepatientpresents,version1relatestothedataelementTimepatientpresents,version1relatestothedataelementTypeofvisit,version1relatestothedataelementDateoftriage,version1NationalHealthDataDictionary,version9Dataelementdefinitions403Triagecategory(continued)AdministrativeattributesRelateddata(continued):relatestothedataelementTimeoftriage,version1relatestothedataelementDateofserviceevent,version1relatestothedataelementTimeofserviceevent,version1relatestothedataelementAdmissiontime,version1relatestothedataelementDeparturestatus,version1Sourcedocument:NationalTriageScale,AustralasianCollegeforEmergencyMedicine(ACEM)Sourceorganisation:Nationalminimumdatasets:EmergencyDepartmentwaitingtimesfrom1/07/1999toComments:Thisdataelementsupportstheprovisionofunitrecordand/orsummaryleveldatabyStateandTerritoryhealthauthoritiesaspartoftheEmergencyDepartmentWaitingTimesNationalMinimumDataSet.
NationalHealthDataDictionary,version9404DataelementdefinitionsLevelofcareAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000294Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NDataelementtype:DATAELEMENTDefinition:Thelevelofcareneededbyapatient/residentasassessedbythesummationofscoresonquestionscontainedintheResidentClassificationInstrumentandsubsequentclassificationintooneoffivemajorcategories.
Context:Nursinghomes:thelevelofresourcesandassociatedcostsofprovidingcaretonursinghomeresidentsdependsonthelevelsofdependencyoftheresidents.
Thisfieldisanattempttomeasurethelevelsofcarerequiredbyindividualresidentsinorderthatanoverallprofileofthenursinghomepopulationcanbeobtained.
Suchaprofileisnecessarytohelpexplaincostvariationsbothbetweennursinghomesandovertime.
Atpresentthereisnomethodofdeterminingtheunderlyingpopulationdemandfornursinghomebeds.
changesonthelevelofcarerequiredonadmissiontoanursinghomemayalsoprovideausefulindicationofchangesindemand.
Thisdataelementalsoprovidesasummaryprofileofdependencyofresidentpopulation,asabasisformonitoringchangesinresidentprofileasaconsequenceofassessmentandothermeasuresbeingintroduced.
Datadomain:1Veryhighneed2Highneed3Mediumneed4Lowneed5Verylowneed6Ordinarycare(non-RCI)7Extensivecare(non-RCI)Guideforuse:ForStatenursinghomesnotusingResidentClassificationInstrument,thelevelofcareasmeasuredbyresidentclassificationintoordinaryofextensivecare.
Verificationrules:Collectionmethods:ThisitemisbasedontheResidentClassificationInstrument,whichhasbeenreplaced.
Relateddata:NationalHealthDataDictionary,version9Dataelementdefinitions405Levelofcare(continued)AdministrativeattributesSourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9406DataelementdefinitionsAgedcareassessmentstatusAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000017Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Theassessmentstatusofapersonintermsofwhetherornotheorshehasbeenassessedbyaregionalagedcareassessmentteamand,ifso,whichone.
Context:Agedcareassessment:usefulvariablewhencomparingresidentpopulationacrosssystems.
Datadomain:1Assessedbyapprovedagedcareassessmentteam2Assessedbynon-approvedagedcareassessmentteam3AssessedbyCommonwealthmedicalofficer4Notassessed5UnknownGuideforuse:Verificationrules:Collectionmethods:ThisitemisbasedontheformNH5,whichhasbeenreplaced.
Relateddata:Sourcedocument:Sourceorganisation:CommonwealthDepartmentofHealthandAgedCareNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions407UrgencyofadmissionAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000425Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
3Representationallayout:N(.
N)Dataelementtype:DATAELEMENTDefinition:Whethertheadmissionhasanurgencystatusassignedand,ifso,whetheradmissionoccurredonanemergencybasis.
Anemergencyadmissionisanadmissionofapatientforcareortreatmentwhich,intheopinionofthetreatingclinician,isnecessaryandadmissionforwhichshouldoccurwithin24hours.
Anelectiveadmissionisanadmissionofapatientforcareortreatmentwhich,intheopinionofthetreatingclinician,isnecessaryandadmissionforwhichcanbedelayedforatleast24hours.
Admissionsforwhichanurgencystatusisusuallynotassignedare:-admissionsfornormaldelivery(obstetric);-admissionswhichbeginwiththebirthofthepatient,orwhenitwasintendedthatthebirthoccurinthehospital,commenceshortlyafterthebirthofthepatient;-statisticaladmissions;and-plannedreadmissionsforthepatienttoreceivelimitedcareortreatmentforacurrentcondition,forexampledialysisorchemotherapy.
Context:AdmittedpatientcareDatadomain:1Urgencystatusassignedemergency2Urgencystatusassignedelective3Urgencystatusnotassigned9Notknown/notreportedGuideforuse:EmergencyadmissionThefollowingguidelinesmaybeusedbyhealthprofessionals,hospitalsandhealthinsurersindeterminingwhetheranemergencyadmissionhasoccurred.
Theseguidelinesshouldnotbeconsidereddefinitive.
Anemergencyadmissionoccursifoneormoreofthefollowingclinicalconditionsareapplicablesuchthatthepatientrequiredadmissionwithin24hours.
Suchapatientwouldbe:-atriskofseriousmorbidityormortalityandrequiringurgentassessmentand/orresuscitation;or-sufferingfromsuspectedacuteorganorsystemfailure;or-sufferingfromanillnessorinjurywheretheviabilityorfunctionofabodypartororganisacutelythreatened;orNationalHealthDataDictionary,version9408DataelementdefinitionsUrgencyofadmission(continued)Guideforuse(continued):-sufferingfromadrugoverdoes,toxicsubstanceortoxineffect;or-experiencingseverepsychiatricdisturbancewherebythehealthofthepatientorotherpeopleisatimmediaterisk;or-sufferingseverepainwheretheviabilityorfunctionofabodypartororganissuspectedtobeacutelythreatened;or-sufferingacutesignificanthaemorrhageandrequiringurgentassessmentandtreatment;or-sufferinggynaecologicalorobstetriccomplications;or-sufferinganacuteconditionwhichrepresentsasignificantthreattothepatientsphysicalorpsychologicalwellbeing;or-sufferingaconditionwhichrepresentsasignificantthreattopublichealth.
Ifanadmissionmeetsthedefinitionofemergencyabove,itiscategorisedasemergency,regardlessofwhethertheadmissionoccurredwithin24hoursofsuchacategorisationbeingmade,orafter24hoursormore.
ElectiveadmissionsIfanadmissionmeetsthedefinitionofelectiveabove,itiscategorisedaselective,regardlessofwhethertheadmissionactuallyoccurredafter24hoursormore,oritoccurredwithin24hours.
Thedistinguishingcharacteristicisthattheadmissioncouldbedelayedbyatleast24hours.
ScheduledadmissionsApatientwhoexpectstohaveanelectiveadmissionwilloftenhavethatadmissionscheduledinadvance.
Whetherornottheadmissionhasbeenscheduleddoesnotaffectthecategorisationoftheadmissionasemergencyorelective,whichdependsonlyonwhetheritmeetsthedefinitionsabove.
Thatis,patientsbothwithandwithoutascheduledadmissioncanbeadmittedoneitheranemergencyorelectivebasis.
AdmissionsfromelectivesurgerywaitinglistsPatientsonwaitinglistsforelectivesurgeryareassignedaClinicalurgencystatuswhichindicatestheclinicalassessmentoftheurgencywithwhichapatientrequireselectivehospitalcare.
Onadmission,theywillalsobeassignedanUrgencyofadmissioncategory,whichmayormaynotbeelective.
Patientswhoareremovedfromelectivesurgerywaitinglistsonadmissionasanelectivepatientfortheprocedureforwhichtheywerewaiting(seedatadomainvalue1inReasonforremoval)willbeassignedanUrgencyofadmissionofUrgencystatusassignedelective.
Inthatcase,theirClinicalurgencycategorycouldberegardedasfurtherdetailonhowurgenttheiradmissionwas.
Patientswhoareremovedfromelectivesurgerywaitinglistsonadmissionasanemergencypatientfortheprocedureforwhichtheywerewaiting(seedatadomainvalue2inReasonforremoval),willbeassignedanUrgencyofadmissionofUrgencystatusassignedemergency.
NationalHealthDataDictionary,version9Dataelementdefinitions409Urgencyofadmission(continued)AdministrativeattributesGuideforuse(continued):AdmissionsforwhichanurgencystatusisusuallynotassignedAnurgencystatuscanbeassignedforadmissionsofthetypeslistedaboveforwhichanurgencystatusisnotusuallyassigned.
Forexample,apatientwhoistohaveanobstetricadmissionmayhaveoneormoreoftheclinicalconditionslistedaboveandbeadmittedonanemergencybasis.
Useofdatadomain9Thenotknown/notreportedcategoryistobeusedwhenitisnotknownwhetherotnotanurgencystatushasbeenassigned,orwhenanurgencystatushasbeenassignedbutisnotknown.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementconceptElectivecare,version1relatestoClinicalurgency,version2Sourcedocument:Sourceorganisation:EmergencyDefinitionWorkingParty,NHDCNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toComments:NationalHealthDataDictionary,version9410DataelementdefinitionsMulti-disciplinaryteamstatusAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000434Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Anon-admittedmulti-disciplinaryteampatientserviceeventisoneforwhichthereisatmostoneappointmentandthepatientisassessedand/ortreatedbymorethanonemedicalpractitioner,alliedhealthpractitionerand/orspecialistnursepractitioner.
Context:Hospitalnon-admittedpatientcare.
Datadomain:1Non-admittedmulti-disciplinaryteampatientserviceevent2Othernon-admittedpatientserviceeventGuideforuse:Verificationrules:Collectionmethods:Relateddata:isusedinconjunctionwithNon-admittedpatientserviceeventcount,version1isusedinconjunctionwithNon-admittedpatientserviceevent,version1isusedinconjunctionwithNon-admittedpatientservicetype,version1isusedinconjunctionwithNew/repeatstatus,version1,ifrequiredisusedinconjunctionwithIndividual/groupsession,version1Sourcedocument:Sourceorganisation:Nationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions411New/repeatstatusAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000435Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Anewnon-admittedpatientserviceeventisoneforaproblemnotpreviouslyaddressedatthesameclinicalservice.
Allothernon-admittedpatientserviceeventsarerepeatserviceevents.
Context:Hospitalnon-admittedpatientcare.
Datadomain:1Newnon-admittedpatientserviceevent2Repeatnon-admittedpatientserviceeventGuideforuse:Newserviceeventsoccuraseachtypeofclinicalservicemakestheirfullassessmentconsultationwiththepatient.
Repeatvisitsincludecompletionofanambulatoryprocedure,e.
g.
removalofsuturesandremovalofplastercasts.
ExamplesofclinicalservicesareincludedintheGuideforuseforNon-admittedpatientservicetype.
Verificationrules:Collectionmethods:Relateddata:isusedinconjunctionwithNon-admittedpatientserviceevent,version1isusedinconjunctionwithNon-admittedpatientservicetype,version1isusedinconjunctionwithNon-admittedpatientservicemode,version1isusedinconjunctionwithNon-admittedpatientserviceevent-patientpresentstatus,version1isusedinconjunctionwithMulit-disciplinaryteamstatus,version1isusedinconjunctionwithIndividual/groupsession,version1Sourcedocument:Sourceorganisation:Nationalminimumdatasets:Comments:NationalHealthDataDictionary,version9412DataelementdefinitionsNon-admittedpatientserviceeventpatientpresentstatusAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000436Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thepresenceorabsenceofapatientatanon-admittedpatientserviceevent.
Context:Hospitalnon-admittedpatientcare.
Datadomain:1Patientpresentwithorwithoutcarer(s)/relative(s)2Carer(s)/relative(s)ofthepatientonlyGuideforuse:Aserviceeventisregardedashavingoccurredwhenaconsultationoccursbetweentheircarer/relativeandaserviceprovideratanappointmentwhenthepatientisnotpresent,providedthatthecarer/relativeisnotapatientintheirownrightfortheservicecontact.
Wherebotharepatients,itisconsideredthatserviceeventshavebeenprovidedfortheperson(s)inwhosemedicalrecordtheserviceeventisnoted.
Verificationrules:Collectionmethods:Relateddata:isusedinconjunctionwithNon-admittedpatientserviceeventcount,version1isusedinconjunctionwithNon-admittedpatientserviceevent,version1isusedinconjunctionwithNon-admittedpatientservicetype,version1isusedinconjunctionwithNon-admittedpatientservicemode,version1isusedinconjunctionwithMulti-disciplinaryteamstatus,version1isusedinconjunctionwithIndividual/groupsession,version1Sourcedocument:Sourceorganisation:Nationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions413IntendedlengthofhospitalstayAdmin.
status:CURRENT1/07/1994IdentifyinganddenitionalattributesKnowledgebaseID:000076Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Theintentionoftheresponsibleclinicianatthetimeofthepatientsadmissiontohospital,todischargethepatienteitheronthedayofadmissionorasubsequentdate.
Context:Toassistintheidentificationandcasemixanalysisofplannedsame-daypatients,thatisthosepatientswhoareadmittedwiththeintentionofdischargeonthesameday.
Thisisalsoakeyindicatorforqualityassuranceactivities.
Datadomain:1Intendedsame-day2IntendedovernightGuideforuse:Verificationrules:Collectionmethods:Theintendedlengthofstayshouldbeascertainedforalladmittedpatientsatthetimethepatientisadmittedtohospital.
Relateddata:isusedinthederivationofDiagnosisrelatedgroup,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Admittedpatientcarefrom1/07/2000toComments:Informationcomparingtheintendedlengthoftheepisodeofcareandtheactuallengthoftheepisodeofcareisconsideredusefulforqualityassuranceandutilisationreviewpurposes.
NationalHealthDataDictionary,version9414DataelementdefinitionsIntendedplaceofbirthAdmin.
status:CURRENT1/07/1996IdentifyinganddenitionalattributesKnowledgebaseID:000077Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Theintendedplaceofbirthattheonsetoflabour.
Context:Perinatalcare:womenwhoplantogivebirthinbirthcentresorathomeusuallyhavedifferentriskfactorsforoutcomecomparedtothosewhoplantogivebirthinhospitals.
Womenwhoaretransferredtohospitalaftertheonsetoflabourhaveincreasedrisksofinterventionandadverseoutcomes.
Datadomain:1Hospital2Birthcentre,attachedtohospital3Birthcentre,freestanding4Home8Other9NotstatedGuideforuse:Verificationrules:Collectionmethods:Relateddata:isqualifiedbyActualplaceofbirth,version1Sourcedocument:Sourceorganisation:NationalPerinatalDataDevelopmentCommitteeNationalminimumdatasets:Comments:ThedevelopmentofadefinitionofabirthcentreiscurrentlyunderconsiderationbytheCommonwealthinconjunctionwiththeStatesandTerritories.
NationalHealthDataDictionary,version9Dataelementdefinitions415ScheduledadmissiondateAdmin.
status:CURRENT1/01/1995IdentifyinganddenitionalattributesKnowledgebaseID:000147Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thedateonwhichitisproposedthatapatientonthewaitinglistwillbeadmittedforanepisodeofcare.
Context:Thisitemisrequiredforthepurposesofhospitalmanagementallocationofbeds,operatingtheatretimeandotherresources.
Datadomain:ValiddatesGuideforuse:Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementScheduledadmissiondate,version1isusedinconjunctionwithListingdate,version2Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:Ifthisdataelementweretobeusedtocomparedifferenthospitalsorgeographicallocations,itwouldbenecessarytospecifywhenthescheduleddateistobeallocated(e.
g.
onadditiontothewaitinglist).
NationalHealthDataDictionary,version9416NationalHealthInformationModelentitiesNationalHealthDataDictionary,version9Dataelementdefinitions417HospitalcensusAdmin.
status:CURRENT1/01/1995IdentifyinganddenitionalattributesKnowledgebaseID:000066Versionnumber:1RelationalandrepresentationalattributesDatatype:Representationalform:Fieldsize:Min.
Max.
Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTCONCEPTDefinition:Apointintimecountbyahospitalofallitsadmittedpatientsand/orpatientscurrentlyonawaitinglist.
Context:AdmitedpatientcareDatadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementCensusdate,version2relatestothedataelementWaitingtimeatacensusdate,version1Sourcedocument:Sourceorganisation:Nationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:NationalHealthDataDictionary,version9418DataelementdefinitionsCensusdateAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000174Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:DATEFieldsize:Min.
8Max.
8Representationallayout:DDMMYYYYAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Dateonwhichthehospitaltakesapointintime(census)countofandcharacterisationofpatientsonthewaitinglist.
Context:Electivesurgery:thisdataelementisnecessaryforthecalculationofthewaitingtimeuntilacensus.
Datadomain:Guideforuse:Thisdateisrecordedwhenacensusisdoneofthepatientsonawaitinglist.
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementCensusdate,version1isusedinthecalculationofWaitingtimeatacensusdate,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:NationalHealthDataDictionary,version9Dataelementdefinitions419ExtendedwaitpatientAdmin.
status:CURRENT1/07/1999IdentifyinganddenitionalattributesKnowledgebaseID:000400Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DERIVEDDATAELEMENTDefinition:Apatientwiththelowestlevelofclinicalurgencyforanawaitedprocedurewhohasbeenonthewaitinglistforelectivesurgeryformorethanoneyear.
Context:Electivesurgery:thenumbersandproportionsofpatientswithextendedwaitsaremeasuresofhospitalperformanceinrelationtopatientaccesstoelectivehospitalcare.
Datadomain:1Extendedwaitpatient2OtherpatientGuideforuse:Apatientisclassifiedasanextendedwaitpatientifthepatientisinclinicalurgencycategory3atthetimeofadmissionoratacensustimeandhasbeenwaitingfortheelectivesurgeryformorethanoneyear.
Verificationrules:Collectionmethods:Relateddata:isqualifiedbyClinicalurgency,version2isderivedfromWaitingtimeatacensusdate,version1isderivedfromWaitingtimeatadmission,version1Sourcedocument:Sourceorganisation:AIHW,NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1999toComments:Thisdataitemisusedtoidentifyclinicalurgencycategory3patientswhohadwaitedlongerthanoneyearatadmissionorhavewaitedlongerthanoneyearatthetimeofacensus.
AnextendedwaitpatientisnotanOverduepatientasthereisnomaximumdesirablewaitingtimespecifiedforpatientsinclinicalurgencycategory3astheyhavebeenassessedasnothavingaclinicallyurgentneedfortheawaitedprocedure.
NationalHealthDataDictionary,version9420DataelementdefinitionsOverduepatientAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000085Versionnumber:3RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
1Representationallayout:NAdministrativeattributesDataelementtype:DERIVEDDATAELEMENTDefinition:Anoverduepatientisonewhosewaithasexceededthetimethathasbeendeterminedasclinicallydesirableinrelationtotheurgencycategorytowhichtheyhavebeenassigned.
Context:Electivesurgery:thenumbersandproportionsofoverduepatientsrepresentameasureofthehospitalsperformanceinprovisionofelectivehospitalcare.
Datadomain:1Overduepatient2OtherGuideforuse:Thisdataelementisonlyrequiredforpatientsinclinicalurgencycategorieswithspecifiedmaximumdesirablewaitingtimes.
Overduepatientsarethoseforwhomthehospitalsystemhasfailedtoprovidetimelycareandwhosewaitmayhaveanadverseeffectontheoutcomeoftheircare.
TheyareidentifiedbyacomparisonofWaitingtimeatadmissionorWaitingtimeatacensusdateandthemaximumdesirabletimelimitfortheClinicalurgencyclassification.
ApatientisclassifiedasoverdueifreadyforcareandWaitingtimeatadmissionorWaitingtimeatacensusdateislongerthan30daysforpatientsinClinicalurgencycategory1or90daysforpatientsinClinicalurgencycategory2.
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementOverduepatient,version2isqualifiedbyClinicalurgency,version2isderivedfromWaitingtimeatacensusdate,version1isderivedfromWaitingtimeatadmission,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1994toComments:ThisdataitemisnotusedforpatientsinClinicalurgencycategory3asthereisnospecifiedtimeframewithinwhichitisdesirablethattheyareadmitted.
ThedataelementExtendedwaitpatientidentifiespatientsinClinicalurgencycategory3whohavewaitedlongerthanoneyearatadmissionoratthetimeofacensus.
NationalHealthDataDictionary,version9Dataelementdefinitions421WaitingtimeatacensusdateAdmin.
status:CURRENT1/07/1999IdentifyinganddenitionalattributesKnowledgebaseID:000412Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
4Representationallayout:NNNNDataelementtype:DERIVEDDATAELEMENTDefinition:Thetimeelapsedforapatientontheelectivesurgerywaitinglistfromthedatetheywereaddedtothewaitinglistfortheproceduretoadesignatedcensusdate.
Context:Electivesurgery:thisisacriticalelectivesurgerywaitingtimesdataelement.
Itisusedtodeterminewhetherpatientsareoverdue,orhadextendedwaitsatacensusdate.
Itisusedtoassistdoctorsandpatientsinmakingdecisionsabouthospitalreferral,toassistintheplanningandmanagementofhospitalsandinhealthcarerelatedresearch.
Datadomain:CountinnumberofdaysGuideforuse:ThenumberofdaysiscalculatedbysubtractingtheListingDatefromtheCensusdate,minusanydayswhenthepatientwasnotreadyforcare,andalsominusanydaysthepatientwaswaitingwithalowerclinicalurgencycategorythantheirclinicalurgencycategoryattheCensusdate.
Dayswhenthepatientwasnotreadyforcareiscalculatedbysubtractingthedate(s)thepersonwasrecordedasnotreadyforcarefromthedate(s)thepersonwassubsequentlyrecordedasagainbeingreadyforcareIf,atanytimesincebeingaddedtothewaitinglistfortheelectivesurgicalprocedure,thepatienthashadalowerclinicalurgencycategorythanthecategoryattheCensusdate,thenthenumberofdayswaitedatthelowerclinicalurgencycategoryshouldbesubtractedfromthetotalnumberofdayswaited.
Incaseswheretherehasbeenonlyonecategoryreassignment(i.
e.
tothehighercategoryattachedtothepatientatCensusdate)thenumberofdaysatthelowerclinicalurgencycategoryshouldbecalculatedbysubtractingtheListingdatefromtheCategoryreassignmentdate.
Ifthepatientsclinicalurgencywasreclassifiedmorethanonce,daysspentineachperiodoflowerclinicalurgencythantheoneapplyingattheCensusdateshouldbecalculatedbysubtractingoneCategoryreassignmentdatefromthesubsequentCategoryreassignmentdate,andthenaddedtogether.
Verificationrules:Collectionmethods:Relateddata:iscalculatedusingListingdate,version2iscalculatedusingCensusdate,version2NationalHealthDataDictionary,version9422DataelementdefinitionsWaitingtimeatacensusdate(continued)AdministrativeattributesRelateddata(continued):iscalculatedusingPatientlistingstatus,version3isqualifiedbyClinicalurgency,version2iscalculatedusingCategoryreassignmentdate,version2isusedinthederivationofOverduepatient,version3isusedinthederivationofExtendedwaitpatient,version1Sourcedocument:Sourceorganisation:AIHW,NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1999toComments:Electivesurgerywaitingtimesdatacollectionsincludemeasuresofwaitingtimesatadmissionandatdesignatedcensusdates.
ThisdataelementisusedtomeasurewaitingtimesatadesignatedcensusdatewhereasthedataelementWaitingtimeatadmissionmeasureswaitingtimesatadmission.
NationalHealthDataDictionary,version9Dataelementdefinitions423WaitingtimeatadmissionAdmin.
status:CURRENT1/07/1999IdentifyinganddenitionalattributesKnowledgebaseID:000413Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
4Representationallayout:NNNNDataelementtype:DERIVEDDATAELEMENTDefinition:Thetimeelapsedforapatientontheelectivesurgerywaitinglistfromthedatetheywereaddedtothewaitinglistfortheproceduretothedatetheywereadmittedtohospitalfortheprocedure.
Context:Electivesurgery:thisisacriticalelectivesurgerywaitingtimesdataelement.
Itisusedtodeterminewhetherpatientsareoverdue,orhadextendedwaitsatadmission.
Itisusedtoassistdoctorsandpatientsinmakingdecisionsabouthospitalreferral,toassistintheplanningandmanagementofhospitalsandinhealthcarerelatedresearch.
Datadomain:CountinnumberofdaysGuideforuse:ThenumberofdaysiscalculatedbysubtractingtheListingDatefromtheAdmissiondate,minusanydayswhenthepatientwasnotreadyforcare,andalsominusanydaysthepatientwaswaitingwithalowerclinicalurgencycategorythantheirclinicalurgencycategoryatadmission.
Dayswhenthepatientwasnotreadyforcareiscalculatedbysubtractingthedate(s)thepersonwasrecordedasnotreadyforcarefromthedate(s)thepersonwassubsequentlyrecordedasagainbeingreadyforcare.
If,atanytimesincebeingaddedtothewaitinglistfortheelectivesurgicalprocedure,thepatienthashadalowerclinicalurgencycategorythanthecategoryatadmission,thenthenumberofdayswaitedatthelowerclinicalurgencycategoryshouldbesubtractedfromthetotalnumberofdayswaited.
Incaseswheretherehasbeenonlyonecategoryreassignment(i.
e.
tothehighercategoryattachedtothepatientatadmission)thenumberofdaysatthelowerclinicalurgencycategoryshouldbecalculatedbysubtractingtheListingdatefromtheCategoryreassignmentdate.
Ifthepatientsclinicalurgencywasreclassifiedmorethanonce,daysspentineachperiodoflowerclinicalurgencythantheoneapplyingatadmissionshouldbecalculatedbysubtractingoneCategoryreassignmentdatefromthesubsequentCategoryreassignmentdate,andthenaddedtogether.
Verificationrules:Collectionmethods:NationalHealthDataDictionary,version9424DataelementdefinitionsWaitingtimeatadmission(continued)AdministrativeattributesRelateddata:iscalculatedusingListingdate,version2iscalculatedusingPatientlistingstatus,version3isqualifiedbyClinicalurgency,version2iscalculatedusingCategoryreassignmentdate,version2isusedinthederivationofOverduepatient,version3isusedinthederivationofExtendedwaitpatient,version1iscalculatedusingAdmissiondate,version4Sourcedocument:Sourceorganisation:AIHW,NationalHealthDataCommitteeNationalminimumdatasets:Electivesurgerywaitingtimesfrom1/07/1999toComments:Electivesurgerywaitingtimesdatacollectionsincludemeasuresofwaitingtimesatadmissionandatdesignatedcensusdates.
ThisdataelementisusedtomeasurewaitingtimesatadmissionwhereasthedataelementWaitingtimeatcensusdatemeasureswaitingtimesatadesignatedcensusdate.
NationalHealthDataDictionary,version9Dataelementdefinitions425PatientdaysAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000206Versionnumber:3RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
8Representationallayout:NNNNNNNNDataelementtype:DERIVEDDATAELEMENTDefinition:Thenumberofpatientdaysisthetotalnumberofdaysforallpatientswhowereadmittedforanepisodeofcareandwhoseparatedduringaspecifiedreferenceperiod.
Context:Admittedpatientcare:neededasthebasiccountofthenumberofservicesprovidedbyanestablishment.
Datadomain:TotalpatientdaysfortheperiodGuideforuse:Adayismeasuredfrommidnightto2359hours.
Thefollowingbasicrulesareusedtocalculatethenumberofpatientdaysforovernightstaypatients:-thedaythepatientisadmittedisapatientday.
-ifthepatientremainsinhospitalfrommidnightto2359hourscountasapatientday.
-thedayapatientgoesonleaveiscountedasaleaveday.
-ifthepatientisonleavefrommidnightto2359hourscountasaleaveday.
-thedaythepatientreturnsfromleaveiscountedasapatientday.
-thedaythepatientisseparatedisnotcountedasapatientday.
Thefollowingadditionalrulescoverspecialcircumstancesandinsuchcases,overridethebasicrules:-patientsadmittedandseparatedonthesamedate(same-daypatients)aretobegivenacountofonepatientday.
-ifthepatientisadmittedandgoesonleaveonthesameday,countasapatientday.
-ifthepatientreturnsfromleaveandgoesonleaveonthesamedate,countasaleaveday.
-ifthepatientreturnsfromleaveandisseparated,itisnotcountedaseitherapatientdayoraleaveday.
-ifapatientgoesonleavethedaytheyareadmittedanddoesnotreturnfromleaveuntilthedaytheyaredischarged,countasonepatientday(thedayofadmissioniscountedasapatientday,thedayofseparationisnotcountedasapatientday).
NationalHealthDataDictionary,version9426DataelementdefinitionsPatientdays(continued)AdministrativeattributesGuideforuse(continued):Whencalculatingtotalpatientdaysforaspecifiedperiod:-countthetotalpatientdaysofthosepatientsseparatedduringthespecifiedperiodincludingthoseadmittedbeforethespecifiedperiod-donotcountthepatientdaysofthosepatientsadmittedduringthespecifiedperiodwhodidnotseparateuntilthefollowingreferenceperiod.
-contractpatientdaysareincludedinthecountoftotalpatientdays.
Ifitisarequirementtodistinguishcontractpatientdaysfromotherpatientdays,theycanbecalculatedbyusingtherulescontainedinthedataelement:totalcontractpatientdays.
Verificationrules:Collectionmethods:ForthenationalminimumdatasetAdmittedpatientcarethereferenceperiodfordatacollectionisafinancialyeari.
e.
1Julyto30Juneinclusive.
Relateddata:supersedespreviousdataelementPatientdays,version2relatestothedataelementAdmissiondate,version4relatestothedataelementTotalleavedays,version3relatestothedataelementTotalcontractpatientdays,version1relatestothedataelementDischargedate,version4Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions427TotalpsychiatriccaredaysAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000164Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
5Representationallayout:NNNNNDataelementtype:DERIVEDDATAELEMENTDefinition:Thesumofthenumberofdaysorpartdaysofstaythatthepersonreceivedcareasanadmittedpatientorresidentwithinadesignatedpsychiatricunit,minusthesumofleavedaysoccurringduringthestaywithinthedesignatedunit.
Context:Admittedpatientandresidentialmentalhealthcare:thisdataelementisrequiredtoidentifythecharacteristicsofpatientstreatedinspecialistpsychiatricunitslocatedwithinacutecarehospitalsor24-hourstaffedcommunity-basedresidentialservicesandtoanalysetheactivitiesoftheseunitsandservices.
Communitymentalhealthcare:thisdataelementisrequiredtoidentifythecharacteristicsofpatientstreatedinspecialistpsychiatric24-hourstaffedcommunity-basedresidentialservicesandtoanalysetheactivitiesoftheseunits.
Thedataelementisnecessarytodescribeandevaluatetheprogressofmainstreamingofmentalhealthservices.
Datadomain:CountinnumberofdaysGuideforuse:Designatedpsychiatricunitsarestaffedbyhealthprofessionalswithspecialistmentalhealthqualificationsortrainingandhaveastheirprincipalfunctionthetreatmentandcareofpatientsaffectedbymentaldisorder.
TheunitmayormaynotberecognisedunderrelevantStateandTerritorylegislationtotreatpatientsonaninvoluntarybasis.
Patientsareadmittedpatientsintheacuteandpsychiatrichospitalsandresidentsincommunitybasedresidences.
PublicacutecarehospitalsDesignatedpsychiatricunitsinpublicacutecarehospitalsarenormallyrecognisedbytheState/Territoryhealthauthorityinthefundingarrangementsapplyingtothosehospitals.
PrivateacutecarehospitalsDesignatedpsychiatricunitsinprivateacutecarehospitalsnormallyrequirelicenseorapprovalbytheState/Territoryhealthauthorityinordertoreceivebenefitsfromhealthfundsfortheprovisionofpsychiatriccare.
PsychiatrichospitalsTotalpsychiatriccaredaysinstand-alonepsychiatrichospitalsarecalculatedbycountingthosedaysthepatientreceivedspecialistpsychiatriccare.
Leavedaysanddaysonwhichthepatientwasreceivingothercare(e.
g.
specialisedintellectualabilityordrugandalcoholcare)shouldbeexcluded.
NationalHealthDataDictionary,version9428DataelementdefinitionsTotalpsychiatriccaredays(continued)Guideforuse(continued):Psychiatrichospitalsareestablishmentsdevotedprimarilytothetreatmentandcareofadmittedpatientswithpsychiatric,mentalorbehaviouraldisorders.
PrivatehospitalsformerlyapprovedbytheCommonwealthDepartmentofHealthundertheHealthInsuranceAct1973(Commonwealth)(nowlicensed/approvedbyeachState/Territoryhealthauthority),cateringprimarilyforpatientswithpsychiatricorbehaviouraldisordersareincludedinthiscategory.
Community-basedresidentialservicesDesignatedpsychiatricunitsrefersto24-hourstaffedcommunity-basedresidentialunitsestablishedincommunitysettingsthatprovidespecialisedtreatment,rehabilitationorcareforpeopleaffectedbyamentalillnessorpsychiatricdisability.
Specialpsychiatricunitsfortheelderlyarecoveredbythiscategory,includingpsychogeriatrichostelsorpsychogeriatricnursinghomes.
Notethatresidencesoccupiedbyadmittedpatientslocatedonhospitalgrounds,whetheronthecampusofageneralorstand-alonepsychiatrichospital,shouldbecountedinthecategoryofadmittedpatientservicesandnotascommunity-basedresidentialservices.
Countingofpatientdaysandleavedaysindesignatedpsychiatricunitsshouldfollowthestandarddefinitionsapplyingtotheseitems.
Foreachperiodofcareinadesignatedpsychiatricunit,totaldaysiscalculatedbysubtractingthedateonwhichcarecommencedwithintheunitfromthedateonwhichthespecialistunitcarewascompleted,lessanyleavedaysthatoccurredduringtheperiod.
Totalpsychiatriccaredaysin24-hourcommunity-basedresidentialcarearecalculatedbycountingthosedaysthepatientreceivedspecialistpsychiatriccare.
Leavedaysanddaysonwhichthepatientwasreceivingothercare(e.
g.
specialisedintellectualabilityordrugandalcoholcare)shouldbeexcluded.
Admittedpatientsinacutecare:Commencementofcarewithinadesignatedpsychiatricunitmaybethesameasthedatethepatientwasadmittedtothehospital,oroccursubsequently,followingtransferofthepatientfromanotherhospitalward.
Wherecommencementofpsychiatriccareoccursbytransferfromanotherward,anewepisodeofcaremayberecorded,dependingonwhetherthecaretypehaschanged(seedataelementCaretype).
Completionofcarewithinadesignatedpsychiatricunitmaybethesameasthedatethepatientwasdischargedfromthehospital,oroccurpriortothisontransferofthepatienttoanotherhospitalward.
Wherecompletionofpsychiatriccareisfollowedbytransfertoanotherhospitalward,anewepisodeofcaremayberecorded,dependingonwhetherthecaretypehaschanged(seedataelementCaretype).
Totalpsychiatriccaredaysmaycoveroneormoreperiodsinadesignatedpsychiatricunitwithintheoverallhospitalstay.
Accuratecountingoftotaldaysinpsychiatriccarerequiresperiodsindesignatedpsychiatricunitstobeidentifiedintheperson-leveldatacollectedbyStateorTerritoryhealthauthorities.
Severalmechanismsexistforthisdatafieldtobeimplemented.
NationalHealthDataDictionary,version9Dataelementdefinitions429Totalpsychiatriccaredays(continued)AdministrativeattributesGuideforuse(continued):-Ideally,thenewdatafieldshouldbecollectedlocallybyhospitalsandaddedtotheunitrecorddataprovidedtotherelevantState/Territoryhealthauthority.
-AcutecarehospitalsinmostStatesandTerritoriesincludedetailsofthewardsinwhichthepatientwasaccommodatedintheunitrecorddataprovidedtothehealthauthority.
Localknowledgeshouldbeusedtoidentifydesignatedpsychiatricunitswithineachhospitalswardcodes,toallowtotalpsychiatriccaredaystobecalculatedforeachepisodeofcare.
-Acutecarehospitalsand24-hourstaffedcommunity-basedresidentialservicesshouldbeidentifiedseparatelyattheleveloftheestablishment.
Verificationrules:Totaldaysinpsychiatriccaremustbe:>=zero;and=thebeginningofthereferenceperiod(typicallyafinancialyear);and<=theendofthereferenceperiod.
Thissummaybecalculatedat:-individualestablishmentlevel;or-system(i.
e.
State/Territory)leveli.
e.
thesumofthenumberofestablishments.
Verificationrules:Collectionmethods:Forthenationalminimumdatasetadmittedpatientcarethereferenceperiodfordatacollectionisafinancialyeari.
e.
1Julyto30Juneinclusive.
Relateddata:relatestothedataelementconceptSeparation,version3supersedespreviousderiveddataelementSeparations,version1isderivedfromSeparationdate,version5Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:NationalHealthDataDictionary,version9446DataelementdefinitionsEmergencyDepartmentwaitingtimetoadmissionAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000397Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
4Max.
4Representationallayout:HHMMAdministrativeattributesDataelementtype:DERIVEDDATAELEMENTDefinition:ThetimeelapsedforeachpatientfrompresentationtotheEmergencyDepartmenttoadmissiontohospital.
Context:Emergencycare:thisisacriticalwaitingtimesdataitem.
Thisitemisusedtoexaminethelengthofwaitingtime,forperformanceindicatorsandbenchmarking.
Informationbasedonthisdataitemwillhavemanyusesincludingtoassistintheplanningandmanagementofhospitalsandinhealthcareresearch.
Datadomain:CountinnumbersofhoursandminutesGuideforuse:CalculatedfromadmissiondateandtimeminusdateandtimepatientpresentsforthoseEmergencyDepartmentpatientswhoareadmitted.
Verificationrules:Collectionmethods:TobecollectedonpatientspresentingtoEmergencyDepartmentforunplannedcareinpublichospitalswithEmergencyDepartmentandprivatehospitalsprovidingcontractedservicesforthepublicsector.
Relateddata:iscalculatedusingAdmissiondate,version4relatestothedataelementconceptPatientpresentationatEmergencyDepartment,version1iscalculatedusingDatepatientpresents,version1iscalculatedusingTimepatientpresents,version1iscalculatedusingAdmissiontime,version1iscalculatedusingDeparturestatus,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions447EmergencyDepartmentwaitingtimetoservicedeliveryAdmin.
status:CURRENT1/07/1998IdentifyinganddenitionalattributesKnowledgebaseID:000347Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
4Max.
4Representationallayout:HHMMAdministrativeattributesDataelementtype:DERIVEDDATAELEMENTDefinition:ThetimeelapsedforeachpatientfrompresentationtotheEmergencyDepartmenttocommencementofservicebyatreatingmedicalofficerornurse.
Context:Emergencycare:thisisacriticalwaitingtimesdataitem.
Thisitemisusedtoexaminethelengthofwaitingtime,forperformanceindicatorsandbenchmarking.
InformationbasedonthisdataitemwillhavemanyusesincludingtoassistmanagementofEmergencyDepartments,theplanningandmanagementofhospitalsandinhealthcarerelatedresearch.
Datadomain:CountinnumbersofhoursandminutesGuideforuse:Calculatedfromdateandtimeofserviceeventminusdateandtimepatientpresents.
Althoughtriagecategory1ismeasuredinseconds,itisrecognisedthatthedatawillnotbecollectedwiththisprecision.
Waitingtimemaybezeroiftriageandtreatmentarecoincident.
Verificationrules:Collectionmethods:TobecollectedonpatientspresentingtoEmergencyDepartmentforunplannedcareinpublichospitalswithEmergencyDepartmentandprivatehospitalsprovidingcontractedservicesforthepublicsector.
Relateddata:isusedinthecalculationofTriagecategory(trial),version1iscalculatedusingDatepatientpresents,version1iscalculatedusingTimepatientpresents,version1iscalculatedusingDateofserviceevent,version1iscalculatedusingTimeofserviceevent,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:EmergencyDepartmentwaitingtimesfrom1/07/1999toComments:Itisrecognisedthatattimesofextremeurgencyormultiplesynchronouspresentations,orifnomedicalofficerisondutyintheEmergencyDepartment,thisservicemaybeprovidedbyanurse.
Thisdataelementsupportstheprovisionofunitrecordand/orsummaryleveldatabyStateandTerritoryhealthauthoritiesaspartoftheEmergencyDepartmentwaitingtimesNationalMinimumDataSet.
NationalHealthDataDictionary,version9448DataelementdefinitionsOccasionsofserviceAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000209Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
7Representationallayout:NNNNNNNAdministrativeattributesDataelementtype:DERIVEDDATAELEMENTDefinition:Thenumberofoccasionsofexamination,consultation,treatmentorotherserviceprovidedtoapatientineachfunctionalunitofahealthserviceestablishment.
Eachdiagnostictestorsimultaneoussetofrelateddiagnostictestsfortheonepatientreferredtoahospitalpathologydepartmentconsistsofoneoccasionofservice.
Context:Occasionsofservicearerequiredasameasureofnon-admittedpatientserviceprovision.
Datadomain:NumberofoccasionsofserviceGuideforuse:Verificationrules:Collectionmethods:Theproposeddefinitiondoesnotdistinguishcasecomplexityfornon-admittedpatients.
Forexample,anoccasionofservicecouldvaryincomplexityfromasimpleurineglucosetesttoacompletebiochemicalanalysisofallbodyfluids.
Ideally,averagecasecomplexityvalueswouldbeavailableforthevariouscategoriesofnon-admittedpatientsinthesamewaythataverageDiagnosisRelatedGroupweightedseparationsarebecomingavailableforacuteadmittedpatients.
However,suchmeasureswouldrequirethedevelopmentofpatientrecorddatabasesfornon-admittedpatients.
Thisdoesnotimplyaninadequacyindefinition.
Foradmittedpatientstheconceptofaseparationiswidelyaccepted.
Separationscanvarybetweenadmissionforovernightobservationtoopenheartsurgery.
Theissueofcasecomplexityforbothadmittedandnon-admittedpatientsisaseparateissueandbeyondthescopeoftheproposedsummaryestablishment-levelactivitydata.
Relateddata:Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toComments:SomeoverlapwiththedataelementsNumberofservicecontactdates,ServicecontactdateandServicecontact(concept)isacknowledgedbytheNationalHealthDataCommitteeandissubjecttofurtherworkduring1999.
NationalHealthDataDictionary,version9Dataelementdefinitions449LengthofstayAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000119Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
3Representationallayout:NNNAdministrativeattributesDataelementtype:DERIVEDDATAELEMENTDefinition:HospitalThelengthofstayofapatientmeasuredinpatientdays.
Asame-daypatientshouldbeallocatedalengthofstayofonepatientday.
Thelengthofstayofanovernightstaypatientiscalculatedbysubtractingthedatethepatientisadmittedfromthedateofseparationanddeductingtotalleavedays.
Totalcontractedpatientdaysareincludedinthelengthofstay.
AntenatalTocalculateantenatallengthofstay,subtractthedatethemotherisadmittedfromthedateofdelivery.
PostnatalTocalculatepostnatallengthofstay,subtractthedateofdeliveryfromthedatethemotherisseparated.
Allleavedaysareexcludedfromthecalculation.
Context:AdmittedpatientcareDatadomain:CountnumberofpatientdaysGuideforuse:Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementLengthofstay,version1iscalculatedusingAdmissiondate,version4iscalculatedusingTotalleavedays,version3iscalculatedusingDischargedate,version4Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9450DataelementdefinitionsNumberofqualieddaysfornewbornsAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000346Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
5Representationallayout:NNNNNAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thenumberofqualifiednewborndaysoccurringwithinanewbornepisodeofcare.
Context:Admittedpatientcarenewbornepisodesofcareonly.
Datadomain:CountofthenumberofdaysGuideforuse:Therulesforcalculatingthenumberofqualifiednewborndaysareoutlinedbelow.
Thenumberofqualifieddaysiscalculatedwithreferencetothedateofadmission,dateofseparationandanydate(s)ofchangetoqualificationstatus:thedateofadmissioniscountedifthepatientwasqualifiedattheendofthedaythedateofchangetoqualificationstatusiscountedifthepatientwasqualifiedattheendofthedaythedateofseparationisnotcounted,evenifthepatientwasqualifiedonthatdaythenormalrulesforcalculationofpatientdaysapply,forexampleinrelationtoleaveandsamedaypatientsThelengthofstayforanewbornepisodeofcareisequaltothesumofthequalifiedandunqualifieddays.
Verificationrules:Collectionmethods:Relateddata:supersedespreviousdataelementNumberofacute(qualified)/unqualifieddaysfornewborns),version1isusedinthecalculationofPatientdays,version3isusedinconjunctionwithDateofchangetoqualificationstatus,version1isusedinconjunctionwithNewbornqualificationstatus,version2Sourcedocument:Sourceorganisation:Nationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions451TotalcontractpatientdaysAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000429Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
3Representationallayout:NNNDataelementtype:DERIVEDDATAELEMENTDefinition:Sumofthenumberofcontractpatientdays(ContractedcarecompletiondateminusContractedcarecommencementdate)forallperiodswithinthehospitalstay.
Context:AdmittedpatientcareDatadomain:CountnumberofdaysGuideforuse:Adayismeasuredfrommidnightto2359hours.
Contractpatientdaysareincludedinthetotalcountofpatientdays.
Ifnecessary,Contractpatientdayscanbedistinguishedfromotherpatientdaysbyusingthefollowingrules:Thedaythecontractcommencesiscountedasacontractpatientday.
Ifthepatientisoncontractfrommidnightto2359countasacontractpatientday.
Thedayacontractiscompletedisnotcountedasacontractpatientday.
Ifthepatientisadmittedandcommencesacontractonthesameday,thisisnotcountedasacontractpatientdayIfacontractiscompletedandthepatientisseparatedonthesameday,thedayshouldnotbecountedasacontractorotherpatientday.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementContractedhospitalcarerelatestothedataelementContracttyperelatestothedataelementContractrolerelatestothedataelementContractestablishmentidentifierrelatestothedataelementContractedcarecommencementdaterelatestothedataelementContractedcarecompletiondaterelatestothedataelementContractprocedureflagrelatestothedataelementPatientdaysNationalHealthDataDictionary,version9452DataelementdefinitionsTotalcontractpatientdays(continued)AdministrativeattributesSourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:NationalHealthDataDictionary,version9Dataelementdefinitions453Non-admittedpatientserviceeventcountAdmin.
status:CURRENT1/07/2000IdentifyinganddenitionalattributesKnowledgebaseID:000437Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:CODEFieldsize:Min.
1Max.
7Representationallayout:NNNNNNNAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Thenumberofserviceeventsprovidedtonon-admittedpatientsinthereferenceperiod,foreachoftheclinicalservicetypesinthehospital.
Context:Hospitalnon-admittedpatientcarepublicpatientsonly.
Datadomain:Countofnon-admittedpatientserviceeventsforeachoftheclinicalservicetypeslistedinthedatadomainofthedataelementNon-admittedpatientservicetype.
Guideforuse:Foreachnon-admittedpatientserviceeventcount,specifythe-Servicetype-Multi-disciplinaryteamstatus-Individual/groupsessionstatus-Patientpresentstatus-ServicemodeVerificationrules:Collectionmethods:Relateddata:isusedinconjunctionwithMulti-disciplinaryteamstatus,version1isusedinconjunctionwithNon-admittedpatientserviceevent,version1isusedinconjunctionwithNon-admittedpatientservicetype,version1isusedinconjunctionwithNon-admittedpatientservicemode,version1isusedinconjunctionwithNon-admittedpatientserviceeventpatientpresentstatus,version1isusedinconjunctionwithIndividual/groupsession,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Comments:Publicpatientsaredefinedinaccordancewiththe19982003AustralianHealthCareAgreements.
NationalHealthDataDictionary,version9454NationalHealthInformationModelentitiesNationalHealthDataDictionary,version9Dataelementdefinitions455NumberofavailablebedsforadmittedpatientsAdmin.
status:CURRENT1/07/1997IdentifyinganddenitionalattributesKnowledgebaseID:000255Versionnumber:2RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
4Representationallayout:NNNNAdministrativeattributesDataelementtype:DATAELEMENTDefinition:Anavailablebedisabedwhichisimmediatelyavailabletobeusedbyanadmittedpatientorresidentifrequired.
Abedisimmediatelyavailableforuseifitislocatedinasuitableplaceforcarewithnursingandauxiliarystaffavailablewithinareasonableperiod.
Inclusions:bothoccupiedandunoccupiedbedsareincluded.
Fornursinghomes,thenumberofapprovedbedsincludesbedsapprovedforrespitecare.
Exclusions:surgicaltables,recoverytrolleys,deliverybeds,cotsfornormalneonates,emergencystretchers/bedsnotnormallyauthorisedorfundedandbedsdesignatedforsame-daynon-admittedpatientcareareexcluded.
Bedsinwardswhichwereclosedforanyreason(exceptweekendclosuresforbeds/wardsstaffedandavailableonweekdaysonly)arealsoexcluded.
Context:Necessarytoprovideanindicatoroftheavailabilityandtypeofserviceforanestablishment.
Datadomain:Averageavailablebeds,roundedtothenearestwholenumberGuideforuse:Theaveragebedistobecalculatedfrommonthlyfigures.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementconceptAdmittedpatient,version3supersedespreviousdataelementNumberofavailablebedsforadmittedpatients,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toCommunitymentalhealthcarefrom1/07/1998toComments:ThisNationalHealthDataDictionaryentrywasamendedduring199697.
Untilthen,bothaverageandendofyearcountsofavailablebedswereincluded,andtheendofyearcountsusedassurrogatesfortheaveragecountsifthelatterwereunavailable.
Theaveragecountismoreusefulforaccuratecharacterisationofestablishmentsandcomparisons.
NationalHealthDataDictionary,version9456DataelementdefinitionsPatientrevenueAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000296Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Patientrevenuecomprisesallrevenuereceivedby,anddueto,anestablishmentinrespectofindividualpatientliabilityforaccommodationandotherestablishmentcharges.
Allpatientrevenueistobegroupedtogetherregardlessofsourceofpayment(Commonwealth,healthfund,insurancecompany,directfrompatient)orstatusofpatient(whetherin-patientornon-in-patient,privateorcompensable).
Grossrevenueshouldbereported.
Note:TheCommonwealthcontributioninrespectofnursinghomepatientsshouldbeincludedunderpatientrevenue.
Context:Healthexpenditure:patientrevenueisasignificantsourceofincomeformostestablishments.
Forsomeestablishments(principallytheprivatesector)itisthemajorsourceofincome.
Patientrevenuedataisimportantforanyhealthfinancinganalysesorstudiesatthenationallevel.
Datadomain:Guideforuse:Verificationrules:Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1Sourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toComments:TheResourcesWorkingPartyconsideredasplitofpatientrevenueintovariouscategoriesincludinganin-patient/non-in-patientsplitandaprivate/compensable/ineligiblesplitbutdecidedagainstthislevelofdetail.
Inpart,thisreflectedsensitivitiestotoodetailedadisclosureofsourcesofrevenueandalsoafeelingthattotalpatientrevenuewasadequateforanalysisatanationallevel.
However,fornursinghomepatientrevenue,theCommonwealthDepartmentofCommunityServicesandHealthnursingNationalHealthDataDictionary,version9Dataelementdefinitions457Patientrevenue(continued)Comments(continued):homeexpertssaidtheywouldliketoseealimitedsplitupofpatientrevenueperhapsalongthefollowinglines:Nursinghomes-Commonwealthbenefit-residentspaymentHostels-Commonwealthbenefit-residentrecurrentfunding-residentcapitalfundingNationalHealthDataDictionary,version9458DataelementdefinitionsRecoveriesAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000295Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:Dataelementtype:DATAELEMENTDefinition:Allrevenuereceivedthatisinthenatureofarecoveryofexpenditureincurred.
Thiswouldinclude:-incomereceivedfromtheprovisionofmealsandaccommodationtomembersofstaffofthehospital(assumingitispossibletoseparatethisfromincomefromtheprovisionofmealsandaccommodationtovisitors;-incomereceivedfromtheuseofhospitalfacilitiesbysalariedmedicalofficersexercisingtheirrightsofprivatepracticeandbyprivatepractitionerstreatingprivatepatientsinhospital;and-otherrecoveriessuchasthoserelatingtointer-hospitalserviceswheretherevenuerelatestoarangeofdifferentcostsandcannotbeclearlyoffsetagainstanyparticularcost.
Generally,grossrevenuesshouldbereportedbut,whereinter-hospitalpaymentsfortransfersofgoodsandservicesaremade,offsettingpracticesareacceptabletoavoiddoublecounting.
Wherearangeofinter-hospitaltransfersofgoodsandservicesisinvolvedanditisnotpossibletoallocatetheoffsettingrevenueagainstparticularexpenditurecategories,thenitisacceptabletobringthatrevenueinthroughrecoveries.
Context:Healthexpenditure:recoveriesrepresentasignificantsourceofincomeformanyestablishmentsand,aswellasassistingincompletingthepictureinanyhealthfinancingstudiesoranalysisatthenationallevel,arerelevantinrelationtothedeterminationofnetcostsandoutputcosts.
Datadomain:Guideforuse:ThisdataelementrelatestoallrevenuereceivedbyestablishmentsexceptforgeneralrevenuepaymentsreceivedfromStateorTerritorygovernments.
Verificationrules:Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1NationalHealthDataDictionary,version9Dataelementdefinitions459Recoveries(continued)AdministrativeattributesSourcedocument:Sourceorganisation:NationalminimumdatasetworkingpartiesNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toComments:TheResourcesWorkingPartyhadconsideredsplittingrecoveriesintostaffmealsandaccommodation,anduseofhospitalfacilities(privatepractice)andotherrecoveries.
SomeStateshadfeltthatuseoffacilitieswastoosensitiveasaseparateidentifiableiteminanationalminimumdataset.
Additionally,itwasconsideredthattotalrecoverieswasanadequatecategoryforhealthfinancinganalysispurposesatthenationallevel.
NationalHealthDataDictionary,version9460DataelementdefinitionsOtherrevenuesAdmin.
status:CURRENT1/07/1989IdentifyinganddenitionalattributesKnowledgebaseID:000323Versionnumber:1RelationalandrepresentationalattributesDatatype:NumericRepresentationalform:QUANTITATIVEVALUEFieldsize:Min.
1Max.
9Representationallayout:AdministrativeattributesDataelementtype:DATAELEMENTDefinition:Allotherrevenuereceivedbytheestablishmentthatisnotincludedunderpatientrevenueorrecoveries(butnotincludingrevenuepaymentsreceivedfromStateorTerritorygovernments).
Thiswouldincluderevenuesuchasinvestmentincomefromtemporarilysurplusfundsandincomefromcharities,bequestsandaccommodationprovidedtovisitors.
Seetextrelatingtooffsettingpractices.
Grossrevenueshouldbereported(exceptinrelationtopaymentsforinter-hospitaltransfersofgoodsandservices).
Context:Healthservices:inaggregate,otherrevenuesasdefinedaboveconstituteasignificantsourceofincomeformanyestablishmentsandarenecessarytocompletetherevenuepictureforhealthfinancingstudiesoranalysesatthenationallevel.
Datadomain:Guideforuse:Verificationrules:Australiandollars.
Roundedtonearestwholedollar.
Collectionmethods:Relateddata:relatestothedataelementEstablishmenttype,version1Sourcedocument:Sourceorganisation:NationalHealthDataCommitteeNationalminimumdatasets:Publichospitalestablishmentsfrom1/07/2000toComments:NationalHealthDataDictionary,version9AppendixA461AppendixA:TheNationalHealthDataCommitteemembershipTheNationalHealthDataCommitteemembershipasatFebruary2000was:MemberOrganisationTelephoneFacsimileEmailMrMichaelBassingthwaighte(Privatehealthinsuranceindustryrepresentative)LysaghtsHospitalandMedicalClubPOBox77PORTKEMBLANSW2505(02)94603897(02)94603897michaeljbass@ozemail.
com.
auMrPeterCallananDirectorInsuranceandHospitalServicesDepartmentofHealthandAgedCareGPOBox9848CANBERRAACT2601(02)62898530(02)62898750peter.
callanan@health.
gov.
auMrJoeChristensenHeadNationalInformationDevelopmentUnitAustralianInstituteofHealthandWelfareGPOBox570CANBERRAACT2601(02)62441148(02)62441255joe.
christensen@aihw.
gov.
auMsSueCornesManagerHealthInformationCentreEpidemiologyandHealthInformationBranchQueenslandDepartmentofHealthGPOBox48BRISBANEQLD4001(07)32340889(07)32341529suzanne_cornes@health.
qld.
gov.
auMsJulieGardnerManagerDataManagementUnitSouthAustralianDepartmentofHumanServicesPOBox65,RundleMallADELAIDESA5001(08)82267328(08)82267341julie.
gardner@dhs.
sa.
gov.
auMrMarkGillManagerHealthDataStandardsandSystemsUnitAcuteHealthDivisionDepartmentofHumanServicesGPOBox4057MELBOURNEVIC3001(03)96167456(03)96168523mark.
gill@dhs.
vic.
gov.
auMsJennyHargreavesHeadPatientMorbidityandServicesUnitAustralianInstituteofHealthandWelfareGPOBox570CANBERRAACT2601(02)62441121(02)62441255jenny.
hargreaves@aihw.
gov.
auMsKarenHintonActingManagerClinicalDataServicesDivisionalSupportUnitHospitalsandAmbulanceServicesGPOBox125BHOBARTTAS7001(03)62334016(03)62333550karen.
hinton@dchs.
tas.
gov.
auMrDavidHunterDirectorClassicationsandDataStandardsAustralianBureauofStatisticsPOBox10BELCONNENACT2616(02)62526300(02)62525281david.
hunter@abs.
gov.
auMsJoannaKellyActingAssociateDirectorHealthInformaticsGroupInformationManagementandClinicalSystemsBranchNSWHealthDepartmentLockedMailBag961NORTHSYDNEYNSW2059(02)93919090(02)93919015jkelly@doh.
health.
nsw.
gov.
auMrGaryKennedyInformationManagementUnitDepartmentofHealthandCommunityCareGPOBox825CANBERRAACT2601(02)62051373(02)62050842gary.
kennedy@.
act.
gov.
auMsAmandaLanaganInformationStandardsCoordinatorBusinessInformationManagementTerritoryHealthServicesPOBox40596CASUARINANT0811(08)89992520(08)89992618amanda.
lanagan@health.
nt.
gov.
auNationalHealthDataDictionary,version9462AppendixAMrTerryLennardManagerHealthInformationPlanningUnitHealthDepartmentofWesternAustraliaPOBox8172,StirlingStreetPERTHWA6849(08)92224228(08)92222436terry.
lennard@health.
wa.
gov.
auMsJoMurrayDirectorCostingandAmbulatoryClassicationSectionAcuteandCo-ordinatedCareBranchDepartmentofHealthandAgedCareGPOBox9848CANBERRAACT2601(02)62897493(02)62897630jo.
murray@health.
gov.
auMrSteveQuilliamITServicesManagerAustralianPrivateHospitalsAssociationPOBox346CURTINACT2605(02)62852716(02)62852243steve.
quilliam@apha.
org.
auMrMurrayRyeAssistantDirectorPrivateHospitalArrangementsDepartmentofVeteransAffairsPOBox21WODENACT2606(02)62896017(02)62894727murray.
rye@dva.
gov.
auMrGeoffSims(Chair)HeadHealthDivisionAustralianInstituteofHealthandWelfareGPOBox570CANBERRAACT2601(02)62441168(02)62441166geoff.
sims@aihw.
gov.
auMrJohnTrabingerManagerHealthInformaticsHealthInsuranceCommission134ReedStreetTUGGERANONGACT2900(02)6124-6121(02)6124-6006john.
trabinger@hic.
gov.
auMsSueWalkerDirectorNationalCentreforClassicationinHealthSchoolofPublicHealthQueenslandUniversityofTechnologyVictoriaParkRoadKELVINGROVEQLD4059(07)38645873(07)38645515s.
walker@qut.
edu.
auMemberOrganisationTelephoneFacsimileEmailNationalHealthDataDictionary,version9AppendixB463AppendixB:FormatfordataelementdenitionsISO/IEC11179-basedstandardsAlldataelementdefinitionsincludedintheNationalHealthDataDictionaryarepresentedinaformatbasedonISO/IECStandard11179SpecificationandStandardizationofDataElementstheinternationalstandardfordefiningdataelementsissuedbytheInternationalOrganizationforStandardizationandtheInternationalElectrotechnicalCommission.
Collectively,theformatdescribesasetofattributesfordatadefinitions.
ThesetofattributesfordatadefinitionsusedintheNationalHealthDataDictionaryaredescribedbelow.
Administrativestatus:Theoperationalstatus(e.
g.
CURRENT,SUPERSEDED)ofthedataelementordataelementconceptandthedatefromwhichthisstatusiseffective.
Forexample,intheDictionarythelatestrevisionofAreaofusualresidenceeffectivefrom1July1997hasaCURRENTstatus,replacingthepreviousversionofthisdataelementoperationalfrom1July1995until30June1997,whichnowhasaSUPERSEDEDstatus.
NoSUPERSEDEDdataelementsareincludedinthishardcopypublicationoftheDictionary.
However,alldataelements,includingSUPERSEDEDdataelements,areincludedontheKnowledgebase.
KnowledgebaseID:Asix-digitnumberusedtoidentifythedataelementontheKnowledgebase(previouslyknownastheNHIK).
IntheKnowledgebasethisnumberisprecededbyanacronymthatidentifiestheRegistrationAuthorityforeachdataelement.
TheNationalHealthInformationManagementGroup(NHIMG)istheRegistrationAuthorityforalldataelementsincludedintheDictionary.
ThecombinationofRegistrationAuthority,Knowledgebase(orNHIK)IDandversionnumber(seebelow)uniquelyidentifieseachdataelementintheKnowledgebase.
Versionnumber:Aversionnumberforeachdataelement,beginningwith1fortheinitialversionofthedataelement,and2,3etc.
foreachsubsequentrevision.
ThismeetstheISO/IECStandard11179requirementforidentificationofadataelementspecificationinaseriesofevolvingdataelementspecificationswithinaregistrationauthority.
Anewversionnumberisallocatedtoadataelement/conceptwhenchangeshavebeenmadetooneormoreofthefollowingattributesofthedefinition:NameDefinitionDataDomainIdentifyinganddenitionalattributesName:Asingleormulti-worddesignationassignedtoadataelement.
ThisappearsintheheadingforeachuniquedatadefinitionintheDictionary.
Dataelementtype:Adataelementmaybeeither:a.
ADATAELEMENTCONCEPTaconceptwhichcanberepresentedintheformofadataelement,describedindependentlyofanyparticularrepresentation.
Forexample,hospitaladmissionisaprocess,whichdoesnothaveanyparticularrepresentationofitsown,exceptthroughdataelementssuchasadmissiondate,modeofadmission,etc.
b.
ADATAELEMENTaunitofdataforwhichthedefinition,identification,representationandpermissiblevaluesarespecifiedbymeansofasetofattributes.
Forexample,ahospitaladmissiondateisaunitofdataforwhichthedefinition,identification,representationandpermissiblevaluesarespecified.
NationalHealthDataDictionary,version9464AppendixBc.
ADERIVEDDATAELEMENTadataelementthevaluesofwhicharederivedbycalculationfromthevaluesofotherdataelements.
Forexample,thedataelementLengthofstayisderivedbycalculatingthenumberofdaysfromAdmissiondatetoSeparationdatelessanyTotalleavedays;d.
ACOMPOSITEDATAELEMENTadataelementthevaluesofwhichrepresentagroupingofthevaluesofotherdataelementsinaspecifiedorder.
Forexample,thedataelementEstablishmentidentifierisagroupingofthedataelementsStateidentifier,Establishmenttype,RegionandEstablishmentnumberinthatorder.
Definition:Astatementthatexpressestheessentialnatureofadataelementanditsdifferentiationfromallotherdataelements.
Context:Adesignationordescriptionoftheapplicationenvironmentordisciplineinwhichanameisappliedorfromwhichitoriginates.
Forexample,thecontextforAdmissiondateisAdmittedpatients,whilethecontextforCapitalexpendituregrossisHealthexpenditure.
FortheDictionarythisattributemayalsoincludethejustificationforcollectingtheitemsandusesoftheinformation.
RelationalandrepresentationalattributesDatatype:Thetypeofsymbol,characterorotherdesignationusedtorepresentadataelement.
Examplesincludeinteger,numeric,alphanumeric,etc.
Forexample,thedatatypeforIntendedplaceofbirthisanumericdrawnfromadomainorcodesetinwhichnumericcharacterssuchas1=hospital,4=homeareusedtodenoteadatadomainvalue(seeDatadomainbelow).
Representationalform:Nameordescriptionoftheformofrepresentationforthedataelement,suchasCODE,QUANTITATIVEVALUE,DATE.
Forexample,therepresentationalformforCountryofbirthisCODEbecausetheformofrepresentationisindividualnumbersthateachrepresentadifferentcountry.
FieldsizeTheminimumandmaximumnumber,respectively,ofstorageunits(of(minimumandmaximum):thecorrespondingdatatype)torepresentthedataelementvalue.
Forexample,adataelementvalueexpressedindollarsmayrequireaminimumfieldsizeofonecharacter(1)uptoamaximumfieldsizeofninecharacters(999,999,999).
Fieldsizedoesnotgenerallyincludecharactersusedtomarklogicalseparationsofvalues,e.
gcommas,hyphensorslashes.
Representationallayout:Thelayoutofcharactersindataelementvaluesexpressedbyacharacterstringrepresentation.
ExamplesincludeDDMMYYYYforcalendardate,Nfora1-digitnumericfield,andfordataelementsaboutexpenditure.
Datadomain:Thesetofrepresentationsofpermissibleinstancesofthedataelement,accordingtotherepresentationform,layout,datatypeandmaximumsizespecifiedinthecorrespondingattributes.
Thesetcanbespecifiedbyname(includinganexistingclassification/codeschemesuchasICD-10-AM),byreferencetoasource(suchastheABSDirectoryofconceptsandstandardsforsocial,labouranddemographicstatistics,1995),orbyenumerationoftherepresentationoftheinstances(forexample,forCompensablestatusvaluesare1=Compensable2=Non-compensable).
NationalHealthDataDictionary,version9AppendixB465Guideforuse(optional):AdditionalcommentsoradviceontheinterpretationorapplicationoftheattributeDatadomain(thisattributehasnodirectcounterpartintheISO/IECStandard11179buthasbeenincludedtoassistinclarificationofissuesrelatingtotheclassificationofdataelements).
Verificationrules(optional):Therulesand/orinstructionsappliedforvalidatingand/orverifyingdataelementsoccurringinactualcommunicationand/ordatabases,inadditiontotheformalscreeningbasedontherequirementslaiddowninthebasicattributes.
Collectionmethods(optional):Commentsandadviceconcerningtheactualcaptureofdatafortheparticulardataelement,includingguidelinesonthedesignofquestionsforuseincollectinginformation,andtreatmentofnotstatedornon-response(thisattributeisnotspecifiedintheISO/IECStandard11179buthasbeenaddedtocoverimportantissuesabouttheactualcollectionofdata).
Relateddata(optional):Areferencebetweenthedataelement(ordataelementconcept)andanyrelateddataelement/conceptintheDictionary,includingthetypeofthisrelationship.
Examplesinclude:hasbeensupersededbythedataelement,iscalculatedusingthedataelementandsupplementsthedataelement.
AdministrativeattributesSourcedocument(optional):Thedocumentfromwhichdefinitionalorrepresentationalattributesoriginate.
Sourceorganisation:Theorganisationresponsibleforthesourcedocumentand/orthedevelopmentofthedatadefinition(thisattributeisnotspecifiedintheISO/IECStandard11179buthasbeenaddedforcompleteness).
TheSourceorganisationisnotnecessarilytheorganisationresponsiblefortheongoingdevelopment/maintenanceofthedataelementdefinition.
NationalminimumdatasetsThenameofanynationalminimumdatasetestablishedunderthe(optional):auspiceoftheNationalHealthInformationAgreement(NHIA)whichincludestheparticulardataelement.
Thedateofeffectisalsoincluded.
Comments(optional):Anyadditionalexplanatoryremarksonthedataelement.
NationalHealthDataDictionary,version9466AppendixCAppendixC:NationalHealthInformationModelentitydenitionsEntitynameEntitydenitionAccessibilityfactorAninstanceofafactorthatinuences,determinesoraffectsaccesstoservices,providersandinformation.
Forexample,privacyofrecords,locationofpersonsandproviders,distancefrommedicalservices.
AccommodationcharacteristicThelivingarrangementsofaPERSON.
Forexample,thetypeofdwelling,ageofdwelling,numberofbedrooms,modicationofdwellingtoaccountforrestrictedmovement.
IntheNationalHealthInformationModel,ACCOMMODATION/HOUSINGCHARACTERISTICrelatestowhereaPERSONusuallyresides.
Ifinformationisbeingcollectedaboutaccommodationcharacteristicataninstanceintime,forexample,whileaPERSONisinreceiptofcare,thedataelementwillfallwithintheSETTINGentity.
AcuteeventAnacuteillness-relatedLIFEEVENTexperiencedbyaPERSON.
Forexample,thediagnosisofadisease.
AddressTheaddressatwhichaPERSON,PARTYorORGANISATIONmaybecontacted/locatedorwhereanitemmaybelocated.
AddresshasbeenmodiedfromVersion1.
0oftheNationalHealthInformationModel.
AddressnowencompassesallthoseelementsofanaddresswhichwerepreviouslyseparatedinVersion1.
0suchascountry,state/territory,city,postcodeandstreetorpostaladdress,telephone,facsimileandelectronicmailaddresses.
AdvocacyeventAnEVENTassociatedwiththeactofcommunicating,defendingandrecommendingacauseorpositionorActingasanagent.
AdvocateroleAPERSONintheirroleasanadvocateforanotherPARTY.
AggregatehealthandwellbeingAcompositemeasureofthehealthandwellbeingofaPERSON.
Itgenerallyinvolvesmeasures/instrumentswhichassessthemulti-dimensionalfactorscontributingtohealthandwellbeing.
Forexample,measurescurrentlyinuseinAustraliaincludeSF-36andSF-12scores,qualityoflifemeasures,healthexpectancies.
AggregateresourceitemAninstanceofaggregateortotalresources.
Forexample,totalnursingstafforthetotalbudgetallocatedtoaprogramororganisation.
WhiletheNationalHealthInformationModelrecognisestheindividualresourceitems(MATERIAL,FINANCIAL,HUMANandINFORMATIONRESOURCEITEMs)thetotalsoftheseitemsaremostcommonlyusedinresourcemanagement.
AssessmenteventAnEVENTassociatedwiththegatheringandanalysingofinformationconcerningaPARTY.
Forexample,anassessmentofhome-basedcarerequirements,adiagnosis.
AttitudeTheATTITUDEsofaPERSONtowardshealth,healthcareandthehealthandwelfaresystems.
AvailabilityfactorAninstanceofafactorthatinuences,determinesoraffectsavailabilityofservicesforaPERSONorgroup.
Forexample,theavailabilityofservicessuchasemploymentassistanceforaPERSONwithadisability.
BeliefTheBELIEFsofaPERSONabouthealth,healthcareandthehealthandwelfaresystems.
BenchmarkAcriterionagainstwhichsomethingismeasured.
ComparewithSTANDARD.
BirtheventTheEVENTofbeingborn.
ItdescribesEVENTswhichhappentoboththebabyandthemotherduringthebirth,butdoesnotincludedescriptionsoftheofthehealthofthebabyormother;theseelementsaremappedtosubtypesoftheSTATEOFHEALTHANDWELLBEINGentity.
BuiltenvironmentThebuilt(manufactured)environmentinwhichaPERSONorcommunitylives.
Forexample,qualityofhousing,accesstoappropriatesanitationsystems.
NationalHealthDataDictionary,version9AppendixC467BusinessagreementAnagreementorcontractbetweenpartieswhichspeciestherolesandresponsibilitiesofeachinrelationtoahealthandwelfareprogram.
Forexample,purchaser-provideragreements,employmentcontracts,servicecontractsandotherfundingagreements.
BusinessprogramAprogramconductedbyabusinessororganisation.
BusinessstatementApolicystatementorbusinessplan.
CapitalexpenditureExpenditureoncapitalitemsincurredbyaPARTY.
Forexample,expenditureonland,buildings,medicalequipment.
CareplanAsequencedlistoftreatments,otherservices,andresourcesthatareprescribedtoimproveaPARTYsSTATEOFHEALTHANDWELLBEING.
Forexample,arehabilitationprogramforabackinjury.
Acareplanisaschemewhichgroupsandspeciestherolesofmaterialorhumanresources,plannedeventsandpartiesinprovidinghealthandwelfareservicestoanindividualorgroup.
ACAREPLANmaynotalwaysbeformallynotiedorevendocumented.
CarerroleAPERSONintheirroleasacarerofanotherPERSON/swhoareillordisabledandunabletoperformthetasksofdailylivingforthemselves.
Forexample,aPERSONprovidingrespitecare.
CitizenroleAPERSON,aboutwhominformationmayberequired,butwhoisnotengagedinaspecicrolewithintheHEALTHANDWELFAREsector.
Forexample,theidenticationofanindividualviaaMedicarenumberorofanindividual(oftenanonymously)whoisparticipatinginapopulation-basedhealthorwelfaresurvey.
CommunityeventAnEVENTwhichisinitiatedbyoraffectsmembersofacommunity.
Forexample,meetingsofsupportgroups(e.
g.
SIDA),andactionsordecisionsbyacommunitytoundertakeornotundertakeacourseofactiononsuchsubjectsascurfews,righttolife,useofalcoholandsexeducation.
Extremeexamplesincludeprotests,demonstrationsandriots.
CommunityorganisationAnORGANISATIONoperatingforthepurposeofmeetingcommunityneeds.
Forexample,areligious,recreational,sportingorvolunteerorganisation.
ComponenthealthandwellbeingCOMPONENTHEALTHANDWELLBEINGisasinglemeasure/assessmentofthehealthandwellbeingofaPERSON.
Forexample,diagnosisofillness,diseaseorinjury,self-assessedhealthstatus,enoughmoneytobuyfood,abilitytolookafteroneself.
CrisiseventAnacuteLIFEEVENT(suchastheincidenceorprevalenceofdiseaseorinjury)experiencedbyaPERSON.
CulturalcharacteristicAcharacteristicofaPERSONwhichidentiestheirreligious,political,linguisticandethnicafliations.
CulturalwellbeingThoseaspectsofaPERSONsorcommunityswellbeingthatcanbeascribedtoculturalfactors.
DeatheventTheEVENTofdeath.
Attributesofthisentitywouldnormallyincludesuchdataelementsasdate,timeandcauseofdeath.
TheDEATHEVENTdoesnotnecessarilyimplytheendofalleventsrelatingtoaPERSON,sinceeventssuchasorgandonationandtransmissionofdiseasemaystilloccur.
DemographiccharacteristicAcharacteristicofaPERSONwhichcontributestothespecicationofthepopulationorsub-populationtowhichtheybelong.
Forexample,sex,countryofbirth,yearofarrivalinAustralia,Indigenousstatus.
EconomicwellbeingThoseaspectsofaPERSONsorcommunityswellbeingthatcanbeascribedtoeconomicfactors.
Forexample,insufcientfundstosupportanacceptablestandardofliving.
EducationcharacteristicAcharacteristicofaPERSONwhichrelatestotheireducation.
Forexample,highestqualicationheld,agewhenleftschool.
EducationeventTheinstanceofaPARTYeducatinganotherPARTYabouttheavailability,knowledgeandaccessofhealthandwelfareservices.
Forexample,school-baseddrugandalcoholeducationprograms.
EntitynameEntitydenitionNationalHealthDataDictionary,version9468AppendixCEducationalsystemThepublicorprivateprovisionofeducationservices.
Forexample,theavailabilityofkindergarten,primaryschool,secondaryschoolandtertiaryeducationfacilitiesinalocalityorcommunity.
EmploymentagreementAnagreementorcontractforemployingaPERSONandbeingemployedbyaPARTY.
TheEMPLOYMENTAGREEMENTnormallyinvolvestwoPARTYs,oneinanemployerroleandtheotherastheemployee.
EnvironmentaleventAchangeintheenvironmentwhichhasaneffectononeormorePARTYs.
Althoughalleventsoccurwithinanenvironment,theconceptofanENVIRONMENTALEVENTisaneventwhichhastheenvironment(physical,chemical,biological,social,economic,cultural)asitsprincipalfocus.
ExamplesofENVIRONMENTALEVENTSincludestorms,oodsanddroughts,riotsandwar,spillageofhazardouschemicals,liquidsorgasesandeconomicrecession.
EventSomethingwhichhappenstoorwithaPARTY.
Thisentityreectstheemphasisinthemodeloneventswhichhappen,andwhichmaytriggerorinuenceotherevents.
Sincethemodelisalsodate/timestampedatdifferentinstancesintime,themodelcanaccommodatethedevelopmentofpeopleandtheirhealthandwelfarestatusandwellbeingbytrackingtheseevents.
EVENTisamajorsupertypeentityintheNationalHealthInformationModel.
Exit/leavefromserviceeventTheinstanceofanexitorperiodofleavebyaPERSONfromaSERVICEDELIVERYSETTING.
Forexample,ahospitalseparation,leavefromahospital/nursinghomeforanagreedperiodoftime.
ExpectationTheEXPECTATIONsofaPERSONabouthealth,healthcareandthehealthandwelfaresystems.
ExpectedoutcomeAdesiredlevelofattainmenttobeachievedthroughoneormoreHEALTHANDWELFARESERVICEEVENTs.
AnoutcomeintheNationalHealthInformationModelmostcommonlyrelatestoaPERSONbutmayalsobestatedforaPARTYorORGANISATION.
ExpenditureExpenditureoncapitalitems(land,buildings)orindirectexpenditure(patienttransport,cleaningservices)incurredbyanORGANISATION.
FamilymemberroleAPERSONintheirroleasafamilymember.
Forexample,mother,father,guardian,child.
Afamilymayormaynotlivewithinthesamehousehold.
FinancialresourceitemTheexistenceoffundsandbudgetstoundertakeactivities.
WhilethisentityhasnosubtypesintheNationalHealthInformationModel,itisamajorcomponentofhealthandwelfaresystems,andonewhichcanandshouldbeseparatelymodelled.
FunctionalwellbeingTheabilityofapersontoperformtheusualtasksofdailylivingandtocarryoutsocialroles.
FundingagreementAnagreementbetweenPARTYsfortheprovisionanduseoffundsforapurpose.
Goal/objectiveAstatementofwhatistobeachievedinashortertimeframe,ascomparedwithalonger-termVISION/MISSION.
Healthandwelfarepolicy/planAstatementordocumentwhichmayincludeavision,goals,objectives,directionsfordevelopment,prioritiesforaction,actionstobetaken,expectedoutcomesandperformanceindicatorsinrelationtohealthandwelfareprogramsforparticularPARTYs,particularlocationsandparticularperiodsintime.
HEALTHANDWELFAREPOLICY/PLANisanentitysubtypewhichreectsinstancesofpoliciesandplanwhicharemadeupofcomponents(HEALTHANDWELFAREPOLICY/PLANELEMENTs).
OtherBUSINESSSTATEMENTswillexistwhicharenotcreatedfororbythehealthandwelfaresectorsbutwhichstillaffectaPARTYsSTATEOFHEALTHANDWELLBEING.
Healthandwelfarepolicy/planelementAcomponentpartofaHEALTHANDWELFAREPOLICY/PLAN.
HealthandwelfareprogramAbusinessprogramspecicallycreatedfororbythehealthandwelfaresectors.
HEALTHANDWELFAREPROGRAMisanentitysubtypewhichreectsinstancesofprogramswhicharemadeupofcomponents(HEALTHANDWELFAREPROGRAMELEMENTs).
OtherBUSINESSPROGRAMswillexistwhicharenotcreatedfororbythehealthandwelfaresectorsbutwhichstillaffectaPARTYsSTATEOFHEALTHANDWELLBEING.
EntitynameEntitydenitionNationalHealthDataDictionary,version9AppendixC469HealthandwelfareprogramelementAcomponentpartofaHEALTHANDWELFAREPROGRAM.
HealthandwelfareserviceeventAninstanceofanEVENTwhichispartofthedeliveryorreceiptofhealthandwelfareservicesorcare.
TheseEVENTsincludedeliveryofcommunityprograms,consultationswithserviceproviders,diagnoses,treatment,operations,deliveryofcareandrehabilitation,deliveryofpalliativecare,counsellingservicesandvoluntarycare.
HealthstatusAninstanceofthestateofhealthofanindividual,grouporpopulationmeasuredagainstacceptedstandards.
HumanresourceitemAninstanceofpeoplewithcapacity,capabilityandavailabilityasresourcestoprovidehealthandwelfareservices.
Thisentitywillrepresenttheinstancesofspecialistserviceproviders,nursesetc.
,butcanalsoaccommodatevoluntarycarersandthepotentialtoprovideservices,i.
e.
aspousewhocouldcareforapartnerwhobecameill.
Theideaofskillsandexpertiseisalsoincludedinthisentity,providingameasureofbothcapacityandcapability.
DataelementswithinthisentityreecttheviewoftheORGANISATIONoremployerascomparedwithdataelementswithinthePERSONINAROLEentitywhichreecttheviewofthePERSONintheirroleasaspecialistserviceprovider,nurseetc.
IllnesseventAnacuteorchronicLIFEEVENTexperiencedbyaPERSONbutnotinvolvingaHEALTHANDWELFARESERVICEEVENT.
Forexample,theincidenceorprevalenceofdisease.
InformationresourceitemAninstanceofinformationorknowledgewhichsupportsthehealthandwelfaresystem.
Thisbroadconceptincludeswhatweknowaboutthehumanbodyfromamedicalandscienticperspective,whatweknowaboutdrugsandinterventions,whatweknowaboutotherfactorsaffectingwellbeingetc.
Researchisaprocesswhichgeneratesorrenesinstancesofthisentity.
InjuryeventAnacuteLIFEEVENTexperiencedbyaPERSONinvolvingtheoccurrenceofaninjurybutnotinvolvingaHEALTHANDWELFARESERVICEEVENT.
Insurance/benetcharacteristicAcharacteristicofaPERSONwhichrelatestotheirhealthinsuranceorsocialsecuritystatus.
JudicialsystemProvision,availabilityandaccesstolegalserviceswithinacommunity.
KnowledgefactorAninstanceofafactorthatinuences,determinesoraffectsaPARTYsstateofknowledgeorcognisance,particularlyofelementsofwellbeing,healthandwelfare,andtheirservices.
Forexample,factorsthatinuenceHowmuchapersonknowsabouttherisksfromsmoking,HowmuchapersonknowsabouttheavailabilityofcounsellingservicesandHowmuchaserviceproviderknowsaboutthelatesttechniquefortreatingaparticularillness.
LabourcharacteristicAcharacteristicofaPERSONwhichrelatestothenatureoftheiremploymentandlabourforcestatus.
ItdoesnotincludeinformationcollectedaboutaPERSONwhichrelatestotheirroleasaserviceprovidersuchasusualnumberofhoursworkedinaweekorhoursofovertime.
Forexample,theiroccupation,industryofemployment.
LegalcharacteristicAcharacteristicofaPERSONwhichrelatestotheirlegalstatus.
Forexample,wardoftheState,heldincustody.
LegalstatuseventAnEVENTwhichchangesaPARTYslegalstatus.
Forexample,reaching18yearsofage,marriageorthedecisionbyaReviewBoardorTribunaltochangeanindividualfromaninvoluntarytoavoluntarystatusundertheMentalHealthAct.
LegallyconstitutedorganisationAnorganisationestablishedunderlaw.
LEGALLYCONSTITUTEDORGANISATIONsmaybeORGANISATIONsinaone-to-onerelationshipwithastatute,(e.
g.
theAustralianInstituteofHealthandWelfareandtheAustralianInstituteofHealthandWelfareAct)orORGANISATIONsthatareexamplesofaclassoforganisationsestablishedunderandregulatedbyastatute(e.
g.
hospitals,incorporatedbodies).
LifeeventAninstanceofanEVENTwhichoccurstoorwithaPERSONduringtheirlife.
TheLIFEEVENTentityprovidesthemeansofidentifyingthosethingswhichhappenduringapersonslifewhichaffecttheirSTATEOFHEALTHANDWELLBEINGandoccurbetweentheirBIRTHEVENTandtheirDEATHEVENT.
Thisentitydoesnotincludeeventsidentiedelsewhere,e.
g.
HEALTHANDWELFARESERVICEEVENTs,COMMUNITY,ENVIRONMENTALorRESEARCHEVENTs,butdoesincludesuchthingsaspuberty,theonsetofdiseaseandthelossofemployment.
Whiletheactualdateandtimewhensomeoftheseeventsoccurmaynotneedorbeabletobeknown,thisentityprovidesameanstoconsistentlyrepresentthisinformation.
EntitynameEntitydenitionNationalHealthDataDictionary,version9470AppendixCLifestylecharacteristicAbehaviouralattribute,traitorfeatureofaPERSONthatdescribesanaspectoftheirlifestyle.
Forexample,cigarettesmoking,participationinregularphysicalexercise,dietaryhabits,useofillicitdrugs.
LocationAsiteorpositionwheresomethinghappens,orwhereaperson,groupororganisationislocated,maybecontacted,conducttheirbusiness.
Forexample,anaddressorgeographicalregion.
MaterialresourceitemAninstanceofamaterialresource.
Forexample,drugs,buildings,plant,operatingtheatres,organs,bloodproducts.
MentalwellbeingThewellbeingofaPERSON,basedontheirmentalstate.
Forexample,testresults,symptoms,diagnosesandself-perceivedhealthstatusspecictothementalstateofaPERSON.
NaturalenvironmentThenaturalenvironmentinwhichaPERSONorcommunitylives.
Forexample,theairwebreath,thequalityofwater,noisepollution.
Need/issueTheneedfor,orreasonaPARTYisseeking,accesstohealthandwelfareservices.
Forexample,theneedforemergencyaccommodation.
IntheNationalHealthInformationModelthisentityisnotintendedtorepresentassessedneed(ASSESSMENTEVENT)asdeterminedbyaSERVICEPROVIDER.
NordoesitrepresentaSTATEOFHEALTHANDWELLBEINGofaPARTYoncetheassessmenthasbeenmade.
Non-acuteeventAnon-acuteLIFEEVENTexperiencedbyaPERSONbutnotinvolvingaHEALTHANDWELFARESERVICEEVENT.
Forexample,theprevalenceofchronicdiseasesuchasdiabetesorasthma.
OrganisationAbusinessoradministrativeconcerncreatedforparticularends.
OrganisationcharacteristicAcharacteristicofanORGANISATION(butunrelatedtoBusinessFactors).
Forexample,thenatureofthebusinessorreasonfortrading.
ThisentityhasbeenincludedinVersion2.
0oftheNationalHealthInformationModelasareectionoftheneedfordescriptiveinformationaboutanORGANISATION.
OrganisationroleAninstanceofanORGANISATIONparticipatinginaspecicroleinthehealthandwelfaresector.
Forexample,anORGANISATIONasareceiverofservicesorasaproviderofservices.
Organisationsub-unitAconstituentpartofanORGANISATION.
ORGANISATIONSUB-UNITsarenormallythesmallercomponentsoforganisationssuchasdepartments,divisions,unitsandsections.
ORGANISATIONSUB-UNITsmayexistinanhierarchicalstructure.
OrganisationalsettingAninstanceofwhereanEVENToccurs,describedintermsoftheORGANISATION.
Forexample,ahospital,agovernmentdepartment.
OtheragreementABUSINESSAGREEMENTotherthanaFUNDINGAGREEMENTorEMPLOYMENTAGREEMENT.
Forexample,purchaser-provideragreements,servicecontracts.
OthercrisiseventAnacuteLIFEEVENTexperiencedbyaPERSONbutnotinvolvinganillnessorinjury,oraHEALTHANDWELFARESERVICEEVENT.
Forexample,emergencyaccommodationneeds,crisiscounselling.
OtherenablingfactorResourcesareamajorenablingfactorinhealthandwelfare.
However,thereareotherimportantenablingfactors,e.
g.
access,knowledgeandavailability,whicharerecognisedbythisentity.
OthereventAnEVENTwhichisnotaPERSONEVENT,HEALTHANDWELFARESERVICEEVENT,COMMUNITYEVENT,LEGALSTATUSEVENT,RESEARCHEVENTorENVIRONMENTALEVENT.
OtherhealthandwelfareserviceeventAHEALTHANDWELFARESERVICEEVENTotherthanaREQUESTFOR/ENTRYINTOSERVICEEVENT,SERVICEPROVISIONEVENT,EXITLEAVEFROMSERVICEEVENT,ASSESSMENTEVENT,SCREENINGEVENT,EDUCATIONEVENT,ADVOCACYEVENT,PLANNINGEVENT,SURVEILLANCE/MONITORINGEVENT,SERVICESUPPORTEVENTorPAYMENT/CONTRIBUTIONEVENT.
EntitynameEntitydenitionNationalHealthDataDictionary,version9AppendixC471OtherlifeeventALIFEEVENTthataPERSONexperiencesotherthanaSELFHELPEVENTorCRISISEVENT(suchasillnessorinjury).
Forexample,eventsrelatingtostartingemployment,beginningschool,pregnancy,menstruation,adoption.
OtherorganisationroleAninstanceofanORGANISATIONROLEwithinthehealthandwelfaresectorwhichisnotaserviceprovider,aservicefunderoraservicepurchaser.
OtherpersoncharacteristicAcharacteristicofaPERSONotherthanaDEMOGRAPHICCHARACTERISTIC,PHYSICALCHARACTERISTIC,LABOURCHARACTERISTIC,LIFESTYLECHARACTERISTIC,EDUCATIONCHARACTERISTIC,SOCIALCHARACTERISTIC,CULTURALCHARACTERISTIC,PARENTINGCHARACTERISTIC,ACCOMMODATION/HOUSINGCHARACTERISTIC,INSURANCE/BENEFITCHARACTERISTICorLEGALCHARACTERISTIC.
OtherpersonroleTheroleofaPERSONotherthanasacitizen,familymember,carer,advocate,serviceproviderorasaproviderofresources.
Otherpolicy/planelementPolicyandplanningelementsotherthanthoseidentiedbytheHEALTHANDWELFAREPOLICY/PLANELEMENTsubtypes(VISION/MISSION,GOAL/OBJECTIVE,PRIORITY,andPERFORMANCEINDICATORS).
OtherroleAROLEotherthanaPARTYRELATIONSHIPROLE,PERSONROLE,PARTYGROUPROLE,ORGANISATIONROLE,RECIPIENTROLE,SERVICEPROVIDERROLEorRESEARCHROLE.
AnexpandedlistofsubtypesrelatingtoPERSONs,PARTYGROUPsandORGANISATIONscanbefoundwithintheentitiesPERSONINAROLEandORGANISATIONINAROLE.
OthersettingAninstanceofwhere,ingenericterms,somethinghappens,whichisnotanORGANISATIONALSETTINGoraSERVICEDELIVERYSETTING.
Forexample,athome,onasportseld,atwork.
OthersocialenvironmentThesocialenvironmentinwhichaPERSONorcommunitylivesotherthantheJUDICIALSYSTEM,theEDUCATIONALSYSTEMoraCOMMUNITYORGANISATION.
Forexample,thepolitical,economicandculturalenvironments.
OutcomeArecordedchangeinthewellbeingofaPARTYwhichisexpectedorpresumedtobe,ortohavebeen,causedbyaHEALTHANDWELFARESERVICEEVENT.
ParentingcharacteristicAcharacteristicofaPERSONwhichrelatestotheirroleasparents.
Forexample,breastfeedingababy,numberofchildren,useofchildcarefacilities.
PartyThosepersons,groupsororganisationswhoarepartofthehealthandwelfaresystemsincludingthosewhoareknowntothesystemandthosewhoareofinteresttoit.
EssentiallythisincludesallpersonsinAustralia.
Forexample,aPARTYasarecipientofservices,providerofservices,purchaserofservices,funderofservices.
PartygroupAninstanceofanumberofPARTYs,normallyPERSONs,consideredasacollectiveunit.
Forexample,families,communitiesandtribes.
TheAustralianpopulation,orsub-populationswithinit,arerepresentedinthemodelasaPARTYGROUP.
PartygroupcharacteristicAcharacteristicofaPARTYGROUP(apartfromthoseassociatedwithanindividualorthosewhicharederivedfromaggregatingPERSONdata).
Forexample,themainlanguagespokenorreligiousafliationofacommunity.
ThisentityhasbeenincludedinVersion2.
0oftheNationalHealthInformationModelasareectionofthepossibleneedfordescriptiveinformationaboutaPARTYGROUP.
PartygrouproleAninstanceofaPARTYGROUPparticipatinginaROLEwithinthehealthandwelfaresectors.
PartyroleAninstanceofaPARTYparticipatinginaROLEinthehealthandwelfaresectors.
TheconceptofPARTYROLEintheNationalHealthInformationModelprovidesfordifferentpersons,groupsandorganisationstohavedifferentrolesatdifferenttimes.
Someoftheserolesrefertoservicedelivery,planning,resourceallocationoragreements.
PartyrelationshiproleAninstanceofarelationshipbetweenPARTYswhichisrelevanttoanEVENT.
ManyoftheserelationshipshavebeenexpandedinVersion2.
0oftheNationalHealthInformationModelandarenowfoundwithintheexpandedentitiesPARTYINAROLE,PARTYGROUPINAROLEandORGANISATIONINAROLE.
EntitynameEntitydenitionNationalHealthDataDictionary,version9472AppendixCPayment/contributioneventTheinstanceofaPARTYmakingapaymentorcontributionaspartoftheirinvolvementinaHEALTHANDWELFARESERVICEEVENT.
Forexample,aMedicarepaymentoraprivatehealthfundpayment.
PerformancegoalAlevelofperformanceagainstwhichtheperformanceofaPARTYINAROLEwillbejudged.
PerformanceindicatorAmeasureofperformance.
APERFORMANCEINDICATORisusedtoassessperformanceagainstgoalsandtargets.
PERFORMANCEINDICATORincludesthealternatetermofkeyperformanceindicatorsorKPIs.
PersonAnindividualhumanbeing.
APERSONisidentiedbytheroletheyplay.
RefersubtypeswithintheentityPERSONINAROLE.
APERSONwillpossessarangeofcharacteristicsandviews.
RefersubtypeswithintheentityPERSONCHARACTERISTICandPERSONVIEW,respectively.
PersoncharacteristicFeatureswhichcharacteriseaPERSON.
APERSONCHARACTERISTICiseitheraDEMOGRAPHICCHARACTERISTIC,PHYSICALCHARACTERISTIC,LABOURCHARACTERISTIC,LIFESTYLECHARACTERISTIC,EDUCATIONCHARACTERISTIC,SOCIALCHARACTERISTIC,PARENTINGCHARACTERISTIC,ACCOMMODATION/HOUSINGCHARACTERISTIC,INSURANCE/BENEFITCHARACTERISTICorLEGALCHARACTERISTIC.
ThisentityreectstheemphasisintheNationalHealthInformationmodelonthePERSON.
PersoneventAnEVENTwhichhappenstoapersonwhichaffectstheirSTATEOFHEALTHANDWELLBEINGfromthetimeoftheirbirthuntiltheirdeath.
PersonroleAnindividualinaroleasdistinctfromaPARTYGROUPinaroleoranORGANISATIONINAROLE.
Forexample,aPERSONinaroleasareceiverofservices,asaproviderofservices,asaresourceworkerwithinthehealthandwelfaresector.
TheexpansionofthePERSONINAROLEentityreplacesPERSONIDENTIFIERasasubtypeofPERSONCHARACTERISTICfromVersion1.
0oftheNationalHealthInformationModel.
PersonviewTheattitudes,beliefs,expectationsandvaluesofanindividualinrelationtohealth,healthcareandthehealthandwelfaresystems.
PhysicalcharacteristicAcharacteristicofaPERSONwhichrelatestotheirphysical,chemicalandbiologicalcharacteristics.
Forexample,height,weight,allergies.
PhysicalenvironmentThephysicalenvironmentinwhichaPERSONorcommunitylives.
Forexample,airandwaterquality,noisepollution,qualityofhousing,sanitation.
PhysicalwellbeingThewellbeingofapersonbasedontheirphysical,chemicalandbiologicalstate.
PlanningeventTheinstanceofaPARTYplanninganEVENT.
PrioritySomethinggivenspecialattention,normallyinvolvingspecialprecedenceoverothers.
ProgramactivityAnidentiedactiontobetakenaspartofaprogramorplan.
ThisisdistinctfromtheNationalHealthInformationModelentityofEVENT,whichistheactualinstanceoroccurrenceoftheseactivities.
ProgramevaluationAprocesstobeconductedaspartofaprogramorplantodeterminetheextenttowhichtheprogramorplanachieveditsGOAL/OBJECTIVE.
ProgramstrategyAnintendedcourseofactiontobeconductedaspartofaprogramorplan.
RecipientroleAninstanceofarole,aPARTY(usuallyaPERSON)asarecipientofservicesorcare,playsinEVENTs.
Forexample,apatient,client,consumer,customer.
RecurrentexpenditureExpenditureincurredbyaPARTYonarecurringbasisfortheprovisionofservices,excludingCAPITALEXPENDITURE,butincludingindirectexpenditure.
Requestfor/entryintoserviceeventAninstanceofarequestforservicesoranentryintoaSERVICEDELIVERYSETTINGfromoneserviceprovidertoanother.
ResearcheventAninstanceofaPARTYundertakingresearchofinteresttothehealthandwelfaresector.
ResearchroleAninstanceofaROLEaPARTYplaysinresearchactivities.
EntitynameEntitydenitionNationalHealthDataDictionary,version9AppendixC473ResourceThematerialnecessaryforanactivity.
Forexample,buildings,reusableandconsumableitems,nancialresourcesandpeople,andtheinformationorknowledgerequired.
ResourceroleAninstanceofaROLEaPERSONplaysinthemanagement,allocationanduseofRESOURCES.
Forexample,amanager,acleaner,acomputerprogrammer.
APERSONinaRESOURCEROLEexcludesindividualsprovidinghealthandwelfareservices.
ScreeningeventAninstanceofaPARTYsinvolvementinaSCREENINGEVENT.
Forexample,mammographicscreening,aPapsmear.
SelfhelpeventAPERSONactivelyseekinghelp,educationorassistanceorparticipatinginactivitiesofinteresttothehealthandwelfaresector.
Forexample,attendingaquitsmokingcourse,modicationofonesdiet.
ServicedeliverysettingAdescriptionofasettingwherehealthandwelfareservicesaredelivered.
Forexample,abirthingcentre,childcarecentreorhospitalemergencydepartment.
ServicefunderroleAninstanceofarole,anORGANISATION,asahealthandwelfareservicefunder,playsinEVENTs.
ServiceproviderroleTheinstanceofarole,aPERSON,PARTYGROUPorORGANISATIONplaysintheprovisionofhealthandwelfareservicesorthehealthandwelfareservicesthataPERSON,PARTYGROUPorORGANISATIONprovides.
ThisincludesPERSONs,PARTYGROUPs,andORGANISATIONswhoareformallynominatedasserviceproviders(e.
g.
nursesandgeneralpractitioners)andPERSONs,PARTYGROUPs,andORGANISATIONswhoprovidevoluntaryorinformalcare.
ServiceprovisioneventAninstanceoftheprovisionofaHEALTHANDWELFARESERVICEEVENTbyaserviceprovidertoaPERSONorPARTYGROUP.
Forexample,treatment,conductoftests,counselling.
ServicepurchaserroleAninstanceofaROLEanORGANISATION,asahealthandwelfareservicepurchaser,playsinEVENTs.
ServicesupporteventAplannedoractualeventwhichoccurswithinthedomainofaserviceproviderbutwhichisnotdirectlyrelatedtothecareofPERSON.
Forexample,recruitment,buildingmaterialacquisition,buildingmaintenance.
SettingAdescriptionofwheresomethinghappens.
SETTINGdiffersfromLOCATIONintheNationalHealthInformationModel,asanEVENTmayoccurattheLOCATIONofCornerofJonesandSmithStreets,SomeCity,WA(theLOCATION),butitmaybebetterknownandmorerelevantasahospital(theSETTING).
SocialcharacteristicAspecicsocialcharacteristicofaPERSON.
Forexample,maritalstatus,languagespokeninthehome,nextofkin.
SocialenvironmentThesocialenvironmentinwhichaPERSONorcommunitylives,includingtheJUDICIALSYSTEM,theEDUCATIONALSYSTEMoraCOMMUNITYORGANISATION.
SocialwellbeingThewellbeingofaPERSON,basedontheirinteractionwithotherpeople.
Forexample,aPERSONsexperiencewithdiscrimination,racism,violence,family-relatedmatters,gamblingordrinkingproblems.
SpecicresourceitemTheRESOURCEsusedintheproductionanddeliveryofhealthandwelfareservices,betheymaterial,nancial,humanorinformation.
TheSPECIFICRESOURCEITEMentityprovidesfortheactualinstancesoftheseresources.
SpiritualwellbeingThewellbeingofaperson,basedontheirperceptionoforrelationshiptosacredorreligioustheory.
StandardAnacceptedorapprovedexampleofsomethingagainstwhichothersarejudgedormeasured.
ComparewithBENCHMARK.
EntitynameEntitydenitionNationalHealthDataDictionary,version9474AppendixCStateofhealthandwellbeingThemeasured,assessedorperceivedhealthandwellbeingofaPARTY(usuallyaPERSON)recordedinaggregate(e.
g.
thetotalwellbeingofaPARTY)orcomponentterms(e.
g.
adiagnosedillness).
Forexample,SF-36instrumentofhealthstatusmeasurement,anillnessdiagnosis,aninjury,enoughmoneytobuyfood,abilitytolookafteroneself.
TheSTATEOFHEALTHANDWELLBEINGentityreplacestheSTATEOFWELLBEINGentityinVersion1.
0oftheNationalHealthInformationModel.
StatedoutcomeTheinformationrecordedbyaPARTYinaroleaboutanOUTCOMEwhichhasoccurred,asdistinctfromanOUTCOMEwhichwasplannedorexpected.
TheSTATEDOUTCOMEisdistinguishedasanentityfromtheEXPECTEDOUTCOME.
Surveillance/monitoringeventTheinstanceofasurveillanceormonitoringEVENTwithinthehealthandwelfaresectors.
Forexample,theconductofanational/Statesurvey,theestablishmentofacancerregistry.
ValueTheVALUEsofaPERSONabouthealth,healthcareandthehealthandwelfaresectors.
Vision/missionThehighestlevelstatementofwhysomethingistohappenorwhereasituationororganisationshouldbeinasetperiodoftime.
Visionormissionstatementsnormallycontaintheaspirationsofthosestatingthem.
EntitynameEntitydenitionNationalHealthDataDictionary,version9AppendixD475AppendixD:Cross-classicatoryvariablesstafngcategoryThefollowingdefinitionsofstaffingcategoriesusedinthedataelementsFull-timeequivalentstaffandSalariesandwagesarepresentedinanabbreviatedforminVersion8.
0oftheDictionary.
AmoredetailedlistisprovidedinVersion6oftheNationalHealthDataDictionary.
C1:StafngcategoryDenitionC1.
1:SalariedmedicalofcersMedicalofcersemployedbythehospitalonafull-timeorpart-timesalariedbasis.
Thisexcludesvisitingmedicalofcersengagedonanhonorary,sessionalorfee-for-servicebasis.
Thiscategoryincludessalariedmedicalofcerswhoareengagedinadministrativedutiesregardlessoftheextentofthatengagement(e.
g.
clinicalsuperintendentandmedicalsuperintendent).
C1.
2:RegisterednursesRegisterednursesincludepersonswithatleastathree-yeartrainingcerticateandnursesholdingpostgraduatequalications.
RegisterednursesmustberegisteredwiththeState/Territoryregistrationboard.
Thisisacomprehensivecategoryandincludescommunitymentalhealth,generalnurse,intellectualdisabilitynurse,midwife(includingpupilmidwife),psychiatricnurse,seniornurse,chargenurse(nowunitmanager),supervisorynurseandnurseeducator.
Thiscategoryalsoincludesnursesengagedinadministrativedutiesnomatterwhattheextentoftheirengagement,forexample,directorsofnursingandassistantdirectorsofnursing.
C1.
3:EnrollednurseEnrollednursesaresecond-levelnurseswhoareenrolledinallStatesexceptVictoriawheretheyareregisteredbytheStateregistrationboardtopractiseinthiscapacity.
Includesgeneralenrollednurseandspecialistenrollednurse(e.
g.
mothercraftnursesinsomeStates).
C1.
4:Establishment-basedstudentnursesStudentnursesarepersonsemployedbytheestablishmentcurrentlystudyinginyearsonetothreeofathree-yearcerticatecourse.
Thisincludesanypersoncommencingorundertakingathree-yearcourseoftrainingleadingtoregistrationasanursebytheStateorTerritoryregistrationboard.
Thisincludesfull-timegeneralstudentnurseandspecialiststudentnurse,suchasmentaldeciencynurse,butexcludespractisingnursesenrolledinpost-basictrainingcourses.
C1.
5:Trainee/pupilnurseTrainee/pupilnurseincludesanypersoncommencingorundertakingaone-yearcourseoftrainingleadingtoregistrationasanenrollednurseontheState/Territoryregistrationboard(includesalltraineenurses).
C1.
6:OtherpersonalcarestaffThiscategoryincludesattendants,assistantsorhomeassistance,homecompanions,familyaides,wardhelpers,warders,orderlies,wardassistantsandnursingassistantsengagedprimarilyintheprovisionofpersonalcaretopatientsorresidents,whoarenotformallyqualiedorundergoingtraininginnursingoralliedhealthprofessions.
C1.
7:DiagnosticandhealthprofessionalsQualiedstaff(otherthanqualiedmedicalandnursingstaff)engagedindutiesofadiagnostic,professionalortechnicalnature(butalsoincludingdiagnosticandhealthprofessionalswhosedutiesareprimarilyorpartlyofanadministrativenature).
Thiscategoryincludesallalliedhealthprofessionalsandlaboratorytechnicians(butexcludescivilengineersandcomputingstaff).
C1.
8:AdministrativeandclericalstaffStaffengagedinadministrativeandclericalduties.
Medicalstaffandnursingstaff,diagnosticandhealthprofessionalsandanydomesticstaffprimarilyorpartlyengagedinadministrativeandclericaldutiesareexcluded.
Civilengineersandcomputingstaffareincludedinthiscategory.
C1.
9:DomesticandotherstaffDomesticstaffarestaffengagedintheprovisionoffoodandcleaningservicesincludingdomesticstaffprimarilyengagedinadministrativedutiessuchasfoodservicesmanager.
Dieticiansareexcluded.
Thiscategoryalsoincludesallstaffnotelsewhereincluded(primarilymaintenancestaff,trades-peopleandgardeningstaff).
NationalHealthDataDictionary,version9476AppendixEAppendixE:EstablishmentactivitydenitionsTheobjectiveofdatadefinitionsrelatedtotheactivitiesofhealthcareestablishmentsistoenableadescriptionofhealthservicesystems,includingthetypeofcaredeliveredbytheestablishment.
Theunitofenumerationisaseparatelyadministeredestablishment.
Thetermestablishmentisusedinaverybroadsensetomeanorganisationalunits,whetherinstitutions,organisationsorcommunitybasedservices,whichprovidehealthservices.
Establishmentsareconsideredtobeseparatelyadministeredifthefinances,budgetandactivitiesaremanagedasanindependentunit.
Thetermestablishmentthuscoversconventionalestablishmentssuchashospitals,residentialagedcarefacilitiesandcommunityhealthcentres,butisalsousedtocoverorganisationsprovidingservicesinthecommunity(e.
g.
domiciliarynursingservices)orsupportservicestootherestablishments(e.
g.
acentralisedpathologylaboratoryservice).
Thesituationwhereestablishment-leveldataforcomponentsofanareahealthservicearenotavailableseparatelyatacentralauthorityisnotgroundsfortreatingsuchagroupofestablishmentsasasingleestablishmentunlesssuchdataarenotavailableatanylevelinthehealthcaresystem.
Twomajormeasuresofserviceprovisionaredefinedforeachestablishment.
Theyaretherecordingofservicesbytypeofepisode(admittedpatients)andbyservicetype(non-admittedpatients).
Astherearenonationallyagreeddatadefinitionsattheperson-levelfornon-admittedpatientsorforoutreach/communityclients,definitionsfornon-admittedpatientactivityarebasedonacostcentreorfunctionalunitapproach;thatis,wheretheservicewasperformedratherthantheprocedureorthediagnosisofthepatient.
Theactivityforacutecarehospitalsisrepresentedasacountofseparationsandpatient-daysforadmittedpatientsaccordingtothetreatmentmodecategoriessame-dayandovernight-stay.
Thenumberofseparationsforrenaldialysisandendoscopyandrelatedproceduresareidentifiedseparatelyforadmittedandnon-admittedpatients.
Thisenablescomparisonoftheprovisionoftheseservicesacrossinstitutionalsettings,whetherthesepatientsareadmittedortreatedasnon-admittedpatients.
Separationsandpatient-daysforadmittedpatientsarecontrastedwithanoccasionofserviceorgroupsessionasameasureofnon-admittedpatientactivity.
Itisrecognisedthatthecomparisonoftheseasameasureofactivityisnotidealbutitwillbeuseduntilamorecomprehensivesetofdefinitionsisdevelopedtodescribepatientstreatedandnon-admittedpatientactivity.
Thenumberofseparations,patientdaysandoccasionsofserviceisthemeasureofactivityforsame-dayestablishmentsandforacutehospitals.
Thedefinitionandcountingofseparationsandpatient-daysforpublicpsychiatricandalcoholanddrugtreatmentcentresarethesameasfortheacutecarehospitals,exceptthatthetreatmentmodecategoryisexpandedtodistinguishbetweenshort-stayandlong-staypatients.
Thisistoreflectthegreaterpercentageofpatientswithextendedlengthsofstayintheseinstitutions.
NationalHealthDataDictionary,version9AppendixF477AppendixF:EstablishmentresourceusedenitionsTheuseofresources(facilities,financialandhuman)inhealthservicesisamajorfocusofinteresttoallusersofinformationpublishedusingthedefinitionscontainedintheNationalHealthDataDictionary.
ToenableacomprehensivepictureofresourceusetobeobtainedrequiresuniformdatadefinitionsonhealthcareinstitutionsoftheStates,Territories,theCommonwealthandtheprivatesector.
Themaincategoriesofresourcedatathataredefinedattheestablishmentlevelare:establishmentcharacteristics(typeandlocation);staffingdata(full-timeequivalentstaff);recurrentexpenditure(salaryandnon-salary);andrevenue.
Significantmeasuresofresourcesnotincludedabovearecapitalexpenditure,physicaldetailsandmonetaryvaluesofmajorbuildings,facilities,equipment,plantandsoon.
CapitalexpenditureisincludedintheNationalHealthDataDictionaryatthesystemlevel(seeAppendixG),buttheformationofdetaileduniformdatadefinitionstodescribeitemsrelatingtofacilitiesandequipmenthasyettobeagreedonandimplemented.
Theclassificationofthetypeofestablishmentiscurrentlyunderreviewbyaworkinggroup(OrganisationalUnitsWorkingGroup)whichisexpectedtoreporttotheNationalHealthDataCommitteein1999.
FinancialaspectsTheestablishmentoftheNationalMinimumDataSetswasnotseenasanappropriatevehicleforundertakingareviewofnationalaccountingpractice.
Duringtheformationofthedefinitionsitwasinevitablethatsomeaspectsofaccountingpracticewerediscussed(e.
g.
offsettingpractices).
TheNationalHealthDataDictionarymakesreferencetoestablishedaccountingstandardswithAccountingStandard17inrelationtofinancialandoperatingleasesandAccountingStandard4inrelationtothedepreciationofnon-currentassets.
TheabsenceofcompletelyuniformaccountingstandardsandpracticesforhealthinstitutionsbetweenStatesandTerritoriesandwithinStatesandTerritorieslimitsthecomparabilityoffinancialdata.
TheDirectorsofFinanceoftheStateandTerritorygovernmenthealthauthoritiesaredevelopingnationalexpenditurereportingstandards,particularlywithregardtohospitals.
StandardnationalhealthexpendituredenitionsThedevelopmentofagreeddefinitionsonthemajorareasofhealthexpenditureisbeingundertakenundertheNationalHealthInformationWorkProgram.
AsetofdefinitionshasbeenadoptedbytheAustralianBureauofStatisticsforuseinpublicfinancestatisticsandisbeingdiscussedandrefinedinconsultationwithkeystakeholders,includingStateandTerritorygovernmentDirectorsofFinance.
BoundariesbetweencapitalandrecurrentexpenditureSomedifferencesexistinthepracticeofdifferentiatingbetweencapitalandrecurrentexpenditureintheStatesandTerritories.
ThedefinitionofcapitalexpenditureisincludedintheDictionaryandrecurrentexpenditureisimplicitlydefinedasthatpartoftotalexpenditurewhichisnotcapitalexpenditure.
Themajordifferencewithregardtocapitalexpenditure,betweentheStatesandTerritoriesisinregardtothelevelofcapitalisation.
TheDictionarystatesthattheminimumlevelforcapitalisationisnohigherthan$5,000,andsomeStatesuse$5,000butothersuse$1,000orevenlowerinsomecases.
OffsettingpracticesAsageneralrule,offsettingrevenueagainstrelatedexpenditureisnotgoodaccountingpracticeandbothgrossrevenueandgrossexpenditureshouldbereported.
However,itisrecognisedthattherearecircumstances(suchashospitaltohospitaltransfers/services)whereoffsettingisdonetoavoidtheduplicationofcosts.
Whereitisdifficulttoidentifyspecificcostsinrelationtointer-hospitaltransfers,thepracticeofbringinginrevenuetointer-hospitalservicesthroughrecoveriesisconsideredacceptable.
NationalHealthDataDictionary,version9478AppendixHAppendixG:System-levelresourcedenitionsSystem-leveldefinitionsrelatetoallofaparticulartypeofestablishment,suchaspublichospitals,orcommunityhealthcentres,attheState,Territory,orCommonwealthlevel(whicheveristhehighestlevelofoveralladministrationofthesystem).
ThedatadefinitionsintheNationalHealthDataDictionaryatthesystemorStatehealthauthoritylevelarerelatedtocapitalexpenditureandindirecthealthcareexpenditure.
CapitalexpenditureAworkingpartyoftheNationalHealthDataCommitteedevelopedanewdefinitionofcapitalexpenditureduring1994.
TheNationalHealthInformationManagementGroupagreedthatboththenewdefinition(previouslyknownasitemS1b)andtheformerdefinition(previouslyknownasitemS1a)willbecurrentintheDictionaryuntilallrelevantjurisdictionshaveimplementedaccrualaccountingprocedures.
IndirecthealthcareexpenditureThesystem-leveldefinitionsrepresentexpenditureonhealthcarethatcannotbedirectlyrelatedtoprogramsoperatedbyaparticularestablishmentbutcanbeindirectlyrelatedtotheadmittedpatients,residents,non-admittedpatients,non-residentsandcommunity/outreachpatientsservedbythatestablishment.
ThesedefinitionsaredesignedtoimprovetheoverallpictureofhealthexpenditureandtoassistinunderstandingdifferencesincostsforsimilarestablishmentsindifferentStatesandregions.
Theyarealsodesignedtodetectdifferencesintheextenttowhichsupportservicesandotherservicestoresident/admittedpatientsandnon-admittedpatientsofanestablishmentmaybeprovidedbytheestablishmentitself,ataStatelevelorbyotherorganisations.
ThisconceptwillbereviewedbytheNationalHealthDataCommitteeduring1999.
GlossaryoftermsThefollowingglossaryoftermssupportsthedefinitionsofcapitalexpenditure:AssetAnassetistheservicepotentialand/orfutureeconomicbenefitscontrolledbythereportingentityasaresultofpasttransactionsorotherpasteventsincluding:physicalassetscurrentphysicalassetsnon-currentphysicalassetsintangibleassets.
Theservicepotentialofanassetisitseconomicutilitytotheentity,basedonthetotalbenefitexpectedtobederivedbytheentityfromtheuseand/orthroughsubsequentdisposaloftheasset.
FinancialassetAfinancialassetisanassetthathasacounterpartliabilityinthebooksofanotheraccountingentity.
ForthepurposeoftheNationalHealthDataDictionary,financialassetsareexcluded.
ControlTherecognitionofanassetisbasedonthetestofcontrolratherthanownership.
Thismayresultinassetsbeingrecognisedbyareportingagencythatisnottheregisteredowner(e.
g.
denominational/thirdschedule/non-profithospitals).
Controlisthecapacityoftheentitytobenefitfromtheassetinpursuitoftheentityobjectivesandtodenyorregulatetheaccessofotherstothatbenefit.
Ownershipofanassetoccurswhentheassetispurchasedbyordonatedtoanaccountingentity.
Acquisitionmeansundertakingtherisksandreceivingtherightstofuturebenefits,aswouldbeconferredwithownership,inexchangeforacostofacquisition.
NationalHealthDataDictionary,version9AppendixG479Note:Incaseswherethereisabuildingprovidingpublichealthservicesundergovernmentcontrolsituatedonlandownedbyanon-profitorganisation,thevalueofthebuildingshouldbeincludedasapublicasset,butnotthatoftheland.
AssetcapitalisationAssetcapitalisationoccurswhenanitemofexpendituremeetsthecriteriaofanassetandis:recordedinthebooksofanaccountingentity;recordedinanassetmanagementsystemanddepreciated;andtheminimumlevelforcapitalisationisnohigherthan$5,000.
AssetdisposalWhenanassetisconsideredunserviceable,obsoleteorinexcessofprobablerequirementsitisdisposedofusingdesignatedprocedures.
Theassetisremovedfromboththeaccountingentitysassetmanagementsystemandthebookofaccounts.
AssetenhancementExpenditureonanexistingassetistobetreatedasanenhancementwheretherehasbeenaneffectiveandsignificantincreaseinthepresentorplannedservicepotentialoftheasset.
Iftheincreaseinservicepotentialisincidentaltosomenecessarymaintenanceandtheincrementallevelwillnotbeusedintheforeseeablefuture,theexpenditurewouldbemoreappropriatelyclassifiedasmaintenance.
Servicepotentialhasthreecomponents:Servicecapacity:theexpenditureincreasesthecapacitytoprovideservicesandmeetincreasesindemandfortheassetsservices.
Servicequality:improvementinthestandardoftheserviceprovided,includingefficiencyimprovementssuchascostreductions,canrepresentanenhancementtoanexistingasset.
Usefullife:theinitialassessmentofanassetsusefullifewillhaveassumedthatcertainmaintenanceexpenditure(bothroutineandmajorperiodic)wouldbenecessaryfortheassettoachieveitsanticipatedusefullife.
Anexpenditurecanonlybeaccountedforasanenhancementifitincreases(ratherthanassumestheachievementof)theassetspre-determinedusefullife.
Thiswouldincludemajorworkundertakentoextendtheservicepotentialofanasset,recognisingthatitsfunctionmaychange(e.
g.
refurbishment).
Itmayresultinaneedtore-assessthelifespanoftheasset.
GroupedassetsMostassets,particularlysystemassets,consistofanumberofcomponents.
Inprinciple,eachcomponentcanprovideservicepotentialorfutureeconomicbenefitandcanthereforebeclassifiedasanasset.
Inpractice,however,thekeycriterionforaseparateassetisanindependentoperatingunitthecomponentsofwhichfunctionasacohesivewholetoprovideacommonservice.
Suchaunitisreferredtoasagroupedasset.
Forexample,acomputernetworkoperatesasacohesivewholeyetitmaycontainindividualpersonalcomputersthatcanalsooperateindependently.
Anetworkofroads,awaterseweragesystem,anelectricitydistributionsystemandacommunicationsnetworkareexamplesofextensiveandintegratedcomponentsoperatingaspartofatotalassetsystem.
Anotherexampleofagroupofassetsusedtogethertoprovideacommonserviceisofficefurnitureandequipment.
Groupedassets(includingnetworkassets)shouldbeprimaryunitsforaccountingrecognitionbecausetheircomponentsfunctionasacohesivewholetoprovideacommonservice.
Thisissubjecttothecapitalisationthreshold.
Thethresholdtestsshouldbeappliedtoindividualassetsaswellasgroupedassets.
Thecostofeachitemmakingupasetofofficefurnitureorofeachcomputerinacomputernetworkmaybelessthanthecapitalisationthreshold,butifthetotalcostofthenetworkorgroupedassetexceedsthethreshold,eachitemshouldbecapitalised.
NationalHealthDataDictionary,version9480AppendixGCostofacquisitionThepurchaseconsideration(price)paidforanassetplusanycostsincidentaltotheacquisition.
Thecostofanassetmustinclude(whereappropriate):installationcommissioningtransportcustomsdutyanyotherincidentalcostsInterestandotherfinancecostsincurredinacquiringtheservicepotentialembodiedinanasset(e.
g.
exchangefluctuationsonloans)shouldnotbeincludedintheacquisitioncostofthatasset.
AssetconstructionThefollowingcostsshouldbeincludedinrelationtoconstructionofanasset:coststhatrelatedirectlytotheconstructionofanasset,including:directlabourandmaterialcosts;depreciationofphysicalnon-currentassetsusedonconstructionoftheasset;andsetupcostsdirectlyrelatedtotheconstructionofanasset.
coststhatarereliablyattributabletotheconstructionactivityandarecapableofbeingallocatedonareasonablebasistospecificassets,including:purchasingadministrationcosts;insurance;costsofdesignandtechnicalactivities;andprojectoverheads(suchasdirectadministrationandholdingcostsoftheproject).
Thefollowingcosts,whicharerelatedtoactivitiesoftheagencyorassetconstructiongenerally,butnotspecifictotheassetbeingconstructed,shouldbeexcludedastheycannotbereliablyattributedtotheasset:generaladministrationcosts;anddepreciationofplantandequipmentnotrelatedtoconstructionactivities(includingidleplantandequipment).
LeaseAgrantorpossessionofanassetforastatedperiodoftimeatspecifiedrentalsandsubjecttovariousconditions.
Theregisterproprietorhascertainre-entryrightsifthelesseedefaultsbynotobservingtheconditionsoftheleaseorbynotpayingthespecifiedrentals.
NationalHealthDataDictionary,version9AppendixH481AppendixH:DataelementslistedbypreviousP,A,E,andSnumbersThissectioncontainsdataelementsfromVersion6thatareincludedinVersion9,listedbytheoldP,A,EandSnumberingsystem.
Thislistdoesnotincludedataelementconcepts,andnewelementsintroducedforVersions7,8or9,asthesedonothaveP,A,EorSnumbersallocatedtothem.
DE#DATAELEMENTNAMEPageno.
AItemsA1Separations,version2.
381A2Patientdays,version2425A3Patientsinresidenceatyearend,version1444A4Occasionsofservice,version1448A5Groupsessions,version1353A6Dayprogramattendances,version1352A7,A8Typeofadmittedpatientcareforlong-staypatients,version3.
430A7,A8Typeofadmittedpatientcareforovernightpatients,version3431A7,A8Typeofadmittedpatientcareforsame-daypatients,version3433A7,A8Typeofadmittedpatientcareforshort-staypatients,version3435A9Typeofnon-admittedpatientcare,version1436A10Typeofnon-admittedpatientcare(publicpsychiatric,alcoholanddrug),version1.
441A11Typeofnon-admittedpatientcare(nursinghomesandhostels),version1440A12Individual/groupsession,version1354EItemsE1Establishmenttype,version1190E2Geographiclocationofestablishment,version2206E3Numberofavailablebedsforadmittedpatients,version2455E4Specialisedserviceindicators,version1200E5Teachingstatus,version1198E7Full-timeequivalentstaff,version2.
231E8Salariesandwages,version1243E9Paymentstovisitingmedicalofficers,version1241E10Superannuationemployercontributions(includingfundingbasis),version1.
245E11Drugsupplies,version1229E12Medicalandsurgicalsupplies,version1.
236E13Foodsupplies,version1230E14Domesticservices,version1228E15Repairsandmaintenance,version1.
242E16Patienttransport,version1240E17Administrativeexpenses,version1226E18Interestpayments,version1235E19Depreciation,version1.
227E20Otherrecurrentexpenditure,version1239NationalHealthDataDictionary,version9482AppendixHDE#DATAELEMENTNAMEPageno.
E21Patientrevenue,version1456E22Recoveries,version1458E23Otherrevenues,version1460PItemsP1Establishmentidentifier,version2.
194P1Establishmentnumber,version2196P1Establishmentsector,version2.
210P1Regioncode,version2197P1Stateidentifier,version2208P2Personidentifier,version1254P3Medicarenumber,version1265P4Sex,version2.
37P5Dateofbirth,version2.
31P6Countryofbirth,version229P71Indigenousstatus,version233P81Maritalstatus,version2.
112P9Areaofusualresidence,version3204P10Typeofusualaccommodation,version1121P12PeriodofresidenceinAustralia,version136P13Needforinterpreterservice,version1118P14Employmentstatuspublicpsychiatrichospitaladmissions,version2.
72P14Employmentstatusacutehospitalandprivatepsychiatrichospitaladmissions,version170P17Agedcareassessmentstatus.
406P18Compensablestatus,version2125P19Hospitalinsurancestatus,version3122P20Pensionstatusnursinghomeresidents,version2124P22Levelofcare.
404P24Admissiondate,version3.
291P25Numberofcontacts(psychiatricoutpatientclinic/dayprogram),version1358P27aTotalleavedays,version3.
390P27bNumberofleaveperiods,version3.
389P28Typeofnursinghomeadmission,version1.
294P29Sourceofreferraltopublicpsychiatrichospital,version3316P30Locationimmediatelypriortoadmissiontonursinghome,version1217P31Modeofseparation,version2.
383P32Referraltofurthercare(psychiatricpatients),version1.
385P35Principaldiagnosis,version3138P36Additionaldiagnosis,version4136P39Externalcauseadmittedpatient,version4280P39Externalcausenon-admittedpatient,version4284P39Externalcausehumanintent,version4282P40Placeofoccurrenceofexternalcauseofinjuryadmittedpatient,version4.
218NationalHealthDataDictionary,version9AppendixH483DE#DATAELEMENTNAMEPageno.
P40Placeofoccurrenceofexternalcauseofinjurynon-admittedpatient,version3.
.
.
.
218P41Diagnosisrelatedgroup,version1.
140P42Minutesofoperatingtheatretime,version1361P43Behaviour-relatednursingrequirementsatnursinghomeadmission167P44Behaviour-relatednursingrequirementsatnursinghome,currentstatus168P45Functionalprofileofnursinghomeresidentatadmission173P46Functionalprofileofnursinghomeresidentcurrentstatus174P47Continencestatus(faeces)ofnursinghomeresidentatadmission169P47Continencestatus(urine)ofnursinghomeresidentatadmission.
171P48Continencestatus(faeces)ofnursinghomeresidentcurrentstatus170P48Continencestatus(urine)ofnursinghomeresidentcurrentstatus172P49Specialisednursingrequirementsatnursinghomeadmission175P50Specialisednursingrequirementscurrentstatus176P51Infantweight,neonate,stillborn,version3.
160P52Majordiagnosticcategory,version1142P53Intendedlengthofhospitalstay,version1413P54Inter-hospitalsame-daycontractedpatient,version1262P55Waitinglistcategory,version3301P56Listingdate,version2305P57Censusdate,version2418P58Patientlistingstatus,version3306P60Clinicalurgency,version2.
397P61Categoryreassignmentdate,version2399P62Overduepatient,version3420P63Surgicalspecialty,version1.
90P64Indicatorprocedure,version3345P65Scheduledadmissiondate,version2.
415P66Reasonforremoval,version2.
308P67Professionlabourforcestatusofhealthprofessional,version180P68Principalroleofhealthprofessional,version188P69Classificationofhealthlabourforcejob,version175P70Principalareaofclinicalpractice,version178P71Typeandsectorofemploymentestablishment,version1211P72Hourson-call(notworked)bymedicalpractitioner,version285P72Hoursworkedbyhealthprofessional,version283P72Hoursworkedbymedicalpractitionerindirectpatientcare,version286P72Totalhoursworkedbyamedicalpractitioner,version287P73Narrativedescriptionofinjuryevent,version1286P74Natureofmaininjurynon-admittedpatient,version1.
179P75Bodilylocationofmaininjury,version1.
177P76Activitywheninjured,version1278P77State/Territoryofbirth,version1.
209P78Intendedplaceofbirth,version1.
414P79Actualplaceofbirth,version1216NationalHealthDataDictionary,version9484AppendixHDE#DATAELEMENTNAMEPageno.
P80Previouspregnancies,version1165P81Dateofcompletionoflastpreviouspregnancy,version1152P82Outcomeoflastpreviouspregnancy,version1153P83Firstdayofthelastmenstrualperiod,version1154P84Gestationalage,version1156P85Maternalmedicalconditions,version2155P86Complicationsofpregnancy,version2151P87Onsetoflabour,version1269P88Typeoflabourinduction,version1272P89Typeofaugmentationoflabour,version1271P90Analgesiaadministeredduringlabour,version1366P91Anaesthesiaadministeredduringlabour,version1365P92Presentationatbirth,version1.
274P93Methodofbirth,version1.
273P94Perinealstatus,version1163P95Complicationoflabouranddelivery,version2.
270P96Postpartumcomplication,version2164P97Birthplurality,version1276P98Birthorder,version1275P99Statusofthebaby,version1161P100Apgarscoreat1minute,version1.
149P100Apgarscoreat5minute,version1.
150P101Resuscitationofbaby,version1277P102Numberofdaysinspecial/neonatalintensivecare,version2360P103Neonatalmorbidity,version2147P104CongenitalmalformationsBPAcode,version1159P104CongenitalmalformationsICD-10-AMcode,version2158P105Dateoffirstcontact,version2(formerlyDateoffirstcontactwithcommunitynursingservice)295P107Dateoffirstdeliveryofservice,version2(formerlyDateoffirstcommunitynursingvisit)348P108Dateoflastcontact,version2(formerlyDateoflastcommunityservicecontactwithclient/family)386P109Careravailability,version2.
187P110Nursingdiagnosis,version2144P111Goalofcare,version2250P112Nursinginterventions,version2367P113Dependencyinactivitiesofdailyliving,version2(formerlyClientdependency)184P114Totalpsychiatriccaredays,version2427P115Mentalhealthlegalstatus,version3131P116DepartmentofVeteransAffairsfilenumber,version1128P119Lengthofstay,version1449NationalHealthDataDictionary,version9AppendixI485DE#DATAELEMENTNAMEPageno.
SItemsS1aCapitalexpenditure,version1221S1bCapitalexpendituregross(accrualaccounting),version2223S1bCapitalexpenditurenet(accrualaccounting),version2225S2Indirecthealthcareexpenditure,version1.
233NationalHealthDataDictionary,version9486AppendixIAppendixI:DataelementsbyKnowledgebasenumberKnowledgebaseIDno.
Dataelementname000001Indigenousstatus,version3000002Activitywheninjured,version2000003Actualplaceofbirth,version1000004Acutecareepisodeforadmittedpatients,version1(concept)000005Additionaldiagnosis,version4000007Admission,version3(concept)000008Admissiondate,version4000009Numberofdaysinspecial/neonatalintensivecare,version2000010Infantweight,neonate,stillborn,version3000011Admittedpatient,version3(concept)000013Anaesthesiaadministeredduringlabour,version1000014Analgesiaadministeredduringlabour,version1000016Areaofusualresidence,version3000017Agedcareassessmentstatus,version1000018Behaviour-relatednursingrequirementsatnursinghomeadmission,version1000019Birthorder,version1000020Birthplurality,version1000021Birthweight,version1(concept)000022Careravailability,version2000023Classicationofhealthlabourforcejob,version1000024Clinicalreview,version1(concept)000025Clinicalurgency,version2000026Compensablestatus,version3000027Complicationoflabouranddelivery,version2000028Complicationsofpregnancy,version2000029CongenitalmalformationsBPAcode,version1000030Congenitalmalformations,version2000033Continencestatus(faeces)ofnursinghomeresidentatadmission,version2000034Continencestatus(faeces)ofnursinghomeresidentcurrentstatus,version2000035Countryofbirth,version2000036Dateofbirth,version2000037Dateofcompletionoflastpreviouspregnancy,version1000038Dateofrstdeliveryofservice,version2000039Dateofrstcontact,version2000040Dateoflastcontact,version2000042Diagnosisrelatedgroup,version1IndicatesanewdataelementIndicatesanewversionofadataelementNationalHealthDataDictionary,version9AppendixI487000043Separationdate,version5000046Electivesurgery,version1(concept)000050Establishmentidentier,version2000053Externalcauseadmittedpatient,version4000056Firstdayofthelastmenstrualperiod,version1000057Functionalproleofnursinghomeresidentatadmission,version1000058Functionalproleofnursinghomeresidentcurrentstatus,version1000059Gestationalage,version1(concept)000060Gestationalage,version1000061Healthlabourforce,version1(concept)000062Healthoutcome,version1(concept)000063Healthoutcomeindicator,version1(concept)000064Hospital,version1(concept)000065Hospitalboarder,version1(concept)000066Hospitalcensus,version1(concept)000067Hospitalwaitinglist,version1(concept)000073Indicatorprocedure,version3000075HospitalInsurancestatus,version3000076Intendedlengthofhospitalstay,version1000077Intendedplaceofbirth,version1000078IntensiveCareUnit,version1(concept)000079Inter-hospitalcontractedpatient,version2000082Listingdate,version2000083Livebirth,version1(concept)000084Locationimmediatelypriortoadmissiontonursinghome,version1000085Overduepatient,version3000086Bodilylocationofmaininjury,version1000087Natureofmaininjurynon-admittedpatient,version1000088Majordiagnosticcategory,version1000089Maritalstatus,version2000090Maternalmedicalconditions,version2000091Medicarenumber,version1000092Mentalhealthlegalstatus,version5000093Methodofbirth,version1000094Minutesofoperatingtheatretime,version1000096Modeofseparation,version3000099Narrativedescriptionofinjuryevent,version1000100Needforinterpreterservice,version1000101Neonataldeath,version1(concept)IndicatesanewdataelementIndicatesanewversionofadataelementKnowledgebaseIDno.
DataelementnameNationalHealthDataDictionary,version9488AppendixI000102Neonatalmorbidity,version2000103Neonate,version1(concept)000104Non-admittedpatient,version1(concept)000105Non-electivecare,version1(concept)000107Numberofleaveperiods,version3000110Nursingdiagnosis,version2000111Goalofcare,version2000112NursingInterventions,version2000113Onsetoflabour,version2000114Outcomeoflastpreviouspregnancy,version1000116Overnight-staypatient,version2(concept)000117Patient,version1(concept)000119Lengthofstay,version2000120Patientlistingstatus,version3000124Perinatalperiod,version1(concept)000125Perinealstatus,version1000126PeriodofresidenceinAustralia,version1000127Personidentier,version1000131Postpartumcomplication,version2000132Preferredlanguage,version2000133Presentationatbirth,version1000134Previouspregnancies,version1000135Principalareaofclinicalpractice,version1000136Principaldiagnosis,version3000137Procedure,version5000138Principalroleofhealthprofessional,version1000139Previousspecialisedtreatment,version3000140Professionlabourforcestatusofhealthprofessional,version1000141Numberofcontacts(psychiatricoutpatientclinic/dayprogram),version1000141Numberofservicecontactdates,version2000142Reasonforremoval,version2000143Referraltofurthercare(psychiatricpatients),version1000145Resuscitationofbaby,version1000146Same-daypatient,version1(concept)000147Scheduledadmissiondate,version2000148Separation,version3(concept)000149Sex,version2000150Sourceofreferraltopublicpsychiatrichospital,version3000153Specialisednursingrequirementsatnursinghomeadmission,version1IndicatesanewdataelementIndicatesanewversionofadataelementKnowledgebaseIDno.
DataelementnameNationalHealthDataDictionary,version9AppendixI489000154Specialisednursingrequirementscurrentstatus,version1000155State/Territoryofbirth,version1000159Statusofthebaby,version1000160Stillbirth(foetaldeath),version1(concept)000161Surgicalspecialty,version1000163Totalleavedays,version3000164Totalpsychiatriccaredays,version2000166Typeandsectorofemploymentestablishment,version1000167Typeofaugmentationoflabour,version2000168Caretype,version4000171Typeoflabourinduction,version1000172Typeofnursinghomeadmission,version1000173Typeofusualaccommodation,version1000173Typeofaccommodation,version2000174Censusdate,version2000176Waitinglistcategory,version3000204DepartmentofVeteransAffairslenumber,version1000205Separations,version2000206Patientdays,version3000208Patientsinresidenceatyearend,version1000209Occasionsofservice,version1000210Groupsessions,version1000211Dayprogramattendances,version1000230Occupationofperson,version2000231Typeofnon-admittedpatientcare,version1000232Typeofadmittedpatientcareforsame-daypatients,version3000233Typeofnon-admittedpatientcare(publicpsychiatric,alcoholanddrug),version1000234Typeofnon-admittedpatientcare(nursinghomesandhostels),version1000235Individual/groupsession,version1000236Paymentstovisitingmedicalofcers,version1000237Superannuationemployercontributions(includingfundingbasis),version1000238Drugsupplies,version1000239Medicalandsurgicalsupplies,version1000240Foodsupplies,version1000241Domesticservices,version1000242Repairsandmaintenance,version1000243Patienttransport,version1000244Administrativeexpenses,version1000245Interestpayments,version1IndicatesanewdataelementIndicatesanewversionofadataelementKnowledgebaseIDno.
DataelementnameNationalHealthDataDictionary,version9490AppendixI000246Depreciation,version1000247Otherrecurrentexpenditure,version1000248Capitalexpenditure,version1000252Full-timeequivalentstaff,version2000254Salariesandwages,version1000255Numberofavailablebedsforadmittedpatients,version2000260Geographicallocationofestablishment,version2000294Levelofcare,version1000295Recoveries,version1000296Patientrevenue,version1000309Dependencyinactivitiesofdailyliving,version2000313Hoursworkedbyhealthprofessional,version2000317Employmentstatuspublicpsychiatrichospitaladmissions,version2000321Specialisedserviceindicators,version1000322Teachingstatus,version1000323Otherrevenues,version1000325Capitalexpendituregross(accrualaccounting),version2000326Indirecthealthcareexpenditure,version1000327Establishmenttype,version1000337Contractedhospitalcare,version1(concept)000342Dateofchangetoqualicationstatus,version1000343Newbornqualicationstatus,version2000344Apgarscoreat1minute,version1000345Apgarscoreat5minutes,version1000346Numberofqualieddaysfornewborns,version2000347EmergencyDepartmentwaitingtimetoservicedelivery,version1000348Electivecare,version1(concept)000349PatientpresentationatEmergencyDepartment,version1(concept)000350Datepatientpresents,version1000351Timepatientpresents,version1000352Typeofvisit,version1000353Dateoftriage,version1000354Timeoftriage,version1000355Triagecategory,version1000356Dateofserviceevent,version1000357Timeofserviceevent,version1000358Admissiontime,version2000359Departurestatus,version1000360Non-salaryoperatingcosts,version1IndicatesanewdataelementIndicatesanewversionofadataelementKnowledgebaseIDno.
DataelementnameNationalHealthDataDictionary,version9AppendixI491000361Adultheight,version1(concept)000362Adultheightmeasured,version1000363Adultheightself-reported,version1000364Adultweight,version1(concept)000365Adultweightmeasured,version1000366Adultweightself-reported,version1000367Adultbodymassindex,version1000368Adultbodymassindexclassication,version1000369Adulthipcircumference,version1(concept)000370Adulthipcircumferencemeasured,version1000371Adultabdominalcircumference,version1(concept)000372Adultabdominalcircumferencemeasured,version1000373Adultabdomentohipratio,version1000374Behaviour-relatednursingrequirementsatnursinghome,currentstatus,version1000375Continencestatus(urine)ofnursinghomeresidentatadmission,version2000376Continencestatus(urine)ofnursinghomeresidentcurrentstatus,version2000377Establishmentnumber,version2000378Regioncode,version2000379Establishmentsector,version2000380Stateidentier,version2000381Externalcausenon-admittedpatient,version4000382Externalcausehumanintent,version4000383Pensionstatusnursinghomeresidents,version2000384Placeofoccurrenceofexternalcauseofinjury,version5000385Modeofadmission,version4000387Typeofadmittedpatientcareforovernightpatients,version3000388Typeofadmittedpatientcareforlong-staypatients,version3000389Typeofadmittedpatientcareforshort-staypatients,version3000391Categoryreassignmentdate,version2000392Hoursworkedbymedicalpractitionerindirectpatientcare,version2000393Hourson-call(notworked)bymedicalpractitioner,version2000394Totalhoursworkedbyamedicalpractitioner,version2000395Employmentstatusacutehospitalandprivatepsychiatrichospitaladmissions,version2000396Capitalexpenditurenet(accrualaccounting),version2000397EmergencyDepartmentwaitingtimetoadmission,version1000398Diagnosis,version1(concept)000399Clinicalintervention,version1(concept)000400Extendedwaitpatient,version1000401Servicecontact,version1(concept)IndicatesanewdataelementIndicatesanewversionofadataelementKnowledgebaseIDno.
DataelementnameNationalHealthDataDictionary,version9492AppendixI000402Servicecontactdate,version1000403Tobaccosmokingconsumption/quantity(cigarettes),version1000404Tobaccosmokingduration(dailysmoking),version1000405Tobaccosmokingeverdailyuse,version1000406Tobaccosmokingfrequency,version1000407Tobaccosmokingproduct,version1000408Tobaccosmokingquitage(dailysmoking),version1000409Tobaccosmokingstartage(dailysmoking),version1000410Tobaccosmokingstatus,version1000411Tobaccosmokingtimesincequitting(dailysmoking),version1000412Waitingtimeatacensusdate,version1000413Waitingtimeatadmission,version1000414Medicareeligibilitystatus,version1000415Admittedpatientelectionstatus,version1000416Contractestablishmentidentier,version1000417Contractprocedureag,version1000418Contractrole,version1000419Contracttype,version1000420Contractedcarecommencementdate,version1000421DepartmentofVeterans'Affairspatient,version1000422Cessationoftreatment,version1(concept)000423Reasonforcessationoftreatment,version1000424Dateofcessationoftreatment,version1000425Urgencyofadmission,version1000426Clienttype,version1000427Commencementoftreatment,version1000428Contractedcarecompletiondate,version1000429Totalcontractpatientdays,version1000430Dateofcommencementoftreatment,version1000431Estimateddateag,version1000432Injectingdruguse,version1000433Methodofuseforprincipaldrugofconcern,version1000434Multi-disciplinaryteamstatus,version1000435New/repeatstatus,version1000436Non-admittedpatientserviceeventpatientpresentstatus,version1000437Non-admittedpatientserviceeventcount,version1000438Non-admittedpatientserviceevent,version1(concept)000439Non-admittedpatientservicemode,version1000440Non-admittedpatientservicetype,version1IndicatesanewdataelementIndicatesanewversionofadataelementKnowledgebaseIDno.
DataelementnameNationalHealthDataDictionary,version9AppendixI493000441Organprocurementposthumous,version1(concept)000442Otherdrugsofconcern,version1000443Principaldrugofconcern,version1000444Sourceofreferraltoalcoholandotherdrugtreatmentservice,version1000445Episodeofcare,version1(concept)IndicatesanewdataelementIndicatesanewversionofadataelementKnowledgebaseIDno.
DataelementnameNationalHealthDataDictionary,version9494AppendixJAppendixJ:DataelementsincommonwithotherNMDSsDataelementConceptAdmittedpatientcarePublichospitalestabli-shmentsAdmittedpatientmentalhealthcareAlcoholandotherdrugtreat-mentservicesComm-unitymentalhealthcareComm-unitymentalhealthestabli-shmentsElectivesurgerywaitingtimesEmerg-encyDept.
waitingtimesHealthlabourforceInjurysurveil-lanceAdmittedpatientpalliativecarePerinatalActivitywheninjured,version2√√√Actualplaceofbirth,version1Acutecareepisodeforadmittedpatients,version1√Additionaldiagnosis,version4√√√Administrativeexpenses,version1√√Admissiondate,version4√√√Admission,version3√Admittedpatientelectionstatus,version1√√Areaofusualresidence,version3√√√Birthorder,version1√Birthplurality,version1√Birthweight,version1√√Bodilylocationofmaininjury,version1√Capitalexpenditure,version1√Capitalexpendituregross(accrualaccounting),version2√Capitalexpenditurenet(accrualaccounting),version2√Categoryreassignmentdate,version2√Caretype,version4(formerlyTypeofepisodeofcare)√√√(Continued)NationalHealthDataDictionary,version9AppendixJ495Censusdate,version2√Cessationoftreatment,version1√√Classicationofhealthlabourforcejob,version1√Clienttype,version1√Clinicalreview,version1√√Clinicalurgency,version2√Commencementoftreatment,version1√√Compensablestatus,version3√√Countryofbirth,version2√√√√√DateofBirth,version2√√√√√√√Dateofcommencementoftreatment,version1√Dateofserviceevent,version1√Dateoftriage,version1√Datepatientpresents,version1√DepartmentofVeteransAffairspatient,version1√√√Departurestatus,version1√Depreciation,version1√√Diagnosisrelatedgroup,version1√√Domesticservices,version1√√Drugsupplies,version1√√Electivecare,version1√√Electivesurgery,version1√√(Continued)DataelementConceptAdmittedpatientcarePublichospitalestabli-shmentsAdmittedpatientmentalhealthcareAlcoholandotherdrugtreat-mentservicesComm-unitymentalhealthcareComm-unitymentalhealthestabli-shmentsElectivesurgerywaitingtimesEmerg-encyDept.
waitingtimesHealthlabourforceInjurysurveil-lanceAdmittedpatientpalliativecarePerinatalNationalHealthDataDictionary,version9496AppendixJEmergencyDepartmentwaitingtimetoservicedelivery,version1√Employmentstatusacutehospitalandprivatepsychiatrichospitaladmissions,version2√Employmentstatuspublicpsychiatrichospitaladmissions,version2√Episodeofcare,version1√√Establishmentidentier,version2√√√√√√Establishmentnumber,version2√√√√√Establishmentsector,version2√√√√Establishmenttype,version1√√Extendedwaitpatient,version1√Externalcauseadmittedpatient,version4√√Externalcausehumanintent,version4√Firstdayoflastmenstrualperiod,version1√Foodsupplies,version1√√Full-timeequivalentstaff,version2√Geographicallocationofestablishment,version2√√√Gestationalage,version1√√Groupsessions,version1√Healthlabourforce,version1√√Hospitalboarder,version1√√√Hospitalcensus,version1√√Hospitalinsurancestatus,version3√√(Continued)DataelementConceptAdmittedpatientcarePublichospitalestabli-shmentsAdmittedpatientmentalhealthcareAlcoholandotherdrugtreat-mentservicesComm-unitymentalhealthcareComm-unitymentalhealthestabli-shmentsElectivesurgerywaitingtimesEmerg-encyDept.
waitingtimesHealthlabourforceInjurysurveil-lanceAdmittedpatientpalliativecarePerinatalNationalHealthDataDictionary,version9AppendixJ497Hospitalwaitinglist,version1√√Hospital,version1√√√Hourson-call(notworked)bymedicalpractitioner,version2√Hoursworkedbyhealthprofessional,version2√Hoursworkedbymedicalpractitionerindirectpatientcare,version2√Indicatorprocedure,version3√Indigenousstatus,version3√√√√√√Indirecthealthcareexpenditure,version1√Individual/groupsession,version1√Infantweight,neonate,stillborn,version3√√Injectingdruguse,version1√Intendedlengthofhospitalstay,version1√Interestpayments,version1√√Inter-hospitalcontractedpatient,version2√Listingdate,version2√Livebirth,version1√√√Majordiagnosticcategory,version1√√Maritalstatus,version2√Medicalandsurgicalsupplies,version1√√Medicareeligibilitystatus,version1√√√Mentalhealthlegalstatus,version4√√√(Continued)DataelementConceptAdmittedpatientcarePublichospitalestabli-shmentsAdmittedpatientmentalhealthcareAlcoholandotherdrugtreat-mentservicesComm-unitymentalhealthcareComm-unitymentalhealthestabli-shmentsElectivesurgerywaitingtimesEmerg-encyDept.
waitingtimesHealthlabourforceInjurysurveil-lanceAdmittedpatientpalliativecarePerinatalNationalHealthDataDictionary,version9498AppendixJMethodofbirth,version1√Methodofuseforprincipaldrugofconcern,version1√Modeofadmission,version4√√√Modeofseparation,version3√√√Narrativedescriptionofinjuryevent,version1√Natureofmaininjurynon-admittedpatient,version1√Neonataldeath,version1√√Neonate,version1√√√Newbornqualicationstatus,version2√√Non-admittedpatient,version1√√√Non-electivecare,version1√√Non-salaryoperatingcosts,version1√Numberofavailablebedsforadmittedpatients,version2√√Numberofleaveperiods,version3√√√Numberofqualieddaysfornewborns,version2√Numberofservicecontactdates,version2√Occasionsofservice,version1√Onsetoflabour,version1√Organprocurementposthumous,version1√√Otherdrugsofconcern,version1√Otherrecurrentexpenditure,version1√√Otherrevenues,version1√(Continued)DataelementConceptAdmittedpatientcarePublichospitalestabli-shmentsAdmittedpatientmentalhealthcareAlcoholandotherdrugtreat-mentservicesComm-unitymentalhealthcareComm-unitymentalhealthestabli-shmentsElectivesurgerywaitingtimesEmerg-encyDept.
waitingtimesHealthlabourforceInjurysurveil-lanceAdmittedpatientpalliativecarePerinatalNationalHealthDataDictionary,version9AppendixJ499Overduepatient,version3√Overnight-staypatient,version2√√√Patient,version1√√Patientdays,version3√Patientlistingstatus,version3√PatientpresentationatEmergencyDepartment,version1√√Patientrevenue,version1√Patienttransport,version1√√Paymentstovisitingmedicalofcers,version1√√Perinatalperiod,version1√√Personidentier,version1√√√√√Placeofoccurrenceofexternalcauseofinjury,version5√√Preferredlanguage,version2√Previousspecialisedtreatment,version3√√Principalareaofclinicalpractice,version1√Principaldiagnosis,version3√√√√Principaldrugofconcern,version1,version1√Principalstatusofhealthprofessional,version1√Procedure,version5√Professionlabourforcestatusofhealthprofessional,version1√Reasonforremoval,version2√(Continued)DataelementConceptAdmittedpatientcarePublichospitalestabli-shmentsAdmittedpatientmentalhealthcareAlcoholandotherdrugtreat-mentservicesComm-unitymentalhealthcareComm-unitymentalhealthestabli-shmentsElectivesurgerywaitingtimesEmerg-encyDept.
waitingtimesHealthlabourforceInjurysurveil-lanceAdmittedpatientpalliativecarePerinatalNationalHealthDataDictionary,version9500AppendixJRecoveries,version1√Regioncode,version2√√√√Repairsandmaintenance,version1√√Salariesandwages,version1√√Same-daypatient,version1√√√Separation,version3√√√√Separationdate,version5√√√√Separations,version2√√Servicecontact,version1√Servicecontactdate,version1√Sex,version2√√√√√√Sourceofreferraltoalcoholandotherdrugtreatmentservices,version1√Sourceofreferraltopublicpsychiatrichospital,version3√Specialisedserviceindicators,version1√Stateidentier,version2√√√√State/Territoryofbirth,version1√Statusofthebaby,version1√Stillbirth(foetaldeath),version1√√Superannuationemployercontributions(includingfundingbasis),version1√√Surgicalspecialty,version1√Teachingstatus,version1√(Continued)DataelementConceptAdmittedpatientcarePublichospitalestabli-shmentsAdmittedpatientmentalhealthcareAlcoholandotherdrugtreat-mentservicesComm-unitymentalhealthcareComm-unitymentalhealthestabli-shmentsElectivesurgerywaitingtimesEmerg-encyDept.
waitingtimesHealthlabourforceInjurysurveil-lanceAdmittedpatientpalliativecarePerinatalNationalHealthDataDictionary,version9AppendixJ501Timeoftriage,version1√Timepatientpresents,version1√Totalfull-timeequivalentstaff,version1Totalhoursworkedbymedicalpractitioner,version2√Totalleavedays,version3√√Totalpsychiatriccaredays,version2√√√Triagecategory,version1√Typeandsectorofemploymentestablishment,version1√Typeofaccommodation,version2√Typeofnon-admittedpatientcare(publicpsychiatric,alcoholanddrug),version1√Typeofnon-admittedpatientcare,version1√Typeofusualaccommodation,version1√Typeofvisit,version1√Urgencyofadmission,version1√Waitinglistcategory,version3√Waitingtimeatacensusdate,version1√Waitingtimeatadmission,version1√DataelementConceptAdmittedpatientcarePublichospitalestabli-shmentsAdmittedpatientmentalhealthcareAlcoholandotherdrugtreat-mentservicesComm-unitymentalhealthcareComm-unitymentalhealthestabli-shmentsElectivesurgerywaitingtimesEmerg-encyDept.
waitingtimesHealthlabourforceInjurysurveil-lanceAdmittedpatientpalliativecarePerinatalNationalHealthDataDictionary,version9502AppendixKAppendixK:Subject/keywordindextodataelementsabdomentohipratio,40,43,58,59abdominalcircumference,40aboriginal,seeIndigenousstatusABSDirectoryofconceptsandstandardsforsocial,labouranddemographicstatistics,112acceptresponsibilityforcareofapatient,seeAdmissionaccommodationchargeablestatus,seeAdmittedpatientelectionstatusaccommodationthepersonlivedinpriortoadmission,seeTypeofusualaccommodationaccommodation:wherepersonusuallylives,seeTypeofaccommodationACEM,seeAustralasianCollegeforEmergencyMedicineActivitywheninjured,278Actualplaceofbirth,216acutecare,seeCaretypeAcutecareepisodeforadmittedpatients,335acutecarehospitals,191Additionaldiagnosis,136,seePrincipaldiagnosisAdministrativeexpenses,226administratorinahealthprofession,88Admission,290Admissiondate,291admissiondiagnosis,139admissionprocess,seeAdmittedpatient;Non-admittedpatientAdmissiontime,293Admittedpatient,256,seealsoOvernightstaypatient;Same-daypatient;Inter-hospitalcontractedpatientAdmittedpatientcareNMDS,1,2Admittedpatientelectionstatus,126Admittedpatientmentalhealthcare,121,seealsoTypeofusualaccommodation,usualaccommodationofperson,119AdmittedpatientmentalhealthcareNMDS,1,5AdmittedpatientpalliativecareNMDS,1,7Adultabdominalcircumference,39adultbodymassindex,45,62Adultbodymassindexclassification,48Adultheight,51Adultheightmeasured,52Adultheightself-reported,55Adulthipcircumference,57Adulthipcircumferencemeasured,58Adultintensivecareunit,level3,214Adultintensivecareunit,level1,215Adultintensivecareunit,level2,215Adultweight,61measured,62self-reported,65Agequitsmokingtobaccodaily,105startedsmokingtobaccodaily,104Agedcareassessmentstatus,406Alcoholandotherdrugtreatmentservices,110,182,183,319,320,331,332,392,393,395AlcoholandotherdrugtreatmentservicesNMDS,1,9Anaesthesiaadministeredduringlabour,365Analgesiaadministeredduringlabour,366Apgarscoreat1minute,149Apgarscoreat5minutes,150apgarscore,seeStatusofthebabyAreaofusualresidence,204ASCCSS,29ASCL,seeAustralianStandardClassificationofLanguagesassessmentoftheurgency,seeClinicalurgencyAustralasianCollegeforEmergencyMedicine,403AustralianCouncilofCommunityNursingServices,145,186,188,252,297,348,367,386AustralianHealthMinistersAdvisoryCouncil,72AustralianHealthMinistersAdvisoryCouncilHealthTargetsandImplementationCommittee,70AustralianRefinedDiagnosisRelatedGroups,140,142AustralianStandardClassificationofCountriesforSocialStatistics,29AustralianStandardClassificationofLanguages,116AustralianStandardClassificationofOccupations,68availabilityofinformalcareathome,seeCareravailabilityavailablebed,seeNumberofavailablebedsforadmittedpatientsbaby,146,147,148,149,150seeNeonate;neonatalmorbidity;birthweightBehaviour-relatednursingrequirementsatnursinghomeadmission,167Behaviour-relatednursingrequirementsatnursinghome,currentstatus,168bequests,seeOtherrevenuesbirthdateof,31Birthorder,275Birthplurality,276Birthweight,148BMI,48,seeAdultbodymassindexboarder,seeHospitalboarderBodilylocationofmaininjury,177BPA,seeBritishPaediatricAssociationBPAcode,seeCongenitalmalformationsBPAcodeBritishPaediatricAssociation,159NationalHealthDataDictionary,version9AppendixK503Capitalexpenditure,221Capitalexpendituregross(accrualaccounting),223Capitalexpenditurenet(accrualaccounting),225Caretype,336Careravailability,187Categoryreassignmentdate,399census,seeHospitalcensus;Censusdate;WaitingtimeatacensusdateCensusdate,418Cessationoftreatment,392cigarettes,94Classificationofhealthlabourforcejob,75Clienttype,319Clinicalintervention,341Clinicalreview,396Clinicalurgency,397clinicalurgencycategory3,seealsoExtendedwaitpatient;Urgencyofadmission;Clinicalurgencyclinician,88commencementdate,contractedcare,seeContractedcarecommencementdateCommencementoftreatment,320Communityhealthcentres,193Communitymentalhealthcare,357CommunitymentalhealthcareNMDS,1,11CommunitymentalhealthestablishmentsNMDS,1,13Compensablestatus,125compensationpayment,seeCompensablestatuscompletiondate,contractedcare,seeContractedcarecompletiondateComplicationoflabouranddelivery,270Complicationsofpregnancy,151complicationsofthepuerperalperiod,seePostpartumcomplicationconditionsarisingduringthepregnancy,seeMaternalmedicalconditionsconditionsordiseasesofthebaby,seeNeonatalmorbidityCongenitalmalformationsBPAcode,159contact,patient-ambulatorycarehealthunit,seeServicecontactContinencestatus(faeces)ofnursinghomeresidentatadmission,169Continencestatus(faeces)ofnursinghomeresidentcurrentstatus,170Continencestatus(urine)ofnursinghomeresidentatadmission,171Continencestatus(urine)ofnursinghomeresidentcurrentstatus,172Contractestablishmentidentifier,321Contractprocedureflag,322Contractrole,324Contracttype,325Contractedcarecommencementdate,327Contractedcarecompletiondate,328Contractedhospitalcare,329costofconsumables,seeMedicalandsurgicalsuppliescostofdrugs,seeDrugsuppliescostoffoodandbeverages,seeFoodsuppliescostofrepairsandmaintenance,seeRepairsandmaintenancecostofsalaryandwagepayments,seeSalariesandwagescostoftransportingpatients,seePatienttransportcostsofdomesticservices,seeDomesticservicesCountryofbirth,29dateofadmission,291Dateofbirth,31Dateofcessationoftreatment,395Dateofchangetoqualificationstatus,364Dateofcommencementoftreatment,331Dateofcompletionoflastpreviouspregnancy,152Dateoffirstcontact,296Dateoffirstdeliveryofservice,348Dateoflastcontact,386dateofseparation,seeSeparationdate;Episodeofcaredateofservicecontact,seeServicecontactdateDateofserviceevent,350Dateoftriage,400Datepatientpresents,312daycentres/hospitals,192Dayprogramattendances,352deathofalivebirth,seeNeonataldeathdefenceforcepersonnelentitlements,130deliveryofservice,seeDateofdeliveryofserviceDepartmentofVeteransAffairspatient,128DepartmentofVeteransAffairsfilenumber,266Departurestatus,387Dependencyinactivitiesofdailyliving,184Depreciation,227descriptionoftheinjuryevent,seeNarrativedescriptionoftheinjuryeventDiagnosis,134Diagnosisrelatedgroup,140diagnosticinterventions,seeClinicalinterventionsdomesticservices,228Domiciliarynursingservice,193Drugsupplies,229drugsmethodofuseforprincipaldrugofconcern,110injectingdruguse,109durationofgestation,seeGestationalageElectivecare,298Electivesurgery,300Electivesurgerywaitingtimes,90,298,299,300,301,302,306,307,309,345,396,397,399,418,419,420,421,423NationalHealthDataDictionary,version9504AppendixKElectivesurgerywaitingtimesNMDS,1,15eligibleperson,129eligibleveterans,128EmergencyDepartmentwaitingtimetoadmission,446EmergencyDepartmentwaitingtimetoservicedelivery,447EmergencyDepartmentwaitingtimes,311,312,313,314,350,351,387,400,401,402,447EmergencyDepartmentwaitingtimesNMDS,1,17Employmentstatusacutehospitalandprivatepsychiatrichospitaladmissions,70publicpsychiatrichospitaladmissions,72employmentstatusofhealthprofessional,80environmentalhealth,89episiotomy,seePerinealstatusepisodeofacutecare,seeAcutecareepisodeforadmittedpatients;CaretypeEpisodeofcare,379Establishmentidentifier,194Establishmentnumber,196relatestoEstablishmentidentifierEstablishmentsector,210relatestoEstablishmentidentifierEstablishmenttype,190Estimateddateflag,32Extendedwaitpatient,419Externalcauseadmittedpatient,280Externalcausehumanintent,282Externalcausenon-admittedpatient,284Firstdayofthelastmenstrualperiod,154firstweightofthefoetusorbaby,seeBirthweightfoetaldeath,161,seeStillbirth(foetaldeath)foetus,148Foodsupplies,230freestandingdaysurgery,192Full-timeequivalentstaff,231Functionalprofileofnursinghomeresidentatadmission,173Functionalprofileofnursinghomeresidentcurrentstatus,174gender,38geographicallocation,204,206Geographicallocationofestablishment,206Gestationalage(concept),156Gestationalage,157,seealsoFirstdayoflastmenstrualperiodGoalofcare,250Grosscapitalexpenditure,seeCapitalexpenditureGroupsessions,353headcountofallformallyadmittedpatients,seePatientsinresidenceatyearendhealthcarefacility,213HealthInsuranceCommission,265healthlabourforcepositionorjobclassification,75Healthlabourforce,74,78,83,85,86,87,88,211HealthlabourforceNMDS,1,19Healthoutcome,248Healthoutcomeindicator,249Hospices,192Hospital,213Hospitalboarder,264,seeCaretypeHospitalcensus,417Hospitalinsurancestatus,122Hospitalwaitinglist,301hostelsandresidentialservices,192hourstotalworked,87Hourson-call(notworked)bymedicalpractitioner,85Hoursworkedbyhealthprofessional,83Hoursworkedbymedicalpractitionerindirectpatientcare,86humanintent,seeExternalcausehumanintentICD-10-AM,134,136,138,147,151,155,158,164,178,218,270,280,303,343,345,431,433ICU,seeIntensivecareunitidentifierforStateorTerritory,seeStateidentifieridentifierfortheestablishment,seeEstablishmentidentifierincome,seePatientrevenueIndicatorprocedure,345Indigenousstatus,33Indirecthealthcareexpenditure,233Individual/groupsession,354,seealsoGroupsessioninductionoflabour,seeTypeoflabourinductionInfantweight,neonate,stillborn,160Injectingdruguse,109,seealsoPrincipaldrugofconcernInjurysurveillance,178,179,218,278,280,282,284,286InjurysurveillanceNMDS,1,21insurancestatushospital,seeHospitalinsurancestatusIntendedlengthofhospitalstay,413Intendedplaceofbirth,414intensivecareunit,214Interestpayments,235Inter-hospitalcontractedpatient,262InternationalClassificationofDiseasesandRelatedHealthProblems,146interpreterservices,seeNeedforinterpreterservicesintervalbetweenpregnancies,seeDateofcompletionoflastpreviouspregnancyintervention,seeClinicalinterventionNationalHealthDataDictionary,version9AppendixK505investmentincome,seeOtherrevenuesinvoluntarypatientsmentalhealth,131labourinduction,seeTypeoflabourinductionlanguage,114leaveperiod,seeNumberofleaveperiods;Totalleavedayslegalstatusmentalhealth,131Lengthofstay,449,seealsoSeparations;Admissiondate;Separationdate;Intendedlengthofstaylessthan28daysold,seeNeonateLevelofcare,404Listingdate,306Livebirth,268livebirth(definition),161Locationimmediatelypriortoadmissiontonursinghome,217locationofthepatient,seeNon-admittedpatientservicemodelowestlevelofclinicalurgency,seeExtendedwaitpatientMaintenancecare,seeCaretypemajordiagnosticcategory,139Majordiagnosticcategory,142Maritalstatus,112Maternalmedicalconditions,155measurementofhipcircumference,40Medicalandsurgicalsupplies,236Medicarebenefitsschedule,302Medicareeligibilitystatus,129Medicarenumber,265Mentalhealthlegalstatus,131Methodofbirth,273Minutesofoperatingtheatretime,361Modeofadmission,294Modeofseparation,383Motorvehiclethirdpartyinsurance,seeCompensablestatusMulti-disciplinaryteamstatus,410NANDA,seeNorthAmericanNursingDiagnosisAssociationNarrativedescriptionofinjuryevent,286NationalCommitteeonHealthandVitalStatistics,36NationalLocalitiesIndex,205,206NationalMinimumDataSets,1Natureofmaininjury,139,seealsoExternalcauseNatureofmaininjurynon-admittedpatient,179Needforinterpreterservice,118Neonataldeath,287Neonatalintensivecareunit,level3,215Neonatalmorbidity,147Neonate,146newnon-admittedpatientserviceevent,seeNew/repeatstatusNew/repeatstatus,411Newborncare,seeCaretypeNewbornqualificationstatus,362NLI,seeNationalLocalitiesIndexNon-admittedpatient,258Non-admittedpatientserviceevent,370Non-admittedpatientserviceeventpatientpresentstatus,412Non-admittedpatientserviceeventcount,453Non-admittedpatientservicemode,372Non-admittedpatientservicetype,374non-electivecare,299non-residentialhealthservices,192Non-salaryoperatingcosts,237NorthAmericanNursingDiagnosisAssociation,144Numberofavailablebedsforadmittedpatients,455Numberofcontacts(psychiatricoutpatientclinic/dayprogram),358numberofdaysforallpatients,seePatientdaysNumberofdaysinspecial/neonatalintensivecare,360Numberofleaveperiods,389numberofoccasionsofservice,seeOccasionsofserviceNumberofqualifieddaysfornewborns,450Numberofservicecontactdates,359Nursingdiagnosis,144Nursinghomeadmission,seeTypeofnursinghomeadmissionnursinghomeresidents,167,168,169,170,171,172,173,174,175Nursinghomes,192,404Nursinginterventions,367obstetriccomplications,seeComplicationoflabouranddeliveryOccasionsofservice,448Occupationofperson,68occupationalhealth,89on-jobhourspaidfor,seeFull-timeequivalentstaffOnsetoflabour,269Organprocurementposthumous,378,seealsoCaretypeotheradmittedpatientcare,seeCaretypeOtherdrugsofconcern,182,seealsoPrincipaldrugofconcernOtherrecurrentexpenditure,239Otherrevenues,460Outcomeoflastpreviouspregnancy,153,seePreviouspregnancyOverduepatient,420Overnight-staypatient,259NationalHealthDataDictionary,version9506AppendixKpaediatricintensivecareunit,215palliativecare,seeCaretypePatient,255,seeAdmittedpatient;Non-admittedpatientPatientdays,425patientidentifier,seePersonidentifierPatientlistingstatus,307patientnumber,seePersonidentifier;DepartmentofVeteransAffairsfilenumberPatientpresentationatEmergencyDepartment,311Patientrevenue,456Patienttransport,240Patientsinresidenceatyearend,444Paymentstovisitingmedicalofficers,241Pensionstatusnursinghomeresidents,124Perinatalcare,216,269,271,273,275,276,287,288PerinatalNMDS,1,23Perinatalperiod,162Perinatalstatistics,209perineallaceration,seePerinealstatusPerinealstatus,163periodofadmittedpatientcare,seeEpisodeofcare;Caretype;Admissiondate;SeparationdatePeriodofresidenceinAustralia,36Personidentifier,254placeofbirthattheonsetoflabour,seeIntendedplaceofbirthPlaceofoccurrenceofexternalcauseofinjury,218Postpartumcomplication,164pre-existingmaternaldiseases,seematernalmedicalconditionsPreferredlanguage,114Presentationatbirth,274presentationstatusofpatient,seeNon-admittedpatientserviceeventpatientpresentstatusPreviouspregnancies,165Previousspecialisedtreatment,317Principalareaofclinicalpractice,78Principaldiagnosis,138Principaldrugofconcern,183,seealsoOtherdrugsofconcernPrincipalroleofhealthprofessional,88prisoners,130privatepatient,126Procedure,343,seealsoClinicalintervention;IndicatorprocedureProfessionlabourforcestatusofhealthprofessional,80professionalclinicalactivity,seePrincipalareaofclinicalpracticepsychiatrichospitals,191psychogeriatriccare,seeCaretypepublichealth/healthpromotion,89PublichospitalestablishmentsNMDS,1,25publicliabilityorcommonlawdamages,seeCompensablestatuspublicpatient,126publicpsychiatrichospital,316qualificationstatus,seeNewbornqualificationstatus;DateofchangeofqualificationstatusReasonforcessationoftreatment,393Reasonforremoval,309ReciprocalHealthCareAgreement,129Recoveries,458recoveryofexpenditure,seeRecoveriesReferraltofurthercare(psychiatricpatients),385Regioncode,197relatestoEstablishmentidentifierRehabilitationcare,seeCaretypeRepairsandmaintenance,242Repeatvisits,seeNew/repeatserviceeventresearcherinahealthprofession,88Resuscitationofbaby,277revenue,seePatientrevenueSACC,seeSalariesandwages,243Same-dayestablishments,192Same-daypatient,260Scheduledadmissiondate,415Sectorofemploymentestablishment,211Separation,381,seeModeofseparation;SeparationdateSeparationdate,382separations,seeSeparationdate;Admissiondate;LengthofstaySeparations,445Servicecontact,355Servicecontactdate,357serviceevent,seeDateofserviceevent;Timeofserviceevent;Non-admittedpatientserviceeventSex,37signlanguage,114SLA,seeStatisticalLocalAreasmokertype,92smoking,92smokingduration,96Sourceofreferraltoalcoholandotherdrugtreatmentservice,332Sourceofreferraltopublicpsychiatrichospital,316Specialisednursingrequirementsatnursinghomeadmission,175Specialisednursingrequirementscurrentstatus,176Specialisedserviceindicators,200standardquestionforIndigenousstatus,34StandardQuestionsontheUseofTobaccoAmongAdults,92,94,97,99,101,102,104,106,108NationalHealthDataDictionary,version9AppendixK507State/Territoryofbirth,209Stateidentifier,relatestoEstablishmentidentifierStatisticalLocalArea,204,206,seeAreaofusualresidencestatusatseparation,seeModeofseparationStatusofthebaby,161stillbirth(definition),161Stillbirth(foetaldeath),288Structuralabnormalitiespresentatbirth,seecongenitalmalformationsSuperannuationemployercontributions(includingfundingbasis),245Surgicalspecialty,90teacher/educatorinahealthprofession,88Teachingstatus,198temporaryabsence,seeNumberofleaveperiods;TotalleavedaysTerminationsofpregnancy,seeStillbirthOfficeofMulticulturalAffairs,36StandardAustralianClassificationofCountries,30therapeuticinterventions,seeClinicalinterventionTimeofserviceevent,351Timeoftriage,401Timepatientpresents,313timespentbyapatientinoperatingtheatre,seeMinutesofoperatingtheatretimeTobaccosmokingconsumption/quantity(cigarettes),94duration(dailysmoking),96everdailyuse,98frequency,100product,102quitage(dailysmoking),105startage(dailysmoking),104status,92timesincequitting(dailysmoking),107TorresStraitIslander,seeIndigenousstatusTotalcontractpatientdays,451Totalhoursworkedbyamedicalpractitioner,87Totalleavedays,390Totalpsychiatriccaredays,427transgenderissues,38transportingpatients,seePatienttransporttriage,seeDateoftriage;Timeoftriage;TriagecategoryTriagecategory,402Typeandsectorofemploymentestablishment,211Typeofaccommodation,119Typeofadmittedpatientcareforlong-staypatients,430Typeofadmittedpatientcareforovernightpatients,431Typeofadmittedpatientcareforsame-daypatients,433Typeofadmittedpatientcareforshort-staypatients,435Typeofaugmentationoflabour,271typeofclinicalservice,seeNon-admittedpatientservicetypeTypeofestablishment,seeEstablishmenttypeTypeoflabourinduction,272Typeofnon-admittedpatientcare,436Typeofnon-admittedpatientcare(nursinghomesandhostels),440Typeofnon-admittedpatientcare(publicpsychiatric,alcoholanddrug),441Typeofnursinghomeadmission,295Typeofusualaccommodation,121Typeofvisit,314Urgencyofadmission,407Usualmethodofadministeringdrugs,110Waitinglistcategory,302Waitingtimeatacensusdate,421Waitingtimeatadmission,423warwidow/widowers,128workerscompensation,seeCompensablestatus