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Emergency department care activity based funding DSS 2012-2013 (Data Set Specification)

Definition

The scope of this DSS is emergency care provided in emergency departments in activity based funded hospitals.

These emergency departments are purposely designed and equipped areas with designated assessment, treatment and resuscitation areas and can provide resuscitation, stabilisation and initial management of all emergencies. They also have medical staff available in the hospital 24 hours a day and designated emergency department nursing staff and nursing unit manager 24 hours per day 7 days per week.

The scope also includes services where a patient is awaiting transit, had a pre-arranged admission, did-not-wait or died on arrival. Patients with Department of Veterans' Affairs or compensable funding source are also included in the scope of the collection.

The care provided to patients in emergency departments is, in most instances, recognised as being provided to non-admitted patients. Patients being treated in emergency departments may subsequently become admitted. The care provided to non-admitted patients who are treated in the emergency department prior to being admitted is included in this DSS.

Care provided to patients who are being treated in an emergency department site as an admitted patient (e.g. in an observation unit, short-stay unit, 'emergency department ward' or awaiting a bed in an admitted patient ward of the hospital) are excluded from the scope.

Also excluded from the scope are patients in General Practitioner co-located units.

Scope links with other metadata sets

Episodes of care for admitted patients are reported through the Admitted patient care NMDS.

Metadata items in this Data Set Specification

Below is a list of all the components within this Dataset Specification.
Each entry includes the item name, whether the item is optional, mandatory or conditional and the maximum times the item can occur in a dataset.
If the items must occur in a particular order in the dataset, the sequence number is included before the item name.

Components Statuses Inclusion #
Data Elements
0 Address—Australian postcode, code (Postcode datafile) {NNNN}
  • [Housing assistance: Standard]
  • [Health: Standard]
  • [Community Services: Standard]
  • [Independent Hospital Pricing Authority: Standard]
  • [Homelessness: Standard]
  • [Early Childhood: Standard]
  • [ National Health Performance Authority: Standard]
mandatory 1
1 Emergency department stay—additional diagnosis, code X(18)
Conditional Obligation:Only required to be reported when an additional diagnosis was present for the emergency department stay.
  • [Independent Hospital Pricing Authority: Superseded]
conditional 2
2 Emergency department stay—diagnosis classification type, code N.N
Conditional Obligation:Only required to be reported when a principal diagnosis and/or an additional diagnosis has been reported.
  • [Independent Hospital Pricing Authority: Superseded]
conditional 1
3 Emergency department stay—physical departure date, DDMMYYYY
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
  • [ National Health Performance Authority: Standard]
mandatory 1
4 Emergency department stay—physical departure time, hhmm
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
  • [ National Health Performance Authority: Standard]
mandatory 1
5 Emergency department stay—presentation date, DDMMYYYY
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
  • [ National Health Performance Authority: Standard]
mandatory 1
6 Emergency department stay—presentation time, hhmm
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
  • [ National Health Performance Authority: Standard]
mandatory 1
7 Emergency department stay—principal diagnosis, code X(18)
Conditional Obligation:

The reporting of this data element is optional for those attendances where the emergency department principal diagnosis is not likely to be ascertained for patients who:

  • Did not wait
  • Dead on arrival
  • Left the Emergency Department - treatment not complete.
  • [Independent Hospital Pricing Authority: Superseded]
conditional 1
8 Emergency department stay—transport mode (arrival), code N
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
mandatory 1
9 Emergency department stay—type of visit to emergency department, code N
  • [Health: Superseded]
  • [Independent Hospital Pricing Authority: Standard]
  • [ National Health Performance Authority: Standard]
mandatory 1
10 Emergency department stay—urgency related group major diagnostic block, code N[AA]
  • [Health: Superseded]
  • [Independent Hospital Pricing Authority: Standard]
mandatory 1
12 Emergency department stay—urgency related group, URG code [X]N[N]
  • [Independent Hospital Pricing Authority: Superseded]
mandatory 1
13 Emergency department stay—waiting time (to commencement of clinical care), total minutes NNNNN
Conditional Obligation:

This data item is to be recorded if the patient has one of the following Episode end status values recorded:

  • Admitted to this hospital (either short stay unit, hospital in the home or non-emergency department hospital ward);
  • Non-admitted patient emergency department service episode completed—departed without being admitted or referred to another hospital;
  • Non-admitted patient emergency department service episode completed—referred to another hospital for admission;
  • Left at own risk after being attended by a health care professional but before the non-admitted patient emergency department service episode was completed;
  • Died in emergency department as a non-admitted patient;
  • Dead on arrival, emergency department clinician certified the death of the patient
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
  • [ National Health Performance Authority: Standard]
conditional 1
14 Episode of care—funding eligibility indicator (Department of Veterans' Affairs), code N
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
mandatory 1
15 Establishment—organisation identifier (Australian), NNX[X]NNNNN
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
  • [ National Health Performance Authority: Standard]
mandatory 1
16 Non-admitted patient emergency department service episode—clinical care commencement date, DDMMYYYY
Conditional Obligation:

This data item is to be recorded if the patient has one of the following Episode end status values recorded:

  • Admitted to this hospital (either short stay unit, hospital in the home or non-emergency department hospital ward);
  • Non-admitted patient emergency department service episode completed—departed without being admitted or referred to another hospital;
  • Non-admitted patient emergency department service episode completed—referred to another hospital for admission;
  • Left at own risk after being attended by a health care professional but before the non-admitted patient emergency department service episode was completed;
  • Died in emergency department as a non-admitted patient;
  • Dead on arrival, emergency department clinician certified the death of the patient
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
conditional 1
17 Non-admitted patient emergency department service episode—clinical care commencement time, hhmm
Conditional Obligation:

This data item is to be recorded if the patient has one of the following Episode end status values recorded:

  • Admitted to this hospital (either short stay unit, hospital in the home or non-emergency department hospital ward);
  • Non-admitted patient emergency department service episode completed—departed without being admitted or referred to another hospital;
  • Non-admitted patient emergency department service episode completed—referred to another hospital for admission;
  • Left at own risk after being attended by a health care professional but before the non-admitted patient emergency department service episode was completed;
  • Died in emergency department as a non-admitted patient;
  • Dead on arrival, emergency department clinician certified the death of the patient
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
conditional 1
18 Non-admitted patient emergency department service episode—episode end date, DDMMYYYY
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
mandatory 1
19 Non-admitted patient emergency department service episode—episode end status, code N
  • [Health: Superseded]
  • [Independent Hospital Pricing Authority: Standard]
  • [ National Health Performance Authority: Standard]
mandatory 1
20 Non-admitted patient emergency department service episode—episode end time, hhmm
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
mandatory 1
21 Non-admitted patient emergency department service episode—service episode length, total minutes NNNNN
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
mandatory 1
22 Non-admitted patient emergency department service episode—triage category, code N
Conditional Obligation:

This data item is to be recorded for patients who have one of the following Type of visit values recorded:

  • Emergency department presentation;
  • Return visit, planned;
  • Pre-arranged admission;
  • Patient in transit.
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
  • [ National Health Performance Authority: Standard]
conditional 1
23 Non-admitted patient emergency department service episode—triage date, DDMMYYYY
Conditional Obligation:

This data item is to be recorded for patients who have one of the following Type of visit values recorded:

  • Emergency department presentation;
  • Return visit, planned;
  • Pre-arranged admission;
  • Patient in transit.
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
conditional 1
24 Non-admitted patient emergency department service episode—triage time, hhmm
Conditional Obligation:

This data item is to be recorded for patients who have one of the following Type of visit values recorded:

  • Emergency department presentation;
  • Return visit, planned;
  • Pre-arranged admission;
  • Patient in transit.
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
conditional 1
25 Patient—compensable status, code N
  • [Health: Standard]
  • [Independent Hospital Pricing Authority: Standard]
mandatory 1
26 Person—area of usual residence, geographical location code (ASGC 2011) NNNNN
  • [Health: Standard]
  • [Community Services: Standard]
  • [Independent Hospital Pricing Authority: Standard]
  • [Early Childhood: Standard]
mandatory 1
27 Person—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9)
  • [Health: Standard]
  • [Community Services: Standard]
  • [Independent Hospital Pricing Authority: Standard]
mandatory 1
28 Person—country of birth, code (SACC 2011) NNNN
  • [Housing assistance: Standard]
  • [Health: Standard]
  • [Community Services: Standard]
  • [Independent Hospital Pricing Authority: Standard]
  • [Homelessness: Standard]
mandatory 1
29 Person—date of birth, DDMMYYYY
  • [Housing assistance: Standard]
  • [Health: Standard]
  • [Community Services: Standard]
  • [Independent Hospital Pricing Authority: Standard]
  • [Homelessness: Standard]
  • [Early Childhood: Standard]
  • [ National Health Performance Authority: Standard]
mandatory 1
30 Person—Indigenous status, code N
  • [Housing assistance: Standard]
  • [Health: Standard]
  • [Community Services: Standard]
  • [Independent Hospital Pricing Authority: Standard]
  • [Homelessness: Standard]
  • [Early Childhood: Standard]
mandatory 1
31 Person—person identifier, XXXXXX[X(14)]
  • [Health: Standard]
  • [Community Services: Standard]
  • [Independent Hospital Pricing Authority: Standard]
  • [Early Childhood: Standard]
  • [ National Health Performance Authority: Standard]
mandatory 1
32 Person—sex, code N
  • [Housing assistance: Standard]
  • [Health: Standard]
  • [Community Services: Standard]
  • [Independent Hospital Pricing Authority: Standard]
  • [Homelessness: Standard]
  • [Early Childhood: Standard]
  • [ National Health Performance Authority: Standard]
mandatory 1
Data Element Inclusion #

Comments

Comments:

Scope links with other metadata sets

Episodes of care for admitted patients are reported through the Admitted patient care NMDS.

References


This content Based on Australian Institute of Health and Welfare material. Attribution provided as required under the AIHW CC-BY licence.

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