hmds reference manual

Hospital Morbidity Data System HMDS REFERENCE MANUAL JULY 2014

Inpatient Data Collections Data Integrity Directorate Performance Activity and Quality Division

SECTION 1 INTRODUCTION

HOSPITAL MORBIDITY DATA SYSTEM

OVERVIEW

The Hospital Morbidity Data System (HMDS) is one of the largest of data collections managed by Western Australian Health (WA Health). The data collection is comprised of over 22,000,000 electronic inpatient records dating back to 1970. The number of records added to the collection increases every year in line with population growth. There were approximately 1,200,000 separations (records) added to the collection for 2013/2014. In accordance with the National Health Information Agreement, WA Health, as are all State and Territories, are mandated to provide an annual submission to the Australian Institute of Health and Welfare (AIHW) of all admitted activity information for the State. In turn, under Part IIIC of the Hospital and Health Services Act 1927, WA Health mandates all public and private hospitals to submit complete, accurate and timely admitted activity data to the HMDS in accordance with agreed data management protocols. For each record there are more than 200 data elements captured. The majority of these data elements correspond to National Minimum Data Set (NMDS) requirements and are based on the National Health Data Dictionary (NHDD) as defined by the AIHW.

PURPOSE OF THE COLLECTION

The HMDS provides WA Health with the necessary information for planning, allocating and evaluating health services within Western Australia. Some of the other key purposes of the collection include provision of information for: • Mandatory reporting to the Commonwealth in accordance with national agreements e.g.

National Health Care Agreement • Monitoring and assessing state health service utilisation (public and private) • Strategic planning, resource allocation and performance measurement of all levels of health

care • Health service funding and resource allocation • Epidemiological and medical research • Data linkage

INPATIENT DATA COLLECTIONS UNIT

The HMDS is maintained by Inpatient Data Collections (IDC) Unit within the Performance Activity and Quality Division (PAQ). To ensure that HMDS remains valuable and relevant, IDC is responsible for: • Providing support to data entry and maintenance of data entry packages in private hospitals • Enforcing data quality and providing data quality education • Clinical coding education • Responding to regular and ad hoc data requests • Supporting data users internal and external to WA Health • Developing analytical tools • Maintaining metadata

UNIT OF MEASUREMENT

The unit of measurement with the HMDS is an episode of care. An episode of care starts with a formal admission to hospital and ends with a formal discharge or separation from hospital.

HMDS INCLUSIONS

The HMDS includes all episodes of care that occur in the following West Australian health services: • Public acute hospitals • Public psychiatric hospitals • Private acute hospitals (licensed by WA Health) • Private psychiatric hospitals (licensed by WA Health) • Private day surgeries (licensed by WA Health)

HMDS EXCLUSIONS

The HMDS does not include episodes of care (or equivalent unit of measurement) pertaining to: • Patients attending outpatient or community health services • Patients in private residential aged care facilities • Patients in community residential care facilities • Patients treated in Defence Force health services • Still births All reporting health services should ensure that any data reported to the HMDS complies with the above inclusions and exclusions.

DEVELOPMENT OF HMDS

The HMDS is subject to continual review to ensure that all data is relevant, measurable, of reasonable quality and is able to meet state and national reporting requirements. Changes may be applied to the collection at the beginning of the financial year in response to version changes and/or state or national mandates. For 2014/2015 the following changes have been made:

• Application of new Australian Refined – Diagnosis Related Group (AR-DRG_ version 7.0) • Addition of a new data items: Medicare Number; Medicare Person Identification Number • Updates to the HMDS Interface File Specification • Addition of new Edits:

851 – Medicare no not in correct format 852 – Medicare person number not in correct format 854 - Medicare person number present Medicare number is not 856 - Medicare number is invalid number 857 - Medicare person number blank but Medicare number is not 882 - An involuntary patient has a leave period in excess of 28 days 883 - An external cause code may be reported (refers to diagnosis codes D59.6, D61.2, D64.2, D68.3, D69.5 & G25.6 where there are some exceptions that don’t require an external cause code to be reported). 886 - Age at admission is less than 1 year of age and no admission weight recorded 887 - Infant weight is only reportable for patients less than 1 year of age 888 - The reported admission weight is outside the expected range for the patient

HMDS REFERENCE MANUAL

The manual provides direction and guidelines for hospitals regarding the submission of data and the definitions of required data items. The appendices in the HMDS Reference Manual include provision of further information on data values for certain data items such as language, country of birth and establishment lists. Updated reference tables (such as Establishment Lists) are also uploaded to the Morbidity intranet throughout the year for public hospitals to access.

ABBREVIATIONS

Abbreviation Definition

ABF Activity Based Funding

ABS Australian Bureau of Statistics

ACAT Aged Care Assessment Team

ACHI Australian Classification of Health Interventions

ACHS Australian Council of Health Care Standards

ACS Australian Coding Standards

AHPRA Australian Health Practitioner Regulation Agency

AIHW Australian Institute of Health and Welfare

AR-DRG Australian Refined Diagnosis Related Groups

ARDT Admission, Readmission, Discharge and Transfer Policy for WA Health Services

BIPAP Bi-Level Positive Airway Pressure

CCU Critical Care Unit

COF Condition Onset Flag

CPAP Continuous Positive Airways Pressure

DG Director General

DoHA Department of Health and Ageing

DRG Diagnosis Related Group

DVA Department of Veterans Affairs

FSH FTP

Fiona Stanley Hospital File Transfer Protocol

HA22 Form Hospital Admission 22 Form

HCARe Health Care and Related Information System Client Management System

HDU High Dependency Unit

HITH Hospital In The Home

HMDC Hospital Morbidity Data Collection

HMDS Hospital Morbidity Data System

HSA Hospital Services Arrangement

ICD-10-AM International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Australian Modification

ICD-9-CM International Classification of Diseases, 9th Revision, Clinical Modification

ICECI International Classification of External Causes of Injury

ICU Intensive Care Unit

IDC Inpatient Data Collections

IPPB Intermittent Positive Pressure Breathing

KPI Key Performance Indicator

MBRN Medical Board Registration Number

MDC Major Diagnostic Category

METeOR Metadata Online Repository, Australian Institute of Health and Welfare

MPS Multi Purpose Service

NCCC National Casemix and Classification Centre

NCCH National Centre for Classification in Health

nfd Not further defined

NHDD National Health Data Dictionary

NHTP Nursing Home Type Patient

NMDS National Minimum Data Set

OD Operational Directive

OSQH Office of Safety and Quality in Healthcare

PAQ Performance Activity and Quality Division

RITH Rehabilitation In The Home

TMS Theatre Management System

TOPAS The Open Patient Administration System

UMRN Unit Medical Record Number

URN Unit Record Number

KEY TERMINOLOGY

The following provides definitions of a number of key terms frequently used in the HMDS to classify a particular type of patient or administrative process. You will find reference to these key terms throughout this Manual.

Boarder

A boarder is a person who is receiving food and/or accommodation but for whom the hospital does not accept responsibility for treatment and/or care. Boarders can include: • Family members of an admitted child who are provided with accommodation. • Healthy newborn babies who are more than 9 days old, not requiring acute care and belonging

to a mother who is currently admitted to the hospital. • Healthy newborn babies who are more than 9 days old, not requiring acute care and belonging

to a mother who is transferred to another hospital. Technically, Boarders are not admitted to hospital, however the hospital is permitted to register them. Boarders are not reported to the Commonwealth.

Episode of Care

An episode of care refers to the period of treatment or care given to a patient from the point of admission to the point of separation from hospital. A patient may be seen and/or treated in outpatients or emergency immediately prior to admission, however for the purposes of the admitted activity data collection, this does not constitute part of the episode of care. An episode of care commences with a formal admission to hospital and ends with a formal separation from hospital.

Formal Admission

A formal admission is an administrative process that initiates the record of the patient's treatment and accommodation within a hospital. A formal admission represents the start of an episode of care.

Statistical Admission

A statistical admission is an administrative process that occurs within an episode of care and captures the commencement of a particular type of care (Care Type). A single episode of care can have multiple statistical admissions if a patient’s Care Type changes numerous times within the episode of care.

Formal Separation

A formal separation/discharge is an administrative process that ceases the record of the patient's treatment and accommodation within a hospital. A formal separation represents the end of a patient’s episode of care.

Statistical Separation

A statistical separation/discharge is an administrative process that occurs within an episode of care and captures the end date the patient received a particular type of care (Care Type). A single episode of care can have multiple statistical separations if a patient’s Care Type changes numerous times within the episode of care. Figure 1: Types of Admissions and Separations demonstrates how a single episode of care commencing with a formal admission to hospital and ending with a formal separation can be divided by statistical admissions and separations to capture periods of care under particular Care Types:

Care Type = Acute

Care Type = Maintenance Care

Care Type = Acute

Care Type= Maintenance Care

Figure 1: Types of Admissions and Separations

Overnight Patient

An Overnight patient is a patient who is admitted to the hospital where the intention (on admission) is that they will stay a minimum of one night in hospital. The actual duration of the patient’s episode of admitted care has no bearing on the patient’s status as an overnight patient. For example: A patient is admitted at 22:00pm with the intention on admission that they will remain an inpatient overnight, but they are subsequently discharged at 23:30pm. This patient would still be considered “Overnight” because the intention was to admit the patient overnight.

Same-Day Patient

A Same-Day patient (sometimes referred to as “Day only”) is a patient who is admitted to a hospital with the intention (on admission) that they will be discharged on the same-day that they are admitted (e.g. Admission Date and Separation Date are the same).

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Qualified Newborns

A newborn is a child who is aged 9 days or less.

A newborn is deemed a “Qualified Newborn” if they meet at least one of the following criteria:

• Is the second or subsequent live born infant of a multiple birth, whose mother is currently anadmitted patient; AND/OR

• Is admitted to a Level 2 (L2) Nursery of Neonatal Intensive Care Unit (NICU), approved by theCommonwealth Health Minister for the purpose of the provision of special care. (Admission to aL2 Nursery or NICU is based on the requirement to receive this level of care, not because ofbed availability); AND/OR

• Remains in hospital without its mother; OR• Is admitted to the hospital without its mother.

At 10 days of age or any day after, a patient must meet the acute admission criteria to stay admitted with a Care Type of “Newborn”. If the patient meets the criteria of an acute admission and was born during the admission, the Patient Type should be “Qualified” at 10 days of age and the Care Type remains as “Newborn”. The patient remains as Qualified Newborn until they no longer meet the acute admission criteria. When the patient stops meeting the criteria a statistical type change is performed to an appropriate Care Type. If a patient is admitted at 10 days of age or older and admitted from home or another facility and meets the admission criteria for an acute admission, the Care Type should be Acute and the Patient Type should be admitted.

For further information refer to Section 6 Data Element Definitions, Client Status.

Unqualified Newborns

A newborn is a child who is aged 9 days or less.

A newborn is deemed an “Unqualified Newborn” if they meet at least one of the following criteria:

• Is a single live birth or the first live born infant in a multiple birth, whose mother is currently anadmitted patient; AND/OR

• Is not admitted to an intensive care facility in a hospital, being a facility approved by theCommonwealth Health Minister for the purpose of the provision of special care.

If an unqualified newborn remains in hospital after day 9, the newborn then becomes a Boarder patient and a statistical discharge must be performed to change the patient’s Care Type and Client Status.

Unqualified newborns do not require any active treatment or intervention. And because of this, unqualified newborns are not included in the Medicare Agreement or eligible for health insurance benefits. Any funding requirements for an unqualified newborn is already catered for in the funding for the mother’s inpatient stay.

For further information refer to Section 6 Data Element Definitions, Client Status.

SECTION 2 CONTACT DETAILS

CONTACT DETAILS

INPATIENT DATA COLLECTIONS

Manager, Inpatient Data Collections

Ph: (08) 9222 4362

Data submission Ph: (08) 9222 2339 Ph: (08) 9222 4290 Ph: (08) 9222 2472 Email: [email protected] **If you are a private site and have a renewed licence to operate issued for 2014/15, data submissions should be made via MyFT (see web address to register below) https://myft.health.wa.gov.au/courier/web/1000@/wmLogin.html Please contact Manager, Inpatient Data Collections above if you are having difficulties registering or require more information.

HMDS data quality and edit queries

Ph: (08) 9222 2339 Ph: (08) 9222 4290 Ph: (08) 9222 2472 Email: [email protected]

Coding queries Ph: (08) 9222 4153 Email: [email protected]

Coder education and training Ph: (08) 9222 4153 Email: [email protected]

Data extracts Ph: (08) 9222 4362

Ad hoc data requests Ph: (08) 9222 4362

KEY WEBSITES

STATE

WA Health http://www.health.wa.gov.au Coding in W.A. http://www.clinicalcoding.health.wa.gov.au HMDS Reference Manual http://www.health.wa.gov.au/healthdata/resources/hmds.cfm Operational Directives/Information Circulars http://www.health.wa.gov.au/CircularsNew/index.cfm Activity Based Funding (Western Australia) http://www.health.wa.gov.au/activity/home/

mailto:[email protected]

https://myft.health.wa.gov.au/courier/web/1000@/wmLogin.html




http://www.health.wa.gov.au/

http://www.clinicalcoding.health.wa.gov.au/

http://www.health.wa.gov.au/healthdata/resources/hmds.cfm

http://www.health.wa.gov.au/CircularsNew/index.cfm

http://www.health.wa.gov.au/activity/home/

Health Information Network TOPAS and HCARe Client Management System Support Web page: http://infohealth.health.wa.gov.au E-mail: [email protected]

NATIONAL

National Casemix and Classification Centre (NCCC) ICD-10-AM (Australian Modification) 8th Edition Books Australian Refined Diagnosis Related Groups (Versions 5.1 to 6.0) Definitions Manual Casemix and Clinical Coding Specialty Booklets The online ordering is at the link below: Web page: http://nccc.internetrix.net Australian Consortium for Classification Development (ACCD) The NCCC will continue to manage the sale and distribution of the above publications via their online ordering system. All other support and services are handled by the National Centre for Classification in Health – Australian Consortium for Classification Development (ACCD). ACCD Web page: [email protected] Telephone: (02) 9351 9772 Web page: http://www.accd.net.au Mailing Address:

c/o National Centre for Classification in Health Faculty of Health Sciences Cumberland Campus C43T The University of Sydney PO Box 170 Lidcombe NSW 1825 AUSTRALIA

Independent Hospital Pricing Authority Information on Activity Based Funding may be obtained from: Web page: http://www.ihpa.gov.au E-mail: [email protected] Telephone: (02) 8215 1100 Facsimile: (02) 8215 1111 Australian Institute of Health and Welfare METeOR (Metadata Online Repository) National Health Data Dictionary (NHDD) Australian Hospital Statistics These and other publications/resources may be accessed from: Web page: http://www.aihw.gov.au Australia Post The latest suburb to postcode mappings may be searched or freely downloaded from: Web page: http://auspost.com.au/ Please note: The Inpatient Data Collection (IDC) downloads the Australia Post postcode list on an annual basis and updates HMDS as required. The updates are then provided to the hospitals so that their information systems may be updated to reflect the current values.

http://infohealth.health.wa.gov.au/


http://nccc.internetrix.net/


http://www.accd.net.au/

http://www.ihpa.gov.au/


http://www.aihw.gov.au/

http://auspost.com.au/

Australian Health Practitioner Regulation Agency Clinician Medical Board Registration Numbers (MBRNs), Podiatrist registration numbers and Dental Clinician registration numbers are maintained by the Australian Health Practitioner Regulation Agency.

Scala House 11 Torrens Street Braddon ACT 2612

AHPRA GPO Box 9958 Perth WA 6001 Web page: http://www.ahpra.gov.au Telephone: 1300 419 495

http://www.ahpra.gov.au/

SECTION 3 HOSPITAL RESPONSIBILITIES

HOSPITAL RESPONSIBILITIES

This section provides instructions and guidelines for the submission of data for both private and public hospitals. This includes a list of relevant operational directives, reporting schedules, and information on the validation of episode of care in edit.

ALL HOSPITALS

OPERATIONAL DIRECTIVES

The Performance Activity and Quality (PAQ) Division of WA Health produces Operational Directives (OD) that provide instructions to all hospitals concerning definitions, reporting time frames for public hospitals and instructions for submitting data to the HMDS. The most relevant ODs are provided in Section 8 Operational Directives and Program Bulletins and include: • Edit Protocol for Hospital Morbidity Data System • Hospital Morbidity Information • Hospital Morbidity Data Reporting Cycle • Clinical Information Audit Program – Hospital Activity Reporting • Admission, Readmission, Discharge and Transfer Policy for WA Health Services (ARDT)

HOSPITAL SYSTEMS REPORTING SCHEDULES

PUBLIC HOSPITALS

Public hospitals are required to submit 80% of their morbidity information for inclusion in the HMDS within two weeks of the discharge of the patient from hospital. The remaining 20% of morbidity information is to be submitted within four weeks of the discharge of the patient from hospital. Small and remote country hospitals, which are visited infrequently by coders, need to complete and submit their data within 8 weeks of the patient being discharged. See OD 0137/08: Hospital Morbidity Data Reporting Cycle. All records will be subjected to data quality screening once received by the HMDS. See OD 0136/08: Edit Protocol for Hospital Morbidity Data System. Hospitals have 10 working days, from the point of receipt of data quality reports or communication, to address and correct any data quality errors or issues. It is pivotal to hospital reimbursement and activity reporting that all data quality errors or issues are addressed in a timely manner. Any data quality errors or issues not addressed, will result in records remaining in error and not flowing through for inclusion in the HMDS.

PRIVATE HOSPITALS

In accordance with The Hospitals and Health Services Act 1927, private hospitals are required to provide inpatient statistics per the Annexure A of their license. From January 2014, this requirement included sites registering for MyFT secure data transfer application. Private hospitals are required to send their data to the IDC on a monthly basis. Hospitals have 10 working days, from the point of receipt of data quality reports or communication, to address and correct any data quality errors or issues pertaining to their monthly data submission.

See Appendix 10: Inpatient Statistics- HMDS. Guidelines for private hospitals are reviewed and updated as required and additional guideline documents may be issued to cover not only private hospitals but also kindred health care institutions. Enquiries regarding these guidelines may be addressed to the Director General of Health via: Manager Licensing and Accreditation Regulatory Unit Department of Health WA 189 Royal Street EAST PERTH WA 6004

VALIDATION OF SUBMITTED RECORDS

A data quality edit is a business rule designed to validate the accuracy of a submitted record. Data elements are validated against expected values to identify any potential errors for correction. Inpatient information received from hospitals is used for: • Key Performance Indicators (KPI) • Activity Based Funding • Clinical Indicators for the Office of Safety and Quality in Healthcare (OSQH) • Health service monitoring, evaluation and planning • Reporting to the Federal Government • Research It is important that the quality and accuracy of the information received is of a high standard. Validation of cases submitted to HMDS from the hospitals is performed to maintain the quality of the information. Commented edits on unexpected values for a data item are returned to the hospitals for review. An edit is returned to the hospital as either a fatal or warning edit.

TYPES OF DATA QUALITY EDITS

There are two types of data quality edits in the HMDS:

FATAL DATA QUALITY EDITS

These edits are triggered when one or more 'critical' errors has been identified in the submitted episode of care. Generally, fatal edits occur when there is something erroneous, inconsistent or illogical within the episode of care that could potentially impact or impair the assignment of an AR-DRG. (However, this is not exclusive criteria for edits). Where a fatal edit is triggered the error values in question must be updated, otherwise the episode of care is considered invalid and will not flow through to the HMDS and consequently will not be reported or funded. Example: Edit 0426: Principal Diagnosis ICD codes needs to be at a lower level

This edit has been triggered because the value in the Principal Diagnosis field is considered incomplete and therefore invalid. Without a valid Principal Diagnosis code, AR-DRG assignment is not possible.

It is possible that the first 3 characters are correct, however the 4th or 5th characters are missing. To correct, the coder should review the assigned code and add the necessary characters and resubmit the episode of care.

WARNING DATA QUALITY EDITS

These edits are triggered when one or more 'non-critical' errors have been identified in the submitted episode of care. Generally, warning edits occur when there is something erroneous, inconsistent, illogical or simply unusual within the episode of care that could compromise the data integrity of the episode of care and data reporting in general.

Warning edits can be divided into two broad types:

• Non-critical: These edits indicate that there are erroneous or missing values within the episodeof care and correction is required, but the reporting hospital needs to assess the episode of caremore closely to identify which data element needs correction.

Example:

Edit 0761: Additional diagnosis Z51.5 and Care Type not 23 = Palliative Care

This edit has been triggered because the Care Type field contains one of the following values:

21 - Acute Care 22 - Rehabilitation 24 - Psychogeriatric Care 25 - Maintenance Care 26 - Newborn 27 - Organ Procurement 28 - Boarder 29 - Geriatric Evaluation and Management 30 - Aged Care 31 - Flexible Care

AND

An Additional Diagnosis field contains the following ICD Code:

Z51.5 Palliative Care

This combination of Care Type and ICD Code is not consistent. One of the fields is incorrect and needs to be updated and the episode of care resubmitted. If the Care Type is incorrect, then the health unit should assign “23 - Palliative Care” as the Care Type. If the ICD Code is incorrect, the code should be deleted.

• Warning: These edits indicate that there is an unusual value within the episode of care that mayor may not be erroneous. Warning edits require review of the unusual information and healthunits should respond to these edits by verifying the unusual values or correcting values wherethey are identified as an actual error.

Example:

Edit 0340: Aboriginal or Torres Strait Islander and country of birth is not Australia

This edit has been triggered because the Indigenous Status field contains one of the following values:

1 - Aboriginal not Torres Strait Islander 2 - Torres Strait Islander not Aboriginal 3 - Aboriginal and Torres Strait Islander

AND

The Country of Birth field does not contain one of the following values:

1100 - Australia 1101 - Australia (includes External Territories), nfd

This combination of Indigenous Status and Country of Birth could be valid for the episode of care in question. However generally it is considered an unusual combination and therefore HMDS requires the health unit to verify that both fields are correct or update any error values and resubmit the episode of care.

MULTIPLE EDITS FOR SAME PATIENT

It is possible that a single episode of care can trigger multiple edits, either related or unrelated to each other. Where this occurs the system user should address each edit in turn and make the necessary corrections and resend the episode of care to IDC.

PROBLEMS WITH HMDS EDITS

If you identify that a particular HMDS edit is incorrect or you believe it is the source of numerous queries, please contact the Data Quality Coordinator on (08) 9222 2472 to discuss.

IMPORTANT

For public hospitals, please note:

• If the value of a data element for an episode of care in edit is not updated then theepisode of care is not resent/reconfirmed.

• If the value of a data element is changed or corrected for an episode of care in edit, theepisode of care should be resent/reconfirmed.

SECTION 4 Inpatient Data Collections RESPONSIBILITIES

INPATIENT DATA COLLECTION RESPONSIBILITIES

This section provides information on the responsibilities of Inpatient Data Collections (IDC). The information provided in this section includes the maintenance, extraction and review of data submitted, and validation and training of coders.

The staff of the IDC unit have the following responsibilities:

SECURITY

• Maintain the security and confidentiality of the HMDS.

CODING STANDARDS

• Ensure all coders in WA apply the Australian Coding Standards and WA Coding Standards.• Represent WA Health on the International Classification of Diseases Technical Advisory Group

for the Australian Consortium for Classification Development (ACCD).• Chair the WA Clinical Coding Advisory Group.

REVIEW OF DATA

• Review coded data, raise queries and provide feedback.• Provide expert advice on the use of International Classification of Diseases, 9th Revision,

Clinical Modification (ICD-9-CM) and International Classification of Diseases and HealthRelated Problems, 10th Revision, Australian Modification (ICD-10-AM) codes. Give decisionson code selection when required. Provide assistance and support for coding queries via e-mailand/or telephone.

• Manage global code tables, such as codes for establishments, postcodes and doctors’specialties.

• Ensure that the edit checks are documented, designed, tested and implemented onto theHMDS database.

• Conduct quality assurance reviews of coded data on a regular basis.

AUDITS

• Provide audit checks for hospitals, including strategies and recommendations for improvement.

TRAINING

• Ensure coders are informed of all coding updates, conventions and rules. Inform all hospitals ofnew demographic data requirements.

• Promote liaison between the IDC and hospital staff.• Provide continuing coding education.• Maintain the Coding in W.A. website http://www.clinicalcoding.health.wa.gov.au

DATA RELEASE

• As stated in the Data Stewardship and Custodianship Policy, the Director General (DG) of WAHealth is the delegated owner of all data and information collected, stored, used and disclosedwithin the various entities. The DG delegates a number of these responsibilities to seniorofficers to administer and/or manage.

http://www.clinicalcoding.health.wa.gov.au/

• The Manager, Inpatient Data Collections is the delegated Data Custodian for Hospital MorbidityData and ensures accurate and accountable release of data. See OD0321/11: DataStewardship and Custodianship Policy.

DATA TIMELINESS

• Monitor the arrival of data files from the hospitals to ensure the agreed schedules are met.• Process cases from the TOPAS, HCARe and webPAS system within 48 hours of receipt.• Process cases from other hospitals within one week of receipt.

ASSIGNMENT OF DRG CODES

• Ensure that each case is grouped in all required versions of the DRG grouper.

DATA EXTRACTION

• Provide effective explanation of morbidity data items and their use.• Provide expert statistical advice to hospitals, medical officers, research workers and hospital

administrators.• Extract data on request in a timely manner.

SECTION 5 CODING STANDARDS

CODING STANDARDS

In July 2013, the Australian Consortium for Classification Development (ACCD) acquired responsibility for managing and updating ICD-10-AM, Australian Classification of Health Interventions (ACHI) and Australian Coding Standards (ACS) in Australia under contract from the Independent Hospital Pricing Authority (IHPA). This section provides information on the responsibilities of coders and useful resources and contacts for coding in Western Australia.

DEMOGRAPHIC STANDARDS

The AIHW is progressively developing definitions to standardise the collection of data items throughout Australia to enable accurate analysis and comparison of information across all States and Territories.

These definitions are regularly updated and published in the NHDD. Definitions used in this manual are consistent with those of the NHDD, available on METeOR.

Some non-NHDD variables (for example client status) have been developed to reduce the number of items and questions to be asked of patients, but still allow extraction of the NHDD formats.

CLINICAL CODING STANDARDS

Clinical coders are responsible for translating the narrative descriptions of diagnoses and procedures into valid ICD and ACHI codes.

The standards for translation and application of the ICD codes are defined in:

• ICD-10-AM• WA Clinical Coding Advisory Group decisions and information:

http://www.clinicalcoding.health.wa.gov.au/news/• WA Coding Standards• Coding Matters (previous publications of NCCC)• Q & A National Casemix & Classification Centre:• ACCD Classification Information Portal – Coding Rules: www.accd.net.au/Clip/Default.aspx

The Australian Coding Standards are in place to ensure sound and consistent coding practice with ICD-10-AM and ACHI.

The Coding Education Team (CET) at the Department of Health together with advice from the WA Clinical Coding Advisory Committee have developed a number of specific standards for WA coders. These standards take precedence over the ACS, and are located in Operational Circular 0154/08 and OD 0426/13: Western Australia Coding Standards.

The CET is to be consulted when the interpretation of a coding standard is required or where the classification system has no code available for a given diagnosis or procedure.

The ICD-10-AM, ACHI and ACS Eighth Edition, produced by the NCCC, are to be used to code all separations from 1st July 2013.

http://meteor.aihw.gov.au/content/index.phtml/itemId/181162

http://www.clinicalcoding.health.wa.gov.au/news/

http://www.accd.net.au/Clip/Default.aspx

DATA ELEMENT DEFINITIONS

CONTENTS

DATA ELEMENT DEFINITIONS ................................................................................................ 4

HA22 FORM (HOSPITAL INPATIENT SUMMARY FORM) ........................................................ 6

DERIVED DATA ELEMENTS ..................................................................................................... 6

NON-CLINICAL DATA ELEMENT DEFINITIONS .......................................................................... 7

ACCOMMODATION OCCUPIED ............................................................................................... 8

ACCOUNT / ADMISSION NUMBER ........................................................................................ 10

ADMISSION DATE ................................................................................................................... 11

ADMISSION STATUS .............................................................................................................. 13

ADMISSION TIME .................................................................................................................... 16

ADMISSION TIME .................................................................................................................... 16

ADMITTED FROM ................................................................................................................... 17

CARE TYPE ............................................................................................................................. 19

CLIENT IDENTIFIER – UNIT MEDICAL RECORD NUMBER .................................................. 28

CLIENT STATUS ..................................................................................................................... 29

CLINICIAN ON ADMISSION .................................................................................................... 36

CLINICIAN ON SEPARATION ................................................................................................. 38

CONTRACTED / FUNDING ESTABLISHMENT ....................................................................... 40

COUNTRY / STATE OF BIRTH ................................................................................................ 42

DATE OF BIRTH ...................................................................................................................... 44

DAYS OF HOSPITAL IN THE HOME CARE ............................................................................ 46

DAYS OF PSYCHIATRIC CARE .............................................................................................. 49

DAYS OF QUALIFIED NEWBORN CARE ................................................................................ 52

DISCHARGED TO ................................................................................................................... 55

DVA CARD COLOUR ............................................................................................................... 57

DVA FILE NUMBER ................................................................................................................. 59

EMPLOYMENT STATUS ......................................................................................................... 61

EPISODE OF CARE LINK FIELD ............................................................................................. 64

1

ESTABLISHMENT ................................................................................................................... 65

FIRST AND SECOND FORENAMES ....................................................................................... 67

FUNDING SOURCE ................................................................................................................. 69

HOURS IN INTENSIVE CARE UNIT ........................................................................................ 75

INDIGENOUS STATUS ............................................................................................................ 79

INFANT WEIGHT ..................................................................................................................... 81

INSURANCE STATUS ............................................................................................................. 83

INTENDED LENGTH OF STAY ............................................................................................... 86

INTERPRETER SERVICE ....................................................................................................... 88

LANGUAGE ............................................................................................................................. 90

LEAVE DAYS (TOTAL) ............................................................................................................ 92

LEAVE PERIODS (NUMBER OF) ............................................................................................ 95

MARITAL STATUS ................................................................................................................... 97

MEDICARE CARD NUMBER / MEDICARE PERSON NUMBER ............................................. 99

MENTAL HEALTH LEGAL STATUS ...................................................................................... 101

MENTAL HEALTH LEGAL STATUS ...................................................................................... 101

MODE OF SEPARATION ....................................................................................................... 104

MOTHER'S IDENTIFIER - UNIT MEDICAL RECORD NUMBER ........................................... 107

POSTCODE OF ADDRESS ................................................................................................... 108

READMISSION STATUS ....................................................................................................... 110

RESIDENTIAL ADDRESS ...................................................................................................... 112

SEPARATION DATE .............................................................................................................. 115

SEPARATION TIME ............................................................................................................... 117

SEX ........................................................................................................................................ 118

SOURCE OF REFERRAL - LOCATION ................................................................................. 120

SOURCE OF REFERRAL - PROFESSIONAL ....................................................................... 123

SOURCE OF REFERRAL - TRANSPORT ............................................................................. 126

SPECIALTY OF CLINICIAN ON ADMISSION ........................................................................ 129

SPECIALTY OF CLINICIAN ON SEPARATION ..................................................................... 131

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STATE / TERRITORY ............................................................................................................ 133

SURNAME ............................................................................................................................. 134

UNPLANNED RETURN TO THEATRE .................................................................................. 136

WARD / LOCATION ............................................................................................................... 137

CLINICAL DATA ELEMENT DEFINITIONS ............................................................................... 139

ACTIVITY ............................................................................................................................... 140

ADDITIONAL DIAGNOSES .................................................................................................... 142

ADDITIONAL PROCEDURE .................................................................................................. 145

CLINICIAN PERFORMING PROCEDURE ............................................................................. 147

CO-DIAGNOSIS (CODE ALSO) ............................................................................................. 149

CONDITION ONSET FLAG .................................................................................................... 151

DATE OF PROCEDURE ........................................................................................................ 154

EXTERNAL CAUSE (OF INJURY) ......................................................................................... 155

HOURS OF CONTINUOUS VENTILATORY SUPPORT ........................................................ 157

MORPHOLOGY ..................................................................................................................... 159

PLACE OF OCCURRENCE ................................................................................................... 161

PRINCIPAL DIAGNOSIS ........................................................................................................ 163

PRINCIPAL PROCEDURE ..................................................................................................... 166

3

DATA ELEMENT DEFINITIONS

Section 6 provides specific information about every data element captured in the HMDS, including definitions, permitted values, applicable business rules and practical data collection information.

Data is analysed across Australia, it is important that the same definitions are used for terms such as hospital, patient, admission and neonate. In most instances, the terms used in this manual are consistent with those used in the National Health Data Definition (NHDD), available on METeOR or those defined in the Operational Directive 0137/08: Hospital Morbidity Data Reporting Cycle of the PAQ Division of WA Health. METeOR is an AIHW website which contains national metadata standards for health, housing and community services statistics and information.

Section 6 provides definitions for each data element reportable to HMDS and is divided into two sections:

• Non-Clinical Data Element Definitions• Clinical Data Element Definitions

The Non-Clinical Data Element Definitions incorporates all data elements that are deemed to be non-clinical and would generally be captured through normal administrative processes. For example, patient demographics, admission details and separation details.

The Clinical Data Element Definitions incorporate all data elements that would normally be captured through morbidity coding processes. Clinical data elements directly correspond to the morbidity and treatment aspects that occur within an admission. For example, diagnoses, procedures, external cause and morphology details to name a few.

Within both sections, the data element definitions are listed alphabetically.

DATA DEFINITION FORMAT

A standardised format has been applied to each data element. This format ensures that relevant information is presented consistently and efficiently to the reader. The following provides a definitional overview of the format:

DATA ELEMENT TITLE

Data element name: Specifies the official name of the data element in line with the HMDS. The term data element may also be referred to as ‘field’ or ‘data item’.

System specific names: TOPAS: HCARe: webPAS:

Specifies the name of the equivalent data element as displayed in key hospital patient administration systems. Where the termed “Derived” is utilised, this means that the data element may not be displayed on user screens but is derived or auto-calculated by the system.

Definition: Specifies the definition of the data element. Where possible, HMDS endeavours to align data element definitions with the National Health Data Dictionary (NHDD).

Collection requirement: Specifies whether the item must be provided for every case or only applies under special circumstances. The types of collection requirements for HMDS include: • Mandatory – must be collected

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• Conditional i.e. must be collected where certain conditions are met• Not mandatory – collection is optional

METeOR reference: Specifies the six-digit data element number of the equivalent data element in the NHDD. This field is hyperlinked for ease of reference.

Format: Specifies the format of the data element in relation to how it must be submitted to HMDS.

Maximum length: Specifies the maximum length of the field in relation to how it must be submitted to HMDS.

Permitted values: Specifies the permitted values to be entered. The term ‘permitted values’ may also be known as ‘data domain’. Where there is a large number of Permitted Values, the reader is referred to the Appendices.

GUIDE FOR USE

• Specifies general guidelines and business rules applicable to the collection of the data element as well asproviding further clarification on key data collection issues.

• May also provide explanation on why the data element is collected and criteria for collection.

VALUE DEFINITIONS

1 - Value Definition Title

Provides a specific description of each value listed under the Permitted values. Not all data elements will have a list of permitted values.

EXAMPLES

Provides practical examples of how to capture the data element. Generally, the examples will cover a broad range of scenarios, incorporating pertinent guidelines or business rules under the Guide for Use.

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity Specifies the error number as displayed on the HMDS error report

Specifies the error message as displayed on HMDS error reports

Specifies the HMDS severity and indicator or priority for correction

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HA22 FORM (HOSPITAL INPATIENT SUMMARY FORM)

Historically the HA22 form was used to manually submit data to IDC before the introduction of the electronic transfer of data. This form has been retained in the HMDS reference manual as it may be used as a temporary backup during system downtime. It is also a useful resource to indicate reportable data elements. Refer to Appendix 11 – Hospital Inpatient Summary Form – HA22 July 2014.

DERIVED DATA ELEMENTS

There are other data elements used by HMDS that are derived from the reportable data elements:

• Admission Age (in years): Calculated by year of [Admission Date] minus year of [Date of Birth].If month/day of [Admission Date] is earlier than month/day of [Date of Birth], it is subtracted by1.

• Event ID: Generated automatically for each case by HMDS for reference purposes.• Length of Stay: Calculated by [Separation Date] minus [Admission Date] minus [Total Leave

Days]. • DRG: Generated by DRG Grouper software. The current version for 2013/14 is AR-DRG 7.0. If

DRG values are supplied by the reporting hospitals, AR-DRG 6.0x values are also accepted. • Major Diagnostic Category (MDC): Generated by DRG Grouper software. The current version

for 2013/14 is AR-DRG 7.0. If MDC values are supplied by the reporting hospitals, AR-DRG 6.0x values are also accepted.

6

NON-CLINICAL DATA ELEMENT DEFINITIONS

7

ACCOMMODATION OCCUPIED

Data element name: Accommodation Occupied


Actual Accommodation Pref Accom Room Type (CAT RT)

Definition: The type of room occupied by the patient at discharge.

Collection requirement: Mandatory

METeOR reference: Not applicable

Format: Character

Maximum length: 1

Permitted values: 1 - Single room 2 - Shared room

VALUE DEFINITIONS

1 - Single room

The patient occupies a room with a single bed and the room is not intended for occupancy by more than one person. This includes a mother rooming with her newborn. The room must be surrounded by walls with a door and may contain an en-suite.

2 - Shared room

The patient occupies a room where the intended occupancy of the room is for more than one person.

EXAMPLES

Example 1: A patient occupies a bed in a four-bed ward.

Accommodation Occupied 2

Example 2: A mother and her newborn baby occupy a single room intended for one person only.


Example 3: A renal dialysis patient occupies a chair in a walled off area.


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Example 4: A same-day gastroenterology patient occupies a curtained off bed in an area with five other beds.


DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0644 Accommodation field not acceptable for separation date Warning

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ACCOUNT / ADMISSION NUMBER

Data element name: Account/Admission Number


Account Number Account Number Account Number

Definition: The unique identifier of a hospital episode of care that may be used for billing.



Format: Character

Maximum length: 12

Permitted values: Alpha/numeric combination up to 12 characters

GUIDE FOR USE

• The Account/Admission Number can be alphanumeric or numeric up to a maximum of 12characters.

• Boarders and neonates must have their own unique Account/Admission Numbers.

EXAMPLES

Example 1: A patient was admitted to a hospital and assigned 9203148 as an Account Number.

Account / Admission Number 9 2 0 3 1 4 8

Example 2: A patient was admitted to hospital and assigned AB945793 as the Account Number.

Account / Admission Number A B 9 4 5 7 9 3

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0067 Account number is not present Warning 0068 Account number is invalid Warning

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ADMISSION DATE

Data element name: Admission Date


Admission Date Admission Date Admission Date

Definition: The date on which an admitted patient commences an episode of care that can be formal or statistical.


METeOR reference: 269967

Format: Date

Maximum length: 8

Permitted values: DDMMYYYY

GUIDE FOR USE

• Enter the full date of admission, including leading zeros where necessary.

Formal Admission

• A formal admission is an administrative process that initiates a record of the patient's treatmentand accommodation within a hospital.

• The Admission Date for a formal admission will be the date the hospital commenced treatmentand accommodation of the patient.

Statistical Admission

• A statistical admission is an administrative process that occurs within an episode of care andcaptures the commencement of a particular type of care (Care Type).

• The Admission Date for a statistical admission will be the date the patient commenced aparticular Care Type.

EXAMPLES

Example 1: A patient was admitted on the 8th January 2012.

Admission Date 0 8 0 1 2 0 1 2

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Example 2: A patient was statistically admitted (e.g. change in care type from acute care to rehabilitation) on the 1st February 2012.

Admission Date 0 1 0 2 2 0 1 2

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0147 Invalid admission date for establishment Warning 0232 Admission date is not present Fatal 0234 Admission date is after the separation date Fatal 0236 Separation date is before the admission date Fatal 0250 Country of birth must be WA if admission date = birthdate Warning 0347 Date of procedure is outside the admission and separation dates Warning 0475 The date of birth must equal the admission date Warning 0755 LOS > 365 days for acute patient Warning

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ADMISSION STATUS

Data element name: Admission Status


Admission Status Admission Status Admission Status (CAT P)

Definition: The urgency of the patient's admission to hospital and whether the admission occurred on an emergency or elective basis.



Format: Character

Maximum length: 1

Permitted values: 3 - Elective – waitlist 4 - Elective – not waitlist 6 - Emergency – Emergency Department admission 7 - Emergency – Direct admission

GUIDE FOR USE

• All admissions must have an urgency status assigned to indicate if the admission occurred on an emergency basis or elective basis.

Definition of "Emergency"

• An emergency admission is an admission of a patient for care or treatment which, in the opinion of the treating clinician, is necessary and admission for which should occur within 24 hours.

• Emergency care includes patients suffering from an acute illness or injury that requires urgent assessment and treatment. These patients are usually admitted via the Emergency Department or may be a direct admission to an Intensive Care Unit, Burns Unit or other specialty area. An admission, from a private medical practice directly to hospital, which has not been placed on a formal booking list or waitlist, is an emergency admission.

• Patients admitted as emergency admissions cannot be considered as being admitted from the waitlist.

• Some obstetric cases may also qualify as emergency admissions. For example, patients who deliver at least one month prior to term or are admitted before the expected date of delivery for treatment of an acute illness or injury should be regarded as emergency admissions.

VALUE DEFINITIONS

3 - Elective - waitlist

The category should be used for admission of a patient for care which, in the opinion of the treating clinician, is necessary and admission can be delayed for at least twenty-four hours.

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The Wait List is the centralised list of patients requiring care that is managed by WA Health. Cases may or may not have a scheduled admission date assigned. Patients on the waiting list are assigned a clinical urgency status to prioritise the urgency with which they require elective hospital care.

Elective Waitlist patients may include cases under investigation for a non-urgent illness, or planned non-urgent procedures (e.g. an admission for sterilisation or cholecystectomy procedures).

4 - Elective - not waitlist

An elective admission is an admission of a patient for care or treatment which, in the opinion of the treating clinician, is necessary and an admission that can be delayed for at least 24 hours.

These patients are not entered on the centralised waitlist but may be entered on booking lists that have a scheduled date of admission assigned.

Elective – not Waitlist patients that may include non-urgent obstetric cases, repeat admissions for renal dialysis, chemotherapy, check cystoscopy and follow-up endoscopy. Newborn babies in the birth episode or babies born before arrival at hospital are always elective – not waitlist admissions.

6 - Emergency - Emergency Department admission

This category applies to patients admitted via the hospital’s own Emergency Department.

7 - Emergency - Direct admission

This category applies to patients directly admitted to hospital without admission via the hospital’s own Emergency Department. This includes patients admitted via the Emergency Department of another establishment.

EXAMPLES

Example 1: A patient admitted for treatment of abdominal pain through the hospital’s Emergency Department and deemed to require treatment within 24 hours.

Admission Status 6 Emergency – Emergency Department admission

Example 2: A patient admitted with a term pregnancy for caesarean section. Admission Status should be Elective – not waitlist.

Admission Status 4 Elective – not waitlist

Example 3: A patient who is admitted for ligation of varicose veins and this procedure was scheduled on the hospital waiting list.

Admission Status 3 Elective - waitlist

Example 4: A critically ill patient admitted directly to the intensive care unit at RPH transferred from Armadale-Kelmscott Hospital.

Admission Status 7 Emergency – Direct admission

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DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0153 Admission status is not present Fatal 0154 Admission status value is not a valid code Fatal

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ADMISSION TIME

Data element name: Admission Time


Admission Time Admission Time Admission Time

Definition: The time at which an admitted patient commences an episode of care that can be formal or statistical. It is required to identify the time of commencement of the episode or hospital stay.



Format: Time

Maximum length: 4

Permitted values: HHMM

GUIDE FOR USE

• The time of admission or birth should be completed in the appropriate boxes. This should bewritten using the 24-hour clock.

EXAMPLES

Example 1: A patient was admitted at midnight.

Admission Time 0 0 0 0

Example 2: A patient was statistically admitted (e.g. change in care type from acute care to rehabilitation) at 5.25pm.

Admission Time 1 7 2 5

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0471 Admission time value is not present Fatal

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ADMITTED FROM

Data element name: Admitted From


Transferring Medical Facility Establishment/Organisation Unit Hospital

Definition: The establishment or facility from which the patient is admitted from.



Format: Number

Maximum length: 4

Permitted values: See Appendices 1A and 1B: Admitted From/Discharged To Establishment List

GUIDE FOR USE

• The reference table for this data element consists of a combination of formal reportingestablishments (such as acute care hospitals) and organisations or facilities that may or maynot be a health service.

• This data element is captured on admission and identifies the specific Establishment or Facilityfrom which the patient has come from.

• All newborn babies, or babies born before arrival at hospital, must be admitted from 0900 -Home.

• New establishments that are residential aged care or other health care accommodation with nocurrent establishment number should be assigned 4098 - Unlisted Residential Aged CareService or 4099 - Unlisted Other Health Care Accommodation. These are not validestablishment codes but are used to allow a patient to be admitted or discharged until HMDShas created a valid establishment number.

• Edits will be generated when codes 4098 and 4099 are used. These establishment numbers aretemporary. The case will need to be resent/reconfirmed once the new establishment numberhas been added to the case. It is the hospital’s responsibility to advise IDC that creation of anew establishment is required.

• For contracted services, the hospital funding the contracted service must assign 0999 in thisfield.

EXAMPLES

Example 1: Patient admitted following a transfer from Beverley Hospital.

Admitted From 0 4 0 1

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Example 2: Patient is admitted from Acacia House Nursing Home, which is their usual place of residence.


Example 3: Patient is admitted from a newly established residential aged care facility. The establishment code is currently unlisted on the HMDS. Admitted From should be 4098 - Unlisted Residential Aged Care Service (for temporary use only).


Example 4: Care Type for a patient changed from acute to rehabilitation requiring a statistical separation and readmission. Admitted From should be reclassified to this Hospital.


Example 5: Patient was admitted from Casuarina Prison via the outpatient department following an outpatient appointment.


DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0145 Admitting establishment cannot be blank when client type = 5 Warning 0146 Admitting establishment value is outside valid range Fatal 0148 The adm or sep establishment value is invalid. Please amend Fatal 0346 Admitting establishment xxxx has an invalid source of referral Fatal

0624 Admitting establishment cannot be the same as current establishment

Warning

0635 Admitted from/Discharge to establishment combination is invalid Warning 0683 Birth episode must be admitted from home Warning

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CARE TYPE

Data element name: Care Type


Care Type Epi of Care Care Type (CATCC)

Definition: The overall nature of clinical service provided to an admitted patient during an episode of care (admitted care), or the type of service provided by the hospital for boarders or posthumous organ procurement (other care).



Format: Character

Maximum length: 2

Permitted values: 21 - Acute Care 22 - Rehabilitation Care 23 - Palliative Care 24 - Psychogeriatric Care 25 - Maintenance Care 26 - Newborn 27 - Organ Procurement 28 - Boarder 29 - Geriatric Evaluation and Management 30 - Aged Care 31 - Flexible Care (MPS sites)

GUIDE FOR USE

• For admitted patients, the type of care received will determine the appropriate casemixclassification used to classify the episode of care.

• The treating clinician is responsible for determining the Care Type and should decide whichcategory of care is required during a hospital stay. More than one Care Type may apply duringa hospital stay, each associated with a separate episode of care.

• When the Care Type changes, the patient should be statistically separated and then statisticallyre-admitted.

Statistical Type Change Method

• A statistical type change can only occur when there is a Care Type change.• Statistical type changes should not occur for a change in Ward, Funding Source or Client

Status.• Changes to the Care Type can be made by a statistical separation and a statistical re-admission

as follows:

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The patient will be discharged by assigning:

Mode of Separation = (5) Statistical Type Change; and Discharged To = (0944) Statistical Admission/Type Change.

The patient will then be re-admitted on the same date after the discharge time, by assigning:

Source of Referral-Location = (4) Hospital Source of Referral-Professional = (7) Statistical Admission/Type Change; and Admitted From = (0944) Statistical Admission/Type Change.

• Each Care Type during an admission will have an account number and an Episode of Care LinkField number.

• The Episode of Care Link Field will enable episodes of care within a hospital stay to be rolled upinto one admission.

VALID VALUES

21 – Acute Care

Acute care is care in which the main clinical intent or treatment goal is one or more of the following:

• Manage labour (obstetric)• Cure illness or provide definitive treatment of injury• Perform surgery• Relieve symptoms of illness or injury (excluding palliative care)• Reduce severity of an illness or injury• Protect against exacerbation and/or complication of an illness and/or injury which could threaten

life or normal function, including involuntary psychiatric admissions• Perform diagnostic or therapeutic procedures.

22 - Rehabilitation Care (Subacute)

Rehabilitation admitted care is provided to patients who require intensive multidisciplinary rehabilitation services. The primary clinical purpose or treatment goal is improvement in the functioning of a patient with impairment, activity limitation or participation restriction due to a health condition. The patient will be capable of actively participating in rehabilitation care.

Rehabilitation care is always: • delivered under the management of or informed by a clinician with specialised expertise in

rehabilitation; and

• evidenced by an individualised multidisciplinary management plan, which is documented in thepatient’s medical record, that includes negotiated goals within specified time frames and formalassessment of functional ability.

A functional assessment using the FIM instrument is required to be completed and recorded in the Quality of Care Register (QoCR) and reported to the Department of Health’s Subacute Data Collection. 1

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23 - Palliative Care (Subacute)

Palliative care is care in which the primary clinical purpose or treatment goal is optimisation of the quality of life of a patient with an active and advanced life-limiting illness. The patient will have complex physical, psychosocial and/or spiritual needs. Palliative care is always: • delivered under the management of or informed by a clinician with specialised expertise in

palliative care, and

• evidenced by an individualised multidisciplinary assessment and management plan, which isdocumented in the patient's medical record that covers the physical, psychological, emotional,social and spiritual needs of the patient and negotiated goals.

A clinician with specialist expertise in palliative care includes:

• Palliative Care Medical Consultant/Specialist.

• Palliative Care Nurse Practitioner, Clinical Nurse Consultant, Clinical Nurse Specialist wherethere is medical agreement that the intent of ongoing treatment is palliative care.

• In WACHS regions Palliative Care Nurse Manager in conjunction with treating MedicalPractitioner, where there is agreement that the intent of ongoing treatment is palliative care.

Operational criteria for changing the care type to Palliative Care • The patient is referred to a designated specialist palliative care team.• There is medical agreement that the intent of ongoing management is palliative care.• This does not preclude patients who have life prolonging treatments where the treatment intent

is palliative for symptom management.• The palliative care team takes responsibility for documentation of the change of care type.

Data collection required for palliative care patients: • Phase of care: an episode of admitted patient palliative care is divided into contiguous phases

of care, an episode may contain a single phase or multiple phases, depending on changes in the patient's condition; and

• A functional assessment using the Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) is required to be completed and recorded at the beginning of each palliative phase.1

24 - Psychogeriatric Care (Subacute)

Psychogeriatric care is care in which the primary clinical purpose or treatment goal is improvement in the functional status, behaviour and/or quality of life for an older patient with significant psychiatric or behavioural disturbance, caused by mental illness, age related organic brain impairment or a physical condition.

Psychogeriatric care is always: • delivered under the management of or informed by a clinician with specialised expertise in

psychogeriatric care; and

• evidenced by an individualised multidisciplinary management plan, which is documented in thepatient's medical record that covers the physical, psychological, emotional and social needs ofthe patient and includes negotiated goals within indicative time frames and formal assessmentof functional ability.

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A functional assessment using (HONOS 65+) is required to be completed and recorded in psychiatric services on line information system (PSOLIS) and reported to the Department of Health’s Subacute Data Collection.

Psychogeriatric care is not applicable if the primary focus of care is acute symptom control. Patients who are admitted for respite care in a psychogeriatric unit must be assigned a care type of non-acute (maintenance care). 1

25 - Maintenance Care (Non-acute)

Non-acute care is Maintenance care in which the clinical intent or treatment goal is prevention of deterioration in the functional and current health status of an individual with a disability or severe level of functional impairment. Following assessment or treatment the patient does not require further complex assessment or stabilisation. Patients with a maintenance care type often require care over an indefinite period.

Patients who are changed to a Maintenance care type may incur the applicable charges once they have accrued 35 days of hospitalisation.

To ensure compliance with the national reporting obligations for funding as part of the National Health Reform, a Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) score is required for clients within the Maintenance care type to enable activity to be classified in the Australian National Subacute and Non-Acute Patient (AN-SNAP) classification.

The RUG-ADL scale measures the motor function of a patient for four activities of daily living (bed mobility, toileting, transfers and eating). RUG-ADL scores are required for patients receiving Maintenance Care.

Types of maintenance care: • Care and support of a person in an admitted care setting where the patient has been assessed

as requiring more intensive day-to-day care than that which can be provided in their home environment and are awaiting placement in a residential care facility. Includes Transition Care Program (TCP) and Patients Awaiting an Aged Care Service (PAACS).

• Patients in psychiatric units who have a stable but severe level of functional impairment andinability to function independently without extensive care and support and for whom the principalfunction is the provision of care over an indefinite period. This includes psychogeriatric patientsadmitted for respite care.

• Patients in receipt of respite care where the sole reason for admitting the person to hospital isthat the care that is usually provided in another environment (e.g. at home, in a nursing home,by a relative or with a guardian) is unavailable in the short term. Respite care patients are thosewith chronic conditions who are usually managed at home but who, due to factors in the homeenvironment (physical, social or psychological), require hospital admission. The care given is forfunctional maintenance only.

• Convalescent care where under normal circumstances the patient would be discharged but dueto factors in the home environment, such as access issues or lack of available communityservices, the patient is unable to be discharged. 1

26 – Newborn

Newborn care is initiated when the patient is born in hospital; or when not admitted at birth (e.g. transferred from another hospital) but the patient is nine days old or less on admission.

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Newborns 10 days of age or greater who no longer require an admitted patient level of clinical care should be statistically discharged, and then statistically re-admitted as boarders for the remainder of their admission.

Note: Stillborns are not admitted patients.

27 – Organ Procurement

Organ procurement (posthumous) is the procurement of human tissue for the purpose of transplantation from a donor who has been declared brain dead.

Diagnoses and procedures undertaken during this activity, including mechanical ventilation and tissue procurement, should be recorded in accordance with the relevant ICD-10-AM Australian Coding Standards. These patients are not admitted to the hospital but are registered by the hospital.

28 – Boarder

Hospital boarder is a person who is receiving food and/or accommodation but for whom the hospital does not accept responsibility for treatment and/or care. Hospital boarders in WA are admitted to the hospital and reported to HMDS but are classified as registered non admitted patients by HMDS. Types of boarders include:

• Boarders (with an admitted patient)• In-transit patients

29 – Geriatric Evaluation And Management (GEM) (Subacute)

Geriatric evaluation and management is care in which the clinical intent or treatment goal is to maximise health status and/or optimise the living arrangements for a patient with multi-dimensional medical conditions associated with disabilities and psychosocial problems, who is usually (but not always) an older patient. This may also include younger adults with clinical conditions generally associated with old age.

This care is usually evidenced by multi-disciplinary management and regular assessments against a management plan that is working towards negotiated goals within indicative time frames. Geriatric evaluation and management includes care provided:

• In a geriatric evaluation and management unit; or• In a designated geriatric evaluation and management program; or• Under the principal clinical management of a geriatric evaluation and management physician; or• In the opinion of the treating doctor, when the principal clinical intent of care is geriatric

evaluation and management.

Patients are more appropriately classified as GEM where they have geriatric syndromes such as: • Poor Cognitive status

• Falls without significant injury

• Frailty

The treatment received in the GEM unit may include: • Improving functional level to allow discharge to the community or a lower level of residential

care.

• Evaluating the social situation and developing an appropriate discharge plan.

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Reconditioning can be classified as either Rehabilitation or GEM. If a patient is older with significant co-morbidities they fit more appropriately within the GEM care type.1

30 – Aged Care

The aged care category can only be used for client who has been been:

• Assessed by an Aged Care Assessment Team (ACAT); and• Approved for residential aged care; and• A resident of a State Government Nursing Home or Hostel.

This category includes clients who have been ACAT approved for residential respite in one of these facilities.

It excludes residents of a fully funded Commonwealth facility.

31 – Flexible Care (MPS sites only)

The type of aged care provided to non-private patients at Multi Purpose Service (MPS) sites is called “flexible care”.

Flexible care is aged care provided to non-private patients who are resident in a MPS site who have been:

• Assessed by ACAT or their clinician; and• Approved for residential aged care.

The resident can be either:

• High dependency – assessed and approved for a permanent care unit, permanent care bed ornursing home bed.

• Low dependency – assessed and approved for low dependency residential care, hostelaccommodation.

• Residential respite – assessed and approved for residential respite.

• Residential respite may be high dependency (permanent care unit/bed, nursing home bed) orlow dependency (hostel)

• Resident awaiting placement – non-private patients of an MPS who have been assessed andapproved for residential aged care but are awaiting placement in a residential aged carebed/unit.

This category includes clients who have been ACAT approved for residential respite as either high or low dependency.

1. OD 0540/14 Admission, Readmission, Discharge and Transfer Policy, July 2014

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POSSIBLE COMBINATIONS OF CARE TYPE WITH CLIENT STATUS

Care Type Client Status

Fund. Hosp QNB UNQNB BRD NHTP Contract

Service Admitted

Client Organ Proc. Resident

Acute Rehab Palliative

Psycho-geriatric

Maintenance

Newborn

Organ Proc.

Boarder

GEM.

Aged Care

Flexible Care

Key: QNB: Qualified newborn. Patient. UNQNB: Unqualified newborn. BRD: Boarder NHTP: Nursing Home Type Patient

GEM: Geriatric Evaluation & Management

EXAMPLES

Example 1: A patient was admitted for respite care while their usual carer is away on holidays.

Care Type (Maintenance Care) 25 Client Status (Admitted Client) 6

Example 2: A patient was admitted to a hospice for palliative care of bony metastases and carcinoma of the lung.

Care Type (Palliation) 23 Client Status (Admitted Client) 6

Example 3: A young patient is admitted with Multiple Sclerosis with a treatment goal to improve functioning, meets the criteria for admission for Rehabilitation.

Care Type (Rehabilitation) 22 Client Status (Admitted Client) 6

25

Example 4: A patient with Alzheimer’s disease was admitted under a Psychogeriatric team for behaviour modification.

Care Type (Psychogeriatric Care) 24 Client Status (Admitted Client) 6

Example 5: A patient is admitted to the geriatric assessment unit due to multiple falls and the family is having difficulty in managing them at home.

Care Type (Geriatric Evaluation) 29 Client Status (Admitted Client) 6

Example 6: Patient admitted to Multi Purpose Service (MPS) site for residential aged care with private health insurance funding following ACAT assessment and approval for high dependency residential aged care

Care Type (Aged Care) 30 Client Status (Resident) 8

Example 7: Patient admitted to a Multi Purpose Service (MPS) site for low dependency hostel accommodation following ACAT assessment and approval for low dependency residential aged care

Care Type (Flexible Care) 31 Client Status (Resident) 8

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0253 Episode of care value is not present Fatal 0254 Episode of care value is outside of the valid range Fatal 0311 Principal diagnosis/care type/client type combination invalid Warning 0337 Invalid care type/client type combination Warning 0475 The date of birth must equal the admission date Warning 0664 Episode of care must be newborn for Z38 diagnosis Warning 0685 Please confirm death of boarder Warning 0749 Please confirm unqualified newborn deceased on discharge Warning 0755 LOS > 365 days for acute patient Warning 0758 Ambulatory care does not match funding source Warning 0760 Palliative care and Z51.5 is not present Warning 0761 Additional diagnosis Z51.5 and care type not = 23 Palliative Care Warning 0762 Care type = rehabilitation care and Z50.x is not present Warning

0764 Principal diagnosis = Z50.x and care type does not = 22 Rehabilitation Care

Warning

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Edit Number Edit Message Edit Severity 0773 Boarder code used as an additional diagnosis Warning

0800 PDX is not Z75.x or Z74.x but care type is maintenance, aged care or flexible care

Warning

0801 PDX is Z75.x or Z74.x but care type is not maintenance, aged care or flexible care

Warning

0804 Episode of care is not acute or newborn but ICU days are present Warning 0807 Episode of care unlikely for HITH Warning

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CLIENT IDENTIFIER – UNIT MEDICAL RECORD NUMBER

Data element name: Client Identifier or Unit Medical Record Number


Client Identifier Client Identifier Client Identifier

Definition: Person identifier unique within an establishment



Format: Character

Maximum length: 10

Permitted values: Alpha/numeric combination up to 10 characters

GUIDE FOR USE

• The Client Identifier can be alphanumeric or numeric up to a maximum of 10 characters. Theyear number should not form any part of the Client Identifier.

• Alternate names for the Client Identifier include Unit Medical Record Number (UMRN) or UnitRecord Number (URN).

• The same Client Identifier is retained by the hospital for the patient for all admissions within aparticular hospital.

• Boarders should be admitted under their own Client Identifier.• Organ Procurements should be registered under their own Client Identifier.

EXAMPLE

UMRN 271864 is entered as

Client Identifier 2 7 1 8 6 4

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0222 Client identifier is not present Fatal

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CLIENT STATUS

Data element name: Client Status


Patient Type Patient Type Patient Type

Definition: A category assigned to an episode of care to further define the type of hospital service being provided to the patient. This data element should be collected in conjunction with Care Type.


METeOR reference: 263639, 270174, 327254

Format: Character

Maximum length: 2

Permitted values: 0 – Funding Hospital 1 – Qualified Newborn 2 – Unqualified Newborn 3 – Boarder 4 – Nursing Home Type 5 – Contracted Service 6 – Admitted Client 7 – Organ Procurement 8 – Resident

GUIDE FOR USE

• Client Status is used to categorise patients.• See the table under data item Care Type for possible combinations of Care Type with Client

Status.

VALUE DEFINITIONS

0 – Funding Hospital

When patient treatment is contracted out to another establishment, the hospital funding the service (the funding hospital) should record the Client Status as 0 – Funding Hospital and record the establishment number 0999 in the Admitted From and Discharged To fields.

The Ward (Location) should be recorded with a prefix of ZZ. Record the establishment number of the contracted service provider (i.e. the service provider performing the service on behalf of the Funding Hospital) in the Contracted/Funding Establishment field.

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Client Status = 0 (funding hospital) Ward = ZZxxx (dummy ward) Contracted/Funding Establishment

= xxxx (Contracted Service Provider establishment number, see Appendix 1)

Admitted From = 0999 Discharged To = 0999

Refer to Operational Directive 0179/09: Reporting of contracted services for admitted patients. (At time of publishing, this Operational Directive status was super-ceded however, it is still relevant and will be reinstated in the near future)

1 – Qualified Newborn

A newborn is deemed to qualified if he or she is 9 days of age or less and meets at least one of the following criteria:

• Is the second or subsequent live born infant of a multiple birth; or• Is admitted to an intensive care facility in a hospital, being a facility approved by the

Commonwealth Minister, for the purpose of the provision of special care and is receiving carethat would require admission to the intensive care facility; and/or

• Is admitted to, or remains in hospital without their mother.

All newborns are reported as qualified once they have accumulated one day of qualified care during their admission. Newborns do not automatically accumulate qualified days after achieving one qualified day of care, the days of qualified care rules should be followed for calculating days of qualified care.

Qualified and unqualified may be used in computer systems to calculate qualified days, in these instances client status should be used in a way that ensures the calculation of days of qualified care is in compliance with the days of qualified care rules.

Refer to data element Days of Qualified Newborn Care for further information.

2 – Unqualified Newborn

A newborn is deemed unqualified if they do not meet at least one of the above criteria listed under 1 – Qualified Newborn. All Newborns who fail to accumulate one qualified day during the admission are reported as unqualified.

3 – Boarder

Hospital boarder is a person who is receiving food and/or accommodation but for whom the hospital does not accept responsibility for treatment and/or care.

Refer to Operational Directive 0082/07: Boarders for further information.

4 – Nursing Home Type Patient

Legislative Definition of a Nursing Home Type Patient (NHTP):

Under the Commonwealth (Cth) Health Insurance Act 1973 (the Act), a Nursing Home Type Patient (NHTP), in relation to a hospital, means a patient in the hospital who has been provided with accommodation and nursing care, as an end in itself, for a continuous period exceeding 35

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days (with a break of no more than 7 consecutive days). Under the terms of the Australian Health Care Agreements (2003 – 2008), any patient who has been in hospital for more than 35 continuous days and no longer requires acute or sub-acute care may be deemed to be a Nursing Home Type Patient.

The designation of care type (e.g. acute, subacute, maintenance care) is the responsibility of the clinician responsible for care.

Qualifying Period:

The 35-day qualifying period may accrue in a single hospital or two or more hospitals, but not in nursing homes. Hospitals in which the qualifying period is accrued may be public or private. Transferring between hospitals has no effect on the qualifying period.

The qualifying period is broken only if the patient leaves a hospital, and does not enter another hospital for at least seven days. In this case, the patient will commence a new 35-day qualifying period from day one of the next admission to a hospital. Periods of seven days or less do not break the continuity of the qualifying admission.

Long Stay Patients:

Patients, who remain in hospital for more than 35 days, in order to receive ongoing acute or sub-acute care, remain classifiable as Other Admitted Patients (not NHTP). They are not deemed NHTP until such time as the clinician authorises a change in care type to Maintenance (non-acute) Care.

NHTP patients can be re-classified to acute/subacute care if there is a revision of the doctor’s opinion regarding the acuity of care required, such as may occur where the patient develops a secondary condition requiring medical attention.

It is expected that Nursing Home Type Patients will not actually remain in hospital but will be transferred to a nursing home, or allocated a nursing home type bed for their ongoing care.

5 – Contracted Service

The provision of a service by one hospital on behalf of another institution, either public or private, is known as a Contracted Service. The funding/purchasing hospital is the originating hospital that pays for the service to be performed. The activity or care provided should be reported by both the hospital performing the activity (the contracted service provider) and by the funding/purchasing hospital.

Lease or partial contracts between hospitals, such as providing theatre time but not staff or equipment to another organisation are considered to be a contracted service under this definition. Other special services where designated institutions are funded to provide entire services for the State (e.g., hyperbaric chamber treatment at Fremantle Hospital) are not a contracted service and should not be reported.

The hospital providing the service (contracted service provider) should record the Client Status as (5) Contracted Service and enter the establishment number of the funding/purchasing hospital in the Contracted/Funding Establishment field.

When the Contracted/Funding Establishment field is recorded, it is also necessary to record where the patient came from, using the Admitted From field. For example, if the patient came directly from home, then Admitted From = (0900) Home; or a patient transferred from RPH then Admitted From = (0101) RPH.

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It is important to record this field accurately because only one hospital will receive reimbursement for the service provided. However, both hospitals should code the procedure(s) performed or service(s) provided.

Example 1:

A patient is admitted for dialysis at Cannington Dialysis under contract to Royal Perth Hospital (RPH). The activity occurs at Cannington Dialysis. Royal Perth Hospital creates a non-activity funding episode at Cannington Dialysis, which is a dummy record.

Field Cannington Dialysis Royal Perth Hospital Type of record Contracted service Funding Establishment Number 0654 (Cannington Dialysis) 0101 (RPH) Admitted From 0900 (Home) 0999 Discharged To 0900 (Home) 0999 Client Status 5 (Contracted Service) 0 (Funding Hospital) Contracted/Funding Establishment

0101 (RPH) 0654 (Cannington Dialysis)

Ward/Location CANNINGTON ZZxxxx

6 – Admitted Client

An admitted client is a person for whom a hospital accepts responsibility for treatment and/or care. It includes a person in respect of whom the hospital admission procedures are completed and for whom the hospital charges a fee for accommodation and/or therapeutic or diagnostic services during the period of care. Admitted patients include:

• Patients for whom a clinician considers that an admission is necessary due to a medicalcondition or other circumstance related to the patient.

• Patients who are receiving Psycho-geriatric care.• Respite care patients, i.e. patients with chronic conditions who are usually managed at home

but due to factors in the home environment (physical, social or psychological) require hospitaladmission. The care given is for maintenance treatment only.

• Patients who are treated in psychiatric units who have a stable but severe level of functionalimpairment and inability to function independently without extensive care and support and forwhom the principal function is provision of care over an indefinite period (Psycho-geriatricpatients).

• Patients in acute care facilities who have been seen by an ACAT and are awaiting placement ina nursing home, who remain in hospital for 35 days or less.

Admitted Patients do not include:

• Same day patients whose procedures are cancelled –Refer to ARDT policy.• Same day patients having procedures that do not require a hospital admission – Refer to ARDT

policy.• Non-admitted patients• Boarders• Patients who are dead on arrival• Posthumous organ donors

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• Aged care and flexible care residents

7 – Organ Procurement

Organ Procurement (Posthumous) is the procurement of human tissue for the purpose of transplantation from a donor who has been declared brain dead. These patients are not admitted to the hospital but are registered by the hospital. The Care Type for this field should be Organ Procurement.

This status may follow the acute episode in which the patient dies or be the initial period following brain death in another institution, in which the patient is ventilated and organ procurement procedures are carried out.

Diagnoses and procedures undertaken during this activity, including mechanical ventilation and tissue procurement, should be recorded in accordance with the relevant ICD-10-AM Australian Coding Standards.

8 – Resident

This status can only be used for clients who are residing in a residential aged care bed or multipurpose service site who have been ACAT or Doctor assessed for high dependency or low dependency residential aged care. This client status is only to be used with a Care Type of Flexible Care or Aged Care.

EXAMPLES

Example 1: A patient was admitted to Swan District Hospital for Endoscopy under a pre- existing arrangement between Swan District and Royal Perth Hospitals. The contract required Swan District Hospital to provide Endoscopy services for RPH.

Client Status (Contracted service) 5 Contracting/Funding Establishment 0101

Example 2: A patient was admitted for an appendicectomy to be performed in the hospital of admission.

Client Status (Admitted Client) 6

Example 3: A newborn baby was transferred from KEMH to Bunbury Regional Hospital aged three days and admitted with his mother for routine perinatal care.

Client Status (Unqualified newborn) 2

Note: The baby is not a boarder.

Example 4: A newborn baby aged 4 days admitted to hospital without his mother for treatment of tachypnoea.

Client Status (Qualified newborn) 1

Example 5: A newborn baby aged 10 days admitted for treatment of feeding problems.

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Client Status (Admitted client) 6

Example 6: Patient admitted to a Multi Purpose Service (MPS) site to permanent care bed following ACAT assessment and approval for high dependency residential aged care.

Client Status (Resident) 8

Example 7: A baby delivered stillborn at 28 weeks gestation.

Do not report baby’s record to HMDS. This information is already captured on the mother’s record

Example 8: A patient admitted to hospital for respite care while the normal carer was on holidays.

Client Status (Admitted client) 6 Care Type (Maintenance) 25

Example 9: A Royal Perth Hospital patient who was admitted to SJOG Subiaco hospital to have coronary artery bypass graft procedure as part of a contracted service arrangement between SJOG and RPH.

Client Status (for Royal Perth Hospital) 0 Ward/Location (for Royal Perth Hospital) ZZ Contracted/Funding Establishment (for RPH) 0616 Client Status (for SJOG hospital) 5 Contracted/Funding Establishment (for SJOG) 0101

Example 10: A patient was pronounced brain dead and consent was given for organ donation. The Care Type was changed to organ procurement (via statistical type change).

Client Status (Organ Procurement) 7

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0145 Admitting establishment cannot be blank when client type = 5 Warning 0245 Client type is not present Fatal 0247 Client type is invalid for age range Warning 0248 Client type of 0 or 5 requires a contracting/funding establishment Warning 0311 Principal diagnosis/care type/client type combination invalid Warning 0337 Invalid care type/client type combination Warning

0674 Client type is qualified newborn but qualified newborn days is <=0 or blank

Fatal

0675 Qualified newborn days is >0 but client type is not qualified newborn

Warning

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Edit Number Edit Message Edit Severity 0688 Funding source of other for unqualified newborn Warning 0748 Unqualified newborn separated after the 10th day Warning 0773 Boarder code used as an additional diagnosis Warning

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CLINICIAN ON ADMISSION

Data element name: Clinician on Admission


Last Active Consultant Resp Dr Attending Doctor

Definition: The hospital clinician who authorises the patient to be admitted to hospital as represented by the MBRN.



Format: Character

Maximum length: 13

Permitted values: Valid Medical Board Registration Number as per AHPRA

GUIDE FOR USE

• The MBRN of the doctor on admission should be reported to HMDS using the Australian HealthPractitioner Regulation Agency (AHPRA) website for providing the clinician’s current registrationnumber: http://www.ahpra.gov.au/Registration/Registers%20of%20Practitioners.aspx

• The Doctors’ registration number must be reported as 13 characters in length. Please ensurethat you incorporate all leading zeros where applicable.

• The Dental and Podiatrists’ registration number is in the same 13 character alphanumericformat. The registration number for Dentists and Surgical Podiatrists should be reported to HMDS. Current registration numbers can be obtained from the above website.

• For BOARDERS only, the number used for doctor on admission should be recorded as000000.

TOPAS Hospitals

• Hospitals using the TOPAS system input a ‘TOPAS doctor database number’, which is mappedto the clinician’s relevant (i.e. doctor, dental or podiatry) MBRN prior to extraction.

• When assigning a new ‘TOPAS doctor database number’, it is important to link the number tothe clinician’s relevant (i.e. doctor, dental or podiatry) MBRN.

HCARe Hospitals

• Hospitals on the HCARe system add the ‘HCARe doctor database number’ to the appropriatefield and this is mapped to the clinician’s relevant (i.e. doctor, dental or podiatry) MBRN whenrecords are extracted and sent to the HMDS.

• Should the clinician’s MBRN (i.e. doctor, dental or podiatry) change, it is important that the‘HCARe doctor database’ is updated to reflect this change.

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http://www.ahpra.gov.au/Registration/Registers%20of%20Practitioners.aspx

EXAMPLES

Example 1: Dr. Jones admitted a patient to hospital and his registration number is MED0000010094.

Clinician on Admission M E D 0 0 0 0 0 1 0 0 9 4

Example 2: Dentist Mr. White admitted a patient to hospital and his registration number is DEN0000002914.

Clinician on Admission D E N 0 0 0 0 0 0 2 9 1 4

Example 3: Surgical Podiatrist Mr. Gold admitted a patient to hospital and his registration number is POD0000001935.

Clinician on Admission P O D 0 0 0 0 0 0 1 9 3 5

Example 4: A boarder registered with the hospital while sick relative was treated.

Clinician on Admission 0 0 0 0 0 0

Example 5: A baby 6 days of age is admitted while their mother received treatment (the baby has the same number as the mother).

Clinician on Admission (for mother’s record)

M E D 0 0 0 0 2 5 6 0 7 0

Clinician on Admission (for baby’s record)

M E D 0 0 0 0 2 5 6 0 7 0

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0456 Clinician on admission must not be blank Fatal 0751 Invalid clinician code xxxxxx for admission Warning

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CLINICIAN ON SEPARATION

Data element name: Clinician on Separation


Last Active Consultant Resp Dr Attending Doctor

Definition: The clinician in the hospital who authorises the patient to be discharged from hospital.



Format: Character

Maximum length: 13


GUIDE FOR USE

• This field requires the Medical Board Registration Number (MBRN) of the clinician authorisingthe patient’s discharge from hospital.

• Each doctor is assigned a MBRN as per the Australian Health Practitioner Regulation Agency(AHPRA).

• To identify a particular doctor’s current MBRN you can reference the AHPRA website andperform a search using the doctor’s name:http://www.ahpra.gov.au/Registration/Registers%20of%20Practitioners.aspx

• Clinician on Separation field is a 13 character alphanumeric field and requires all leading zerosto be included, except when reporting boarders.

• For boarders, the number used for clinician on separation should be “000000”.• The Dental and Podiatrists’ registration number is in the same 13 character alphanumeric

format and should be reported.

TOPAS

• Hospitals using the TOPAS system input a ‘TOPAS doctor database number’, which is mappedto the clinician’s relevant (i.e. doctor, dental or podiatry) MBRN prior to extraction.

• When assigning a new ‘TOPAS doctor database number’, it is important to link the number tothe clinician’s relevant (i.e. doctor, dental or podiatry) MBRN.

HCARe

• Hospitals on the HCARe system add the ‘HCARe doctor database number’ to the appropriatefield and this is mapped to the clinician’s relevant (i.e. doctor, dental or podiatry) MBRN whenrecords are extracted and sent to the HMDS.

• Should the clinician’s MBRN (i.e. doctor, dental or podiatry) change, it is important that the‘HCARe doctor database’ is updated to reflect this change.

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EXAMPLES

Example 1: Dr. Jones was the clinician on separation and his registration number is MED0000010094.

Clinician on Separation M E D 0 0 0 0 0 1 0 0 9 4

Example 2: Dentist Mr. White admitted a patient to hospital and his registration number is DEN0000000014. He was also the clinician on separation.

Clinician on Separation D E N 0 0 0 0 0 0 0 0 1 4

Example 3: Surgical Podiatrist Mr. Gold admitted a patient to hospital and his registration number is POD0000001935. He was also the clinician on separation.

Clinician on Separation P O D 0 0 0 0 0 0 1 9 3 5

Example 4: A boarder baby was registered with the hospital while his mother was treated.

Boarder 0 0 0 0 0 0

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0455 Clinician on separation must not be blank Fatal 0750 Invalid clinician code xxxxxx for separation Warning

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CONTRACTED / FUNDING ESTABLISHMENT

Data element name: Contracted / Funding Establishment


Cont. Hospital Contract Hosp

Definition: The establishment number of the Contract Service Provider or Funding Hospital where a contractual treatment/care service occurs with an admitted episode of care.

Collection requirement: Conditional (required if contracted service; blank otherwise)


Format: Number

Maximum length: 4

Permitted values: See Appendices 1A and 1B: Admitted From / Discharged To Establishment List

GUIDE FOR USE

• An episode of care for an admitted patient whose treatment and/or care is provided under anarrangement between a hospital that purchases hospital care (the funding hospital) and aprovider of an admitted service (the contracted service provider).

• A specific arrangement should apply (either written or verbal) whereby one hospital contractswith another hospital for the provision of specific services. The arrangement may be betweenany combination of hospitals. For example, public to public, public to private, private to private,or private to public.

• All services provided by the Contracted Service Provider hospitals should be recorded andreported by the both the Funding Hospital and the Contracted Service Provider hospital.

• The Contracted Service Provider hospital should record the admission as an inter-hospitalcontracted patient so that these services can be identified In the various statistics producedabout hospital activity.

• Refer to operational Directive 0179/09: Reporting of contracted services for admitted patients.(At time of publishing this Operational Directive status is super ceded, however, it will bereinstated and is currently relevant).

• The Funding Hospital should record the Contracted Service Provider establishment number inthe Contracted/Funding Establishment field, indicating that the patient received the treatmentfrom that specified provider.

• The Contracted Service Provider should record the Funding Hospital establishment number inthe Contracted / Funding Establishment field, indicating that they have provided the service oncontract on behalf of the specified Funding Hospital.

• The establishment number recorded in the Contracting / Funding Establishment field shouldnever be the same as the reporting establishment’s number.

DATA QUALITY EDITS

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Edit Number Edit Message Edit Severity 0226 Contracting establishment value is outside of the valid range Fatal 0248 Client type of 0 or 5 requires a contracting/funding establishment Warning 0369 Contracting establishment is not a valid acute establishment Warning

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COUNTRY / STATE OF BIRTH

Data element name: Country / State of Birth


Country of Birth Country of Birth Country of Birth (CAT C)

Definition: The Country/State of Birth identifies the Australian State or Country in which a patient was born.



Format: Character (NNNN)

Maximum length: 4

Permitted values: See Appendices 3A and 3B: Country of Birth Codes

GUIDE FOR USE

• The country of birth code embodies an important concept in the study of disease patternsbetween different ethnic population groups in Australia.

• It also allows heath care authorities to monitor the health status of migrants and assists in theprovision of health services for diverse population groups.

• If the patient is born overseas indicate country of birth, e.g. Italy, France, England, Scotland,and Wales.

• If the patient is born within Australia, when known, indicate the State of birth, e.g. WesternAustralia, Tasmania etc.

• If the patient is born in an Australian Territory other than the Australian Capital Territory (ACT)or the Northern Territory (NT), (e.g. Christmas Island, Cocos (Keeling) Islands, please entercode (0909) Other Territories (Ninth State).

• If the patient is born on a ship or aircraft, indicate country of citizenship.• Where information is not available, enter code (0003) Not Stated.

EXAMPLES

Example 1: Patient born in Western Australia was admitted to hospital.

Country/State of Birth 0 9 0 5

Example 2: Patient born in Australia (not otherwise specified) was admitted to hospital.


Example 3: Patient born in Tokyo was admitted to hospital. Country/State of Birth should be Japan.

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Example 4: Patient born at sea while parents were on a cruise was admitted to hospital, but is eligible for citizenship in Poland.


Example 5: Patient born in New South Wales was admitted to hospital.


Example 6: Patient born on Christmas Island was admitted to hospital.


Example 7: Patient admitted but Country of Birth details Not Stated.


DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0249 Country of birth code is outside of the valid range Fatal 0250 Country of birth must be WA if admission date = birth date Warning 0771 COB Australia with pay class of ineligible / other Warning 0774 Newborn patient with country of birth outside Australia Warning

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DATE OF BIRTH

Data element name: Date of Birth


Date of Birth Date of Birth Date of Birth

Definition: The date of birth of the patient.



Format: Date

Maximum length: 8


GUIDE FOR USE

• Date of Birth enables derivation of age, at admission, for use in demographic analysis, assists inthe unique identification of clients if other identifying information is missing or in question, andmay be required for the derivation of other metadata items (e.g. the DRG for admitted patients).

• The Date of Birth should always be given in day, month and full year (DDMMYYYY).• The day range is 01-31 (depending on the month), the month range is 01-12 and the century

range is 18, 19 or 20.• Age is not to be sent on electronic files as it is calculated by the HMDS.• It is important to be as accurate as possible when completing the birth date. It is recognised

that some patients do not know the exact date of their birth. When the exact date of birth isunknown, please estimate the person’s age and record the date of birth as follows:

AGE 75 YEARS DATE OF BIRTH 01/07/1935AGE 30 YEARS DATE OF BIRTH 01/07/1980

EXAMPLES

Example 1: Date of Birth is 12th June 1960

Date of Birth 1 2 0 6 1 9 6 0

Example 2: Estimated age of 14 years old

Date of Birth 0 1 0 7 1 9 9 7

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Example 3: A female patient is admitted to hospital in labour at 10.30pm on the 13th September 2012 and the baby is delivered at midnight 14th September 2012

Date of Birth for infant 1 4 0 9 2 0 1 2

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0223 Date of birth is not present Fatal 0247 Client type is invalid for age range Warning 0250 Country of birth must be WA is admission date = birthdate Warning 0303 Additional diagnosis is invalid for the age range Warning 0350 Age is invalid for the employment status Warning 0351 Marital status is invalid for the age category Warning 0475 The date of birth must equal the admission date Warning 0521 Invalid age for the ICD Code xxx.xx Warning 0622 Date of birth indicates age in excess of 105 years Warning

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DAYS OF HOSPITAL IN THE HOME CARE

Data element name: Days of Hospital in the Home Care


Days of Hospital in the Home Not applicable (auto-calculated on extract) Not applicable (auto-calculated on extract)

Definition: The number of hospital-in-the-home days occurring within an episode of care for an admitted patient.

Collection requirement: Conditional (required if Hospital in the Home days accrued, blank if none)


Format: Number

Maximum length: 3

Permitted values: NNN

GUIDE FOR USE

It is expected that HITH patients will be seen daily or at least 3 days per week per week by clinical staff providing admitted care. Where a HITH patient does not receive any care on a particular date, this day must be recorded as a leave day. • If the patient is attending the hospital for scheduled specialist medical review or other diagnostic

investigation or treatment not appropriate for the home setting, for example an X-ray, HITH days may be reported for this contact.

It is accepted patients may be on leave over the weekend and receiving care during weekdays. Where patients are on leave for more than two days consideration should be given to whether the patient continues to require admitted care.

• Where patients are not receiving/intended to receive this level of care, consideration should be given to whether the patient’s treatment is more appropriately classified and reported as non-admitted care.

• To qualify for a reported HITH day, a patient must have an in person interaction with HITH staff, which must contain therapeutic/clinical content and result in a dated entry in the patient’s medical record. If satellite/secondary medical records are maintained for HITH this should be cross referenced in the main hospital medical record.

• Service days that consist of only telephone calls or delivery of items, cannot be reported as HITH days.

• If scheduled care is cancelled, or the patient is not home when HITH staff visit, a leave day shall be reported for the patient.

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• Episodes with a HITH length of stay greater than 25 days should be reviewed to ensure thepatient is still requiring admitted care.

• HITH episodes with a length of stay of 1 day will be flagged as potential invalid admissions andrequire review.

• If HITH patients require non-admitted care within the same hospital, e.g. attending an outpatientclinic, ED, or allied health service:

o Non- admitted care provided to an admitted patient is included as part of the admitted careepisode. It may be recorded as non-admitted activity but will not be reported as activity(service event) for ABF purposes.

• HITH patients attending ED may be transferred into an ED virtual ward. Current inpatientsattending ED are to be assigned a visit type of admitted in the EDIS.

• Do not discharge the patient from HITH for this purpose.

If HITH patients should require a same day procedure, within the same hospital, a ward/bed transfer is recorded but no care type change, discharge or leave is required.

If HITH patients require admitted or non-admitted care at another hospital, and it is expected they will return within seven days, the patient is to be placed on leave and when the patient returns continue with the HITH admission.

The date of discharge from HITH is to be recorded as the last day the patient received treatment.

HITH patients are recorded on leave for days not receiving clinical care.1

• Calculating the number of HITH days:

o The day the patient is admitted is counted as a HITH day if the patient was at home at theend of the day (overnight).

o The date of change between hospital and home accommodation is counted if the patientwas at home at the end of the day (overnight).

o The date of separation is not counted, even if the patient was at home at the end of the day(overnight).

o Days of HITH cannot be greater than Length of Stay and cannot include any leave days.

EXAMPLES

Example 1: Patient admitted to Fremantle Hospital for 15 days. The last 5 days of the admission episode were within the HITH ward.

DAYS OF HITH CARE 5

Example 2: Patient admitted to the HITH program for a period of 4 days for treatment of an abscess with regular IV antibiotics and dressings.

DAYS OF HITH CARE 4

1 Section taken from OD 0540/14 Admission, Readmission, Discharge and Transfer Policy, July 2014

47

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0759 HITH warning – other cases may need to be merged Warning 0805 Ward is a HITH but no HITH days present Warning

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DAYS OF PSYCHIATRIC CARE

Data element name: Days of Psychiatric Care


Days in psych Psych Days Derived

Definition: The sum of the number of days or part days of stay that the person received care as an admitted patient or resident within a designated psychiatric unit, minus the sum of leave days occurring during the stay within the designated unit.

Collection requirement: Conditional (Required if mental health patient admitted to designated unit; blank otherwise)


Format: Number

Maximum length: 4

Permitted values: NNNN

GUIDE FOR USE

• Designated psychiatric units are staffed by health professionals with specialist mental healthqualifications or training and have as their principal function the treatment and care of patientsaffected by mental disorders.

• To calculate days of psychiatric care, subtract the admission date to the Psychiatric Unit fromthe discharge date from the Psychiatric Unit, less any leave days during this period. TotalPsychiatric Days must be less than or equal to the Length of Stay.

• It is important to note that the counting of the days commences on admission to the psychiatricunit and ends when the patient is either discharged or transferred from the unit. It is possiblethat psychiatric care days may include one or more different periods during an admission. Inthese cases, the total number of Psychiatric Care Days for the admission should be reported,excluding days not spent in a psychiatric unit.

• If the patient is transferred to another part of the hospital for acute surgical or medical care, thedays spent in the general ward should not be counted as psychiatric days, regardless ofwhether psychiatric care is continued or not.

• Patients being admitted as boarders do not require this field to be completed.• Days of psychiatric care cannot be blank if a patient is admitted to a designated psychiatric unit.

Public acute care hospitals

• Designated psychiatric units in public acute care hospitals are normally recognised by theState/Territory health authority in the funding arrangements applying to those hospitals.

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Private acute care hospitals

• Designated psychiatric units in private acute care hospitals normally require license or approvalby the State/Territory health authority in order to receive benefits from health funds for theprovision of psychiatric care.

Psychiatric hospitals

• Psychiatric hospitals are establishments devoted primarily to the treatment and care of admittedpatients with psychiatric, mental or behavioural disorders. Private hospitals formerly approvedby the Commonwealth Department of Health and Ageing under the Health Insurance Act 1973(now licensed/approved by each State/Territory health authority), catering primarily for patientswith psychiatric or behavioural disorders are included in this category.

• Total psychiatric care days in stand-alone psychiatric hospitals are calculated by counting thosedays the patient received specialist psychiatric care. Leave days and days on which the patientwas receiving other care (e.g. specialised intellectual ability or drug and alcohol care) should beexcluded.

• See Appendix 6: Psychiatric Wards.

EXAMPLES

Example 1: A patient was admitted to the psychiatric unit at Hospital A and discharged 36 days later after having 4 days on leave during the total period.

TOTAL PSYCHIATRIC CARE DAYS 0 0 3 2

Example 2: A patient was admitted to Hospital B for a hysterectomy but on the 4th day was noted to be severely depressed and was then transferred to the psychiatric unit. Total length of stay was 15 days.

TOTAL PSYCHIATRIC CARE DAYS 0 0 1 1

Example 3: A patient is admitted to a Medical Ward with depression and back pain. A psychiatrist reviews him but care continues under the admitting physician. The principal diagnosis is depression.

TOTAL PSYCHIATRIC CARE DAYS 0

Example 4: A patient is admitted to Fremantle Hospital. The Ward on discharge is not a designated psychiatric unit. However, the Days of Psychiatric Care equal the Length of Stay.

(This will raise a warning edit. If the ward on discharge was not a designated psychiatric unit, then the Days of Psychiatric Care would usually be less than the Length of Stay).

TOTAL PSYCHIATRIC CARE DAYS 1 0 LENGTH OF STAY 1 0

Example 5: A patient is admitted to Abbotsford Private Hospital. The Days of Psychiatric Care are less than the Length of Stay.

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(This will raise a warning edit. If the hospital is a designated psychiatric hospital, the Days of Psychiatric Care should equal the Length of Stay.)

TOTAL PSYCHIATRIC CARE DAYS 8 LENGTH OF STAY 1 0

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0120 Days of psychiatric care is not present Warning 0122 Mental health legal status must be entered Warning 0666 Days psych care exceed LOS Warning 0788 Est is a psych hospital and no psych days present Warning 0784 Ward is a psych ward and no psych days or MHLS present Warning 0785 Ward is a psych ward and no psych days present Warning 0790 MHLS or psych days present and no psych ward at est Warning 0791 LOS not equal to psych days for psych est Warning 0793 LOS equals psych days but no psych ward or est Warning

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DAYS OF QUALIFIED NEWBORN CARE

Data element name: Days of Qualified Newborn Care


Derived Qualified Care Days Derived

Definition: The number of qualified newborn days occurring within a newborn episode of care.

Collection requirement: Conditional (leave blank if not newborn)


Format: Number

Maximum length: 3

Permitted values: NNN

GUIDE FOR USE

• A newborn patient day is qualified if the infant is 9 days of age or less and meets at least one ofthe following criteria at midnight:

o Is the second or subsequent live born infant of a multiple birth.o Is admitted to an intensive care facility in a hospital, being a facility approved by the

Commonwealth Minister, for the purpose of the provision of special care and is receivingcare that would require admission to the intensive care facility.

o Is admitted to, or remains in hospital without their mother.

• A newborn patient day is unqualified if the infant does not meet any of the above criteria.• If at day 10 with date of birth counted as 0, a newborn patient is still receiving acute care, then

every day they are receiving acute care after day 9 is counted as a qualified day.• Newborns 10 days of age or greater who no longer require an admitted patient level of clinical

care should be statistically discharged, and then statistically re-admitted as boarders for theremainder of their admission or discharged.

• The rules for calculating the number of qualified newborn days are outlined below.

MULTIDAY

The number of qualified days is calculated with reference to the admission date, separationdate, and any date of change to qualification status:

o The date of admission is counted if the patient was qualified at the end of the dayo The date of change to qualification status is counted if the patient was qualified at the end

of the dayo The date of separation is not counted, even if the patient was qualified on that day.

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SAME DAY

o The normal rules for calculation of patient days apply (in relation to leave and sameday patients) i.e. a qualified patient should be allocated one qualified day if admittedand separated on the same day.

• The length of stay for a newborn episode of care is equal to the sum of the qualified andunqualified days.

EXAMPLES

Example 1: A second twin is born in hospital and is discharged after 7 days. The baby remains qualified for the entire period.

Days of Qualified Newborn Care 0 0 7

Example 2: A premature baby is born in hospital and immediately admitted to the neonatal intensive care unit where they remain for 120 days.


Example 3: A newborn baby is admitted from another hospital aged 3 days and remains in hospital until aged 11 days while being treated with feeding problems. The mother comes to visit on a daily basis.


Example 4: A baby in the birth episode is classified as unqualified at the beginning of the episode but develops respiratory distress and is admitted to an intensive care facility in a hospital (being a facility approved by the Commonwealth Minister for the purpose of the provision of special care) for 3 days. The baby then returns to the care of its mother for the remainder of the episode.

Note: the baby will have a Qualified Client Status and a Newborn Care Type. Only the actual days the requirement for qualified days are met are reported as days of qualified care.


Example 5: A newborn baby is admitted from another hospital aged 5 days and remains in hospital for 3 days. The mother is registered as a Boarder for this period. Note: The boarder mother, like all boarders, is a registered non-admitted patient. The baby meets the criterion of “admitted to hospital without its mother" for the full 3 days. Therefore (the baby is still a qualified newborn):


Example 6: A second twin is born in the early hours of the morning and later on the same day is transferred to another acute hospital for further monitoring and specialised treatment.


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DATA QUALITY EDITS

Edit Number Edit Message Edit Severity

0674 Client type is qualified newborn but qualified newborn days is <=0 or blank

Fatal

0673 Qualified newborn days exceeds the length of stay Warning

0675 Qualified newborn days is > 0 but client type is not qualified newborn

Warning

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DISCHARGED TO

Data element name: Discharged To


Transferring Medical Facility Separation To Hospital

Definition: The Establishment or Facility to which the patient was discharged or transferred to when they left hospital.


METeOR reference: Not Applicable

Format: Number

Maximum length: 4

Permitted values: See Appendices 1A and 1B: Admitted From/Discharged To Establishment List

GUIDE FOR USE

• The reference table for this data element consists of a combination of formal reportingEstablishments (such as acute care hospitals) and organisations or facilities that may or maynot be a health service.

• This data element is captured on discharge and identifies the specific Establishment or Facilitythe patient is going to.

• The codes are not limited to hospitals only for the Discharged To field. This field also indicatessome special codes for deceased patients, reclassified patients (i.e. care type changes),funding/contracting hospital and other locations or programs.

• See Appendices 1A and 1B: Admitted From/Discharged To Establishment List.

EXAMPLES

Example 1: The Discharged To field for contracted services at the funding hospital is to be completed as follows:

MODE OF SEPARATION Other/home 9 DISCHARGED TO Funding hospital 0999

Example 2: The patient is discharged to a hospital in another country:

MODE OF SEPARATION Acute Hospital 1

DISCHARGED TO Referred to Other hospital in another country 0986

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Example 3: The patient is discharged to the police lockup:

MODE OF SEPARATION Other/home 9 DISCHARGED TO Referred to Police/Law Enforcement 0584

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0148 The adm or sep establishment value is invalid. Please amend Fatal 0149 Separation establishment is not present Warning 0151 Mode of separation is invalid for establishment xxxx Warning

0625 Separation establishment cannot be the same as current establishment

Warning

0635 The admitted from/discharged to establishment combination is invalid

Warning

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DVA CARD COLOUR

Data element name: DVA (Veterans) Card Colour


DVA Colour DVA Entlmnt Veterans Card Colour

Definition: An indicator of treatment entitlements assigned by the Department of Veterans' Affairs to eligible veterans. The Veteran Card Colour can be determined by sighting the patient's Department of Veterans' Affairs entitlement card.

Collection requirement: Conditional (required if DVA; blank otherwise)


Format: Character

Maximum length: 1

Permitted values: 1 – Gold 2 – White

GUIDE FOR USE

• The Hospital Services Arrangement (HSA) between the Department of Veterans’ Affairs (DVA)and Western Australia ensures that persons entitled under the Veterans’ Entitlements Act 1986(Cth) and the Military Rehabilitation and Compensation Act 2004 (Cth), receive acomprehensive range of admitted patient hospital services.

• Under the terms of the HSA, WA Health is required to provide DVA with information on entitledpersons who are using admitted patient services. This information includes details of theirservice utilisation.

• All patients must be asked whether they are entitled persons for that episode of care.Identification of entitled persons requires collection of the following data items:

o Funding Source (the value for entitled persons should be DVA)o DVA File Numbero Veterans Card Colour

• It is essential to identify all entitled persons at the point of service provision and their level ofentitlement. Level of entitlement is indicated by the Veteran Card Colour.

• Entitled patients who choose to use WA publicly funded hospital services and be treated asRepatriation private patients under the HSA are entitled to a choice in:

o Publicly funded hospital with a minimum of shared ward accommodation; ando Doctor (provided the doctor has admitting rights for private patients at the chosen hospital).

• This does not remove the patient’s right to elect to be treated as a public patient under theAustralian Health Care Agreements. However, by electing to be a public patient, patients will notbe entitled to choice of hospital or doctor.

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• Repatriation private patient status is not equivalent to having a private health insurance.• The above identifiers must be collected on admission, and recorded electronically on the

relevant electronic data collection systems.

EXAMPLES

Example 1: A DVA patient was admitted with a gold card

Funding Source 2 7 (DVA) Veterans Card Colour 1 (Gold) DVA File Number WX12345

Example 2: A DVA patient was admitted with a white card

Funding Source 2 7 (DVA)

Veterans Card Colour 2 (White) DVA File Number WX6789A

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0679 DVA card colour missing Fatal

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DVA FILE NUMBER

Data element name: Department of Veterans' Affairs File Number


DVA No and Repatriation Number DVA File No DVA Number

Definition: A unique personal identifier issued to a veteran by the Department of Veterans' Affairs.

Collection requirement: Conditional (required if DVA; blank otherwise)


Format: Character

Maximum length: 9

Permitted values: Not applicable

GUIDE FOR USE

• The DVA File Number is the number located below the person’s name on the RepatriationHealth Card that is issued by the DVA to eligible Veteran beneficiaries.

• This data item is required to identify Veteran beneficiaries at point of service provision foradmitted and non-admitted patients.

• There should be NO spaces between the alpha and numeric values. The Alpha characters inthe first position refer to the Australian States’ initials. Therefore, the only valid characters in thefirst position of this field are N, Q, S, T, V and W. Veterans from the ACT and the NorthernTerritory have the initials N and S respectively.

• The DVA File Number to be recorded is the one below the person’s name on the GOLD andWHITE cards as shown below.

Note: The DVA File Number is NX222987 not 02 02 222987 00 7

DVA File Number Gold Card White Card

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• Patients who choose to give up their entitlement for treatment under the Veterans’ EntitlementsAct 1986 (Cth) must have their card colour and DVA File Number recorded, regardless of thetype of Funding Source indicated.

In some instances a patient may have a letter of authority to provide a particular inpatient service and may not have a DVA card. It is imperative that the patient contact DVA and ask them to provide details such as their DVA file number and the what card colour they are considered to be.

EXAMPLES

Example 1: A patient was admitted to Royal Perth Hospital for treatment of a leg ulcer. The DVA has assumed responsibility for funding this patient’s treatment.

Funding Source (Department of Veteran Affairs) 2 7 Veterans Card Colour 1 DVA File Number W X 3 9 6 1 4 6

Example 2: A patient was admitted to Fremantle Hospital for treatment of a Chronic Obstructive Airways Disease. The patient is admitted as a public patient even though they have DVA entitlements.

Funding Source (Department of Veteran Affairs) 2 1 Veterans Card Colour 1 DVA File Number W X 3 9 6 1 4 6

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0669 DVA file number has invalid format or is missing Fatal

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EMPLOYMENT STATUS

Data element name: Employment Status


Employment Status Employment Status Employment Status (CAT P2)

Definition: The self-reported employment status of a patient, immediately prior to admission.



Format: Character

Maximum length: 2

Permitted values: 1 - Child not at School 2 - Student 3 - Employed 4 - Unemployed 5 - Home Duties 6 - Retired 7 - Pensioner 8 - Other

VALUE DEFINITIONS

1 - Child not at School

Includes children attending kindergarten, playgroup, pre-primary and with an age under 5 years old or has their 6th birthday in the second half of the year (i.e. birth date is after 1 July).

2 – Student

Includes children attending school. Also applies to individuals who start full-time or have part-time study commitments equivalent to 20 hours per week or more. If less than 20 hours study and does not fit into any other category record Status as ‘8-Other’.

3 – Employed

Applies to individuals who have full-time or part-time employment either as an employee, employer, self-employed or volunteer .

4 – Unemployed

Applies to all individuals who are unemployed regardless of whether they are actively seeking employment or receiving unemployment benefits.

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5 – Home Duties

Applies to individuals whose sole role is performing home duties i.e. they do not have any other occupation.

6 – Retired

Applies to a person who is retired from work but is not receiving an aged pension e.g. self-funded retiree.

7 – Pensioner

Applies to a person who has retired from work and is receiving an aged pension; or a person who is unable to work and receives other type of pension such as an invalid pension.

8 – Other

Includes a child with a disability who is not attending school between the age of 6 and 15. Once the child reaches 16 years of age, they should be entered as employed, unemployed or pensioner (invalid pensioner).

EXAMPLES

Example 1: A 45 year old retired carpenter:

Employment Status 6 (Retired)

Example 2: A 4-year-old child attending pre-school:

Employment Status 1 (Child not at school)

Example 3: A 14-year-old child, not attending school and not employed:

Employment Status 4 (Unemployed)

Example 4: A 14-year-old child, attending school:

Employment Status 2 (Student)

Example 5: A 36 year old attending full time study at Curtin University, but working one evening a week at Pizza Hut:

Employment Status 2 (Student)

Example 6: 13-year-old adolescent with a disability, not attending school and not employed:

Employment Status 8 (Other)

Example 7: An 18 year old person with a disability, not employed and on an invalid pension:

Employment Status 7 (Pensioner)

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Example 8: A 20 year old person enlisted in the Defence Forces:

Employment Status 3 (Employed)

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0251 Employment status is not present Fatal 0252 Employment status is outside the valid range Fatal 0350 Age is invalid for employment status Warning

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EPISODE OF CARE LINK FIELD

Data element name: Episode of Care Link Field


Definition: The account number from the first episode of care in a formal admission.



Format: Character

Maximum length: 12

Permitted values: Must be the same as the Account Number if there is no change of episode during an admission.

GUIDE FOR USE

• The Episode of Care Link Field can be alphanumeric or numeric up to a maximum of 12characters.

• This field contains the Account/Admission Number from the first episode of care in a formaladmission.

• Where a statistical discharge is performed, this Episode of Care Link Field number is to becopied onto each subsequent episode of care within that admission for each care type change.For these subsequent episodes of care, the Account/Admission Number will contain a differentvalue to the Episode of Care Link Field.

EXAMPLES

Example 1: A patient was admitted for acute care, with Account/Admission Number 09203148, so the Episode of Care Link Number is also 09203148.

Account / Admission Number 0 9 2 0 3 1 4 8

Episode of Care Link Field 0 9 2 0 3 1 4 8

Example 2: The patient’s care type changed to rehabilitation care after a few days and so they were assigned a new Account/Admission Number 12349685. However, their Episode of Care Link Number stays as 09203148.

Account / Admission Number 1 2 3 4 9 6 8 5

Episode of Care Link Field 0 9 2 0 3 1 4 8

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ESTABLISHMENT

Data element name: Establishment (Hospital/Health Service)


HOSNAME

Definition: A unique four-digit number that is assigned globally by HMDS to each establishment that is required to report admitted activity information to the HMDS. The Establishment Code is an identifier for a reporting hospital.



Format: Number

Maximum length: 4

Permitted values: See Appendix 8: HMDS Reporting Establishment List

GUIDE FOR USE

• A list of valid hospital and health service establishments is provided in Appendix 8.• The establishments listed in Appendix 8 are hospitals or health services that are required by law

to report their admitted activity data to the HMDS.• Each organisation must only have one Establishment Code assigned.

Establishment Allocation

• Establishment Codes are assigned by HMDS. If your Establishment is new and you requireallocation in order to report data to HMDS, please contact HMDS to arrange allocation of aunique code.

• Updated establishment lists are uploaded to the Morbidity intranet (downloads) periodically forpublic hospitals to access throughout the year.

Difference between Establishment and Admitted From/Discharged To data elements

• Within the HMDS, the Admitted From and Discharged to data elements include EstablishmentCodes within their respective reference tables.

• It must be noted that the Admitted From and Discharged To data elements are designed tocapture the particular facility that the patient came from (on admission) or is being referred to(on discharged). These facilities can be valid reporting Establishments or they can be non-reporting facilities such as prisons, residential aged care facilities, hostels or community healthservices to name a few.

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EXAMPLES

Example 1: A patient was admitted to Bentley Hospital.

Establishment 0 2 5 5

Example 2: A patient was admitted to St John of God Health Care Murdoch.

Establishment 0 6 4 0

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0147 Invalid admission date for establishment Warning 0519 Invalid establishment for the ICD code xxx.xx Warning

0624 Admitting establishment cannot be the same as current establishment

Warning

0687 Cannot discharge on leave from same day establishment Fatal 0692 Funding source is public for establishment without contract Warning 0788 Est is a psych hospital and no psych days present Warning 0789 Est is a psych hospital and MHLS is not present Warning 0793 LOS equals psych days but no psych ward or est Warning

0842 Establishment does not have an open ICU/PICU but hours in ICU present

Warning

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FIRST AND SECOND FORENAMES

Data element name: First and second forenames


Given names Given Name 1st Given name and 2nd Given name

Definition: The patient’s identifying name within the family group or by which the person is socially identified, as represented by text. A patient may have more than one given name. All given names should be recorded.

Collection requirement: First name is mandatory


Format: Character

Maximum length: First Forename - 30 Second Forename - 30


GUIDE FOR USE

• First and second names field is a 30 character alphabetical field in which dots, dashes,apostrophes and hyphens are allowed.

• First and second names should be recorded as follows:

o When the forename of a baby aged less than 29 days is unknown, BABY is valid. Babiesof multiple births should be reported in the sequence of their birth

o If the forename of a person over 28 days old is unknown – “UNKNOWN” should berecorded.

o Do not include the patient’s alias name in the First Name field.o The use of brackets () for alias names is not recommended.o Alias names should be recorded in the Alias field in the hospital’s CPI or PMI.o Some patients only have one name by which they are known. Record this name in the

Surname field and enter “NO GIVEN NAME” in the First Name field.

EXAMPLES

Example 1: Edwin J Roberts was admitted to hospital.

First Forename EDWIN Second Forename J

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Example 2: A patient was admitted to hospital in a coma and her forename was not known.

First Forename UNKNOWN Second Forename

Example 3: A baby was born in hospital and was the second triplet of a multiple birth. The baby had not yet been named. The Mother's name was Karen.

First Forename TR TWO KAREN Second Forename

Example 4: A baby was born in hospital and was named Peggy Sue Jones.

First Forename PEGGY Second Forename SUE

Example 5: A newborn was admitted to hospital, the forename was not known and the mother's UMRN was not known.

First Forename BABY OF CATHERINE Second Forename

Example 6: Than Phoon, who is also known as Tony, was admitted to hospital. Do not enter Tony as the first name. If your computer system has a function or field for storing the alias name (e.g. TOPAS and HCARe), use the latter.

First Forename THAN Second Forename TONY

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0681 First forename should not be blank Warning

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FUNDING SOURCE

Data element name: Funding Source


Account Type Financial Class Claim Type (CAT CL)

Definition: The principal source of funds for an admitted patient episode.



Format: Character

Maximum length: 2

Permitted values: 21 - Australian Health Care Agreement 22 - Private Health Insurance 23 - Self-Funded 24 - Worker’s Compensation 25 - Motor Vehicle Third Party Personal Claim 26 - Other Compensation 27 - Department of Veterans’ Affairs 28 - Department of Defence 29 - Correctional Facility 30 - Reciprocal Health Care Agreement 31 - Ineligible 32 - Other 33 - Ambulatory Surgery Initiative 34 - Detainee

GUIDE FOR USE

• Funding Source must be captured for all patients as soon as practicable following admission tohospital. The patient must elect in writing to be treated as either public or private.

• Funding Source is independent of the patient’s Insurance Status. For example, a patient withprivate health insurance can have a Funding Source election of either public or private.

• All qualified and unqualified newborns must have the same Funding Source as their mother.

VALUE DEFINITIONS

21 - Australian Health Care Agreements

Australian Health Care Agreements (AHCA) should be recorded as the Funding Source for:

• Medicare eligible admitted patients who elect to be treated as public patients; and• Medicare eligible emergency department patients; and

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• Medicare eligible patients presenting at a public hospital outpatient department for whom thereis not a third party arrangement.

Includes public admitted patients in private hospitals funded by state or territory health authorities (at the state or regional level).

Excludes inter-hospital contracted patients and overseas visitors who are covered by Reciprocal Health Care Agreements and elect to be treated as public admitted patients.

22 – Private Health Insurance

Applies to a patient who is eligible for treatment under the Australian Health Care Agreements and elects in writing to be treated as an admitted private patient by a medical practitioner of his/her own choice and is covered for hospital care by a private health insurance fund.

Excludes overseas visitors for whom travel insurance is the major funding source.

23 – Self Funded

Applies to a patient who is eligible for treatment under the Australian Health Care Agreements and elects in writing to be treated as an admitted private patient by a medical practitioner of his/her own choice, and is responsible for paying all hospital charges during the admission episode.

Professional charges raised by any medical or dental practitioner treating him or her and the charges for any other services agreed between the Commonwealth Minister and the State Minister is the responsibility of the patient. This includes patients who have given expressed or implied consent to another person to make the financial election on their behalf.

24 - Worker’s Compensation

Applies to patients who are entitled to claim damages under the Workers’ Compensation and Injury Management Act 1981. Include persons injured at their place of work where their employer’s workers compensation insurance will pay for hospital and medical charges incurred during the hospital admission.

25 - Motor Vehicle Third Party Personal Claim

Applies to patients involved in a motor vehicle accident (MVA) and whose personal injury claims for hospital and medical charges are covered by Motor Vehicle Third Party Insurance. The insuring party may be the Insurance Commission of Western Australia or equivalent agencies from other Australian States (e.g. Eastern States MVIT).

From July 2004, the Insurance Commission of WA will meet the costs of Emergency medical treatment for patients treated in an Emergency Department and/or admitted into an Intensive Care Unit, as a result of personal injury arising from a MVA involving a Western Australian registered vehicle irrespective of liability considerations.

Vehicles not covered include:

• Unregistered farm utility used solely for on farm use• Dune buggy/trail bike used for off-road recreational purposes• Non-West Australian, or Commonwealth registered vehicles that are the only vehicles involved

in the accident

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Refer to Operational Circular 1939/05: Motor vehicle accident (MVA) – payment arrangements with the Insurance Commission of Western Australia (ICWA) for emergency medical treatment.

26 – Other Compensation

Applies to a patient who is entitled to claim compensation under public liability, common law or medical negligence.

Includes compensation from a sporting club / association or other party where the latter are responsible for payment of the hospital account.

Foreign shipping company employees have their hospital and medical charges covered by the employing shipping company.

Excludes patients covered under Workers Compensation, Motor Vehicle Third Party Personal claims, and Department of Defence, Department of Veterans’ Affairs and Travel Insurance claims.

27 – Department of Veterans’ Affairs

Applies to a patient eligible for Veterans’ Affairs beneficiary and whose hospital and medical charges are covered by the Department of Veterans’ Affairs (DVA). These include payment by DVA for public hospital treatment of DVA gold cardholders for all conditions or payment of public hospital treatment of DVA white cardholders for specific war/conflict-related conditions.

28 – Department of Defence

Applies to a patient who is a member of the Australian Defence Forces. Defence personnel injured at work are covered under this classification, not Worker’s Compensation.

Please note that members of overseas defence forces should be coded to 31 – Ineligible unless they are involved in joint armed forces exercises and are covered under a special health cover agreement with the Department of Defence.

29 – Correctional Facility

To be used for prisoners and other patients admitted to a hospital where the Department of Justice should be responsible for the payment of the hospital and medical charges.

These patients are currently treated as a public patient although the funding source is Correctional Facility.

Illegal immigrants do not come under this funding source; they should be assigned to category 34 –Detainee.

30 – Reciprocal Health Care Agreement

Australia has Reciprocal Health Care Agreements (RHCA) with: Belgium New Zealand Finland Norway Italy Sweden Ireland Slovenia Malta United Kingdom Netherlands

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RHCAs provide for free accommodation and treatment as public hospital services, but do not cover treatment as a private patient in any kind of hospital.

RHCAs with Belgium, Finland, Italy, Malta, the Netherlands, Norway, Sweden, Slovenia and the United Kingdom provide free care as a public patient in public hospitals, subsidised out-of-hospital medical treatment under Medicare, and subsidised medicines under the Pharmaceutical Benefits Scheme.

RHCAs with New Zealand and Ireland provide free care as a public patient in public hospitals and subsidised medicines under the Pharmaceutical Benefits Scheme, but do not cover out-of-hospital medical treatment (i.e. visiting a general practitioner).

Visitors from Italy and Malta are only covered for a maximum period of six months from their date of arrival in Australia.

Excludes overseas visitors who elect to be treated as private patients.

31 – Ineligible

Applies to patients who are not covered under the Australian Health Care Agreement, and are not considered exempt from fees for service.

Ineligible patients include:

• Overseas visitors whose countries of origin do not have Reciprocal Health Care Agreementswith Australia. (Generally, all fees for service would be covered by travel insurance for thesepatients).

• Foreign Defence Force personnel (unless there is a special arrangement with the AustralianDefence Force to provide health care cover for these patients while involved in a joint exercise).

• Any other ineligible patients who are not covered by any of the other funding source categorieslisted.

The Insurance Commission of Western Australia may cover overseas visitors involved in traffic accidents.

32 – Other

Applies to patients who do not satisfy the requirements of any other funding source categories. Includes:

• Overseas patients receiving humanitarian treatment – those not covered by Commonwealthfunding.

• Overseas students covered by private health insurance; these patients have special feearrangements.

33 – Ambulatory Surgery Initiative

Applies to patients who are admitted to the Ambulatory Surgery Initiative (ASI). ASI has been undertaken at some public hospitals to cater for day surgery cases that can be done as ambulatory care.

Please refer to Operational Directive 0467/13: Business Rules Applying To The Ambulatory Surgery Initiative (Version: Oct 2013).

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34 – Detainee

Applies to patients who are, on admission, deemed as ineligible immigrants detained in an Immigration Detention Centre. Identification of Detainee patients facilitates fiscal reimbursement by the Commonwealth for any health services provided to detainees.

EXAMPLES

Example 1: A patient is admitted with a work-related injury, where the company is responsible for payment.

Funding Source for Hospital Patient 2 4 (Worker’s Compensation)

Example 2: A patient is admitted for treatment of an injury sustained in a motor vehicle accident, where the Insurance Commission of WA is responsible for payment.

Funding Source for Hospital Patient 2 5 (Motor Vehicle Third Party Personal Claim)

Example 3: A patient is admitted after falling and injuring her back in the local supermarket. She is making a public liability insurance claim.

Funding Source for Hospital Patient 2 6 (Other Compensation)

Example 4: A patient with a Repatriation Health Gold Card is admitted to a public hospital for treatment of chronic airways limitation.

Funding Source for Hospital Patient 2 7 (DVA)

Example 5: A patient from Netherlands is admitted to a public hospital following a Stroke.

Funding Source for Hospital Patient 3 0 (RHCA)

Example 6: A Japanese tourist was admitted for treatment of abdominal pain.

Funding Source for Hospital Patient 3 1 (Ineligible)

Example 7: An Overseas Student is admitted with appendicitis to Royal Perth Hospital.

Funding Source for Hospital Patient 3 2 (Other)

Example 8: A patient is attending hospital under the Ambulatory Surgery Initiative.

Funding Source for Hospital Patient 3 3 (Ambulatory Surgery Initiative)

Example 9: A patient from the Christmas Island Detention Centre is admitted to Royal Perth Hospital for treatment of Pneumonia. Patient is an illegal immigrant.

Funding Source for Hospital Patient 3 4 (Detainee)

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DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0185 Payment classification/funding source is outside the valid range Fatal 0186 Payment classification is not present Fatal 0688 Funding source of other for unqualified newborn Warning 0692 Funding source is public for establishment without contract Warning

0689 Funding source of private health insurance must have insurance status of yes

Warning

0690 Funding source of self-funded must have insurance status of no Warning

0691 Funding source of correctional facility must have insurance status of no

Warning

0758 Ambulatory care does not match funding source Warning 0771 COB Australia with pay class of ineligible/other Warning

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HOURS IN INTENSIVE CARE UNIT

Data element name: Hours in Intensive Care Unit


Hours in ICU Not Applicable (no recognised ICUs) Not Applicable (auto-calculated on extract)

Definition: The number of hours spent in a designated intensive care bed during an episode of admitted care, rounded to the nearest hour.

Collection requirement: Conditional (required if time spent in a designated intensive care bed; blank otherwise)


Format: Number

Maximum length: 5

Permitted values: 00001 - 99999

GUIDE FOR USE

• ICU hours cannot be greater than Length of Stay, and cannot include any periods of leave.• Report the hours in ICU for each episode of care type reported within an admission. For

example, if a patient has been statistically discharged between Care Types and had more thanone period of stay in a designated ICU bed, report hours in ICU for each Care Type change. Donot aggregate the hours in ICU for each Care Type and report the aggregate hours on the finaldischarge.

• Round the hours in ICU, up or down to the nearest hour. If 0 – 29 minutes round down to 0hours. If 30 – 59 minutes round up to 1 hour. For example, if a patient was in a designated ICUbed for 19 hours and 20 minutes, round down the total hours in ICU to 19 hours.

• This data element includes hours spent in:

o Adult Intensive Care Unit, Level 3o Adult Intensive Care Unit, Level 2o Adult Intensive Care Unit, Level 1o Paediatric Intensive Care Unito Neonatal Intensive Care Unit, Level 3

• This data element excludes hours spent in:

o Critical Care Unitso High Dependency Unitso Level 2 Nurseries

Days in a Level 2 Nursery must be reported as qualified newborn days.

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EXAMPLES:

Example 1: Admitted to ICU 12/04/2013 at 1300 hours Discharged from ICU 12/04/2013 at 1720 hours Total time in ICU = 4 hours and 20 minutes. Round down to 4 hours

Reported as 00004

Example 2: Admitted to ICU 15/07/2013 at 1315 hours Discharged from ICU 19/07/2013 at 1600 hours Total time in ICU = 98 hours and 45 minutes. Round up to 99 hours

Reported as 00099

Example 3: Admitted to ICU 20/09/2013 at 2000 hours Discharged from ICU 20/09/2013 at 2020 hours Total time in ICU = 20 minutes. Round down to 0 hours

No hours reported. Field left blank.

Example 4: Admitted to ICU 15/03/2013 at 0900 hours Discharged from ICU 15/03/2013 at 1330 hours Total time in ICU = 4 hours and 30 minutes. Round up to 5 hours

Reported as 00005

Types of Intensive Care Units

• An ICU is a designated ward of the hospital that is especially staffed and equipped to provideobservation, care and treatment to patients with actual or potential life-threatening illnesses,injuries or complications from which recovery is possible. The ICU provides special expertiseand facilities for the support of vital functions and utilises the skills of medical, nursing and otherstaff trained and experienced in the management of these problems.

• There are five different types and levels of ICU:

1. Adult intensive care unit, Level 32. Adult intensive care unit, Level 23. Adult intensive care unit, Level 14. Paediatric intensive care unit5. Neonatal intensive care unit, Level 3

These intensive care units are defined according to three main criteria as follows:

a) The nature of the facilityb) The care processc) The clinical standards and staffing requirements

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Clinical standards and staffing requirements:

An intensive care unit must substantially conform to the appropriate guidelines of the Australian Council of Health Care Standards.

Adult Intensive Care Unit, Level 3

Nature of facility: A Level 3 adult ICU must be a separate and self-contained facility in the hospital capable of providing complex, multi-system life support for an indefinite period. It must be a tertiary centre for patients in need of intensive care services and have extensive back up laboratory and clinical service facilities to support this tertiary referral role.

Care process: A Level 3 adult ICU must be capable of providing mechanical ventilation, extracorporeal renal support services and invasive cardiovascular monitoring for an indefinite period. These types of service are illustrative of the nature of the care provided in a Level 3 adult intensive care unit but are not exhaustive of the possibilities.


Nature of facility: A Level 2 adult ICU must be a separate and self-contained facility in the hospital capable of providing complex, multisystem life support.

Care process: A Level 2 adult ICU must be capable of providing mechanical ventilation, extracorporeal renal support services and invasive cardiovascular monitoring for a period of at least several days, or for longer periods in remote areas. These types of service are illustrative of the nature of the care provided in a Level 2 adult intensive care unit but are not exhaustive of the possibilities.


Nature of facility: A Level 1 adult ICU must be a separate and self-contained facility in the hospital capable of providing basic, multisystem life support usually for less than a 24-hour period.

Care process: A Level 1 adult ICU must be capable of providing mechanical ventilation and simple, invasive cardiovascular monitoring for a period of at least several hours. These types of service are illustrative of the nature of the care provided in a Level 1 adult intensive care unit but are not exhaustive of the possibilities.

Do not report hours in High Dependency Units (HDU) and Critical Care Units (CCU) in the Hours of ICU care.

Paediatric Intensive Care Unit

Nature of facility: A paediatric ICU must be a separate and self-contained facility in the hospital capable of providing complex, multisystem life support for an indefinite period. It must be a tertiary referral centre for children needing intensive care services and have extensive back up laboratory and clinical service facilities to support this tertiary role.

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Care process: A paediatric ICU must be capable of providing mechanical ventilation, extracorporeal renal support services and invasive cardiovascular monitoring for an indefinite period to infants and children less than 16 years of age. These types of service are illustrative of the nature of the care provided in a paediatric intensive care unit but are not exhaustive of the possibilities.

Neonatal Intensive Care Unit, Level 3 Nature of facility: A Level 3 neonatal ICU must be a separate and self-contained facility in

the hospital capable of providing complex, multisystem life support for an indefinite period.

Care process: A Level 3 neonatal ICU must be capable of providing mechanical ventilation and invasive cardiovascular monitoring. These types of service are illustrative of the nature of the care provided in a Level 3 neonatal ICU but are not exhaustive of the possibilities.

The hospitals in WA who have neonatal ICU under this definition are King Edward Memorial Hospital and Princess Margaret Hospital.

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0840 Hours in ICU invalid Warning 0841 Hours ICU exceeds the length of stay Warning

0842 Establishment does not have an open ICU / PICU but hours in ICU present

Warning

0843 Care type is not acute or newborn but hours in ICU are present Warning

0844 Hours in ICU has been provided for a separation prior to 1 July 2013

Warning

0845 Days in ICU has been provided for a separation post 1 July 2013 Warning 0846 Mechanical ventilation procedure without Hours in ICU Warning

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INDIGENOUS STATUS

Data element name: Indigenous Status


Indigenous Status Indigenous Status Aboriginality

Definition: Whether a person identifies as being of Aboriginal and/or Torres Strait Islander origin.



Format: Character

Maximum length: 1

Permitted values: 1 - Aboriginal but not Torres Strait Islander 2 - Torres Strait Islander but not Aboriginal 3 - Both Aboriginal and Torres Strait Islander 4 – Neither Aboriginal nor Torres Strait Islander

GUIDE FOR USE

• Collection of indigenous status is extremely important in health data collections throughout Australia. Historically there have been significant data quality issues with the collection of this data item resulting in unreliable measures of indigenous inpatient activity. Of note, there may be a loading applied by the Independent Hospital Pricing Authority (IHPA) to account for additional costs of treatment of Aboriginal and Torres Strait Islander patients.

• There are three components to this definition: descent, self identification and community acceptance. All three should be satisfied for a person to be Aboriginal. However, it is not possible to collect proof of descent or community acceptance in the hospital setting. If a person identifies himself or herself as Aboriginal, then assign the most appropriate code (1-3):

• The following question must be asked of ALL PATIENTS:

"Are you (or your family member) of Aboriginal or Torres Strait Islander origin?" • In circumstances where is it impossible to ask the patient directly, such as in the case of death

or lack of consciousness, the question should be asked of a close relative or friend if available to do so.

• If the Admission Clerk is unable to speak directly with the patient, the ward staff should ask the patient the above question, or ask a close relative or friend if the patient is not able to provide the information.

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VALUE DEFINITIONS

1 - Aboriginal but not Torres Strait Islander

An Aboriginal is a person of Aboriginal descent who identifies as an Australian Aboriginal.

2 - Torres Strait Islander but not Aboriginal

A Torres Strait Islander is a person of Torres Strait Island descent who identifies as Torres Strait Islander.

3 - Both Aboriginal and Torres Strait Islander

A person who identifies as both an Australian Aboriginal and Torres Strait Islander.

4 - Other

A person who does not identify as either an Australian Aboriginal, Torres Strait Islander or both. Generally, a person who identifies under this category are considered "Non-Indigenous". Persons of other ethnicity such as Caucasian, Afro-American (Negro), Polynesian, Asian or Indian must be recorded as 4 - Other.

EXAMPLES

Example 1: A patient of Negroid ethnicity was admitted. The patient is not an Aboriginal nor Torres Strait Islander.

Indigenous Status 4 (Other)

Example 2: An Aboriginal patient was transferred from Kununurra, and gave his place of birth as

Torres Strait. (Note: It is important to clarify whether the patient wants both heritages recorded. If so, the following code assignment should be made).

Indigenous Status 3 (Aboriginal and Torres Strait Islander)

Example 3: If the patient does not wish to have both heritages recorded then assign the heritage

as provided by the patient (Aboriginal but not Torres Strait Islander).

Indigenous Status 1 (Aboriginal not Torres Strait Islander)

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0259 Indigenous code is not present Fatal 0260 Indigenous code is outside valid range Warning 0340 Invalid indigenous code/country of birth combination Warning

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INFANT WEIGHT

Data element name: Infant Weight


Admission Wt Adm Wt Admission Weight

Definition: The first weight, in grams, of the live-born baby obtained after birth, or the weight of the neonate or infant on the date admitted if this is different from the date of birth.

Collection requirement: Conditional (required if < 1 year of age)


Format: Number

Maximum length: 4

Permitted values: 0001 to 9999 gms

GUIDE FOR USE

• The weight of all patients less than 1 year of age must be reported to the HMDS, that is either the:

o First weight recorded after birth for a live born newborn during the hospital admission for the birth episode. (Note: The birth of stillborn babies is not reported to the HMDS) OR

o The weight of the on admission (where the baby was born elsewhere or born during the mother’s previous admission to hospital).

o Infant weight should be recorded for all infants if they are less than 1 year of age. For infant admission weights that are greater (>) than 9999 gms, please record as 9999 gms.

o For infants admitted as boarders, an infant weight does not need to be recorded. Some systems may require a weight to be recorded, in which case it is permissible to do so as per directives above. EXAMPLES

Example 1: A 10-day old baby was readmitted for circumcision and his admission weight was 4130 grams.

Infant Weight 4 1 3 0

Example 2: A premature baby six months old with a low birth weight was transferred to another

hospital to increase weight and condition, and on admission weighed 1820 grams.

Infant Weight 1 8 2 0

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Example 3: An eleven month old baby was admitted with RSV positive bronchiolitis with an

admission weight of 10,200 grams.

Infant Weight 9 9 9 9 * It is imperative that infant weights 10,000 gms or greater be recorded as 9999 grams. This will ensure that DRG assignment is not adversely impacted.

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 110 Infant weight is mandatory and is presently blank Fatal

886 Age at admission is less than 1 year of age and no admission weight recorded

Warning

887 Infant weight is only reportable for patients less than 1 year of age

Warning

888 The reported admission weight is outside the expected range for the patient

Warning

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INSURANCE STATUS

Data element name: Insurance Status


Hosp Health Ins Derived Health fund

Definition: Indicates whether patient has hospital insurance.



Format: Character

Maximum length: 1

Permitted values: 1 – Yes ( Hospital Insurance) 2 – No (No Hospital Insurance)

GUIDE FOR USE

• This data element indicates whether the patient has hospital insurance, not their method of payment for the episode of care.

• If a patient does not have Hospital Insurance cover, they can still be admitted as a private patient, but the Funding Source must be ‘Self-Funded’ and the Insurance Status must be ‘No’.

• If a patient elects their Funding Source to be Private Health Insurance, the Insurance Status must be ‘Yes’.

VALUE DEFINITIONS

1 – Yes (Hospital Insurance)

A patient is deemed to have hospital insurance if they have: • Registered insurance - hospital insurance with a health insurance fund registered under the

National Health Act 1953 (Cth); or • General insurance - hospital insurance with a general insurance company under a guaranteed

renewable policy providing benefits similar to those available under registered insurance; or • No hospital insurance or benefits coverage under the above.

2 – No (No Hospital Insurance)

No hospital insurance includes patients who are not covered by any benefits as outlined above. A patient who has ancillary benefits only does not have hospital insurance. Ancillary benefits do not cover admission to hospital as a private patient.

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Patients who have taken out hospital insurance, but are not covered for a particular procedure due to waiting period requirements of the health fund, are not considered to have Hospital Insurance for that admission.

EXAMPLES

Example 1: A patient was admitted to a public hospital as a private patient for treatment and the Health Insurance Fund accepted responsibility for payment.

INSURED 1

Example 2: A patient is admitted to a public hospital, and their private insurance covers ancillary

benefits only.

DOES NOT HAVE HOSPITAL INSURANCE 2 Example 3: A patient is admitted to a public hospital and has no private insurance.

DOES NOT HAVE HOSPITAL INSURANCE 2 Example 4: A patient is admitted to a public hospital with private hospital insurance but has

opted to be admitted as a public patient.

INSURED 1 Example 5: An overseas student is admitted to a public hospital with private hospital insurance

as they have joined HBF to provide Health Insurance cover while they are studying in Australia.

INSURED 1

Example 6: A prisoner is admitted to a public hospital from Casuarina prison.

NO HOSPITAL INSURANCE 2 Example 7: A person is admitted from New Zealand, and does not have any private health

insurance. However, New Zealand has a Reciprocal Health Care Agreement with Australia.

NO HOSPITAL INSURANCE 2

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0113 Insurance status is outside valid range Fatal 0164 Insurance status is blank and is a mandatory field Fatal

0689 Funding source of private health insurance must have insurance status of yes

Warning

0690 Funding source of self-funded must have a insurance status of no Warning

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0691 Funding source of correctional facility must have insurance status of no

Warning

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INTENDED LENGTH OF STAY

Data element name: Intended Length of Stay


Intended Same Day Intended LOS Intended Stay (CAT VI)

Definition: The intention of the responsible clinician at the time of the patient's admission to hospital or at the time the patient is placed on an elective surgery waiting list, to discharge the patient either on the day of admission or a subsequent date, as represented by a code.



Format: Character

Maximum length: 1

Permitted values: 1 - Intended same-day stay 2 - Intended overnight stay

GUIDE FOR USE

• Intended length of stay should be assigned on admission and should not be revised regardless of the actual length of stay.

• Where the intended length of stay is not known on admission, the value for the intended overnight stay is assigned.

VALUE DEFINITIONS

1 - Intended same-day stay

Applies to any patient where the doctor on admission decides that the hospital stay will be for one day only. This means, the intention of the doctor at admission is to admit and discharge the patient on the same date. A complication may occur or a late theatre listing may mean a risk in discharging the patient on the same day and the patient may actually need to stay in hospital overnight or for a longer period. However, because the intention at admission was to admit and discharge on the same day, the patient remains as an intended same day stay.

2 - Intended overnight stay

Applies to any patient where the doctor at admission decides that the hospital stay will be overnight. The actual number of days the patient stays in hospital will not affect this category.

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EXAMPLES

Example 1: A patient was admitted to a day ward for uncomplicated cataract extraction, which the clinician indicated would take four hours and the patient would be discharged later the same day.

Intended Length of Stay 1

Example 2: A patient admitted for cataract extraction was intended for discharge on the same

day. Patient developed respiratory failure after surgery and was transferred to ICU for five days. Final discharge was nine days after admission.


Example 3: A patient admitted in the morning for treatment of concussion was discharged later

that day, although it was planned to admit the patient overnight.

Intended Length of Stay 2 Example 4: A patient was admitted to hospital for monitoring of a cardiac condition that was

thought to require an overnight stay. On ECG, it was found to be a harmless anomaly and the patient was discharged on the day of admission.


DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0116 Intended length of hospital stay is not present Fatal 0173 Intended length of stay value is outside of range Warning

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INTERPRETER SERVICE

Data element name: Interpreter Service


Interpreter Service Interpreter Interpreter

Definition: Whether an interpreter service is required by or for the patient.



Format: Character

Maximum length: 1

Permitted values: 1 - Yes 2 - No

GUIDE FOR USE

• The use of an interpreter service may be necessary for any language, including non verbal languages, used by the patient for communication.

• This information is required by the interpreter services to establish the use of these resources in the health sector.

• This data item should only have a value of (1) Yes if an official paid interpreter service is used. • Family members or friends interpreting for the patient are not considered as providing an

interpreter service for the purposes of completing this data item. However, if an interpreter service is required for a patient’s relative because the patient cannot communicate for some reason, this field should be completed on the patient’s admission. This may apply to patients who are unconscious; or newborn babies and small children whose relatives are not fluent in English and require an interpreter to communicate on the patient's behalf.

EXAMPLES

Example 1: A patient is admitted to hospital for treatment of a urinary tract infection and cannot speak English. Interpreter is required.

Interpreter Service 1

Example 2: A patient is admitted primary language is not English but the patient can speak

English. Interpreter is not required.

Interpreter Service 2

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DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0170 Interpreter service is outside the valid range Warning

0171 Interpreter service is not present when Language does not equal English

Warning

0688 Language required when an interpreter was used Warning

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LANGUAGE

Data element name: Language


Language Language Language

Definition: The language (including sign language) most preferred by the person for communication.

Collection requirement: Conditional (required if used interpreter; blank otherwise)


Format: Character

Maximum length: 4

Permitted values: See Appendices 2A and 2B: Language Codes

GUIDE FOR USE

• This data item should only be completed if an official paid interpreter service is used. • Family members or friends interpreting for the patient are not considered as providing an

interpreter service for the purposes of completing this data item. • The language can include sign language.

EXAMPLES

Example 1: An interpreter service was used for a patient who spoke Greek only.

Language 2 2 0 1 Example 2: A patient with Sensori-Neural Deafness using Sign language required an interpreter

from the Deaf Society.

Language 9 7 9 9 Example 3: A patient’s family member (who is not an official paid interpreter) interpreted for a

patient who spoke only Croatian.

Language Example 4: An Indonesian patient was admitted for cataract surgery but no interpreter service

was required as the patient spoke adequate English.

Language

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DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0688 Language required when an interpreter was used Warning

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LEAVE DAYS (TOTAL)

Data element name: Leave Days (Total)


Derived Derived Derived

Definition: Sum of the length of leave (date returned from leave minus date went on leave) for all periods within the hospital stay.

Collection requirement: Conditional (required if leave taken; blank otherwise)


Format: Number

Maximum length: 4

Permitted values: NNNN

GUIDE FOR USE

• Sum of the length of leave (date returned from leave minus date went on leave) for all periods within period of admitted patient care between a formal or statistical admission and a formal or statistical separation, characterised by only one care type. This will be the same number of days recorded for accounting purposes.

• The following rules apply in the calculation of leave days.

o The day the patient goes on leave is counted as a leave day. o The day the patient is on leave is counted as a leave day. o The day the patient returns from leave is counted as a patient day. o If the patient is admitted and goes on leave on the same day, this is counted as a patient

day, not a leave day. o If the patient returns from leave and then goes on leave again on the same day, this is

counted as a leave day. o If the patient returns from leave and is separated on the same day, the day should not be

counted as either a patient day or a leave day.

• A leave day is counted if the patient is on leave from the hospital overnight.

• The maximum number of consecutive leave days allowable is 7 days. If a patient is on leave for greater than 7 days, the patient should be discharged and readmitted on returning from leave.

• For involuntary mental health inpatients, the maximum consecutive leave days is 28. Patients not returning after 28 days should be discharged and readmitted if they return from leave.

• For HITH patients, the days that the patient was not receiving care or treatment must be

reported as leave days. If scheduled care is cancelled or the patient is not at home when HITH staff visit, a leave day must be reported for the patient.

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Patients not returning from leave

• Patients who are permitted leave with the intention of returning to resume care and do not return from their leave, must be contacted to ascertain if they are returning to hospital. If the patient does not return they must be discharged. The discharge date is recorded as the date the patient went on leave.

• For Involuntary Mental Health inpatients, please consult the Mental Health Act with regard to stipulations and conditions set down for Involuntary inpatients granted leave of absence.

• There are occasions when the days on leave will equal the length of stay resulting in a length of stay calculation of zero days. As the patient would have spent some time in hospital, perhaps not overnight, the HMDS will round up the day to a 1-day length of stay. This is similar to the approach used in the calculation of length of stay for same day patient admissions.

EXAMPLES

Example 1: A patient goes on overnight leave on the second day in hospital, returns to hospital for 3 days, goes on overnight leave for one day, returns to hospital for 1 day and is discharged the next day.

TOTAL LEAVE DAYS 0 0 2

Example 2: A patient goes on leave from 0900hrs and returns that evening at 2000hrs. (This

leave period should not be reported to HMDS, as the patient was not on leave overnight.)


Example 3: A patient goes on leave on the evening of the 20th July and returns on the 22nd

July. The patient has been on leave from the hospital for two nights.

TOTAL LEAVE DAYS 0 0 2 Example 4: A patient is transferred to HITH post surgery and visited by HITH team Tuesday to

Friday with no visits scheduled over the weekend. The patient was put on leave Saturday and Sunday, returned from leave Monday and had their last visit that day. The patient was discharged from HITH on Tuesday.


Example 5: A patient is discharged with a Mode of Separation of Statistical Discharge while on

leave and leave days are blank.


DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0141 Total leave days is over 100 days Warning 0142 Total leave days is greater than or equal to the length of stay Warning 0655 Leave days does not correspond with leave periods Warning

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Edit Number Edit Message Edit Severity 0798 Leave periods are greater than leave days Warning 0881 A leave period is greater than 7 days during this admission Warning 0882 An involuntary patient has a leave period in excess of 28 days Warning

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LEAVE PERIODS (NUMBER OF)

Data element name: Leave Periods (number of)


Derived Derived Derived

Definition: Number of leave periods in a hospital stay (excluding same day leave periods for admitted patients).

Collection requirement: Conditional (required if any leave was taken; blank otherwise)


Format: Number

Maximum length: 2

Permitted values: NN

GUIDE FOR USE

• Leave period is a temporary absence from hospital overnight, with medical approval for a period no greater than seven consecutive days (excluding Involuntary psychiatric inpatients).

• This data element now takes into account the Mental Health Act 1996 for psychiatric inpatients and differentiates the period of consecutive leave allowable for Involuntary inpatients. Under the Mental Health Act 1996, an Involuntary patient is allowed a leave of absence period of 28 consecutive days.

• If the period of leave is greater than seven days (or 28 days for Involuntary psychiatric inpatients) or the patient fails to return from leave, the patient is to be discharged.

• There must be at least one overnight leave day on different occasions to report as separate periods of leave (see example below).

• If a patient is on leave for part of a day and was not on leave overnight this should not be reported to HMDS as a Leave Day or a Leave Period.

• If the leave period exceeds 7 days (or 28 days for Involuntary psychiatric inpatients) and the patient does not return, the patient should be discharged and readmitted if or when they return. The discharge date is recorded as the date the patient went on leave.

EXAMPLES

Example 1: A patient was admitted to hospital on 1st January 2004 and discharged on 8th January 2004. The patient went on leave overnight from the 6th January 2004 to the 7th January 2004.

LEAVE PERIOD 0 1 LEAVE DAYS 0 1

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Example 2: A patient was admitted to hospital for 3 months and during the episode of care the patient went on leave for two days on four weekends.

LEAVE PERIODS 0 4 LEAVE DAYS 0 8

Example 3: A patient was admitted to hospital for seven days and went on leave for six hours on

one day.


Example 4: Patient was admitted to hospital for 14 days and put on leave with the intention of

returning to continue treatment within 7 days. As the patient did not return from leave during this time they were contacted and advised they would not be returning. The patient was discharged on the date they were recorded as going on leave.


DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0655 Leave days does not correspond with leave periods Warning 0798 Leave periods are greater than leave days Warning 0881 A leave period is greater than 7 days during this admission Warning 0882 An involuntary patient has a leave period in excess of 28 days Warning

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MARITAL STATUS

Data element name: Marital Status


Marital Status Marital Status Marital Status (CAT M)

Definition: The marital status is a person's current relationship status in terms of a couple relationship; or for those in a couple relationship, the existence of a current or previous registered marriage.



Format: Character

Maximum length: 1

Permitted values: 1 - Never married 2 - Widow/Widower 3 - Divorced 4 - Separated 5 - Married 6 - Unknown

GUIDE FOR USE

• The category “5–Married” applies to registered unions and de facto relationships, including same sex couples.

• Where a patient’s marital status has not been specified and the patient is a minor (16 years of age or less), assign “1-Never Married” as a default.

EXAMPLES

Example 1: A 12-year-old pregnant girl in a de facto relationship is admitted to have her baby. (This will raise a warning edit and will require confirmation).

Marital Status 5

Example 2: Five-year-old child admitted and marital status is Never Married

Marital Status 1

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0174 Marital status is not present Fatal

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Edit Number Edit Message Edit Severity 0175 Marital status is outside of the valid range Fatal 0351 Marital status is invalid for the age category Warning

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MEDICARE CARD NUMBER / MEDICARE PERSON NUMBER

Data element name: Medicare Card Number Medicare Person Number

System specific names:

TOPAS: HCARe: webPAS:

Medicare Number Medicare Number Medicare Number

Definition: Person identifier that appears on a Medicare card that is allocated by the Health Insurance Commission to eligible persons under the Medicare scheme.

The individual person or reference number given to each person listed on the Medicare Card. The number is listed to the right of the Medicare Number.

Collection requirement:

Medicare Number is not mandatory Conditional: The individual person number is required if the 10 digit Medicare number is provided


Format: Number Number

Maximum length: 10 1

Permitted values: Must be a valid current Medicare Number issued by the Health Insurance Commission.

Must be a valid current Medicare Person Number issued by the Health Insurance Commission.

GUIDE FOR USE

The Medicare Card Number should be collected from the physical sighting of the Medicare Card. Collecting full Medicare Card details involves recording both the Medicare Card Number (10 digits) and the Medicare Person Number (1 digit). Full Medicare Card details are used to define eligibility for specific services and not as a patient identifier. As persons can be listed on more than one Medicare Card, the full Medicare number is not a unique identifier and should not be used for this purpose. EXAMPLES Example 1: Child X appears on two different Medicare Cards held in the names of both their

mother and father who are living apart. Each Medicare Card has a separate Medicare Card Number and thus the child will have two valid Medicare Numbers.

The card presented by the parent attending with the child is recorded for that

attendance. NB: For this reason it is good practice to request the physical sighting of the Medicare Card at each attendance.

Medicare Number 6 0 1 3 0 0 0 0 0 0

Medicare Person Number 2

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DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0853 Medicare Person number is an invalid format Warning

0854 Medicare Person number is present but Medicare number is not present

Warning

0855 Medicare number is in an invalid format Warning 0856 Medicare number is an invalid number Warning

0857 Medicare Person number is blank but the Medicare number is not blank

Warning

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MENTAL HEALTH LEGAL STATUS

Data element name: Mental Health Legal Status (MHLS)


MH Legal Status MH Status Mental Health Legal Status

Definition: Whether a person is treated on an involuntary basis under the relevant state or territory mental health legislation, at any time during an episode of admitted patient care or treatment of a patient/client by a community based service during a reporting period, as represented by a code.

Collection requirement: Conditional (required if mental health patient; blank otherwise)


Format: Character

Maximum length: 1

Permitted values: 1 - Involuntary 2 - Voluntary

GUIDE FOR USE

• A MHLS should be reported for a patient who is treated on an involuntary or voluntary basis under the Mental Health Act 1996, at any time during an episode of admitted patient care while in a designated unit.

• MHLS item is required to monitor trends in the use of compulsory treatment provisions under State and Territory mental health legislation by Western Australian hospitals and community health care facilities.

• If a patient is admitted for psychiatric examination and thereafter deemed not requiring admission, the Mental Health Act 1996 considers the legal status of this patient as ‘detained’. Until such times as there is a means to collect a legal status of ‘detained’ in all patient management systems, the only reportable legal status options remain as Voluntary or Involuntary. Therefore, for these patients, no MHLS is expected to be reported through to HMDS. There will still be an edit raised given that no MHLS is reported, however, sites just need to investigate and provide information as to the Forms issued for the patient to substantiate a blank MHLS.

• Please refer to the OD 0493/14 Allocating and reporting Mental Health Legal Status in Specialised Mental Health Services.

Multiple MHLS within an Episode of Care

• The mental health legal status of admitted patients treated within approved hospitals may change many times throughout the episode of care. Patients may be:

o Admitted to hospital as involuntary and subsequently changed to voluntary; or o Admitted as voluntary but transferred to involuntary during the hospital stay.

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• Where this occurs, the involuntary status overrules and the hospital should report the MHLS asinvoluntary to HMDC.

VALID VALUES

1 - Involuntary

If a person is not willing to provide consent or is unable to give consent for treatment, and in the opinion of those with the authority to do so (as set out in the Mental Health Act 1996) they can be admitted or treated as an involuntary patient in an authorised hospital, they are defined as an involuntary patient.

Use this category if the patient is deemed involuntary for all or part of the episode of care. The care of involuntary patients can only be provided in an authorised psychiatric facility. In Western Australia, Section 21(a) of the Mental Health Act 1996 provides for the Governor, by order published in the Government Gazette, to authorise a public or part of a public hospital to be an authorised hospital for the purposes of the Mental Health Act 1996. Authorised hospitals can receive, assess, admit or detain involuntary patients for psychiatric treatment. Involuntary patients cannot be admitted into an unauthorised hospital.

2 - Voluntary

Patients who require mental assessment and/or treatment can receive care in any health or mental health facility if they are willing to provide their consent for treatment. These patients are defined as voluntary patients. Voluntary patient are treated in a designated psychiatric facility.

EXAMPLES

Example 1: A patient was admitted to Fremantle Hospital on an involuntary basis for five days treatment for acute schizophrenia. After the fifth day, he then agreed to remain in hospital as a voluntary patient for extensive treatment. Reported to HMDS as Involuntary.

INVOLUNTARY PATIENT 1

Example 2: A patient is admitted voluntarily to Abbotsford Private Hospital for treatment of severe depression.

VOLUNTARY PATIENT 2

Example 3: A patient is admitted to Bentley Hospital as a Voluntary patient but decides, after five days, to sign a Discharge Against Advice form, and leave the hospital. Medical staff decide that this is not in the patient's best interest and have an Order Form signed declaring that the patient be admitted and treated as an Involuntary Patient.

INVOLUNTARY PATIENT 1

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Example 4: A patient on a Community Treatment Order is admitted to a surgical ward in the hospital with acute appendicitis.

DO NOT CODE THE MENTAL HEALTH LEGAL STATUS

Example 5: A person is referred by their General Practitioner to the Hospital X for a psychiatric

examination. The person is detained at the hospital awaiting psychiatric examination and after examination, is sent home.

DO NOT CODE A MENTAL HEALTH LEGAL STATUS

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0122 Mental health legal status must be entered Warning 0176 Mental health legal status is outside valid range Fatal 0794 MHLS of involuntary but not authorised psych wards Warning

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MODE OF SEPARATION

Data element name: Mode of Separation


Discharge Type Mode of Sep Discharge Destination (CAT DD)

Definition: Status at separation of person (discharge/transfer/death) and place to which person is released (where applicable).



Format: Character

Maximum length: 2

Permitted values: 1 - Discharge/transfer to an acute hospital 2 - Discharge/transfer to a residential aged care service 3 - Discharge/transfer to a psychiatric hospital 4 - Discharge/transfer to other health care accommodation 5 - Statistical discharge Type Change 6 - Left against medical advice/discharge at own risk 7 - Discharge from Leave 8 - Deceased 9 - Other/Home

GUIDE FOR USE

• See Appendices 1A and 1B: Admitted From/Discharged To for corresponding Mode ofSeparation values.

VALUE DEFINITIONS

1 - Discharge/transfer to (an) other acute hospital

Refers to the separation of a patient to another acute care facility. This includes designated psychiatric units that are part of an acute hospital (e.g. Alma Street Centre, Bentley Lodge, Osborne Lodge, etc).

2 - Discharge/transfer to a residential aged care service

Refers to the relocation of a patient at separation to a recognised Residential Aged Care Service (nursing home or aged care hostel).

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3 - Discharge/transfer to (an) other psychiatric hospital

Refers to the relocation of a patient at separation to a hospital providing only psychiatric services (e.g. Graylands Hospital, Selby Authorised Lodge, Perth Clinic and Abbotsford Private Hospital).

4 - Discharge/transfer to other health care accommodation

Refers to a separation to health care accommodation other than an aged care hostel, nursing home or hospital. This includes hostels providing non-acute care to psychiatric patients. Includes mothercraft hospitals.

5 - Statistical discharge Type Change

Refers to a statistical discharge in which the patient's care type changes. For example, a patient classified as a boarder falls ill while in hospital and changes from a Boarder to an Admitted Client Status patient. The Care Type also alters from Boarder to Acute Care. The Discharged To is then recorded as (0944) Reclassified this hospital for the episode where the Client Status changes.

6 - Left against medical advice/discharge at own risk

Refers to patients taking their own discharge against medical advice, or without advising staff of their intentions (i.e. absconding).

7 - Discharge from Leave

Refers to a patient who is on leave from the hospital, and chooses not to return or does not return for some other reason.

8 - Deceased

Refers to the death of the patient as recorded by a doctor, and hence their discharge.

9 - Other/Home

Includes institutions such as prisons, detention centres, non-health care hostels, psychiatric outpatient facilities and group homes providing primarily welfare services, orphanages and refuge accommodation.

This is also used to record the Mode of Separation for a contracting/funding case at the funding hospital where the discharge establishment is (0999) Funding Hospital.

Discharge Home refers to the formal separation of the patient from hospital to the patient's place of usual residence (e.g. friend or family home), unless the place of usual residence is a nursing home or hostel.

EXAMPLES

Example 1: A patient was discharged home.

MODE OF SEPARATION OTHER/HOME 9 DISCHARGED TO HOME 0900

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Example 2: A patient was transferred to St. John of God Hospital in Subiaco.

MODE OF SEPARATION TRANSFER TO ACUTE HOSPITAL 1 DISCHARGED TO ST JOHN OF GOD, SUBIACO 0616

Example 3: A patient was reclassified from boarder to admitted patient.

MODE OF SEPARATION STATISTICAL TYPE CHANGE 5 DISCHARGED TO RECLASSIFIED THIS HOSPITAL 0944

Example 4: A patient died during this admission to hospital.

MODE OF SEPARATION DECEASED 8 DISCHARGED TO DECEASED 0912

Example 5: A patient with an intellectual disability who was discharged to Brighton Hostel.

Brighton Hostel was not the patient’s usual place of residence.

MODE OF SEPARATION OTHER HEALTH CARE ACCOMMODATION 4 DISCHARGED TO BRIGHTON HOSTEL 0989

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0151 Mode of separation is invalid for establishment xxxx Warning 0178 Mode of separation is not present Fatal 0179 Mode of separation is outside of the valid range Fatal 0687 Cannot discharge on leave from sameday establishment Fatal 0685 Please confirm death of boarder Warning 0749 Please confirm unqualified newborn deceased on discharge Warning

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MOTHER'S IDENTIFIER - UNIT MEDICAL RECORD NUMBER

Data element name: Mother’s Identifier or Mother’s Unit Medical Record Number


MTH/CHD MRN Link MR

Definition: The Client Identifier or Unit Medical Number of the patient’s mother.

Collection requirement: Conditional (required if newborn; blank otherwise)

METeOR reference: Related to 290046

Format: Character

Maximum length: 10

Permitted values: Alphanumeric combination up to 10 characters

GUIDE FOR USE

• The Mother’s Identifier is her UMRN or URN as described under the data element Client Identifier.

• The field is to be collected only for a birth admission and is added to the baby’s record. It does not require completion in any other circumstance.

• This field is only completed on the baby’s birth admission details to provide a link between mother and baby during the birth episode. It should not be entered for any subsequent admissions of the baby.

EXAMPLES

Example 1: Newborn baby admitted onto the patient administration system after a normal delivery

Baby’s UMRN C7271864 is entered as:

Client Identifier C 7 2 7 1 8 6 4

Mother’s Identifier UMRN B2059564 is entered as:

Client Identifier B 2 0 5 9 5 6 4

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POSTCODE OF ADDRESS

Data element name: Postcode


Post. Code Postcode Postcode

Definition: The numeric descriptor for a postal delivery area, aligned with locality, suburb or place for the address of a party (person or organisation), as defined by Australia Post.



Format: Number

Maximum length: 6

Permitted values: NNNNNN

GUIDE FOR USE

• A postcode list is maintained by HMDS with entries that are valid on the current list of postcodesfrom Australia Post. See Australia Post (http://www.auspost.com.au/) for current listings.

• Where the address is unknown or there is no fixed permanent address, the following postcodesshould be used depending on the patient’s State/Territory of residence:

Postcode Suburb State/Territory Code State/Territory Description 0899 UNKNOWN 7 Northern Territory 2999 UNKNOWN 1 New South Wales 2999 UNKNOWN (ACT) 8 ACT 3999 UNKNOWN 2 Victoria 4999 UNKNOWN 3 Queensland 5999 UNKNOWN 4 South Australia 6999 UNKNOWN 5 Western Australia 7999 UNKNOWN 6 Tasmania 9999 UNKNOWN 0 Not Applicable

• When both the address and State/Territory are unknown you should assign the 9999 Postcodewith a State/Territory value of (0) Not Applicable.

• When the patient has no fixed permanent address (NFPA) (e.g. homeless) but theState/Territory they live in is known, enter NFPA in the Residential Address field then select theState/Territory and Postcode combination as listed above.

• Overseas visitors should have their Country in the Suburb field and the postcode of 8888.• Interstate visitors should have the postcode of their usual place of residence recorded.

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http://meteor.aihw.gov.au/content/index.phtml/itemId/287224http:/meteor.aihw.gov.au/content/index.phtml/itemId/287224

http://www.auspost.com.au/

• The postcodes for Australian Territories are as per Australia Post.

EXAMPLES

Example 1: A patient from Dianella was admitted to hospital.

Suburb DIANELLA Postcode 6 0 5 9 State/Territory 5

Example 2: A patient from Japan was admitted to hospital.

Suburb JAPAN Postcode 8 8 8 8 State/Territory 0

Example 3: A patient was admitted to hospital and indicated she had no residential address, and

her State/Territory of residence is unknown.

Suburb UNKNOWN Postcode 9 9 9 9 State/Territory 0

Example 4: A patient from Chiswick NSW was admitted to RPH.

Suburb CHISWICK Postcode 2 0 6 9 State/Territory 1

Example 5: A patient is admitted from Christmas Island, Western Australia

Suburb CHRISTMAS ISLAND Postcode 6 7 9 8 State/Territory 5

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0289 Invalid suburb/postcode combination Fatal 0343 Invalid postcode/suburb for state Fatal

0823 Postcode corresponds to a postal address, only residential postcodes are permitted

Warning

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READMISSION STATUS

Data element name: Readmission Status


Readmit Status Readmit Status Readmission Status (CAT KO)

Definition: Indicates whether the patient's readmission to hospital for the same illness or injury within 28 days was deemed planned or unplanned.

Collection requirement: Conditional (required if readmitted within 28 days with related condition; blank otherwise)


Format: Character

Maximum length: 1

Permitted values: 1 - Planned Readmission 2 - Unplanned Readmission

GUIDE FOR USE

• This Australian Council of Health Care Standards (ACHS) key performance indicator measures the number of cases that are readmitted to the same hospital within 28 days relating to the previous illness or injury for which they were treated.

• The data item should only be coded if a patient is readmitted to the same establishment within 28 days of the previous admission and one of the following is true:

o A patient is admitted for further treatment of the same condition for which the patient was

previously hospitalised; or o A patient is admitted for treatment of a condition related to the one for which the patient was

previously hospitalised; or o A patient is admitted for complication of the condition for which the patient was previously

hospitalised (this may include mechanical complications). • Day stay patients are included in this indicator if they meet the above criteria. • It is the clinician who is responsible for determining whether re-admissions are unexpected, and

therefore unplanned • This field should not be filled in if the patient is readmitted to the same hospital within 28 days

for a condition unrelated to the previous condition treated. • This code is collected on the second admission.

VALUE DEFINITIONS

1 - Planned Readmission

Planned re-admissions apply when patients who, when they were discharged, were expected to be re-admitted to the same (or other) establishment within 28 days for further treatment of the

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condition for which they were previously hospitalised. When they are readmitted the case is coded as a Planned Readmission. This may include staged procedures or ongoing treatment.

2 - Unplanned Readmission

Unplanned readmissions relate to those readmissions which are both unplanned and unexpected. These readmissions should be reported only if they occur within 28 days of the previous admission and relate to the condition for which they were previously treated. Patients with progressive or chronic conditions (e.g: advanced cancer, back pain or renal disease) may be expected to return to the hospital at some stage although the admission date is not planned. While these groups of patients should not routinely be excluded from being an unplanned readmission due to complications of their treatment during the previous admission, it must be remembered that the clinical criteria for this indicator is that the admission should be unplanned and unexpected. It is the clinician who is responsible for determining whether readmissions are unexpected, and therefore unplanned

EXAMPLES

Example 1: A patient was readmitted to hospital with a wound infection, following previous surgery performed twenty-seven days ago.

Readmission Status 2 (Unplanned readmission)

Example 2: Patient with advanced metastatic carcinoma readmitted for vomiting following

chemotherapy the previous week.

Readmission Status 2 (Unplanned readmission) Example 3: Patient with a long history of chronic back pain readmitted within 28 days. The

admission was not planned but it was also not unexpected.

Readmission Status (Do not code) Example 4: A young patient with a cleft palate, requiring stage 2 of their surgery, who is

admitted for the second stage 15 days after their first surgery.

Readmission Status 1 (Planned readmission)

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0443 Readmission status is not a valid reference code Fatal

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RESIDENTIAL ADDRESS

Data element name: Residential Address


Residential Address Res Address Address

Definition: The address provided for the patient's place of usual residence.



Format: Character

Maximum length: 50


GUIDE FOR USE

• The house number, street name and street type should be on the first of two address lines to be sent. Suburb is to be recorded on another line.

• Estate names must not be entered in the suburb field. • Suburb names are generally not abbreviated, unless otherwise specified by the Australia Post

(http://auspost.com.au/). • The HMDS validates the suburbs and postcodes against the list provided by Australia Post

(http://auspost.com.au/). It is strongly recommended that all reporting establishments and information system providers update their look-up tables according to the latest version of the Australia Post postcode/suburb list.

• TOPAS users will have the HMDS address mapped from lines 1 and 2; and suburb mapped from line 3.

• Non-residential addresses for accounts or billing purposes (e.g. PO Boxes) are not acceptable as residential addresses. Every effort should be made to collect the patient’s actual residential address. Under Activity Based Funding arrangements, the patient physical address may play an important role in funding calculations.

Overseas Patients

• If the patient is an overseas visitor, their permanent residential address overseas should be recorded, not their local temporary address. The country of residence should be entered into the suburb line for overseas residential addresses. In these cases, suburbs are not required. Please note overseas residential addresses should have the postcode of 8888.

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Interstate Patients

• If the patient is an interstate visitor, their permanent interstate residential address should be recorded.

Seamen

• A seaman who is a citizen of another country should have his/her permanent residential address recorded. However if this is unknown, the address of the shipping company that employs him is acceptable.

Patients with no fixed address

• If a patient has no fixed permanent address, typing NFPA in the address field can indicate this. A No Fixed Permanent Address (NFPA) means a person does not have an address in a State of Australia or other Country (See Postcode of Address section).

• It may also be used to indicate that the address is unknown. In this case, the suburb line of the address should be UNKNOWN for Australian residents only. Overseas patients should have their Country indicated in the suburb field.

Patients subsidised by International Health Care Funds

• These patient’s should have their permanent residential address recorded, and not the address of the fund.

Prisoners

• Prisoners have a residential address of the prison address, not their home address.

Residential Aged Care Patients

• Patients whose usual place of residence is a Residential Aged Care Service (e.g. nursing home or aged care hostel) should have the nursing home or hostel’s address as their residential address.

EXAMPLES

Example 1: The patients address is 8 Fourth Avenue, Mount Lawley, Western Australia

Residential Address 8 Fourth Avenue Suburb MOUNT LAWLEY

Example 2: A patient with no fixed permanent address and is a resident of Australia

Residential Address NFPA Suburb UNKNOWN

Example 3: An overseas visitor whose permanent address is 14 Apian Way, Roma, Italy

Residential Address 14 Apian Way, Roma Suburb ITALY

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Example 4: A merchant seaman (use only if residential address is unknown)

Residential Address C/- AP Shipping Line Suburb FREMANTLE

Example 5: A prisoner at Casuarina Prison

Residential Address Casuarina Prison Suburb CASUARINA

Example 6: A resident of Kingsley Nursing Home

Residential Address Kingsley Nursing Home, 41 Renegade Way Suburb EDEN HILL

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0289 Invalid suburb/postcode combination Fatal 0343 Invalid postcode/suburb for state Fatal 0822 Postal address provided, only residential address required Warning

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SEPARATION DATE

Data element name: Separation Date


Separation Date Separation Date Separation Date

Definition: The date on which an admitted patient completes an episode of care. The patient can be formally or statistically discharged from hospital. If a patient dies in hospital, the separation date is the date of death.



Format: Date

Maximum length: 8


GUIDE FOR USE

• Enter the full date of separation, including leading zeros where necessary. • If an admitted patient is on leave but does not return after 7 days the patient is then formally

discharged on the 7th day, and the preceding days are counted as leave days.

Formal Separation/Discharge

• A formal separation/discharge is an administrative process that ceases a record of the patient's treatment and accommodation within a hospital.

• The Separation Date for a formal separation/discharge will be the date the hospital completed treatment and accommodation of the patient.

Statistical Separation/Discharge

• A statistical separation/discharge is an administrative process that occurs within an episode of care and captures the end date the patient received a particular type of care (Care Type).

• The Separation Date for a statistical admission will be the date the patient completed a particular Care Type.

EXAMPLES

Example 1: A patient was discharged from hospital on 1st July 2012.

Separation Date 0 1 0 7 2 0 1 2

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Example 2: A patient was transferred from hospital on 20th February 2012.

Separation Date 2 0 0 2 2 0 1 2 Example 3: A patient died on 23rd March 2012.

Separation Date 2 3 0 3 2 0 1 2

DATA QUALITY EDITS


0108 Length of stay value is invalid must = separation date – admission date

Fatal

0234 Admission date is after the separation date Fatal 0236 Separation date is before the admission date Fatal

0347 Date of procedure is outside of the admission and separation dates

Warning

0647 SOR professional field not acceptable for separation date Warning 0680 LOS not compatible with establishment license type Warning

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SEPARATION TIME

Data element name: Separation Time


Separation Time Separation Time Separation Time

Definition: Separation time is the time at which the admitted patient completes an episode of care.



Format: Time

Maximum length: 4

Permitted values: HHMM

GUIDE FOR USE

• The Separation Time is required to identify the time of completion of the care type or hospital stay.

• It mandatory for both formal and statistical discharges from hospital. • Separation Time must be captured in 24 hour clock. • Where a patient is deceased during the admission or is transferred to another health unit, the

Separation Time should reflect the actual time the patient died or the actual time the patient was transferred.

EXAMPLES

Example 1: A patient was transferred to another hospital at 2 pm.

Separation Time 1 4 0 0 Example 2: A patient died at midnight.

Separation Time 0 0 0 0 Example 3: A patient was discharged at 9.15am.

Separation Time 0 9 1 5

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SEX

Data element name: Sex


Gender Gender Gender

Definition: Sex is the biological distinction between male and female.



Format: Character

Maximum length: 1

Permitted values: 1 - Male 2 - Female 3 - Indeterminate

GUIDE FOR USE

• The term “Sex” refers to the biological differences between males and females (i.e. Sex is the biological distinction between male and female). Where there is an inconsistency between anatomical and chromosomal characteristics, Sex is based on anatomical characteristics.

• The term “Gender” refers to the socially expected/perceived dimensions of behaviour associated with males and females (i.e. masculinity and femininity).

• The NHDD advises that the correct terminology for this data element is Sex. • Information collection for transsexuals and people with transgender issues should be treated in

the same manner. To avoid problems with edits, transsexuals undergoing a sex change operation should have their current (biological) sex at time of hospital admission recorded as the Sex for that admission episode.

• Indeterminate refers to a person, who because of a genetic condition, was born with reproductive organs or sex chromosomes that are not exclusively male or female or whose sex has not yet been determined for whatever reason. This includes babies diagnosed with gynandrous, hermaphroditism, ovotestis, pseudohermaphroditism (male) (female), and pure gonadal dysgenesis. These persons may have either male and female sex organs or structural aberrations of the sex chromosomes.

EXAMPLES

Example 1: A female patient admitted to hospital.

Sex 2 Female

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Example 2: A patient was admitted to hospital that had previously undergone a sex change operation from male to female.

Sex 2 Female

Example 3: A patient was admitted to hospital that is undergoing sex reassignment from male to

female and reassignment is not yet complete.

Sex 1 Male Example 4: An examination of a newborn baby fails to determine the sex

Sex 3 Indeterminate

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0155 Invalid sex/reference code association Fatal 0224 Sex code is not present Fatal 0339 Sex code is either 3-indeterminate or 4-other Warning 0469 Procedure xxxxx-xx is invalid for the current sex code Fatal 0470 Procedure xxxxx-xx should not be used with the current sex code Warning

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SOURCE OF REFERRAL - LOCATION

Data element name: Source of Referral - Location


Transferring Medical Facility SOR Location Admission Source (CAT S)

Definition: The type of establishment (physical accommodation) from which the patient has been referred or transferred for admission to hospital.



Format: Character

Maximum length: 2

Permitted values: 1 - Home 2 - Residential Aged Care Service 3 - Other Health Care Accommodation 4 - Acute Hospital 5 - Psychiatric Hospital 6 - Prison 7 - Other

GUIDE FOR USE

• Each establishment has only one source of referral location that is valid for that establishment. • The Source of Referral-Location is linked to the list of establishments. Every establishment has a

valid Source of Referral-Location code (SORL). See Appendices 1A and 1B.

VALUE DEFINITIONS

1 - Home

Refers to the patient’s place of usual residential accommodation but does not include institutional care in acute or psychiatric hospitals or prisons. From 1 July 2003, if a patient is a permanent resident of a Residential Aged Care Service or Other Health Care Accommodation (e.g. nursing home or hostel) which is considered their usual place of residence, the appropriate admitting establishment should be entered in the Admitted From field, and the Source of Referral-Location entered as Residential Aged Care Service or Other Health Care Accommodation, as appropriate.

2 - Residential Aged Care Service

Refers to establishments that provide long-term care and residential facilities primarily to aged people but also to chronically ill, frail, disabled or senile persons. They must be approved by the

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Commonwealth Department of Health and Ageing and/or licensed by the State, or controlled by government departments. Includes nursing homes (high-care) and aged care hostels (low-care).

3 - Other Health Care Accommodation

Refers to residential health care services that provide board, lodging or accommodation and minimal supervision for the distressed or disabled who cannot live independently but do not need nursing care in a hospital or nursing home. Excludes aged care hostels but include psychiatric residential facilities and hostels for people with disabilities who don’t need regular nursing care.

4 - Acute Hospital

Refers to acute care establishments that provide, at least, minimal medical, surgical or obstetric services for inpatient treatment and ambulatory care, and comprehensive qualified nursing service as well as other professional health services. They must be licensed by the State or controlled by government departments. The Commonwealth approves acute care establishments for the purposes of basic table health insurance benefits. Acute care establishments include: • Freestanding day surgery centres providing investigation and treatment of acute conditions on a

day-only basis and hospices for palliative care treatment. • Designated psychiatric units that are part of an acute hospital, including psychiatric lodges, Alma

Street Centre and Mills Street Centre and other designated psychiatric units within acute hospitals.

5 - Psychiatric Hospital

Psychiatric Hospitals are stand-alone establishments devoted primarily to the inpatient treatment and care of patients with psychiatric, mental or behavioural disorders. State health authorities license these establishments. The psychiatric hospitals in Western Australia are: • Graylands Hospital • Selby Authorised Lodge • Perth Clinic • The Marian Centre • Abbotsford Private Hospital

6 - Prison

Prisons are residential institutions in which people are accommodated following punitive sentencing for a criminal offence or awaiting trial for a criminal offence. The State Department of Justice administers prisons.

7 - Other

Includes any physical location not defined above.

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EXAMPLES

Example 1: A patient was admitted from St. Georges Nursing Home, which is their usual place of residence. Source of Referral-Location is Residential Aged Care Service.

Source of Referral-Location 2 Admitted From 0 8 6 4

Example 2: A patient was admitted from Rangeview Prison. Source of Referral-Location is

prison.


Example 3: A baby, born before arrival at hospital, was admitted. Source of Referral-Location

should be home.


Example 4: A patient was transferred from Bunbury Hospital. Source of Referral-Location should

be Acute Hospital.


Example 5: A patient was statistically readmitted. Source of Referral-Location should be Acute

Hospital.


DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0198 Source of referral is outside the valid range Fatal 0346 Admitting establishment xxxx has an invalid source of referral Fatal 0646 SOR location field not acceptable for separation date Warning

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SOURCE OF REFERRAL - PROFESSIONAL

Data element name: Source of Referral - Professional


Referral Source SOR Professional Referred by (CAT SH)

Definition: The appropriate health professional/clinician who directly refers the patient to hospital for admission.



Format: Character

Maximum length: 2

Permitted values: 1 - General practitioner 2 - Specialist clinician 3 - Outpatient department clinician 4 - Emergency department clinician 5 - Hospital clinician (re-admission) 6 - Community health clinician 7 - Statistical admission/type change 8 - Other

GUIDE FOR USE

• The code assignment for clinicians who fall into two or more categories will depend on where the referral was made from. For example, if the referral came from a specialist working in an outpatients department, the value for Outpatients Department Clinician should be assigned.

VALUE DEFINITIONS

1 - General practitioner

The primary medical care officer working in general practice.

2 - Specialist clinician

The medical officer whose principal area of clinical practice is one special area of medicine.

3 - Outpatient department clinician

The medical officer who referred the patient to hospital from an outpatient clinic within a hospital.

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4 - Emergency department clinician

The medical officer who referred the patient to hospital from an emergency department at another hospital OR the patient was not referred to hospital by a health professional and the emergency department clinician made the decision to admit the patient.

5 - Hospital clinician (re-admission)

The medical officer who decided to re-admit the patient following a previous admission for a second stage procedure or recurring care such as renal dialysis.

6 - Community health clinician

The medical officer practicing in a community health area such as the Aboriginal Medical Service or Royal Flying Doctor Service.

7 - Statistical admission/type change

Refers to those patients whose episode of care changes during a hospital admission creating an additional episode of care.

8 - Other

Includes referral from other professionals not listed above.

EXAMPLES

Example 1: A patient was referred to hospital and admitted by his general practitioner.

Source of Referral-Professional 1 Example 2: A patient was referred to the hospital by an emergency department clinician at

another hospital.

Source of Referral-Professional 4 Example 3: A patient was taken to hospital by ambulance following an accident and the

emergency department clinician decided to admit the patient.

Source of Referral-Professional 4 Example 4: The care type for a patient undergoing treatment for a fractured hip changes from

acute to rehabilitation. Source of Referral-Professional should be Statistical admission/type change.

Source of Referral-Professional 7

Example 5: Dr. Jones, who is a cardiologist in a hospital Outpatients Department, admits a

patient for cardiac catheterisation.


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Example 6: Dr. Smith (General Practitioner) referred a patient to the Fremantle Hospital Emergency Department for further investigation and management. The Emergency Department Clinician at Fremantle Hospital decided the patient required admission for treatment of his emphysema.


DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0647 SOR professional field not acceptable for separation date Warning 0661 SRC – source of referral clinical is invalid Fatal

0663 944 statistical admission requires a SOR (professional) of statistical admission

Warning

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SOURCE OF REFERRAL - TRANSPORT

Data element name: Source of Referral - Transport


Arrival Means SOR Transport Mode of Transport (CAT SI)

Definition: The type of transport a patient uses to go to hospital prior to admission.



Format: Character

Maximum length: 2

Permitted values: 1 - Private/public transport 2 - Hospital transport 3 - Ambulance - emergency 4 - Royal Flying Doctor Service 5 - Helicopter (evacuation) 6 – Other

GUIDE FOR USE

• This field provides vital information in regard to Ambulance and Royal Flying Doctor Service usage.

• If a patient is transported by Royal Flying Doctor Service to an airport and then taken to hospital by ambulance, the Royal Flying Doctor Service should be coded as it takes priority over other forms of transport.

VALUE DEFINITIONS

1 - Private/public transport

Refers to any vehicle such as a car, bus or taxi used by the patient to go to hospital. Also includes patients who walk to the hospital for care.

2 - Hospital transport

Refers to booked hospital transport. Includes booking an ambulance or other hospital vehicles to transfer patients between hospitals or from a nursing home or other health establishment to hospital. Voluntary transport service that is booked from a hospital to transport patients from home to the hospital is also included.

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3 - Ambulance - emergency

Refers to unbooked ambulance transport. This includes ambulance transport from accidents or for treatment of serious sudden disorders. The Western Australian Neonatal Transfer Service (Flying Squad) is included in this category.

4 - Royal Flying Doctor Service

Refers to direct transport to hospital by the Royal Flying Doctor Service and includes transfers between hospital and other health establishments.

5 - Helicopter (evacuation)

Refers to direct admission to hospital by helicopter or air ambulance.

6 - Other

Refers to transport methods such as police car or other means not covered under the categories above.

EXAMPLES

Example 1: A patient travelled to hospital from a nursing home by ambulance that was previously booked. Source of Referral-Transport should be Hospital transport.

Source of Referral-Transport 2

Example 2: A patient evacuated to Royal Perth Hospital by emergency helicopter.

Source of Referral-Transport 5 Example 3: Royal Flying Doctor Service evacuated a patient from Broome to Derby airport. He

was then transferred from the airport to Derby Regional Hospital by ambulance.

Source of Referral-Transport 4 Example 4: A patient, injured in a road traffic accident, transported to Sir Charles Gairdner

Hospital by ambulance.

Source of Referral-Transport 3 Example 5: A patient travelled to hospital by taxi. Source of Referral-Transport should be

Private/public transport.

Source of Referral-Transport 1 Example 6: A patient travelled to hospital by commercial airline and then taxi.

Source of Referral-Transport 1 Example 7: A newborn transported from Armadale Hospital to King Edward Memorial Hospital

by the Western Australian Neonatal Transfer Service (Flying Squad). Source of Referral-Transport should be Ambulance–emergency.

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Source of Referral-Transport 3

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0662 SRT – source of referral transport is invalid Fatal

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SPECIALTY OF CLINICIAN ON ADMISSION Data element name: Specialty of Clinician on Admission


Specialty of Clinician on Admission Admission Specialty Unit (CAT DT)

Definition: The area of clinical expertise held by the admitting doctor.



Format: Character

Maximum length: 3

Permitted values: See Appendix 4A and 4B: Clinician Specialty Codes

GUIDE FOR USE • These specialty type codes are gazetted under the Medical Practitioners Regulations 2008 as

part of the Medical Practitioners Act 2008. • Hospitals may have a list of specialty codes for their own use, but these must be mapped to the

list provided in Appendix 4: Clinician Specialities. This mapping must be done at the hospital level.

• Hospitals using TOPAS must notify the HMDS of any new specialty abbreviations to obtain the correct mapping.

• If the Clinician Specialty Code is 02 – 07, please ensure that the nominated code is prefixed with a 0 i.e. “02”, “03”, “04” etc.

EXAMPLES Example 1: Patient admitted under the care of a General Medicine physician.

Specialty of Clinician on Admission 12 Example 2: Newborn baby admitted under the care of a General Practitioner.

Specialty of Clinician on Admission 84 Example 3: Newborn baby admitted under the care of a Paediatrician as she developed

respiratory distress syndrome.

Specialty of Clinician on Admission 21

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DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0364 Clinician specialty is not a valid specialty code Fatal

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SPECIALTY OF CLINICIAN ON SEPARATION

Data element name: Specialty of Clinician on Separation


Specialty attached to last active consultant Separation Specialty Unit (CAT DT)

Definition: The clinical specialty of the clinician treating the patient immediately prior to discharge.



Format: Character

Maximum length: 3

Permitted values: See Appendix 4A and 4B: Clinician Specialty Codes

GUIDE FOR USE

• The specialty of clinician on discharge may be different to the speciality of clinician on admission, if two or more clinicians are involved.

• All hospitals should code from the Clinician Specialties listed in Appendix 4. Hospitals may have a list of specialty codes for their own use, but these should be mapped to the list provided in Appendix 4. This mapping must be done at the hospital level.

• Hospitals using TOPAS must notify the HMDS of any new specialty abbreviations to obtain the correct mapping.

• If the Clinician Specialty Code is 02 – 07, please ensure that the nominated code is prefixed with a 0 i.e. “02”, “03”, “04” etc.

EXAMPLES

Example 1: Patient discharged from the care of a Gynaecologist.

SPECIALTY OF CLINICIAN ON SEPARATION 52 Example 2: Newborn baby discharged under the care of a General Practitioner.

SPECIALTY OF CLINICIAN ON SEPARATION 84 Example 3: Newborn baby discharged under the care of a Paediatrician.

SPECIALTY OF CLINICIAN ON SEPARATION 21

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DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0364 Clinician specialty is not a valid specialty code Fatal

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STATE / TERRITORY

Data element name: State/Territory


State/Territory State/Territory State/Territory

Definition: The Australian state or territory where the patient’s residential address is located.



Format: Character

Maximum length: 1

Permitted values: 0 – Not applicable (includes overseas resident and unknown) 1 – New South Wales 2 – Victoria 3 – Queensland 4 – South Australia 5 – Western Australia 6 – Tasmania 7 – Northern Territory 8 – Australian Capital Territory

GUIDE FOR USE

The order of permitted values is the standard for the Australian Bureau of Statistics (ABS).

EXAMPLES

Example 1: A patient was admitted whose Residential Address was in the Northern Territory.

STATE/TERRITORY 7

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0343 Invalid postcode/suburb for state Fatal

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SURNAME

Data element name: Surname


Surname Surname Surname

Definition: The part of a name a person usually has in common with other members of his/her family, as distinguished from his/her given names, as represented by text.



Format: Character

Maximum length: 50

Permitted values: Alpha characters (dots, apostrophes and hyphens permitted)

GUIDE FOR USE

• Surname is a 50 character alphabetical field in which dots, dashes, apostrophes and hyphens are allowed.

• Surname should be recorded as follows: o Alias or assumed names should not be included if the legal Surname is known. o The use of brackets ( ) for alias names in the Surname is not recommended. o Where hospitals have the facility to record an alias, this field must be used. o Where the surname is unknown or there is no surname, the name the person is identified by

should be recorded in the Surname field and the First Forename field left blank. o Numeric values are not permitted.

EXAMPLES

Example 1: Edwin Roberts was admitted to hospital.

Surname ROBERTS Example 2: A patient was admitted to hospital in a coma and her name was not known.

Surname UNKNOWN Example 3: Dallas D’Silva is admitted from the Waiting List.

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Surname D’SILVA Example 4: A patient is identified by a first name of Anastasia and has no surname.

Surname ANASTASIA

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0263 The surname contains numeric characters Warning 0267 The value for the surname is unknown Warning

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UNPLANNED RETURN TO THEATRE

Data element name: Unplanned Return to Theatre


‘R’ on Procedure Clinical Coding screen Return to Theatre Return to Theatre (CAT Y6)

Definition: Indicates when the patient unexpectedly returns to theatre for further surgery.

Collection requirement: Conditional (required if returned to theatre for further surgery within admission; blank otherwise)


Format: Character

Maximum length: 1

Permitted values: 1 - Yes (unplanned return to theatre) 2 - No (planned return to theatre)

GUIDE FOR USE

• This field should be completed if there is more than one attendance in theatre during this admission.

• Provision of the Unplanned Return to Theatre status is the responsibility of the Clinician responsible for care.

EXAMPLES

Example 1: A patient admitted for excisional debridement and SSG of a chronic leg ulcer attends theatre firstly for the excisional debridement, and harvesting of skin. The patient then returns to theatre 5 days later for laying of the skin graft.

Unplanned Return to Theatre 2 (No)

Example 2: A patient booked for an abdominal hysterectomy, needs to return to theatre the

following day to control a postoperative haemorrhage.

Unplanned Return to Theatre 1 (Yes) Example 3: A patient, 5 days post appendicectomy, is noted to have developed a suture line

abscess, and the doctor removes some sutures and irrigates the wound on the ward.

Unplanned Return to Theatre (Do not code)

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WARD / LOCATION

Data element name: Ward/Location


Ward Ward/Bed Allocation Ward

Definition: The ward or unit within the hospital where the patient was being treated immediately prior to discharge.



Format: Character

Maximum length: 20

Permitted values: Free text up to 20 characters

EXAMPLES

Example 1: A patient was separated from the paediatric ward.

Ward / Location PAEDIATRICS Example 2: A record was inserted for a patient undergoing a contracted procedure in another

hospital to show that this is the funding hospital.

Ward / Location ZZ123 Example 3: A patient admitted to Wandoo ward and later transferred to Karri ward before being

discharged home.

Ward / Location KARRI Example 4: A patient is attending hospital under the Ambulatory Surgery Initiative and the

Ward/Location field is recorded as ASW.

Ward / Location ASW

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0784 Ward is a psych ward and no psych days or MHLS present Warning 0785 Ward is a psych ward and no psych days present Warning

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Edit Number Edit Message Edit Severity 0786 Ward is a psych ward and MHLS is not present Warning 0790 MHLS or psych days present and no psych ward at est Warning 0793 LOS equals psych days but no psych ward or est Warning 0794 MHLS of involuntary but no authorised psych wards Warning 0802 Establishment has no ICU ward but ICU days are present Warning 0803 Establishment has no PICU ward but ICU days are present Warning 0805 Ward is a HITH but no HITH days present Warning 0807 Episode of care unlikely for HITH Warning

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CLINICAL DATA ELEMENT DEFINITIONS

139

ACTIVITY

Data element name: Activity


AC Activity Desc O

Definition: The type of activity being undertaken by the person when injured.

Collection requirement: Mandatory where applicable


Format: Character

Maximum length: 10

Permitted values: Refer to ICD-10-AM 8th Edition (effective from 1 July 2013)

GUIDE FOR USE

The activity code enables categorisation of injury and poisoning according to factors important for injury control. Necessary for defining and monitoring injury control targets, injury costing and identifying cases for in-depth research. This term is the basis for identifying work-related and sport-related injuries. • The code values for this field are in the range U50.0-U73.9, as described below:

o Codes within U50 - U71 for sporting activities have been derived from the International Classification of External Causes of Injury (ICECI), Version 1.2, July 2004. They enable the circumstances of the sports injury to be better identified and thus aid prevention strategies.

o U72 Leisure Activity Not Elsewhere Classified is provided to enable coding of other leisure activities not identified as sport.

o U73 Other Activity includes codes for working for income according to industry type, which are of particular importance for occupational safety; for other types of work; for vital activities such as resting, sleeping and eating; and for other/unspecified activities.

Guidelines for coding place of activity:

• Select the most specific code possible • The activity code should be sequenced after the place of occurrence code to which it relates • All external cause codes require an activity code as set out in the WA Coding Standards • When multiple categories apply, assign the code appearing highest in the tabular list • The place of activity code can be repeated with different external cause codes • This data item is to be used in conjunction with the external cause code and place of

occurrence • Where there is an overlap between sport and work, the sport code takes precedence only when

the person is injured in their role as a professional sportsperson (e.g. Perth Glory player injured

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while playing in a National Soccer League game, Jockey injured while riding a horse in the Melbourne Cup)

• Where the sporting activity is inherent in the job, but is not the task for which the person is paid, assign the appropriate code from U73.0x While working for income (e.g. a farmer riding his horse while rounding up the sheep)

EXAMPLES

Example 1: A nurse slipped and fell in hospital, while working.

External Cause W01.0 Place of Occurrence Y92.22 Activity U73.07

Example 2: A child fell off a swing, in the playground at school, during recess.

External Cause W09.4 Place of Occurrence Y92.21 Activity U72

Example 3: A grandmother was accidentally burnt, at home, while cooking dinner.

External Cause X10.2 Place of Occurrence Y92.09 Activity U73.1

Example 4: A sixteen year old intentionally overdosed on antidepressants, while sitting in a car

at the beachside.

External Cause X61 Place of Occurrence Y92.83 Activity U73.8

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ADDITIONAL DIAGNOSES

Data element name: Additional Diagnosis


OC Derived from sequencing O

Definition: A condition or complaint either coexisting with the principal diagnosis or arising during the episode of admitted patient care, episode of residential care or attendance at a health care establishment, as represented by a code.



Format: Character

Maximum length: 10


GUIDE FOR USE

• Additional diagnoses give information on the conditions that are significant in terms of treatment required, investigations needed and resources used during the episode of care. They are used for Casemix analysis relating to severity of illness and for correct classification of patients into AR-DRGs.

• Additional diagnoses should be interpreted as conditions that affect the patient’s management in terms of requiring any of the following:

o Commencement, alteration or adjustment of therapeutic treatment o Diagnostic procedures o Increased clinical care and/or monitoring

• The Australian Coding Standard 0002: Additional Diagnoses (July 2013), p4 provides guidance

to the appropriate allocation of additional diagnosis codes.

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0427 Additional diagnosis ICD code needs to be a lower level Fatal

0566 ICD code xxx.xx does not have an associated additional diagnosis

Warning

0631 Diagnosis xxx.xx is a rare diagnosis Warning 0634 Diagnosis code has been duplicated Fatal

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Edit Number Edit Message Edit Severity 0640 Stillbirth is not an inpatient event Warning 0761 Additional diagnosis of Z51.5 and care type not = Palliative Care Warning 0763 Z50.x should not be an additional Diagnosis Warning

0766 Diagnosis code indicating pregnancy without duration of pregnancy code

Warning

0769 Additional diagnosis G30.x should be in conjunction with F00 Warning

0770 An external burns code without indicating body surface area affected and vice versa

Warning

0773 Boarder code used as an additional diagnosis Warning 0808 More than one outcome diag (Z37.x) Warning 0809 No outcome diag (Z37.x) Warning

0811 Number of diag/outcome (Z37.x and O80-O84) do not match delivery procedure

Warning

0815 Delivery diagnosis (O80-O84) should precede outcome diagnosis (Z37.x)

Warning

0722 Diagnosis in range D00-D02 or D04-D09 needs morphology Warning 0694 Morphology code(s) present but no neoplasm diagnosis codes

found. xxx.xx Warning

0695 Diagnosis codes in range C00-C76 require morph code < M9590 and ending in /3. xxx.xx

Warning

0715 Mesothelioma Diagnosis C45 needs mesothelioma morphology 905*. xxx.xx

Warning

0724 Cancer diagnosis code requires compatible cancer morphology code or vice versa. xxx.xx

Warning

0664 Episode of care must be Newborn for Z38 diagnosis Warning 0719 Diagnosis in range C81-C96 or D45-D46 needs morphology

>=9590 and ending in /3 Warning

0760 Palliative care and Z51.5 is not present Warning 0718 Diagnosis in range D45-D47 needs morphology >=9590 and

ending in /1. Diag. Code Warning

0768 Principal diagnosis (code type=1) G30.x should be in conjunction with code also

Warning

0717 Skin insitu melanoma Diagnosis D03* needs melanoma morphology 872-879 ending in

Warning

0783 COF inconsistent with xxx.xx Warning 0726 No appropriate diagnosis found for morph code #1. Diagnosis

choice: xxx.xx Warning

0721 Diagnosis in range D37-D44, D48 or Q85 needs morphology Warning 0720 Diagnosis in range D10-D36 needs morphology Warning 0521 Invalid age for the ICD code xxx.xx Warning 0713 Diagnosis in range C77-C79 requires secondary morph code

ending in 6 or 9. xxx.xx Warning

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Edit Number Edit Message Edit Severity 0762 Care type = Rehabilitation care and Z50.x is not present Warning 0696 Morph codes < M9590 and ending in /3 require diagnosis codes

in range C00-C76? Warning

0694 Morphology code(s) present but no neoplasm diagnosis codes found

Fatal

0728 Need C43- instead of C44- to match melanoma morphology code. Xxx.xx

Warning

144

ADDITIONAL PROCEDURE

Data element name: Additional Procedure


OP Derived P

Definition: A clinical intervention represented by a code that: - is surgical in nature, and/or - carries a procedural risk, and/or - carries an anaesthetic risk, and/or - requires specialised training, and/or - requires special facilities or equipment only available in an acute care setting

Collection requirement: Conditional


Format: Character

Maximum length: 10


GUIDE FOR USE

• All significant procedures undertaken from the time of admission to the time of discharge should be recorded. These include diagnostic and therapeutic procedures.

EXAMPLES

Example 1: A surgeon performing an abdominal hysterectomy removes the appendix while he is operating.

Principal Procedure ABDOMINAL HYSTERECTOMY Additional Procedure APPENDICECTOMY

Example 2: A surgeon performing a cholecystectomy needs to divide dense abdominal

adhesions before she can proceed.

Principal Procedure CHOLECYSTECTOMY Additional Procedure LYSIS OF ADHESIONS

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DATA QUALITY EDITS


0363 Clinician xxxxxxxx is present without an associated procedure code

Warning

0469 Procedure xxxxx-xx is invalid for the current gender code Fatal

0470 Procedure xxxxx-xx should not be used with the current gender code

Warning

0587 Hours CVS must be greater than 24 and not null when the CMV procedure is present

Warning


Warning

0589 Hours CVS exists without an associated procedure code Warning 0667 Mechanical ventilation procedure without days ICU Warning 0752 Invalid clinician code xxxxx-xx for procedure Warning 0765 Allied health procedure code duplicated Warning

0806 Management of continuous ventilatory support coded multiple times

Warning

146

CLINICIAN PERFORMING PROCEDURE

Data element name: Clinician performing procedure


Surgeon Doctor ID Clinician

Definition: The clinician responsible for performing or authorising the procedure.



Format: Character

Maximum length: 13


GUIDE FOR USE

• This field requires the Medical Board Registration Number of the clinician performing or authorising the patient's procedure.

• Each doctor is assigned a Medical Board Registration Number (MBRN) as per the Australian Health Practitioner Regulation Agency (AHPRA).

• To identify a particular doctor's current MBRN you can reference the AHPRA website and perform a search using the doctor's name:

• http://www.ahpra.gov.au/Registration/Registers%20of%20Practitioners.aspx • Clinician Performing Procedure field is a 13 character alphanumeric field and requires all

leading zeros to be included. • This number may be different to the Clinician on Admission or Clinician on Separation in some

hospitals as the registrar who performs the procedures may not be the Clinician on Admission or the Clinician on Separation.

• The Dental and Podiatrists' registration number is in the same 13 character alphanumeric format and should be reported.

TOPAS

• Hospitals using the TOPAS system input a ‘TOPAS doctor database number’, which is mapped to the clinician’s MBRN prior to extraction.

• When assigning a new ‘TOPAS doctor database number’, it is important to link the number to the clinician’s relevant (i.e. doctor, dental or podiatry) MBRN.

• The clinician performing the procedure may be extracted from the Theatre Management System (TMS) and entered into TOPAS for reporting to HMDS.

147


HCARe

• Hospitals on the HCARe system add the ‘HCARe doctor database number’ to the appropriate field and this is mapped to the clinician’s relevant (i.e. doctor, dental or podiatry) MBRN when records are extracted and sent to the HMDS.

• Should the clinician’s MBRN (i.e. doctor, dental or podiatry) change, it is important that the ‘HCARe doctor database’ is updated to reflect this change.

EXAMPLES

Example 1: Dr. Jones operated on a patient in hospital, and his Doctor MBRN is MED0000010094.

Clinician on Separation M E D 0 0 0 0 0 1 0 0 9 4

Example 2: Dentist Mr. White operated on a patient in hospital and his Dental MBRN is

DEN0000000014.

Clinician on Separation D E N 0 0 0 0 0 0 0 0 1 4 Example 3: Surgical Podiatrist Mr. Gold operated on a patient in hospital, and his Podiatry

MBRN is POD0000001935.

Clinician on Separation P O D 0 0 0 0 0 0 1 9 3 5

DATA QUALITY EDITS


0362 Clinician for procedure value must be blank if the PDX indicates the patient is a boarder

Warning

0363 Clinician xxxxx is present without an associated procedure code Warning 0752 Invalid clinician code xxxxx-xx for procedure Warning

148

CO-DIAGNOSIS (CODE ALSO)

Data element name: Co-Diagnosis


CA O A

Definition: ICD-10-AM diagnosis code that is used to record the disease associated with Principal Diagnosis in accordance with ACS 8th Edition ICD-10-AM Aetiology and Manifestation convention.



Format: Character

Maximum length: 10


GUIDE FOR USE

• Co-Diagnosis or Code Also (CA) is an event type that is assigned with an ICD-10-AM code to identify the relationship between the Principal Diagnosis code and the next sequenced code.

• The field may be called Code Also or Co-Diagnosis field. • Code Also (CA) is the second listed code under the Principal Diagnosis and is used when two

different body systems are affected within the one disease, commonly known as Dagger and Asterisk codes.

• When either a Dagger or Asterisk code is allocated as Principal Diagnosis, the co-diagnosis or Code Also (CA) field must contain the associated code i.e. if the Asterisk code is Principal Diagnosis, the Dagger code will be allocated as Code Also (CA). It is easy to recognise these codes in the ICD-10-AM Tabular List as the corresponding aetiology or manifestation code is enclosed in brackets after the code description.

• These matched codes if appearing further down the sequence of codes, can also be reported as Additional Diagnoses.

EXAMPLE

Example 1: A patient is admitted for treatment of their Glaucoma and is suffering from Lowe’s syndrome.

Principal Diagnosis Glaucoma in endocrine, nutritional and metabolic diseases. H42.0*

Co-Diagnosis (code also)

Disorders of amino-acid transport (Lowe’s syndrome) E72.0†

149


DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0425 Principal diagnosis contains an invalid code also diagnosis Warning

0769 Additional diagnosis G30.x should be in conjunction with additional diagnosis F00

Warning

150

CONDITION ONSET FLAG

Data element name: Condition Onset Flag


O Condition Onset Onset type

Definition: A qualifier for each coded diagnosis (including external cause, activity and place of occurrence) to indicate the onset of the condition relative to the beginning of the episode of care, as represented by a code.



Format: Character

Maximum length: 1

Permitted values: 1 - Condition with onset during the episode of admitted patient care 2 - Condition not noted as arising during the episode of admitted patient care

GUIDE FOR USE

• The Condition Onset Flag (COF) must be allocated to each diagnosis code, external cause code, place of occurrence code, activity code and morphology code to indicate:

o Condition with onset during the episode of admitted patient care o Condition not noted as arising during the episode of admitted patient care

• Reporting of the COF for each reported diagnosis code is mandatory for all separations from 1 July 2008.

• The focus of the COF is to identify conditions arising during the episode of admitted patient care. An understanding of these conditions may inform prevention strategies particularly in relation to complications of medical care.

• The COF does not differentiate between those conditions where onset was definitely before the episode commenced; and conditions where the point of onset is not clear due to lack of documentation or because the point of onset could not be clinically determined. The flag only indicates that the condition onset occurred during the episode of admitted patient care, and cannot be used to indicate whether a condition was considered preventable.

• Clinical coders are responsible for assigning the COF in conjunction with the Australian Coding Standards 0048: Condition Onset Flag (July 2013), p14.

• As a general rule of thumb "COF 2 - Condition not noted as arising during the episode of admitted patient care" must be assigned to:

o Principal diagnosis o Z codes relating to outcome of delivery on the mother's record (Z37.x) o Z codes relating to the outcome of delivery on the baby's record (Z38.x)

151


The exception to this is neonates in their admitted birth episode where the code sequenced as the principal diagnosis may be assigned COF 1 if appropriate.

• The Condition Onset Flag does not influence the sequencing of diagnosis codes. Therefore

coders must not re-sequence ICD codes so that the same Condition Onset Flags are grouped together. Coders must sequence diagnosis codes in accordance with the ACS.

• The Condition Onset Flag on external cause, place of occurrence and activity codes should match that of the corresponding injury or disease code.

• If a single diagnosis code describes more than one disease concept (e.g. diabetes with renal complications) and a diagnosis code meets the criteria of COF 1 and is not represented by another code with COF 1 value, then assign COF 1 to the combination code.

• If condition requires more than one diagnosis code to describe it, it is possible for each diagnosis code to have a different COF.

• The COF value assigned to morphology codes should match that of the corresponding neoplasm code.

VALUE DEFINITIONS

1 - Condition with onset during the episode of admitted patient care [COF 1]

A condition that arises during the episode of admitted patient care and would not have been present or suspected on admission. Examples of inclusions: • A condition resulting from a misadventure during medical or surgical care in the current episode

of admitted patient care (e.g. accidental laceration during procedure, foreign body left in cavity, medical infusion error).

• An abnormal reaction to, or later complication of, surgical or medical care arising during the current episode of admitted patient care (e.g. post procedural shock, disruption of wound, catheter associated urinary tract infection [UTI].

• A conditions newly arising during the episode of admitted patient care (e.g. pneumonia, rash, confusion, UTI, hypotension, electrolyte imbalance).

• For neonates, a condition in the birth episode arising during the birth event (i.e. labour and delivery).

• A condition impacting on obstetric care arising after admission, including complications or unsuccessful interventions of labour and delivery or prenatal / postpartum management.

• Disease status or administrative codes arising during the episode of admitted patient care (e.g. Methicillan Resistant Staphylococcus aureus [MRSA]).

• A combination code where a diagnosis within the code meets the criteria of COF1 and is not represented by another code with a COF1 value e.g. Chronic Obstructive Pulmonary Disease (COPD) with acute respiratory infection.

2 - Condition not noted as arising during the episode of admitted patient care [COF 2]

A condition present on admission such as the presenting problem, a co-morbidity, chronic disease or disease status. This includes: • A condition that has not been documented at the time of admission, but clearly did not develop

after admission (e.g. newly diagnosed diabetes mellitus, malignancy and morphology). • A previously existing condition that is exacerbated during the current episode of admitted

patient care (e.g. atrial fibrillation, unstable angina). • A condition that is suspected at the time of admission and subsequently confirmed during the

current episode of admitted patient care (e.g. pneumonia, acute myocardial infarction [AMI], stroke, unstable angina).

152

• A condition impacting on obstetric care arising prior to admission (e.g. venous complications,maternal disproportion).

• For neonates, the conditions in the birth episode arising before the labour and delivery process(e.g. prematurity, talipes).

• Disease status or administrative codes not arising during the episode of admitted patient care. 1

• Outcome of delivery (Z37) and place of birth (Z38) codes.

EXAMPLES

Example 1: Patient admitted with pneumonia 7 days into the admission develops a Urinary Tract Infection.

Code type Description ICD-10-AM code COF PDx Pneumonia J18.9 2 ADX Urinary Tract Infection N39.0 1

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0777 COF not present Fatal 0778 Invalid COF value Fatal

0779 Invalid COF value for principal diagnosis where additional diagnosis is not Z38.x

Fatal

0780 Invalid COF value for co-diagnosis Warning 0782 COF inconsistent between injury, EC, POC, ACT and Xxx.xx Warning 0783 COF inconsistent with Xxx.xx Warning

153

DATE OF PROCEDURE

Data element name: Date of Procedure


Date Date Performed Date

Definition: The date on which a procedure commenced during an inpatient episode of care.



Format: Date

Maximum length: 8


GUIDE FOR USE

• The procedure date is to be recorded for all procedures undertaken during an episode of care.• All procedures are to be coded in accordance with the current edition of ICD-10-AM.

EXAMPLES

Example 1: A patient was admitted for a Vaginal Hysterectomy that was performed on 20/02/2011.

DAY MONTH YEAR Date of Procedure 2 0 0 2 2 0 1 1

Example 2: A patient was admitted in labour and had to have an emergency Caesarean section for foetal distress on 18th April 2012.

DAY MONTH YEAR Date of Procedure 1 8 0 4 2 0 1 2

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0313 Principal procedure date not present Warning

0347 Date of procedure is outside of the admission and separation dates

Warning

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EXTERNAL CAUSE (OF INJURY)

Data element name: External Cause


EC E O

Definition: The environmental event, circumstance or condition as the cause of injury, poisoning and other adverse effect, as represented by a code.



Format: Character

Maximum length: 10


GUIDE FOR USE

• This information is important because it is reported to the National Injury Surveillance Unit(NISU) for the examination of causes of injury and poisoning, and the setting of targets forreduction of these events.

• Guidelines for coding external causes:

o Select the most specific code possibleo Unlimited external cause codes may be recordedo The external cause code should be sequenced after the diagnostic code to which it relateso All external cause codes require a place of occurrence and activity code as set out in the

WA Coding Standards

• This code must be used in conjunction with an injury or poisoning code and can be used withother disease codes. Admitted patients should be coded to the complete ICD-10-AMclassification.

• An external cause code should be sequenced following the related injury or poisoning code, orfollowing the group of codes, if more than one injury or condition has resulted from this externalcause. Provision should be made to record more than one external cause if appropriate.

• External cause codes in the range V00 – Y89 must be accompanied by a Place of OccurrenceCode and Activity Code.

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0323 External cause is invalid for the age range Warning 0324 External cause is invalid for the gender code Warning

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Edit Number Edit Message Edit Severity 0325 External cause is invalid for the age range Warning 0326 External cause is outside the valid range Warning 0327 External cause ICD code type is invalid Fatal 0352 External cause code xxx.xx is outside of the valid range Fatal 0355 The external cause code is not present Fatal 0384 Place of occurrence value is not a valid reference code Fatal 0430 External cause ICD code needs to be at a lower level Fatal

Note: Please note the following changes relating to External Cause codes for 2014/15.

DIAGNOSIS CODE

DEFINITION CHANGE

P04.4 Fetus newborn aff mat use drugs addictn

Does not require an external cause

P04.5 Fetus aff mat use nutrit chem. Subs Does not require an external cause D59.6 Haemoglobinuria dt haemolys oth

ext cause From Fatal to Warning edit – can be due to infection or auto-immune.

D61.2 Aplastic anaemia dt other external agt

From Fatal to Warning edit – can be due to infection

D64.2 Sec sideroblastic anaemia dt drugs toxin

From Fatal to Warning edit – can be due to auto-antibodies

D68.3 Haemorrhagic disrd dt circ anticoaglt

From Fatal to Warning edit – not necessarily administered anticoagulants, can be acquired

D69.5 Secondary thrombocytopenia From Fatal to Warning edit – can be due to unspecified secondary cause

G25.6 Drug induced tics & other tic orgnc origin

From Fatal to Warning edit – can be organic origin.

J69.0 Pneumonitis dt food & vomit If food or vomit is not specified, then J69.0 is coded alone without an external cause code as per national decision Q&A (June 2014)

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HOURS OF CONTINUOUS VENTILATORY SUPPORT

Data element name: Hours of Continuous Ventilatory Support


Mech Vent Time Mech. Vent. Hours of mechanical ventilation

Definition: The number of hours of administration of non-invasive ventilation.



Format: Number

Maximum length: 5

Permitted values: Integer value (whole hours)

GUIDE FOR USE

• Continuous ventilatory support (CVS) (previously known as continuous mechanical ventilation(CMV)) is the provision of mechanical respiration to assist patients with respiratory failure via aninvasive artificial airway (endotracheal tube or tracheostomy).

• Non-invasive ventilation support such as Continuous Positive Airways Pressure (CPAP), Bi-Level Positive Airway Pressure (BIPAP) and Intermittent Positive Pressure Breathing (IPPB)should not be reported as CVS hours unless it forms part of the weaning from CVS or isadministered by an invasive artificial airway.

• Refer to the Australian Coding Standards: 1006 for calculation of ventilation hours

EXAMPLES

Example 1: A patient was treated on CVS for seven days.

7 DAYS CVS HOURS 168

Example 2: A patient was treated on CVS for 48 hours.

48 HOURS CVS HOURS 48

Example 3: A patient went to theatre and was on mechanical ventilation for 12 hours. CVS hours is not coded as it is less than 24 hours, and is associated with the anaesthesia and considered an integral part of the surgical procedure.

NOT CODED CVS HOURS 0

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Example 4: A patient received 14 hours of CVS and 3 hours of CPAP (non-invasive ventilatory support) as part of the weaning from CVS. The CPAP is included in the calculation of CVS hrs as it part of the weaning from CVS.

17 HOURS CVS HOURS 17

DATA QUALITY EDITS


0109 Hours CVS cannot be greater than the length of stay value + 1 day

Fatal

0119 Hours of CVS outside of valid range Warning


Warning


Warning

0589 Hours CVS exists without an associated procedure code Warning

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MORPHOLOGY

Data element name: Morphology


MO MM

Definition: A histological classification of the cancer tissue (histopathological type) and a description of the course of development that a tumour is likely to take: benign or malignant (behaviour).



Format: Character

Maximum length: 6


GUIDE FOR USE • This information is to be collected for all morbidity data for the national cancer registers.• The format of the codes is X9999/9. For example, the morphology code for infiltrating ductal

carcinoma of breast is M8500/3. Infiltrating ductal carcinoma of axillary tail of breast would becoded as follows:

INFILTRATING DUCTAL CARCINOMA OF AXILLARY TAIL OF BREAST C 5 0 . 6

INFILTRATING DUCTAL CARCINOMA M 8 5 0 0 / 3

• If there is more than one neoplasm of the same type, the morphology code should besequenced directly after the last neoplasm diagnosis code to which it applies (see Examples).

• Where there is more than one histological feature in a neoplasm, assign the highest morphologyand sequence directly after the neoplasm. For example, transitional cell epidermoid carcinomahas two morphology codes M8120/3 and M8070/3. The code to be assigned directly after theneoplasm code is M8120/3 as it is the code with the highest number.

• Morphology codes can never be assigned as principal diagnosis or co-diagnosis.

Behaviour Description Diagnosis code

/0 Benign neoplasms D10.0-D36.9 /1 Neoplasm of uncertain and unknown behaviour D37.0-D48.9 /2 In situ neoplasms D00.0-D09.9

/3 Malignant neoplasms, stated or presumed to be primary C00.0-C76.8 C80.0 -C96.9

/6 Malignant neoplasms, stated or presumed to be secondary C77.0-C79.9

/9 Malignant neoplasms, uncertain whether primary or metastatic site

C00.0-C76.8 C80.0, C80.9

159


EXAMPLES

Example 1: A patient was admitted for excision of a meningioma of cerebral meninges.

MENINGIOMA OF CEREBRAL MENINGES D 3 2 . 0

MENINGIOMA M 9 5 3 0 / 0

DATA QUALITY EDITS


0741 Secondary Kaposi sarcoma morphology found, without primary Kaposi morph

Warning

0694 Morphology code(s) present but no neoplasm diagnosis codes Warning

0695 Diagnosis codes in range C00-C76 require morph code < M9590 and ending in /3 xxx.xx

Warning

0715 Mesothelioma diagnosis C45 needs mesothelioma morphology 905* xxx.xx

Warning

0724 Cancer diagnosis code requires compatible cancer morphology code or vice versa xxx.xx

Warning

0726 No appropriate diagnosis found for morph code xxx.xx. Diagnosis choice: xxx.xx

Warning

0693 No morphology codes found Warning 0722 Diagnosis in range D00-D02 or D04-D09 needs morphology Warning


Fatal

0696 Morph codes <M9590 and ending in /3 require diagnosis codes in range C00-C76

Warning

0713 Diagnosis in range C77-C79 requires secondary morph code ending in 6 or 9

Warning

0717 Skin insitu melanoma diagnosis D03* needs melanoma morphology 872-879

Warning

0718 Diagnosis in range D45-D47 needs morphology >=9590 and ending in /1. xxx.xx

Warning

0719 Diagnosis in range C81-C96 or D45-D46 needs morphology >=9590 and ending in /3

Warning

0728 Need C43- instead of C44- to match melanoma morphology code. xxx.xx

Warning

0721 Diagnosis in range D37-D44, D48 or Q85 needs morphology Warning

0742 Secondary mesothelioma morphology found, without primary mesothelioma morphology

Warning

0768 Principal diagnosis (code type = 1) G30.x should be in conjunction with code also F00

Warning

0720 Diagnosis in range D10-D36 needs morphology Warning

160

PLACE OF OCCURRENCE

Data element name: Place of Occurrence


PL Occurrence Place Desc O

Definition: The place where an injury, poisoning or accident occurred. This item is important for monitoring injuries, setting injury control targets, injury costing and research.



Format: Character

Maximum length: 10


GUIDE FOR USE

• The code values for this item are:

o Y92.0x Homeo Y92.1x Residential institutiono Y92.2x School, other institution and public administrative areao Y92.3x Sports and athletics areao Y92.4x Street and highwayo Y92.5x Trade and service areao Y92.6x Industrial and construction areao Y92.7 Farmo Y92.8x Other specified place of occurrenceo Y92.9 Unspecified place of occurrence

• These codes are further subdivided (e.g. Y92.21 School) to provide greater specificity to theplace of occurrence.

• Place of Occurrence is mandatory if an external cause code is present.• Guidelines for coding place of occurrence:

o Select the most specific code possible.o The place of occurrence code should be sequenced after the external cause code to which

it relates.o All external cause codes require a place of occurrence as set out in the WA Coding

Standards (see Operational Directive 0426/13: Western Australian Coding Standards).o When multiple categories apply, assign the code appearing highest on the list.o The place of occurrence code can be repeated with different external cause codes.

161


DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0383 Place of occurrence value is not a valid reference code Fatal 0384 Place of occurrence exists without external cause code Fatal 0782 COF inconsistent between injury, EC, POC, ACT and xxx.xx Warning

162

PRINCIPAL DIAGNOSIS

Data element name: Principal Diagnosis


PD Derived from sequencing D

Definition: The diagnosis established after study to be chiefly responsible for occasioning an episode of admitted patient care, an episode of residential care or an attendance at the health care establishment, as represented by a code.



Format: Character

Maximum length: 10


GUIDE FOR USE

• Clinical Coders should review the ACS 8th Edition, effective from 1 July 2013 for informationrelating to the assignment of codes.

• Every patient episode must contain a principal diagnosis.

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0311 Principal Diagnosis/care type/client type combination invalid Warning

0362 Clinician for procedure value must be blank if the PDX indicates the patient is a boarder

Warning

0425 Principal diagnosis contains an invalid code also diagnosis Warning 0426 Principal Diagnosis ICD code needs to be at a lower level Fatal 0466 ICD code is unacceptable for Principal Diagnosis Fatal

0468 Diagnosis xxx.xx should not be used with the current gender code

Warning

0477 Infant weight cannot be blank when infant is less than 29 days and PDX is not for a boarder

Warning

0521 Invalid age for the ICD code xxx.xx Warning

0566 ICD code xxx.xx does not have an associated Additional Diagnosis

Warning

163


Edit Number Edit Message Edit Severity 0631 Diagnosis code xxx.xx is a rare diagnosis Warning 0634 Diagnosis code has been duplicated Fatal 0640 Stillbirth is not an inpatient event Warning 0664 Episode of care must be Newborn for Z38 diagnosis Warning


Fatal

0695 Diagnosis codes in range C00-C76 require morph code < M9590 and ending in /3. xxx.xx

Warning

0696 Morph codes < M9590 and ending in /3 require diagnosis codes in range C00-C76?

Warning

0713 Diagnosis in range C77-C79 requires secondary morph code ending in 6 or 9. xxx.xx

Warning

0715 Mesothelioma Diagnosis C45 needs mesothelioma morphology 905* xxx.xx

Warning

0717 Skin insitu melanoma Diagnosis D03* needs melanoma morphology 872-879 ending in

Warning

0718 Diagnosis in range D45-D47 needs morphology >=9590 and ending in /1. xxx.xx

Warning

0719 Diagnosis in range C81-C96 or D45-D46 needs morphology >=9590 and ending in /3

Warning

0720 Diagnosis in range D10-D36 needs morphology Warning 0721 Diagnosis in range D37-D44, D48 or Q85 needs morphology Warning

0724 Cancer diagnosis code requires compatible cancer morphology code or vice versa. xxx.xx

Warning

0726 No appropriate diagnosis found for morph code xxx.xx. Diagnosis choice: xxx.xx

Warning

0728 Need C43- instead of C44- to match melanoma morphology code. xxx.xx

Warning

0756 ICD code is unlikely as Principal Diagnosis Warning 0760 Palliative care and Z51.5 is not present Warning 0762 Care type = Rehabilitation care and Z50.x is not present Warning

0764 Principal diagnosis = Z50.x and care type does not = 22 rehabilitation care

Warning

0766 Diagnosis code indicating pregnancy without duration of pregnancy code

Warning

0768 Principal diagnosis (code type=1) G30.x should be in conjunction with code also F00

Warning

0770 An external burns code without indicating body surface area affected and vica versa

Warning

0800 PDX is NOT Z75.x or Z74.x But Care Type is Maintenance, Aged Care or Flexible Care

Warning

0801 PDX is Z75.x or Z74.x But Care Type is NOT Maintenance, Aged Care or Flexible Care

Warning

164

Edit Number Edit Message Edit Severity 0808 More than one outcome diag (Z37.x) Warning


Warning

0813 diag requires outcome diagnosis (Z37.x) or postpartum (Z39.x) Warning

0815 Delivery diagnosis code (O80-O84) should precede outcome diagnosis (Z37.x)

Warning

165

PRINCIPAL PROCEDURE

Data element name: Principal Procedure


PP Derived from sequencing P

Definition: The most significant clinical intervention, represented by a code, that was performed for treatment of the principal diagnosis and is: - surgical in nature, and/or - carries a procedural risk, and/or - carries an anaesthetic risk, and/or - requires specialised training, and/or - requires special facilities or equipment only available in an acute care setting.

Collection requirement: Not mandatory


Format: Character

Maximum length: 10


GUIDE FOR USE

• See the ACS (July 2013) for further information relating to the coding of principal and additionalprocedures.

• The following points should be taken into account when selecting procedures to code but itshould be noted that sequencing of procedures, including the Principal Procedure, would notaffect AR-DRG grouping.

• When no procedure was performed for treatment of the principal diagnosis, use the followinghierarchy:

o Procedure performed for treatment of additional diagnoseso Diagnostic/exploratory procedure related to the principal diagnosiso Diagnostic/exploratory procedure related to the additional diagnoses

• If an anaesthetic is used, it should follow the procedure to which it relates and coded as perACS 0031: Anaesthesia (July 2013), p29.

EXAMPLES

Example 1: A patient injured in a traffic accident has surgery for a fractured tibia on day 15 after his major brain trauma has resolved. (The Principal Diagnosis is the most life threatening injury, even though the only surgery performed was for the additional diagnosis.)

166


Principal Diagnosis BRAIN INJURY Principal Procedure ORIF TIBIA FRACTURE

Example 2: A woman is admitted for an open biopsy of a breast lump. Pathology confirms malignancy and she remains in hospital and undergoes a mastectomy.

Principal Diagnosis BREAST MALIGNANCY Principal Procedure RADICAL MASTECTOMY Additional Procedure OPEN BIOPSY OF BREAST

Example 3: A woman with complications of pregnancy is admitted for Induction of Labour. She is taken to theatre for an emergency Caesarean section.

Principal Diagnosis CAESAREAN SECTION Principal Procedure EMERGENCY LUSCS Additional Procedure INDUCTION OF LABOUR BY ARM

Example 4: A male patient is admitted with gynaecomastia, for a simple mastectomy. (This will raise a gender edit and will require confirmation from the hospital.)

Principal Diagnosis GYNAECOMASTIA Principal Procedure SIMPLE MASTECTOMY

DATA QUALITY EDITS

Edit Number Edit Message Edit Severity 0363 Clinician #1 is present without an associated procedure code Warning 0469 Procedure xxxxx-xx is invalid for the current gender code Fatal

0470 Procedure xxxxx-xx should not be used with the current gender code

Warning


Warning


Warning

0589 Hours CVS exists without an associated procedure code Warning 0752 Invalid Clinician code #1 for procedure Warning 0765 Allied Health procedure code duplicated Warning

0806 Management of continuous ventilatory support coded multiple times

Warning


Warning

0846 Mechanical ventilation procedure without Hours in ICU Warning

167

SECTION 7 HMDS DATA PROCESSING

HMDS DATA PROCESSING

This section provides an overview on the submission and processing of data received by both public and private hospitals, with additional information regarding the new version of tcheck for private hospitals.

OVERVIEW

The hospital morbidity data is first loaded onto the HMDS staging area, a location on the database where batches of cases or individual cases enter the System Queue. The system process manager constantly scans the active queue before individual cases from each of the batches are taken off the queue for processing.

Cases that have been processed correctly enter the HMDS database as final validated data, which can be used for reporting and analysis purposes by the DoH, information providers (hospitals) and other nominated users. (The level of access is subject to confidentiality restrictions).

HOSPITAL DATA FEEDER SYSTEMS

A list of all the reporting hospitals and the software systems they use is provided in Appendix 8. The major feeder systems and their methods of transmitting data and edits are documented below.

TOPAS

All metropolitan public hospitals and Bunbury Hospital use TOPAS. The data is sent via File Transfer Protocol (FTP) directly to the HMDS database, using a multi-liner interface file very similar to the one described in Appendix 7. Cases in error are reported back to each hospital via the web or by email.

Hospitals on the TOPAS system transfer their demographic and clinical edit corrections electronically via an update function. Updating electronic records at the hospital level automatically ensures that the correction is made on the HMDS database without manual intervention.

HCARe CMS

Most rural public hospitals except Bunbury Hospital use the HCARe, which is developed and administered by the InfoHEALTH - see Useful Addresses and IDC Contact List in Section 2.

Hospitals on the HCARe system transfer new and updated inpatient summary records to the HMDS database electronically. Edit corrections (clinical and demographic) are entered and flagged on HCARe using an update function. Modified records are extracted from HCARe as updates and corresponding records on HMDS are automatically corrected without manual intervention.

Other health information systems (including in-house systems)

Most hospitals other than those on the TOPAS or HCARe systems transfer their data, in encrypted format, to the HMDS via email. A computer program known as ‘tcheck’ is made available to these hospitals to run edit checks on their data files prior to submission. From version 1.6 of tcheck, all private hospitals are required to run their data through tcheck before submitting the data to IDC. The report from tcheck will need to be submitted with the data. Any data that contains system or fatal edits from tcheck will not be loaded into

production. All data are loaded into the user testing environment and reviewed for errors prior to loading into production.

Edits are sent to hospitals via email or hard copy and returned, with changes marked, using a similar method. The IDC staff will manually enter required modifications onto the central system once the appropriate corrections are confirmed by the hospitals.

HA22 Forms Data Entry System

Data can be entered at the hospitals via the HA22 Data Entry System, a Microsoft-Access database supplied by the IDC. On a regular basis, an encrypted copy of the entered data is to be sent to the Inpatient Data Collections via MyFT. Upon receipt, the data is further processed centrally into a structure acceptable to the HMDS.

HMDS PROCESSING SCHEDULE FOR EACH FEEDER SYSTEM

Hospital System Transmission methods

Extraction HMDS Processing

Edits Returned to Hospitals

Corrected Edits Returned to HMDS

TOPAS FTP Daily AM Daily AM Via web Email

Update flag – re-extraction

HCARe CMS FTP Mon, Thu PM

Tue, Fri AM Via web, Via HCARe CMS Email

Update flag – re-extraction

Other health information systems

Email Monthly Weekly Email Email

HA22 Forms Data Entry System

Email Monthly Weekly Email Email

SECTION 8 OPERATIONAL DIRECTIVES & INFORMATION CIRCULARS

OPERATIONAL DIRECTIVES & INFORMATION CIRCULARS

The following OD and Information Circulars are produced by the DoH Western Australia and are relevant to the IDC.

Directive number Description

Operational Directive 0082/07 Boarders

Operational Directive 0136/08 Edit Protocol for HMDS

Operational Directive 0137/08 Hospital Morbidity Data Reporting Cycle

Operational Directive 0426/13 Western Australia Coding Standards

Operational Directive 0498/13 Identification of DVA Entitled Persons

Operational Directive 0201/09 Clinical Information Audit Program – Hospital Activity Reporting

Operational Directive 0540/14 Admission, Readmission, Discharge and Transfer Policy for WA Health Services (Version 5) July 2014

Operational Directive 0179/09 (at publishing the status was ‘super ceded’ but still relevant until re-instated)

Reporting of Contracted Services for Admitted Patients

Program Bulletin 7/5 Mental Health Program

Technical Bulletin 15/1 Intensive Care Unit Reporting

Copies of these may be obtained from the following DoH Internet site: http://www.health.wa.gov.au/CircularsNew/index.cfm

http://www.health.wa.gov.au/circularsnew/circular.cfm?Circ_ID=12503

http://www.health.wa.gov.au/CircularsNew/index.cfm

SECTION 9 APPENDICES

APPENDICES

o APPENDIX 1A – Admitted From Discharged To Establishment List alphabetical 2014

o APPENDIX 1B – Admitted From Discharged To Establishment List numeric 2014

o APPENDIX 2A – Language alphabetical 2014

o APPENDIX 2B – Language numeric 2014

o APPENDIX 3A – Country of Birth alphabetical 2014

o APPENDIX 3B - Country of Birth numeric 2014

o APPENDIX 4A – Clinician Specialty alphabetic 2014

o APPENDIX 4B – Clinician Specialty numeric 2014

o APPENDIX 5 – HMDS, HCARe, TOPAS, webPAS data item mappings 2014

o APPENDIX 6 – Psychiatric Wards 2014

o APPENDIX 7 – HMDS Interface File July 2014 G9 (Private)

o APPENDIX 8 – HMDS Reporting Establishment List 2014

o APPENDIX 9 – IDC Access Agreement 2014

o APPENDIX 10 – Inpatient Statistics Hospital Morbidity Data 2014

o APPENDIX 11 – Hospital Inpatient Summary Form HA22 July 2014

APPENDIX 1A: ADMITTED FROM/DISCHARGE TO ESTABLISHMENT LIST (Alphabetic)

The establishment codes listed in this appendix and in Appendix 1A are the current codes that HMDS accepts to identify establishments for reporting purposes, and in the fields Establishment, Admitted From, Discharged To, and Contracted/Funding Establishment. Reporting hospitals must ensure that only the codes listed in these two appendices (i.e. 1A and 1B) are provided in 2014/15 inpatient summaries. If a code is not listed in these appendices, please contact the Inpatient Data Collections Manager (refer to Section 2) so that it can be added to the list.

The establishments listed in this appendix are sorted in alphabetic order by establishment name. In addition to the establishment code and corresponding name, the list includes four columns as follows:

Report to HMDS indicates (with a ‘Y’) whether the establishment reports inpatient summary data to the Hospital Morbidity Data System or not.

Est Type Specifies the establishment type. Possible types are:

Code Description AH Acute Hospital AR Acute/Rehabilitation Hospital D2 Day Surgery (23/24 – Hr) DS Day Surgery (Other) DT Detention Centre NH Nursing Home NP Nursing Post OH Other Health Care Accommodation PA Palliative Care Hospital PH Psychiatric Hospital PI Prison PO Psychiatric Outpatient PR Psychiatric Residential PU Psychiatric Unit in an Acute Hospital RC Referral Code RH Residential Aged Care Service (RACS) Hostel

SORL Shows which Source of Referral - Location value must be used in conjunction with the establishment code. Value labels are presented below for easy reference. For details, please refer to Section 6 Source of Referral - Location.

Code Description 1 Home 2 Residential Aged Care Service 3 Other Health Care Accommodation 4 Acute Hospital 5 Psychiatric Hospital

Code Description 6 Prison 7 Other

MOS Identifies the valid Mode of Separation value associated with the establishment code. Value labels are presented below. More details are available in Section 6 Mode of Separation.

Code Description 1 Transfer to Acute Hospital 2 Transfer to Residential Aged Care Service 3 Transfer to Psychiatric Hospital 4 Transfer to Other Health Care Accommodation 5 Statistical Type Change 6 Left Against Medical Advice 7 Discharge from Leave 8 Deceased 9 Other / Home

The Source of Referral - Location (SORL) and Mode of Separation (MOS) values listed above refer to valid HMDS codes for these fields. For equivalent codes on TOPAS, HCARe CMS and webPAS systems, please refer to Appendix 5.

Acronyms Used in this Appendix

A number of acronyms and abbreviations are specified within the establishment list. These acronyms are described below.

Acronym Description ACRAH Association for Care and Rehabilitation of Alcoholics, Drug Addicts and

Homeless AHL Aboriginal Hostel Limited BBA Born Before Admission CAMHS Child and Adolescent Mental Health Service CASP Community Accommodation Support Program CCN Community Care Nursing CPD Community Psychiatric Division CTO Community Treatment Order DIH Division of Intellectually Handicapped ECG Electrocardiogram ECT Electroconvulsive Therapy EEG Electroencephalogram FSH Fiona Stanley Hospital

Acronym Description HMDS Hospital Morbidity Data System KEMH King Edward Memorial Hospital MH Mental Health MHIS Mental Health Information System MHS Mental Health Service NH Nursing Home PARK Peel And Rockingham/Kwinana health service PMH Princess Margaret Hospital (for Children) PSOLIS Psychiatric Services Online Information System RACS Residential Aged Care Service RPH Royal Perth Hospital SARC Sexual Assault Resource Centre SCGH Sir Charles Gairdner Hospital SW Social Work TOPAS The Open Patient Administration System WCHS Women’s and Children’s Health Service WERU WE Robinson Unit

Current Establishment List (as at 30/06/2014)

Est Code Establishment Name

Report to

HMDS?

Est Type SORL MOS

626 Abbotsford Private Hospital Y PH 5 3 673 Absolute Cosmetic at Image 21 Y DS 4 1

4036 Acacia House Nursing Home NH 2 2 2255 Acacia Prison PI 6 9 674 Academy Day Hospital Y DS 4 1

2131 ACRAH, Mt Lawley PR 3 4 802 Adventist Residential Care, Rossmoyne NH 2 2

4085 Aegis Transitional Care OH 3 4 701 Agmaroy Nursing Home NH 2 2

1000 Agnes Walsh House Hostel, KEMH OH 3 4 322 Aitken House (CASP) PR 3 4 97 Albany Adult Community Mental Health PO 7 9

4194 Albany Community Care Respite Centre OH 3 4 687 Albany Community Hospice Y PA 4 1 201 Albany Hospital Y AH 4 1 67 Albany Milgrey House (CASP) PR 3 4

2101 Albany Regional Prison PI 6 9 54 Alex Miles Frail Aged Lodge Hostel RH 2 2 447 Alfred Carson Lodge Nursing Home NH 2 2

4062 Allawah Grove Hostel (Aboriginals) OH 3 4


Report to

HMDS?

Est Type SORL MOS

941 Alma Street Adult Outpatients (MHS) PO 7 9 43 Alma Street Centre (MHS) PU 4 1 773 Amaroo Village Buckley Caring Centre Hostel RH 2 2

328 Amaroo Village McMahon Caring Centre Nursing Home NH 2 2

4188 Amberley Aged Care NH 2 2 4166 Anchorage Aged Care NH 2 2 703 Anne Marie Nursing Home NH 2 2 704 Annesley And Annexe, Nursing Home NH 2 2 711 Annesley Residential Care Facility NH 2 2 55 Annie Bryson McKeown Lodge Hostel (Aged Care) RH 2 2

4008 Annie Melsom House Hostel RH 2 2 325 Anzac Terrace (CASP) PR 3 4 827 Applecross Nursing Home NH 2 2 56 Archbishop Goody Hostel (Aged Care) RH 2 2

2242 Armadale Adult Acute MH Unit PU 4 1 2239 Armadale MH for Older People Authorised PU 4 1 203 Armadale/Kelmscott District Memorial Hospital Y AH 4 1

4182 Ascot Care Awaiting Placement OH 3 4 623 Attadale Hospital Y AH 4 1 204 Augusta Hospital Y AH 4 1

4158 Augusta Residential Aged Care Y NH 2 2 330 Avon Valley Residency Nursing Home NH 2 2

4193 Balladong Lodge Aged Care Facility NH 2 2 823 Balmoral Aged Care NH 2 2

2102 Bandyup Women's Prison PI 6 9 2103 Banksia Hill Detention Centre PI 6 9 4011 Banksia Lodge RH 2 2 344 Banksia Park Aged Care NH 2 2 57 Barridale Lodge Hostel (Aged Care) RH 2 2

4048 Bassendean Lodge Hostel RH 2 2 810 Bassendean Nursing Home NH 2 2

4029 Bedford Hostel PR 3 4 58 Bedingfeld Lodge Hostel (Aged Care) RH 2 2 805 Belmont Community Nursing Home NH 2 2 964 Belmont Hostel DIH PR 3 4 534 Bennet Brook Hostel DIH PR 3 4 936 Bentley Adolescent Inpatient Unit PU 4 1 553 Bentley Family Clinic PO 7 9 255 Bentley Hospital Y AH 4 1 29 Bentley Older Adult Mental Health Service PU 4 1 60 Berringa Frail Aged Lodge Hostel RH 2 2

4202 Berrington Subiaco Aged Care NH 2 2


Report to

HMDS?

Est Type SORL MOS

61 Bert England Lodge Hostel (Aged Care)

RH 2 2 4175 Bethanie Beachside Aged Care

NH 2 2

178 Bethanie Edinboro House Hostel

RH 2 2 375 Bethanie Elanora Villas Hostel

RH 2 2

803 Bethanie Elanora Villas Nursing Home

NH 2 2 4112 Bethanie Fields Aged Care

NH 2 2

383 Bethanie Geneff Hostel

RH 2 2 172 Bethanie Illawong Hostel

RH 2 2

183 Bethanie Kingsley Lodge Hostel

RH 2 2 179 Bethanie Osborne House Hostel

RH 2 2

4026 Bethanie Peel Lodge Hostel

RH 2 2 763 Bethanie Warwick Hostel

RH 2 2

844 Bethanie Warwick Nursing Home

NH 2 2 4120 Bethanie Waters Aged Care

RH 2 2

63 Bethavon Hostel (Aged Care)

RH 2 2 64 Bethel Village Hostel (Aged Care)

RH 2 2

602 Bethesda Hospital Y AH 4 1 66 Bethshan Lodge Hostel (Aged Care)

RH 2 2

401 Beverley Hospital Y AH 4 1 4139 Beverley Residential Aged Care Y NH 2 2 4059 Biala Therapy and Rehabilitation Centre

PR 3 4

4097 Blake House, Dongara

RH 2 2 402 Boddington Hospital Y AH 4 1 156 Boronia Inpatient Unit (MHS)

PU 4 1

2381 Boronia Pre-release Centre for Women

PI 6 9 70 Boyup Brook Citizens Lodge Hostel (Aged Care)

RH 2 2

4159 Boyup Brook Residential Aged Care Y NH 2 2 432 Boyup Brook Soldiers Memorial Hospital Y AH 4 1

2603 BP Luxury Care, Maddington

PR 3 4 970 Bradford Hostel

PR 3 4

705 Braemar House Nursing Home, East Fremantle

NH 2 2 71 Braemar Lodge Hostel, Bicton (Aged Care)

RH 2 2

73 Braemar Village Hostel, Willagee (Aged Care)

RH 2 2 4074 Bremer Bay Health Centre

NP 7 9

707 Brentwood Nursing Home

NH 2 2 5 Bridge House Hostel (Alcohol/Drug Rehab)

PR 3 4

444 Bridgetown Hospital Y AH 4 1 989 Brighton Hostel DIH

PR 3 4

4103 Brightwater Balcatta Nursing Home

NH 2 2 470 Brightwater Birralee Innaloo Nursing Home

NH 2 2

340 Brightwater Edgewater Aged Care Hostel

RH 2 2 4065 Brightwater Ellison House Nursing Home

NH 2 2

170 Brightwater Huntingdale Hostel

RH 2 2


Report to

HMDS?

Est Type SORL MOS

464 Brightwater Joondalup Hostel (Aged Care)

RH 2 2 469 Brightwater Jurien Bay Hostel

RH 2 2

343 Brightwater Kingsley Aged Care Nursing Home

NH 2 2 466 Brightwater Kingsley Hostel (Aged Care)

RH 2 2

4111 Brightwater Madeley Nursing Home

NH 2 2 4106 Brightwater Manning Nursing Home

NH 2 2

467 Brightwater Marangaroo Hostel

NH 2 2 4119 Brightwater Maylands Care Facility

NH 2 2

503 Brightwater Oats Street Nursing Home

NH 2 2 449 Brightwater Onslow Gardens Nursing Home

NH 2 2

4056 Brightwater Oxford Gardens Aged Care Nursing Home

NH 2 2

468 Brightwater Redcliffe Hostel

RH 2 2 465 Brightwater South Lake Care Facility (Aged Care)

RH 2 2

4123 Brightwater The Cove Facility

NH 2 2 314 Brightwater The Oaks Aged Care Nursing Home

NH 2 2

448 Brightwater The Village Nursing Home

NH 2 2 4045 Brightwater Young Disabled Service, Warnbro

OH 3 4

78 Brookview Hostel (Aged Care)

RH 2 2 928 Broome Community Mental Health

PO 7 9

206 Broome Hospital Y AH 4 1 4180 Broome Hostel (AHL)

OH 3 4

2104 Broome Regional Prison

PI 6 9 403 Bruce Rock Memorial Hospital Y AH 4 1

4140 Bruce Rock Residential Aged Care Y NH 2 2 157 Bunbury Acute Psychiatric Residential Unit

PU 4 1

662 Bunbury Day Surgery Y DS 4 1 541 Bunbury DIH

PR 3 4

834 Bunbury Gardens Nursing Centre

NH 2 2 208 Bunbury Hospital Y AH 4 1 851 Bunbury Outpatient Clinic (MHS)

PO 7 9

2105 Bunbury Regional Prison

PI 6 9 4171 Burringurrah Nursing Post

NP 7 9

331 Burswood Nursing Home

NH 2 2 365 Bush Nursing Posts Silver Chain

NP 7 9

209 Busselton Hospital Y AH 4 1 708 Cabrini Lodge Nursing Home

NH 2 2

670 Cambridge Day Surgery Y DS 4 1 81 Canning Lodge Hostel (Aged Care)

RH 2 2

654 Cannington Dialysis Clinic Y DS 4 1 4088 Care 4 You, Bunbury

OH 3 4

82 Carinaville Hostel (Aged Care)

RH 2 2 786 Carinya of Bicton Nursing Home

NH 2 2


Report to

HMDS?

Est Type SORL MOS

4067 Carinya on Bristol

NH 2 2 84 Carinya Village Hostel, Mt Lawley (Aged Care)

RH 2 2

787 Carinya Village Nursing Home, Mt Lawley

NH 2 2 91 Carl And Sadie Cohen Hostel (Aged Care)

RH 2 2

336 Carl Streich Rehab and Aged Care Unit

NH 2 2 79 Carnarvon Adult Community Mental Health

PO 7 9

210 Carnarvon Hospital Y AH 4 1 4091 Carnarvon Residential Aged Care Y NH 2 2 556 Carramar DIH

PR 3 4

92 Carramar Hostel (Aged Care)

RH 2 2 820 Carrington Aged Care Nursing Home

NH 2 2

4050 Carrington Lodge Hostel

RH 2 2 4109 Casa Sant Angelo Respite, Bunbury

OH 3 4

508 Casson House (CASP)

RH 2 2 4035 Castledare Retirement Village Nursing Home

NH 2 2

2107 Casuarina Prison

PI 6 9 93 Catherine McAuley Family Centre Hostel (Aged Care)

RH 2 2

6 Catherine McAuley Family Centre Nursing Home

NH 2 2 4190 Cerebral Palsy Respite Centre, Bentley

OH 3 4

4043 Cervantes Nursing Post

NP 7 9 312 Challenger Lodge Hostel (Aged Care)

RH 2 2

4177 Choice Adult Respite Day Care

OH 3 4 2602 Christmas Island Immigration Detention Centre

DT 7 9

737 Christos Nursing Home

NH 2 2 321 Chrystal Halliday Homes Hostel (Aged Care)

RH 2 2

833 Chrystal Halliday Nursing Home

NH 2 2 663 Churchill Day Surgery Y DS 4 1 587 City Community MHS

PO 7 9

4167 City of Bayswater Hostel

NH 2 2 4108 Clare Respite House, Baldivis

OH 3 4

4073 Clarence Estate Residential Health & Aged Care NH

NH 2 2 691 Colin Street Day Surgery Y DS 4 1 211 Collie Hospital Y AH 4 1

4160 Collie Residential Aged Care Y NH 2 2 366 Collier Park Hostel (Aged Care)

RH 2 2

713 Collville Nursing Home

NH 2 2 591 Commonwealth Rehabilitation Units

PR 3 4

2257 Community Forensic Mental Health

PO 7 9 4068 Compass House, Geraldton

PR 3 4

638 Concept Fertility Centre Y DS 4 1 828 Concorde Nursing Home

NH 2 2

857 Coolgardie Health Centre

NP 7 9 368 Coolibah Aged Care Facility

RH 2 2


Report to

HMDS?

Est Type SORL MOS

4041 Coonana Health Centre

NP 7 9 4040 Coral Bay Nursing Post

NP 7 9

714 Corlei Nursing Home

NH 2 2 404 Corrigin Hospital Y AH 4 1

4141 Corrigin Residential Aged Care Y NH 2 2 838 Craigcare Albany Aged Care

NH 2 2

809 Craigcare Maylands Aged Care

NH 2 2 4057 Crawford Lodge, Nedlands

OH 3 4

965 Croydon Hostel DIH

PR 3 4 357 Cue Nursing Post

NP 7 9

405 Cunderdin Hospital Y AH 4 1 4142 Cunderdin Residential Aged Care Y NH 2 2 840 Cunningham Nursing Home

NH 2 2

2513 Curtin Immigration Detention Centre

DT 7 9 369 Cygnet Lodge Hostel [Rowethorpe] (Aged Care)

RH 2 2

4196 Cyrenian House (Drug and Alcohol Rehab Service)

PR 3 4 406 Dalwallinu Hospital Y AH 4 1

4143 Dalwallinu Residential Aged Care Y NH 2 2 4116 David Buttfield Centre, Gwelup

NH 2 2

333 David, Gita and Michael Hoffman Nursing Home

NH 2 2 334 Dean Lodge Nursing Home

NH 2 2

912 Death

RC 7 8 914 Death While On Leave

RC 7 8

717 Deloraine Nursing Home

NH 2 2 538 Delta House (CASP)

PR 3 4

214 Denmark Hospital Y AH 4 1 370 Denmark Lodge Hostel (Aged Care)

RH 2 2

4126 Denmark Residential Aged Care Y NH 2 2 888 Dept. for Community Development - Residential Unit

OH 3 4

4047 Derbal Bidjar Hostel, Maylands

OH 3 4 927 Derby Community Mental Health

PO 7 9

6001 Derby Dialysis Unit Y DS 4 1 215 Derby Hospital Y AH 4 1 874 Devenish Lodge (CASP Hostel)

PR 3 4

564 DIH Group Homes

PR 3 4 961 Disability Services Commission

RC 7 9

65 Dominican Residential Care Centre Hostel

RH 2 2 476 Dongara Multi-Purpose Health Centre Y AH 4 1

4138 Dongara Residential Aged Care Y NH 2 2 271 Donnybrook Hospital Y AH 4 1 372 Dorothy Genders Village Hostel (Aged Care)

RH 2 2

969 Dorset Hostel

PR 3 4 4181 Dr Mary Surveyor Centre, Kingsley (Aged Care)

NH 2 2


Report to

HMDS?

Est Type SORL MOS

373 Dryandra Frail Aged Hostel

RH 2 2 505 Dudley House (CASP)

PR 3 4

408 Dumbleyung Memorial Hospital Y AH 4 1 4144 Dumbleyung Residential Aged Care Y NH 2 2 879 Duncraig Village Hostel (Aged Care)

RH 2 2

350 Dwellingup Nursing Post

NP 7 9 895 Earlsferry Hostel (MHS)

PR 3 4

824 East Victoria Park Restorative Nursing Home

NH 2 2 2109 Eastern Goldfields Regional Prison

PI 6 9

374 Edgewater Mercy Hostel (Aged Care)

RH 2 2 924 Edward Collick Hostel

RH 2 2

4086 Edward Collick Nursing Home

NH 2 2 376 Elimatta Lodge Hostel (Aged Care)

RH 2 2

377 Elizabeth Hanson Autumn Centre Hostel (Aboriginals)

RH 2 2 4054 Ella Williams House Hostel

RH 2 2

4053 Ella Williams House Nursing Home

NH 2 2 4205 Ellenvale Nursing Aged Care

RH 2 2

721 Embleton Care Nursing Home

NH 2 2 974 Epsom Hostel (Aged Care)

RH 2 2

483 Esperance Aged Care Hostel

RH 2 2 753 Esperance Aged Care Nursing Home

NH 2 2

2088 Esperance Community Mental Health

PO 7 9 218 Esperance Hospital Y AH 4 1 219 Exmouth Hospital Y AH 4 1 694 Eye Surgery Foundation Y DS 4 1 379 Fairhaven Hostel (Aged Care)

RH 2 2

896 Fairholme Hostel (MHS)

PR 3 4 2 Families at Work, Bentley

PR 3 4

4100 Fern River Care Facility

OH 3 4 106 Fiona Stanley Hospital Y AH 4 1 600 Fitzroy Crossing Dialysis Unit Y DS 4 1 127 Fitzroy Crossing Hospital Y AH 4 1 381 Foley Village Hostel (Aged Care)

RH 2 2

335 Foley Village Nursing Home

NH 2 2 866 Franciscan Lodge (CASP Hostel)

PR 3 4

4077 Frank Prendergast House Hostel

RH 2 2 4025 Fraser House

PR 3 4

4017 Frederick Guest Hostel

RH 2 2 102 Fremantle Hospital Y AH 4 1 657 Fresenius Medical Care, Coolbellup Y DS 4 1 655 Fresenius Medical Care, Warwick Y DS 4 1 744 Freshwater Bay Nursing Home

NH 2 2

999 Funding Hospital

RC 7 9


Report to

HMDS?

Est Type SORL MOS

382 Geegeelup Village Hostel (Aged Care)

RH 2 2 4013 Gelorup Hostel

PR 3 4

307 Geraldton Adult Community MH

PO 7 9 220 Geraldton Hospital Y AH 4 1 841 Geraldton Nursing Home

NH 2 2

385 Germanus Kent Hostel (Aged Care)

RH 2 2 698 GI Clinic Y DS 4 1 515 Gildercliffe Lodge (CASP)

PR 3 4

880 Gleddon Hostel, Bull Creek

OH 3 4 386 Glendalough Hostel (Aged Care)

RH 2 2

727 Glendalough Nursing Home

NH 2 2 633 Glengarry Hospital Y AH 4 1 756 Glengarry Nursing Home

NH 2 2

387 Glover House Hostel (Aged Care)

RH 2 2 511 Glyde Street Hostel (CASP)

PR 3 4

410 Gnowangerup Hospital Y AH 4 1 4128 Gnowangerup Residential Aged Care Y NH 2 2 411 Goomalling Hospital Y AH 4 1

4145 Goomalling Residential Aged Care Y NH 2 2 388 Gordon Lodge Hostel (Aged Care)

RH 2 2

4075 Gough’s Respite Care

OH 3 4 881 Graceford Hostel (Aged Care)

RH 2 2

389 Gracehaven Hostel (Aged Care)

RH 2 2 757 Gracehaven Nursing Home

NH 2 2

390 Gracewood Aged Care

NH 2 2 4051 Grandview Aged Care Hostel

RH 2 2

935 Graylands Hospital (MHS) Y PH 5 3 4071 Green Croft Gardens Respite Care

OH 3 4

4037 Greenfields Aged Care Nursing Home, Mandurah

NH 2 2 2111 Greenough Regional Prison

PI 6 9

391 Grevillea Hostel (Aged Care)

RH 2 2 392 Guildford Village Hostel (Aged Care)

RH 2 2

393 Guwardi Ngadu Hostel (Aged Care)

RH 2 2 394 Gwen Hardie Lodge Hostel (Aged Care)

RH 2 2

730 Hadassah Nursing Home

NH 2 2 2106 Hakea Prison

PI 6 9

395 Hale House Hostel (Aged Care)

RH 2 2 128 Halls Creek Hospital Y AH 4 1 396 Halls Creek People’s Church Hostel (Aged Care)

RH 2 2

731 Hamersley Nursing Home

NH 2 2 4189 Hamilton Hill Respite House

OH 3 4

22 Hampton Road Service (MHS)

PR 3 4 412 Harvey Hospital Y AH 4 1


Report to

HMDS?

Est Type SORL MOS

2192 Harvey Yarloop Community Mental Health

PO 7 9 7 Hawthorn Hospital Nursing Home

NH 2 2

2888 Hawthorn House

PR 3 4 131 Hedland Health Campus Y AH 4 1 963 Hellenic Community Aged Care Hostel

RH 2 2

4195 Hermitage Aged Care, Ellenbrook

NH 2 2 397 Hillcrest Lodge Hostel, Geraldton (Aged Care)

RH 2 2

738 Hilltop Lodge Hostel

RH 2 2 512 Hillview Hostel (CASP)

PR 3 4

4055 Hilton Park Aged Care

NH 2 2 180 Hocart Lodge Hostel (Aged Care)

RH 2 2

641 Hollywood Private Hospital Y AH 4 1 161 Honey Brook Lodge

PR 3 4

399 Howard Solomon Hostel (Aged Care)

RH 2 2 835 Howard Solomon Nursing Home

NH 2 2

472 Ian Roberts Lodge

NH 2 2 171 Ida Mann Hostel (Aged Care)

RH 2 2

2112 Immigration Department Perth

DT 7 9 2113 Immigration Department Perth Airport

DT 7 9

2118 Immigration Detention Centre

DT 7 9 646 Indian Ocean Territories Health Service Y AH 4 1 890 Intellectual Handicapped Voluntary Org – Res Unit

PR 3 4

342 Italian Aged Care Nursing Home, Marangaroo

NH 2 2 173 Italian Village Hostel, White Gum Valley (Aged Care)

RH 2 2

4049 Ivanhoe Hostel (Aged Care)

RH 2 2 174 Iveson Hostel (Aged Care)

RH 2 2

8 Jacaranda Lodge Hostel (Aged Care)

RH 2 2 739 Jalon Nursing Home

NH 2 2

804 James Brown House Hostel (Aged Care)

RH 2 2 539 James Street Centre

PR 3 4

450 James T Pollard Hospital Nursing Home

NH 2 2 175 James Watson Hostel (Aged Care)

RH 2 2

76 Jansen House (CASP)

PR 3 4 176 JE Murray Home Hostel (Aged Care)

RH 2 2

1002 Jeremiah Donovan House

RH 2 2 441 Jerramungup Nursing Post

NP 7 9

745 John Bryant House Hostel

RH 2 2 523 John Wilson Lodge (CASP)

PR 3 4

642 Joondalup Health Campus Y AH 4 1 163 Joondalup Health Campus Mental Health

PU 4 1

2256 Joondalup North Mental Health

PO 7 9 26 Joondalup South Mental Health

PO 7 9

4125 Joseph Banks Aged Care Facility

NH 2 2


Report to

HMDS?

Est Type SORL MOS

326 Joseph Cooke House

RH 2 2 4058 Jurien Bay Health Centre

NP 7 9

371 Kabayji Booroo Hostel

OH 3 4 454 Kalamunda District Community Hospital Y AH 4 1 475 Kalbarri Health Centre Y AH 4 1 130 Kaleeya Hospital Y AH 4 1

2271 Kalgoorlie Adult Acute MH Unit

PU 4 1 164 Kalgoorlie Boulder Community MH Adult

PO 7 9

226 Kalgoorlie Hospital Y AH 4 1 77 Kalkarni Residency Hostel

RH 2 2

4095 Kalkarni Residency Nursing Home

NH 2 2 352 Kambalda Nursing Post

NP 7 9

181 Karinya Frail Aged Lodge Hostel

RH 2 2 754 Karlarra House Aged Care Y NH 2 2

2114 Karnet Prison Farm

PI 6 9 860 Karratha Community Mental Health

PO 7 9

877 Karri Lodge Hostel

RH 2 2 589 Katanning Adult Community Mental Health

PO 7 9

227 Katanning Hospital Y AH 4 1 4129 Katanning Residential Aged Care Y NH 2 2 409 Kellerberrin Memorial Hospital Y AH 4 1

4146 Kellerberrin Residential Aged Care Y NH 2 2 2136 Kelmscott Child and Adolescent MHS

PO 7 9

4066 Kelmscott River Gardens Aged Care Hostel

RH 2 2 806 Kensington Park Nursing Home

NH 2 2

968 Kentucky Hostel

PR 3 4 742 Killara Nursing Home

NH 2 2

821 Kimberley Nursing Home

NH 2 2 649 Kimberley Satellite Dialysis Centre Y DS 4 1 104 King Edward Memorial Hospital For Women Y AH 4 1 795 Kingia/Tandara High Care Facility

NH 2 2

650 Kings Park Day Hospital Y DS 4 1 68 Kingston House (CASP)

PR 3 4

317 Kinross Care Centre Hostel

RH 2 2 814 Koh-I-Noor Nursing Home

NH 2 2

445 Kojonup Hospital Y AH 4 1 4130 Kojonup Residential Aged Care Y NH 2 2 413 Kondinin Hospital Y AH 4 1

4147 Kondinin Residential Aged Care Y NH 2 2 184 Kondinin/Kulin Aged Care Hostel

RH 2 2

185 Koolberrin Lodge Hostel (Aged Care)

RH 2 2 356 Kukerin Nursing Post

NP 7 9

4107 Kulin Health Centre

NP 7 9


Report to

HMDS?

Est Type SORL MOS

4178 Kungara-Kalpa Aged Care Facility

OH 3 4 414 Kununoppin Hospital Y AH 4 1

4148 Kununoppin Residential Aged Care Y NH 2 2 32 Kununurra Adult Community Mental Health

PO 7 9

4121 Kununurra Aged Care Facility Y NH 2 2 6003 Kununurra Dialysis Unit Y DS 4 1 257 Kununurra Hospital Y AH 4 1 186 Lady Brand Lodge For Frail Aged Hostel

RH 2 2

451 Lady Lawley Cottage Nursing Home

NH 2 2 345 Lady McCusker Home/Nursing Home

NH 2 2

230 Lake Grace Hospital Y AH 4 1 4149 Lake Grace Residential Aged Care Y NH 2 2 4079 Lakeside Aged Care Hostel

RH 2 2

346 Lakeside Aged Care Nursing Home

NH 2 2 4168 Lakeside Care Awaiting Placement

OH 3 4

4131 Langton Dementia Unit, Mount Barker

NH 2 2 813 Lathlain Nursing Home

NH 2 2

272 Laverton Hospital Y AH 4 1 899 Lawton Hostel DIH

PR 3 4

188 Leeuwin Frail Aged Lodge Hostel

RH 2 2 189 Lefroy Hostel (Aged Care)

RH 2 2

743 Leighton Nursing Home

NH 2 2 4124 Leinster Community Health Service

NP 7 9

4014 Lentara Hostel

OH 3 4 2514 Leonora Alternative Place of Detention

DT 7 9

273 Leonora Hospital Y AH 4 1 957 Lilacdale Hostel, Innaloo

OH 3 4

494 Lincoln Park Aged Care

RH 2 2 685 Lions Eye Institute Day Surgery Y DS 4 1 341 Lodge Hostel, The (Aged Care)

RH 2 2

190 Lovegrove Lodge Hostel (Aged Care)

RH 2 2 452 Lucy Creeth Nursing Home

NH 2 2

191 Lyneham Hostel (Aged Care)

RH 2 2 837 Mandurah Care Facility

NH 2 2

192 Manoah House Hostel (Aged Care)

RH 2 2 51 Marangaroo Nursing Home

NH 2 2

232 Marble Bar Nursing Post

NP 7 9 4101 Margaret Doody Respite House

OH 3 4

4061 Margaret Hubery House Hostel

RH 2 2 4060 Margaret Hubery House Nursing Home

NH 2 2

233 Margaret River Hospital Y AH 4 1 653 Marian Centre Y PH 5 3 696 Marie Stopes Midland Y DS 4 1


Report to

HMDS?

Est Type SORL MOS

193 Marist Lodge Hostel (Aged Care)

RH 2 2 194 Marlgu Village Hostel (Aged Care)

RH 2 2

709 Marshall Park Nursing Home

NH 2 2 660 Martu Renal Dialysis Centre Jigalong Y DS 4 1 506 Maudie Armstrong Lodge (CASP)

PR 3 4

747 Maurice Zeffert Nursing Home

NH 2 2 682 McCourt Street Day Surgery Y DS 4 1 4 McDougall Park Nursing Home

NH 2 2

528 McGilvray Board House

PR 3 4 4084 McNamara Lodge Hostel

RH 2 2

955 Mead Centre (MHS)

PO 7 9 197 Meath Care Hostel, Como

RH 2 2

195 Meath House Hostel, Trigg (Aged Care)

RH 2 2 30 Meekatharra Adult Community Mental Health

PO 7 9

4004 Meekatharra Children’s Hostel

OH 3 4 234 Meekatharra Hospital Y AH 4 1

4133 Meekatharra Residential Aged Care Y NH 2 2 819 Melville Aged Care

NH 2 2

832 Melvista Lodge Nursing Home

NH 2 2 196 Memorial House Hostel, Bruce Rock (Aged Care)

RH 2 2

353 Menzies Nursing Post

NP 7 9 198 Mercyville Hostel (Aged Care)

RH 2 2

235 Merredin Hospital Y AH 4 1 4150 Merredin Residential Aged Care Y NH 2 2 644 Midland Dialysis Centre Y DS 4 1 822 Midland Nursing Home

NH 2 2

967 Milford Hostel

PR 3 4 4078 Milliya Rumurra Alcohol and Drug Rehab Centre

PR 3 4

44 Mills Street Centre (MHS)

PU 4 1 947 Mills Street Outpatients (MHS)

PO 7 9

4187 Milroy Lodge, Shenton Park

OH 3 4 4165 Mirrambeena Aged Care

NH 2 2

4007 Mirtanya Maya Aged Care Hostel, Port Hedland

RH 2 2 53 Moline House Hostel (Aged Care)

RH 2 2

4200 Mont Clare Aged Care Facility

NH 2 2 746 Montrose Nursing Home

NH 2 2

290 Moonya Lodge Hostel (Aged Care)

RH 2 2 865 Moonya Lodge Nursing Home

NH 2 2

4009 Moora Frail Aged Lodge

NH 2 2 417 Moora Hospital Y AH 4 1

4151 Moora Residential Aged Care Y NH 2 2 418 Morawa Hospital Y AH 4 1 291 Morawa Lodge Hostel (Aged Care)

RH 2 2


Report to

HMDS?

Est Type SORL MOS

4134 Morawa Residential Aged Care Y NH 2 2 4132 Morgan House, Three Springs

NH 2 2

752 Morrison Lodge Hostel (Aged Care)

RH 2 2 978 Morriston Hostel (Aged Care)

PR 3 4

798 Mosman Park Nursing Home

NH 2 2 276 Mount Henry Nursing Home

NH 2 2

608 Mount Hospital Y AH 4 1 607 Mount Lawley Private Hospital Y AH 4 1 275 Mount Magnet Nursing Post

NP 7 9

750 Mt Lawley Nursing Home

NH 2 2 749 Mt St Emilies Hostel

RH 2 2

355 Mukinbudin Nursing Post

NP 7 9 419 Mullewa Hospital Y AH 4 1

4135 Mullewa Residential Aged Care Y NH 2 2 292 Murchison Hostel (Aged Care)

RH 2 2

681 Murdoch Surgicentre Y D2 4 1 293 Murlali Lodge Hostel

OH 3 4

420 Murray Hospital Y AH 4 1 348 Murray River Nursing Home

NH 2 2

558 Myoora DIH

PR 3 4 177 Myvista Ethnic Aged Care

RH 2 2

422 Nannup Hospital Y AH 4 1 668 Nanyara Medical Group Y DS 4 1 423 Narembeen Memorial Hospital Y AH 4 1

4152 Narembeen Residential Aged Care Y NH 2 2 18 Narrogin Community Mental Health

PO 7 9

236 Narrogin Hospital Y AH 4 1 836 Narrogin Nursing Home

NH 2 2

741 Nazareth House Geraldton

NH 2 2 50 Newman District Community Mental Health

PO 7 9

260 Newman Hospital Y AH 4 1 459 Next Step Drug and Alcohol Services, East Perth Y AH 4 1

4081 Ngamang Bawoona Hostel

RH 2 2 2601 Ngatti House, Fremantle

PR 3 4

2600 Ngulla Mia Hostel

PR 3 4 829 Ngurra Karnpi Nursing Home for Aboriginals

NH 2 2

460 Nickol Bay Hospital Y AH 4 1 755 Nonareena Nursing Home

NH 2 2

424 Norseman Hospital Y AH 4 1 426 North Midlands Hospital Y AH 4 1

4136 North Midlands Residential Aged Care Y NH 2 2 237 Northam Hospital Y AH 4 1 265 Northam Permanent Care Unit

NH 2 2


Report to

HMDS?

Est Type SORL MOS

425 Northampton Hospital Y AH 4 1 4137 Northampton Residential Aged Care Y NH 2 2 351 Northcliffe Nursing Post

NP 7 9

4174 Nullagine Community Health Service

NP 7 9 700 Numbala Nunga Nursing Home

NH 2 2

294 Ocean Star Aged Care Hostel

RH 2 2 768 Ocean Star Nursing Home, Bunbury

NH 2 2

295 Olive Laird Memorial Hostel (Aged Care)

RH 2 2 238 Onslow Hospital Y AH 4 1 110 Oral Health Centre of WA

DS 4 1

4110 Orange Grove Aged Care

NH 2 2 4179 Orelia Care Awaiting Placement

OH 3 4

4115 Osboine Contemporary Aged Care

NH 2 2 593 Osborne Park Clinic (MHS)

PO 7 9

239 Osborne Park Hospital Y AH 4 1 872 Osborne Park Lodge (MHS)

PU 4 1

4072 Overton Hostel, Mount Barker

RH 2 2 900 Own Home [Friend Or Other Family Home W/O Care]

RC 1 9

901 Own Home With Domiciliary Care

RC 1 9 667 Oxford Day Surgery and Dermatology Y DS 4 1

1005 Palm Lodge Hostel

RH 2 2 4031 Palmerston Centre, Perth

PR 3 4

4046 Palmerston Farm Hostel, Wellard

PR 3 4 297 Pam Corker House Hostel (Aged Care)

RH 2 2

785 Par Mur Nursing Home

NH 2 2 267 Paraburdoo Hospital Y AH 4 1

2116 Pardelup Prison Farm

PI 6 9 579 Park Villa Hostel (Aboriginals)

OH 3 4

298 Parker House Hostel (Aged Care)

RH 2 2 4170 Parkview Aged Care Facility

NH 2 2

758 Parry House Hostel (Aged Care)

RH 2 2 588 Peel Adult Psychiatry, Mandurah

PO 7 9

645 Peel Health Campus Y AH 4 1 427 Pemberton Hospital Y AH 4 1 643 Perth Clinic Y PH 5 3 678 Perth Day Surgery Centre Y DS 4 1

6005 Perth Dermatology Clinic Y DS 4 1 2110 Perth Watch House

PI 6 9

4028 Peter Arney Nursing Home

NH 2 2 299 Pilgrim House Hostel (Aged Care)

RH 2 2

557 Pindarra DIH

PR 3 4 4063 Pines Aged Care Hostel, The

RH 2 2

4064 Pines Aged Care Nursing Home, The

NH 2 2


Report to

HMDS?

Est Type SORL MOS

428 Pingelly Hospital Y AH 4 1 480 Pioneer House Frail Aged Hostel

RH 2 2

429 Plantagenet Hospital Y AH 4 1 4127 Plantagenet Residential Aged Care Y NH 2 2 949 Port Hedland Community Mental Health

PO 7 9

103 Princess Margaret Hospital For Children Y AH 4 1 801 Principal Armadale Nursing Centre

NH 2 2

94 Psychiatric Emergency Team

PO 7 9 453 Quadriplegic Centre

OH 3 4

446 Quairading Hospital Y AH 4 1 4153 Quairading Residential Aged Care Y NH 2 2 481 Quamby Lodge Hostel (Aged Care)

RH 2 2

2117 Rangeview Remand Centre

PI 6 9 430 Ravensthorpe Hospital Y AH 4 1 482 Ray Lodge Hostel, Busselton

RH 2 2

944 Reclassified This Hospital

RC 4 5 484 Redcliffe Hostel (Aged Care)

RH 2 2

985 Referred by [or to] Other Hospital In Australia

RC 4 1 986 Referred by/to Other Hospital in Another Country

RC 4 1

584 Referred By/To Police/Law Enforcement

RC 7 9 4201 Regents Garden Aubin Grove

NH 2 2

772 Regents Garden Bateman

NH 2 2 4122 Regents Garden Four Seasons Booragoon

NH 2 2

4102 Regents Garden Lake Joondalup

NH 2 2 815 Regis Como House Aged Care

NH 2 2

780 Regis Cypress Gardens Aged Care

NH 2 2 378 Regis Elloura Lodge Aged Care

RH 2 2

4069 Regis Forrest Gardens Aged Care

NH 2 2 398 Regis Hillcrest Hostel

RH 2 2

338 Regis Park Lodge Aged Care

NH 2 2 771 Regis Weston Lodge Aged Care

RH 2 2

4006 Richard Cleaver Lodge

NH 2 2 5006 Richmond Fellowship Westminster

OH 3 4

5007 Richmond Fellowship Queens Park

OH 3 4 59 Ritcher Lodge Hostel (Aged Care)

RH 2 2

2119 Riverbank Prison

PI 6 9 486 RiverSea Hostel (Aged Care)

RH 2 2

4033 Riverslea Lodge Hostel

RH 2 2 658 Rockingham Dialysis Clinic Y DS 4 1 277 Rockingham General Hospital Y AH 4 1 759 Rockingham Nursing Home

NH 2 2

536 Rockingham/Kwinana Community Psych Service

PO 7 9 735 Rocky Bay Village

OH 3 4


Report to

HMDS?

Est Type SORL MOS

243 Roebourne Hospital Y AH 4 1 2120 Roebourne Regional Prison

PI 6 9

517 Romily House (CASP)

PR 3 4 514 Rosedale Lodge (CASP)

PR 3 4

4039 Rosella House (Drug and Alcohol Rehab Centre)

PR 3 4 187 Rosewood Care Leederville (Aged Care)

RH 2 2

380 Rosewood Care West Perth (Aged Care)

RH 2 2 367 Rottnest Island Nursing Post

NP 7 9

4183 Rowethorpe Care Awaiting Placement

OH 3 4 4185 Royal Darwin Hospital Y AH 4 1 101 Royal Perth Hospital Y AH 4 1 100 Royal Perth Hospital Shenton Park Campus Y AR 4 1 384 RSL War Veterans Homes Hostel, Geraldton

RH 2 2

800 RSL War Veterans Homes Hostel, Mandurah

RH 2 2 489 RSL War Veterans Homes Hostel, Menora

RH 2 2

518 Ruth Downer House (CASP)

PR 3 4 490 Sacred Heart Convent Hostel (Aged Care)

RH 2 2

519 Salisbury House (CASP)

PR 3 4 760 San Marcelle Nursing Home

NH 2 2

358 Sandstone Nursing Post

NP 7 9 349 Sandstrom Nursing Home

NH 2 2

794 Santralla Nursing Home

NH 2 2 4076 Sarah Hardey House Hostel, Kelmscott

RH 2 2

491 Seaforth Gardens Senior Citizens Residence Hostel

RH 2 2 4080 Second Avenue Hostel

RH 2 2

337 Second Avenue Nursing Home

NH 2 2 158 Selby Authorised Lodge (MHS) Y PH 5 3 675 Sentiens Clinic

PH 5 3

4016 Serenity Lodge

PR 3 4 492 Servite Villa Hostel (Aged Care)

RH 2 2

4089 Shawford Lodge Hostel

RH 2 2 945 Shenton Child and Adolescent Centre

PO 7 9

69 Shepperton House (CASP)

PR 3 4 4083 Shoalwater Aged Care Hostel

RH 2 2

808 Shoalwater Nursing Home

NH 2 2 652 Silver Chain Hospital at Home Y AH 4 1

4198 Silver Chain Shark Bay

NP 7 9 105 Sir Charles Gairdner Hospital Y AH 4 1 845 Sir David Brand Centre

PR 3 4

775 Skye Nursing Home

NH 2 2 892 Slow Learning Childrens Group - Res Unit

PR 3 4

4070 Somerset House Frail Aged Hostel Y RH 2 2 166 South Metro Child and Adolescent MHS

PO 7 9


Report to

HMDS?

Est Type SORL MOS

677 South Perth Endoscopy Y DS 4 1 618 South Perth Hospital Y AH 4 1 690 Southbank Clinic Y D2 4 1 431 Southern Cross Hospital Y AH 4 1

4154 Southern Cross Residential Aged Care Y NH 2 2 4192 Southern Respite Service, Beeliar

OH 3 4

659 Spearwood Dialysis Clinic Y DS 4 1 897 Spencer Hostel, Yokine

OH 3 4

496 Springhaven Frail Aged Lodge Hostel

RH 2 2 473 St Andrew's Residential Care Nursing Home

NH 2 2

4094 St Bartholomew's House Cannington

OH 3 4 4027 St Bartholomew's House East Perth

OH 3 4

4038 St Bartholomew's House Medina

OH 3 4 4034 St Bartholomew's House Midland

OH 3 4

4018 St Basil's Nursing Home

NH 2 2 761 St Catherine's Nursing Home

NH 2 2

497 St David's Hostel (Aged Care)

RH 2 2 762 St Florence Nursing Home

NH 2 2

4117 St Francis Aged Care, Fremantle

NH 2 2 1006 St Francis Hostel, Gwelup

RH 2 2

864 St George's Nursing Home, Bayswater

NH 2 2 474 St Ives Melville Hostel

RH 2 2

4113 St Ives Murdoch Aged Care

RH 2 2 332 St James Aged Care

NH 2 2

612 St John of God Health Care Bunbury Y AH 4 1 613 St John of God Health Care Geraldton Y AH 4 1 629 St John of God Health Care Mt Lawley (was Mercy) Y AH 4 1 640 St John of God Health Care Murdoch Y AH 4 1 616 St John of God Health Care Subiaco Y AH 4 1 669 St John of God Hospital Busselton Y DS 4 1 796 St Joseph's Nursing Home

NH 2 2

315 St Jude's Hostel (Aged Care)

RH 2 2 75 St Lucy's Aged Care Hostel

RH 2 2

706 St Lucy's Aged Care Nursing Home

NH 2 2 765 St Luke's Nursing Home

NH 2 2

861 St Michael's Residential Care

NH 2 2 766 St Paul's Nursing Home

NH 2 2

767 St Rita's Nursing Home

NH 2 2 499 St Vincent's Hostel, Guildford (Aged Care)

RH 2 2

769 St Vincent's Nursing Home, Guildford

NH 2 2 313 Stan Reilly Lodge Hostel

RH 2 2

135 State Forensic Mental Health Service Y PH 5 3 4118 Stirling Aged Care, Yokine

NH 2 2


Report to

HMDS?

Est Type SORL MOS

656 Stirling Dialysis Clinic Y DS 4 1 281 Stirling Naval Base Hospital

AH 4 1

776 Stranaer Nursing Home

NH 2 2 4019 Subiaco Lodge

OH 3 4

661 Subiaco Private Hospital Y AH 4 1 4191 Success House Respite Centre

OH 3 4

182 Sundowner Hostel (Aged Care)

RH 2 2 4204 Sunflower Care Services OH 3 4 495 Sunshine Park Hostel (Aged Care)

RH 2 2

2121 Supreme Court Detention Centre

PI 6 9 956 Swan Adult Mental Health Centre

PO 7 9

1 Swan Child and Adolescent MHS

PO 7 9 244 Swan District Hospital Y AH 4 1

2224 Swan Valley Centre

PU 4 1 442 Tambellup Nursing Post

NP 7 9

3 Tanby Hall Hostel (Aged Care)

RH 2 2 10 Tanderra Hostel

OH 3 4

4197 Teen Challenge Grace Academy

PR 3 4 354 Telfer Nursing Post

NP 7 9

676 The Women's Clinic, Balcatta Y DS 4 1 339 Thomas Scott Hostel (Aged Care)

RH 2 2

4000 Tom Burke Hostel

RH 2 2 162 Tom Price Community Mental Health

PO 7 9

256 Tom Price Hospital Y AH 4 1 4186 Tranby Aged Care Facility

RH 2 2

573 Trilby Cooper Hostel (Aboriginals)

OH 3 4 943 Trinity Lodge [Rowethorpe] Hostel (Aged Care)

RH 2 2

951 Trinity Village Hostel, Duncraig

RH 2 2 4096 Tuart Lodge Nursing Home

NH 2 2

4020 Tuia Lodge

RH 2 2 954 Tula Lodge Hostel

RH 2 2

778 Tuohy Memorial Nursing Home

NH 2 2 779 Two Pines Nursing Home

NH 2 2

4099 Unlisted Other Health Care Accommodation

RC 3 4 4098 Unlisted Residential Aged Care Service

RC 2 2

2289 Ursula Frayne Unit, Mercy Hospital

PU 4 1 664 UWA Podiatric Surgery Centre Y DS 4 1 811 Valencia Nursing Home

NH 2 2

4184 ValleyView Residence (Aged Care)

NH 2 2 4042 Varley Nursing Post

NP 7 9

599 Vasse Leeuwin Community Mental Health

PO 7 9 782 Victoria Nursing Home

NH 2 2

958 Victoria Park Hostel, Kalgoorlie

RH 2 2


Report to

HMDS?

Est Type SORL MOS

818 Victoria Park NH, Kalgoorlie (Non-Aboriginals)

NH 2 2 41 Villa Dalmacia Aged Care

NH 2 2

966 Villa Maria Hostel, Lesmurdie (Aged Care)

RH 2 2 971 Villa Pelletier Hostel (Aged Care)

RH 2 2

9 Villa Terenzio Hostel (Aged Care)

RH 2 2 4023 Vincentian House Hostel

OH 3 4

28 Violet Major Lodge (CASP)

PR 3 4 4173 Vivian Bullwinkel Lodge

RH 2 2

245 Wagin Hospital Y AH 4 1 639 Waikiki Private Hospital Y AH 4 1 665 Walcott Street Surgical Centre Y DS 4 1 972 Wallambin Lodge Hostel (Aged Care)

RH 2 2

894 Walridge Lodge Hostel (Aged Care)

RH 2 2 4003 Walumba Hostel, Warmun Community [Turkey Creek]

RH 2 2

2123 Waminda Bail Hostel

PI 6 9 799 Waminda Hostel, Bentley (Aged Care)

RH 2 2

4105 Wanarn Nursing Home

NH 2 2 2621 Wandoo Reintegration Facility

PI 6 9

859 Wanneroo Community Nursing Home

NH 2 2 817 Waratah Lodge Hostel (Aged Care)

RH 2 2

6004 Warburton Dialysis Room Y DS 4 1 159 Ward G Albany Regional Hospital

PU 4 1

592 Warren Blackwood Community Mental Health

PO 7 9 433 Warren Hospital Y AH 4 1 532 Warwick Child and Adolescent MHS

PO 7 9

4087 WASA Cares, Bunbury

OH 3 4 764 Wattle Hill Lodge Hostel (Aged Care)

RH 2 2

770 Wearne - A Hostel for the Aged, Cottesloe

RH 2 2 792 Wearne House Hostel, Mandurah

RH 2 2

52 Wearne House Nursing Home, Mandurah

NH 2 2 477 Wellington Community Mental Health

PO 7 9

671 West Coast Endoscopy Centre Y DS 4 1 2293 West Kimberley Regional Prison PI 6 9 2139 West Wheatbelt Community Mental Health

PO 7 9

4024 WestCare Accommodation

OH 3 4 689 Westminster Day Surgery Y D2 4 1

4114 White Oak Respite Care, Jandabup

OH 3 4 434 Wickepin Nursing Post

NP 7 9

266 Wickham Health Centre

NP 7 9 774 William Carey Court Hostel (Aged Care)

RH 2 2

4082 William Carey Court Nursing Home

NH 2 2 436 Williams Nursing Post

NP 7 9

274 Wiluna Nursing Post

NP 7 9


Report to

HMDS?

Est Type SORL MOS

788 Windsor Park Aged Care Nursing Home

NH 2 2 246 Wittenoom Nursing Post

NP 7 9

781 Wogerlin House Hostel (Aged Care)

RH 2 2 437 Wongan Hills Hospital Y AH 4 1

4155 Wongan Hills Residential Aged Care Y NH 2 2 4176 Woodlake Aged Care, Kingsley

NH 2 2

783 Woodstock Nursing Home

NH 2 2 697 Woodvale Private Hospital for Women Y D2 4 1 524 Woodville House (CASP)

RH 2 2

2122 Wooroloo Prison Farm

PI 6 9 4156 Wyalkatchem Residential Aged Care Y NH 2 2 438 Wyalkatchem-Koorda and Districts Hospital Y AH 4 1 784 Wybalena Aged Persons Home Hostel

RH 2 2

249 Wyndham Hospital Y AH 4 1 790 Yaandina Frail Aged Hostel

RH 2 2

359 Yalgoo Nursing Post

NP 7 9 728 Yallambee Hostel (Aged Care)

RH 2 2

2515 Yongah Hill Immigration Detention Centre

DT 7 9 251 York Hospital Y AH 4 1 726 York Pioneer Memorial Lodge Hostel (Aged Care)

RH 2 2

4157 York Residential Aged Care Y NH 2 2 479 Youth Therapy Service (MHS)

PO 7 9

APPENDIX 1B: ADMITTED FROM/DISCHARGE TO ESTABLISHMENT LIST (Numeric)

The establishment codes listed in this appendix and in Appendix 1B are the current codes that HMDS accepts to identify establishments for reporting purposes, and in the fields Establishment, Admitted From, Discharged To, and Contracted/Funding Establishment. Reporting hospitals must ensure that only the codes listed in these two appendices (i.e. 1A and 1B) are provided in 2013/14 inpatient summaries. If a code is not listed in these appendices, please contact the Inpatient Data Collections Manager (refer to Section 2) so that it can be added to the list.

The establishments listed in this appendix are sorted in alphabetic order by establishment name. In addition to the establishment code and corresponding name, the list includes four columns as follows: Report to HMDS indicates (with a ‘Y’) whether the establishment reports inpatient summary data to the Hospital Morbidity Data System or not. Est Type Specifies the establishment type. Possible types are:

Code Description AH Acute Hospital AR Acute/Rehabilitation Hospital D2 Day Surgery (23/24 – Hr) DS Day Surgery (Other) DT Detention Centre NH Nursing Home NP Nursing Post OH Other Health Care Accommodation PA Palliative Care Hospital PH Psychiatric Hospital PI Prison PO Psychiatric Outpatient PR Psychiatric Residential PU Psychiatric Unit in an Acute Hospital RC Referral Code RH Residential Aged Care Service (RACS) Hostel

SORL Shows which Source of Referral - Location value must be used in conjunction with the establishment code. Value labels are presented below for easy reference. For details, please refer to Section 6 Source of Referral - Location.

Code Description 1 Home 2 Residential Aged Care Service 3 Other Health Care Accommodation 4 Acute Hospital 5 Psychiatric Hospital 6 Prison 7 Other

MOS Identifies the valid Mode of Separation value associated with the establishment

code. Value labels are presented below. More details are available in Section 6 Mode of Separation.

Code Description 1 Transfer to Acute Hospital 2 Transfer to Residential Aged Care Service 3 Transfer to Psychiatric Hospital 4 Transfer to Other Health Care Accommodation 5 Statistical Type Change 6 Left Against Medical Advice 7 Discharge from Leave 8 Deceased 9 Other / Home

The Source of Referral - Location (SORL) and Mode of Separation (MOS) values listed above refer to valid HMDS codes for these fields. For equivalent codes on TOPAS, HCARe CMS and webPAS systems, please refer to Appendix 5.

Acronyms Used in this Appendix

A number of acronyms and abbreviations are specified within the establishment list. These acronyms are described below. Acronym Description ACRAH Association for Care and Rehabilitation of Alcoholics, Drug Addicts and

Homeless AHL Aboriginal Hostel Limited BBA Born Before Admission CAMHS Child and Adolescent Mental Health Service CASP Community Accommodation Support Program CCN Community Care Nursing CPD Community Psychiatric Division CTO Community Treatment Order DIH Division of Intellectually Handicapped ECG Electrocardiogram ECT Electroconvulsive Therapy EEG Electroencephalogram HMDS Hospital Morbidity Data System KEMH King Edward Memorial Hospital MH Mental Health MHIS Mental Health Information System MHS Mental Health Service NH Nursing Home PARK Peel And Rockingham/Kwinana health service

Acronym Description PMH Princess Margaret Hospital (for Children) PSOLIS Psychiatric Services Online Information System RACS Residential Aged Care Service RPH Royal Perth Hospital SARC Sexual Assault Resource Centre SCGH Sir Charles Gairdner Hospital SW Social Work TOPAS The Open Patient Administration System WCHS Women’s and Children’s Health Service WERU WE Robinson Unit

Current Establishment List (as at 30/06/2014)


Report to

HMDS?

Est Type SORL MOS

1 Swan Child and Adolescent MHS

PO 7 9 2 Families at Work, Bentley

PR 3 4

3 Tanby Hall Hostel (Aged Care)

RH 2 2 4 McDougall Park Nursing Home

NH 2 2

5 Bridge House Hostel (Alcohol/Drug Rehab)

PR 3 4 6 Catherine McAuley Family Centre Nursing Home

NH 2 2

7 Hawthorn Hospital Nursing Home

NH 2 2 8 Jacaranda Lodge Hostel (Aged Care)

RH 2 2

9 Villa Terenzio Hostel (Aged Care)

RH 2 2 10 Tanderra Hostel

OH 3 4

18 Narrogin Community Mental Health

PO 7 9 22 Hampton Road Service (MHS)

PR 3 4

26 Joondalup South Mental Health

PO 7 9 28 Violet Major Lodge (CASP)

PR 3 4

29 Bentley Older Adult Mental Health Service

PU 4 1 30 Meekatharra Adult Community Mental Health

PO 7 9

32 Kununurra Adult Community Mental Health

PO 7 9 41 Villa Dalmacia Aged Care

NH 2 2

43 Alma Street Centre (MHS)

PU 4 1 44 Mills Street Centre (MHS)

PU 4 1

50 Newman District Community Mental Health

PO 7 9 51 Marangaroo Nursing Home

NH 2 2

52 Wearne House Nursing Home, Mandurah

NH 2 2 53 Moline House Hostel (Aged Care)

RH 2 2

54 Alex Miles Frail Aged Lodge Hostel

RH 2 2 55 Annie Bryson McKeown Lodge Hostel (Aged Care)

RH 2 2

56 Archbishop Goody Hostel (Aged Care)

RH 2 2 57 Barridale Lodge Hostel (Aged Care)

RH 2 2

58 Bedingfeld Lodge Hostel (Aged Care)

RH 2 2


Report to

HMDS?

Est Type SORL MOS

59 Ritcher Lodge Hostel (Aged Care)

RH 2 2 60 Berringa Frail Aged Lodge Hostel

RH 2 2

61 Bert England Lodge Hostel (Aged Care)

RH 2 2 63 Bethavon Hostel (Aged Care)

RH 2 2

64 Bethel Village Hostel (Aged Care)

RH 2 2 65 Dominican Residential Care Centre Hostel

RH 2 2

66 Bethshan Lodge Hostel (Aged Care)

RH 2 2 67 Albany Milgrey House (CASP)

PR 3 4

68 Kingston House (CASP)

PR 3 4 69 Shepperton House (CASP)

PR 3 4

70 Boyup Brook Citizens Lodge Hostel (Aged Care)

RH 2 2 71 Braemar Lodge Hostel, Bicton (Aged Care)

RH 2 2

73 Braemar Village Hostel, Willagee (Aged Care)

RH 2 2 75 St Lucy's Aged Care Hostel

RH 2 2

76 Jansen House (CASP)

PR 3 4 77 Kalkarni Residency Hostel

RH 2 2

78 Brookview Hostel (Aged Care)

RH 2 2 79 Carnarvon Adult Community Mental Health

PO 7 9

81 Canning Lodge Hostel (Aged Care)

RH 2 2 82 Carinaville Hostel (Aged Care)

RH 2 2

84 Carinya Village Hostel, Mt Lawley (Aged Care)

RH 2 2 91 Carl And Sadie Cohen Hostel (Aged Care)

RH 2 2

92 Carramar Hostel (Aged Care)

RH 2 2

93 Catherine McAuley Family Centre Hostel (Aged Care)

RH 2 2

94 Psychiatric Emergency Team

PO 7 9 97 Albany Adult Community Mental Health

PO 7 9

100 Royal Perth Hospital Shenton Park Campus Y AR 4 1 101 Royal Perth Hospital Y AH 4 1 102 Fremantle Hospital Y AH 4 1 103 Princess Margaret Hospital For Children Y AH 4 1 104 King Edward Memorial Hospital For Women Y AH 4 1 105 Sir Charles Gairdner Hospital Y AH 4 1 106 Fiona Stanley Hospital Y AH 4 1 110 Oral Health Centre of WA

DS 4 1

127 Fitzroy Crossing Hospital Y AH 4 1 128 Halls Creek Hospital Y AH 4 1 130 Kaleeya Hospital Y AH 4 1 131 Hedland Health Campus Y AH 4 1 135 State Forensic Mental Health Service Y PH 5 3 156 Boronia Inpatient Unit (MHS)

PU 4 1

157 Bunbury Acute Psychiatric Residential Unit

PU 4 1 158 Selby Authorised Lodge (MHS) Y PH 5 3 159 Ward G Albany Regional Hospital

PU 4 1


Report to

HMDS?

Est Type SORL MOS

161 Honey Brook Lodge

PR 3 4 162 Tom Price Community Mental Health

PO 7 9

163 Joondalup Health Campus Mental Health

PU 4 1 164 Kalgoorlie Boulder Community MH Adult

PO 7 9

166 South Metro Child and Adolescent MHS

PO 7 9 170 Brightwater Huntingdale Hostel

RH 2 2

171 Ida Mann Hostel (Aged Care)

RH 2 2 172 Bethanie Illawong Hostel

RH 2 2

173 Italian Village Hostel, White Gum Valley (Aged Care)

RH 2 2

174 Iveson Hostel (Aged Care)

RH 2 2 175 James Watson Hostel (Aged Care)

RH 2 2

176 JE Murray Home Hostel (Aged Care)

RH 2 2 177 Myvista Ethnic Aged Care

RH 2 2

178 Bethanie Edinboro House Hostel

RH 2 2 179 Bethanie Osborne House Hostel

RH 2 2

180 Hocart Lodge Hostel (Aged Care)

RH 2 2 181 Karinya Frail Aged Lodge Hostel

RH 2 2

182 Sundowner Hostel (Aged Care)

RH 2 2 183 Bethanie Kingsley Lodge Hostel

RH 2 2

184 Kondinin/Kulin Aged Care Hostel

RH 2 2 185 Koolberrin Lodge Hostel (Aged Care)

RH 2 2

186 Lady Brand Lodge For Frail Aged Hostel

RH 2 2 187 Rosewood Care Leederville (Aged Care)

RH 2 2

188 Leeuwin Frail Aged Lodge Hostel

RH 2 2 189 Lefroy Hostel (Aged Care)

RH 2 2

190 Lovegrove Lodge Hostel (Aged Care)

RH 2 2 191 Lyneham Hostel (Aged Care)

RH 2 2

192 Manoah House Hostel (Aged Care)

RH 2 2 193 Marist Lodge Hostel (Aged Care)

RH 2 2

194 Marlgu Village Hostel (Aged Care)

RH 2 2 195 Meath House Hostel, Trigg (Aged Care)

RH 2 2

196 Memorial House Hostel, Bruce Rock (Aged Care)

RH 2 2 197 Meath Care Hostel, Como

RH 2 2

198 Mercyville Hostel (Aged Care)

RH 2 2 201 Albany Hospital Y AH 4 1 203 Armadale/Kelmscott District Memorial Hospital Y AH 4 1 204 Augusta Hospital Y AH 4 1 206 Broome Hospital Y AH 4 1 208 Bunbury Hospital Y AH 4 1 209 Busselton Hospital Y AH 4 1 210 Carnarvon Hospital Y AH 4 1 211 Collie Hospital Y AH 4 1 214 Denmark Hospital Y AH 4 1


Report to

HMDS?

Est Type SORL MOS

215 Derby Hospital Y AH 4 1 218 Esperance Hospital Y AH 4 1 219 Exmouth Hospital Y AH 4 1 220 Geraldton Hospital Y AH 4 1 226 Kalgoorlie Hospital Y AH 4 1 227 Katanning Hospital Y AH 4 1 230 Lake Grace Hospital Y AH 4 1 232 Marble Bar Nursing Post

NP 7 9

233 Margaret River Hospital Y AH 4 1 234 Meekatharra Hospital Y AH 4 1 235 Merredin Hospital Y AH 4 1 236 Narrogin Hospital Y AH 4 1 237 Northam Hospital Y AH 4 1 238 Onslow Hospital Y AH 4 1 239 Osborne Park Hospital Y AH 4 1 243 Roebourne Hospital Y AH 4 1 244 Swan District Hospital Y AH 4 1 245 Wagin Hospital Y AH 4 1 246 Wittenoom Nursing Post

NP 7 9

249 Wyndham Hospital Y AH 4 1 251 York Hospital Y AH 4 1 255 Bentley Hospital Y AH 4 1 256 Tom Price Hospital Y AH 4 1 257 Kununurra Hospital Y AH 4 1 260 Newman Hospital Y AH 4 1 265 Northam Permanent Care Unit

NH 2 2

266 Wickham Health Centre

NP 7 9 267 Paraburdoo Hospital Y AH 4 1 271 Donnybrook Hospital Y AH 4 1 272 Laverton Hospital Y AH 4 1 273 Leonora Hospital Y AH 4 1 274 Wiluna Nursing Post

NP 7 9

275 Mount Magnet Nursing Post

NP 7 9 276 Mount Henry Nursing Home

NH 2 2

277 Rockingham General Hospital Y AH 4 1 281 Stirling Naval Base Hospital

AH 4 1

290 Moonya Lodge Hostel (Aged Care)

RH 2 2 291 Morawa Lodge Hostel (Aged Care)

RH 2 2

292 Murchison Hostel (Aged Care)

RH 2 2 293 Murlali Lodge Hostel

OH 3 4

294 Ocean Star Aged Care Hostel

RH 2 2 295 Olive Laird Memorial Hostel (Aged Care)

RH 2 2

297 Pam Corker House Hostel (Aged Care)

RH 2 2 298 Parker House Hostel (Aged Care)

RH 2 2


Report to

HMDS?

Est Type SORL MOS

299 Pilgrim House Hostel (Aged Care)

RH 2 2 307 Geraldton Adult Community MH

PO 7 9

312 Challenger Lodge Hostel (Aged Care)

RH 2 2 313 Stan Reilly Lodge Hostel

RH 2 2

314 Brightwater The Oaks Aged Care Nursing Home

NH 2 2 315 St Jude's Hostel (Aged Care)

RH 2 2

317 Kinross Care Centre Hostel

RH 2 2 321 Chrystal Halliday Homes Hostel (Aged Care)

RH 2 2

322 Aitken House (CASP)

PR 3 4 325 Anzac Terrace (CASP)

PR 3 4

326 Joseph Cooke House

RH 2 2

328 Amaroo Village McMahon Caring Centre Nursing Home

NH 2 2

330 Avon Valley Residency Nursing Home

NH 2 2 331 Burswood Nursing Home

NH 2 2

332 St James Aged Care

NH 2 2 333 David, Gita and Michael Hoffman Nursing Home

NH 2 2

334 Dean Lodge Nursing Home

NH 2 2 335 Foley Village Nursing Home

NH 2 2

336 Carl Streich Rehab and Aged Care Unit

NH 2 2 337 Second Avenue Nursing Home

NH 2 2

338 Regis Park Lodge Aged Care

NH 2 2 339 Thomas Scott Hostel (Aged Care)

RH 2 2

340 Brightwater Edgewater Aged Care Hostel

RH 2 2 341 Lodge Hostel, The (Aged Care)

RH 2 2

342 Italian Aged Care Nursing Home, Marangaroo

NH 2 2 343 Brightwater Kingsley Aged Care Nursing Home

NH 2 2

344 Banksia Park Aged Care

NH 2 2 345 Lady McCusker Home/Nursing Home

NH 2 2

346 Lakeside Aged Care Nursing Home

NH 2 2 348 Murray River Nursing Home

NH 2 2

349 Sandstrom Nursing Home

NH 2 2 350 Dwellingup Nursing Post

NP 7 9

351 Northcliffe Nursing Post

NP 7 9 352 Kambalda Nursing Post

NP 7 9

353 Menzies Nursing Post

NP 7 9 354 Telfer Nursing Post

NP 7 9

355 Mukinbudin Nursing Post

NP 7 9 356 Kukerin Nursing Post

NP 7 9

357 Cue Nursing Post

NP 7 9 358 Sandstone Nursing Post

NP 7 9

359 Yalgoo Nursing Post

NP 7 9 365 Bush Nursing Posts Silver Chain

NP 7 9

366 Collier Park Hostel (Aged Care)

RH 2 2


Report to

HMDS?

Est Type SORL MOS

367 Rottnest Island Nursing Post

NP 7 9 368 Coolibah Aged Care Facility

RH 2 2

369 Cygnet Lodge Hostel [Rowethorpe] (Aged Care)

RH 2 2 370 Denmark Lodge Hostel (Aged Care)

RH 2 2

371 Kabayji Booroo Hostel

OH 3 4 372 Dorothy Genders Village Hostel (Aged Care)

RH 2 2

373 Dryandra Frail Aged Hostel

RH 2 2 374 Edgewater Mercy Hostel (Aged Care)

RH 2 2

375 Bethanie Elanora Villas Hostel

RH 2 2 376 Elimatta Lodge Hostel (Aged Care)

RH 2 2

377 Elizabeth Hanson Autumn Centre Hostel (Aboriginals)

RH 2 2

378 Regis Elloura Lodge Aged Care

RH 2 2 379 Fairhaven Hostel (Aged Care)

RH 2 2

380 Rosewood Care West Perth (Aged Care)

RH 2 2 381 Foley Village Hostel (Aged Care)

RH 2 2

382 Geegeelup Village Hostel (Aged Care)

RH 2 2 383 Bethanie Geneff Hostel

RH 2 2

384 RSL War Veterans Homes Hostel, Geraldton

RH 2 2 385 Germanus Kent Hostel (Aged Care)

RH 2 2

386 Glendalough Hostel (Aged Care)

RH 2 2 387 Glover House Hostel (Aged Care)

RH 2 2

388 Gordon Lodge Hostel (Aged Care)

RH 2 2 389 Gracehaven Hostel (Aged Care)

RH 2 2

390 Gracewood Aged Care

NH 2 2 391 Grevillea Hostel (Aged Care)

RH 2 2

392 Guildford Village Hostel (Aged Care)

RH 2 2 393 Guwardi Ngadu Hostel (Aged Care)

RH 2 2

394 Gwen Hardie Lodge Hostel (Aged Care)

RH 2 2 395 Hale House Hostel (Aged Care)

RH 2 2

396 Halls Creek People's Church Hostel (Aged Care)

RH 2 2 397 Hillcrest Lodge Hostel, Geraldton (Aged Care)

RH 2 2

398 Regis Hillcrest Hostel

RH 2 2 399 Howard Solomon Hostel (Aged Care)

RH 2 2

401 Beverley Hospital Y AH 4 1 402 Boddington Hospital Y AH 4 1 403 Bruce Rock Memorial Hospital Y AH 4 1 404 Corrigin Hospital Y AH 4 1 405 Cunderdin Hospital Y AH 4 1 406 Dalwallinu Hospital Y AH 4 1 408 Dumbleyung Memorial Hospital Y AH 4 1 409 Kellerberrin Memorial Hospital Y AH 4 1 410 Gnowangerup Hospital Y AH 4 1 411 Goomalling Hospital Y AH 4 1


Report to

HMDS?

Est Type SORL MOS

412 Harvey Hospital Y AH 4 1 413 Kondinin Hospital Y AH 4 1 414 Kununoppin Hospital Y AH 4 1 417 Moora Hospital Y AH 4 1 418 Morawa Hospital Y AH 4 1 419 Mullewa Hospital Y AH 4 1 420 Murray Hospital Y AH 4 1 422 Nannup Hospital Y AH 4 1 423 Narembeen Memorial Hospital Y AH 4 1 424 Norseman Hospital Y AH 4 1 425 Northampton Hospital Y AH 4 1 426 North Midlands Hospital Y AH 4 1 427 Pemberton Hospital Y AH 4 1 428 Pingelly Hospital Y AH 4 1 429 Plantagenet Hospital Y AH 4 1 430 Ravensthorpe Hospital Y AH 4 1 431 Southern Cross Hospital Y AH 4 1 432 Boyup Brook Soldiers Memorial Hospital Y AH 4 1 433 Warren Hospital Y AH 4 1 434 Wickepin Nursing Post

NP 7 9

436 Williams Nursing Post

NP 7 9 437 Wongan Hills Hospital Y AH 4 1 438 Wyalkatchem-Koorda and Districts Hospital Y AH 4 1 441 Jerramungup Nursing Post

NP 7 9

442 Tambellup Nursing Post

NP 7 9 444 Bridgetown Hospital Y AH 4 1 445 Kojonup Hospital Y AH 4 1 446 Quairading Hospital Y AH 4 1 447 Alfred Carson Lodge Nursing Home

NH 2 2

448 Brightwater The Village Nursing Home

NH 2 2 449 Brightwater Onslow Gardens Nursing Home

NH 2 2

450 James T Pollard Hospital Nursing Home

NH 2 2 451 Lady Lawley Cottage Nursing Home

NH 2 2

452 Lucy Creeth Nursing Home

NH 2 2 453 Quadriplegic Centre

OH 3 4

454 Kalamunda District Community Hospital Y AH 4 1 459 Next Step Drug and Alcohol Services, East Perth Y AH 4 1 460 Nickol Bay Hospital Y AH 4 1 464 Brightwater Joondalup Hostel (Aged Care)

RH 2 2

465 Brightwater South Lake Care Facility (Aged Care)

RH 2 2 466 Brightwater Kingsley Hostel (Aged Care)

RH 2 2

467 Brightwater Marangaroo Hostel

NH 2 2 468 Brightwater Redcliffe Hostel

RH 2 2

469 Brightwater Jurien Bay Hostel

RH 2 2


Report to

HMDS?

Est Type SORL MOS

470 Brightwater Birralee Innaloo Nursing Home

NH 2 2 472 Ian Roberts Lodge

NH 2 2

473 St Andrew's Residential Care Nursing Home

NH 2 2 474 St Ives Melville Hostel

RH 2 2

475 Kalbarri Health Centre Y AH 4 1 476 Dongara Multi-Purpose Health Centre Y AH 4 1 477 Wellington Community Mental Health

PO 7 9

479 Youth Therapy Service (MHS)

PO 7 9 480 Pioneer House Frail Aged Hostel

RH 2 2

481 Quamby Lodge Hostel (Aged Care)

RH 2 2 482 Ray Lodge Hostel, Busselton

RH 2 2

483 Esperance Aged Care Hostel

RH 2 2 484 Redcliffe Hostel (Aged Care)

RH 2 2

486 RiverSea Hostel (Aged Care)

RH 2 2 489 RSL War Veterans Homes Hostel, Menora

RH 2 2

490 Sacred Heart Convent Hostel (Aged Care)

RH 2 2 491 Seaforth Gardens Senior Citizens Residence Hostel

RH 2 2

492 Servite Villa Hostel (Aged Care)

RH 2 2 494 Lincoln Park Aged Care

RH 2 2

495 Sunshine Park Hostel (Aged Care)

RH 2 2 496 Springhaven Frail Aged Lodge Hostel

RH 2 2

497 St David's Hostel (Aged Care)

RH 2 2 499 St Vincent's Hostel, Guildford (Aged Care)

RH 2 2

503 Brightwater Oats Street Nursing Home

NH 2 2 505 Dudley House (CASP)

PR 3 4

506 Maudie Armstrong Lodge (CASP)

PR 3 4 508 Casson House (CASP)

RH 2 2

511 Glyde Street Hostel (CASP)

PR 3 4 512 Hillview Hostel (CASP)

PR 3 4

514 Rosedale Lodge (CASP)

PR 3 4 515 Gildercliffe Lodge (CASP)

PR 3 4

517 Romily House (CASP)

PR 3 4 518 Ruth Downer House (CASP)

PR 3 4

519 Salisbury House (CASP)

PR 3 4 523 John Wilson Lodge (CASP)

PR 3 4

524 Woodville House (CASP)

RH 2 2 528 McGilvray Board House

PR 3 4

532 Warwick Child and Adolescent MHS

PO 7 9 534 Bennet Brook Hostel DIH

PR 3 4

536 Rockingham/Kwinana Community Psych Service

PO 7 9 538 Delta House (CASP)

PR 3 4

539 James Street Centre

PR 3 4 541 Bunbury DIH

PR 3 4

553 Bentley Family Clinic

PO 7 9


Report to

HMDS?

Est Type SORL MOS

556 Carramar DIH

PR 3 4 557 Pindarra DIH

PR 3 4

558 Myoora DIH

PR 3 4 564 DIH Group Homes

PR 3 4

573 Trilby Cooper Hostel (Aboriginals)

OH 3 4 579 Park Villa Hostel (Aboriginals)

OH 3 4

584 Referred By/To Police/Law Enforcement

RC 7 9 587 City Community MHS

PO 7 9

588 Peel Adult Psychiatry, Mandurah

PO 7 9 589 Katanning Adult Community Mental Health

PO 7 9

591 Commonwealth Rehabilitation Units

PR 3 4 592 Warren Blackwood Community Mental Health

PO 7 9

593 Osborne Park Clinic (MHS)

PO 7 9 599 Vasse Leeuwin Community Mental Health

PO 7 9

600 Fitzroy Crossing Dialysis Unit Y DS 4 1 602 Bethesda Hospital Y AH 4 1 607 Mount Lawley Private Hospital Y AH 4 1 608 Mount Hospital Y AH 4 1 612 St John of God Health Care Bunbury Y AH 4 1 613 St John of God Health Care Geraldton Y AH 4 1 616 St John of God Health Care Subiaco Y AH 4 1 618 South Perth Hospital Y AH 4 1 623 Attadale Hospital Y AH 4 1 626 Abbotsford Private Hospital Y PH 5 3 629 St John of God Health Care Mt Lawley (was Mercy) Y AH 4 1 633 Glengarry Hospital Y AH 4 1 638 Concept Fertility Centre Y DS 4 1 639 Waikiki Private Hospital Y AH 4 1 640 St John of God Health Care Murdoch Y AH 4 1 641 Hollywood Private Hospital Y AH 4 1 642 Joondalup Health Campus Y AH 4 1 643 Perth Clinic Y PH 5 3 644 Midland Dialysis Centre Y DS 4 1 645 Peel Health Campus Y AH 4 1 646 Indian Ocean Territories Health Service Y AH 4 1 649 Kimberley Satellite Dialysis Centre Y DS 4 1 650 Kings Park Day Hospital Y DS 4 1 652 Silver Chain Hospital at Home Y AH 4 1 653 Marian Centre Y PH 5 3 654 Cannington Dialysis Clinic Y DS 4 1 655 Fresenius Medical Care, Warwick Y DS 4 1 656 Stirling Dialysis Clinic Y DS 4 1 657 Fresenius Medical Care, Coolbellup Y DS 4 1 658 Rockingham Dialysis Clinic Y DS 4 1


Report to

HMDS?

Est Type SORL MOS

659 Spearwood Dialysis Clinic Y DS 4 1 660 Martu Renal Dialysis Centre Jigalong Y DS 4 1 661 Subiaco Private Hospital Y AH 4 1 662 Bunbury Day Surgery Y DS 4 1 663 Churchill Day Surgery Y DS 4 1 664 UWA Podiatric Surgery Centre Y DS 4 1 665 Walcott Street Surgical Centre Y DS 4 1 667 Oxford Day Surgery and Dermatology Y DS 4 1 668 Nanyara Medical Group Y DS 4 1 669 St John of God Hospital Busselton Y DS 4 1 670 Cambridge Day Surgery Y DS 4 1 671 West Coast Endoscopy Centre Y DS 4 1 673 Absolute Cosmetic at Image 21 Y DS 4 1 674 Academy Day Hospital Y DS 4 1 675 Sentiens Clinic

PH 5 3

676 The Women's Clinic, Balcatta Y DS 4 1 677 South Perth Endoscopy Y DS 4 1 678 Perth Day Surgery Centre Y DS 4 1 681 Murdoch Surgicentre Y D2 4 1 682 McCourt Street Day Surgery Y DS 4 1 685 Lions Eye Institute Day Surgery Y DS 4 1 687 Albany Community Hospice Y PA 4 1 689 Westminster Day Surgery Y D2 4 1 690 Southbank Clinic Y D2 4 1 691 Colin Street Day Surgery Y DS 4 1 694 Eye Surgery Foundation Y DS 4 1 696 Marie Stopes Midland Y DS 4 1 697 Woodvale Private Hospital for Women Y D2 4 1 698 GI Clinic Y DS 4 1 700 Numbala Nunga Nursing Home

NH 2 2

701 Agmaroy Nursing Home

NH 2 2 703 Anne Marie Nursing Home

NH 2 2

704 Annesley And Annexe, Nursing Home

NH 2 2 705 Braemar House Nursing Home, East Fremantle

NH 2 2

706 St Lucy's Aged Care Nursing Home

NH 2 2 707 Brentwood Nursing Home

NH 2 2

708 Cabrini Lodge Nursing Home

NH 2 2 709 Marshall Park Nursing Home

NH 2 2

711 Annesley Residential Care Facility

NH 2 2 713 Collville Nursing Home

NH 2 2

714 Corlei Nursing Home

NH 2 2 717 Deloraine Nursing Home

NH 2 2

721 Embleton Care Nursing Home

NH 2 2 726 York Pioneer Memorial Lodge Hostel (Aged Care)

RH 2 2


Report to

HMDS?

Est Type SORL MOS

727 Glendalough Nursing Home

NH 2 2 728 Yallambee Hostel (Aged Care)

RH 2 2

730 Hadassah Nursing Home

NH 2 2 731 Hamersley Nursing Home

NH 2 2

735 Rocky Bay Village

OH 3 4 737 Christos Nursing Home

NH 2 2

738 Hilltop Lodge Hostel

RH 2 2 739 Jalon Nursing Home

NH 2 2

741 Nazareth House Geraldton

NH 2 2 742 Killara Nursing Home

NH 2 2

743 Leighton Nursing Home

NH 2 2 744 Freshwater Bay Nursing Home

NH 2 2

745 John Bryant House Hostel

RH 2 2 746 Montrose Nursing Home

NH 2 2

747 Maurice Zeffert Nursing Home

NH 2 2 749 Mt St Emilies Hostel

RH 2 2

750 Mt Lawley Nursing Home

NH 2 2 752 Morrison Lodge Hostel (Aged Care)

RH 2 2

753 Esperance Aged Care Nursing Home

NH 2 2 754 Karlarra House Aged Care Y NH 2 2 755 Nonareena Nursing Home

NH 2 2

756 Glengarry Nursing Home

NH 2 2 757 Gracehaven Nursing Home

NH 2 2

758 Parry House Hostel (Aged Care)

RH 2 2 759 Rockingham Nursing Home

NH 2 2

760 San Marcelle Nursing Home

NH 2 2 761 St Catherine's Nursing Home

NH 2 2

762 St Florence Nursing Home

NH 2 2 763 Bethanie Warwick Hostel

RH 2 2

764 Wattle Hill Lodge Hostel (Aged Care)

RH 2 2 765 St Luke's Nursing Home

NH 2 2

766 St Paul's Nursing Home

NH 2 2 767 St Rita's Nursing Home

NH 2 2

768 Ocean Star Nursing Home, Bunbury

NH 2 2 769 St Vincent's Nursing Home, Guildford

NH 2 2

770 Wearne - A Hostel for the Aged, Cottesloe

RH 2 2 771 Regis Weston Lodge Aged Care

RH 2 2

772 Regents Garden Bateman

NH 2 2 773 Amaroo Village Buckley Caring Centre Hostel

RH 2 2

774 William Carey Court Hostel (Aged Care)

RH 2 2 775 Skye Nursing Home

NH 2 2

776 Stranaer Nursing Home

NH 2 2 778 Tuohy Memorial Nursing Home

NH 2 2

779 Two Pines Nursing Home

NH 2 2


Report to

HMDS?

Est Type SORL MOS

780 Regis Cypress Gardens Aged Care

NH 2 2 781 Wogerlin House Hostel (Aged Care)

RH 2 2

782 Victoria Nursing Home

NH 2 2 783 Woodstock Nursing Home

NH 2 2

784 Wybalena Aged Persons Home Hostel

RH 2 2 785 Par Mur Nursing Home

NH 2 2

786 Carinya of Bicton Nursing Home

NH 2 2 787 Carinya Village Nursing Home, Mt Lawley

NH 2 2

788 Windsor Park Aged Care Nursing Home

NH 2 2 790 Yaandina Frail Aged Hostel

RH 2 2

792 Wearne House Hostel, Mandurah

RH 2 2 794 Santralla Nursing Home

NH 2 2

795 Kingia/Tandara High Care Facility

NH 2 2 796 St Joseph's Nursing Home

NH 2 2

798 Mosman Park Nursing Home

NH 2 2 799 Waminda Hostel, Bentley (Aged Care)

RH 2 2

800 RSL War Veterans Homes Hostel, Mandurah

RH 2 2 801 Principal Armadale Nursing Centre

NH 2 2

802 Adventist Residential Care, Rossmoyne

NH 2 2 803 Bethanie Elanora Villas Nursing Home

NH 2 2

804 James Brown House Hostel (Aged Care)

RH 2 2 805 Belmont Community Nursing Home

NH 2 2

806 Kensington Park Nursing Home

NH 2 2 808 Shoalwater Nursing Home

NH 2 2

809 Craigcare Maylands Aged Care

NH 2 2 810 Bassendean Nursing Home

NH 2 2

811 Valencia Nursing Home

NH 2 2 813 Lathlain Nursing Home

NH 2 2

814 Koh-I-Noor Nursing Home

NH 2 2 815 Regis Como House Aged Care

NH 2 2

817 Waratah Lodge Hostel (Aged Care)

RH 2 2 818 Victoria Park NH, Kalgoorlie (Non-Aboriginals)

NH 2 2

819 Melville Aged Care

NH 2 2 820 Carrington Aged Care Nursing Home

NH 2 2

821 Kimberley Nursing Home

NH 2 2 822 Midland Nursing Home

NH 2 2

823 Balmoral Aged Care

NH 2 2 824 East Victoria Park Restorative Nursing Home

NH 2 2

827 Applecross Nursing Home

NH 2 2 828 Concorde Nursing Home

NH 2 2

829 Ngurra Karnpi Nursing Home for Aboriginals

NH 2 2 832 Melvista Lodge Nursing Home

NH 2 2

833 Chrystal Halliday Nursing Home

NH 2 2 834 Bunbury Gardens Nursing Centre

NH 2 2


Report to

HMDS?

Est Type SORL MOS

835 Howard Solomon Nursing Home

NH 2 2 836 Narrogin Nursing Home

NH 2 2

837 Mandurah Care Facility

NH 2 2 838 Craigcare Albany Aged Care

NH 2 2

840 Cunningham Nursing Home

NH 2 2 841 Geraldton Nursing Home

NH 2 2

844 Bethanie Warwick Nursing Home

NH 2 2 845 Sir David Brand Centre

PR 3 4

851 Bunbury Outpatient Clinic (MHS)

PO 7 9 857 Coolgardie Health Centre

NP 7 9

859 Wanneroo Community Nursing Home

NH 2 2 860 Karratha Community Mental Health

PO 7 9

861 St Michael's Residential Care

NH 2 2 864 St George's Nursing Home, Bayswater

NH 2 2

865 Moonya Lodge Nursing Home

NH 2 2 866 Franciscan Lodge (CASP Hostel)

PR 3 4

872 Osborne Park Lodge (MHS)

PU 4 1 874 Devenish Lodge (CASP Hostel)

PR 3 4

877 Karri Lodge Hostel

RH 2 2 879 Duncraig Village Hostel (Aged Care)

RH 2 2

880 Gleddon Hostel, Bull Creek

OH 3 4 881 Graceford Hostel (Aged Care)

RH 2 2

888 Dept. for Community Development - Residential Unit

OH 3 4 890 Intellectual Handicapped Voluntary Org - Res Unit

PR 3 4

892 Slow Learning Childrens Group - Res Unit

PR 3 4 894 Walridge Lodge Hostel (Aged Care)

RH 2 2

895 Earlsferry Hostel (MHS)

PR 3 4 896 Fairholme Hostel (MHS)

PR 3 4

897 Spencer Hostel, Yokine

OH 3 4 899 Lawton Hostel DIH

PR 3 4

900 Own Home [Friend Or Other Family Home W/O Care]

RC 1 9

901 Own Home With Domiciliary Care

RC 1 9 912 Death

RC 7 8

914 Death While On Leave

RC 7 8 924 Edward Collick Hostel

RH 2 2

927 Derby Community Mental Health

PO 7 9 928 Broome Community Mental Health

PO 7 9

935 Graylands Hospital (MHS) Y PH 5 3 936 Bentley Adolescent Inpatient Unit

PU 4 1

941 Alma Street Adult Outpatients (MHS)

PO 7 9 943 Trinity Lodge [Rowethorpe] Hostel (Aged Care)

RH 2 2

944 Reclassified This Hospital

RC 4 5 945 Shenton Child and Adolescent Centre

PO 7 9


Report to

HMDS?

Est Type SORL MOS

947 Mills Street Outpatients (MHS)

PO 7 9 949 Port Hedland Community Mental Health

PO 7 9

951 Trinity Village Hostel, Duncraig

RH 2 2 954 Tula Lodge Hostel

RH 2 2

955 Mead Centre (MHS)

PO 7 9 956 Swan Adult Mental Health Centre

PO 7 9

957 Lilacdale Hostel, Innaloo

OH 3 4 958 Victoria Park Hostel, Kalgoorlie

RH 2 2

961 Disability Services Commission

RC 7 9 963 Hellenic Community Aged Care Hostel

RH 2 2

964 Belmont Hostel DIH

PR 3 4 965 Croydon Hostel DIH

PR 3 4

966 Villa Maria Hostel, Lesmurdie (Aged Care)

RH 2 2 967 Milford Hostel

PR 3 4

968 Kentucky Hostel

PR 3 4 969 Dorset Hostel

PR 3 4

970 Bradford Hostel

PR 3 4 971 Villa Pelletier Hostel (Aged Care)

RH 2 2

972 Wallambin Lodge Hostel (Aged Care)

RH 2 2 974 Epsom Hostel (Aged Care)

RH 2 2

978 Morriston Hostel (Aged Care)

PR 3 4 985 Referred by [or to] Other Hospital In Australia

RC 4 1

986 Referred by/to Other Hospital in Another Country

RC 4 1 989 Brighton Hostel DIH

PR 3 4

999 Funding Hospital

RC 7 9 1000 Agnes Walsh House Hostel, KEMH

OH 3 4

1002 Jeremiah Donovan House

RH 2 2 1005 Palm Lodge Hostel

RH 2 2

1006 St Francis Hostel, Gwelup

RH 2 2 2088 Esperance Community Mental Health

PO 7 9

2101 Albany Regional Prison

PI 6 9 2102 Bandyup Women's Prison

PI 6 9

2103 Banksia Hill Detention Centre

PI 6 9 2104 Broome Regional Prison

PI 6 9

2105 Bunbury Regional Prison

PI 6 9 2106 Hakea Prison

PI 6 9

2107 Casuarina Prison

PI 6 9 2109 Eastern Goldfields Regional Prison

PI 6 9

2110 Perth Watch House

PI 6 9 2111 Greenough Regional Prison

PI 6 9

2112 Immigration Department Perth

DT 7 9 2113 Immigration Department Perth Airport

DT 7 9

2114 Karnet Prison Farm

PI 6 9 2116 Pardelup Prison Farm

PI 6 9


Report to

HMDS?

Est Type SORL MOS

2117 Rangeview Remand Centre

PI 6 9 2118 Immigration Detention Centre

DT 7 9

2119 Riverbank Prison

PI 6 9 2120 Roebourne Regional Prison

PI 6 9

2121 Supreme Court Detention Centre

PI 6 9 2122 Wooroloo Prison Farm

PI 6 9

2123 Waminda Bail Hostel

PI 6 9 2131 ACRAH, Mt Lawley

PR 3 4

2136 Kelmscott Child and Adolescent MHS

PO 7 9 2139 West Wheatbelt Community Mental Health

PO 7 9

2192 Harvey Yarloop Community Mental Health

PO 7 9 2224 Swan Valley Centre

PU 4 1

2239 Armadale MH for Older People Authorised

PU 4 1 2242 Armadale Adult Acute MH Unit

PU 4 1

2255 Acacia Prison

PI 6 9 2256 Joondalup North Mental Health

PO 7 9

2257 Community Forensic Mental Health

PO 7 9 2271 Kalgoorlie Adult Acute MH Unit

PU 4 1

2289 Ursula Frayne Unit, Mercy Hospital

PU 4 1 2293 West Kimberley Regional Prison PI 6 9 2381 Boronia Pre-release Centre for Women

PI 6 9

2513 Curtin Immigration Detention Centre

DT 7 9 2514 Leonora Alternative Place of Detention

DT 7 9

2515 Yongah Hill Immigration Detention Centre

DT 7 9 2600 Ngulla Mia Hostel

PR 3 4

2601 Ngatti House, Fremantle

PR 3 4 2602 Christmas Island Immigration Detention Centre

DT 7 9

2603 BP Luxury Care, Maddington

PR 3 4 2621 Wandoo Reintegration Facility

PI 6 9

2888 Hawthorn House

PR 3 4 4000 Tom Burke Hostel

RH 2 2

4003 Walumba Hostel, Warmun Community [Turkey Creek]

RH 2 2

4004 Meekatharra Children's Hostel

OH 3 4 4006 Richard Cleaver Lodge

NH 2 2

4007 Mirtanya Maya Aged Care Hostel, Port Hedland

RH 2 2 4008 Annie Melsom House Hostel

RH 2 2

4009 Moora Frail Aged Lodge

NH 2 2 4011 Banksia Lodge

RH 2 2

4013 Gelorup Hostel

PR 3 4 4014 Lentara Hostel

OH 3 4

4016 Serenity Lodge

PR 3 4 4017 Frederick Guest Hostel

RH 2 2

4018 St Basil's Nursing Home

NH 2 2


Report to

HMDS?

Est Type SORL MOS

4019 Subiaco Lodge

OH 3 4 4020 Tuia Lodge

RH 2 2

4023 Vincentian House Hostel

OH 3 4 4024 WestCare Accommodation

OH 3 4

4025 Fraser House

PR 3 4 4026 Bethanie Peel Lodge Hostel

RH 2 2

4027 St Bartholomew's House East Perth

OH 3 4 4028 Peter Arney Nursing Home

NH 2 2

4029 Bedford Hostel

PR 3 4 4031 Palmerston Centre, Perth

PR 3 4

4033 Riverslea Lodge Hostel

RH 2 2 4034 St Bartholomew's House Midland

OH 3 4

4035 Castledare Retirement Village Nursing Home

NH 2 2 4036 Acacia House Nursing Home

NH 2 2

4037 Greenfields Aged Care Nursing Home, Mandurah

NH 2 2 4038 St Bartholomew's House Medina

OH 3 4

4039 Rosella House (Drug and Alcohol Rehab Centre)

PR 3 4 4040 Coral Bay Nursing Post

NP 7 9

4041 Coonana Health Centre

NP 7 9 4042 Varley Nursing Post

NP 7 9

4043 Cervantes Nursing Post

NP 7 9 4045 Brightwater Young Disabled Service, Warnbro

OH 3 4

4046 Palmerston Farm Hostel, Wellard

PR 3 4 4047 Derbal Bidjar Hostel, Maylands

OH 3 4

4048 Bassendean Lodge Hostel

RH 2 2 4049 Ivanhoe Hostel (Aged Care)

RH 2 2

4050 Carrington Lodge Hostel

RH 2 2 4051 Grandview Aged Care Hostel

RH 2 2

4053 Ella Williams House Nursing Home

NH 2 2 4054 Ella Williams House Hostel

RH 2 2

4055 Hilton Park Aged Care

NH 2 2

4056 Brightwater Oxford Gardens Aged Care Nursing Home

NH 2 2

4057 Crawford Lodge, Nedlands

OH 3 4 4058 Jurien Bay Health Centre

NP 7 9

4059 Biala Therapy and Rehabilitation Centre

PR 3 4 4060 Margaret Hubery House Nursing Home

NH 2 2

4061 Margaret Hubery House Hostel

RH 2 2 4062 Allawah Grove Hostel (Aboriginals)

OH 3 4

4063 Pines Aged Care Hostel, The

RH 2 2 4064 Pines Aged Care Nursing Home, The

NH 2 2

4065 Brightwater Ellison House Nursing Home

NH 2 2 4066 Kelmscott River Gardens Aged Care Hostel

RH 2 2

4067 Carinya on Bristol

NH 2 2


Report to

HMDS?

Est Type SORL MOS

4068 Compass House, Geraldton

PR 3 4 4069 Regis Forrest Gardens Aged Care

NH 2 2

4070 Somerset House Frail Aged Hostel Y RH 2 2 4071 Green Croft Gardens Respite Care

OH 3 4

4072 Overton Hostel, Mount Barker

RH 2 2 4073 Clarence Estate Residential Health & Aged Care NH

NH 2 2

4074 Bremer Bay Health Centre

NP 7 9 4075 Gough's Respite Care

OH 3 4

4076 Sarah Hardey House Hostel, Kelmscott

RH 2 2 4077 Frank Prendergast House Hostel

RH 2 2

4078 Milliya Rumurra Alcohol and Drug Rehab Centre

PR 3 4 4079 Lakeside Aged Care Hostel

RH 2 2

4080 Second Avenue Hostel

RH 2 2 4081 Ngamang Bawoona Hostel

RH 2 2

4082 William Carey Court Nursing Home

NH 2 2 4083 Shoalwater Aged Care Hostel

RH 2 2

4084 McNamara Lodge Hostel

RH 2 2 4085 Aegis Transitional Care

OH 3 4

4086 Edward Collick Nursing Home

NH 2 2 4087 WASA Cares, Bunbury

OH 3 4

4088 Care 4 You, Bunbury

OH 3 4 4089 Shawford Lodge Hostel

RH 2 2

4091 Carnarvon Residential Aged Care Y NH 2 2 4094 St Bartholomew's House Cannington

OH 3 4

4095 Kalkarni Residency Nursing Home

NH 2 2 4096 Tuart Lodge Nursing Home

NH 2 2

4097 Blake House, Dongara

RH 2 2 4098 Unlisted Residential Aged Care Service

RC 2 2

4099 Unlisted Other Health Care Accommodation

RC 3 4 4100 Fern River Care Facility

OH 3 4

4101 Margaret Doody Respite House

OH 3 4 4102 Regents Garden Lake Joondalup

NH 2 2

4103 Brightwater Balcatta Nursing Home

NH 2 2 4105 Wanarn Nursing Home

NH 2 2

4106 Brightwater Manning Nursing Home

NH 2 2 4107 Kulin Health Centre

NP 7 9

4108 Clare Respite House, Baldivis

OH 3 4 4109 Casa Sant Angelo Respite, Bunbury

OH 3 4

4110 Orange Grove Aged Care

NH 2 2 4111 Brightwater Madeley Nursing Home

NH 2 2

4112 Bethanie Fields Aged Care

NH 2 2 4113 St Ives Murdoch Aged Care

RH 2 2

4114 White Oak Respite Care, Jandabup

OH 3 4 4115 Osboine Contemporary Aged Care

NH 2 2


Report to

HMDS?

Est Type SORL MOS

4116 David Buttfield Centre, Gwelup

NH 2 2 4117 St Francis Aged Care, Fremantle

NH 2 2

4118 Stirling Aged Care, Yokine

NH 2 2 4119 Brightwater Maylands Care Facility

NH 2 2

4120 Bethanie Waters Aged Care

RH 2 2 4121 Kununurra Aged Care Facility Y NH 2 2 4122 Regents Garden Four Seasons Booragoon

NH 2 2

4123 Brightwater The Cove Facility

NH 2 2 4124 Leinster Community Health Service

NP 7 9

4125 Joseph Banks Aged Care Facility

NH 2 2 4126 Denmark Residential Aged Care Y NH 2 2 4127 Plantagenet Residential Aged Care Y NH 2 2 4128 Gnowangerup Residential Aged Care Y NH 2 2 4129 Katanning Residential Aged Care Y NH 2 2 4130 Kojonup Residential Aged Care Y NH 2 2 4131 Langton Dementia Unit, Mount Barker

NH 2 2

4132 Morgan House, Three Springs

NH 2 2 4133 Meekatharra Residential Aged Care Y NH 2 2 4134 Morawa Residential Aged Care Y NH 2 2 4135 Mullewa Residential Aged Care Y NH 2 2 4136 North Midlands Residential Aged Care Y NH 2 2 4137 Northampton Residential Aged Care Y NH 2 2 4138 Dongara Residential Aged Care Y NH 2 2 4139 Beverley Residential Aged Care Y NH 2 2 4140 Bruce Rock Residential Aged Care Y NH 2 2 4141 Corrigin Residential Aged Care Y NH 2 2 4142 Cunderdin Residential Aged Care Y NH 2 2 4143 Dalwallinu Residential Aged Care Y NH 2 2 4144 Dumbleyung Residential Aged Care Y NH 2 2 4145 Goomalling Residential Aged Care Y NH 2 2 4146 Kellerberrin Residential Aged Care Y NH 2 2 4147 Kondinin Residential Aged Care Y NH 2 2 4148 Kununoppin Residential Aged Care Y NH 2 2 4149 Lake Grace Residential Aged Care Y NH 2 2 4150 Merredin Residential Aged Care Y NH 2 2 4151 Moora Residential Aged Care Y NH 2 2 4152 Narembeen Residential Aged Care Y NH 2 2 4153 Quairading Residential Aged Care Y NH 2 2 4154 Southern Cross Residential Aged Care Y NH 2 2 4155 Wongan Hills Residential Aged Care Y NH 2 2 4156 Wyalkatchem Residential Aged Care Y NH 2 2 4157 York Residential Aged Care Y NH 2 2 4158 Augusta Residential Aged Care Y NH 2 2 4159 Boyup Brook Residential Aged Care Y NH 2 2


Report to

HMDS?

Est Type SORL MOS

4160 Collie Residential Aged Care Y NH 2 2 4165 Mirrambeena Aged Care

NH 2 2

4166 Anchorage Aged Care

NH 2 2 4167 City of Bayswater Hostel

NH 2 2

4168 Lakeside Care Awaiting Placement

OH 3 4 4170 Parkview Aged Care Facility

NH 2 2

4171 Burringurrah Nursing Post

NP 7 9 4173 Vivian Bullwinkel Lodge

RH 2 2

4174 Nullagine Community Health Service

NP 7 9 4175 Bethanie Beachside Aged Care

NH 2 2

4176 Woodlake Aged Care, Kingsley

NH 2 2 4177 Choice Adult Respite Day Care

OH 3 4

4178 Kungara-Kalpa Aged Care Facility

OH 3 4 4179 Orelia Care Awaiting Placement

OH 3 4

4180 Broome Hostel (AHL)

OH 3 4 4181 Dr Mary Surveyor Centre, Kingsley (Aged Care)

NH 2 2

4182 Ascot Care Awaiting Placement

OH 3 4 4183 Rowethorpe Care Awaiting Placement

OH 3 4

4184 ValleyView Residence (Aged Care)

NH 2 2 4185 Royal Darwin Hospital Y AH 4 1 4186 Tranby Aged Care Facility

RH 2 2

4187 Milroy Lodge, Shenton Park

OH 3 4 4188 Amberley Aged Care

NH 2 2

4189 Hamilton Hill Respite House

OH 3 4 4190 Cerebral Palsy Respite Centre, Bentley

OH 3 4

4191 Success House Respite Centre

OH 3 4 4192 Southern Respite Service, Beeliar

OH 3 4

4193 Balladong Lodge Aged Care Facility

NH 2 2 4194 Albany Community Care Respite Centre

OH 3 4

4195 Hermitage Aged Care, Ellenbrook

NH 2 2 4196 Cyrenian House (Drug and Alcohol Rehab Service)

PR 3 4

4197 Teen Challenge Grace Academy

PR 3 4 4198 Silver Chain Shark Bay

NP 7 9

4200 Mont Clare Aged Care Facility

NH 2 2 4201 Regents Garden Aubin Grove

NH 2 2

4202 Berrington Subiaco Aged Care

NH 2 2 4204 Sunflower Care Services OH 3 4 5006 Richmond Fellowship Westminster

OH 3 4

5007 Richmond Fellowship Queens Park

OH 3 4 6001 Derby Dialysis Unit Y DS 4 1 6003 Kununurra Dialysis Unit Y DS 4 1 6004 Warburton Dialysis Room Y DS 4 1 6005 Perth Dermatology Clinic Y DS 4 1

APPENDIX 2A: LANGUAGE (Alphabetic)

Code Language Region Sub-Region

A 8998 Aboriginal English, so described Australian Indigenous Other Australian Indigenous

6513 Acehnese Southeast Asian Southeast Asian Austronesian

9201 Acholi African African

8901 Adnymathanha Australian Indigenous Other Australian Indigenous

9299 African Languages, nec African African

1403 Afrikaans Northern European Dutch and Related

9203 Akan African African

8121 Alawa Australian Indigenous Arnhem Land and Daly River Region

3901 Albanian Eastern European Other Eastern European

8603 Alyawarr Australian Indigenous Arandic

9101 American Languages American American

9214 Amharic African African

8101 Anindilyakwa Australian Indigenous Arnhem Land and Daly River Region

8604 Anmatyerr Australian Indigenous Arandic

8703 Antikarinya Australian Indigenous Western Desert

8902 Arabana Australian Indigenous Other Australian Indigenous

4202 Arabic Southwest and Central Asian Middle Eastern Semitic

8699 Arandic, nec Australian Indigenous Arandic

4901 Armenian Southwest and Central Asian Other Southwest and Central Asian

8199 Arnhem Land and Daly River Region Languages, nec

Australian Indigenous Arnhem Land and Daly River Region

3903 Aromunian (Macedo-Romanian) Eastern European Other Eastern European

8605 Arrernte Australian Indigenous Arandic

5213 Assamese Southern Asian Indo-Aryan

4203 Assyrian Southwest and Central Asian Middle Eastern Semitic

9701 Auslan Other Languages Sign

4302 Azeri Southwest and Central Asian Turkic

B 6514 Balinese Southeast Asian Southeast Asian Austronesian

4104 Balochi Southwest and Central Asian Iranic

8903 Bandjalang Australian Indigenous Other Australian Indigenous

8904 Banyjima Australian Indigenous Other Australian Indigenous

8801 Bardi Australian Indigenous Kimberley Area

2901 Basque Southern European Other Southern European

8905 Batjala Australian Indigenous Other Australian Indigenous

3401 Belorussian Eastern European East Slavic

9215 Bemba African African

5201 Bengali Southern Asian Indo-Aryan

8906 Bidjara Australian Indigenous Other Australian Indigenous

6515 Bikol Southeast Asian Southeast Asian Austronesian

8504 Bilinarra Australian Indigenous Northern Desert Fringe Area

Code Language Region Sub-Region 6501 Bisaya Southeast Asian Southeast Asian Austronesian

9402 Bislama Oceanian Oceanian Pidgins and Creoles

3501 Bosnian Eastern European South Slavic

3502 Bulgarian Eastern European South Slavic

8802 Bunuba Australian Indigenous Kimberley Area

8102 Burarra Australian Indigenous Arnhem Land and Daly River Region

6101 Burmese Southeast Asian Burmese and Related

6199 Burmese and Related Languages, nec Southeast Asian Burmese and Related

C 7101 Cantonese Eastern Asian Chinese

8399 Cape York Peninsula Languages, nec Australian Indigenous Cape York Peninsula

2301 Catalan Southern European Iberian Romance

6502 Cebuano Southeast Asian Southeast Asian Austronesian

1199 Celtic, nec Northern European Celtic

6102 Chin Haka Southeast Asian Burmese and related languages

7199 Chinese, nec Eastern Asian Chinese

3503 Croatian Eastern European South Slavic

3601 Czech Eastern European West Slavic

D 8233 Daatiwuy Australian Indigenous Yolngu Matha

8122 Dalabon Australian Indigenous Arnhem Land and Daly River Region

1501 Danish Northern European Scandinavian

4105 Dari Southwest and Central Asian Iranic

8221 Dhalwangu Australian Indigenous Yolngu Matha

8907 Dhanggatti Australian Indigenous Other Australian Indigenous

8219 Dhangu, nec Australian Indigenous Yolngu Matha

8229 Dhay'yi, nec Australian Indigenous Yolngu Matha

5214 Dhivehi Southern Asian Indo-Aryan

8239 Dhuwal, nec Australian Indigenous Yolngu Matha

8249 Dhuwala, nec Australian Indigenous Yolngu Matha

8241 Dhuwaya Australian Indigenous Yolngu Matha

9216 Dinka African African

8908 Diyari Australian Indigenous Other Australian Indigenous

8305 Djabugay Australian Indigenous Cape York Peninsula

8231 Djambarrpuyngu Australian Indigenous Yolngu Matha

8232 Djapu Australian Indigenous Yolngu Matha

8222 Djarrwark Australian Indigenous Yolngu Matha

8259 Djinang, nec Australian Indigenous Yolngu Matha

8269 Djinba, nec Australian Indigenous Yolngu Matha

5199 Dravidian, nec Southern Asian Dravidian

1401 Dutch Northern European Dutch and Related

8306 Dyirbal Australian Indigenous Cape York Peninsula

E

Code Language Region Sub-Region 1601 Estonian Northern European Finnish and Related

9217 Ewe African African

F 9301 Fijian Oceanian Pacific Austronesian

6512 Filipino Southeast Asian Southeast Asian Austronesian

1602 Finnish Northern European Finnish and Related

1699 Finnish and Related Languages, nec Northern European Finnish and Related

2101 French Southern European French

1402 Frisian Northern European Dutch and Related

G 9218 Ga African African

1101 Gaelic (Scotland) Northern European Celtic

8211 Galpu Australian Indigenous Yolngu Matha

8911 Gamilaraay Australian Indigenous Other Australian Indigenous

8261 Ganalbingu Australian Indigenous Yolngu Matha

8912 Garrwa Australian Indigenous Other Australian Indigenous

8913 Garuwali Australian Indigenous Other Australian Indigenous

4902 Georgian Southwest and Central Asian Other Southwest and Central Asian

1301 German Northern European German and Related

9302 Gilbertese Oceanian Pacific Austronesian

8307 Girramay Australian Indigenous Cape York Peninsula

8914 Githabul Australian Indigenous Other Australian Indigenous

8212 Golumala Australian Indigenous Yolngu Matha

8803 Gooniyandi Australian Indigenous Kimberley Area

2201 Greek Southern European Greek

8123 Gudanji Australian Indigenous Arnhem Land and Daly River Region

5202 Gujarati Southern Asian Indo-Aryan

8242 Gumatj Australian Indigenous Yolngu Matha

8915 Gumbaynggir Australian Indigenous Other Australian Indigenous

8124 Gundjeihmi Australian Indigenous Arnhem Land and Daly River Region

8125 Gun-nartpa Australian Indigenous Arnhem Land and Daly River Region

8243 Gupapuyngu Australian Indigenous Yolngu Matha

8505 Gurindji Australian Indigenous Northern Desert Fringe Area

8506 Gurindji Kriol Australian Indigenous Northern Desert Fringe Area

8126 Gurr-goni Australian Indigenous Arnhem Land and Daly River Region

8302 Guugu Yimidhirr Australian Indigenous Cape York Peninsula

8244 Guyamirrilili Australian Indigenous Yolngu Matha

H 6102 Haka Southeast Asian Burmese and Related

7102 Hakka Eastern Asian Chinese

9221 Harari African African

9222 Hausa African African

4107 Hazaraghi Southwest and Central Asian Iranic

Code Language Region Sub-Region 9403 Hawaiian English Oceanian Oceanian Pidgins and Creoles

4204 Hebrew Southwest and Central Asian Middle Eastern Semitic

5203 Hindi Southern Asian Indo-Aryan

6201 Hmong Southeast Asian Hmong-Mien

6299 Hmong-Mien, nec Southeast Asian Hmong-Mien

7103 Hokkien Eastern Asian Chinese

3301 Hungarian Eastern European Hungarian

I 6516 Iban Southeast Asian Southeast Asian Austronesian

2399 Iberian Romance, nec Southern European Iberian Romance

1502 Icelandic Northern European Scandinavian

9223 Igbo African African

6503 IIokano Southeast Asian Southeast Asian Austronesian

6517 Ilonggo (Hiligaynon) Southeast Asian Southeast Asian Austronesian

9997 Inadequately Described Other Languages Other Languages

5299 Indo-Aryan, nec Southern Asian Indo-Aryan

6504 Indonesian Southeast Asian Southeast Asian Austronesian

9601 Invented Languages Other Languages Invented

4199 Iranic, nec Southwest and Central Asian Iranic

1102 Irish Northern European Celtic

2401 Italian Southern European Italian

8127 Iwaidja Australian Indigenous Arnhem Land and Daly River Region

J 8128 Jaminjung Australian Indigenous Arnhem Land and Daly River Region

7201 Japanese Eastern Asian Japanese

8507 Jaru Australian Indigenous Northern Desert Fringe Area

6518 Javanese Southeast Asian Southeast Asian Austronesian

8131 Jawoyn Australian Indigenous Arnhem Land and Daly River Region

8132 Jingulu Australian Indigenous Arnhem Land and Daly River Region

K 8401 Kalaw Kawaw Ya/Kalaw Lagaw Ya Australian Indigenous Torres Strait Island

8916 Kanai Australian Indigenous Other Australian Indigenous

5101 Kannada Southern Asian Dravidian

8917 Karajarri Australian Indigenous Other Australian Indigenous

6103 Karen Southeast Asian Burmese and Related

8918 Kariyarra Australian Indigenous Other Australian Indigenous

8704 Kartujarra Australian Indigenous Western Desert

5215 Kashmiri Southern Asian Indo-Aryan

8921 Kaurna Australian Indigenous Other Australian Indigenous

8922 Kayardild Australian Indigenous Other Australian Indigenous

8606 Kaytetye Australian Indigenous Arandic

6301 Khmer Southeast Asian Mon-Khmer

8923 Kija Australian Indigenous Other Australian Indigenous

Code Language Region Sub-Region 9224 Kikuyu African African

8899 Kimberley Area Languages, nec Australian Indigenous Kimberley Area

9246 Kinyarwanda (Rwanda) African African

9247 Kirundi (Rundi) African African

9502 Kiwai Oceanian Papua New Guinea Papuan

8308 Koko-Bera Australian Indigenous Cape York Peninsula

5204 Konkani Southern Asian Indo-Aryan

7301 Korean Eastern Asian Korean

9225 Krio African African

8924 Kriol Australian Indigenous Other Australian Indigenous

8705 Kukatha Australian Indigenous Western Desert

8706 Kukatja Australian Indigenous Western Desert

8301 Kuku Yalanji Australian Indigenous Cape York Peninsula

8133 Kunbarlang Australian Indigenous Arnhem Land and Daly River Region

8134 Kune Australian Indigenous Arnhem Land and Daly River Region

8135 Kuninjku Australian Indigenous Arnhem Land and Daly River Region

8108 Kunwinjku Australian Indigenous Arnhem Land and Daly River Region

4101 Kurdish Southwest and Central Asian Iranic

8311 Kuuk Thayorre Australian Indigenous Cape York Peninsula

8303 Kuuku-Ya'u Australian Indigenous Cape York Peninsula

L 8312 Lamalama Australian Indigenous Cape York Peninsula

6401 Lao Southeast Asian Tai

8925 Lardil Australian Indigenous Other Australian Indigenous

8136 Larrakiya Australian Indigenous Arnhem Land and Daly River Region

2902 Latin Southern European Other Southern European

3101 Latvian Eastern European Baltic

1302 Letzeburgish Northern European German and Related

8508 Light Warlpiri Australian Indigenous Northern Desert Fringe Area

3102 Lithuanian Eastern European Baltic

8235 Liyagalawumirr Australian Indigenous Yolngu Matha

9226 Luganda African African

9227 Luo African African

8707 Luritja Australian Indigenous Western Desert

M 3504 Macedonian Eastern European South Slavic

8245 Madarrpa Australian Indigenous Yolngu Matha

9255 Madi African African

9702 Makaton Other Languages Sign

8137 Malak Malak Australian Indigenous Arnhem Land and Daly River Region

6505 Malay Southeast Asian Southeast Asian Austronesian

5102 Malayalam Southern Asian Dravidian

8511 Malngin Australian Indigenous Northern Desert Fringe Area

Code Language Region Sub-Region 2501 Maltese Southern European Maltese

7104 Mandarin Eastern Asian Chinese

8926 Mangala Australian Indigenous Other Australian Indigenous

8138 Mangarrayi Australian Indigenous Arnhem Land and Daly River Region

8246 Manggalili Australian Indigenous Yolngu Matha

8708 Manyjilyjarra Australian Indigenous Western Desert

9303 Maori (Cook Island) Oceanian Pacific Austronesian

9304 Maori (New Zealand) Oceanian Pacific Austronesian

5205 Marathi Southern Asian Indo-Aryan

8141 Maringarr Australian Indigenous Arnhem Land and Daly River Region

8142 Marra Australian Indigenous Arnhem Land and Daly River Region

8234 Marrangu Australian Indigenous Yolngu Matha

8143 Marrithiyel Australian Indigenous Arnhem Land and Daly River Region

8711 Martu Wangka Australian Indigenous Western Desert

8144 Matngala Australian Indigenous Arnhem Land and Daly River Region

8111 Maung Australian Indigenous Arnhem Land and Daly River Region

9205 Mauritian Creole African African

8145 Mayali Australian Indigenous Arnhem Land and Daly River Region

8402 Meriam Mir Australian Indigenous Torres Strait Island

4299 Middle Eastern Semitic Languages, nec Southwest and Central Asian Middle Eastern Semitic

8804 Miriwoong Australian Indigenous Kimberley Area

6303 Mon Southeast Asian Mon-Khmer

7902 Mongolian Eastern Asian Other Eastern Asian

6399 Mon-Khmer, nec Southeast Asian Mon-Khmer

9305 Motu Oceanian Pacific Austronesian

8512 Mudburra Australian Indigenous Northern Desert Fringe Area

8146 Murrinh Patha Australian Indigenous Arnhem Land and Daly River Region

8927 Muruwari Australian Indigenous Other Australian Indigenous

N 8147 Na-kara Australian Indigenous Arnhem Land and Daly River Region

8928 Narungga Australian Indigenous Other Australian Indigenous

9306 Nauruan Oceanian Pacific Austronesian

9228 Ndebele African African

8148 Ndjébbana (Gunavidji) Australian Indigenous Arnhem Land and Daly River Region

5206 Nepali Southern Asian Indo-Aryan

8712 Ngaanyatjarra Australian Indigenous Western Desert

8151 Ngalakgan Australian Indigenous Arnhem Land and Daly River Region

8152 Ngaliwurru Australian Indigenous Arnhem Land and Daly River Region

8513 Ngandi Australian Indigenous Northern Desert Fringe Area

8113 Ngan'gikurunggurr Australian Indigenous Arnhem Land and Daly River Region

8514 Ngardi Australian Indigenous Northern Desert Fringe Area

8805 Ngarinyin Australian Indigenous Kimberley Area

8515 Ngarinyman Australian Indigenous Northern Desert Fringe Area

8931 Ngarluma Australian Indigenous Other Australian Indigenous

Code Language Region Sub-Region 8932 Ngarrindjeri Australian Indigenous Other Australian Indigenous

8281 Nhangu Australian Indigenous Yolngu Matha

9307 Niue Oceanian Pacific Austronesian

9998 Non Verbal, so described Other Languages Other Languages

8599 Northern Desert Fringe Area Languages, nec Australian Indigenous Northern Desert Fringe Area

1503 Norwegian Northern European Scandinavian

9999 Not Stated Other Languages Other Languages

9231 Nuer African African

8153 Nungali Australian Indigenous Arnhem Land and Daly River Region

8114 Nunggubuyu Australian Indigenous Arnhem Land and Daly River Region

8933 Nyamal Australian Indigenous Other Australian Indigenous

8934 Nyangumarta Australian Indigenous Other Australian Indigenous

9232 Nyanja (Chichewa) African African

8806 Nyikina Australian Indigenous Kimberley Area

8935 Nyungar Australian Indigenous Other Australian Indigenous

O 9499 Oceanian Pidgins and Creoles, nec Oceanian Oceanian Pidgins and Creoles

5216 Oriya Southern Asian Indo-Aryan

9206 Oromo African African

8999 Other Australian Indigenous Languages, nec Australian Indigenous Other Australian Indigenous

7999 Other Eastern Asian Languages, nec Eastern Asian Other Eastern Asian

3999 Other Eastern European Languages, nec Eastern European Other Eastern European

6999 Other Southeast Asian Languages Southeast Asian Other Southeast Asian

5999 Other Southern Asian Languages Southern Asian Other Southern Asian

2999 Other Southern European Languages, nec Southern European Other Southern European

4999 Other Southwest and Central Asian Languages, nec

Southwest and Central Asian Other Southwest and Central Asian

8299 Other Yolngu Matha Australian Indigenous Yolngu Matha

P 8936 Paakantyi Australian Indigenous Other Australian Indigenous

9399 Pacific Austronesian Languages, nec Oceanian Pacific Austronesian

8937 Palyku/Nyiyaparli Australian Indigenous Other Australian Indigenous

6521 Pampangan Southeast Asian Southeast Asian Austronesian

9599 Papua New Guinea Papuan Languages, nec Oceanian Papua New Guinea Papuan

4102 Pashto Southwest and Central Asian Iranic

4106 Persian (excluding Dari) Southwest and Central Asian Iranic

8713 Pintupi Australian Indigenous Western Desert

9404 Pitcairnese Oceanian Oceanian Pidgins and Creoles

8714 Pitjantjatjara Australian Indigenous Western Desert

3602 Polish Eastern European West Slavic

2302 Portuguese Southern European Iberian Romance

5207 Punjabi Southern Asian Indo-Aryan

R

Code Language Region Sub-Region 8115 Rembarrnga Australian Indigenous Arnhem Land and Daly River Region

8271 Ritharrngu Australian Indigenous Yolngu Matha

3904 Romanian Eastern European Other Eastern European

3905 Romany Eastern European Other Eastern European

9312 Rotuman Oceanian Pacific Austronesian

3402 Russian Eastern European East Slavic

S

9308 Samoan Oceanian Pacific Austronesian

1599 Scandinavian, nec Northern European Scandinavian

3505 Serbian Eastern European South Slavic

3507 Serbo-Croatian/Yugoslavian, so described Eastern European South Slavic

9238 Seychelles Creole African African

9233 Shilluk African African

9207 Shona African African

9799 Sign Languages, nec Other Languages Sign

5208 Sindhi Southern Asian Indo-Aryan

5211 Sinhalese Southern Asian Indo-Aryan

3603 Slovak Eastern European West Slavic

3506 Slovene Eastern European South Slavic

9405 Solomon Islands Pijin Oceanian Oceanian Pidgins and Creoles

9208 Somali African African

6599 Southeast Asian Austronesian Languages, nec

Southeast Asian Southeast Asian Austronesian

2303 Spanish Southern European Iberian Romance

9211 Swahili African African

1504 Swedish Northern European Scandinavian

T 6511 Tagalog Southeast Asian Southeast Asian Austronesian

6499 Tai, nec Southeast Asian Tai

5103 Tamil Southern Asian Dravidian

4303 Tatar Southwest and Central Asian Turkic

5104 Telugu Southern Asian Dravidian

7105 Teochew Eastern Asian Chinese

6507 Tetum Southeast Asian Southeast Asian Austronesian

6402 Thai Southeast Asian Tai

7901 Tibetan Eastern Asian Other Eastern Asian

9234 Tigré African African

9235 Tigrinya African African

6508 Timorese Southeast Asian Southeast Asian Austronesian

8117 Tiwi Australian Indigenous Arnhem Land and Daly River Region

9401 Tok Pisin Oceanian Oceanian Pidgins and Creoles

9313 Tokelauan Oceanian Pacific Austronesian

9311 Tongan Oceanian Pacific Austronesian

8403 Torres Strait Creole Australian Indigenous Torres Strait Island

Code Language Region Sub-Region 9236 Tswana African African

5105 Tulu Southern Asian Dravidian

4399 Turkic, nec Southwest and Central Asian Turkic

4301 Turkish Southwest and Central Asian Turkic

4304 Turkmen Southwest and Central Asian Turkic

9314 Tuvaluan Oceanian Pacific Austronesian

U 3403 Ukrainian Eastern European East Slavic

5212 Urdu Southern Asian Indo-Aryan

4305 Uygur Southwest and Central Asian Turkic

4306 Uzbek Southwest and Central Asian Turkic

V 6302 Vietnamese Southeast Asian Mon-Khmer

W 8938 Wajarri Australian Indigenous Other Australian Indigenous

8516 Walmajarri Australian Indigenous Northern Desert Fringe Area

8154 Wambaya Australian Indigenous Arnhem Land and Daly River Region

8715 Wangkajunga Australian Indigenous Western Desert

8716 Wangkatha Australian Indigenous Western Desert

8213 Wangurri Australian Indigenous Yolngu Matha

8517 Wanyjirra Australian Indigenous Northern Desert Fringe Area

8155 Wardaman Australian Indigenous Arnhem Land and Daly River Region

8518 Warlmanpa Australian Indigenous Northern Desert Fringe Area

8521 Warlpiri Australian Indigenous Northern Desert Fringe Area

8717 Warnman Australian Indigenous Western Desert

8522 Warumungu Australian Indigenous Northern Desert Fringe Area

1103 Welsh Northern European Celtic

8799 Western Desert Language, nec Australian Indigenous Western Desert

8304 Wik Mungkan Australian Indigenous Cape York Peninsula

8314 Wik Ngathan Australian Indigenous Cape York Peninsula

8941 Wiradjuri Australian Indigenous Other Australian Indigenous

8807 Worla Australian Indigenous Kimberley Area

8808 Worrorra Australian Indigenous Kimberley Area

7106 Wu Eastern Asian Chinese

8247 Wubulkarra Australian Indigenous Yolngu Matha

8811 Wunambal Australian Indigenous Kimberley Area

8251 Wurlaki Australian Indigenous Yolngu Matha

X 9237 Xhosa African African

Y 8279 Yakuy, nec Australian Indigenous Yolngu Matha

8718 Yankunytjatjara Australian Indigenous Western Desert

8942 Yanyuwa Australian Indigenous Other Australian Indigenous

Code Language Region Sub-Region 9315 Yapese Oceanian Pacific Austronesian

8812 Yawuru Australian Indigenous Kimberley Area

1303 Yiddish Northern European German and Related

8313 Yidiny Australian Indigenous Cape York Peninsula

8943 Yindjibarndi Australian Indigenous Other Australian Indigenous

8944 Yinhawangka Australian Indigenous Other Australian Indigenous

8945 Yorta Yorta Australian Indigenous Other Australian Indigenous

9212 Yoruba African African

8721 Yulparija Australian Indigenous Western Desert

Z 9213 Zulu African African

Source: ABS Australian Standard Classification of Languages (ASCL) - Second Edition 2011

APPENDIX 2B: LANGUAGE (Numeric)

Code Language Region Sub-Region 1101 Gaelic (Scotland) Northern

European Celtic

1102 Irish 1103 Welsh 1199 Celtic, nec 1301 German German and

Related 1302 Letzeburgish 1303 Yiddish 1401 Dutch Dutch and Related 1402 Frisian 1403 Afrikaans 1501 Danish Scandinavian 1502 Icelandic 1503 Norwegian 1504 Swedish 1599 Scandinavian, nec 1601 Estonian Finnish and

Related 1602 Finnish 1699 Finnish and Related Languages, nec 2101 French Southern

European French

2201 Greek Greek 2301 Catalan Iberian Romance 2302 Portuguese 2303 Spanish 2399 Iberian Romance, nec 2401 Italian Italian 2501 Maltese Maltese 2901 Basque Other Southern

European 2902 Latin 2999 Other Southern European Languages, nec 3101 Latvian Eastern

European Baltic

3102 Lithuanian 3301 Hungarian Hungarian 3401 Belorussian East Slavic 3402 Russian 3403 Ukrainian 3501 Bosnian South Slavic 3502 Bulgarian 3503 Croatian 3504 Macedonian 3505 Serbian 3506 Slovene 3507 Serbo-Croatian/Yugoslavian, so described 3601 Czech West Slavic 3602 Polish

Code Language Region Sub-Region 3603 Slovak Eastern

European West Slavic

3901 Albanian Other Eastern European 3903 Aromunian (Macedo-Romanian)

3904 Romanian 3905 Romany 3999 Other Eastern European Languages, nec 4101 Kurdish Southwest

and Central Asian

Iranic 4102 Pashto 4104 Balochi 4105 Dari 4107 Hazaraghi 4106 Persian (excluding Dari) 4199 Iranic, nec 4202 Arabic Middle Eastern

Semitic 4203 Assyrian 4204 Hebrew 4299 Middle Eastern Semitic Languages, nec 4301 Turkish Turkic 4302 Azeri 4303 Tatar 4304 Turkmen 4305 Uygur 4306 Uzbek 4399 Turkic, nec 4901 Armenian Other Southwest

and Central Asian 4902 Georgian 4999 Other Southwest and Central Asian Languages, nec 5101 Kannada Southern

Asian Dravidian

5102 Malayalam 5103 Tamil 5104 Telugu 5105 Tulu 5199 Dravidian, nec 5201 Bengali Indo-Aryan 5202 Gujarati 5203 Hindi 5204 Konkani 5205 Marathi 5206 Nepali 5207 Punjabi 5208 Sindhi 5211 Sinhalese 5212 Urdu 5213 Assamese 5214 Dhivehi

Code Language Region Sub-Region 5215 Kashmiri Southern

Asian Indo-Aryan

5216 Oriya 5299 Indo-Aryan, nec

5999 Other Southern Asian Languages Other Southern Asian

6101 Burmese Southeast Asian

Burmese and Related 6102 Chin Haka

6103 Karen 6199 Burmese and Related Languages, nec 6201 Hmong Hmong-Mien 6299 Hmong-Mien, nec 6301 Khmer Mon-Khmer 6302 Vietnamese 6303 Mon 6399 Mon-Khmer, nec 6401 Lao Tai 6402 Thai 6499 Tai, nec 6501 Bisaya Southeast Asian

Austronesian 6502 Cebuano 6503 IIokano 6504 Indonesian 6505 Malay 6507 Tetum 6508 Timorese 6511 Tagalog 6512 Filipino 6513 Acehnese 6514 Balinese 6515 Bikol 6516 Iban 6517 Ilonggo (Hiligaynon) 6518 Javanese 6521 Pampangan 6599 Southeast Asian Austronesian Languages, nec

6999 Other Southeast Asian Languages Other Southeast Asian

7101 Cantonese Eastern Asian

Chinese 7102 Hakka 7103 Hokkien 7104 Mandarin 7105 Teochew 7106 Wu 7199 Chinese, nec 7201 Japanese Japanese 7301 Korean Korean

Code Language Region Sub-Region 7901 Tibetan Eastern

Asian Other Eastern Asian 7902 Mongolian

7999 Other Eastern Asian Languages, nec 8101 Anindilyakwa Australian

Indigenous Arnhem Land and Daly River Region 8102 Burarra

8108 Kunwinjku 8111 Maung 8113 Ngan'gikurunggurr 8114 Nunggubuyu 8115 Rembarrnga 8117 Tiwi 8121 Alawa 8122 Dalabon 8123 Gudanji 8124 Gundjeihmi 8125 Gun-nartpa 8126 Gurr-goni 8127 Iwaidja 8128 Jaminjung 8131 Jawoyn 8132 Jingulu 8133 Kunbarlang 8134 Kune 8135 Kuninjku 8136 Larrakiya 8137 Malak Malak 8138 Mangarrayi 8141 Maringarr 8142 Marra 8143 Marrithiyel 8144 Matngala 8145 Mayali 8146 Murrinh Patha 8147 Na-kara 8148 Ndjébbana (Gunavidji) 8151 Ngalakgan 8152 Ngaliwurru 8153 Nungali 8154 Wambaya 8155 Wardaman 8199 Arnhem Land and Daly River Region Languages, nec 8211 Galpu Yolngu Matha

8212 Golumala 8213 Wangurri 8219 Dhangu, nec

Code Language Region Sub-Region 8221 Dhalwangu Australian

Indigenous Yolngu Matha 8222 Djarrwark

8229 Dhay'yi, nec 8231 Djambarrpuyngu 8232 Djapu 8233 Daatiwuy 8234 Marrangu 8235 Liyagalawumirr 8239 Dhuwal, nec 8241 Dhuwaya 8242 Gumatj 8243 Gupapuyngu 8244 Guyamirrilili 8245 Madarrpa 8246 Manggalili 8247 Wubulkarra 8249 Dhuwala, nec 8251 Wurlaki 8259 Djinang, nec 8261 Ganalbingu 8269 Djinba, nec 8271 Ritharrngu 8279 Yakuy, nec 8281 Nhangu 8299 Other Yolngu Matha 8301 Kuku Yalanji Cape York

Peninsula 8302 Guugu Yimidhirr 8303 Kuuku-Ya'u 8304 Wik Mungkan 8305 Djabugay 8306 Dyirbal 8307 Girramay 8308 Koko-Bera 8311 Kuuk Thayorre 8312 Lamalama 8313 Yidiny 8314 Wik Ngathan 8399 Cape York Peninsula Languages, nec Australian

Indigenous 8401 Kalaw Kawaw Ya/Kalaw Lagaw Ya Torres Strait Island 8402 Meriam Mir 8403 Torres Strait Creole 8504 Bilinarra Northern Desert

Fringe Area 8505 Gurindji 8506 Gurindji Kriol 8507 Jaru

Code Language Region Sub-Region 8508 Light Warlpiri Australian

Indigenous Northern Desert Fringe Area 8511 Malngin

8512 Mudburra 8513 Ngandi 8514 Ngardi 8515 Ngarinyman 8516 Walmajarri 8517 Wanyjirra 8518 Warlmanpa 8521 Warlpiri 8522 Warumungu 8599 Northern Desert Fringe Area Languages, nec 8603 Alyawarr Arandic 8604 Anmatyerr 8605 Arrernte 8606 Kaytetye 8699 Arandic, nec 8703 Antikarinya Western Desert 8704 Kartujarra 8705 Kukatha 8706 Kukatja 8707 Luritja 8708 Manyjilyjarra 8711 Martu Wangka 8712 Ngaanyatjarra 8713 Pintupi 8714 Pitjantjatjara 8715 Wangkajunga 8716 Wangkatha 8717 Warnman 8718 Yankunytjatjara 8721 Yulparija 8799 Western Desert Language, nec 8801 Bardi Kimberley Area 8802 Bunuba 8803 Gooniyandi 8804 Miriwoong 8805 Ngarinyin 8806 Nyikina 8807 Worla 8808 Worrorra 8811 Wunambal 8812 Yawuru 8899 Kimberley Area Languages, nec

8901 Adnymathanha Other Australian Indigenous

Code Language Region Sub-Region 8902 Arabana Australian

Indigenous Other Australian Indigenous 8903 Bandjalang

8904 Banyjima 8905 Batjala 8906 Bidjara 8907 Dhanggatti 8908 Diyari 8911 Gamilaraay 8912 Garrwa 8913 Garuwali 8914 Githabul 8915 Gumbaynggir 8916 Kanai 8917 Karajarri 8918 Kariyarra 8921 Kaurna 8922 Kayardild 8923 Kija 8924 Kriol 8925 Lardil 8926 Mangala 8927 Muruwari 8928 Narungga 8931 Ngarluma 8932 Ngarrindjeri 8933 Nyamal 8934 Nyangumarta 8935 Nyungar 8936 Paakantyi 8937 Palyku/Nyiyaparli 8938 Wajarri 8941 Wiradjuri 8942 Yanyuwa 8943 Yindjibarndi 8944 Yinhawangka 8945 Yorta Yorta 8998 Aboriginal English, so described 8999 Other Australian Indigenous Languages, nec 9101 American Languages American American 9201 Acholi African African 9203 Akan 9205 Mauritian Creole 9206 Oromo 9207 Shona 9208 Somali

Code Language Region Sub-Region 9211 Swahili African African 9212 Yoruba 9213 Zulu 9214 Amharic 9215 Bemba 9216 Dinka 9217 Ewe 9218 Ga 9221 Harari 9222 Hausa 9223 Igbo 9224 Kikuyu 9225 Krio 9226 Luganda 9227 Luo 9228 Ndebele 9231 Nuer 9232 Nyanja (Chichewa) 9233 Shilluk 9234 Tigré 9235 Tigrinya 9236 Tswana 9237 Xhosa 9238 Seychelles Creole 9246 Kinyarwanda (Rwanda) 9247 Kirundi (Rundi) 9255 Madi 9299 African Languages, nec 9301 Fijian Oceanian Pacific

Austronesian 9302 Gilbertese 9303 Maori (Cook Island) 9304 Maori (New Zealand) 9305 Motu 9306 Nauruan 9307 Niue 9308 Samoan 9311 Tongan 9312 Rotuman 9313 Tokelauan 9314 Tuvaluan 9315 Yapese 9399 Pacific Austronesian Languages, nec 9401 Tok Pisin Oceanian Pidgins

and Creoles 9402 Bislama 9403 Hawaiian English

Code Language Region Sub-Region 9404 Pitcairnese Oceanian Oceanian Pidgins

and Creoles 9405 Solomon Islands Pijin 9499 Oceanian Pidgins and Creoles, nec 9502 Kiwai Papua New Guinea

Papuan 9599 Papua New Guinea Papuan Languages, nec 9601 Invented Languages Other

Languages Invented

9701 Auslan Sign 9702 Makaton 9799 Sign Languages, nec 9997 Inadequately Described Other Languages 9998 Non Verbal, so described 9999 Not Stated Source: ABS Australian Standard Classification of Languages (ASCL) - Second Edition 2011

APPENDIX 3A: COUNTRY OF BIRTH (Alphabetic)

Code Description Country Name for Suburb Field 1601 Adélie Land (France) ADELIE LAND (FRANCE) 7201 Afghanistan AFGHANISTAN 0918 Africa, nfd 2408 Aland Islands ALAND ISLANDS 3201 Albania ALBANIA 4101 Algeria ALGERIA 8000 Americas, nfd 3101 Andorra ANDORRA 9201 Angola ANGOLA 8401 Anguilla ANGUILLA 1600 Antarctica, nfd 8402 Antigua and Barbuda ANTIGUA AND BARBUDA 8201 Argentina ARGENTINA 1602 Argentinian Antarctic Territory ARGENTINIAN ANTARCTIC TERR. 7202 Armenia ARMENIA 8403 Aruba ARUBA 0917 Asia, nfd 0001 At Sea 1101 Australia 1100 Australia (includes External Territories), nfd 1603 Australian Antarctic Territory 0908 Australian Capital Territory 1199 Australian External Territories, nec 2301 Austria AUSTRIA 7203 Azerbaijan AZERBAIJAN 8404 Bahamas BAHAMAS 4201 Bahrain BAHRAIN 7101 Bangladesh BANGLADESH 8405 Barbados BARBADOS 3301 Belarus BELARUS 2302 Belgium BELGIUM 8301 Belize BELIZE 9101 Benin BENIN 8101 Bermuda BERMUDA 7102 Bhutan BHUTAN 8202 Bolivia BOLIVIA 3202 Bosnia and Herzegovina BOSNIA AND HERZEGOVINA 9202 Botswana BOTSWANA 8203 Brazil BRAZIL 1604 British Antarctic Territory BRITISH ANTARCTIC TERRITORY 5201 Brunei Darussalam BRUNEI DARUSSALAM 3203 Bulgaria BULGARIA

Code Description Country Name for Suburb Field 9102 Burkina Faso BURKINA FASO 5101 Burma (Myanmar) BURMA (MYANMAR) 9203 Burundi BURUNDI 5102 Cambodia CAMBODIA 9103 Cameroon CAMEROON 8102 Canada CANADA 9104 Cape Verde CAPE VERDE 8400 Caribbean, nfd 8406 Cayman Islands CAYMAN ISLANDS 9105 Central African Republic CENTRAL AFRICAN REPUBLIC 8300 Central America, nfd 9100 Central and West Africa, nfd 7200 Central Asia, nfd 9106 Chad CHAD 8204 Chile CHILE 1605 Chilean Antarctic Territory CHILEAN ANTARCTIC TERRITORY 6101 China (excludes SARs and Taiwan) CHINA (EXCLUDES SARS + TAIWAN) 6100 Chinese Asia (includes Mongolia), nfd 8205 Colombia COLOMBIA 9204 Comoros COMOROS 9107 Congo CONGO 9108 Congo, Democratic Republic of CONGO, DEMOCRATIC REPUBLIC OF 1501 Cook Islands COOK ISLANDS 8302 Costa Rica COSTA RICA 9111 Côte d'Ivoire COTE DIVOIRE 3204 Croatia CROATIA 8407 Cuba CUBA 3205 Cyprus CYPRUS 3302 Czech Republic CZECH REPUBLIC 0914 Czechoslovakia, nfd 2401 Denmark DENMARK 9205 Djibouti DJIBOUTI 8408 Dominica DOMINICA 8411 Dominican Republic DOMINICAN REPUBLIC 0916 East Asia, nfd 5206 East Timor EAST TIMOR 3300 Eastern Europe, nfd 8206 Ecuador ECUADOR 4102 Egypt EGYPT 8303 El Salvador EL SALVADOR 2102 England ENGLAND 9112 Equatorial Guinea EQUATORIAL GUINEA 9206 Eritrea ERITREA 3303 Estonia ESTONIA

Code Description Country Name for Suburb Field 9207 Ethiopia ETHIOPIA 0911 Europe, nfd 8207 Falkland Islands FALKLAND ISLANDS 2402 Faroe Islands FAROE ISLANDS 1502 Fiji FIJI 2403 Finland FINLAND 0912 Former USSR, nfd

3206 Former Yugoslav Republic of Macedonia (FYROM)

FORMER YUGOSLAV REP MACEDONIA

0913 Former Yugoslavia, nfd 2303 France FRANCE 8208 French Guiana FRENCH GUIANA 1503 French Polynesia FRENCH POLYNESIA 9113 Gabon GABON 9114 Gambia GAMBIA 4202 Gaza Strip and West Bank GAZA STRIP AND WEST BANK 7204 Georgia GEORGIA 2304 Germany GERMANY 9115 Ghana GHANA 3102 Gibraltar GIBRALTAR 3207 Greece GREECE 2404 Greenland GREENLAND 8412 Grenada GRENADA 8413 Guadeloupe GUADELOUPE 1401 Guam GUAM 8304 Guatemala GUATEMALA 2107 Guernsey GUERNSEY 9116 Guinea GUINEA 9117 Guinea-Bissau GUINEA-BISSAU 8211 Guyana GUYANA 8414 Haiti HAITI 3103 Holy See HOLY SEE 8305 Honduras HONDURAS 6102 Hong Kong (SAR of China) HONG KONG (SAR OF CHINA) 3304 Hungary HUNGARY 2405 Iceland ICELAND 0000 Inadequately Described 7103 India INDIA 5202 Indonesia INDONESIA 4203 Iran IRAN 4204 Iraq IRAQ 2201 Ireland IRELAND 2103 Isle of Man ISLE OF MAN 4205 Israel ISRAEL

Code Description Country Name for Suburb Field 3104 Italy ITALY 8415 Jamaica JAMAICA 6201 Japan JAPAN 6200 Japan and the Koreas, nfd 2108 Jersey JERSEY 4206 Jordan JORDAN 7205 Kazakhstan KAZAKHSTAN 9208 Kenya KENYA 1402 Kiribati KIRIBATI 6202 Korea, Democratic People's Republic of (North) KOREA, DPR (NORTH) 6203 Korea, Republic of (South) KOREA, REPUBLIC OF (SOUTH) 3216 Kosovo KOSOVO 0915 Kurdistan, nfd 4207 Kuwait KUWAIT 7206 Kyrgyzstan KYRGYZSTAN 5103 Laos LAOS 3305 Latvia LATVIA 4208 Lebanon LEBANON 9211 Lesotho LESOTHO 9118 Liberia LIBERIA 4103 Libya LIBYA 2305 Liechtenstein LIECHTENSTEIN 3306 Lithuania LITHUANIA 2306 Luxembourg LUXEMBOURG 6103 Macau (SAR of China) MACAU (SAR OF CHINA) 9212 Madagascar MADAGASCAR 5100 Mainland South-East Asia, nfd 9213 Malawi MALAWI 5203 Malaysia MALAYSIA 7104 Maldives MALDIVES 9121 Mali MALI 3105 Malta MALTA 5200 Maritime South-East Asia, nfd 1403 Marshall Islands MARSHALL ISLANDS 8416 Martinique MARTINIQUE 9122 Mauritania MAURITANIA 9214 Mauritius MAURITIUS 9215 Mayotte MAYOTTE 1300 Melanesia, nfd 8306 Mexico MEXICO 1404 Micronesia, Federated States of MICRONESIA, FEDERATED STATES 1400 Micronesia, nfd 4200 Middle East, nfd 3208 Moldova MOLDOVA

Code Description Country Name for Suburb Field 2307 Monaco MONACO 6104 Mongolia MONGOLIA 3214 Montenegro MONTENEGRO 8417 Montserrat MONTSERRAT 4104 Morocco MOROCCO 9216 Mozambique MOZAMBIQUE 9217 Namibia NAMIBIA 1405 Nauru NAURU 7105 Nepal NEPAL 2308 Netherlands NETHERLANDS 8418 Netherlands Antilles NETHERLANDS ANTILLES 1301 New Caledonia NEW CALEDONIA 0901 New South Wales 1201 New Zealand NEW ZEALAND 8307 Nicaragua NICARAGUA 9123 Niger NIGER 9124 Nigeria NIGERIA 1504 Niue NIUE 1102 Norfolk Island NORFOLK ISLAND 4000 North Africa and Middle East, nfd 4100 North Africa, nfd 6000 North-East Asia, nfd 8100 Northern America, nfd 2400 Northern Europe, nfd 2104 Northern Ireland NORTHERN IRELAND 1406 Northern Mariana Islands NORTHERN MARIANA ISLANDS 0907 Northern Territory 2000 North-West Europe, nfd 2406 Norway NORWAY 0003 Not Stated 1000 Oceania and Antarctica, nfd 4211 Oman OMAN 0909 Other Territories (Ninth State) 7106 Pakistan PAKISTAN 1407 Palau PALAU 8308 Panama PANAMA 1302 Papua New Guinea PAPUA NEW GUINEA 8212 Paraguay PARAGUAY 8213 Peru PERU 5204 Philippines PHILIPPINES 1513 Pitcairn Islands PITCAIRN ISLANDS 3307 Poland POLAND 1599 Polynesia (excludes Hawaii), nec POLYNESIA (EXCLUDES HAWAII)NEC 1500 Polynesia (excludes Hawaii), nfd

Code Description Country Name for Suburb Field 3106 Portugal PORTUGAL 8421 Puerto Rico PUERTO RICO 4212 Qatar QATAR 1606 Queen Maud Land (Norway) QUEEN MAUD LAND (NORWAY) 0903 Queensland 9218 Réunion REUNION 3211 Romania ROMANIA 1607 Ross Dependency (New Zealand) ROSS DEPENDENCY (NEW ZEALAND) 3308 Russian Federation RUSSIAN FEDERATION 9221 Rwanda RWANDA 1505 Samoa SAMOA 1506 Samoa, American SAMOA, AMERICAN 3107 San Marino SAN MARINO 9125 Sao Tomé and Principe SAO TOME AND PRINCIPE 4213 Saudi Arabia SAUDI ARABIA 2105 Scotland SCOTLAND 9126 Senegal SENEGAL 3215 Serbia SERBIA 9223 Seychelles SEYCHELLES 9127 Sierra Leone SIERRA LEONE 5205 Singapore SINGAPORE 3311 Slovakia SLOVAKIA 3212 Slovenia SLOVENIA 1303 Solomon Islands SOLOMON ISLANDS 9224 Somalia SOMALIA 9225 South Africa SOUTH AFRICA 8299 South America, nec SOUTH AMERICA, NEC 8200 South America, nfd 0904 South Australia 3200 South Eastern Europe, nfd 5000 South-East Asia, nfd 7000 Southern and Central Asia, nfd 9299 Southern and East Africa, nec SOUTHERN AND EAST AFRICA, NEC 9200 Southern and East Africa, nfd 3000 Southern and Eastern Europe, nfd 7100 Southern Asia, nfd 3100 Southern Europe, nfd 3108 Spain SPAIN 4108 Spanish North Africa SPANISH NORTH AFRICA 7107 Sri Lanka SRI LANKA 8431 St Barthelemy ST BARTHELEMY 9222 St Helena ST HELENA 8422 St Kitts and Nevis ST KITTS AND NEVIS 8423 St Lucia ST LUCIA

Code Description Country Name for Suburb Field 8432 St Martin (French part) ST MARTIN (FRENCH PART) 8103 St Pierre and Miquelon ST PIERRE AND MIQUELON 8424 St Vincent and the Grenadines ST VINCENT AND THE GRENADINES 9000 Sub-Saharan Africa, nfd 4105 Sudan SUDAN 8214 Suriname SURINAME 9226 Swaziland SWAZILAND 2407 Sweden SWEDEN 2311 Switzerland SWITZERLAND 4214 Syria SYRIA 6105 Taiwan TAIWAN 7207 Tajikistan TAJIKISTAN 9227 Tanzania TANZANIA 0906 Tasmania 5104 Thailand THAILAND 9128 Togo TOGO 1507 Tokelau TOKELAU 1508 Tonga TONGA 8425 Trinidad and Tobago TRINIDAD AND TOBAGO 4106 Tunisia TUNISIA 4215 Turkey TURKEY 7208 Turkmenistan TURKMENISTAN 8426 Turks and Caicos Islands TURKS AND CAICOS ISLANDS 1511 Tuvalu TUVALU 9228 Uganda UGANDA 3312 Ukraine UKRAINE 4216 United Arab Emirates UNITED ARAB EMIRATES

2100 United Kingdom, Channel Islands, Isle of Man, nfd

8104 United States of America UNITED STATES OF AMERICA 8215 Uruguay URUGUAY 7211 Uzbekistan UZBEKISTAN 1304 Vanuatu VANUATU 8216 Venezuela VENEZUELA 0902 Victoria 5105 Vietnam VIETNAM 8427 Virgin Islands, British VIRGIN ISLANDS, BRITISH 8428 Virgin Islands, United States VIRGIN ISLANDS, UNITED STATES 2106 Wales WALES 1512 Wallis and Futuna WALLIS AND FUTUNA 0905 Western Australia 2300 Western Europe, nfd 4107 Western Sahara WESTERN SAHARA 4217 Yemen YEMEN

Code Description Country Name for Suburb Field 9231 Zambia ZAMBIA 9232 Zimbabwe ZIMBABWE

APPENDIX 3B: COUNTRY OF BIRTH (Numeric)

Code Description Country Name for Suburb Field 0000 Inadequately Described 0001 At Sea 0003 Not Stated 0901 New South Wales 0902 Victoria 0903 Queensland 0904 South Australia 0905 Western Australia 0906 Tasmania 0907 Northern Territory 0908 Australian Capital Territory 0909 Other Territories (Ninth State) 0911 Europe, nfd 0912 Former USSR, nfd 0913 Former Yugoslavia, nfd 0914 Czechoslovakia, nfd 0915 Kurdistan, nfd 0916 East Asia, nfd 0917 Asia, nfd 0918 Africa, nfd 1000 Oceania and Antarctica, nfd 1100 Australia (includes External Territories), nfd 1101 Australia 1102 Norfolk Island NORFOLK ISLAND 1199 Australian External Territories, nec 1201 New Zealand NEW ZEALAND 1300 Melanesia, nfd 1301 New Caledonia NEW CALEDONIA 1302 Papua New Guinea PAPUA NEW GUINEA 1303 Solomon Islands SOLOMON ISLANDS 1304 Vanuatu VANUATU 1400 Micronesia, nfd 1401 Guam GUAM 1402 Kiribati KIRIBATI 1403 Marshall Islands MARSHALL ISLANDS 1404 Micronesia, Federated States of MICRONESIA, FEDERATED STATES 1405 Nauru NAURU 1406 Northern Mariana Islands NORTHERN MARIANA ISLANDS 1407 Palau PALAU 1500 Polynesia (excludes Hawaii), nfd 1501 Cook Islands COOK ISLANDS 1502 Fiji FIJI

Code Description Country Name for Suburb Field 1503 French Polynesia FRENCH POLYNESIA 1504 Niue NIUE 1505 Samoa SAMOA 1506 Samoa, American SAMOA, AMERICAN 1507 Tokelau TOKELAU 1508 Tonga TONGA 1511 Tuvalu TUVALU 1512 Wallis and Futuna WALLIS AND FUTUNA 1513 Pitcairn Islands PITCAIRN ISLANDS 1599 Polynesia (excludes Hawaii), nec POLYNESIA (EXCLUDES HAWAII)NEC 1600 Antarctica, nfd 1601 Adélie Land (France) ADELIE LAND (FRANCE) 1602 Argentinian Antarctic Territory ARGENTINIAN ANTARCTIC TERR. 1603 Australian Antarctic Territory 1604 British Antarctic Territory BRITISH ANTARCTIC TERRITORY 1605 Chilean Antarctic Territory CHILEAN ANTARCTIC TERRITORY 1606 Queen Maud Land (Norway) QUEEN MAUD LAND (NORWAY) 1607 Ross Dependency (New Zealand) ROSS DEPENDENCY (NEW ZEALAND) 2000 North-West Europe, nfd

2100 United Kingdom, Channel Islands, Isle of Man, nfd

2102 England ENGLAND 2103 Isle of Man ISLE OF MAN 2104 Northern Ireland NORTHERN IRELAND 2105 Scotland SCOTLAND 2106 Wales WALES 2107 Guernsey GUERNSEY 2108 Jersey JERSEY 2201 Ireland IRELAND 2300 Western Europe, nfd 2301 Austria AUSTRIA 2302 Belgium BELGIUM 2303 France FRANCE 2304 Germany GERMANY 2305 Liechtenstein LIECHTENSTEIN 2306 Luxembourg LUXEMBOURG 2307 Monaco MONACO 2308 Netherlands NETHERLANDS 2311 Switzerland SWITZERLAND 2400 Northern Europe, nfd 2401 Denmark DENMARK 2402 Faroe Islands FAROE ISLANDS 2403 Finland FINLAND 2404 Greenland GREENLAND

Code Description Country Name for Suburb Field 2405 Iceland ICELAND 2406 Norway NORWAY 2407 Sweden SWEDEN 2408 Aland Islands ALAND ISLANDS 3000 Southern and Eastern Europe, nfd 3100 Southern Europe, nfd 3101 Andorra ANDORRA 3102 Gibraltar GIBRALTAR 3103 Holy See HOLY SEE 3104 Italy ITALY 3105 Malta MALTA 3106 Portugal PORTUGAL 3107 San Marino SAN MARINO 3108 Spain SPAIN 3200 South Eastern Europe, nfd 3201 Albania ALBANIA 3202 Bosnia and Herzegovina BOSNIA AND HERZEGOVINA 3203 Bulgaria BULGARIA 3204 Croatia CROATIA 3205 Cyprus CYPRUS

3206 Former Yugoslav Republic of Macedonia (FYROM)

FORMER YUGOSLAV REP MACEDONIA

3207 Greece GREECE 3208 Moldova MOLDOVA 3211 Romania ROMANIA 3212 Slovenia SLOVENIA 3214 Montenegro MONTENEGRO 3215 Serbia SERBIA 3216 Kosovo KOSOVO 3300 Eastern Europe, nfd 3301 Belarus BELARUS 3302 Czech Republic CZECH REPUBLIC 3303 Estonia ESTONIA 3304 Hungary HUNGARY 3305 Latvia LATVIA 3306 Lithuania LITHUANIA 3307 Poland POLAND 3308 Russian Federation RUSSIAN FEDERATION 3311 Slovakia SLOVAKIA 3312 Ukraine UKRAINE 4000 North Africa and Middle East, nfd 4100 North Africa, nfd 4101 Algeria ALGERIA 4102 Egypt EGYPT

Code Description Country Name for Suburb Field 4103 Libya LIBYA 4104 Morocco MOROCCO 4105 Sudan SUDAN 4106 Tunisia TUNISIA 4107 Western Sahara WESTERN SAHARA 4108 Spanish North Africa SPANISH NORTH AFRICA 4200 Middle East, nfd 4201 Bahrain BAHRAIN 4202 Gaza Strip and West Bank GAZA STRIP AND WEST BANK 4203 Iran IRAN 4204 Iraq IRAQ 4205 Israel ISRAEL 4206 Jordan JORDAN 4207 Kuwait KUWAIT 4208 Lebanon LEBANON 4211 Oman OMAN 4212 Qatar QATAR 4213 Saudi Arabia SAUDI ARABIA 4214 Syria SYRIA 4215 Turkey TURKEY 4216 United Arab Emirates UNITED ARAB EMIRATES 4217 Yemen YEMEN 5000 South-East Asia, nfd 5100 Mainland South-East Asia, nfd 5101 Burma (Myanmar) BURMA (MYANMAR) 5102 Cambodia CAMBODIA 5103 Laos LAOS 5104 Thailand THAILAND 5105 Vietnam VIETNAM 5200 Maritime South-East Asia, nfd 5201 Brunei Darussalam BRUNEI DARUSSALAM 5202 Indonesia INDONESIA 5203 Malaysia MALAYSIA 5204 Philippines PHILIPPINES 5205 Singapore SINGAPORE 5206 East Timor EAST TIMOR 6000 North-East Asia, nfd 6100 Chinese Asia (includes Mongolia), nfd 6101 China (excludes SARs and Taiwan) CHINA (EXCLUDES SARS + TAIWAN) 6102 Hong Kong (SAR of China) HONG KONG (SAR OF CHINA) 6103 Macau (SAR of China) MACAU (SAR OF CHINA) 6104 Mongolia MONGOLIA 6105 Taiwan TAIWAN 6200 Japan and the Koreas, nfd

Code Description Country Name for Suburb Field 6201 Japan JAPAN 6202 Korea, Democratic People's Republic of (North) KOREA, DPR (NORTH) 6203 Korea, Republic of (South) KOREA, REPUBLIC OF (SOUTH) 7000 Southern and Central Asia, nfd 7100 Southern Asia, nfd 7101 Bangladesh BANGLADESH 7102 Bhutan BHUTAN 7103 India INDIA 7104 Maldives MALDIVES 7105 Nepal NEPAL 7106 Pakistan PAKISTAN 7107 Sri Lanka SRI LANKA 7200 Central Asia, nfd 7201 Afghanistan AFGHANISTAN 7202 Armenia ARMENIA 7203 Azerbaijan AZERBAIJAN 7204 Georgia GEORGIA 7205 Kazakhstan KAZAKHSTAN 7206 Kyrgyzstan KYRGYZSTAN 7207 Tajikistan TAJIKISTAN 7208 Turkmenistan TURKMENISTAN 7211 Uzbekistan UZBEKISTAN 8000 Americas, nfd 8100 Northern America, nfd 8101 Bermuda BERMUDA 8102 Canada CANADA 8103 St Pierre and Miquelon ST PIERRE AND MIQUELON 8104 United States of America UNITED STATES OF AMERICA 8200 South America, nfd 8201 Argentina ARGENTINA 8202 Bolivia BOLIVIA 8203 Brazil BRAZIL 8204 Chile CHILE 8205 Colombia COLOMBIA 8206 Ecuador ECUADOR 8207 Falkland Islands FALKLAND ISLANDS 8208 French Guiana FRENCH GUIANA 8211 Guyana GUYANA 8212 Paraguay PARAGUAY 8213 Peru PERU 8214 Suriname SURINAME 8215 Uruguay URUGUAY 8216 Venezuela VENEZUELA 8299 South America, nec SOUTH AMERICA, NEC

Code Description Country Name for Suburb Field 8300 Central America, nfd 8301 Belize BELIZE 8302 Costa Rica COSTA RICA 8303 El Salvador EL SALVADOR 8304 Guatemala GUATEMALA 8305 Honduras HONDURAS 8306 Mexico MEXICO 8307 Nicaragua NICARAGUA 8308 Panama PANAMA 8400 Caribbean, nfd 8401 Anguilla ANGUILLA 8402 Antigua and Barbuda ANTIGUA AND BARBUDA 8403 Aruba ARUBA 8404 Bahamas BAHAMAS 8405 Barbados BARBADOS 8406 Cayman Islands CAYMAN ISLANDS 8407 Cuba CUBA 8408 Dominica DOMINICA 8411 Dominican Republic DOMINICAN REPUBLIC 8412 Grenada GRENADA 8413 Guadeloupe GUADELOUPE 8414 Haiti HAITI 8415 Jamaica JAMAICA 8416 Martinique MARTINIQUE 8417 Montserrat MONTSERRAT 8418 Netherlands Antilles NETHERLANDS ANTILLES 8421 Puerto Rico PUERTO RICO 8422 St Kitts and Nevis ST KITTS AND NEVIS 8423 St Lucia ST LUCIA 8424 St Vincent and the Grenadines ST VINCENT AND THE GRENADINES 8425 Trinidad and Tobago TRINIDAD AND TOBAGO 8426 Turks and Caicos Islands TURKS AND CAICOS ISLANDS 8427 Virgin Islands, British VIRGIN ISLANDS, BRITISH 8428 Virgin Islands, United States VIRGIN ISLANDS, UNITED STATES 8431 St Barthelemy ST BARTHELEMY 8432 St Martin (French part) ST MARTIN (FRENCH PART) 9000 Sub-Saharan Africa, nfd 9100 Central and West Africa, nfd 9101 Benin BENIN 9102 Burkina Faso BURKINA FASO 9103 Cameroon CAMEROON 9104 Cape Verde CAPE VERDE 9105 Central African Republic CENTRAL AFRICAN REPUBLIC 9106 Chad CHAD

Code Description Country Name for Suburb Field 9107 Congo CONGO 9108 Congo, Democratic Republic of CONGO, DEMOCRATIC REPUBLIC OF 9111 Côte d'Ivoire COTE DIVOIRE 9112 Equatorial Guinea EQUATORIAL GUINEA 9113 Gabon GABON 9114 Gambia GAMBIA 9115 Ghana GHANA 9116 Guinea GUINEA 9117 Guinea-Bissau GUINEA-BISSAU 9118 Liberia LIBERIA 9121 Mali MALI 9122 Mauritania MAURITANIA 9123 Niger NIGER 9124 Nigeria NIGERIA 9125 Sao Tomé and Principe SAO TOME AND PRINCIPE 9126 Senegal SENEGAL 9127 Sierra Leone SIERRA LEONE 9128 Togo TOGO 9200 Southern and East Africa, nfd 9201 Angola ANGOLA 9202 Botswana BOTSWANA 9203 Burundi BURUNDI 9204 Comoros COMOROS 9205 Djibouti DJIBOUTI 9206 Eritrea ERITREA 9207 Ethiopia ETHIOPIA 9208 Kenya KENYA 9211 Lesotho LESOTHO 9212 Madagascar MADAGASCAR 9213 Malawi MALAWI 9214 Mauritius MAURITIUS 9215 Mayotte MAYOTTE 9216 Mozambique MOZAMBIQUE 9217 Namibia NAMIBIA 9218 Réunion REUNION 9221 Rwanda RWANDA 9222 St Helena ST HELENA 9223 Seychelles SEYCHELLES 9224 Somalia SOMALIA 9225 South Africa SOUTH AFRICA 9226 Swaziland SWAZILAND 9227 Tanzania TANZANIA 9228 Uganda UGANDA 9231 Zambia ZAMBIA

Code Description Country Name for Suburb Field 9232 Zimbabwe ZIMBABWE 9299 Southern and East Africa, nec SOUTHERN AND EAST AFRICA, NEC

APPENDIX 4A: CLINICIAN SPECIALTY (Alphabetic)

HMDS Code HMDS Description Qualifications

45 Anaesthetics Fellowship of the Royal Australian and New Zealand College of Anaesthetists (FANZCA)

2 Baby 3 Boarder

46 Burns 4 Cardiology Fellowship of the Royal Australasian College of Physicians

(FRACP) 47 Cardiothoracic Surgery Fellowship of the Royal Australasian College of Surgeons

(FRACS) 77 Chemical Pathology Fellowship of the Royal College of Pathologists of Australia

(FRCPA) 5 Child

Psychiatry/Psychology Fellowship of the Royal Australian and New Zealand College of Psychiatrists (FRANZCP)

36 Communicable Diseases

98 Community Child Health

Fellowship of the Royal Australasian College of Physicians (FRACP)

49 Dental Surgery 7 Dermatology Fellowship of the Australasian College of Dermatologists

(FACD) 50 Ear, Nose and Throat 83 Emergency Medicine Fellowship of the Australasian College for Emergency

Medicine (FACEM) 10 Endocrinology Fellowship of the Royal Australasian College of Physicians

(FRACP) 11 Gastroenterology Fellowship of the Royal Australasian College of Physicians

(FRACP) 91 General

Practitioner/Obstetric

84 General Practitioner Fellowship of the Australian College of General Practitioners (FACGP)

51 General Surgery Fellowship of the Royal Australasian College of Surgeons (FRACS)

12 General/Physicial Medicine


13 Genetics Fellowship of the Royal Australasian College of Physicians (FRACP)

14 Gerontology Fellowship of the Royal Australasian College of Physicians (FRACP)


52 Gynaecology Fellowship of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (FRANZCOG)

23 Gynaecology oncologist

Fellowship of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (FRANZCOG)

82 Haematology Fellowship of the Royal College of Pathologists of Australia (FRCPA) OR Fellowship of the Royal Australasian College of Physicians (FRACP)

87 Hyperbaric Medicine 17 Immunology Fellowship of the Royal College of Pathologists of Australia

(FRCPA) 19 Immunology and

Allergy Fellowship of the Royal Australasian College of Physicians (FRACP)

18 In Vitro Fellowship of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (FRANZCOG)

41 Infectious/Tropical Medicine


85 Intensive Care Medicine

Fellowship of the Joint Faculty of Intensive Care Medicine (FJFICM)

43 Liver Transplant Surgery

97 Maternal-Fetal Medicine


99 Medical Administrator Fellowship of the Royal Australasian College of Medical Administrators (FRACMA)

75 Microbiology Fellowship of the Royal College of Pathologists of Australia (FRCPA)

21 Neonatology 32 Nephrology/Dialysis Fellowship of the Royal Australasian College of Physicians

(FRACP) 22 Neurology Fellowship of the Royal Australasian College of Physicians

(FRACP) 53 Neurosurgery Fellowship of the Royal Australasian College of Surgeons

(FRACS) 81 Nuclear Medicine Fellowship of the Royal Australasian College of Physicians

(FRACP) OR Fellowship of the Royal Australian and New Zealand College of Radiologists (FRANZCR)

39 Obstetrics Fellowship of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (FRANZCOG)


54 Occupational Medicine Fellowship of the Australasian Faculty of Occupational Medicine (FAFOM)

24 Oncology Fellowship of the Royal Australasian College of Physicians (FRACP)

56 Ophthalmology Fellowship of the Royal Australian and New Zealand College of Ophthalmologists (FRANZCO)

57 Oral Surgery Fellowship of the Royal Australasian College of Dental Surgeons (Oral and Maxillofacial Surgery) (FRACDS(OMS))

58 Orthopaedics Fellowship of the Royal Australasian College of Surgeons (FRACS)

69 Otolaryngology – Head and Neck Surgery

Fellowship of the Royal Australasian College of Surgeons (FRACS)

25 Paediatric Medicine Fellowship of the Royal Australasian College of Physicians (FRACP)

62 Paediatric Surgery Fellowship of the Royal Australasian College of Surgeons (FRACS)

86 Pain Management Fellowship of the Faculty of Pain Medicine, Australian and New Zealand College of Anaesthetists (FPMANZCA)

16 Palliative Medicine Fellowship of the Royal Australasian College of Physicians (FRACP) OR Fellowship of the Australasian Chapter of Palliative Medicine, Royal Australasian College of Physicians (FAChPM)

76 Pathology Fellowship of the Royal College of Pathologists of Australia (FRCPA)

6 Pharmacology Fellowship of the Royal Australasian College of Physicians (FRACP)

37 Physician Fellowship of the Royal Australasian College of Physicians (FRACP)

59 Plastic and Reconstructive Surgery

Fellowship of the Royal Australasian College of Surgeons (FRACS)

90 Podiatric Surgery 27 Psychiatry Fellowship of the Royal Australian and New Zealand College

of Psychiatrists (FRANZCP) 26 Psychogeriatrics 96 Public Health Medicine Fellowship of the Australasian Faculty of Public Health

Medicine (FAFPHM) 67 Radiation Oncology Fellowship of the Royal Australian and New Zealand College

of Radiologists (FRANZCR) 29 Radiology Fellowship of the Royal Australian and New Zealand College

of Radiologists (FRANZCR) 30 Radiotherapy


31 Rehabilitative Medicine Fellowship of the Australasian Faculty of Rehabilitation Medicine (FAFRM)

60 Renal Transplant Surgery

33 Respiratory Medicine Fellowship of the Royal Australasian College of Physicians (FRACP)

34 Rheumatology Fellowship of the Royal Australasian College of Physicians (FRACP)

61 Spinal Surgery 63 Urogynaecology Fellowship of the Royal Australian and New Zealand College

of Obstetricians and Gynaecologists (FRANZCOG)

64 Urology Fellowship of the Royal Australasian College of Surgeons (FRACS)

65 Vascular Surgery Fellowship of the Royal Australasian College of Surgeons (FRACS)

APPENDIX 4B: CLINICIAN SPECIALTY (Numeric)


02 Baby 03 Boarder 04 Cardiology Fellowship of the Royal Australasian College of Physicians

(FRACP) 05 Child

Psychiatry/Psychology Fellowship of the Royal Australian and New Zealand College of Psychiatrists (FRANZCP)

06 Pharmacology Fellowship of the Royal Australasian College of Physicians (FRACP)

07 Dermatology Fellowship of the Australasian College of Dermatologists (FACD)

10 Endocrinology Fellowship of the Royal Australasian College of Physicians (FRACP)

11 Gastroenterology Fellowship of the Royal Australasian College of Physicians (FRACP)

12 General/Physicial Medicine


13 Genetics Fellowship of the Royal Australasian College of Physicians (FRACP)

14 Gerontology Fellowship of the Royal Australasian College of Physicians (FRACP)

16 Palliative Medicine Fellowship of the Royal Australasian College of Physicians (FRACP) OR Fellowship of the Australasian Chapter of Palliative Medicine, Royal Australasian College of Physicians (FAChPM)

17 Immunology Fellowship of the Royal College of Pathologists of Australia (FRCPA)

18 In Vitro Fellowship of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (FRANZCOG)

19 Immunology and Allergy


21 Neonatology 22 Neurology Fellowship of the Royal Australasian College of Physicians

(FRACP) 23 Gynaecology

oncologist Fellowship of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (FRANZCOG)

24 Oncology Fellowship of the Royal Australasian College of Physicians (FRACP)

25 Paediatric Medicine Fellowship of the Royal Australasian College of Physicians (FRACP)

26 Psychogeriatrics 27 Psychiatry Fellowship of the Royal Australian and New Zealand College

of Psychiatrists (FRANZCP)


29 Radiology Fellowship of the Royal Australian and New Zealand College of Radiologists (FRANZCR)

30 Radiotherapy 31 Rehabilitative Medicine Fellowship of the Australasian Faculty of Rehabilitation

Medicine (FAFRM) 32 Nephrology/Dialysis Fellowship of the Royal Australasian College of Physicians

(FRACP) 33 Respiratory Medicine Fellowship of the Royal Australasian College of Physicians

(FRACP) 34 Rheumatology Fellowship of the Royal Australasian College of Physicians

(FRACP) 36 Communicable

Diseases

37 Physician Fellowship of the Royal Australasian College of Physicians (FRACP)

39 Obstetrics Fellowship of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (FRANZCOG)

41 Infectious/Tropical Medicine


43 Liver Transplant Surgery

45 Anaesthetics Fellowship of the Royal Australian and New Zealand College of Anaesthetists (FANZCA)

46 Burns 47 Cardiothoracic Surgery Fellowship of the Royal Australasian College of Surgeons

(FRACS) 49 Dental Surgery 50 Ear, Nose and Throat 51 General Surgery Fellowship of the Royal Australasian College of Surgeons

(FRACS) 52 Gynaecology Fellowship of the Royal Australian and New Zealand College

of Obstetricians and Gynaecologists (FRANZCOG) 53 Neurosurgery Fellowship of the Royal Australasian College of Surgeons

(FRACS) 54 Occupational Medicine Fellowship of the Australasian Faculty of Occupational

Medicine (FAFOM) 56 Ophthalmology Fellowship of the Royal Australian and New Zealand College

of Ophthalmologists (FRANZCO) 57 Oral Surgery Fellowship of the Royal Australasian College of Dental

Surgeons (Oral and Maxillofacial Surgery) (FRACDS(OMS)) 58 Orthopaedics Fellowship of the Royal Australasian College of Surgeons

(FRACS) 59 Plastic and

Reconstructive Surgery Fellowship of the Royal Australasian College of Surgeons (FRACS)


60 Renal Transplant Surgery

61 Spinal Surgery 62 Paediatric Surgery Fellowship of the Royal Australasian College of Surgeons

(FRACS) 63 Urogynaecology Fellowship of the Royal Australian and New Zealand College

of Obstetricians and Gynaecologists (FRANZCOG) 64 Urology Fellowship of the Royal Australasian College of Surgeons

(FRACS) 65 Vascular Surgery Fellowship of the Royal Australasian College of Surgeons

(FRACS) 67 Radiation Oncology Fellowship of the Royal Australian and New Zealand College

of Radiologists (FRANZCR) 69 Otolaryngology – Head

and Neck Surgery Fellowship of the Royal Australasian College of Surgeons (FRACS)

75 Microbiology Fellowship of the Royal College of Pathologists of Australia (FRCPA)

76 Pathology Fellowship of the Royal College of Pathologists of Australia (FRCPA)

77 Chemical Pathology Fellowship of the Royal College of Pathologists of Australia (FRCPA)

81 Nuclear Medicine Fellowship of the Royal Australasian College of Physicians (FRACP) OR Fellowship of the Royal Australian and New Zealand College of Radiologists (FRANZCR)

82 Haematology Fellowship of the Royal College of Pathologists of Australia (FRCPA) OR Fellowship of the Royal Australasian College of Physicians (FRACP)

83 Emergency Medicine Fellowship of the Australasian College for Emergency Medicine (FACEM)

84 General Practitioner Fellowship of the Australian College of General Practitioners (FACGP)

85 Intensive Care Medicine

Fellowship of the Joint Faculty of Intensive Care Medicine (FJFICM)

86 Pain Management Fellowship of the Faculty of Pain Medicine, Australian and New Zealand College of Anaesthetists (FPMANZCA)

87 Hyperbaric Medicine 90 Podiatric Surgery 91 General

Practitioner/Obstetric

96 Public Health Medicine Fellowship of the Australasian Faculty of Public Health Medicine (FAFPHM)

97 Maternal-Fetal Medicine



98 Community Child Health


99 Medical Administrator Fellowship of the Royal Australasian College of Medical Administrators (FRACMA)

APPENDIX 5: HMDS MAPPING TO TOPAS, HCARe AND webPAS

HMDS MAPPING TO TOPAS, HCARe AND webPAS

HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent Description

webPAS

Accommodation Occupied Actual Accommodation Pref Accom Room Type (CAT RT) 1. Single Room S - Single S - Single SIN - Single 2. Shared Room M - Multiple M - Multiple SHA - Shared

SCN - Special Care Nursery HIT – Hospital in the Home POI – Psych Unsecure Single POS – Psych Unsecure Share PSI – Psych Secure Single PSS – Psych Secure Shared

Account Number Admission Date Admission Status Admission Status Admission Status Admission Status (CAT P) 3. Elective – Waitlist 1 - Elective - Waitlist ELW - Elective Waitlist ELW – Elective Waitlist

4. Elective – Not Waitlist 2 - Elective - Direct Admission ELNW - Elective No Waitlist ELD – Elective Direct 6. Emergency - Emergency Department

3 - Non Elective - Emergency Department

EMED - Emergency via ED EME – Non-Elective Emergency

7. Emergency - Direct Admission

4 - Emergency -Direct Admission

EMDA - Emergency Direct Admission

NED – Non-Elective Direct

Admission Time



webPAS

Admitted From (Establishment)

Transferring Medical Facility Establishment / Organisation Unit

Hospital

Care Type Care Type Epi Of Care Care Type (CAT CC) 21. Acute Care 1.0 - Acute A - Acute (A) ACU - Acute; 22. Rehabilitation Care (Sub-Acute)

2.0 - Rehabilitation Care R - Rehabilitation (SA) REH - Rehabilitation

23. Palliation Care (Sub-Acute) 3.0 - Palliative Care P - Palliation (SA) PAL - Palliative Care 24. Psychogeriatric Care (Sub-acute)

5.0 - Psychogeriatic Care PG - Psychogeriatric (A) PSY - Psychogeriatric

25. Maintenance Care (Non-Acute)

6.0 - Maintenance Care N - Maintenance Care (NA) MAI - Maintenance

26. Newborn 7.0 - Newborn Care U - Newborn NEW - Newborn 27. Organ Procurement 9.0 - Organ Procurement

Postumous OP - Organ Procurement ORG – Organ Procurement

28. Boarder 10.0 - Hospital Boarder O- Other/Boarder BRD - Boarder 29. Geriatric Evaluation & Management

4.0 - Geriatric Evaluation & Management

G - Geriatric Assessment & Management

GER – Geriatric Management

30. Aged Care N/A AG - Aged Care 31. Flexible Care N/A F - Flexible MPS

H - Hostel Residential C - Hostel Respite

FLC – Flexible Care

Client Identifier Client Status (Patient Type) Patient Type Patient Type Patient Type (CAT A) 0. Funding Hospital 0 - Contracting Service F - Funding Hospital CNG – Contracting Service 1. Qualified Newborn 1 - Qualified Newborn Q - Qualified NB QNB - Qualified Newborn



webPAS

2. Unqualified Newborn 2 - Unqualified Newborn U - Unqualified NB UNQ - Unqualified Newborn 3. Boarder 3 - Boarder B - Boarder BDR - Boarder 4. Nursing Home Type 4 - Nursing Home Type N - Nursing Home/Type;

R - NHTP Respite NHT - Nursing Home Type

5. Contracted Service 5 - Contracted Service C - Contract Svc CED - Contracting Service 6. Admitted Client 6 - Other Admitted Service A - Admitted Pt ADS – Admitted Service

7. Organ Procurement 9 - Organ Procurement O - Organ Procurement ORG – Organ Procurement 8. Resident N/A E - Resident

H - Hostel resident RES - Resident RNC – Resident Non-Charge

9. Ambulatory N/A Clinician on Admission Last Active Consultant Resp Dr Responsible Clinician Clinician on Separation Last Active Consultant Separation Doctor Responsible Clinician Country / State of Birth Country of Birth Country of Birth Country of Birth (CAT C) Date of Birth Days in ICU (Whole Days) Decommissioned for separations post 1 July 2013

Days in ICU Only for designated ICU beds - Manually calculated & entered at discharge (There are no recognised ICUs in HCARe hospitals)

Calculated in Extract if ICU flag set on Bed Type



webPAS

Days of Hospital in the Home Care

Days of Hospital in the Home (Calculated by system if Ward = HITH)

Calculated by system Calculated based on Bed Type = HIH

Days of Qualified Newborn Care

Calculated from Morbidity Extract

Manually calculated - Warning flag on system mapped to Fin Class = Hosp Newborn

Calculated from Accom charges

Days of Psychiatric Care Days in Psych

(only in recognised psych wards) Psych Days (only for recognised psych wards/units and is manually calculated and entered at separation)

Calculated in Extract for recognized psych ward / units

Discharged To (Establishment)

Transferring Medical Facility Separation To Hospital

DVA File Number DVA No and Repatriation

Number DVA File No DVA Number

Employment Status Employment Status Employment Status Employment Status (CAT KD) 1. Child not at School 08 - Child Less than School Age CHILD - Child < School Age CHI - Child not at School 2. Student 09 - Primary School Student;

10 - Secondary School Student; 11 - Tertiary Student

ST - Student STU – Student PRI – Primary Student SEC – Secondary Student TER – Tertiary Student

3. Employed 01 - Fulltime; 02 - Part Time; 03 - Self Employed

EMP - Employed; SELF - Self Employed

FUL – Full Time PAR – Part Time SEL – Self Employed

4. Unemployed 04 - Unemployed U/EMP - Unemployed UNE - Unemployed



webPAS

5. Home Duties 05 - Home Duties HOME - Home Duties HOM - Home Duties 6. Retired 06 - Retired RET - Retired RET - Retired 7. Pensioner 07 - Pensioner IVP - Invalid Pensioner;

DSP - Disabled Pensioner; SPP - Single Parent Pensioner; PEN - Pensioner, Other

PEN - Pensioner

8. Other 12 - Ward of State; 13 - Australian Defence Personnel; 14 - Other Defence Personnel; 15 - Prisoner; 16 - Unknown

NK - Not Known; PRIS - Prisoner; WARD - Ward of State

WAR – Ward of the State ADP – Australian Defence ODP – Other Defence PRN – Prisoner UNK - Unknown

First Forename Funding Establishment Transferring Medical Facility Contract Hosp N/A Funding Source for Hospital Patient

Account Type Add/Change Financial Class Claim Type (CAT CL)



webPAS

21. Australian Health Care Agreements

HO - Public HBDR - Public Boarder HIP - Public Inpatient HISD - Public Sameday HNB - Public Newborn HNHTP - Pub Nurs Home Type FFFCT-Fed Flexible Care Type resident FFNH- Fed Fund NH FFNHR- Fed Fund NH remote FFHST- Fed Fund Hostel

PUB – Public BBD – Bulk Billed HNN – NHT Public

22. Private Health Insurance PI - Private Insured PBDR - Private Boarder PIM - Priv Multibed PIS - Private Single Bed PISD - Private Sameday PNB - Private Newborn PNHPE - Priv Nurs Home Tp Ex PNHTE - Priv Nurs Home Pat PNHTP - Priv Nurs Home Type

PVT – Private Insured PNH – NHT Private

23. Self Funded PU - Private Uninsured PUIM - Private Uninsured Multibed PUIN - Private Uninsured Newborn PUIS - Private Uninsured Single Bed PUISD - Private Uninsured Sameday PUNHT-Private Uninsured NHTP

UNI – Uninsured UNH – NHT Private Insured



webPAS

24. Worker's Compensation WC - Workers Compensation CIP - Compen Inpatient CSD - Compen Sameday CNHP - Compen Nursing Home

WCC - Workers Compensation

25. Motor Vehicle Third Party Personal Claim

MV - WA S.G.I.C. (MVIT); EM Eastern States MVIT

MVIP - Motor Veh Inpatient MVSD - Motor Veh Sameday

WAM – WA MVIT EMV – Other States MVIT

26. Other Compensation CO - Compensable Other SH - Shipping;

COIP - Comp. Other Inpatient COSD - Comp. Other Sameday CONHP - Comp. Other Nursing Home SDP - Mer Sea Day Patient MSIP - Mer Sea Inpatient MSSD - Mer Sea Sameday

COM – Compensable Other SHI - Shipping

27. Department of Veterans' Affairs

VA - Dept of Veteran Affairs VAIP - Vet Affair I/P VAISD - Vet Aff Sameday VANHT - Vet Aff Nurs. Home TPVAFCT-DVA flex type resident VAHST-DVA hostel VFFNH-DVA NH VFRNH-DVA remote NH VPFCT- DVA ex POW flex care type resident VPFNH-DVA ex POW NH VPHST- DVA ex POW hostel VPNHT- DVA ex POW NHTP VPRNH- DVA ex POW remote NH

VET – Veterans Affairs VNH – NHT Veterans Affairs

28. Department of Defence AD - Australian Defence Forces ADFIP - Aust. Def. Force Inpatient ADFSD - Aust. Def. Force Sameday

ADF – Australian Defence



webPAS

29. Correctional Facility HO - Public / Funding Source specified explicitly

CFIP - Corr. Facility Inpatient CFSD - Corr. Facility Sameday

HO – Public / Funding Source Specified explicitly

30. Reciprocal Health Care Agreements

HO - Public / Funding Source specified explicitly

RCAIP - Rec. Health Care Agr. Inpatient RCASD - Rec. Health Care Agr. Sameday

HO – Public / Funding Source specified explicitly

31. Ineligible OV - Ineligible Overseas Visitor FD - Foreign Defence Forces;

IPI - Ineligible Inpatient ISD - Ineligible Sameday INB - Ineligible Newborn

OVV – Overseas Visitor FOD – Foreign Defence OVS – Overseas Student

32. Other OS - Overseas Student UN - Unaccompanied/Unknown;

ZOTH - Other

33. Ambulatory Care PR - Ambulatory Care ASI-Ambulatory Care 34. Detainee IDIP-Ineligible Detention

Inpatient IDSD-Ineligible Detention Sameday

Hours CVS (Whole Hours) Mechanical Ventilation Hours Mech. Vent (Manually

calculated Unit: D - Days; H - Hours)

Recorded against specific ICD codes

Hours in ICU (Whole Hours) New field for separations from 1 July 2013

ICU Hrs

Only for designated ICU beds - Manually calculated & entered at discharge (There are no recognised ICUs in HCARe hospitals)

Indigenous Status Indigenous Status Indigenous Status Aboriginality



webPAS

1. Aboriginal not Torres Strait Islander

AB A - Abor not TSI ABG - Aboriginal not TSI

2. Torres Strait Islander not Aboriginal

TS T - TSI not Aboriginal TSI - TSI not Aboriginal

3. Aboriginal and Torres Strait Islander

AT AT - Aboriginal and TSI ATS - Abor and TSI

4. Other OT & UN O - Other OTH – Other UNK - Unknown

Infant Weight / Neonate Admission Wt Adm Wt Admission Weight Insurance Status (Health) Hospital Health Insurance Only requested when name of

Health Fund entered into system

Private Insurance Status: Defaults to 1 (Yes) when Health Fund details are entered on the system

1. Yes Y - Yes Y - Yes 2. No N - No

U - Unknown N - No

Intended Length of Stay Intended Same Day Intended LOS Intended Stay (CAT VI) 1. Intended Same-Day Stay Y - Yes S - Intended Sameday SD - Sameday 2. Intended Overnight Stay N - No O - Intended Overnight OVN - Overnight Interpreter Service Interpreter Service Interpreter Interpreter 1.Yes Y - Yes Y - Yes Yes 2. No N - No & Blank N - No & Blank No

Not stated Language Language Language Language



webPAS

Marital Status Marital Status Marital Status Marital Status (CAT M) 1. Never Married S - Single NM - Never Married NMA - Never Married 2. Widow W - Widowed W - Widowed WID – Widow 3. Divorced D - Divorced D - Divorced DIV – Divorced 4. Separated L - Legally Separated; P -

Separated SEP - Separated PAR – Separated

5. Married / Defacto F - Defacto; M - Married M - Married; DF - Defacto MAR – Married DEF - Defacto

6. Unknown / Not Stated U - Unknown NK - Unknown/Not Stated UNK - Unknown / Not stated Mental Health Legal Status MH Legal Status MH Status N/A 1. Involuntary 1 - Involuntary Involuntary 2. Voluntary 2 - Voluntary Voluntary Mode of Separation Discharge Type Mode Of Sep Discharge Destination (CAT DD) 1. Transfer to Acute Hospital 01 - Discharged to Another

Hospital (Medical Facility - code H)

TRAH - Transfer Acute Hosp HOS – 01 Hospital

2. Transfer to Residential Aged Care Service

02 - Discharged to Another Institution (Medical Facility - code N)

TRRAC - Transfer Residential Aged Care Services

INS – 02 Institution

3. Transfer to Psych Hospital 01 - Discharged to Another Hospital (Medical Facility - code P)

TRNFR - Transfer Psych Hosp HOS – 01 Hospital

4. Transfer to Other Health Care Accommodation

02 - Discharged to Another Institution (Medical Facility - code L)

DISHA - Dis/Tran Oth Health Care Accom

INS – 02 Institution

5. Statistical Type Change 98 - Statistical Discharge RETYP - Stat Type Change CTC – Care Type Change



webPAS

6. Left Against Medical Advice 03 - Discharged at Own Risk/Against Advice

ABSC - Absc/Left Ag Med Adv DLA – Leave against Advice

7. Discharge from Leave 11 - Discharged whilst on Leave DISLV - Stat/Dis From Leave LEA - On Leave 8. Deceased 06 - Deceased with Autopsy

07 - Deceased without Autopsy 08 - Deceased Autopsy Unknown; 09 - Deceased Coroners Case 10 - Deceased whilst on Leave 13 - Deceased - Posthumous Organ Donation; 14 - Posthumous Organ Donation

DEATH - Deceased AUT - Decease with Autopsy DAU – Decease Autopsy Unk DEL – Deceased on Leave DOD – Deceased Organ Donor DWA – Decease No Autopsy COR - Deceased - Coroners COU – Court MH ORG – Organ Donor Disch

9. Other / Home 00 - Discharged Home; 05 - Discharged Home/Domiciliary Service; 04 - Next of Kin or Local Contact; 02 - Discharged to Another Institution (Medical Facility - Code O & R)

DISCH - Other/Home HOM – 00 Home GUA – To Guardian

Mother's Identifier Number of Leave Periods Calculated from Morbidity

Extract Automatically calculated on system and drops into HA22 form - can view on IP Summary Report

Calculated

Postcode



webPAS

Readmission Status Readmit Status Readmit Status Readmission 28 Days (CAT KO) 1.Planned 1 - Planned P - Planned No – No

Yes – Yes

2.Unplanned 2 - Unplanned U - Unplanned NA - Not Applicable Blank Blank N/A - Not Applicable Residential Address Separation Date Separation Time Sex Gender Gender Gender 1. Male M - Male M - Male Male 2. Female F - Female F - Female Female 3. Indeterminate I - Indeterminate; U - Unknown I - Indeterminate Indeterminate

Intersex Unknown

Source of Referral - Location Transferring Medical Facility SOR Location Source of Referral (CAT S) 1. Home Medical Facility - Blank O/H - Other/Home COM – Community Health

CTC – Care Type Change EME – Emergency Department GEN – General Practitioner NBH – Born this Hospital

2. Residential Aged Care Service

Medical Facility - code N = Residential Aged Care Service

RAC - Residential Aged Care Service

TFI – Another Institution



webPAS

3. Other Health Care Accommodation

Medical Facility - code L = Other Health Care Accommodation

HCA - Health Care Accommodation


4. Acute Hospital Medical Facility - code H = Acute Hospital

HOS - Public Acute Hospital PMP - Private Acute Hospital RECLA - Reclass this Hosp

TFR – Another Hospital

5. Psychiatric Hospital Medical Facility - code P = Psychiatric Hospital

PSYCH - Psych Hospital TFR – Another Hospital

6. Prison Medical Facility - code R = Prison

GAOL - Gaol or Prison TFI – Another Institution

7. Other Medical Facility - code O = Other

OTHER - Other MORG - Morgue


Source of Referral - Professional

Referral Source SOR Professional Referred By (CAT SH)

1. General Practitioner 1 - General Practitioner PMP - General Practitioner GEN – General Practitioner 2. Specialist Clinician 2 - Specialist Rooms;

4 - Transfer from Another Hospital 8 - Transfer from Another Institution

HC - Hospital Clinician SC - Specialist Clinician

SPE – Specialist Rooms TFI – Another Institution TFR – Another Hospital

3. Outpatient Dept. Clinician 5 - Outpatient Department O/P - O/P Dept Clinician OUT - Outpatient Dept 4. Emergency Dept. Clinician 6 - Emergency Department ED - ED Clinician EME - Emergency Department 5. Hospital Clinician (Re-admission)

7 - Readmission requested by this hospital

REA – Readmission by Hosp

6. Community Health Clinician 3 - Community Health Services CHC - Com Health Clinician COM - Community Health Clinician 7. Statistical Admission / Type change

99 - Statistical Admission 9 - Postumous Organ Donor

STAT - Stat Adm/Type Change

CTC - Care Type Change ORG – Organ Donation



webPAS

GER – Geriatric Assess Team

8. Other OTHER - Other/Unknown NBH - Born this Hospital

Source of Referral - Transport

Arrival Means SOR Transport Mode of Transport (CAT SI)

1. Private/Public Transport FA - Family/Friend; SE - Self 01 - Priv/Pub Transport PRI - Private 2. Hospital – Patient Transport VT - Voluntary Transport 02 - Hosp Transpt-Non Emerg TAX – Taxi

PUB – Public HTR - Hospital Transport

3. Ambulance – Emergency

AM - Ambulance FS - Flying Squad

03 - Ambulance-Emergency

DVA – Veterans Affairs AME – Ambulance Emergency AMN – Ambulance Non Emergency

4. Royal Flying Doctor Service RF - Royal Flying Doctor Services

04 - Royal Flying Doctor RFE – RFDS Emergency RFI – RFDS Emergency RFR _ RFDS Repatriation

5. Helicopter 05 - Helicopter (Evac) HEL – Helicopter CHF – Chartered Flight COF – Commercial Flight

6. Other OT - Other; PO - Police

06 - Other PSS – Psych Services POL – Police Correctional COM - Community

Specialty of Clinician on Admission

Specialty of Clinician on Admission (Mapping for HMDS is included in TOPAS code table)

Admission Specialty Unit (CAT DT): Specialty attached to Consultant on Admission - from Category DT



webPAS

Specialty of Clinician on Separation

Specialty Attached to Last Active Consultant

Separation Specialty Unit (CAT DT): Specialty attached to Consultant on Admission - from Category DT

State / Territory 0. Not applicable 1. New South Wales 2. Victoria 3. Queensland 4. South Australia 5. Western Australia 6. Tasmania 7. Northern Territory 8. Australian Capital Territory 9. Other Australian Territories Suburb Surname Total Leave Days Calculated from Morbidity

Extract Calculated in Daily Census Report & Patient on Leave Report, and drops into Discharge HA22 form

Calculated

Unplanned Return to Theatre ‘R’ in Procedure Coding

Screen Return to Theatre Unplanned Theatre (KB)



webPAS

1.Yes Yes - Unplanned Y - Unplanned No – No

2.No No - Planned N - Planned Yes - Yes

Ward / Location Ward Ward/Bed Allocation Ward

Veterans Card Colour DVA Colour DVA Entlmnt Veterans Card Colour (CAT DX) 1. Gold G - Gold G - Gold GOL - Gold 2. White W - White W - White WHI - White

APPENDIX 6: PSYCHIATRIC WARDS

Hospital Unit Ward Name List Whether the

Unit Is Authorised

Comment Facility Opening

Date

Facility Closing Date

Abbotsford Private Hospital Abbotsford Private Hospital (All wards) Non-Authorised 01/02/1998 Albany Hospital Mental Health Unit MH Authorised 19/09/1998

Armadale Kelmscott Hospital

Armadale MHS for Older People

BANKS BANKSIA KARRI

Authorised 21/05/2001

Leschen Unit LOPEN LHDU Authorised 02/07/2001

Bentley Hospital

ECT Treatment at Mills Street ECTD Authorised Day ward 01/07/1996 John Milne Centre JMC, W9 Non-Authorised Rehabilitation 01/04/2008 Mills Street Centre W6

W7 W8

Authorised Adult ward 01/11/1994

Families at Work (Pathways) FWP Authorised 09/12/2002 Bentley Adolescent Unit W5 Authorised 01/11/1989 Bentley Lodge W10A, 10A

W10B, 10B W10C, 10C


Broome Mental Health Broome Mental Health Unit Broome Mental Health Authorised 06/03/2012

Bunbury Hospital Acute Psychiatric Unit MEN Authorised 15/03/1999

PICU Authorised 01/09/2011

Fremantle Hospital

Alma Street Centre W41 W42 W51


Alma Street Psychogeriatric Ward

W43 Authorised 04/09/1972

Graylands Hospital

Graylands Hospital (All wards) Authorised 01/07/1999 MITH Authorised Mental Health Hospital in the

Home 01/01/2014

Franklin Forensic Unit FRAA1 FRAB1 FRAC1

Authorised All Forensic wards were moved to the new establishment State Forensic Mental Health Service.

01/07/1999 31/12/2011

Plaistowe Forensic PLFO Authorised 01/07/2002 31/12/2011

Hollywood Private Hospital Psych Ward HPHPPSY Non-Authorised Day ward 01/05/2009

HPHLTHC Non-Authorised Inpatients 01/06/2009

Hospital Unit Ward Name List Whether the

Unit Is Authorised

Comment Facility Opening

Date

Facility Closing Date

HPHPTHC Non-Authorised Inpatients 01/02/2009

Joondalup Health Campus

Mental Health Unit JHCBMHU Authorised Boarder Room 01/03/2010 JHCLMHU Authorised Waiting Room 01/02/2010 JHCPMHU Authorised 01/09/2009

Kalgoorlie Hospital Acute Adult Mental Health Unit

PSYCHIATRIC UNIT Authorised 01/03/2003

King Edward Memorial Hospital

Mother Baby Unit MBU Authorised 17/05/2007

Marian Centre, The Marian Centre, The (All wards) Non-Authorised 13/11/2006

Mercy Private Hospital Ursula Frayne Unit UFU Authorised 01/01/2003

Osborne Park Hospital Osborne Lodge OL Non-Authorised 01/07/1998

Perth Clinic Perth Clinic (All wards) Non-Authorised 01/07/1996

Princess Margaret Hospital Psychiatric Ward 4H Non-Authorised 01/11/1989

Rockingham Hospital

Mimidi Park MHAO MHAC MHEO MHEC

Authorised

25/11/2010 15/04/2011 10/04/2012 25/02/2013

Royal Perth Hospital

2K Ward 2K Non-Authorised 01/07/2003 Psych Day Patients PSYD Non-Authorised Day ward 01/11/1994 02/07/2002 Early Discharge Project Psychiatry

EDPP Non-Authorised

01/02/1994 02/07/2002

Selby Authorised Lodge Selby Authorised Lodge SELB Authorised

01/07/2000

Selby Hospital in the Home SITH No data as at July 8, 2014 01/7/2014

Sir Charles Gairdner Hospital D20 Ward Mental Health Observation Area

D20 MHOA MITH

Non-Authorised 01/07/2003

16/12/2013 30/04/2014

State Forensic Mental Health Service

State Forensic Mental Health Service

FRAA1 FRAB1 FRAC1 PLFO1

Authorised

Forensic ward moved from Graylands.

1/1/2012

Swan District Hospital

Boronia Lodge MHE MHW Authorised 31/10/1998

Swan Valley Centre SVO SVC Authorised 17/01/2001

Data Integrity Inpatient Data Collections Effective 1 July 2014

HMDC INTERFACE FILE SPECIFICATIONS

FOR JULY 2014

PRIVATE HOSPITALS

Version 2


HMDC Interface File Specifications – July 2014 Multi-liner file specifications – Private Hospitals (G9) These file specifications apply to Western Australian private hospitals and day surgeries submitting multi-liner inpatient summaries to Hospital Morbidity Data Collection (HMDC). The first line for each separation contains demographic information. A set of Diagnosis/External Cause/Morphology codes is placed on subsequent lines, one code per line, in the order they are coded. A set of Procedure codes is placed after the above lines, if there are any procedures performed. Finally, a check line is placed at the end of each separation. All data items must be left aligned and cannot be blank unless otherwise stated. This set of records is repeated, as required, for each inpatient summary being submitted to HMDC. LINE 1 : Demographic Details

Input Field Format Length Start Posn

End Posn

Man-datory Validations/Comments

Event Type Alpha 4 1 4 Yes Must be ‘SUM’. Morbidity Record Type Alpha 1 5 5 Yes Must be ‘I’. Episode of Care Link Field Alphan

um 12 6 17 Yes Must be the same as Account

Number if there was no change of episode during an admission.


Num 3 18 20 Condi-tional

Leave blank if not newborn.

Number of Leave Periods Num 2 21 22 Condi-tional

Required if any leave was taken; blank otherwise.

Accommodation Occupied Num 1 23 23 Yes Language Num 4 24 27 Condi-

tional Required if used interpreter; blank otherwise.

Update Flag Alpha 1 28 28 Condi-tional

‘Y’ if data is being re-submitted for update; blank if submitted for the first time.

Source of Referral - Location Num 2 29 30 Yes Source of Referral - Professional

Num 2 31 32 Yes

Source of Referral - Transport

Num 2 33 34 Yes

Days of Hospital in the Home Care (Hospital in Home Care Days)


Filler - 7 38 44 - Leave blank. Establishment Num 4 45 48 Yes Establishment Number of the

reporting hospital. Account/Admission Number Alphan

um 12 49 60 Yes

Client Identifier (URN) Alphanum

10 61 70 Yes

Mother’s Identifier (URN) Alphanum

10 71 80 Condi-tional

Required if newborn; blank otherwise.

Admission Date Num 8 81 88 Yes Must be in DDMMYYYY format. Admission Time Num 4 89 92 Yes Must be in HHmm format. Separation Date Num 8 93 100 Yes Must be in DDMMYYYY format. Separation Time Num 4 101 104 Yes Must be in HHmm format. Surname Alpha 50 105 154 Yes

Page 1



End Posn


First Forename Alpha 30 155 184 Yes Second Forename Alpha 30 185 214 No Residential Address Alphan

um 50 215 264 Yes

Suburb Alpha 30 265 294 Yes Postcode Num 6 295 300 Yes State/Territory Num 1 301 301 Yes Locality - 6 302 307 - No longer required. Must be

blank. Date of Birth Num 8 308 315 Yes Must be in DDMMYYYY format. Sex (Gender) Num 1 316 316 Yes Indigenous Status Num 1 317 317 Yes Country/State of Birth Num 4 318 321 Yes Marital Status Num 1 322 322 Yes Employment Status Num 2 323 324 Yes Interpreter Service Num 1 325 325 Yes Occupation - 4 326 329 - No longer required. Must be

blank. Source of Referral - 2 330 331 - Replaced with three Source of

Referral fields. Must be blank. Intended Length of Stay Num 1 332 332 Yes Admitted From Num 4 333 336 Yes Ward/Location Alphan

um 20 337 356 Yes

Clinician on Admission (Clinician Responsible for Care)

Alphanum

13 357 369 Yes Australian Health Practitioner Registration Number of clinician.

Specialty of Clinician on Admission

Num 3 370 372 Yes

Specialty of Clinician on Separation

Num 3 373 375 Yes

Admission Status Num 1 376 376 Yes Infant Weight/Neonate Num 4 377 380 Condi-

tional In grams. Required if infant’s age is less than 365 days and weight is less than or equal to 9000g.

Total Leave Days Num 4 381 384 Condi-tional

Blank if no leave was taken.

Days of Psychiatric Care Num 4 385 388 Condi-tional

Required if mental health patient admitted to designated psychiatric unit; blank otherwise.

Mental Health Legal Status Num 1 389 389 Condi-tional

Required if mental health patient; blank otherwise.

Funding Source for Hospital Patient (Payment Classification)

Num 2 390 391 Yes

Veterans Card Colour Num 1 392 392 Condi-tional

Required if DVA; blank otherwise.

Insurance Status Num 1 393 393 Yes

Page 2



End Posn


Days in ICU Num 4 394 397 Condi-tional

No longer required from 1 July 2013. Must be blank from 1 July 2013.

Hours CVS Num 5 398 402 Condi-tional

Integer value (whole hours). Required if used Continuous Ventilatory Support; blank otherwise.

Readmission Status Num 1 403 403 Condi-tional

Required if readmitted within 28 days with related condition; blank otherwise.

Unplanned Return to Theatre Num 1 404 404 Condi-tional

Required if returned to theatre for further surgery within admission; blank otherwise.

Care Type (Type of Episode of Care)

Num 2 405 406 Yes

Client Status (Patient Type) Num 2 407 408 Yes Contracted/Funding Establishment


Required if Client Status is funding hospital (0) or contracted service (5); blank otherwise.

Mode of Separation Num 2 413 414 Yes Discharged to Num 4 415 418 Yes Clinician on Separation Alphan

um 13 419 431 Yes Australian Health Practitioner

Registration Number of clinician. DRG Version Alphan

um 10 432 441 Condi-

tional Version of DRG classification (eg. '6.0' for version 6.0). Required if MDC and/or DRG are provided; blank otherwise.

MDC Num 3 442 444 No MDC value from DRG classific. DRG Alphan

um 4 445 448 No Diagnosis Related Group code.

Coder ID Alphanum

20 449 468 Yes Coder’s name, initials or identification code.

DVA File Number Alphanum


Required if DVA; blank otherwise.

Filler - 12 481 492 - Formerly DVA Authorisation Number.

Filler - 8 493 500 - Formerly DVA Authorisation Date.

Hours in ICU Num 5 501 505 Conditional

Integer value (whole hours). Required if time spent in a designated intensive care bed; blank otherwise. Valid for reporting from 1 July 2013.

Medicare Number Num 10 506 515 No Medicare Person Number Num 1 516 516 Condi-

tional Required if 10 digit Medicare Number is provided

Page 3


Diagnosis/External Cause/Morphology Codes (repeat line for each code)


End Posn


Event Type Alpha 4 1 4 Yes Valid values: PD - for Principal Diagnosis CA - for Co-Diagnosis (Asterisk Code/Code Also) CM - for Complication OC - for Additional Diagnosis EC - for External Cause MO - for Morphology.

Account/Admission Number Alphanum

12 5 16 Yes Must be same as Line 1 (Demographic Details).



Filler - 18 27 44 - Leave blank. Establishment Num 4 45 48 Yes Must be same as Line 1

(Demographic Details). Priority Num 3 49 51 Yes Coder sequencing priority. Must

be sorted in numeric, sequential order. Numbers must be consecutive (ie. no numbers skipped).

ICD Code Alphanum

10 52 61 Yes As per relevant ICD-10-AM standard disease/morphology code.

Place of Occurrence Alphanum


Required if Event Type is 'EC'; blank otherwise.

Activity Alphanum


Required if Event Type is 'EC'; blank otherwise.

Condition Onset Flag for ICD Code

Alphanum

1 82 82 Yes 1 or 2

Condition Onset Flag for Place of Occurrence

Alphanum


1 or 2 if Event Type is ‘EC’; blank otherwise.

Condition Onset Flag for Activity

Alphanum


1 or 2 if Event Type is ‘EC’; blank otherwise.

Page 4


Procedure Codes (repeat line for each procedure code)


End Posn


Event Type Alpha 4 1 4 Yes Valid values: PP - Principal Procedure OP - Additional Procedure

Account/Admission Number

Alphanum





(Demographic Details). Priority Num 3 49 51 Yes Coder sequencing priority.

Must be sorted in numeric, sequential order. Numbers must be consecutive (ie. no numbers skipped).

Procedure Code Alphanum

10 52 61 Yes As per relevant ACHI standard intervention code.

Clinician Performing Procedure

Alphanum


Required for principal procedure. Australian Health Practitioner Registration Number of clinician.

Date of Procedure Num 8 75 82 Condi-tional

Required for principal procedure. Must be in DDMMYYYY format.

Filler - 10 83 92 - Leave blank.

Page 5


Check line (must be present as the last line for each case - i.e. for a given account number)


End Posn


Event Type Alpha 4 1 4 Yes Must be 'CHK'. Account/Admission Number

Alphanum





(Demographic Details). Diagnosis Code Count Num 4 49 52 Yes A count of ALL diagnosis codes

(ie. types PD, CA, CM, OC). External Cause Code Count

Num 4 53 56 Yes A count of ALL external cause codes (ie. type EC).

Morphology Code Count Num 4 57 60 Yes A count of ALL morphology codes (ie. type MO).

Procedure Code Count Num 4 61 64 Yes A count of ALL procedure codes (ie. types PP, OP).

Page 6

APPENDIX 8: HMDS REPORTING ESTABLISHMENT LIST

The following hospitals and health units are mandated by WA Health to submit admitted activity data to the HMDS.

Est Code Establishment Name Est

Sector Software / System

Metro Rural

Authorised Psych Beds

Special Care

Nursery 626 Abbotsford Private Hospital Private SimDay M

673 Absolute Cosmetic at Image 21 Private HA22 DES M

674 Academy Day Hospital Private HA22 DES M

687 Albany Community Hospice Private HA22 DES R

201 Albany Hospital Public webPAS R Y

203 Armadale/Kelmscott District Memorial Hospital Public TOPAS M Y Y

623 Attadale Hospital Private Meditech M Y 204 Augusta Hospital Public HCARe R 4158 Augusta Residential Aged Care Public HCARe R 255 Bentley Hospital Public TOPAS M Y

602 Bethesda Hospital Private WS e-PAS M

401 Beverley Hospital Public HCARe R 4139 Beverley Residential Aged Care Public HCARe R 402 Boddington Hospital Public HCARe R 432 Boyup Brook Soldiers Memorial Hospital Public HCARe R 4159 Boyup Brook Residential Aged Care Public HCARe R 444 Bridgetown Hospital Public HCARe R 206 Broome Hospital Public HCARe R Y Y 403 Bruce Rock Memorial Hospital Public HCARe R 4140 Bruce Rock Residential Aged Care Public HCARe R 662 Bunbury Day Surgery Private SimDay R 208 Bunbury Hospital Public TOPAS R Y Y 209 Busselton Hospital Public HCARe R 670 Cambridge Day Surgery Private SimDay M

654 Cannington Dialysis Clinic Private HA22 DES M

210 Carnarvon Hospital Public HCARe R 4091 Carnarvon Residential Aged Care Public HCARe R 663 Churchill Day Surgery Private SimDay M 691 Colin Street Day Surgery Private SimDay M 211 Collie Hospital Public HCARe R 4160 Collie Residential Aged Care Public HCARe R 638 Concept Fertility Centre Private In-house M 404 Corrigin Hospital Public HCARe R 4141 Corrigin Residential Aged Care Public HCARe R 405 Cunderdin Hospital Public HCARe R



Metro Rural


Special Care

Nursery 4142 Cunderdin Residential Aged Care Public HCARe R 406 Dalwallinu Hospital Public HCARe R 4143 Dalwallinu Residential Aged Care Public HCARe R 214 Denmark Hospital Public HCARe R 4126 Denmark Residential Aged Care Public HCARe R

6001 Derby Dialysis Unit Private HA22 DES R

215 Derby Hospital Public HCARe R Y 476 Dongara Multi-Purpose Health Centre Public HCARe R 4138 Dongara Residential Aged Care Public HCARe R 271 Donnybrook Hospital Public HCARe R 408 Dumbleyung Memorial Hospital Public HCARe R 4144 Dumbleyung Residential Aged Care Public HCARe R 218 Esperance Hospital Public HCARe R 219 Exmouth Hospital Public HCARe R

694 Eye Surgery Foundation Private Comp. Aust. M

106 Fiona Stanley Hospital Public M

600 Fitzroy Crossing Dialysis Unit Private HA22 DES R

127 Fitzroy Crossing Hospital Public HCARe R 102 Fremantle Hospital Public webPAS M Y

657 Fresenius Medical Care, Coolbellup Private HA22 DES M

655 Fresenius Medical Care, Warwick Private HA22 DES M

6002 Genesis Care Shenton House Private M 220 Geraldton Hospital Public HCARe R Y 698 GI Clinic Private eMed M 633 Glengarry Hospital Private Meditech M Y 410 Gnowangerup Hospital Public HCARe R 4128 Gnowangerup Residential Aged Care Public HCARe R 411 Goomalling Hospital Public HCARe R 4145 Goomalling Residential Aged Care Public HCARe R 935 Graylands Hospital (MHS) Public TOPAS M Y 128 Halls Creek Hospital Public HCARe R 412 Harvey Hospital Public HCARe R 131 Hedland Health Campus Public HCARe R Y 641 Hollywood Private Hospital Private Meditech M

646 Indian Ocean Territories Health Service C'wealth HA22 DES R

642 Joondalup Health Campus Private Meditech M Y Y 454 Kalamunda District Community Hospital Public webPAS M 475 Kalbarri Health Centre Public HCARe R 130 Kaleeya Hospital Public webPAS M Y



Metro Rural


Special Care

Nursery 226 Kalgoorlie Hospital Public HCARe R Y Y 754 Karlarra House Aged Care Public HCARe R 227 Katanning Hospital Public HCARe R 4129 Katanning Residential Aged Care Public HCARe R 409 Kellerberrin Memorial Hospital Public HCARe R 4146 Kellerberrin Residential Aged Care Public HCARe R

649 Kimberley Satellite Dialysis Centre Private HA22 DES R

104 King Edward Memorial Hospital For Women Public TOPAS M Y Y

650 Kings Park Day Hospital Private SimDay M 445 Kojonup Hospital Public HCARe R 4130 Kojonup Residential Aged Care Public HCARe R 413 Kondinin Hospital Public HCARe R 4147 Kondinin Residential Aged Care Public HCARe R 414 Kununoppin Hospital Public HCARe R 4148 Kununoppin Residential Aged Care Public HCARe R

6003 Kununurra Dialysis Unit Private HA22 DES R

257 Kununurra Hospital Public HCARe R 4121 Kununurra Aged Care Facility Public HCARe R 230 Lake Grace Hospital Public HCARe R 4149 Lake Grace Residential Aged Care Public HCARe R 272 Laverton Hospital Public HCARe R 273 Leonora Hospital Public HCARe R 685 Lions Eye Institute Day Surgery Private VIP M 233 Margaret River Hospital Public HCARe R 696 Marie Stopes Midland Private Blue Chip M

660 Martu Renal Dialysis Centre Jigalong Private HA22 DES R

682 McCourt Street Day Surgery Private SimDay M 234 Meekatharra Hospital Public HCARe R 4133 Meekatharra Residential Aged Care Public HCARe R

629 Mercy Hospital (St John of God Mt Lawley) Private IBA M Y Y

235 Merredin Hospital Public HCARe R 4150 Merredin Residential Aged Care Public HCARe R 644 Midland Dialysis Centre Private In-house M 417 Moora Hospital Public HCARe R 4151 Moora Residential Aged Care Public HCARe R 418 Morawa Hospital Public HCARe R 4134 Morawa Residential Aged Care Public HCARe R 608 Mount Hospital Private webPAS M 607 Mount Lawley Private Hospital Private SimDay M 419 Mullewa Hospital Public HCARe R Est Establishment Name Est Software Metro Authorised Special

Code Sector / System Rural Psych Beds

Care Nursery

4135 Mullewa Residential Aged Care Public HCARe R 681 Murdoch Surgicentre Private webPAS M

420 Murray Hospital Public TOPAS M 422 Nannup Hospital Public HCARe R

668 Nanyara Medical Group Private HA22 DES M

423 Narembeen Memorial Hospital Public HCARe R 4152 Narembeen Residential Aged Care Public HCARe R 236 Narrogin Hospital Public HCARe R 260 Newman Hospital Public HCARe R

459 Next Step Drug and Alcohol Services, East Perth Public HA22

DES M

460 Nickol Bay Hospital Public HCARe R 424 Norseman Hospital Public HCARe R 426 North Midlands Hospital Public HCARe R 4136 North Midlands Residential Aged Care Public HCARe R 237 Northam Hospital Public HCARe R 425 Northampton Hospital Public HCARe R 4137 Northampton Residential Aged Care Public HCARe R 238 Onslow Hospital Public HCARe R 239 Osborne Park Hospital Public TOPAS M 667 Oxford Day Surgery and Dermatology Private eMed M 267 Paraburdoo Hospital Public HCARe R

645 Peel Health Campus Private WS e-PAS M

427 Pemberton Hospital Public HCARe R

643 Perth Clinic Private WS e-PAS M

678 Perth Day Surgery Centre Private In-house M 6005 Perth Dermatology Clinic Private M 428 Pingelly Hospital Public HCARe R 429 Plantagenet Hospital Public HCARe R 4127 Plantagenet Residential Aged Care Public HCARe R 103 Princess Margaret Hospital For Children Public TOPAS M 446 Quairading Hospital Public HCARe R 4153 Quairading Residential Aged Care Public HCARe R 430 Ravensthorpe Hospital Public HCARe R

658 Rockingham Dialysis Clinic Private HA22 DES M

277 Rockingham General Hospital Public TOPAS M Y Y 243 Roebourne Hospital Public HCARe R

4185 Royal Darwin Hospital NT HA22 DES M

100 Royal Perth Hospital Shenton Park Campus Public TOPAS M

101 Royal Perth Hospital Public TOPAS M



Metro Rural


Special Care

Nursery 158 Selby Authorised Lodge (MHS) Public TOPAS M Y 652 Silver Chain Hospital at Home Private SimDay M 105 Sir Charles Gairdner Hospital Public TOPAS M 4070 Somerset House Frail Aged Hostel Public HCARe R 677 South Perth Endoscopy Private Blue Chip M 618 South Perth Hospital Private e-PAS M 690 Southbank Clinic Private IBA M 431 Southern Cross Hospital Public HCARe R 4154 Southern Cross Residential Aged Care Public HCARe R

659 Spearwood Dialysis Clinic Private HA22 DES M

612 St John of God Health Care Bunbury Private webPAS R Y 669 St John of God Hospital Busselton Private webPAS R 613 St John of God Health Care Geraldton Private webPAS R Y 640 St John of God Health Care Murdoch Private webPAS M Y 616 St John of God Health Care Subiaco Private webPAS M Y 135 State Forensic Mental Health Service Public TOPAS M Y

656 Stirling Dialysis Clinic Private HA22 DES M

661 Subiaco Private Hospital Private SimDay M 244 Swan District Hospital Public webPAS M Y Y 653 The Marian Centre Private IBA M 256 Tom Price Hospital Public HCARe R

664 UWA Podiatric Surgery Centre Private HA22 DES M

245 Wagin Hospital Public HCARe R 639 Waikiki Private Hospital Private SimDay M 665 Walcott Street Surgical Centre Private M

6004 Warburton Dialysis Room Private HA22 DES R

433 Warren Hospital Public HCARe R 671 West Coast Endoscopy Centre Private eMed M 689 Westminster Day Surgery Private SimDay M 437 Wongan Hills Hospital Public HCARe R 4155 Wongan Hills Residential Aged Care Public HCARe R 697 Woodvale Private Hospital for Women Private In-house M

438 Wyalkatchem-Koorda and Districts Hospital Public HCARe R

4156 Wyalkatchem Residential Aged Care Public HCARe R 249 Wyndham Hospital Public HCARe R 251 York Hospital Public HCARe R 4157 York Residential Aged Care Public HCARe R

Inpatient Data Collections 1 July 2014 Performance Activity & Quality Division

INFORMATION ACCESS AGREEMENT

The following contract is designed to protect the confidentiality and integrity of health information and patient data after its release upon request to an internal (Department of Health) or external individual, department or organisation.

CONTRACT

I ______________________________________________________________________________ Please print

am aware of the conditions and my responsibilities, as outlined below.

• Agrees to maintain the data in a confidential and secure manner in the location towhich it was originally released (in accordance with the ‘Practice code for the use ofPersonal Health Information’)

http://www.health.wa.gov.au/healthdata/docs/090429_Practice_code_for_the_use_of_personal_health_information.pdf ,

• Acknowledges that the data released remains the property of the Inpatient DataCollection Unit of Performance Activity & Quality Division (IDC)

• Agrees to, under no circumstance, pass on or divulge the released data to a third partywithout the prior approval of the Inpatient Data Collection Unit of Performance Activity& Quality Division

• Agrees not to under circumstance contact patients or health practitioners contained inthe released dataset

• Agrees not to use the data for any purpose other than that for which it was originallyrequested

• Agrees to consult the Inpatient Data Collection Unit of Performance Activity & QualityDivision before publishing any report and that the source of the data will be properlyreferenced whenever it is used in publications

• Agrees not to copy or store parts or the whole of the released dataset in a directorythat may be accessible to anyone else

• Agrees not to leave printouts of datasets in any form in an area accessible to anyoneelse

• Agrees to destroy all copies of the data and hard copies upon completion of its use forthe purpose intended and inform the Inpatient Data Collection Unit of PerformanceActivity & Quality Division of the outcome

• Accepts that access assigned to the user is the responsibility of the user, and the user isaccountable for the use of that access, and as such the user will comply withdepartmental policies, guidelines, operational instructions, and conditions for access tohospital morbidity information.

DISCLAIMER

All information/data provided by the Inpatient Data Collection is accurate and up to date at the time of provision. Inpatient Data Collections cannot be held liable for the accuracy of user reports based on their analysis of the data.

Reasons access to HMDS required (tick appropriate boxes):

Regular Data Extracts - AHS

- Non AHS

HMDS Intranet Site (Edits)

Page 1 of 2

http://www.health.wa.gov.au/healthdata/docs/090429_Practice_code_for_the_use_of_personal_health_information.pdf

http://www.health.wa.gov.au/healthdata/docs/090429_Practice_code_for_the_use_of_personal_health_information.pdf

Inpatient Data Collections 1 July 2014 Performance Activity & Quality Division

Please state the period access will be required for (if less than 12 months):

_______________________________________________________________________________

(NB. All approved Access Agreements are reviewed annually.)

If hospital/health service related, please specify which hospitals or health services:

_______________________________________________________________________________

Please indicate the intended use of the information:

_______________________________________________________________________________

_______________________________________________________________________________

I acknowledge that I have read and agree to the provisions of the contract. I agree to retain

the data in the following location in a secure manner:

_______________________________________________________________________________

_______________________________________________________________________________

Position Title ______________________________________ HE number _________________

Organisation ___________________________________________________________________

Signature _________________________________________ Date _____/_____/__________

Supported by (manager or higher): ________________________________________________ Print name

Position Title _____________________________________ HE number _________________

Organisation ___________________________________________________________________

Signature ______________________________________ Date _____/_____/__________

OFFICE USE

Special conditions relevant to this user:

_________________________________________________________________________________________________

_________________________________________________________________________________________________

IDC Manager ___________________________________________________ Date ______/______/_____________ Manager

CHIC number: __________ Task number: _________ Officer’s HE number: __________________________

Please return to: Manager, Inpatient Data Collections Performance Activity and Quality 1st Floor, C Block 189 Royal Street EAST PERTH, WA 6004

Page 2 of 2

Background

The Hospital Morbidity Data Collection (HMDC) is managed by the Inpatient Data Collections (IDC) unit of the Data Integrity Directorate, within the Department of Health. The HMDC is the centralised source of admitted hospital activity data that are used for performance reporting, planning, monitoring, funding, and research. The HMDS is also the source for provision of the annual data to the Commonwealth as mandated under the National Heath Care Agreement.

To ensure availability of accurate and timely admitted data for local and Commonwealth mandatory reporting requirements, hospitals must be aware of and meet the following data reporting standards.

Data Reporting Deadlines

A. The Licensee shall provide IDC with coded hospital data specified in the Inpatients Summary Form (HA22) on a monthly basis and no later than the last working day of the next month. Financial year data must be completed by 31 July of the following financial year.

B. Hospital staff must liaise with the Manager of IDC if hospitals are unable to meet the above requirements due to unplanned leave, illness or any other unforeseen circumstances.

Data Reporting Protocol and Standards

The Licensee must ensure that the following data reporting protocols are adhered to when submitting data to IDC:

A. Data are coded in accordance with Western Australian Coding Standards B. Data are coded in accordance with the relevant version of the Australian Coding Standards

(current version of ICD-AM). C. Data complies with the Australian Consortium for Classification Development published coding

advice, which provides updates to Australian Coding Standards through editions D. Data are coded by a clinical coder who holds a recognised coding qualification; or whose

competency has been demonstrated through completion of an appropriate validation training process.1

E. Data complies with the most current HMDC Reference Manual.2 F. The HA22 data submissions must be in an electronic format specified by IDC in the form of

HA22 Interface File Specifications.3

1 At the time of licence issue/renewal DoH will request that the Data Integrity Directorate be informed of who willbe performing the clinical coding. In conference with the Principal Coding Consultant the Licence Holder will be notified if this coder is deemed appropriate. 2 This includes (i) the latest suburb to postcode mappings provided by IDC and/or available from Australia post. (ii) The current list of Medical Practitioners Registered as published by the Australian Health Practitioner Regulation Agency (ARPRA). 3 The most current version of the HA22 Interface File Specifications is adhered to when submitting the HA22 data to IDC.

LICENSING AND ACCREDITATION REGULATORY UNIT

HOSPITALS AND HEALTH SERVICES ACT 1927 PART IIIA & B

LICENSING POLICY

PROCESS FOR INPATIENT DATA PROVISION – HOSPITAL MORBIDITY DATA COLLECTION

G. The HA22 data must be verified using supplied validation software.4 H. Extracts with fatal or system errors detected by validation software must not be submitted to

IDC. Files containing these errors will be rejected by IDC and these data will need to be re-submitted.

I. Smaller hospitals without their own patient information system may submit the HA22 data using the HA22 Forms Data Entry System supplied by IDC. This software incorporates an equivalent set of the validations performed by the aforementioned validation software.

J. Data must be submitted to IDC using the MyFT secure data transfer application.4

Data Quality Validation

The IDC data quality assurance process is a practice used to validate data against reference and expected values. Hospitals are responsible for reviewing all cases failing this process and correcting any errors and/or confirming the validity of the data via the resolution process outlined below. Details of quality validations, including range of acceptable field values, are listed in the most current version of the HMDC Reference Manual.

Incomplete and/or untimely coded data impact on significant reporting requirements. Therefore, hospitals must be aware of and meet the relevant hospital morbidity data coding deadlines and standards:

A. Cases with identified errors shall be corrected and submitted to the IDC unit within 10 days of being returned to the hospital.

B. All data validations queries will be sent by IDC to establishments by MyFT with all resolved validations queries to be submitted to IDC via MyFT.

C. Hospitals are to supply responses to data validations queries in an Excel (.xls) file or Comma-Separated Value (csv) format.5

Developed By: Data Integrity Directorate Approved By: Dr Dorothy Jones, Delegate for the Director General of Health Date of First Issue: November 2009 Revised Date: 18 November 2009, November 2011, October 2012 and October 2013 Review Date: October 2014

4 Supplied by IDC and available free of charge. 5 The Excel (.xls) or Comma-Separated Value (.csv) format file must contain the following fields: Estab, Batch Id, Case Id, Error Message, Error, Severity, Extract date, Unique Medical Record Number (UMRN), Account Number, Update, Admission Date, Discharge Date and HDWA Comments. An additional column is to be included at the end of this variable list, which must be filled in by the hospital with the hospitals response to each case in error.

Process for Inpatient Statistics – Hospital Morbidity Data Collection Page 2 of 2

HOSPITAL INPATIENT SUMMARY FORM (HA22) July 2014 (New values: bold & italics)

Account/Adm. No.

Episode of Care Link Field

Client Identifier (URN)

Mother’s Identifier (URN) (Baby’s form only)

d d m m y y y y h h : m m Admission Date/Time

d d m m y y y y h h : m m Separation Date/Time

d d m m y y y y

D.O.B.

Sex 1. Male 2. Female 3. Indeterminate

Indigenous Status 1. Aboriginal not TSI 2. TSI not Aboriginal 3. Aboriginal and TSI 4. Other

Marital Status 1. Never Married 2. Widow 3. Divorced4. Separated 5. Married/Defacto6. Unknown/Not Stated

Employment Status 1. Child not at School 2. Student3. Employed 4. Unemployed 5. Home Duties6. Retired 7. Pensioner 8. Other

Interpreter Service 1. Yes 2. No

Language

Country/State of Birth

Admitted From (Establishment)

Source of Referral-Location 1. Home 2. Residential Aged Care Service3. Other Health Care Accommodation4. Acute Hospital 5. Psychiatric Hospital 6. Prison 7. Other

Source of Referral-Professional 1. Gen. Practitioner 2. Specialist Clinician 3. Outpatient Dept. Clinician 4. Emergency Dept.Clinician 5. Hospital Clinician (Readmission) 6. Community Health Clinician7. Statistical Admission/Type Change 8. Other

Source of Referral-Transport 1. Private/Public Transport 2. Hospital –Patient Transport 3. Ambulance – Emergency 4. Royal Flying Doctor Service 5. Helicopter6. Other

Intended Length of Stay 1. Intended Same-Day Stay2. Intended Overnight Stay CLINICAL DETAILS ICD-10-AM Code COF ICD-10-AM Code COF (Using Australian Coding Standards) Additional Diagnoses

Principal Diagnosis Cond. Onset Flag And related codes - Including Morphology, External Cause, Place of Occurrence and

Co-Diagnosis Activity codes (Code Also) Cond. Onset Flag

ACHI Code d d m m y y y y Clinician (MBRN)

Principal Procedure

Additional Procedure(s)

Doctor’s Name _________________________

Coder ID _________________________

Accommodation Occupied 1. Single Room 2. Shared Room

Ward/Location ______________________________

Specialty of Clinician On Admission

Clinician on Admission (MBRN)

Admission Status 3. Elective – Waitlist4. Elective – Not Waitlist6. Emergency – Emergency Department Admission 7. Emergency – Direct Admission

Readmission Status 1.Planned 2.Unplanned

Unplanned Return to Theatre 1.Yes 2.No

Infant Weight / Neonate (Grams)

Funding Source for Hospital Patient 21. Australian Health Care Agreements22. Private Health Insurance23. Self-Funded 24. Worker’s Compensation 25. Motor Vehicle Third Party Personal Claim 26. Other Compensation 27. DVA 28. Department of Defence 29. Correctional Facility30. Reciprocal Health Care Agreements31. Ineligible 32. Other33. Ambulatory Surgery Initiative 34. Detainee

Insurance Status (Health) 1. Yes 2. No

Veterans Card Colour 1. Gold 2. White DVA File Number

Care Type 21. Acute Care22. Rehabilitation Care (Subacute)23. Palliation Care (Subacute)24. Psychogeriatric Care (Subacute)25. Maintenance Care (Non-Acute)26. Newborn 27. Organ Procurement 28. Boarder29. Geriatric Evaluation and Management (Subacute)30. Aged Care 31. Flexible Care (MPS sites only)

Client Status 0. Funding Hospital 1. Qualified Newborn2. Unqualified Newborn 3. Boarder4. Nursing Home Type 5. Contracted Service6. Admitted Client 7. Organ Procurement8. Resident

Contracted / Funding Establishment

Total Leave Days

Number of Leave Periods

Days of Psychiatric Care

Mental Health Legal Status 1. Involuntary 2. Voluntary


Hours in ICU (Whole Hours)

Hours CVS (Whole Hours)

Days of Hospital in the Home Care

Discharged To (Establishment)

Mode of Separation 1. Transfer to Acute Hospital 2. Transfer to Residential Aged Care Service3. Transfer to Psychiatric Hospital 4. Transfer to Other Health Care Accommodation5. Statistical Type Change6. Left Against Medical Advice 7. Discharge from Leave 8. Deceased 9. Other/Home

Specialty of Clinician On Separation

Clinician on Separation (MBRN)

(Hospital) Establishment __________________________________

Surname __________________________________________________

First Forename __________________________________________________

Second Forename __________________________________________________

Residential Address (No./Street) __________________________________________________

(Suburb) __________________________________________________

State/ Territory of Residence Postcode

Medicare Medicare Number Person No

Performance Activity & Quality Appendix 11

Version 1.0

Important Disclaimer: All information and content in this material is provided in good faith by DOH, and is based on sources believed to be reliable and accurate at the time of development. The State of Western Australia, the DOH and their respective officers, employees and agents, do not accept legal liability or responsibility for the material, or any consequences arising from its use.

hmds reference manual

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