Hospital Morbidity Data System

Transcription

1 Hospital Morbidity Data System HMDS REFERENCE MANUAL JULY 2014 Inpatient Data Collections Data Integrity Directorate Performance Activity and Quality Division

2 SECTION 1 INTRODUCTION

3 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 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

4 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 Medicare person number present Medicare number is not Medicare number is invalid number Medicare person number blank but Medicare number is not An involuntary patient has a leave period in excess of 28 days 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) Age at admission is less than 1 year of age and no admission weight recorded Infant weight is only reportable for patients less than 1 year of age The reported admission weight is outside the expected range for the patient

5 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 ABF ABS ACAT ACHI ACHS ACS AHPRA AIHW AR-DRG ARDT BIPAP CCU COF CPAP DG DoHA DRG DVA Definition Activity Based Funding Australian Bureau of Statistics Aged Care Assessment Team Australian Classification of Health Interventions Australian Council of Health Care Standards Australian Coding Standards Australian Health Practitioner Regulation Agency Australian Institute of Health and Welfare Australian Refined Diagnosis Related Groups Admission, Readmission, Discharge and Transfer Policy for WA Health Services Bi-Level Positive Airway Pressure Critical Care Unit Condition Onset Flag Continuous Positive Airways Pressure Director General Department of Health and Ageing Diagnosis Related Group Department of Veterans Affairs

6 FSH FTP HA22 Form HCARe HDU HITH HMDC HMDS HSA ICD-10-AM ICD-9-CM ICECI ICU IDC IPPB KPI MBRN MDC METeOR MPS NCCC NCCH nfd NHDD NHTP NMDS OD OSQH PAQ Fiona Stanley Hospital File Transfer Protocol Hospital Admission 22 Form Health Care and Related Information System Client Management System High Dependency Unit Hospital In The Home Hospital Morbidity Data Collection Hospital Morbidity Data System Hospital Services Arrangement International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Australian Modification International Classification of Diseases, 9th Revision, Clinical Modification International Classification of External Causes of Injury Intensive Care Unit Inpatient Data Collections Intermittent Positive Pressure Breathing Key Performance Indicator Medical Board Registration Number Major Diagnostic Category Metadata Online Repository, Australian Institute of Health and Welfare Multi Purpose Service National Casemix and Classification Centre National Centre for Classification in Health Not further defined National Health Data Dictionary Nursing Home Type Patient National Minimum Data Set Operational Directive Office of Safety and Quality in Healthcare Performance Activity and Quality Division

7 RITH TMS TOPAS UMRN URN Rehabilitation In The Home Theatre Management System The Open Patient Administration System Unit Medical Record Number Unit Record Number

8 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.

9 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 Statistical Admission Statistical Admission Statistical Admission Formal Admission Statistical Separation Statistical Separation Statistical Separation Formal Separation 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).

10 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 an admitted patient; AND/OR Is admitted to a Level 2 (L2) Nursery of Neonatal Intensive Care Unit (NICU), approved by the Commonwealth Health Minister for the purpose of the provision of special care. (Admission to a L2 Nursery or NICU is based on the requirement to receive this level of care, not because of bed 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 an admitted patient; AND/OR Is not admitted to an intensive care facility in a hospital, being a facility approved by the Commonwealth 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.

11 SECTION 2 CONTACT DETAILS

12 CONTACT DETAILS INPATIENT DATA COLLECTIONS Manager, Inpatient Data Collections Ph: (08) Data submission Ph: (08) Ph: (08) Ph: (08) HMDS data quality and edit queries **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) Please contact Manager, Inpatient Data Collections above if you are having difficulties registering or require more information. Ph: (08) Ph: (08) Ph: (08) [email protected] Coding queries Ph: (08) [email protected] Coder education and training Ph: (08) [email protected] Data extracts Ph: (08) Ad hoc data requests Ph: (08) KEY WEBSITES STATE WA Health Coding in W.A. HMDS Reference Manual Operational Directives/Information Circulars Activity Based Funding (Western Australia)

13 Health Information Network TOPAS and HCARe Client Management System Support Web page: 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: 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: Telephone: (02) Web page: 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: Telephone: (02) Facsimile: (02) 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: Australia Post The latest suburb to postcode mappings may be searched or freely downloaded from: Web page: 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.

14 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: Telephone:

15 SECTION 3 HOSPITAL RESPONSIBILITIES

16 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.

17 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

18 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 episode of care and correction is required, but the reporting hospital needs to assess the episode of care more 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: AND 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 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 may or may not be erroneous. Warning edits require review of the unusual information and health units should respond to these edits by verifying the unusual values or correcting values where they are identified as an actual error.

19 Example: Edit 0340: Aboriginal or Torres Strait Islander and country of birth is not Australia AND IMPORTANT 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 The Country of Birth field does not contain one of the following values: Australia 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. For public hospitals, please note: If the value of a data element for an episode of care in edit is not updated then the episode of care is not resent/reconfirmed. If the value of a data element is changed or corrected for an episode of care in edit, the episode of care should be resent/reconfirmed. 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) to discuss.

20 SECTION 4 Inpatient Data Collections RESPONSIBILITIES

21 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, 9 th Revision, Clinical Modification (ICD-9-CM) and International Classification of Diseases and Health Related Problems, 10 th Revision, Australian Modification (ICD-10-AM) codes. Give decisions on code selection when required. Provide assistance and support for coding queries via and/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 the HMDS 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 of new demographic data requirements. Promote liaison between the IDC and hospital staff. Provide continuing coding education. Maintain the Coding in W.A. website DATA RELEASE As stated in the Data Stewardship and Custodianship Policy, the Director General (DG) of WA Health is the delegated owner of all data and information collected, stored, used and disclosed within the various entities. The DG delegates a number of these responsibilities to senior officers to administer and/or manage.

22 The Manager, Inpatient Data Collections is the delegated Data Custodian for Hospital Morbidity Data and ensures accurate and accountable release of data. See OD0321/11: Data Stewardship 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.

23 SECTION 5 CODING STANDARDS

24 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: WA Coding Standards Coding Matters (previous publications of NCCC) Q & A National Casemix & Classification Centre: ACCD Classification Information Portal Coding Rules: 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.

25 DATA ELEMENT DEFINITIONS

26 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 ADMISSION DATE ADMISSION STATUS ADMISSION TIME ADMISSION TIME ADMITTED FROM CARE TYPE CLIENT IDENTIFIER UNIT MEDICAL RECORD NUMBER CLIENT STATUS CLINICIAN ON ADMISSION CLINICIAN ON SEPARATION CONTRACTED / FUNDING ESTABLISHMENT COUNTRY / STATE OF BIRTH DATE OF BIRTH DAYS OF HOSPITAL IN THE HOME CARE DAYS OF PSYCHIATRIC CARE DAYS OF QUALIFIED NEWBORN CARE DISCHARGED TO DVA CARD COLOUR DVA FILE NUMBER EMPLOYMENT STATUS EPISODE OF CARE LINK FIELD

27 ESTABLISHMENT FIRST AND SECOND FORENAMES FUNDING SOURCE HOURS IN INTENSIVE CARE UNIT INDIGENOUS STATUS INFANT WEIGHT INSURANCE STATUS INTENDED LENGTH OF STAY INTERPRETER SERVICE LANGUAGE LEAVE DAYS (TOTAL) LEAVE PERIODS (NUMBER OF) MARITAL STATUS MEDICARE CARD NUMBER / MEDICARE PERSON NUMBER MENTAL HEALTH LEGAL STATUS MENTAL HEALTH LEGAL STATUS MODE OF SEPARATION MOTHER'S IDENTIFIER - UNIT MEDICAL RECORD NUMBER POSTCODE OF ADDRESS READMISSION STATUS RESIDENTIAL ADDRESS SEPARATION DATE SEPARATION TIME SEX SOURCE OF REFERRAL - LOCATION SOURCE OF REFERRAL - PROFESSIONAL SOURCE OF REFERRAL - TRANSPORT SPECIALTY OF CLINICIAN ON ADMISSION SPECIALTY OF CLINICIAN ON SEPARATION

28 STATE / TERRITORY SURNAME UNPLANNED RETURN TO THEATRE WARD / LOCATION CLINICAL DATA ELEMENT DEFINITIONS ACTIVITY ADDITIONAL DIAGNOSES ADDITIONAL PROCEDURE CLINICIAN PERFORMING PROCEDURE CO-DIAGNOSIS (CODE ALSO) CONDITION ONSET FLAG DATE OF PROCEDURE EXTERNAL CAUSE (OF INJURY) HOURS OF CONTINUOUS VENTILATORY SUPPORT MORPHOLOGY PLACE OF OCCURRENCE PRINCIPAL DIAGNOSIS PRINCIPAL PROCEDURE

29 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: System specific names: Definition: Collection requirement: 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. 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. Specifies the definition of the data element. Where possible, HMDS endeavours to align data element definitions with the National Health Data Dictionary (NHDD). 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 4

30 METeOR reference: Format: Maximum length: Permitted values: Conditional i.e. must be collected where certain conditions are met Not mandatory collection is optional Specifies the six-digit data element number of the equivalent data element in the NHDD. This field is hyperlinked for ease of reference. Specifies the format of the data element in relation to how it must be submitted to HMDS. Specifies the maximum length of the field in relation to how it must be submitted to HMDS. 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 as providing 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 5

31 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 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 by 1. 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

32 NON-CLINICAL DATA ELEMENT DEFINITIONS 7

33 ACCOMMODATION OCCUPIED Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Accommodation Occupied TOPAS: HCARe: webpas: Actual Accommodation Pref Accom Room Type (CAT RT) The type of room occupied by the patient at discharge. Mandatory Not applicable 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. Accommodation Occupied 1 Example 3: A renal dialysis patient occupies a chair in a walled off area. Accommodation Occupied 1 8

34 Example 4: A same-day gastroenterology patient occupies a curtained off bed in an area with five other beds. Accommodation Occupied 2 DATA QUALITY EDITS Edit Number Edit Message Edit Severity 0644 Accommodation field not acceptable for separation date Warning 9

35 ACCOUNT / ADMISSION NUMBER Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Account/Admission Number TOPAS: HCARe: webpas: Account Number Account Number Account Number The unique identifier of a hospital episode of care that may be used for billing. Mandatory Not applicable 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 12 characters. Boarders and neonates must have their own unique Account/Admission Numbers. EXAMPLES Example 1: A patient was admitted to a hospital and assigned as an Account Number. Account / Admission Number Example 2: A patient was admitted to hospital and assigned AB as the Account Number. Account / Admission Number A B DATA QUALITY EDITS Edit Number Edit Message Edit Severity 0067 Account number is not present Warning 0068 Account number is invalid Warning 10

36 ADMISSION DATE Data element name: System specific names: Definition: Collection requirement: Admission Date TOPAS: HCARe: webpas: Admission Date Admission Date Admission Date The date on which an admitted patient commences an episode of care that can be formal or statistical. Mandatory METeOR reference: 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 treatment and accommodation within a hospital. The Admission Date for a formal admission will be the date the hospital commenced treatment and accommodation of the patient. 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). The Admission Date for a statistical admission will be the date the patient commenced a particular Care Type. EXAMPLES Example 1: A patient was admitted on the 8 th January Admission Date

37 Example 2: A patient was statistically admitted (e.g. change in care type from acute care to rehabilitation) on the 1 st February Admission Date 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 12

38 ADMISSION STATUS Data element name: System specific names: Definition: Collection requirement: Admission Status TOPAS: HCARe: webpas: Admission Status Admission Status Admission Status (CAT P) The urgency of the patient's admission to hospital and whether the admission occurred on an emergency or elective basis. Mandatory METeOR reference: 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. 13

39 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 14

40 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 15

41 ADMISSION TIME Data element name: Admission Time System specific names: TOPAS: HCARe: webpas: Admission Time Admission Time Admission Time Definition: Collection requirement: 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. Mandatory METeOR reference: 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 be written using the 24-hour clock. EXAMPLES Example 1: A patient was admitted at midnight. Admission Time Example 2: A patient was statistically admitted (e.g. change in care type from acute care to rehabilitation) at 5.25pm. Admission Time DATA QUALITY EDITS Edit Number Edit Message Edit Severity 0471 Admission time value is not present Fatal 16

42 ADMITTED FROM Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Admitted From TOPAS: HCARe: webpas: Transferring Medical Facility Establishment/Organisation Unit Hospital The establishment or facility from which the patient is admitted from. Mandatory Not applicable 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 reporting establishments (such as acute care hospitals) and organisations or facilities that may or may not be a health service. This data element is captured on admission and identifies the specific Establishment or Facility from which the patient has come from. All newborn babies, or babies born before arrival at hospital, must be admitted from Home. New establishments that are residential aged care or other health care accommodation with no current establishment number should be assigned Unlisted Residential Aged Care Service or Unlisted Other Health Care Accommodation. These are not valid establishment codes but are used to allow a patient to be admitted or discharged until HMDS has created a valid establishment number. Edits will be generated when codes 4098 and 4099 are used. These establishment numbers are temporary. The case will need to be resent/reconfirmed once the new establishment number has been added to the case. It is the hospital s responsibility to advise IDC that creation of a new establishment is required. For contracted services, the hospital funding the contracted service must assign 0999 in this field. EXAMPLES Example 1: Patient admitted following a transfer from Beverley Hospital. Admitted From

43 Example 2: Patient is admitted from Acacia House Nursing Home, which is their usual place of residence. Admitted From 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 Unlisted Residential Aged Care Service (for temporary use only). Admitted From 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. Admitted From Example 5: Patient was admitted from Casuarina Prison via the outpatient department following an outpatient appointment. DATA QUALITY EDITS Admitted From 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 18

44 CARE TYPE Data element name: Care Type System specific names: TOPAS: HCARe: webpas: Care Type Epi of Care Care Type (CATCC) Definition: Collection requirement: 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). Mandatory METeOR reference: 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 casemix classification used to classify the episode of care. The treating clinician is responsible for determining the Care Type and should decide which category of care is required during a hospital stay. More than one Care Type may apply during a hospital stay, each associated with a separate episode of care. When the Care Type changes, the patient should be statistically separated and then statistically re-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: 19

45 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 Link Field number. The Episode of Care Link Field will enable episodes of care within a hospital stay to be rolled up into 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 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 the patient s medical record, that includes negotiated goals within specified time frames and formal assessment 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 20

46 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 is documented 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 where there is medical agreement that the intent of ongoing treatment is palliative care. In WACHS regions Palliative Care Nurse Manager in conjunction with treating Medical Practitioner, 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 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 the patient's medical record that covers the physical, psychological, emotional and social needs of the patient and includes negotiated goals within indicative time frames and formal assessment of functional ability. 21

47 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) 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 and inability to function independently without extensive care and support and for whom the principal function is the provision of care over an indefinite period. This includes psychogeriatric patients admitted for respite care. Patients in receipt of respite care where the sole reason for admitting the person to hospital is that 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 those with chronic conditions who are usually managed at home but who, due to factors in the home environment (physical, social or psychological), require hospital admission. The care given is for functional maintenance only. Convalescent care where under normal circumstances the patient would be discharged but due to factors in the home environment, such as access issues or lack of available community services, the patient is unable to be discharged 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. 22

48 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. 23

49 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 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 or nursing home bed. Low dependency assessed and approved for low dependency residential care, hostel accommodation. Residential respite assessed and approved for residential respite. Residential respite may be high dependency (permanent care unit/bed, nursing home bed) or low dependency (hostel) Resident awaiting placement non-private patients of an MPS who have been assessed and approved for residential aged care but are awaiting placement in a residential aged care bed/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

50 POSSIBLE COMBINATIONS OF CARE TYPE WITH CLIENT STATUS Care Type Fund. Hosp Client Status QNB UNQNB BRD NHTP Contract Service Admitted Client Acute Rehab Palliative Psycho-geriatric Organ Proc. Resident Maintenance Newborn Organ Proc. Boarder GEM. Aged Care Flexible Care Key: QNB: Qualified newborn. Patient. BRD: Boarder UNQNB: Unqualified newborn. 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

51 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 DATA QUALITY EDITS Care Type (Flexible Care) 31 Client Status (Resident) 8 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 26

52 Edit Number Edit Message Edit Severity 0773 Boarder code used as an additional diagnosis Warning PDX is not Z75.x or Z74.x but care type is maintenance, aged care or flexible care PDX is Z75.x or Z74.x but care type is not maintenance, aged care or flexible care Warning Warning 0804 Episode of care is not acute or newborn but ICU days are present Warning 0807 Episode of care unlikely for HITH Warning 27

53 CLIENT IDENTIFIER UNIT MEDICAL RECORD NUMBER Data element name: System specific names: Definition: Collection requirement: Client Identifier or Unit Medical Record Number TOPAS: HCARe: webpas: Client Identifier Client Identifier Client Identifier Person identifier unique within an establishment Mandatory METeOR reference: 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. The year number should not form any part of the Client Identifier. Alternate names for the Client Identifier include Unit Medical Record Number (UMRN) or Unit Record Number (URN). The same Client Identifier is retained by the hospital for the patient for all admissions within a particular hospital. Boarders should be admitted under their own Client Identifier. Organ Procurements should be registered under their own Client Identifier. EXAMPLE UMRN is entered as Client Identifier DATA QUALITY EDITS Edit Number Edit Message Edit Severity 0222 Client identifier is not present Fatal 28

54 CLIENT STATUS Data element name: Client Status System specific names: TOPAS: HCARe: webpas: Patient Type Patient Type Patient Type Definition: Collection requirement: 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. Mandatory METeOR reference: , , 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. 29

55 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 care that 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 30

56 days (with a break of no more than 7 consecutive days). Under the terms of the Australian Health Care Agreements ( ), 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 subacute 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. 31

57 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 0101 (RPH) 0654 (Cannington Dialysis) Establishment 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 medical condition 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 hospital admission. The care given is for maintenance treatment only. Patients who are treated in psychiatric units who have a stable but severe level of functional impairment and inability to function independently without extensive care and support and for whom the principal function is provision of care over an indefinite period (Psycho-geriatric patients). Patients in acute care facilities who have been seen by an ACAT and are awaiting placement in a 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 32

58 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 preexisting 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. 33

59 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 Client type is qualified newborn but qualified newborn days is <=0 or blank Qualified newborn days is >0 but client type is not qualified newborn Fatal Warning 34

60 Edit Number Edit Message Edit Severity 0688 Funding source of other for unqualified newborn Warning 0748 Unqualified newborn separated after the 10 th day Warning 0773 Boarder code used as an additional diagnosis Warning 35

61 CLINICIAN ON ADMISSION Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Clinician on Admission TOPAS: HCARe: webpas: Last Active Consultant Resp Dr Attending Doctor The hospital clinician who authorises the patient to be admitted to hospital as represented by the MBRN. Mandatory Not applicable 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 Health Practitioner Regulation Agency (AHPRA) website for providing the clinician s current registration number: The Doctors registration number must be reported as 13 characters in length. Please ensure that you incorporate all leading zeros where applicable. The Dental and Podiatrists registration number is in the same 13 character alphanumeric format. 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 as TOPAS Hospitals Hospitals using the TOPAS system input a TOPAS doctor database number, which is mapped to 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 to the 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 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. 36

62 EXAMPLES Example 1: Dr. Jones admitted a patient to hospital and his registration number is MED Clinician on Admission M E D Example 2: Dentist Mr. White admitted a patient to hospital and his registration number is DEN Clinician on Admission D E N Example 3: Surgical Podiatrist Mr. Gold admitted a patient to hospital and his registration number is POD Clinician on Admission P O D Example 4: A boarder registered with the hospital while sick relative was treated. Clinician on Admission 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) Clinician on Admission (for baby s record) M E D M E D 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 37

63 CLINICIAN ON SEPARATION Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Clinician on Separation TOPAS: HCARe: webpas: Last Active Consultant Resp Dr Attending Doctor The clinician in the hospital who authorises the patient to be discharged from hospital. Mandatory Not applicable Character Maximum length: 13 Permitted values: Valid Medical Board Registration Number as per AHPRA GUIDE FOR USE This field requires the Medical Board Registration Number (MBRN) of the clinician authorising the 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 and perform a search using the doctor s name: Clinician on Separation field is a 13 character alphanumeric field and requires all leading zeros to be included, except when reporting boarders. For boarders, the number used for clinician on separation should be 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 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 to the clinician s relevant (i.e. doctor, dental or podiatry) MBRN. 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. 38

64 EXAMPLES Example 1: Dr. Jones was the clinician on separation and his registration number is MED Clinician on Separation M E D Example 2: Dentist Mr. White admitted a patient to hospital and his registration number is DEN He was also the clinician on separation. Clinician on Separation D E N Example 3: Surgical Podiatrist Mr. Gold admitted a patient to hospital and his registration number is POD He was also the clinician on separation. Clinician on Separation P O D Example 4: A boarder baby was registered with the hospital while his mother was treated. Boarder 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 39

65 CONTRACTED / FUNDING ESTABLISHMENT Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Contracted / Funding Establishment TOPAS: HCARe: webpas: Cont. Hospital Contract Hosp The establishment number of the Contract Service Provider or Funding Hospital where a contractual treatment/care service occurs with an admitted episode of care. Conditional (required if contracted service; blank otherwise) Not applicable 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 an arrangement between a hospital that purchases hospital care (the funding hospital) and a provider of an admitted service (the contracted service provider). A specific arrangement should apply (either written or verbal) whereby one hospital contracts with another hospital for the provision of specific services. The arrangement may be between any 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 and reported by the both the Funding Hospital and the Contracted Service Provider hospital. The Contracted Service Provider hospital should record the admission as an inter-hospital contracted patient so that these services can be identified In the various statistics produced about 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 be reinstated and is currently relevant). The Funding Hospital should record the Contracted Service Provider establishment number in the Contracted/Funding Establishment field, indicating that the patient received the treatment from that specified provider. The Contracted Service Provider should record the Funding Hospital establishment number in the Contracted / Funding Establishment field, indicating that they have provided the service on contract on behalf of the specified Funding Hospital. The establishment number recorded in the Contracting / Funding Establishment field should never be the same as the reporting establishment s number. DATA QUALITY EDITS 40

66 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 41

67 COUNTRY / STATE OF BIRTH Data element name: System specific names: Definition: Collection requirement: Country / State of Birth TOPAS: HCARe: webpas: Country of Birth Country of Birth Country of Birth (CAT C) The Country/State of Birth identifies the Australian State or Country in which a patient was born. Mandatory METeOR reference: 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 patterns between different ethnic population groups in Australia. It also allows heath care authorities to monitor the health status of migrants and assists in the provision 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. Western Australia, 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 enter code (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 Example 2: Patient born in Australia (not otherwise specified) was admitted to hospital. Country/State of Birth Example 3: Patient born in Tokyo was admitted to hospital. Country/State of Birth should be Japan. 42

68 Country/State of Birth Example 4: Patient born at sea while parents were on a cruise was admitted to hospital, but is eligible for citizenship in Poland. Country/State of Birth Example 5: Patient born in New South Wales was admitted to hospital. Country/State of Birth Example 6: Patient born on Christmas Island was admitted to hospital. Country/State of Birth Example 7: Patient admitted but Country of Birth details Not Stated. Country/State of Birth 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 43

69 DATE OF BIRTH Data element name: System specific names: Definition: Collection requirement: Date of Birth TOPAS: HCARe: webpas: Date of Birth Date of Birth Date of Birth The date of birth of the patient. Mandatory METeOR reference: Format: Date Maximum length: 8 Permitted values: DDMMYYYY GUIDE FOR USE Date of Birth enables derivation of age, at admission, for use in demographic analysis, assists in the unique identification of clients if other identifying information is missing or in question, and may 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 (depending on the month), the month range is 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 is unknown, please estimate the person s age and record the date of birth as follows: AGE 75 YEARS DATE OF BIRTH 01/07/1935 AGE 30 YEARS DATE OF BIRTH 01/07/1980 EXAMPLES Example 1: Date of Birth is 12 th June 1960 Date of Birth Example 2: Estimated age of 14 years old Date of Birth

70 Example 3: A female patient is admitted to hospital in labour at 10.30pm on the 13 th September 2012 and the baby is delivered at midnight 14 th September 2012 Date of Birth for infant 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 45

71 DAYS OF HOSPITAL IN THE HOME CARE Data element name: Days of Hospital in the Home Care System specific names: Definition: Collection requirement: TOPAS: HCARe: webpas: METeOR reference: Days of Hospital in the Home Not applicable (auto-calculated on extract) Not applicable (auto-calculated on extract) The number of hospital-in-the-home days occurring within an episode of care for an admitted patient. 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 nonadmitted 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. 46

72 Episodes with a HITH length of stay greater than 25 days should be reviewed to ensure the patient is still requiring admitted care. HITH episodes with a length of stay of 1 day will be flagged as potential invalid admissions and require review. If HITH patients require non-admitted care within the same hospital, e.g. attending an outpatient clinic, ED, or allied health service: o Non- admitted care provided to an admitted patient is included as part of the admitted care episode. 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 inpatients attending 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 o o o The day the patient is admitted is counted as a HITH day if the patient was at home at the end of the day (overnight). The date of change between hospital and home accommodation is counted if the patient was at home at the end of the day (overnight). The date of separation is not counted, even if the patient was at home at the end of the day (overnight). 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

73 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 48

74 DAYS OF PSYCHIATRIC CARE Data element name: Days of Psychiatric Care System specific names: Definition: Collection requirement: TOPAS: HCARe: webpas: METeOR reference: Days in psych Psych Days Derived 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. 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 health qualifications or training and have as their principal function the treatment and care of patients affected by mental disorders. To calculate days of psychiatric care, subtract the admission date to the Psychiatric Unit from the discharge date from the Psychiatric Unit, less any leave days during this period. Total Psychiatric 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 psychiatric unit and ends when the patient is either discharged or transferred from the unit. It is possible that psychiatric care days may include one or more different periods during an admission. In these 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, the days spent in the general ward should not be counted as psychiatric days, regardless of whether 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 the State/Territory health authority in the funding arrangements applying to those hospitals. 49

75 Private acute care hospitals Designated psychiatric units in private acute care hospitals normally require license or approval by the State/Territory health authority in order to receive benefits from health funds for the provision of psychiatric care. Psychiatric hospitals Psychiatric hospitals are establishments devoted primarily to the treatment and care of admitted patients with psychiatric, mental or behavioural disorders. Private hospitals formerly approved by 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 patients with psychiatric or behavioural disorders are included in this category. Total psychiatric care days in stand-alone psychiatric hospitals are calculated by counting those days the patient received specialist psychiatric care. Leave days and days on which the patient was receiving other care (e.g. specialised intellectual ability or drug and alcohol care) should be excluded. 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 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 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. 50

76 DATA QUALITY EDITS (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 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 51

77 DAYS OF QUALIFIED NEWBORN CARE Data element name: System specific names: Definition: Collection requirement: Days of Qualified Newborn Care TOPAS: HCARe: webpas: Derived Qualified Care Days Derived The number of qualified newborn days occurring within a newborn episode of care. Conditional (leave blank if not newborn) METeOR reference: 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 of the following criteria at midnight: o o o Is the second or subsequent live born infant of a multiple birth. 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 care that would require admission to the intensive care facility. 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 the remainder 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, separation date, and any date of change to qualification status: o o o The date of admission is counted if the patient was qualified at the end of the day The date of change to qualification status is counted if the patient was qualified at the end of the day The date of separation is not counted, even if the patient was qualified on that day. 52

78 SAME DAY o The normal rules for calculation of patient days apply (in relation to leave and same day patients) i.e. a qualified patient should be allocated one qualified day if admitted and separated on the same day. The length of stay for a newborn episode of care is equal to the sum of the qualified and unqualified 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 Example 2: A premature baby is born in hospital and immediately admitted to the neonatal intensive care unit where they remain for 120 days. Days of Qualified Newborn Care 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. Days of Qualified Newborn Care 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. Days of Qualified Newborn 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): Days of Qualified Newborn Care 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. Days of Qualified Newborn Care

79 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 54

80 DISCHARGED TO Data element name: Discharged To System specific names: TOPAS: HCARe: webpas: Transferring Medical Facility Separation To Hospital Definition: Collection requirement: The Establishment or Facility to which the patient was discharged or transferred to when they left hospital. Mandatory 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 reporting Establishments (such as acute care hospitals) and organisations or facilities that may or may not be a health service. This data element is captured on discharge and identifies the specific Establishment or Facility the patient is going to. The codes are not limited to hospitals only for the Discharged To field. This field also indicates some 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

81 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 Separation establishment cannot be the same as current establishment The admitted from/discharged to establishment combination is invalid Warning Warning 56

82 DVA CARD COLOUR Data element name: System specific names: Definition: Collection requirement: DVA (Veterans) Card Colour TOPAS: HCARe: webpas: DVA Colour DVA Entlmnt Veterans Card Colour 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. Conditional (required if DVA; blank otherwise) METeOR reference: 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 a comprehensive range of admitted patient hospital services. Under the terms of the HSA, WA Health is required to provide DVA with information on entitled persons who are using admitted patient services. This information includes details of their service 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 o o Funding Source (the value for entitled persons should be DVA) DVA File Number Veterans Card Colour It is essential to identify all entitled persons at the point of service provision and their level of entitlement. Level of entitlement is indicated by the Veteran Card Colour. Entitled patients who choose to use WA publicly funded hospital services and be treated as Repatriation private patients under the HSA are entitled to a choice in: o o Publicly funded hospital with a minimum of shared ward accommodation; and 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 the Australian Health Care Agreements. However, by electing to be a public patient, patients will not be entitled to choice of hospital or doctor. 57

83 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 58

84 DVA FILE NUMBER Data element name: System specific names: Definition: Collection requirement: Department of Veterans' Affairs File Number TOPAS: HCARe: webpas: DVA No and Repatriation Number DVA File No DVA Number A unique personal identifier issued to a veteran by the Department of Veterans' Affairs. Conditional (required if DVA; blank otherwise) METeOR reference: 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 Repatriation Health 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 for admitted and non-admitted patients. There should be NO spaces between the alpha and numeric values. The Alpha characters in the first position refer to the Australian States initials. Therefore, the only valid characters in the first position of this field are N, Q, S, T, V and W. Veterans from the ACT and the Northern Territory 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 and WHITE cards as shown below. Note: The DVA File Number is NX not Gold Card DVA File Number White Card 59

85 Patients who choose to give up their entitlement for treatment under the Veterans Entitlements Act 1986 (Cth) must have their card colour and DVA File Number recorded, regardless of the type 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 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 DATA QUALITY EDITS Edit Number Edit Message Edit Severity 0669 DVA file number has invalid format or is missing Fatal 60

86 EMPLOYMENT STATUS Data element name: System specific names: Definition: Collection requirement: Employment Status TOPAS: HCARe: webpas: Employment Status Employment Status Employment Status (CAT P2) The self-reported employment status of a patient, immediately prior to admission. Mandatory METeOR reference: 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. 61

87 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) 62

88 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 63

89 EPISODE OF CARE LINK FIELD Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Episode of Care Link Field TOPAS: HCARe: webpas: The account number from the first episode of care in a formal admission. Mandatory Not applicable 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 12 characters. This field contains the Account/Admission Number from the first episode of care in a formal admission. Where a statistical discharge is performed, this Episode of Care Link Field number is to be copied 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 different value to the Episode of Care Link Field. EXAMPLES Example 1: A patient was admitted for acute care, with Account/Admission Number , so the Episode of Care Link Number is also Account / Admission Number Episode of Care Link Field 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 However, their Episode of Care Link Number stays as Account / Admission Number Episode of Care Link Field

90 ESTABLISHMENT Data element name: Establishment (Hospital/Health Service) System specific names: TOPAS: HCARe: webpas: HOSNAME Definition: Collection requirement: 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. Mandatory METeOR reference: 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 require allocation in order to report data to HMDS, please contact HMDS to arrange allocation of a unique code. Updated establishment lists are uploaded to the Morbidity intranet (downloads) periodically for public 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 Establishment Codes within their respective reference tables. It must be noted that the Admitted From and Discharged To data elements are designed to capture 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 nonreporting facilities such as prisons, residential aged care facilities, hostels or community health services to name a few. 65

91 EXAMPLES Example 1: A patient was admitted to Bentley Hospital. Establishment Example 2: A patient was admitted to St John of God Health Care Murdoch. DATA QUALITY EDITS Establishment 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 66

92 FIRST AND SECOND FORENAMES Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: First and second forenames TOPAS: HCARe: webpas: Given names Given Name 1 st Given name and 2 nd Given name 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. First name is mandatory Not applicable Character Maximum length: First Forename - 30 Second Forename - 30 Permitted values: Not applicable 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 o o o o o When the forename of a baby aged less than 29 days is unknown, BABY is valid. Babies of multiple births should be reported in the sequence of their birth If the forename of a person over 28 days old is unknown UNKNOWN should be recorded. Do not include the patient s alias name in the First Name field. The use of brackets () for alias names is not recommended. Alias names should be recorded in the Alias field in the hospital s CPI or PMI. 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 Second Forename EDWIN J 67

93 Example 2: A patient was admitted to hospital in a coma and her forename was not known. First Forename Second Forename UNKNOWN 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 Second Forename TR TWO KAREN Example 4: A baby was born in hospital and was named Peggy Sue Jones. First Forename Second Forename PEGGY SUE Example 5: A newborn was admitted to hospital, the forename was not known and the mother's UMRN was not known. First Forename Second Forename BABY OF CATHERINE 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 Second Forename THAN TONY DATA QUALITY EDITS Edit Number Edit Message Edit Severity 0681 First forename should not be blank Warning 68

94 FUNDING SOURCE Data element name: System specific names: Definition: Collection requirement: Funding Source TOPAS: HCARe: webpas: Account Type Financial Class Claim Type (CAT CL) The principal source of funds for an admitted patient episode. Mandatory METeOR reference: 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 to hospital. 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 with private 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 69

95 Medicare eligible patients presenting at a public hospital outpatient department for whom there is 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 Worker s Compensation Applies to patients who are entitled to claim damages under the Workers Compensation and Injury Management Act 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 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 70

96 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 71

97 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 Agreements with Australia. (Generally, all fees for service would be covered by travel insurance for these patients). Foreign Defence Force personnel (unless there is a special arrangement with the Australian Defence 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 categories listed. 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 Commonwealth funding. Overseas students covered by private health insurance; these patients have special fee arrangements. 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). 72

98 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) 73

99 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 74

100 HOURS IN INTENSIVE CARE UNIT Data element name: Hours in Intensive Care Unit System specific names: Definition: Collection requirement: TOPAS: HCARe: webpas: METeOR reference: Hours in ICU Not Applicable (no recognised ICUs) Not Applicable (auto-calculated on extract) The number of hours spent in a designated intensive care bed during an episode of admitted care, rounded to the nearest hour. Conditional (required if time spent in a designated intensive care bed; blank otherwise) Format: Number Maximum length: 5 Permitted values: 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 than one period of stay in a designated ICU bed, report hours in ICU for each Care Type change. Do not aggregate the hours in ICU for each Care Type and report the aggregate hours on the final discharge. Round the hours in ICU, up or down to the nearest hour. If 0 29 minutes round down to 0 hours. If minutes round up to 1 hour. For example, if a patient was in a designated ICU bed 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 3 o Adult Intensive Care Unit, Level 2 o Adult Intensive Care Unit, Level 1 o Paediatric Intensive Care Unit o Neonatal Intensive Care Unit, Level 3 This data element excludes hours spent in: o o o Critical Care Units High Dependency Units Level 2 Nurseries Days in a Level 2 Nursery must be reported as qualified newborn days. 75

101 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 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 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 Types of Intensive Care Units An ICU is a designated ward of the hospital that is especially staffed and equipped to provide observation, care and treatment to patients with actual or potential life-threatening illnesses, injuries or complications from which recovery is possible. The ICU provides special expertise and facilities for the support of vital functions and utilises the skills of medical, nursing and other staff trained and experienced in the management of these problems. There are five different types and levels of ICU: 1. Adult intensive care unit, Level 3 2. Adult intensive care unit, Level 2 3. Adult intensive care unit, Level 1 4. Paediatric intensive care unit 5. Neonatal intensive care unit, Level 3 These intensive care units are defined according to three main criteria as follows: a) The nature of the facility b) The care process c) The clinical standards and staffing requirements 76

102 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: Care process: 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. 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. Adult Intensive Care Unit, Level 2 Nature of facility: Care process: A Level 2 adult ICU must be a separate and self-contained facility in the hospital capable of providing complex, multisystem life support. 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. Adult Intensive Care Unit, Level 1 Nature of facility: Care process: 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. 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. 77

103 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: Care process: 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. 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 78

104 INDIGENOUS STATUS Data element name: System specific names: Definition: Collection requirement: Indigenous Status TOPAS: HCARe: webpas: Indigenous Status Indigenous Status Aboriginality Whether a person identifies as being of Aboriginal and/or Torres Strait Islander origin. Mandatory METeOR reference: 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. 79

105 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 80

106 INFANT WEIGHT Data element name: System specific names: Definition: Collection requirement: Infant Weight TOPAS: HCARe: webpas: Admission Wt Adm Wt Admission Weight 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. Conditional (required if < 1 year of age) METeOR reference: 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. Example 1: EXAMPLES A 10-day old baby was readmitted for circumcision and his admission weight was 4130 grams. Infant Weight 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

107 Example 3: An eleven month old baby was admitted with RSV positive bronchiolitis with an admission weight of 10,200 grams. Infant Weight DATA QUALITY EDITS * 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. Edit Number Edit Message Edit Severity 110 Infant weight is mandatory and is presently blank Fatal Age at admission is less than 1 year of age and no admission weight recorded Infant weight is only reportable for patients less than 1 year of age The reported admission weight is outside the expected range for the patient Warning Warning Warning 82

108 INSURANCE STATUS Data element name: System specific names: Definition: Collection requirement: Insurance Status TOPAS: HCARe: webpas: Hosp Health Ins Derived Health fund Indicates whether patient has hospital insurance. Mandatory METeOR reference: 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. 83

109 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. DATA QUALITY EDITS NO HOSPITAL INSURANCE 2 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 84

110 Edit Number Edit Message Edit Severity 0691 Funding source of correctional facility must have insurance status of no Warning 85

111 INTENDED LENGTH OF STAY Data element name: Intended Length of Stay System specific names: TOPAS: HCARe: webpas: Intended Same Day Intended LOS Intended Stay (CAT VI) Definition: Collection requirement: 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. Mandatory METeOR reference: 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. 86

112 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. Intended Length of Stay 1 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. Intended Length of Stay 2 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 87

113 INTERPRETER SERVICE Data element name: System specific names: Definition: Collection requirement: Interpreter Service TOPAS: HCARe: webpas: Interpreter Service Interpreter Interpreter Whether an interpreter service is required by or for the patient. Mandatory METeOR reference: 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 88

114 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 89

115 LANGUAGE Data element name: System specific names: Definition: Collection requirement: Language TOPAS: HCARe: webpas: Language Language Language The language (including sign language) most preferred by the person for communication. Conditional (required if used interpreter; blank otherwise) METeOR reference: 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 Example 2: A patient with Sensori-Neural Deafness using Sign language required an interpreter from the Deaf Society. Language 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 90

116 DATA QUALITY EDITS Edit Number Edit Message Edit Severity 0688 Language required when an interpreter was used Warning 91

117 LEAVE DAYS (TOTAL) Data element name: System specific names: Definition: Collection requirement: Leave Days (Total) TOPAS: HCARe: webpas: Derived Derived Derived Sum of the length of leave (date returned from leave minus date went on leave) for all periods within the hospital stay. Conditional (required if leave taken; blank otherwise) METeOR reference: 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 o o o o o The day the patient goes on leave is counted as a leave day. The day the patient is on leave is counted as a leave day. The day the patient returns from leave is counted as a patient day. If the patient is admitted and goes on leave on the same day, this is counted as a patient day, not a leave day. If the patient returns from leave and then goes on leave again on the same day, this is counted as a leave day. 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. 92

118 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 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.) TOTAL LEAVE DAYS 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 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. TOTAL LEAVE DAYS Example 5: A patient is discharged with a Mode of Separation of Statistical Discharge while on leave and leave days are blank. TOTAL LEAVE DAYS 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 93

119 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 94

120 LEAVE PERIODS (NUMBER OF) Data element name: System specific names: Definition: Collection requirement: Leave Periods (number of) TOPAS: HCARe: webpas: Derived Derived Derived Number of leave periods in a hospital stay (excluding same day leave periods for admitted patients). Conditional (required if any leave was taken; blank otherwise) METeOR reference: 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 The patient went on leave overnight from the 6th January 2004 to the 7th January LEAVE PERIOD 0 1 LEAVE DAYS

121 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. LEAVE PERIODS 0 0 LEAVE DAYS 0 0 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. LEAVE PERIODS 0 0 LEAVE DAYS 0 0 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 96

122 MARITAL STATUS Data element name: Marital Status System specific names: TOPAS: HCARe: webpas: Marital Status Marital Status Marital Status (CAT M) Definition: Collection requirement: 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. Mandatory METeOR reference: 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 97

123 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 98

124 MEDICARE CARD NUMBER / MEDICARE PERSON NUMBER Data element name: Medicare Card Number Medicare Person Number System specific names: Definition: Collection requirement: TOPAS: HCARe: webpas: METeOR reference: Medicare Number Medicare Number Medicare Number Person identifier that appears on a Medicare card that is allocated by the Health Insurance Commission to eligible persons under the Medicare scheme. Medicare Number is not mandatory 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. 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 Medicare Person Number 2 99

125 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 100

126 MENTAL HEALTH LEGAL STATUS Data element name: System specific names: Definition: Collection requirement: Mental Health Legal Status (MHLS) TOPAS: HCARe: webpas: MH Legal Status MH Status Mental Health Legal Status 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. Conditional (required if mental health patient; blank otherwise) METeOR reference: 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 o Admitted to hospital as involuntary and subsequently changed to voluntary; or Admitted as voluntary but transferred to involuntary during the hospital stay. 101

127 Where this occurs, the involuntary status overrules and the hospital should report the MHLS as involuntary 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 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 1 102

128 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 103

129 MODE OF SEPARATION Data element name: System specific names: Definition: Collection requirement: Mode of Separation TOPAS: HCARe: webpas: Discharge Type Mode of Sep Discharge Destination (CAT DD) Status at separation of person (discharge/transfer/death) and place to which person is released (where applicable). Mandatory METeOR reference: 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 of Separation 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). 104

130 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

131 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 106

132 MOTHER'S IDENTIFIER - UNIT MEDICAL RECORD NUMBER Data element name: System specific names: Definition: Collection requirement: Mother s Identifier or Mother s Unit Medical Record Number TOPAS: HCARe: webpas: MTH/CHD MRN Link MR The Client Identifier or Unit Medical Number of the patient s mother. Conditional (required if newborn; blank otherwise) METeOR reference: Related to 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 C is entered as: Client Identifier C Mother s Identifier UMRN B is entered as: Client Identifier B

133 POSTCODE OF ADDRESS Data element name: System specific names: Definition: Collection requirement: Postcode TOPAS: HCARe: webpas: Post. Code Postcode Postcode 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. Mandatory METeOR reference: 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 postcodes from Australia Post. See Australia Post ( for current listings. Where the address is unknown or there is no fixed permanent address, the following postcodes should 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 Postcode with a State/Territory value of (0) Not Applicable. When the patient has no fixed permanent address (NFPA) (e.g. homeless) but the State/Territory they live in is known, enter NFPA in the Residential Address field then select the State/Territory and Postcode combination as listed above. Overseas visitors should have their Country in the Suburb field and the postcode of Interstate visitors should have the postcode of their usual place of residence recorded. 108

134 The postcodes for Australian Territories are as per Australia Post. EXAMPLES Example 1: A patient from Dianella was admitted to hospital. Suburb DIANELLA Postcode State/Territory 5 Example 2: A patient from Japan was admitted to hospital. Suburb JAPAN Postcode 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 State/Territory 0 Example 4: A patient from Chiswick NSW was admitted to RPH. Suburb CHISWICK Postcode State/Territory 1 Example 5: A patient is admitted from Christmas Island, Western Australia DATA QUALITY EDITS Suburb CHRISTMAS ISLAND Postcode State/Territory 5 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 109

135 READMISSION STATUS Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Readmission Status TOPAS: HCARe: webpas: Readmit Status Readmit Status Readmission Status (CAT KO) Indicates whether the patient's readmission to hospital for the same illness or injury within 28 days was deemed planned or unplanned. Conditional (required if readmitted within 28 days with related condition; blank otherwise) Not applicable 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 110

136 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 111

137 RESIDENTIAL ADDRESS Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Residential Address TOPAS: HCARe: webpas: Residential Address Res Address Address The address provided for the patient's place of usual residence. Mandatory Not applicable Character Maximum length: 50 Permitted values: Not applicable 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 ( The HMDS validates the suburbs and postcodes against the list provided by Australia Post ( 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

138 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 Suburb 8 Fourth Avenue MOUNT LAWLEY Example 2: A patient with no fixed permanent address and is a resident of Australia Residential Address Suburb NFPA UNKNOWN Example 3: An overseas visitor whose permanent address is 14 Apian Way, Roma, Italy Residential Address Suburb 14 Apian Way, Roma ITALY 113

139 Example 4: A merchant seaman (use only if residential address is unknown) Residential Address Suburb C/- AP Shipping Line FREMANTLE Example 5: A prisoner at Casuarina Prison Residential Address Suburb Casuarina Prison CASUARINA Example 6: A resident of Kingsley Nursing Home Residential Address Suburb Kingsley Nursing Home, 41 Renegade Way 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 114

140 SEPARATION DATE Data element name: System specific names: Definition: Collection requirement: Separation Date TOPAS: HCARe: webpas: Separation Date Separation Date Separation Date 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. Mandatory METeOR reference: Format: Date Maximum length: 8 Permitted values: DDMMYYYY 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 7 th 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 1 st July Separation Date

141 Example 2: A patient was transferred from hospital on 20 th February Separation Date Example 3: A patient died on 23 rd March DATA QUALITY EDITS Separation Date Edit Number Edit Message Edit Severity 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 116

142 SEPARATION TIME Data element name: System specific names: Definition: Collection requirement: Separation Time TOPAS: HCARe: webpas: Separation Time Separation Time Separation Time Separation time is the time at which the admitted patient completes an episode of care. Mandatory METeOR reference: 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 Example 2: A patient died at midnight. Separation Time Example 3: A patient was discharged at 9.15am. Separation Time

143 SEX Data element name: System specific names: Definition: Collection requirement: Sex TOPAS: HCARe: webpas: Gender Gender Gender Sex is the biological distinction between male and female. Mandatory METeOR reference: 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 118

144 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 119

145 SOURCE OF REFERRAL - LOCATION Data element name: System specific names: Definition: Collection requirement: Source of Referral - Location TOPAS: HCARe: webpas: Transferring Medical Facility SOR Location Admission Source (CAT S) The type of establishment (physical accommodation) from which the patient has been referred or transferred for admission to hospital. Mandatory METeOR reference: 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 120

146 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. 121

147 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 Example 2: A patient was admitted from Rangeview Prison. Source of Referral-Location is prison. Source of Referral-Location 6 Admitted From Example 3: A baby, born before arrival at hospital, was admitted. Source of Referral-Location should be home. Source of Referral-Location 1 Admitted From Example 4: A patient was transferred from Bunbury Hospital. Source of Referral-Location should be Acute Hospital. Source of Referral-Location 4 Admitted From Example 5: A patient was statistically readmitted. Source of Referral-Location should be Acute Hospital. Source of Referral-Location 4 Admitted From 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 122

148 SOURCE OF REFERRAL - PROFESSIONAL Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Source of Referral - Professional TOPAS: HCARe: webpas: Referral Source SOR Professional Referred by (CAT SH) The appropriate health professional/clinician who directly refers the patient to hospital for admission. Mandatory Not applicable 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. 123

149 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. Source of Referral-Professional 3 124

150 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 Source of Referral-Professional 1 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 statistical admission requires a SOR (professional) of statistical admission Warning 125

151 SOURCE OF REFERRAL - TRANSPORT Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Source of Referral - Transport TOPAS: HCARe: webpas: Arrival Means SOR Transport Mode of Transport (CAT SI) The type of transport a patient uses to go to hospital prior to admission. Mandatory Not applicable 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. 126

152 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. 127

153 Source of Referral-Transport 3 DATA QUALITY EDITS Edit Number Edit Message Edit Severity 0662 SRT source of referral transport is invalid Fatal 128

154 SPECIALTY OF CLINICIAN ON ADMISSION Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Specialty of Clinician on Admission TOPAS: HCARe: webpas: Specialty of Clinician on Admission Admission Specialty Unit (CAT DT) The area of clinical expertise held by the admitting doctor. Mandatory Not applicable 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 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

155 DATA QUALITY EDITS Edit Number Edit Message Edit Severity 0364 Clinician specialty is not a valid specialty code Fatal 130

156 SPECIALTY OF CLINICIAN ON SEPARATION Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Specialty of Clinician on Separation TOPAS: HCARe: webpas: Specialty attached to last active consultant Separation Specialty Unit (CAT DT) The clinical specialty of the clinician treating the patient immediately prior to discharge. Mandatory Not applicable 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

157 DATA QUALITY EDITS Edit Number Edit Message Edit Severity 0364 Clinician specialty is not a valid specialty code Fatal 132

158 STATE / TERRITORY Data element name: System specific names: Definition: Collection requirement: State/Territory TOPAS: HCARe: webpas: State/Territory State/Territory State/Territory The Australian state or territory where the patient s residential address is located. Mandatory METeOR reference: 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 133

159 SURNAME Data element name: System specific names: Definition: Collection requirement: Surname TOPAS: HCARe: webpas: Surname Surname Surname 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. Mandatory METeOR reference: 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 o o o o Alias or assumed names should not be included if the legal Surname is known. The use of brackets ( ) for alias names in the Surname is not recommended. Where hospitals have the facility to record an alias, this field must be used. 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. 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. 134

160 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 135

161 UNPLANNED RETURN TO THEATRE Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Unplanned Return to Theatre TOPAS: HCARe: webpas: R on Procedure Clinical Coding screen Return to Theatre Return to Theatre (CAT Y6) Indicates when the patient unexpectedly returns to theatre for further surgery. Conditional (required if returned to theatre for further surgery within admission; blank otherwise) Not applicable 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) 136

162 WARD / LOCATION Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Ward/Location TOPAS: HCARe: webpas: Ward Ward/Bed Allocation Ward The ward or unit within the hospital where the patient was being treated immediately prior to discharge. Mandatory Not applicable 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 137

163 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 138

164 CLINICAL DATA ELEMENT DEFINITIONS 139

165 ACTIVITY Data element name: System specific names: Definition: Collection requirement: Activity TOPAS: HCARe: webpas: AC Activity Desc O The type of activity being undertaken by the person when injured. Mandatory where applicable METeOR reference: 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 sportrelated injuries. The code values for this field are in the range U50.0-U73.9, as described below: o o 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 They enable the circumstances of the sports injury to be better identified and thus aid prevention strategies. U72 Leisure Activity Not Elsewhere Classified is provided to enable coding of other leisure activities not identified as sport. 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 140

166 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 U

167 ADDITIONAL DIAGNOSES Data element name: System specific names: Definition: Collection requirement: Additional Diagnosis TOPAS: HCARe: webpas: OC Derived from sequencing O 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. Mandatory where applicable METeOR reference: Format: Character Maximum length: 10 Permitted values: Refer to ICD-10-AM 8th Edition (effective from 1 July 2013) 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 o o Commencement, alteration or adjustment of therapeutic treatment Diagnostic procedures 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 142

168 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 Warning (Z37.x) 0722 Diagnosis in range D00-D02 or D04-D09 needs morphology Warning 0694 Morphology code(s) present but no neoplasm diagnosis codes Warning found. xxx.xx 0695 Diagnosis codes in range C00-C76 require morph code < M9590 Warning and ending in /3. xxx.xx 0715 Mesothelioma Diagnosis C45 needs mesothelioma morphology Warning 905*. xxx.xx 0724 Cancer diagnosis code requires compatible cancer morphology Warning code or vice versa. xxx.xx 0664 Episode of care must be Newborn for Z38 diagnosis Warning 0719 Diagnosis in range C81-C96 or D45-D46 needs morphology Warning >=9590 and ending in / Palliative care and Z51.5 is not present Warning 0718 Diagnosis in range D45-D47 needs morphology >=9590 and Warning ending in /1. Diag. Code 0768 Principal diagnosis (code type=1) G30.x should be in conjunction Warning with code also 0717 Skin insitu melanoma Diagnosis D03* needs melanoma Warning morphology ending in 0783 COF inconsistent with xxx.xx Warning 0726 No appropriate diagnosis found for morph code #1. Diagnosis Warning choice: xxx.xx 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 143

169 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? 0694 Morphology code(s) present but no neoplasm diagnosis codes found 0728 Need C43- instead of C44- to match melanoma morphology code. Xxx.xx Warning Fatal Warning 144

170 ADDITIONAL PROCEDURE Data element name: System specific names: Definition: Collection requirement: Additional Procedure TOPAS: HCARe: webpas: OP Derived P 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 Conditional METeOR reference: Format: Character Maximum length: 10 Permitted values: Refer to ICD-10-AM 8th Edition (effective from 1 July 2013) 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 Additional Procedure ABDOMINAL HYSTERECTOMY APPENDICECTOMY Example 2: A surgeon performing a cholecystectomy needs to divide dense abdominal adhesions before she can proceed. Principal Procedure Additional Procedure CHOLECYSTECTOMY LYSIS OF ADHESIONS 145

171 DATA QUALITY EDITS Edit Number Edit Message Edit Severity 0363 Clinician xxxxxxxx is present without an associated procedure code Warning 0469 Procedure xxxxx-xx is invalid for the current gender code Fatal Procedure xxxxx-xx should not be used with the current gender code Hours CVS must be greater than 24 and not null when the CMV procedure is present Hours CVS must be greater than 96 and not null when the CMV procedure is present Warning 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

172 CLINICIAN PERFORMING PROCEDURE Data element name: System specific names: Definition: Collection requirement: METeOR reference: Format: Clinician performing procedure TOPAS: HCARe: webpas: Surgeon Doctor ID Clinician The clinician responsible for performing or authorising the procedure. Mandatory where applicable Not applicable Character Maximum length: 13 Permitted values: Valid Medical Board Registration Number as per AHPRA 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: 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

173 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 MED Clinician on Separation M E D Example 2: Dentist Mr. White operated on a patient in hospital and his Dental MBRN is DEN Clinician on Separation D E N Example 3: Surgical Podiatrist Mr. Gold operated on a patient in hospital, and his Podiatry MBRN is POD DATA QUALITY EDITS Clinician on Separation P O D Edit Number Edit Message Edit Severity 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

174 CO-DIAGNOSIS (CODE ALSO) Data element name: System specific names: Definition: Collection requirement: Co-Diagnosis TOPAS: HCARe: webpas: CA O A 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. Mandatory where applicable METeOR reference: Format: Character Maximum length: 10 Permitted values: Refer to ICD-10-AM 8th Edition (effective from 1 July 2013) 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 Co-Diagnosis (code also) Glaucoma in endocrine, nutritional and metabolic diseases. Disorders of amino-acid transport (Lowe s syndrome) H42.0* E

175 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

176 CONDITION ONSET FLAG Data element name: System specific names: Definition: Collection requirement: Condition Onset Flag TOPAS: HCARe: webpas: O Condition Onset Onset type 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. Mandatory METeOR reference: 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 o Condition with onset during the episode of admitted patient care 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 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 o o Principal diagnosis Z codes relating to outcome of delivery on the mother's record (Z37.x) Z codes relating to the outcome of delivery on the baby's record (Z38.x) 151

177 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

178 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 J ADX Urinary Tract Infection N 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

179 DATE OF PROCEDURE Data element name: System specific names: Definition: Collection requirement: Date of Procedure TOPAS: HCARe: webpas: Date Date Performed Date The date on which a procedure commenced during an inpatient episode of care. Mandatory where applicable METeOR reference: Format: Date Maximum length: 8 Permitted values: DDMMYYYY 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 Example 2: A patient was admitted in labour and had to have an emergency Caesarean section for foetal distress on 18th April DATA QUALITY EDITS DAY MONTH YEAR Date of Procedure 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 154

180 EXTERNAL CAUSE (OF INJURY) Data element name: System specific names: Definition: Collection requirement: External Cause TOPAS: HCARe: webpas: EC E O The environmental event, circumstance or condition as the cause of injury, poisoning and other adverse effect, as represented by a code. Mandatory where applicable METeOR reference: Format: Character Maximum length: 10 Permitted values: Refer to ICD-10-AM 8th Edition (effective from 1 July 2013) 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 for reduction of these events. Guidelines for coding external causes: o o o o Select the most specific code possible Unlimited external cause codes may be recorded The external cause code should be sequenced after the diagnostic code to which it relates 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 with other disease codes. Admitted patients should be coded to the complete ICD-10-AM classification. An external cause code should be sequenced following the related injury or poisoning code, or following the group of codes, if more than one injury or condition has resulted from this external cause. 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 Occurrence Code 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 155

181 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 DEFINITION CHANGE CODE P04.4 Fetus newborn aff mat use drugs Does not require an external cause addictn P04.5 Fetus aff mat use nutrit chem. Subs Does not require an external cause D59.6 Haemoglobinuria dt haemolys oth ext cause D61.2 Aplastic anaemia dt other external agt D64.2 Sec sideroblastic anaemia dt drugs toxin D68.3 Haemorrhagic disrd dt circ anticoaglt From Fatal to Warning edit can be due to infection or auto-immune. From Fatal to Warning edit can be due to infection From Fatal to Warning edit can be due to auto-antibodies 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) 156

182 HOURS OF CONTINUOUS VENTILATORY SUPPORT Data element name: System specific names: Definition: Collection requirement: Hours of Continuous Ventilatory Support TOPAS: HCARe: webpas: Mech Vent Time Mech. Vent. Hours of mechanical ventilation The number of hours of administration of non-invasive ventilation. Mandatory where applicable METeOR reference: 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 an invasive 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 is administered 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 0 157

183 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 Edit Number Edit Message Edit Severity 0109 Hours CVS cannot be greater than the length of stay value + 1 day Fatal 0119 Hours of CVS outside of valid range Warning Hours CVS must be greater than 24 and not null when the CMV procedure is present Hours CVS must be greater than 96 and not null when the CMV procedure is present Warning Warning 0589 Hours CVS exists without an associated procedure code Warning 158

184 MORPHOLOGY Data element name: Morphology System specific names: TOPAS: HCARe: webpas: MO M M Definition: Collection requirement: 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). Mandatory where applicable METeOR reference: Format: Character Maximum length: 6 Permitted values: Refer to ICD-10-AM 8th Edition (effective from 1 July 2013) 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 be coded as follows: INFILTRATING DUCTAL CARCINOMA OF AXILLARY TAIL OF BREAST C INFILTRATING DUCTAL CARCINOMA M / 3 If there is more than one neoplasm of the same type, the morphology code should be sequenced 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 morphology and sequence directly after the neoplasm. For example, transitional cell epidermoid carcinoma has two morphology codes M8120/3 and M8070/3. The code to be assigned directly after the neoplasm 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, C

185 EXAMPLES Example 1: A patient was admitted for excision of a meningioma of cerebral meninges. MENINGIOMA OF CEREBRAL MENINGES D MENINGIOMA M / 0 DATA QUALITY EDITS Edit Number Edit Message Edit Severity 0741 Secondary Kaposi sarcoma morphology found, without primary Kaposi morph Warning 0694 Morphology code(s) present but no neoplasm diagnosis codes Warning Diagnosis codes in range C00-C76 require morph code < M9590 and ending in /3 xxx.xx Mesothelioma diagnosis C45 needs mesothelioma morphology 905* xxx.xx Cancer diagnosis code requires compatible cancer morphology code or vice versa xxx.xx No appropriate diagnosis found for morph code xxx.xx. Diagnosis choice: xxx.xx Warning Warning Warning Warning 0693 No morphology codes found Warning 0722 Diagnosis in range D00-D02 or D04-D09 needs morphology Warning Morphology code(s) present but no neoplasm diagnosis codes found Morph codes <M9590 and ending in /3 require diagnosis codes in range C00-C76 Diagnosis in range C77-C79 requires secondary morph code ending in 6 or 9 Skin insitu melanoma diagnosis D03* needs melanoma morphology Diagnosis in range D45-D47 needs morphology >=9590 and ending in /1. xxx.xx Diagnosis in range C81-C96 or D45-D46 needs morphology >=9590 and ending in /3 Need C43- instead of C44- to match melanoma morphology code. xxx.xx Fatal Warning Warning Warning Warning Warning Warning 0721 Diagnosis in range D37-D44, D48 or Q85 needs morphology Warning Secondary mesothelioma morphology found, without primary mesothelioma morphology Principal diagnosis (code type = 1) G30.x should be in conjunction with code also F00 Warning Warning 0720 Diagnosis in range D10-D36 needs morphology Warning 160

186 PLACE OF OCCURRENCE Data element name: System specific names: Definition: Collection requirement: Place of Occurrence TOPAS: HCARe: webpas: PL Occurrence Place Desc O The place where an injury, poisoning or accident occurred. This item is important for monitoring injuries, setting injury control targets, injury costing and research. Mandatory where applicable METeOR reference: Format: Character Maximum length: 10 Permitted values: Refer to ICD-10-AM 8th Edition (effective from 1 July 2013) GUIDE FOR USE The code values for this item are: o o o o o o o o o o Y92.0x Home Y92.1x Residential institution Y92.2x School, other institution and public administrative area Y92.3x Sports and athletics area Y92.4x Street and highway Y92.5x Trade and service area Y92.6x Industrial and construction area Y92.7 Farm Y92.8x Other specified place of occurrence Y92.9 Unspecified place of occurrence These codes are further subdivided (e.g. Y92.21 School) to provide greater specificity to the place of occurrence. Place of Occurrence is mandatory if an external cause code is present. Guidelines for coding place of occurrence: o o o o o Select the most specific code possible. The place of occurrence code should be sequenced after the external cause code to which it relates. 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). When multiple categories apply, assign the code appearing highest on the list. The place of occurrence code can be repeated with different external cause codes. 161

187 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

188 PRINCIPAL DIAGNOSIS Data element name: Principal Diagnosis System specific names: TOPAS: HCARe: webpas: PD Derived from sequencing D Definition: Collection requirement: 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. Mandatory METeOR reference: Format: Character Maximum length: 10 Permitted values: Refer to ICD-10-AM 8th Edition (effective from 1 July 2013) GUIDE FOR USE Clinical Coders should review the ACS 8th Edition, effective from 1 July 2013 for information relating 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 Diagnosis xxx.xx should not be used with the current gender code Infant weight cannot be blank when infant is less than 29 days and PDX is not for a boarder Warning 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

189 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 Morphology code(s) present but no neoplasm diagnosis codes found Diagnosis codes in range C00-C76 require morph code < M9590 and ending in /3. xxx.xx Morph codes < M9590 and ending in /3 require diagnosis codes in range C00-C76? Diagnosis in range C77-C79 requires secondary morph code ending in 6 or 9. xxx.xx Mesothelioma Diagnosis C45 needs mesothelioma morphology 905* xxx.xx Skin insitu melanoma Diagnosis D03* needs melanoma morphology ending in Diagnosis in range D45-D47 needs morphology >=9590 and ending in /1. xxx.xx Diagnosis in range C81-C96 or D45-D46 needs morphology >=9590 and ending in /3 Fatal Warning Warning Warning Warning Warning Warning Warning 0720 Diagnosis in range D10-D36 needs morphology Warning 0721 Diagnosis in range D37-D44, D48 or Q85 needs morphology Warning Cancer diagnosis code requires compatible cancer morphology code or vice versa. xxx.xx No appropriate diagnosis found for morph code xxx.xx. Diagnosis choice: xxx.xx Need C43- instead of C44- to match melanoma morphology code. xxx.xx Warning Warning 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 Principal diagnosis = Z50.x and care type does not = 22 rehabilitation care Diagnosis code indicating pregnancy without duration of pregnancy code Principal diagnosis (code type=1) G30.x should be in conjunction with code also F00 An external burns code without indicating body surface area affected and vica versa PDX is NOT Z75.x or Z74.x But Care Type is Maintenance, Aged Care or Flexible Care PDX is Z75.x or Z74.x But Care Type is NOT Maintenance, Aged Care or Flexible Care Warning Warning Warning Warning Warning Warning 164

190 Edit Number Edit Message Edit Severity 0808 More than one outcome diag (Z37.x) Warning 0811 Number of diag/outcome (Z37.x and O80-O84) do not match delivery procedure 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

191 PRINCIPAL PROCEDURE Data element name: System specific names: Definition: Collection requirement: Principal Procedure TOPAS: HCARe: webpas: PP Derived from sequencing P 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. Not mandatory METeOR reference: Format: Character Maximum length: 10 Permitted values: Refer to ICD-10-AM 8th Edition (effective from 1 July 2013) GUIDE FOR USE See the ACS (July 2013) for further information relating to the coding of principal and additional procedures. The following points should be taken into account when selecting procedures to code but it should be noted that sequencing of procedures, including the Principal Procedure, would not affect AR-DRG grouping. When no procedure was performed for treatment of the principal diagnosis, use the following hierarchy: o o o Procedure performed for treatment of additional diagnoses Diagnostic/exploratory procedure related to the principal diagnosis 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 per ACS 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

192 Principal Diagnosis Principal Procedure BRAIN INJURY 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 Principal Procedure Additional Procedure BREAST MALIGNANCY RADICAL MASTECTOMY 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 Principal Procedure Additional Procedure CAESAREAN SECTION EMERGENCY LUSCS 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 Principal Procedure GYNAECOMASTIA 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 0587 Hours CVS must be greater than 24 and not null when the CMV procedure is present Warning 0588 Hours CVS must be greater than 96 and not null when the CMV procedure is present 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 0811 Number of diag/outcome (Z37.x and O80-O84) do not match delivery procedure Warning 0846 Mechanical ventilation procedure without Hours in ICU Warning 167

193 SECTION 7 HMDS DATA PROCESSING

194 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 . 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 . 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

195 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 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 Update flag reextraction HCARe CMS FTP Mon, Thu PM Tue, Fri AM Via web, Via HCARe CMS Update flag reextraction Other health information systems HA22 Forms Data Entry System Monthly Weekly Monthly Weekly

196 SECTION 8 OPERATIONAL DIRECTIVES & INFORMATION CIRCULARS

197 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 Operational Directive 0082/07 Operational Directive 0136/08 Operational Directive 0137/08 Operational Directive 0426/13 Operational Directive 0498/13 Operational Directive 0201/09 Operational Directive 0540/14 Operational Directive 0179/09 (at publishing the status was super ceded but still relevant until re-instated) Program Bulletin 7/5 Technical Bulletin 15/1 Description Boarders Edit Protocol for HMDS Hospital Morbidity Data Reporting Cycle Western Australia Coding Standards Identification of DVA Entitled Persons Clinical Information Audit Program Hospital Activity Reporting Admission, Readmission, Discharge and Transfer Policy for WA Health Services (Version 5) July 2014 Reporting of Contracted Services for Admitted Patients Mental Health Program Intensive Care Unit Reporting Copies of these may be obtained from the following DoH Internet site:

198 SECTION 9 APPENDICES

199 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

200 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 AH AR D2 DS DT NH NP OH PA PH PI PO PR PU RC RH Description Acute Hospital Acute/Rehabilitation Hospital Day Surgery (23/24 Hr) Day Surgery (Other) Detention Centre Nursing Home Nursing Post Other Health Care Accommodation Palliative Care Hospital Psychiatric Hospital Prison Psychiatric Outpatient Psychiatric Residential Psychiatric Unit in an Acute Hospital Referral Code 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

201 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 ACRAH AHL BBA CAMHS CASP CCN CPD CTO DIH ECG ECT EEG FSH Description Association for Care and Rehabilitation of Alcoholics, Drug Addicts and Homeless Aboriginal Hostel Limited Born Before Admission Child and Adolescent Mental Health Service Community Accommodation Support Program Community Care Nursing Community Psychiatric Division Community Treatment Order Division of Intellectually Handicapped Electrocardiogram Electroconvulsive Therapy Electroencephalogram Fiona Stanley Hospital

202 Acronym HMDS KEMH MH MHIS MHS NH PARK PMH PSOLIS RACS RPH SARC SCGH SW TOPAS WCHS WERU Description Hospital Morbidity Data System King Edward Memorial Hospital Mental Health Mental Health Information System Mental Health Service Nursing Home Peel And Rockingham/Kwinana health service Princess Margaret Hospital (for Children) Psychiatric Services Online Information System Residential Aged Care Service Royal Perth Hospital Sexual Assault Resource Centre Sir Charles Gairdner Hospital Social Work The Open Patient Administration System Women s and Children s Health Service WE Robinson Unit Current Establishment List (as at 30/06/2014) Est Code Establishment Name Report to HMDS? Est Type SORL 626 Abbotsford Private Hospital Y PH Absolute Cosmetic at Image 21 Y DS Acacia House Nursing Home NH Acacia Prison PI Academy Day Hospital Y DS ACRAH, Mt Lawley PR Adventist Residential Care, Rossmoyne NH Aegis Transitional Care OH Agmaroy Nursing Home NH Agnes Walsh House Hostel, KEMH OH Aitken House (CASP) PR Albany Adult Community Mental Health PO Albany Community Care Respite Centre OH Albany Community Hospice Y PA Albany Hospital Y AH Albany Milgrey House (CASP) PR Albany Regional Prison PI Alex Miles Frail Aged Lodge Hostel RH Alfred Carson Lodge Nursing Home NH Allawah Grove Hostel (Aboriginals) OH 3 4 MOS

203 Est Code Establishment Name Report to HMDS? Est Type SORL 941 Alma Street Adult Outpatients (MHS) PO Alma Street Centre (MHS) PU Amaroo Village Buckley Caring Centre Hostel RH Amaroo Village McMahon Caring Centre Nursing Home NH Amberley Aged Care NH Anchorage Aged Care NH Anne Marie Nursing Home NH Annesley And Annexe, Nursing Home NH Annesley Residential Care Facility NH Annie Bryson McKeown Lodge Hostel (Aged Care) RH Annie Melsom House Hostel RH Anzac Terrace (CASP) PR Applecross Nursing Home NH Archbishop Goody Hostel (Aged Care) RH Armadale Adult Acute MH Unit PU Armadale MH for Older People Authorised PU Armadale/Kelmscott District Memorial Hospital Y AH Ascot Care Awaiting Placement OH Attadale Hospital Y AH Augusta Hospital Y AH Augusta Residential Aged Care Y NH Avon Valley Residency Nursing Home NH Balladong Lodge Aged Care Facility NH Balmoral Aged Care NH Bandyup Women's Prison PI Banksia Hill Detention Centre PI Banksia Lodge RH Banksia Park Aged Care NH Barridale Lodge Hostel (Aged Care) RH Bassendean Lodge Hostel RH Bassendean Nursing Home NH Bedford Hostel PR Bedingfeld Lodge Hostel (Aged Care) RH Belmont Community Nursing Home NH Belmont Hostel DIH PR Bennet Brook Hostel DIH PR Bentley Adolescent Inpatient Unit PU Bentley Family Clinic PO Bentley Hospital Y AH Bentley Older Adult Mental Health Service PU Berringa Frail Aged Lodge Hostel RH Berrington Subiaco Aged Care NH 2 2 MOS

204 Est Code Establishment Name Report to HMDS? Est Type SORL 61 Bert England Lodge Hostel (Aged Care) RH Bethanie Beachside Aged Care NH Bethanie Edinboro House Hostel RH Bethanie Elanora Villas Hostel RH Bethanie Elanora Villas Nursing Home NH Bethanie Fields Aged Care NH Bethanie Geneff Hostel RH Bethanie Illawong Hostel RH Bethanie Kingsley Lodge Hostel RH Bethanie Osborne House Hostel RH Bethanie Peel Lodge Hostel RH Bethanie Warwick Hostel RH Bethanie Warwick Nursing Home NH Bethanie Waters Aged Care RH Bethavon Hostel (Aged Care) RH Bethel Village Hostel (Aged Care) RH Bethesda Hospital Y AH Bethshan Lodge Hostel (Aged Care) RH Beverley Hospital Y AH Beverley Residential Aged Care Y NH Biala Therapy and Rehabilitation Centre PR Blake House, Dongara RH Boddington Hospital Y AH Boronia Inpatient Unit (MHS) PU Boronia Pre-release Centre for Women PI Boyup Brook Citizens Lodge Hostel (Aged Care) RH Boyup Brook Residential Aged Care Y NH Boyup Brook Soldiers Memorial Hospital Y AH BP Luxury Care, Maddington PR Bradford Hostel PR Braemar House Nursing Home, East Fremantle NH Braemar Lodge Hostel, Bicton (Aged Care) RH Braemar Village Hostel, Willagee (Aged Care) RH Bremer Bay Health Centre NP Brentwood Nursing Home NH Bridge House Hostel (Alcohol/Drug Rehab) PR Bridgetown Hospital Y AH Brighton Hostel DIH PR Brightwater Balcatta Nursing Home NH Brightwater Birralee Innaloo Nursing Home NH Brightwater Edgewater Aged Care Hostel RH Brightwater Ellison House Nursing Home NH Brightwater Huntingdale Hostel RH 2 2 MOS

205 Est Code Establishment Name Report to HMDS? Est Type SORL 464 Brightwater Joondalup Hostel (Aged Care) RH Brightwater Jurien Bay Hostel RH Brightwater Kingsley Aged Care Nursing Home NH Brightwater Kingsley Hostel (Aged Care) RH Brightwater Madeley Nursing Home NH Brightwater Manning Nursing Home NH Brightwater Marangaroo Hostel NH Brightwater Maylands Care Facility NH Brightwater Oats Street Nursing Home NH Brightwater Onslow Gardens Nursing Home NH Brightwater Oxford Gardens Aged Care Nursing Home NH Brightwater Redcliffe Hostel RH Brightwater South Lake Care Facility (Aged Care) RH Brightwater The Cove Facility NH Brightwater The Oaks Aged Care Nursing Home NH Brightwater The Village Nursing Home NH Brightwater Young Disabled Service, Warnbro OH Brookview Hostel (Aged Care) RH Broome Community Mental Health PO Broome Hospital Y AH Broome Hostel (AHL) OH Broome Regional Prison PI Bruce Rock Memorial Hospital Y AH Bruce Rock Residential Aged Care Y NH Bunbury Acute Psychiatric Residential Unit PU Bunbury Day Surgery Y DS Bunbury DIH PR Bunbury Gardens Nursing Centre NH Bunbury Hospital Y AH Bunbury Outpatient Clinic (MHS) PO Bunbury Regional Prison PI Burringurrah Nursing Post NP Burswood Nursing Home NH Bush Nursing Posts Silver Chain NP Busselton Hospital Y AH Cabrini Lodge Nursing Home NH Cambridge Day Surgery Y DS Canning Lodge Hostel (Aged Care) RH Cannington Dialysis Clinic Y DS Care 4 You, Bunbury OH Carinaville Hostel (Aged Care) RH Carinya of Bicton Nursing Home NH 2 2 MOS

206 Est Code Establishment Name Report to HMDS? Est Type SORL 4067 Carinya on Bristol NH Carinya Village Hostel, Mt Lawley (Aged Care) RH Carinya Village Nursing Home, Mt Lawley NH Carl And Sadie Cohen Hostel (Aged Care) RH Carl Streich Rehab and Aged Care Unit NH Carnarvon Adult Community Mental Health PO Carnarvon Hospital Y AH Carnarvon Residential Aged Care Y NH Carramar DIH PR Carramar Hostel (Aged Care) RH Carrington Aged Care Nursing Home NH Carrington Lodge Hostel RH Casa Sant Angelo Respite, Bunbury OH Casson House (CASP) RH Castledare Retirement Village Nursing Home NH Casuarina Prison PI Catherine McAuley Family Centre Hostel (Aged Care) RH Catherine McAuley Family Centre Nursing Home NH Cerebral Palsy Respite Centre, Bentley OH Cervantes Nursing Post NP Challenger Lodge Hostel (Aged Care) RH Choice Adult Respite Day Care OH Christmas Island Immigration Detention Centre DT Christos Nursing Home NH Chrystal Halliday Homes Hostel (Aged Care) RH Chrystal Halliday Nursing Home NH Churchill Day Surgery Y DS City Community MHS PO City of Bayswater Hostel NH Clare Respite House, Baldivis OH Clarence Estate Residential Health & Aged Care NH NH Colin Street Day Surgery Y DS Collie Hospital Y AH Collie Residential Aged Care Y NH Collier Park Hostel (Aged Care) RH Collville Nursing Home NH Commonwealth Rehabilitation Units PR Community Forensic Mental Health PO Compass House, Geraldton PR Concept Fertility Centre Y DS Concorde Nursing Home NH Coolgardie Health Centre NP Coolibah Aged Care Facility RH 2 2 MOS

207 Est Code Establishment Name Report to HMDS? Est Type SORL 4041 Coonana Health Centre NP Coral Bay Nursing Post NP Corlei Nursing Home NH Corrigin Hospital Y AH Corrigin Residential Aged Care Y NH Craigcare Albany Aged Care NH Craigcare Maylands Aged Care NH Crawford Lodge, Nedlands OH Croydon Hostel DIH PR Cue Nursing Post NP Cunderdin Hospital Y AH Cunderdin Residential Aged Care Y NH Cunningham Nursing Home NH Curtin Immigration Detention Centre DT Cygnet Lodge Hostel [Rowethorpe] (Aged Care) RH Cyrenian House (Drug and Alcohol Rehab Service) PR Dalwallinu Hospital Y AH Dalwallinu Residential Aged Care Y NH David Buttfield Centre, Gwelup NH David, Gita and Michael Hoffman Nursing Home NH Dean Lodge Nursing Home NH Death RC Death While On Leave RC Deloraine Nursing Home NH Delta House (CASP) PR Denmark Hospital Y AH Denmark Lodge Hostel (Aged Care) RH Denmark Residential Aged Care Y NH Dept. for Community Development - Residential Unit OH Derbal Bidjar Hostel, Maylands OH Derby Community Mental Health PO Derby Dialysis Unit Y DS Derby Hospital Y AH Devenish Lodge (CASP Hostel) PR DIH Group Homes PR Disability Services Commission RC Dominican Residential Care Centre Hostel RH Dongara Multi-Purpose Health Centre Y AH Dongara Residential Aged Care Y NH Donnybrook Hospital Y AH Dorothy Genders Village Hostel (Aged Care) RH Dorset Hostel PR Dr Mary Surveyor Centre, Kingsley (Aged Care) NH 2 2 MOS

208 Est Code Establishment Name Report to HMDS? Est Type SORL 373 Dryandra Frail Aged Hostel RH Dudley House (CASP) PR Dumbleyung Memorial Hospital Y AH Dumbleyung Residential Aged Care Y NH Duncraig Village Hostel (Aged Care) RH Dwellingup Nursing Post NP Earlsferry Hostel (MHS) PR East Victoria Park Restorative Nursing Home NH Eastern Goldfields Regional Prison PI Edgewater Mercy Hostel (Aged Care) RH Edward Collick Hostel RH Edward Collick Nursing Home NH Elimatta Lodge Hostel (Aged Care) RH Elizabeth Hanson Autumn Centre Hostel (Aboriginals) RH Ella Williams House Hostel RH Ella Williams House Nursing Home NH Ellenvale Nursing Aged Care RH Embleton Care Nursing Home NH Epsom Hostel (Aged Care) RH Esperance Aged Care Hostel RH Esperance Aged Care Nursing Home NH Esperance Community Mental Health PO Esperance Hospital Y AH Exmouth Hospital Y AH Eye Surgery Foundation Y DS Fairhaven Hostel (Aged Care) RH Fairholme Hostel (MHS) PR Families at Work, Bentley PR Fern River Care Facility OH Fiona Stanley Hospital Y AH Fitzroy Crossing Dialysis Unit Y DS Fitzroy Crossing Hospital Y AH Foley Village Hostel (Aged Care) RH Foley Village Nursing Home NH Franciscan Lodge (CASP Hostel) PR Frank Prendergast House Hostel RH Fraser House PR Frederick Guest Hostel RH Fremantle Hospital Y AH Fresenius Medical Care, Coolbellup Y DS Fresenius Medical Care, Warwick Y DS Freshwater Bay Nursing Home NH Funding Hospital RC 7 9 MOS

209 Est Code Establishment Name Report to HMDS? Est Type SORL 382 Geegeelup Village Hostel (Aged Care) RH Gelorup Hostel PR Geraldton Adult Community MH PO Geraldton Hospital Y AH Geraldton Nursing Home NH Germanus Kent Hostel (Aged Care) RH GI Clinic Y DS Gildercliffe Lodge (CASP) PR Gleddon Hostel, Bull Creek OH Glendalough Hostel (Aged Care) RH Glendalough Nursing Home NH Glengarry Hospital Y AH Glengarry Nursing Home NH Glover House Hostel (Aged Care) RH Glyde Street Hostel (CASP) PR Gnowangerup Hospital Y AH Gnowangerup Residential Aged Care Y NH Goomalling Hospital Y AH Goomalling Residential Aged Care Y NH Gordon Lodge Hostel (Aged Care) RH Gough s Respite Care OH Graceford Hostel (Aged Care) RH Gracehaven Hostel (Aged Care) RH Gracehaven Nursing Home NH Gracewood Aged Care NH Grandview Aged Care Hostel RH Graylands Hospital (MHS) Y PH Green Croft Gardens Respite Care OH Greenfields Aged Care Nursing Home, Mandurah NH Greenough Regional Prison PI Grevillea Hostel (Aged Care) RH Guildford Village Hostel (Aged Care) RH Guwardi Ngadu Hostel (Aged Care) RH Gwen Hardie Lodge Hostel (Aged Care) RH Hadassah Nursing Home NH Hakea Prison PI Hale House Hostel (Aged Care) RH Halls Creek Hospital Y AH Halls Creek People s Church Hostel (Aged Care) RH Hamersley Nursing Home NH Hamilton Hill Respite House OH Hampton Road Service (MHS) PR Harvey Hospital Y AH 4 1 MOS

210 Est Code Establishment Name Report to HMDS? Est Type SORL 2192 Harvey Yarloop Community Mental Health PO Hawthorn Hospital Nursing Home NH Hawthorn House PR Hedland Health Campus Y AH Hellenic Community Aged Care Hostel RH Hermitage Aged Care, Ellenbrook NH Hillcrest Lodge Hostel, Geraldton (Aged Care) RH Hilltop Lodge Hostel RH Hillview Hostel (CASP) PR Hilton Park Aged Care NH Hocart Lodge Hostel (Aged Care) RH Hollywood Private Hospital Y AH Honey Brook Lodge PR Howard Solomon Hostel (Aged Care) RH Howard Solomon Nursing Home NH Ian Roberts Lodge NH Ida Mann Hostel (Aged Care) RH Immigration Department Perth DT Immigration Department Perth Airport DT Immigration Detention Centre DT Indian Ocean Territories Health Service Y AH Intellectual Handicapped Voluntary Org Res Unit PR Italian Aged Care Nursing Home, Marangaroo NH Italian Village Hostel, White Gum Valley (Aged Care) RH Ivanhoe Hostel (Aged Care) RH Iveson Hostel (Aged Care) RH Jacaranda Lodge Hostel (Aged Care) RH Jalon Nursing Home NH James Brown House Hostel (Aged Care) RH James Street Centre PR James T Pollard Hospital Nursing Home NH James Watson Hostel (Aged Care) RH Jansen House (CASP) PR JE Murray Home Hostel (Aged Care) RH Jeremiah Donovan House RH Jerramungup Nursing Post NP John Bryant House Hostel RH John Wilson Lodge (CASP) PR Joondalup Health Campus Y AH Joondalup Health Campus Mental Health PU Joondalup North Mental Health PO Joondalup South Mental Health PO Joseph Banks Aged Care Facility NH 2 2 MOS

211 Est Code Establishment Name Report to HMDS? Est Type SORL 326 Joseph Cooke House RH Jurien Bay Health Centre NP Kabayji Booroo Hostel OH Kalamunda District Community Hospital Y AH Kalbarri Health Centre Y AH Kaleeya Hospital Y AH Kalgoorlie Adult Acute MH Unit PU Kalgoorlie Boulder Community MH Adult PO Kalgoorlie Hospital Y AH Kalkarni Residency Hostel RH Kalkarni Residency Nursing Home NH Kambalda Nursing Post NP Karinya Frail Aged Lodge Hostel RH Karlarra House Aged Care Y NH Karnet Prison Farm PI Karratha Community Mental Health PO Karri Lodge Hostel RH Katanning Adult Community Mental Health PO Katanning Hospital Y AH Katanning Residential Aged Care Y NH Kellerberrin Memorial Hospital Y AH Kellerberrin Residential Aged Care Y NH Kelmscott Child and Adolescent MHS PO Kelmscott River Gardens Aged Care Hostel RH Kensington Park Nursing Home NH Kentucky Hostel PR Killara Nursing Home NH Kimberley Nursing Home NH Kimberley Satellite Dialysis Centre Y DS King Edward Memorial Hospital For Women Y AH Kingia/Tandara High Care Facility NH Kings Park Day Hospital Y DS Kingston House (CASP) PR Kinross Care Centre Hostel RH Koh-I-Noor Nursing Home NH Kojonup Hospital Y AH Kojonup Residential Aged Care Y NH Kondinin Hospital Y AH Kondinin Residential Aged Care Y NH Kondinin/Kulin Aged Care Hostel RH Koolberrin Lodge Hostel (Aged Care) RH Kukerin Nursing Post NP Kulin Health Centre NP 7 9 MOS

212 Est Code Establishment Name Report to HMDS? Est Type SORL 4178 Kungara-Kalpa Aged Care Facility OH Kununoppin Hospital Y AH Kununoppin Residential Aged Care Y NH Kununurra Adult Community Mental Health PO Kununurra Aged Care Facility Y NH Kununurra Dialysis Unit Y DS Kununurra Hospital Y AH Lady Brand Lodge For Frail Aged Hostel RH Lady Lawley Cottage Nursing Home NH Lady McCusker Home/Nursing Home NH Lake Grace Hospital Y AH Lake Grace Residential Aged Care Y NH Lakeside Aged Care Hostel RH Lakeside Aged Care Nursing Home NH Lakeside Care Awaiting Placement OH Langton Dementia Unit, Mount Barker NH Lathlain Nursing Home NH Laverton Hospital Y AH Lawton Hostel DIH PR Leeuwin Frail Aged Lodge Hostel RH Lefroy Hostel (Aged Care) RH Leighton Nursing Home NH Leinster Community Health Service NP Lentara Hostel OH Leonora Alternative Place of Detention DT Leonora Hospital Y AH Lilacdale Hostel, Innaloo OH Lincoln Park Aged Care RH Lions Eye Institute Day Surgery Y DS Lodge Hostel, The (Aged Care) RH Lovegrove Lodge Hostel (Aged Care) RH Lucy Creeth Nursing Home NH Lyneham Hostel (Aged Care) RH Mandurah Care Facility NH Manoah House Hostel (Aged Care) RH Marangaroo Nursing Home NH Marble Bar Nursing Post NP Margaret Doody Respite House OH Margaret Hubery House Hostel RH Margaret Hubery House Nursing Home NH Margaret River Hospital Y AH Marian Centre Y PH Marie Stopes Midland Y DS 4 1 MOS

213 Est Code Establishment Name Report to HMDS? Est Type SORL 193 Marist Lodge Hostel (Aged Care) RH Marlgu Village Hostel (Aged Care) RH Marshall Park Nursing Home NH Martu Renal Dialysis Centre Jigalong Y DS Maudie Armstrong Lodge (CASP) PR Maurice Zeffert Nursing Home NH McCourt Street Day Surgery Y DS McDougall Park Nursing Home NH McGilvray Board House PR McNamara Lodge Hostel RH Mead Centre (MHS) PO Meath Care Hostel, Como RH Meath House Hostel, Trigg (Aged Care) RH Meekatharra Adult Community Mental Health PO Meekatharra Children s Hostel OH Meekatharra Hospital Y AH Meekatharra Residential Aged Care Y NH Melville Aged Care NH Melvista Lodge Nursing Home NH Memorial House Hostel, Bruce Rock (Aged Care) RH Menzies Nursing Post NP Mercyville Hostel (Aged Care) RH Merredin Hospital Y AH Merredin Residential Aged Care Y NH Midland Dialysis Centre Y DS Midland Nursing Home NH Milford Hostel PR Milliya Rumurra Alcohol and Drug Rehab Centre PR Mills Street Centre (MHS) PU Mills Street Outpatients (MHS) PO Milroy Lodge, Shenton Park OH Mirrambeena Aged Care NH Mirtanya Maya Aged Care Hostel, Port Hedland RH Moline House Hostel (Aged Care) RH Mont Clare Aged Care Facility NH Montrose Nursing Home NH Moonya Lodge Hostel (Aged Care) RH Moonya Lodge Nursing Home NH Moora Frail Aged Lodge NH Moora Hospital Y AH Moora Residential Aged Care Y NH Morawa Hospital Y AH Morawa Lodge Hostel (Aged Care) RH 2 2 MOS

214 Est Code Establishment Name Report to HMDS? Est Type SORL 4134 Morawa Residential Aged Care Y NH Morgan House, Three Springs NH Morrison Lodge Hostel (Aged Care) RH Morriston Hostel (Aged Care) PR Mosman Park Nursing Home NH Mount Henry Nursing Home NH Mount Hospital Y AH Mount Lawley Private Hospital Y AH Mount Magnet Nursing Post NP Mt Lawley Nursing Home NH Mt St Emilies Hostel RH Mukinbudin Nursing Post NP Mullewa Hospital Y AH Mullewa Residential Aged Care Y NH Murchison Hostel (Aged Care) RH Murdoch Surgicentre Y D Murlali Lodge Hostel OH Murray Hospital Y AH Murray River Nursing Home NH Myoora DIH PR Myvista Ethnic Aged Care RH Nannup Hospital Y AH Nanyara Medical Group Y DS Narembeen Memorial Hospital Y AH Narembeen Residential Aged Care Y NH Narrogin Community Mental Health PO Narrogin Hospital Y AH Narrogin Nursing Home NH Nazareth House Geraldton NH Newman District Community Mental Health PO Newman Hospital Y AH Next Step Drug and Alcohol Services, East Perth Y AH Ngamang Bawoona Hostel RH Ngatti House, Fremantle PR Ngulla Mia Hostel PR Ngurra Karnpi Nursing Home for Aboriginals NH Nickol Bay Hospital Y AH Nonareena Nursing Home NH Norseman Hospital Y AH North Midlands Hospital Y AH North Midlands Residential Aged Care Y NH Northam Hospital Y AH Northam Permanent Care Unit NH 2 2 MOS

215 Est Code Establishment Name Report to HMDS? Est Type SORL 425 Northampton Hospital Y AH Northampton Residential Aged Care Y NH Northcliffe Nursing Post NP Nullagine Community Health Service NP Numbala Nunga Nursing Home NH Ocean Star Aged Care Hostel RH Ocean Star Nursing Home, Bunbury NH Olive Laird Memorial Hostel (Aged Care) RH Onslow Hospital Y AH Oral Health Centre of WA DS Orange Grove Aged Care NH Orelia Care Awaiting Placement OH Osboine Contemporary Aged Care NH Osborne Park Clinic (MHS) PO Osborne Park Hospital Y AH Osborne Park Lodge (MHS) PU Overton Hostel, Mount Barker RH Own Home [Friend Or Other Family Home W/O Care] RC Own Home With Domiciliary Care RC Oxford Day Surgery and Dermatology Y DS Palm Lodge Hostel RH Palmerston Centre, Perth PR Palmerston Farm Hostel, Wellard PR Pam Corker House Hostel (Aged Care) RH Par Mur Nursing Home NH Paraburdoo Hospital Y AH Pardelup Prison Farm PI Park Villa Hostel (Aboriginals) OH Parker House Hostel (Aged Care) RH Parkview Aged Care Facility NH Parry House Hostel (Aged Care) RH Peel Adult Psychiatry, Mandurah PO Peel Health Campus Y AH Pemberton Hospital Y AH Perth Clinic Y PH Perth Day Surgery Centre Y DS Perth Dermatology Clinic Y DS Perth Watch House PI Peter Arney Nursing Home NH Pilgrim House Hostel (Aged Care) RH Pindarra DIH PR Pines Aged Care Hostel, The RH Pines Aged Care Nursing Home, The NH 2 2 MOS

216 Est Code Establishment Name Report to HMDS? Est Type SORL 428 Pingelly Hospital Y AH Pioneer House Frail Aged Hostel RH Plantagenet Hospital Y AH Plantagenet Residential Aged Care Y NH Port Hedland Community Mental Health PO Princess Margaret Hospital For Children Y AH Principal Armadale Nursing Centre NH Psychiatric Emergency Team PO Quadriplegic Centre OH Quairading Hospital Y AH Quairading Residential Aged Care Y NH Quamby Lodge Hostel (Aged Care) RH Rangeview Remand Centre PI Ravensthorpe Hospital Y AH Ray Lodge Hostel, Busselton RH Reclassified This Hospital RC Redcliffe Hostel (Aged Care) RH Referred by [or to] Other Hospital In Australia RC Referred by/to Other Hospital in Another Country RC Referred By/To Police/Law Enforcement RC Regents Garden Aubin Grove NH Regents Garden Bateman NH Regents Garden Four Seasons Booragoon NH Regents Garden Lake Joondalup NH Regis Como House Aged Care NH Regis Cypress Gardens Aged Care NH Regis Elloura Lodge Aged Care RH Regis Forrest Gardens Aged Care NH Regis Hillcrest Hostel RH Regis Park Lodge Aged Care NH Regis Weston Lodge Aged Care RH Richard Cleaver Lodge NH Richmond Fellowship Westminster OH Richmond Fellowship Queens Park OH Ritcher Lodge Hostel (Aged Care) RH Riverbank Prison PI RiverSea Hostel (Aged Care) RH Riverslea Lodge Hostel RH Rockingham Dialysis Clinic Y DS Rockingham General Hospital Y AH Rockingham Nursing Home NH Rockingham/Kwinana Community Psych Service PO Rocky Bay Village OH 3 4 MOS

217 Est Code Establishment Name Report to HMDS? Est Type SORL 243 Roebourne Hospital Y AH Roebourne Regional Prison PI Romily House (CASP) PR Rosedale Lodge (CASP) PR Rosella House (Drug and Alcohol Rehab Centre) PR Rosewood Care Leederville (Aged Care) RH Rosewood Care West Perth (Aged Care) RH Rottnest Island Nursing Post NP Rowethorpe Care Awaiting Placement OH Royal Darwin Hospital Y AH Royal Perth Hospital Y AH Royal Perth Hospital Shenton Park Campus Y AR RSL War Veterans Homes Hostel, Geraldton RH RSL War Veterans Homes Hostel, Mandurah RH RSL War Veterans Homes Hostel, Menora RH Ruth Downer House (CASP) PR Sacred Heart Convent Hostel (Aged Care) RH Salisbury House (CASP) PR San Marcelle Nursing Home NH Sandstone Nursing Post NP Sandstrom Nursing Home NH Santralla Nursing Home NH Sarah Hardey House Hostel, Kelmscott RH Seaforth Gardens Senior Citizens Residence Hostel RH Second Avenue Hostel RH Second Avenue Nursing Home NH Selby Authorised Lodge (MHS) Y PH Sentiens Clinic PH Serenity Lodge PR Servite Villa Hostel (Aged Care) RH Shawford Lodge Hostel RH Shenton Child and Adolescent Centre PO Shepperton House (CASP) PR Shoalwater Aged Care Hostel RH Shoalwater Nursing Home NH Silver Chain Hospital at Home Y AH Silver Chain Shark Bay NP Sir Charles Gairdner Hospital Y AH Sir David Brand Centre PR Skye Nursing Home NH Slow Learning Childrens Group - Res Unit PR Somerset House Frail Aged Hostel Y RH South Metro Child and Adolescent MHS PO 7 9 MOS

218 Est Code Establishment Name Report to HMDS? Est Type SORL 677 South Perth Endoscopy Y DS South Perth Hospital Y AH Southbank Clinic Y D Southern Cross Hospital Y AH Southern Cross Residential Aged Care Y NH Southern Respite Service, Beeliar OH Spearwood Dialysis Clinic Y DS Spencer Hostel, Yokine OH Springhaven Frail Aged Lodge Hostel RH St Andrew's Residential Care Nursing Home NH St Bartholomew's House Cannington OH St Bartholomew's House East Perth OH St Bartholomew's House Medina OH St Bartholomew's House Midland OH St Basil's Nursing Home NH St Catherine's Nursing Home NH St David's Hostel (Aged Care) RH St Florence Nursing Home NH St Francis Aged Care, Fremantle NH St Francis Hostel, Gwelup RH St George's Nursing Home, Bayswater NH St Ives Melville Hostel RH St Ives Murdoch Aged Care RH St James Aged Care NH St John of God Health Care Bunbury Y AH St John of God Health Care Geraldton Y AH St John of God Health Care Mt Lawley (was Mercy) Y AH St John of God Health Care Murdoch Y AH St John of God Health Care Subiaco Y AH St John of God Hospital Busselton Y DS St Joseph's Nursing Home NH St Jude's Hostel (Aged Care) RH St Lucy's Aged Care Hostel RH St Lucy's Aged Care Nursing Home NH St Luke's Nursing Home NH St Michael's Residential Care NH St Paul's Nursing Home NH St Rita's Nursing Home NH St Vincent's Hostel, Guildford (Aged Care) RH St Vincent's Nursing Home, Guildford NH Stan Reilly Lodge Hostel RH State Forensic Mental Health Service Y PH Stirling Aged Care, Yokine NH 2 2 MOS

219 Est Code Establishment Name Report to HMDS? Est Type SORL 656 Stirling Dialysis Clinic Y DS Stirling Naval Base Hospital AH Stranaer Nursing Home NH Subiaco Lodge OH Subiaco Private Hospital Y AH Success House Respite Centre OH Sundowner Hostel (Aged Care) RH Sunflower Care Services OH Sunshine Park Hostel (Aged Care) RH Supreme Court Detention Centre PI Swan Adult Mental Health Centre PO Swan Child and Adolescent MHS PO Swan District Hospital Y AH Swan Valley Centre PU Tambellup Nursing Post NP Tanby Hall Hostel (Aged Care) RH Tanderra Hostel OH Teen Challenge Grace Academy PR Telfer Nursing Post NP The Women's Clinic, Balcatta Y DS Thomas Scott Hostel (Aged Care) RH Tom Burke Hostel RH Tom Price Community Mental Health PO Tom Price Hospital Y AH Tranby Aged Care Facility RH Trilby Cooper Hostel (Aboriginals) OH Trinity Lodge [Rowethorpe] Hostel (Aged Care) RH Trinity Village Hostel, Duncraig RH Tuart Lodge Nursing Home NH Tuia Lodge RH Tula Lodge Hostel RH Tuohy Memorial Nursing Home NH Two Pines Nursing Home NH Unlisted Other Health Care Accommodation RC Unlisted Residential Aged Care Service RC Ursula Frayne Unit, Mercy Hospital PU UWA Podiatric Surgery Centre Y DS Valencia Nursing Home NH ValleyView Residence (Aged Care) NH Varley Nursing Post NP Vasse Leeuwin Community Mental Health PO Victoria Nursing Home NH Victoria Park Hostel, Kalgoorlie RH 2 2 MOS

220 Est Code Establishment Name Report to HMDS? Est Type SORL 818 Victoria Park NH, Kalgoorlie (Non-Aboriginals) NH Villa Dalmacia Aged Care NH Villa Maria Hostel, Lesmurdie (Aged Care) RH Villa Pelletier Hostel (Aged Care) RH Villa Terenzio Hostel (Aged Care) RH Vincentian House Hostel OH Violet Major Lodge (CASP) PR Vivian Bullwinkel Lodge RH Wagin Hospital Y AH Waikiki Private Hospital Y AH Walcott Street Surgical Centre Y DS Wallambin Lodge Hostel (Aged Care) RH Walridge Lodge Hostel (Aged Care) RH Walumba Hostel, Warmun Community [Turkey Creek] RH Waminda Bail Hostel PI Waminda Hostel, Bentley (Aged Care) RH Wanarn Nursing Home NH Wandoo Reintegration Facility PI Wanneroo Community Nursing Home NH Waratah Lodge Hostel (Aged Care) RH Warburton Dialysis Room Y DS Ward G Albany Regional Hospital PU Warren Blackwood Community Mental Health PO Warren Hospital Y AH Warwick Child and Adolescent MHS PO WASA Cares, Bunbury OH Wattle Hill Lodge Hostel (Aged Care) RH Wearne - A Hostel for the Aged, Cottesloe RH Wearne House Hostel, Mandurah RH Wearne House Nursing Home, Mandurah NH Wellington Community Mental Health PO West Coast Endoscopy Centre Y DS West Kimberley Regional Prison PI West Wheatbelt Community Mental Health PO WestCare Accommodation OH Westminster Day Surgery Y D White Oak Respite Care, Jandabup OH Wickepin Nursing Post NP Wickham Health Centre NP William Carey Court Hostel (Aged Care) RH William Carey Court Nursing Home NH Williams Nursing Post NP Wiluna Nursing Post NP 7 9 MOS

221 Est Code Establishment Name Report to HMDS? Est Type SORL 788 Windsor Park Aged Care Nursing Home NH Wittenoom Nursing Post NP Wogerlin House Hostel (Aged Care) RH Wongan Hills Hospital Y AH Wongan Hills Residential Aged Care Y NH Woodlake Aged Care, Kingsley NH Woodstock Nursing Home NH Woodvale Private Hospital for Women Y D Woodville House (CASP) RH Wooroloo Prison Farm PI Wyalkatchem Residential Aged Care Y NH Wyalkatchem-Koorda and Districts Hospital Y AH Wybalena Aged Persons Home Hostel RH Wyndham Hospital Y AH Yaandina Frail Aged Hostel RH Yalgoo Nursing Post NP Yallambee Hostel (Aged Care) RH Yongah Hill Immigration Detention Centre DT York Hospital Y AH York Pioneer Memorial Lodge Hostel (Aged Care) RH York Residential Aged Care Y NH Youth Therapy Service (MHS) PO 7 9 MOS

222 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 AH AR D2 DS DT NH NP OH PA PH PI PO PR PU RC RH Description Acute Hospital Acute/Rehabilitation Hospital Day Surgery (23/24 Hr) Day Surgery (Other) Detention Centre Nursing Home Nursing Post Other Health Care Accommodation Palliative Care Hospital Psychiatric Hospital Prison Psychiatric Outpatient Psychiatric Residential Psychiatric Unit in an Acute Hospital Referral Code 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

223 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 ACRAH AHL BBA CAMHS CASP CCN CPD CTO DIH ECG ECT EEG HMDS KEMH MH MHIS MHS NH PARK Description Association for Care and Rehabilitation of Alcoholics, Drug Addicts and Homeless Aboriginal Hostel Limited Born Before Admission Child and Adolescent Mental Health Service Community Accommodation Support Program Community Care Nursing Community Psychiatric Division Community Treatment Order Division of Intellectually Handicapped Electrocardiogram Electroconvulsive Therapy Electroencephalogram Hospital Morbidity Data System King Edward Memorial Hospital Mental Health Mental Health Information System Mental Health Service Nursing Home Peel And Rockingham/Kwinana health service

224 Acronym PMH PSOLIS RACS RPH SARC SCGH SW TOPAS WCHS WERU Description Princess Margaret Hospital (for Children) Psychiatric Services Online Information System Residential Aged Care Service Royal Perth Hospital Sexual Assault Resource Centre Sir Charles Gairdner Hospital Social Work The Open Patient Administration System Women s and Children s Health Service WE Robinson Unit Current Establishment List (as at 30/06/2014) Est Code Establishment Name Report to HMDS? Est Type SORL MOS 1 Swan Child and Adolescent MHS PO Families at Work, Bentley PR Tanby Hall Hostel (Aged Care) RH McDougall Park Nursing Home NH Bridge House Hostel (Alcohol/Drug Rehab) PR Catherine McAuley Family Centre Nursing Home NH Hawthorn Hospital Nursing Home NH Jacaranda Lodge Hostel (Aged Care) RH Villa Terenzio Hostel (Aged Care) RH Tanderra Hostel OH Narrogin Community Mental Health PO Hampton Road Service (MHS) PR Joondalup South Mental Health PO Violet Major Lodge (CASP) PR Bentley Older Adult Mental Health Service PU Meekatharra Adult Community Mental Health PO Kununurra Adult Community Mental Health PO Villa Dalmacia Aged Care NH Alma Street Centre (MHS) PU Mills Street Centre (MHS) PU Newman District Community Mental Health PO Marangaroo Nursing Home NH Wearne House Nursing Home, Mandurah NH Moline House Hostel (Aged Care) RH Alex Miles Frail Aged Lodge Hostel RH Annie Bryson McKeown Lodge Hostel (Aged Care) RH Archbishop Goody Hostel (Aged Care) RH Barridale Lodge Hostel (Aged Care) RH Bedingfeld Lodge Hostel (Aged Care) RH 2 2

225 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 59 Ritcher Lodge Hostel (Aged Care) RH Berringa Frail Aged Lodge Hostel RH Bert England Lodge Hostel (Aged Care) RH Bethavon Hostel (Aged Care) RH Bethel Village Hostel (Aged Care) RH Dominican Residential Care Centre Hostel RH Bethshan Lodge Hostel (Aged Care) RH Albany Milgrey House (CASP) PR Kingston House (CASP) PR Shepperton House (CASP) PR Boyup Brook Citizens Lodge Hostel (Aged Care) RH Braemar Lodge Hostel, Bicton (Aged Care) RH Braemar Village Hostel, Willagee (Aged Care) RH St Lucy's Aged Care Hostel RH Jansen House (CASP) PR Kalkarni Residency Hostel RH Brookview Hostel (Aged Care) RH Carnarvon Adult Community Mental Health PO Canning Lodge Hostel (Aged Care) RH Carinaville Hostel (Aged Care) RH Carinya Village Hostel, Mt Lawley (Aged Care) RH Carl And Sadie Cohen Hostel (Aged Care) RH Carramar Hostel (Aged Care) RH Catherine McAuley Family Centre Hostel (Aged Care) RH Psychiatric Emergency Team PO Albany Adult Community Mental Health PO Royal Perth Hospital Shenton Park Campus Y AR Royal Perth Hospital Y AH Fremantle Hospital Y AH Princess Margaret Hospital For Children Y AH King Edward Memorial Hospital For Women Y AH Sir Charles Gairdner Hospital Y AH Fiona Stanley Hospital Y AH Oral Health Centre of WA DS Fitzroy Crossing Hospital Y AH Halls Creek Hospital Y AH Kaleeya Hospital Y AH Hedland Health Campus Y AH State Forensic Mental Health Service Y PH Boronia Inpatient Unit (MHS) PU Bunbury Acute Psychiatric Residential Unit PU Selby Authorised Lodge (MHS) Y PH Ward G Albany Regional Hospital PU 4 1

226 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 161 Honey Brook Lodge PR Tom Price Community Mental Health PO Joondalup Health Campus Mental Health PU Kalgoorlie Boulder Community MH Adult PO South Metro Child and Adolescent MHS PO Brightwater Huntingdale Hostel RH Ida Mann Hostel (Aged Care) RH Bethanie Illawong Hostel RH Italian Village Hostel, White Gum Valley (Aged Care) RH Iveson Hostel (Aged Care) RH James Watson Hostel (Aged Care) RH JE Murray Home Hostel (Aged Care) RH Myvista Ethnic Aged Care RH Bethanie Edinboro House Hostel RH Bethanie Osborne House Hostel RH Hocart Lodge Hostel (Aged Care) RH Karinya Frail Aged Lodge Hostel RH Sundowner Hostel (Aged Care) RH Bethanie Kingsley Lodge Hostel RH Kondinin/Kulin Aged Care Hostel RH Koolberrin Lodge Hostel (Aged Care) RH Lady Brand Lodge For Frail Aged Hostel RH Rosewood Care Leederville (Aged Care) RH Leeuwin Frail Aged Lodge Hostel RH Lefroy Hostel (Aged Care) RH Lovegrove Lodge Hostel (Aged Care) RH Lyneham Hostel (Aged Care) RH Manoah House Hostel (Aged Care) RH Marist Lodge Hostel (Aged Care) RH Marlgu Village Hostel (Aged Care) RH Meath House Hostel, Trigg (Aged Care) RH Memorial House Hostel, Bruce Rock (Aged Care) RH Meath Care Hostel, Como RH Mercyville Hostel (Aged Care) RH Albany Hospital Y AH Armadale/Kelmscott District Memorial Hospital Y AH Augusta Hospital Y AH Broome Hospital Y AH Bunbury Hospital Y AH Busselton Hospital Y AH Carnarvon Hospital Y AH Collie Hospital Y AH Denmark Hospital Y AH 4 1

227 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 215 Derby Hospital Y AH Esperance Hospital Y AH Exmouth Hospital Y AH Geraldton Hospital Y AH Kalgoorlie Hospital Y AH Katanning Hospital Y AH Lake Grace Hospital Y AH Marble Bar Nursing Post NP Margaret River Hospital Y AH Meekatharra Hospital Y AH Merredin Hospital Y AH Narrogin Hospital Y AH Northam Hospital Y AH Onslow Hospital Y AH Osborne Park Hospital Y AH Roebourne Hospital Y AH Swan District Hospital Y AH Wagin Hospital Y AH Wittenoom Nursing Post NP Wyndham Hospital Y AH York Hospital Y AH Bentley Hospital Y AH Tom Price Hospital Y AH Kununurra Hospital Y AH Newman Hospital Y AH Northam Permanent Care Unit NH Wickham Health Centre NP Paraburdoo Hospital Y AH Donnybrook Hospital Y AH Laverton Hospital Y AH Leonora Hospital Y AH Wiluna Nursing Post NP Mount Magnet Nursing Post NP Mount Henry Nursing Home NH Rockingham General Hospital Y AH Stirling Naval Base Hospital AH Moonya Lodge Hostel (Aged Care) RH Morawa Lodge Hostel (Aged Care) RH Murchison Hostel (Aged Care) RH Murlali Lodge Hostel OH Ocean Star Aged Care Hostel RH Olive Laird Memorial Hostel (Aged Care) RH Pam Corker House Hostel (Aged Care) RH Parker House Hostel (Aged Care) RH 2 2

228 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 299 Pilgrim House Hostel (Aged Care) RH Geraldton Adult Community MH PO Challenger Lodge Hostel (Aged Care) RH Stan Reilly Lodge Hostel RH Brightwater The Oaks Aged Care Nursing Home NH St Jude's Hostel (Aged Care) RH Kinross Care Centre Hostel RH Chrystal Halliday Homes Hostel (Aged Care) RH Aitken House (CASP) PR Anzac Terrace (CASP) PR Joseph Cooke House RH Amaroo Village McMahon Caring Centre Nursing Home NH Avon Valley Residency Nursing Home NH Burswood Nursing Home NH St James Aged Care NH David, Gita and Michael Hoffman Nursing Home NH Dean Lodge Nursing Home NH Foley Village Nursing Home NH Carl Streich Rehab and Aged Care Unit NH Second Avenue Nursing Home NH Regis Park Lodge Aged Care NH Thomas Scott Hostel (Aged Care) RH Brightwater Edgewater Aged Care Hostel RH Lodge Hostel, The (Aged Care) RH Italian Aged Care Nursing Home, Marangaroo NH Brightwater Kingsley Aged Care Nursing Home NH Banksia Park Aged Care NH Lady McCusker Home/Nursing Home NH Lakeside Aged Care Nursing Home NH Murray River Nursing Home NH Sandstrom Nursing Home NH Dwellingup Nursing Post NP Northcliffe Nursing Post NP Kambalda Nursing Post NP Menzies Nursing Post NP Telfer Nursing Post NP Mukinbudin Nursing Post NP Kukerin Nursing Post NP Cue Nursing Post NP Sandstone Nursing Post NP Yalgoo Nursing Post NP Bush Nursing Posts Silver Chain NP Collier Park Hostel (Aged Care) RH 2 2

229 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 367 Rottnest Island Nursing Post NP Coolibah Aged Care Facility RH Cygnet Lodge Hostel [Rowethorpe] (Aged Care) RH Denmark Lodge Hostel (Aged Care) RH Kabayji Booroo Hostel OH Dorothy Genders Village Hostel (Aged Care) RH Dryandra Frail Aged Hostel RH Edgewater Mercy Hostel (Aged Care) RH Bethanie Elanora Villas Hostel RH Elimatta Lodge Hostel (Aged Care) RH Elizabeth Hanson Autumn Centre Hostel (Aboriginals) RH Regis Elloura Lodge Aged Care RH Fairhaven Hostel (Aged Care) RH Rosewood Care West Perth (Aged Care) RH Foley Village Hostel (Aged Care) RH Geegeelup Village Hostel (Aged Care) RH Bethanie Geneff Hostel RH RSL War Veterans Homes Hostel, Geraldton RH Germanus Kent Hostel (Aged Care) RH Glendalough Hostel (Aged Care) RH Glover House Hostel (Aged Care) RH Gordon Lodge Hostel (Aged Care) RH Gracehaven Hostel (Aged Care) RH Gracewood Aged Care NH Grevillea Hostel (Aged Care) RH Guildford Village Hostel (Aged Care) RH Guwardi Ngadu Hostel (Aged Care) RH Gwen Hardie Lodge Hostel (Aged Care) RH Hale House Hostel (Aged Care) RH Halls Creek People's Church Hostel (Aged Care) RH Hillcrest Lodge Hostel, Geraldton (Aged Care) RH Regis Hillcrest Hostel RH Howard Solomon Hostel (Aged Care) RH Beverley Hospital Y AH Boddington Hospital Y AH Bruce Rock Memorial Hospital Y AH Corrigin Hospital Y AH Cunderdin Hospital Y AH Dalwallinu Hospital Y AH Dumbleyung Memorial Hospital Y AH Kellerberrin Memorial Hospital Y AH Gnowangerup Hospital Y AH Goomalling Hospital Y AH 4 1

230 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 412 Harvey Hospital Y AH Kondinin Hospital Y AH Kununoppin Hospital Y AH Moora Hospital Y AH Morawa Hospital Y AH Mullewa Hospital Y AH Murray Hospital Y AH Nannup Hospital Y AH Narembeen Memorial Hospital Y AH Norseman Hospital Y AH Northampton Hospital Y AH North Midlands Hospital Y AH Pemberton Hospital Y AH Pingelly Hospital Y AH Plantagenet Hospital Y AH Ravensthorpe Hospital Y AH Southern Cross Hospital Y AH Boyup Brook Soldiers Memorial Hospital Y AH Warren Hospital Y AH Wickepin Nursing Post NP Williams Nursing Post NP Wongan Hills Hospital Y AH Wyalkatchem-Koorda and Districts Hospital Y AH Jerramungup Nursing Post NP Tambellup Nursing Post NP Bridgetown Hospital Y AH Kojonup Hospital Y AH Quairading Hospital Y AH Alfred Carson Lodge Nursing Home NH Brightwater The Village Nursing Home NH Brightwater Onslow Gardens Nursing Home NH James T Pollard Hospital Nursing Home NH Lady Lawley Cottage Nursing Home NH Lucy Creeth Nursing Home NH Quadriplegic Centre OH Kalamunda District Community Hospital Y AH Next Step Drug and Alcohol Services, East Perth Y AH Nickol Bay Hospital Y AH Brightwater Joondalup Hostel (Aged Care) RH Brightwater South Lake Care Facility (Aged Care) RH Brightwater Kingsley Hostel (Aged Care) RH Brightwater Marangaroo Hostel NH Brightwater Redcliffe Hostel RH Brightwater Jurien Bay Hostel RH 2 2

231 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 470 Brightwater Birralee Innaloo Nursing Home NH Ian Roberts Lodge NH St Andrew's Residential Care Nursing Home NH St Ives Melville Hostel RH Kalbarri Health Centre Y AH Dongara Multi-Purpose Health Centre Y AH Wellington Community Mental Health PO Youth Therapy Service (MHS) PO Pioneer House Frail Aged Hostel RH Quamby Lodge Hostel (Aged Care) RH Ray Lodge Hostel, Busselton RH Esperance Aged Care Hostel RH Redcliffe Hostel (Aged Care) RH RiverSea Hostel (Aged Care) RH RSL War Veterans Homes Hostel, Menora RH Sacred Heart Convent Hostel (Aged Care) RH Seaforth Gardens Senior Citizens Residence Hostel RH Servite Villa Hostel (Aged Care) RH Lincoln Park Aged Care RH Sunshine Park Hostel (Aged Care) RH Springhaven Frail Aged Lodge Hostel RH St David's Hostel (Aged Care) RH St Vincent's Hostel, Guildford (Aged Care) RH Brightwater Oats Street Nursing Home NH Dudley House (CASP) PR Maudie Armstrong Lodge (CASP) PR Casson House (CASP) RH Glyde Street Hostel (CASP) PR Hillview Hostel (CASP) PR Rosedale Lodge (CASP) PR Gildercliffe Lodge (CASP) PR Romily House (CASP) PR Ruth Downer House (CASP) PR Salisbury House (CASP) PR John Wilson Lodge (CASP) PR Woodville House (CASP) RH McGilvray Board House PR Warwick Child and Adolescent MHS PO Bennet Brook Hostel DIH PR Rockingham/Kwinana Community Psych Service PO Delta House (CASP) PR James Street Centre PR Bunbury DIH PR Bentley Family Clinic PO 7 9

232 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 556 Carramar DIH PR Pindarra DIH PR Myoora DIH PR DIH Group Homes PR Trilby Cooper Hostel (Aboriginals) OH Park Villa Hostel (Aboriginals) OH Referred By/To Police/Law Enforcement RC City Community MHS PO Peel Adult Psychiatry, Mandurah PO Katanning Adult Community Mental Health PO Commonwealth Rehabilitation Units PR Warren Blackwood Community Mental Health PO Osborne Park Clinic (MHS) PO Vasse Leeuwin Community Mental Health PO Fitzroy Crossing Dialysis Unit Y DS Bethesda Hospital Y AH Mount Lawley Private Hospital Y AH Mount Hospital Y AH St John of God Health Care Bunbury Y AH St John of God Health Care Geraldton Y AH St John of God Health Care Subiaco Y AH South Perth Hospital Y AH Attadale Hospital Y AH Abbotsford Private Hospital Y PH St John of God Health Care Mt Lawley (was Mercy) Y AH Glengarry Hospital Y AH Concept Fertility Centre Y DS Waikiki Private Hospital Y AH St John of God Health Care Murdoch Y AH Hollywood Private Hospital Y AH Joondalup Health Campus Y AH Perth Clinic Y PH Midland Dialysis Centre Y DS Peel Health Campus Y AH Indian Ocean Territories Health Service Y AH Kimberley Satellite Dialysis Centre Y DS Kings Park Day Hospital Y DS Silver Chain Hospital at Home Y AH Marian Centre Y PH Cannington Dialysis Clinic Y DS Fresenius Medical Care, Warwick Y DS Stirling Dialysis Clinic Y DS Fresenius Medical Care, Coolbellup Y DS Rockingham Dialysis Clinic Y DS 4 1

233 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 659 Spearwood Dialysis Clinic Y DS Martu Renal Dialysis Centre Jigalong Y DS Subiaco Private Hospital Y AH Bunbury Day Surgery Y DS Churchill Day Surgery Y DS UWA Podiatric Surgery Centre Y DS Walcott Street Surgical Centre Y DS Oxford Day Surgery and Dermatology Y DS Nanyara Medical Group Y DS St John of God Hospital Busselton Y DS Cambridge Day Surgery Y DS West Coast Endoscopy Centre Y DS Absolute Cosmetic at Image 21 Y DS Academy Day Hospital Y DS Sentiens Clinic PH The Women's Clinic, Balcatta Y DS South Perth Endoscopy Y DS Perth Day Surgery Centre Y DS Murdoch Surgicentre Y D McCourt Street Day Surgery Y DS Lions Eye Institute Day Surgery Y DS Albany Community Hospice Y PA Westminster Day Surgery Y D Southbank Clinic Y D Colin Street Day Surgery Y DS Eye Surgery Foundation Y DS Marie Stopes Midland Y DS Woodvale Private Hospital for Women Y D GI Clinic Y DS Numbala Nunga Nursing Home NH Agmaroy Nursing Home NH Anne Marie Nursing Home NH Annesley And Annexe, Nursing Home NH Braemar House Nursing Home, East Fremantle NH St Lucy's Aged Care Nursing Home NH Brentwood Nursing Home NH Cabrini Lodge Nursing Home NH Marshall Park Nursing Home NH Annesley Residential Care Facility NH Collville Nursing Home NH Corlei Nursing Home NH Deloraine Nursing Home NH Embleton Care Nursing Home NH York Pioneer Memorial Lodge Hostel (Aged Care) RH 2 2

234 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 727 Glendalough Nursing Home NH Yallambee Hostel (Aged Care) RH Hadassah Nursing Home NH Hamersley Nursing Home NH Rocky Bay Village OH Christos Nursing Home NH Hilltop Lodge Hostel RH Jalon Nursing Home NH Nazareth House Geraldton NH Killara Nursing Home NH Leighton Nursing Home NH Freshwater Bay Nursing Home NH John Bryant House Hostel RH Montrose Nursing Home NH Maurice Zeffert Nursing Home NH Mt St Emilies Hostel RH Mt Lawley Nursing Home NH Morrison Lodge Hostel (Aged Care) RH Esperance Aged Care Nursing Home NH Karlarra House Aged Care Y NH Nonareena Nursing Home NH Glengarry Nursing Home NH Gracehaven Nursing Home NH Parry House Hostel (Aged Care) RH Rockingham Nursing Home NH San Marcelle Nursing Home NH St Catherine's Nursing Home NH St Florence Nursing Home NH Bethanie Warwick Hostel RH Wattle Hill Lodge Hostel (Aged Care) RH St Luke's Nursing Home NH St Paul's Nursing Home NH St Rita's Nursing Home NH Ocean Star Nursing Home, Bunbury NH St Vincent's Nursing Home, Guildford NH Wearne - A Hostel for the Aged, Cottesloe RH Regis Weston Lodge Aged Care RH Regents Garden Bateman NH Amaroo Village Buckley Caring Centre Hostel RH William Carey Court Hostel (Aged Care) RH Skye Nursing Home NH Stranaer Nursing Home NH Tuohy Memorial Nursing Home NH Two Pines Nursing Home NH 2 2

235 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 780 Regis Cypress Gardens Aged Care NH Wogerlin House Hostel (Aged Care) RH Victoria Nursing Home NH Woodstock Nursing Home NH Wybalena Aged Persons Home Hostel RH Par Mur Nursing Home NH Carinya of Bicton Nursing Home NH Carinya Village Nursing Home, Mt Lawley NH Windsor Park Aged Care Nursing Home NH Yaandina Frail Aged Hostel RH Wearne House Hostel, Mandurah RH Santralla Nursing Home NH Kingia/Tandara High Care Facility NH St Joseph's Nursing Home NH Mosman Park Nursing Home NH Waminda Hostel, Bentley (Aged Care) RH RSL War Veterans Homes Hostel, Mandurah RH Principal Armadale Nursing Centre NH Adventist Residential Care, Rossmoyne NH Bethanie Elanora Villas Nursing Home NH James Brown House Hostel (Aged Care) RH Belmont Community Nursing Home NH Kensington Park Nursing Home NH Shoalwater Nursing Home NH Craigcare Maylands Aged Care NH Bassendean Nursing Home NH Valencia Nursing Home NH Lathlain Nursing Home NH Koh-I-Noor Nursing Home NH Regis Como House Aged Care NH Waratah Lodge Hostel (Aged Care) RH Victoria Park NH, Kalgoorlie (Non-Aboriginals) NH Melville Aged Care NH Carrington Aged Care Nursing Home NH Kimberley Nursing Home NH Midland Nursing Home NH Balmoral Aged Care NH East Victoria Park Restorative Nursing Home NH Applecross Nursing Home NH Concorde Nursing Home NH Ngurra Karnpi Nursing Home for Aboriginals NH Melvista Lodge Nursing Home NH Chrystal Halliday Nursing Home NH Bunbury Gardens Nursing Centre NH 2 2

236 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 835 Howard Solomon Nursing Home NH Narrogin Nursing Home NH Mandurah Care Facility NH Craigcare Albany Aged Care NH Cunningham Nursing Home NH Geraldton Nursing Home NH Bethanie Warwick Nursing Home NH Sir David Brand Centre PR Bunbury Outpatient Clinic (MHS) PO Coolgardie Health Centre NP Wanneroo Community Nursing Home NH Karratha Community Mental Health PO St Michael's Residential Care NH St George's Nursing Home, Bayswater NH Moonya Lodge Nursing Home NH Franciscan Lodge (CASP Hostel) PR Osborne Park Lodge (MHS) PU Devenish Lodge (CASP Hostel) PR Karri Lodge Hostel RH Duncraig Village Hostel (Aged Care) RH Gleddon Hostel, Bull Creek OH Graceford Hostel (Aged Care) RH Dept. for Community Development - Residential Unit OH Intellectual Handicapped Voluntary Org - Res Unit PR Slow Learning Childrens Group - Res Unit PR Walridge Lodge Hostel (Aged Care) RH Earlsferry Hostel (MHS) PR Fairholme Hostel (MHS) PR Spencer Hostel, Yokine OH Lawton Hostel DIH PR Own Home [Friend Or Other Family Home W/O Care] RC Own Home With Domiciliary Care RC Death RC Death While On Leave RC Edward Collick Hostel RH Derby Community Mental Health PO Broome Community Mental Health PO Graylands Hospital (MHS) Y PH Bentley Adolescent Inpatient Unit PU Alma Street Adult Outpatients (MHS) PO Trinity Lodge [Rowethorpe] Hostel (Aged Care) RH Reclassified This Hospital RC Shenton Child and Adolescent Centre PO 7 9

237 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 947 Mills Street Outpatients (MHS) PO Port Hedland Community Mental Health PO Trinity Village Hostel, Duncraig RH Tula Lodge Hostel RH Mead Centre (MHS) PO Swan Adult Mental Health Centre PO Lilacdale Hostel, Innaloo OH Victoria Park Hostel, Kalgoorlie RH Disability Services Commission RC Hellenic Community Aged Care Hostel RH Belmont Hostel DIH PR Croydon Hostel DIH PR Villa Maria Hostel, Lesmurdie (Aged Care) RH Milford Hostel PR Kentucky Hostel PR Dorset Hostel PR Bradford Hostel PR Villa Pelletier Hostel (Aged Care) RH Wallambin Lodge Hostel (Aged Care) RH Epsom Hostel (Aged Care) RH Morriston Hostel (Aged Care) PR Referred by [or to] Other Hospital In Australia RC Referred by/to Other Hospital in Another Country RC Brighton Hostel DIH PR Funding Hospital RC Agnes Walsh House Hostel, KEMH OH Jeremiah Donovan House RH Palm Lodge Hostel RH St Francis Hostel, Gwelup RH Esperance Community Mental Health PO Albany Regional Prison PI Bandyup Women's Prison PI Banksia Hill Detention Centre PI Broome Regional Prison PI Bunbury Regional Prison PI Hakea Prison PI Casuarina Prison PI Eastern Goldfields Regional Prison PI Perth Watch House PI Greenough Regional Prison PI Immigration Department Perth DT Immigration Department Perth Airport DT Karnet Prison Farm PI Pardelup Prison Farm PI 6 9

238 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 2117 Rangeview Remand Centre PI Immigration Detention Centre DT Riverbank Prison PI Roebourne Regional Prison PI Supreme Court Detention Centre PI Wooroloo Prison Farm PI Waminda Bail Hostel PI ACRAH, Mt Lawley PR Kelmscott Child and Adolescent MHS PO West Wheatbelt Community Mental Health PO Harvey Yarloop Community Mental Health PO Swan Valley Centre PU Armadale MH for Older People Authorised PU Armadale Adult Acute MH Unit PU Acacia Prison PI Joondalup North Mental Health PO Community Forensic Mental Health PO Kalgoorlie Adult Acute MH Unit PU Ursula Frayne Unit, Mercy Hospital PU West Kimberley Regional Prison PI Boronia Pre-release Centre for Women PI Curtin Immigration Detention Centre DT Leonora Alternative Place of Detention DT Yongah Hill Immigration Detention Centre DT Ngulla Mia Hostel PR Ngatti House, Fremantle PR Christmas Island Immigration Detention Centre DT BP Luxury Care, Maddington PR Wandoo Reintegration Facility PI Hawthorn House PR Tom Burke Hostel RH Walumba Hostel, Warmun Community [Turkey Creek] RH Meekatharra Children's Hostel OH Richard Cleaver Lodge NH Mirtanya Maya Aged Care Hostel, Port Hedland RH Annie Melsom House Hostel RH Moora Frail Aged Lodge NH Banksia Lodge RH Gelorup Hostel PR Lentara Hostel OH Serenity Lodge PR Frederick Guest Hostel RH St Basil's Nursing Home NH 2 2

239 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 4019 Subiaco Lodge OH Tuia Lodge RH Vincentian House Hostel OH WestCare Accommodation OH Fraser House PR Bethanie Peel Lodge Hostel RH St Bartholomew's House East Perth OH Peter Arney Nursing Home NH Bedford Hostel PR Palmerston Centre, Perth PR Riverslea Lodge Hostel RH St Bartholomew's House Midland OH Castledare Retirement Village Nursing Home NH Acacia House Nursing Home NH Greenfields Aged Care Nursing Home, Mandurah NH St Bartholomew's House Medina OH Rosella House (Drug and Alcohol Rehab Centre) PR Coral Bay Nursing Post NP Coonana Health Centre NP Varley Nursing Post NP Cervantes Nursing Post NP Brightwater Young Disabled Service, Warnbro OH Palmerston Farm Hostel, Wellard PR Derbal Bidjar Hostel, Maylands OH Bassendean Lodge Hostel RH Ivanhoe Hostel (Aged Care) RH Carrington Lodge Hostel RH Grandview Aged Care Hostel RH Ella Williams House Nursing Home NH Ella Williams House Hostel RH Hilton Park Aged Care NH Brightwater Oxford Gardens Aged Care Nursing Home NH Crawford Lodge, Nedlands OH Jurien Bay Health Centre NP Biala Therapy and Rehabilitation Centre PR Margaret Hubery House Nursing Home NH Margaret Hubery House Hostel RH Allawah Grove Hostel (Aboriginals) OH Pines Aged Care Hostel, The RH Pines Aged Care Nursing Home, The NH Brightwater Ellison House Nursing Home NH Kelmscott River Gardens Aged Care Hostel RH Carinya on Bristol NH 2 2

240 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 4068 Compass House, Geraldton PR Regis Forrest Gardens Aged Care NH Somerset House Frail Aged Hostel Y RH Green Croft Gardens Respite Care OH Overton Hostel, Mount Barker RH Clarence Estate Residential Health & Aged Care NH NH Bremer Bay Health Centre NP Gough's Respite Care OH Sarah Hardey House Hostel, Kelmscott RH Frank Prendergast House Hostel RH Milliya Rumurra Alcohol and Drug Rehab Centre PR Lakeside Aged Care Hostel RH Second Avenue Hostel RH Ngamang Bawoona Hostel RH William Carey Court Nursing Home NH Shoalwater Aged Care Hostel RH McNamara Lodge Hostel RH Aegis Transitional Care OH Edward Collick Nursing Home NH WASA Cares, Bunbury OH Care 4 You, Bunbury OH Shawford Lodge Hostel RH Carnarvon Residential Aged Care Y NH St Bartholomew's House Cannington OH Kalkarni Residency Nursing Home NH Tuart Lodge Nursing Home NH Blake House, Dongara RH Unlisted Residential Aged Care Service RC Unlisted Other Health Care Accommodation RC Fern River Care Facility OH Margaret Doody Respite House OH Regents Garden Lake Joondalup NH Brightwater Balcatta Nursing Home NH Wanarn Nursing Home NH Brightwater Manning Nursing Home NH Kulin Health Centre NP Clare Respite House, Baldivis OH Casa Sant Angelo Respite, Bunbury OH Orange Grove Aged Care NH Brightwater Madeley Nursing Home NH Bethanie Fields Aged Care NH St Ives Murdoch Aged Care RH White Oak Respite Care, Jandabup OH Osboine Contemporary Aged Care NH 2 2

241 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 4116 David Buttfield Centre, Gwelup NH St Francis Aged Care, Fremantle NH Stirling Aged Care, Yokine NH Brightwater Maylands Care Facility NH Bethanie Waters Aged Care RH Kununurra Aged Care Facility Y NH Regents Garden Four Seasons Booragoon NH Brightwater The Cove Facility NH Leinster Community Health Service NP Joseph Banks Aged Care Facility NH Denmark Residential Aged Care Y NH Plantagenet Residential Aged Care Y NH Gnowangerup Residential Aged Care Y NH Katanning Residential Aged Care Y NH Kojonup Residential Aged Care Y NH Langton Dementia Unit, Mount Barker NH Morgan House, Three Springs NH Meekatharra Residential Aged Care Y NH Morawa Residential Aged Care Y NH Mullewa Residential Aged Care Y NH North Midlands Residential Aged Care Y NH Northampton Residential Aged Care Y NH Dongara Residential Aged Care Y NH Beverley Residential Aged Care Y NH Bruce Rock Residential Aged Care Y NH Corrigin Residential Aged Care Y NH Cunderdin Residential Aged Care Y NH Dalwallinu Residential Aged Care Y NH Dumbleyung Residential Aged Care Y NH Goomalling Residential Aged Care Y NH Kellerberrin Residential Aged Care Y NH Kondinin Residential Aged Care Y NH Kununoppin Residential Aged Care Y NH Lake Grace Residential Aged Care Y NH Merredin Residential Aged Care Y NH Moora Residential Aged Care Y NH Narembeen Residential Aged Care Y NH Quairading Residential Aged Care Y NH Southern Cross Residential Aged Care Y NH Wongan Hills Residential Aged Care Y NH Wyalkatchem Residential Aged Care Y NH York Residential Aged Care Y NH Augusta Residential Aged Care Y NH Boyup Brook Residential Aged Care Y NH 2 2

242 Est Code Establishment Name Report to HMDS? Est Type SORL MOS 4160 Collie Residential Aged Care Y NH Mirrambeena Aged Care NH Anchorage Aged Care NH City of Bayswater Hostel NH Lakeside Care Awaiting Placement OH Parkview Aged Care Facility NH Burringurrah Nursing Post NP Vivian Bullwinkel Lodge RH Nullagine Community Health Service NP Bethanie Beachside Aged Care NH Woodlake Aged Care, Kingsley NH Choice Adult Respite Day Care OH Kungara-Kalpa Aged Care Facility OH Orelia Care Awaiting Placement OH Broome Hostel (AHL) OH Dr Mary Surveyor Centre, Kingsley (Aged Care) NH Ascot Care Awaiting Placement OH Rowethorpe Care Awaiting Placement OH ValleyView Residence (Aged Care) NH Royal Darwin Hospital Y AH Tranby Aged Care Facility RH Milroy Lodge, Shenton Park OH Amberley Aged Care NH Hamilton Hill Respite House OH Cerebral Palsy Respite Centre, Bentley OH Success House Respite Centre OH Southern Respite Service, Beeliar OH Balladong Lodge Aged Care Facility NH Albany Community Care Respite Centre OH Hermitage Aged Care, Ellenbrook NH Cyrenian House (Drug and Alcohol Rehab Service) PR Teen Challenge Grace Academy PR Silver Chain Shark Bay NP Mont Clare Aged Care Facility NH Regents Garden Aubin Grove NH Berrington Subiaco Aged Care NH Sunflower Care Services OH Richmond Fellowship Westminster OH Richmond Fellowship Queens Park OH Derby Dialysis Unit Y DS Kununurra Dialysis Unit Y DS Warburton Dialysis Room Y DS Perth Dermatology Clinic Y DS 4 1

243 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

244 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

245 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

246 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

247 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

248 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

249 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

250 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

251 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

252 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

253 APPENDIX 2B: LANGUAGE (Numeric) Code Language Region Sub-Region 1101 Gaelic (Scotland) Northern Celtic 1102 Irish European 1103 Welsh 1199 Celtic, nec 1301 German German and 1302 Letzeburgish Related 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 1602 Finnish Related 1699 Finnish and Related Languages, nec 2101 French Southern French 2201 Greek European Greek 2301 Catalan Iberian Romance 2302 Portuguese 2303 Spanish 2399 Iberian Romance, nec 2401 Italian Italian 2501 Maltese Maltese 2901 Basque Other Southern 2902 Latin European 2999 Other Southern European Languages, nec 3101 Latvian Eastern Baltic 3102 Lithuanian European 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

254 Code Language Region Sub-Region 3603 Slovak Eastern West Slavic 3901 Albanian European Other Eastern 3903 Aromunian (Macedo-Romanian) European 3904 Romanian 3905 Romany 3999 Other Eastern European Languages, nec 4101 Kurdish Southwest 4102 Pashto 4104 Balochi 4105 Dari 4107 Hazaraghi 4106 Persian (excluding Dari) 4199 Iranic, nec and Central Asian Iranic 4202 Arabic Middle Eastern 4203 Assyrian Semitic 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 4902 Georgian and Central Asian 4999 Other Southwest and Central Asian Languages, nec 5101 Kannada Southern Dravidian 5102 Malayalam Asian 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

255 Code Language Region Sub-Region 5215 Kashmiri Southern Indo-Aryan 5216 Oriya Asian 5299 Indo-Aryan, nec 5999 Other Southern Asian Languages Other Southern Asian 6101 Burmese Southeast Burmese and 6102 Chin Haka Asian Related 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 6502 Cebuano Austronesian 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 Chinese 7102 Hakka Asian 7103 Hokkien 7104 Mandarin 7105 Teochew 7106 Wu 7199 Chinese, nec 7201 Japanese Japanese 7301 Korean Korean

256 Code Language Region Sub-Region 7901 Tibetan Eastern Other Eastern 7902 Mongolian Asian Asian 7999 Other Eastern Asian Languages, nec 8101 Anindilyakwa Australian Arnhem Land and 8102 Burarra Indigenous Daly River Region 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

257 Code Language Region Sub-Region 8221 Dhalwangu Australian Yolngu Matha 8222 Djarrwark Indigenous 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 8302 Guugu Yimidhirr Peninsula 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 8401 Kalaw Kawaw Ya/Kalaw Lagaw Ya Indigenous Torres Strait Island 8402 Meriam Mir 8403 Torres Strait Creole 8504 Bilinarra Northern Desert 8505 Gurindji Fringe Area 8506 Gurindji Kriol 8507 Jaru

258 Code Language Region Sub-Region 8508 Light Warlpiri Australian Northern Desert 8511 Malngin Indigenous Fringe Area 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

259 Code Language Region Sub-Region 8902 Arabana Australian Other Australian 8903 Bandjalang Indigenous Indigenous 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

260 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 9302 Gilbertese Austronesian 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 9402 Bislama and Creoles 9403 Hawaiian English

261 Code Language Region Sub-Region 9404 Pitcairnese Oceanian Oceanian Pidgins 9405 Solomon Islands Pijin and Creoles 9499 Oceanian Pidgins and Creoles, nec 9502 Kiwai Papua New Guinea 9599 Papua New Guinea Papuan Languages, nec Papuan 9601 Invented Languages Other Invented 9701 Auslan Languages 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

262 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 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

263 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

264 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 FORMER YUGOSLAV REP (FYROM) 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

265 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

266 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

267 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

268 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

269 Code Description Country Name for Suburb Field 9231 Zambia ZAMBIA 9232 Zimbabwe ZIMBABWE

270 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

271 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 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

272 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 FORMER YUGOSLAV REP (FYROM) 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

273 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

274 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

275 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

276 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

277 Code Description Country Name for Suburb Field 9232 Zimbabwe ZIMBABWE 9299 Southern and East Africa, nec SOUTHERN AND EAST AFRICA, NEC

278 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 36 Communicable Diseases 98 Community Child Health Fellowship of the Royal Australian and New Zealand College of Psychiatrists (FRANZCP) 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 Fellowship of the Royal Australasian College of Physicians (FRACP) 13 Genetics Fellowship of the Royal Australasian College of Physicians (FRACP) 14 Gerontology Fellowship of the Royal Australasian College of Physicians (FRACP)

279 HMDS Code HMDS Description Qualifications 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 43 Liver Transplant Surgery 97 Maternal-Fetal Medicine Fellowship of the Royal Australasian College of Physicians (FRACP) Fellowship of the Joint Faculty of Intensive Care Medicine (FJFICM) Fellowship of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (FRANZCOG) 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)

280 HMDS Code HMDS Description Qualifications 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

281 HMDS Code HMDS Description Qualifications 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)

282 APPENDIX 4B: CLINICIAN SPECIALTY (Numeric) HMDS Code HMDS Description Qualifications 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 Fellowship of the Royal Australasian College of Physicians (FRACP) 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 Fellowship of the Royal Australasian College of Physicians (FRACP) 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)

283 HMDS Code HMDS Description Qualifications 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 Fellowship of the Royal Australasian College of Physicians (FRACP) 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)

284 HMDS Code HMDS Description 60 Renal Transplant Surgery Qualifications 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 Fellowship of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (FRANZCOG)

285 HMDS Code HMDS Description 98 Community Child Health Qualifications Fellowship of the Royal Australasian College of Physicians (FRACP) 99 Medical Administrator Fellowship of the Royal Australasian College of Medical Administrators (FRACMA)

286 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 3 - Non Elective - Emergency EMED - Emergency via ED EME Non-Elective Emergency Department Department 7. Emergency - Direct Admission 4 - Emergency -Direct Admission EMDA - Emergency Direct Admission NED Non-Elective Direct Admission Time

287 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent Description Admitted From Transferring Medical Facility Establishment / (Establishment) Organisation Unit Hospital webpas Care Type Care Type Epi Of Care Care Type (CAT CC) 21. Acute Care Acute A - Acute (A) ACU - Acute; 22. Rehabilitation Care (Sub- Acute) Rehabilitation Care R - Rehabilitation (SA) REH - Rehabilitation 23. Palliation Care (Sub-Acute) Palliative Care P - Palliation (SA) PAL - Palliative Care 24. Psychogeriatric Care (Subacute) Psychogeriatic Care PG - Psychogeriatric (A) PSY - Psychogeriatric 25. Maintenance Care (Non- Acute) Maintenance Care N - Maintenance Care (NA) MAI - Maintenance 26. Newborn Newborn Care U - Newborn NEW - Newborn 27. Organ Procurement Organ Procurement OP - Organ Procurement ORG Organ Procurement Postumous 28. Boarder Hospital Boarder O- Other/Boarder BRD - Boarder 29. Geriatric Evaluation & Geriatric Evaluation & G - Geriatric Assessment & GER Geriatric Management Management Management 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

288 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent webpas Description 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 RES - Resident H - Hostel 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

289 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent Description Days of Hospital in the Days of Hospital in the Home Calculated by system Home Care (Calculated by system if Ward = HITH) webpas 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 3. Employed 01 - Fulltime; 02 - Part Time; 03 - Self Employed EMP - Employed; SELF - Self Employed TER Tertiary Student FUL Full Time PAR Part Time SEL Self Employed 4. Unemployed 04 - Unemployed U/EMP - Unemployed UNE - Unemployed

290 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent webpas Description 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; PEN - Pensioner DSP - Disabled Pensioner; SPP - Single Parent Pensioner; PEN - Pensioner, Other 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)

291 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent Description 21. Australian Health Care HO - Public HBDR - Public Boarder Agreements 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 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 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 PUB Public BBD Bulk Billed HNN NHT Public PVT Private Insured PNH NHT Private webpas UNI Uninsured UNH NHT Private Insured

292 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent Description 24. Worker's Compensation WC - Workers Compensation CIP - Compen Inpatient CSD - Compen Sameday CNHP - Compen Nursing Home 25. Motor Vehicle Third Party MV - WA S.G.I.C. (MVIT); MVIP - Motor Veh Inpatient Personal Claim EM Eastern States MVIT MVSD - Motor Veh Sameday 26. Other Compensation CO - Compensable Other SH - Shipping; 27. Department of Veterans' Affairs VA - Dept of Veteran Affairs 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 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 28. Department of Defence AD - Australian Defence Forces ADFIP - Aust. Def. Force Inpatient ADFSD - Aust. Def. Force Sameday webpas WCC - Workers Compensation WAM WA MVIT EMV Other States MVIT COM Compensable Other SHI - Shipping VET Veterans Affairs VNH NHT Veterans Affairs ADF Australian Defence

293 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent Description 29. Correctional Facility HO - Public / Funding Source CFIP - Corr. Facility Inpatient specified explicitly CFSD - Corr. Facility 30. Reciprocal Health Care Agreements HO - Public / Funding Source specified explicitly 31. Ineligible OV - Ineligible Overseas Visitor FD - Foreign Defence Forces; 32. Other OS - Overseas Student UN - Unaccompanied/Unknown; Sameday RCAIP - Rec. Health Care Agr. Inpatient RCASD - Rec. Health Care Agr. Sameday IPI - Ineligible Inpatient ISD - Ineligible Sameday INB - Ineligible Newborn 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) webpas HO Public / Funding Source Specified explicitly HO Public / Funding Source specified explicitly OVV Overseas Visitor FOD Foreign Defence OVS Overseas Student 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

294 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent webpas Description 1. Aboriginal not Torres Strait Islander AB A - Abor not TSI ABG - Aboriginal not TSI 2. Torres Strait Islander not Aboriginal 3. Aboriginal and Torres Strait Islander TS T - TSI not Aboriginal TSI - TSI not Aboriginal 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 1. Yes Y - Yes Y - Yes 2. No N - No N - No U - Unknown Private Insurance Status: Defaults to 1 (Yes) when Health Fund details are entered on the system 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

295 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent webpas Description 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) 3. Transfer to Psych Hospital 01 - Discharged to Another Hospital (Medical Facility - code P) 4. Transfer to Other Health Care Accommodation 02 - Discharged to Another Institution (Medical Facility - code L) TRRAC - Transfer Residential Aged Care Services INS 02 Institution TRNFR - Transfer Psych Hosp HOS 01 Hospital 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

296 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent Description 6. Left Against Medical Advice 03 - Discharged at Own ABSC - Absc/Left Ag Med Adv Risk/Against Advice webpas 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 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 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 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

297 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent webpas Description 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

298 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent Description 3. Other Health Care Medical Facility - code HCA - Health Care Accommodation L = Other Health Care Accommodation Accommodation 4. Acute Hospital Medical Facility - code H = Acute Hospital HOS - Public Acute Hospital PMP - Private Acute Hospital RECLA - Reclass this Hosp webpas TFI Another Institution TFR Another Hospital 5. Psychiatric Hospital Medical Facility - code P = Psychiatric Hospital 6. Prison Medical Facility - code R = Prison 7. Other Medical Facility - code O = Other PSYCH - Psych Hospital GAOL - Gaol or Prison OTHER - Other MORG - Morgue TFR Another Hospital TFI Another Institution TFI Another Institution 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 (Readmission) 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 / 99 - Statistical Admission STAT - Stat Adm/Type CTC - Care Type Change Type change 9 - Postumous Organ Donor Change ORG Organ Donation

299 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent Description webpas GER Geriatric Assess Team 8. Other OTHER - Other/Unknown NBH - Born this Hospital Source of Referral - Arrival Means SOR Transport Mode of Transport (CAT SI) Transport 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

300 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent Description Specialty of Clinician on Specialty Attached to Last Separation Specialty Separation Active Consultant webpas 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)

301 HMDS MAPPING TO TOPAS, HCARe AND webpas HMDS Field / Value TOPAS Equivalent Description HCARe Equivalent Description 1.Yes Yes - Unplanned Y - Unplanned No No webpas 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

302 APPENDIX 6: PSYCHIATRIC WARDS Hospital Unit Ward Name List Whether the Unit Is Authorised Comment Facility Opening 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 MHS for Older BANKS 21/05/2001 Armadale Kelmscott Hospital People BANKSIA KARRI Authorised Leschen Unit LOPEN 02/07/2001 Authorised LHDU ECT Treatment at Mills Street ECTD Authorised Day ward 01/07/1996 Bentley Hospital John Milne Centre JMC, W9 Non-Authorised Rehabilitation 01/04/2008 Mills Street Centre W6 Adult ward 01/11/1994 W7 Authorised W8 Families at Work (Pathways) FWP Authorised 09/12/2002 Bentley Adolescent Unit W5 Authorised 01/11/1989 Bentley Lodge W10A, 10A 21/08/1994 W10B, 10B Authorised 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 Graylands Hospital Hollywood Private Hospital Facility Closing Date Alma Street Centre W41 30/10/1994 W42 Authorised W51 Alma Street Psychogeriatric W43 04/09/1972 Authorised Ward Graylands Hospital (All wards) Authorised 01/07/1999 MITH Mental Health Hospital in the 01/01/2014 Authorised Home Franklin Forensic Unit FRAA1 All Forensic wards were 01/07/ /12/2011 FRAB1 Authorised moved to the new FRAC1 establishment State Forensic Plaistowe Forensic PLFO Authorised Mental Health Service. 01/07/ /12/2011 Psych Ward HPHPPSY Non-Authorised Day ward 01/05/2009 HPHLTHC Non-Authorised Inpatients 01/06/2009

303 Hospital Unit Ward Name List Joondalup Health Campus Whether the Unit Is Authorised Comment Facility Opening Date HPHPTHC Non-Authorised Inpatients 01/02/2009 Mental Health Unit JHCBMHU Authorised Boarder Room 01/03/2010 JHCLMHU Authorised Waiting Room 01/02/2010 JHCPMHU Authorised 01/09/2009 Acute Adult Mental Health PSYCHIATRIC UNIT 01/03/2003 Kalgoorlie Hospital Authorised Unit King Edward Memorial Mother Baby Unit MBU 17/05/2007 Authorised Hospital 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 Mimidi Park MHAO 25/11/2010 Rockingham Hospital MHAC 15/04/2011 Authorised MHEO 10/04/2012 MHEC 25/02/2013 2K Ward 2K Non-Authorised 01/07/2003 Royal Perth Hospital Selby Authorised Lodge Sir Charles Gairdner Hospital State Forensic Mental Health Service Swan District Hospital Facility Closing Date Psych Day Patients PSYD Non-Authorised Day ward 01/11/ /07/2002 Early Discharge Project Psychiatry EDPP Non-Authorised Selby Authorised Lodge SELB Authorised 01/07/2000 Selby Hospital in the Home SITH No data as at July 8, /7/2014 D20 Ward Mental Health Observation Area State Forensic Mental Health Service Boronia Lodge Swan Valley Centre D20 MHOA MITH FRAA1 FRAB1 FRAC1 PLFO1 MHE MHW SVO SVC Non-Authorised Authorised Authorised Authorised Forensic ward moved from Graylands. 01/02/ /07/ /07/ /12/ /04/2014 1/1/ /10/ /01/2001

304 Data Integrity Inpatient Data Collections Effective 1 July 2014 HMDC INTERFACE FILE SPECIFICATIONS FOR JULY 2014 PRIVATE HOSPITALS Version 2

305 Data Integrity Inpatient Data Collections Effective 1 July 2014 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 Start End Mandatory Length Posn Posn Event Type Alpha Yes Must be SUM. Morbidity Record Type Alpha Yes Must be I. Episode of Care Link Field Alphan um Yes Must be the same as Account Number if there was no change of episode during an admission. Days of Qualified Newborn Num Conditional Leave blank if not newborn. Care Number of Leave Periods Num Conditional Required if any leave was taken; blank otherwise. Accommodation Occupied Num Yes Language Num Conditional Required if used interpreter; blank otherwise. Update Flag Alpha Conditional Source of Referral - Location Num Yes Source of Referral - Num Yes Professional Source of Referral - Transport Num Yes Days of Hospital in the Home Care (Hospital in Home Care Days) Num Conditional Y if data is being re-submitted for update; blank if submitted for the first time. Filler Leave blank. Establishment Num Yes Establishment Number of the reporting hospital. Account/Admission Number Alphan Yes um Client Identifier (URN) Alphan Yes um Mother s Identifier (URN) Alphan um Conditional Required if newborn; blank otherwise. Admission Date Num Yes Must be in DDMMYYYY format. Admission Time Num Yes Must be in HHmm format. Separation Date Num Yes Must be in DDMMYYYY format. Separation Time Num Yes Must be in HHmm format. Surname Alpha Yes Page 1

306 Data Integrity Inpatient Data Collections Effective 1 July 2014 Input Field Format Start End Mandatory Length Posn Posn First Forename Alpha Yes Second Forename Alpha No Residential Address Alphan Yes um Suburb Alpha Yes Postcode Num Yes State/Territory Num Yes Locality No longer required. Must be blank. Date of Birth Num Yes Must be in DDMMYYYY format. Sex (Gender) Num Yes Indigenous Status Num Yes Country/State of Birth Num Yes Marital Status Num Yes Employment Status Num Yes Interpreter Service Num Yes Occupation No longer required. Must be blank. Source of Referral Replaced with three Source of Referral fields. Must be blank. Intended Length of Stay Num Yes Admitted From Num Yes Ward/Location Alphan Yes um Clinician on Admission (Clinician Responsible for Alphan um Yes Australian Health Practitioner Registration Number of clinician. Care) Specialty of Clinician on Num Yes Admission Specialty of Clinician on Separation Num Yes Admission Status Num Yes Infant Weight/Neonate Num Conditional 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 Conditional Blank if no leave was taken. Days of Psychiatric Care Num Conditional Required if mental health patient admitted to designated psychiatric unit; blank otherwise. Mental Health Legal Status Num Conditional Required if mental health patient; blank otherwise. Funding Source for Hospital Num Yes Patient (Payment Classification) Veterans Card Colour Num Conditional Required if DVA; blank otherwise. Insurance Status Num Yes Page 2

307 Data Integrity Inpatient Data Collections Effective 1 July 2014 Input Field Format Start End Mandatory Length Posn Posn Days in ICU Num Conditional No longer required from 1 July Must be blank from 1 July Hours CVS Num Conditional Integer value (whole hours). Required if used Continuous Ventilatory Support; blank otherwise. Readmission Status Num Conditional Unplanned Return to Theatre Num Conditional Care Type (Type of Episode Num Yes of Care) Client Status (Patient Type) Num Yes Contracted/Funding Establishment Num Conditional Required if readmitted within 28 days with related condition; blank otherwise. Required if returned to theatre for further surgery within admission; blank otherwise. Required if Client Status is funding hospital (0) or contracted service (5); blank otherwise. Mode of Separation Num Yes Discharged to Num Yes Clinician on Separation Alphan um Yes Australian Health Practitioner Registration Number of clinician. DRG Version Alphan um Conditional Version of DRG classification (eg. '6.0' for version 6.0). Required if MDC and/or DRG are provided; blank otherwise. MDC Num No MDC value from DRG classific. DRG Alphan No Diagnosis Related Group code. um Coder ID Alphan um Yes Coder s name, initials or identification code. DVA File Number Alphan um Conditional Required if DVA; blank otherwise. Filler Formerly DVA Authorisation Number. Filler Formerly DVA Authorisation Date. Hours in ICU Num Conditi onal Medicare Number Num No Medicare Person Number Num Conditional Integer value (whole hours). Required if time spent in a designated intensive care bed; blank otherwise. Valid for reporting from 1 July Required if 10 digit Medicare Number is provided Page 3

308 Data Integrity Inpatient Data Collections Effective 1 July 2014 Diagnosis/External Cause/Morphology Codes (repeat line for each code) Input Field Format Start End Mandatory Length Posn Posn Event Type Alpha 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 Alphan um Yes Must be same as Line 1 (Demographic Details). Client Identifier (URN) Alphan um Yes Must be same as Line 1 (Demographic Details). Filler Leave blank. Establishment Num Yes Must be same as Line 1 (Demographic Details). Priority Num Yes Coder sequencing priority. Must be sorted in numeric, sequential order. Numbers must be consecutive (ie. no numbers skipped). ICD Code Place of Occurrence Activity Condition Onset Flag for ICD Code Condition Onset Flag for Place of Occurrence Condition Onset Flag for Activity Alphan um Alphan um Alphan um Alphan um Alphan um Alphan um Yes As per relevant ICD-10-AM standard disease/morphology code Conditional Required if Event Type is 'EC'; blank otherwise Conditional Required if Event Type is 'EC'; blank otherwise Yes 1 or Conditional 1 or 2 if Event Type is EC ; blank otherwise Conditional 1 or 2 if Event Type is EC ; blank otherwise. Page 4

309 Data Integrity Inpatient Data Collections Effective 1 July 2014 Procedure Codes (repeat line for each procedure code) Input Field Format Start End Mandatory Length Posn Posn Event Type Alpha Yes Valid values: PP - Principal Procedure OP - Additional Procedure Account/Admission Number Alphanu m Yes Must be same as Line 1 (Demographic Details). Client Identifier (URN) Alphanu m Yes Must be same as Line 1 (Demographic Details). Filler Leave blank. Establishment Num Yes Must be same as Line 1 (Demographic Details). Priority Num Yes Coder sequencing priority. Must be sorted in numeric, sequential order. Numbers must be consecutive (ie. no numbers skipped). Procedure Code Alphanu m Yes As per relevant ACHI standard intervention code. Clinician Performing Procedure Alphanu m Conditional Date of Procedure Num Conditional Filler Leave blank. Required for principal procedure. Australian Health Practitioner Registration Number of clinician. Required for principal procedure. Must be in DDMMYYYY format. Page 5

310 Data Integrity Inpatient Data Collections Effective 1 July 2014 Check line (must be present as the last line for each case - i.e. for a given account number) Input Field Format Start End Mandatory Length Posn Posn Event Type Alpha Yes Must be 'CHK'. Account/Admission Number Alphanu m Yes Must be same as Line 1 (Demographic Details). Client Identifier (URN) Alphanu m Yes Must be same as Line 1 (Demographic Details). Filler Leave blank. Establishment Num Yes Must be same as Line 1 (Demographic Details). Diagnosis Code Count Num Yes A count of ALL diagnosis codes (ie. types PD, CA, CM, OC). External Cause Code Count Num Yes A count of ALL external cause codes (ie. type EC). Morphology Code Count Num Yes A count of ALL morphology codes (ie. type MO). Procedure Code Count Num Yes A count of ALL procedure codes (ie. types PP, OP). Page 6

311 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 Authorised Special Establishment Name Code Est Software Metro Psych Care Sector / System Rural Beds 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

312 Est Establishment Name Est Software Metro Code Sector / System Rural 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 Authorised Psych Beds Special Care Nursery 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. 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 M

313 Authorised Special Est Establishment Name Est Software Metro Psych Care Code Sector / System Rural Beds 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

314 Code Sector / System Rural Psych Beds 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 Next Step Drug and Alcohol Services, HA Public M East Perth DES 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 Care Nursery 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

315 Est Code Authorised Psych Establishment Name Est Software Metro Sector / System Rural Beds 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 Special Care Nursery 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

316 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 to which it was originally released (in accordance with the Practice code for the use of Personal Health Information ) se_of_personal_health_information.pdf, Acknowledges that the data released remains the property of the Inpatient Data Collection Unit of Performance Activity & Quality Division (IDC) Agrees to, under no circumstance, pass on or divulge the released data to a third party without 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 in the released dataset Agrees not to use the data for any purpose other than that for which it was originally requested Agrees to consult the Inpatient Data Collection Unit of Performance Activity & Quality Division before publishing any report and that the source of the data will be properly referenced whenever it is used in publications Agrees not to copy or store parts or the whole of the released dataset in a directory that may be accessible to anyone else Agrees not to leave printouts of datasets in any form in an area accessible to anyone else Agrees to destroy all copies of the data and hard copies upon completion of its use for the purpose intended and inform the Inpatient Data Collection Unit of Performance Activity & Quality Division of the outcome Accepts that access assigned to the user is the responsibility of the user, and the user is accountable for the use of that access, and as such the user will comply with departmental policies, guidelines, operational instructions, and conditions for access to hospital 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 HMDS Intranet Site (Edits) - Non AHS Page 1 of 2

317 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 Manager Date / / 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

318 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 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 will be 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.

319 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 resubmitted. 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 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

320 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) Admission Date/Time Separation Date/Time d d m m y y y y h h : m m d d m m y y y y h h : m m (Hospital) Establishment Surname First Forename Second Forename Residential Address (No./Street) (Suburb) State/ Territory of Residence Medicare Number Postcode Medicare Person No D.O.B. d d m m y y y y 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. Divorced 4. Separated 5. Married/Defacto 6. Unknown/Not Stated Employment Status 1. Child not at School 2. Student 3. Employed 4. Unemployed 5. Home Duties 6. 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 Service 3. Other Health Care Accommodation 4. 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 Clinician 7. 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. Helicopter 6. Other Intended Length of Stay 1. Intended Same-Day Stay 2. Intended Overnight Stay Accommodation Occupied 1. Single Room 2. Shared Room Ward/Location Specialty of Clinician On Admission Clinician on Admission (MBRN) Admission Status 3. Elective Waitlist 4. Elective Not Waitlist 6. 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 Agreements 22. Private Health Insurance 23. Self-Funded 24. Worker s Compensation 25. Motor Vehicle Third Party Personal Claim 26. Other Compensation 27. DVA 28. Department of Defence 29. Correctional Facility 30. Reciprocal Health Care Agreements 31. Ineligible 32. Other 33. 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 Care 22. Rehabilitation Care (Subacute) 23. Palliation Care (Subacute) 24. Psychogeriatric Care (Subacute) 25. Maintenance Care (Non-Acute) 26. Newborn 27. Organ Procurement 28. Boarder 29. Geriatric Evaluation and Management (Subacute) 30. Aged Care 31. Flexible Care (MPS sites only) Client Status 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 Contracted / Funding Establishment Total Leave Days Number of Leave Periods Days of Psychiatric Care Mental Health Legal Status 1. Involuntary 2. Voluntary Days of Qualified Newborn Care 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 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 Specialty of Clinician On Separation Clinician on Separation (MBRN) 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 Principal Procedure ACHI Code d d m m y y y y Clinician (MBRN) Additional Procedure(s) Doctor s Name Coder ID Performance Activity & Quality Appendix 11

321 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.