SAMPLE HOSdata Application Form Instruction Commonwealth Government (VIC) This form is to be completed when requesting HOSdata from the Victorian Admitted Episodes Dataset (VAED), Victorian Emergency Minimum Dataset (VEMD) and Elective Government (Interstate) Surgery Information System (ESIS) collections. Hospital -Public Hospital -Private Filling out the form in Excel Local Government • The Excel tabs allow you to navigate the different sections of the HOSdata application form. Health facility • Tab 1 has the application details, Tab 2 and 3 have the accessible and restricted data field lists respectively. Educational Private Organisation • Application details fields in Tab 1 (current sheet) are all mandatory and require responses to ensure a complete application. • Required data fields can be selected from Tab2 & Tab3. Checkboxes have been provided in the "Required Column"Media to allow you to select data field required. • On completion of your request, save the workbook on your computer and email the HOSdata frontdesk [email protected] • If you have questions or require further information regarding data content, please contact the HOSdata frontdesk contacts listed below. **We would also appreciate your feedback regarding this application form. Please send all feedback to [email protected] Requestor Details Names Mary Lamb Address: 12 Paddock St, Merino Phone: (03) 50505050 Date Requested: 15/07/2012 Department / Organisation: Woolshed Public Hospital Type of Organisation Email: Fax Number: Hospital -Public [email protected] (03) 50505051 Request Details Is this an update or extension of a previous data request? (If "YES" please provide request number/name) Previous Request Number: Help: If current request pertains to a previously logged in request enter the request number previously issued alternatively provide the details of the person who requested the data. Previous Requestor: (Name of the person who requested the data) Goals / Objectives / Purpose : Research into accidents occuring on farms (What will be achieved by obtaining this data and What will it be used for?) Description of data required: (Please be as specific as possible by including dates/timeframes, specific criteria or categories for inclusion/ exclusion). e.g. 1999- 2000, 2008-2009 and so forth) Emergency department presentations for all farming accidents, for 2008/09 and 2009/10 Help: enter further breakdowns of the time-frame if required by either months, quarters. Inclusion/Exclusion: (Please specify how data is to be filtered for Farming accidents example by Hospital Procedure, Birth Episodes and so forth ) Output Format: (Could you please indicate which output format you would require for this request i.e. CSV,SAS, Excel etc) Inclusions: Exclusions: Help: write your inclusions/exclusion separated by comma to clearly identify different inclusions/exclusions. Excel Does your request require an Ethics: If yes, please provide details below. (If the data is to be used for a research No project, unless the risk of identification is negligible, the project must be approved by a properly constituted Human Research Ethics Committee (HREC) Will this data be published? Help: All fields under the Requestor Details Fields header are mandatory and need to be completed. Also select Type of Org from the drop down list provided. Help: provide details about your approval, that is name of the approver and so forth. If yes, please provide below information about where the publishing will occur. Yes, in the Journal of Occupational Health and Safety (pending acceptance) Contact Us Please submit your completed Application Form by email to [email protected] For assistance in completing this application form please contact the HOSdata front desk by email on [email protected] Department of Health VICTORIAN ADMITTED EPISODES DATASET (VAED) PUBLICLY ACCESSIBLE DATA Definitions: Data Field Description - A brief desecription of the datafield Definition - A defined definition and breakdown of each data field. Specific code sets are provided where applicable. Required - By clicking the relevant blank space, you can 'check' the data fields you require by entering YES/NO Comment - Provide extra information regarding the data fields, especially if there are specific code sets you require. For example Care Type - E Interim Care . For more information about the data fields for example business rules, guide for use and so forth refer to the collection data manuals available on http://www.health.vic.gov.au/hdss/ Help: Select Required fields by clicking a against the dataa field, alternatively enter an "X" a a Admission data Data Field Description Definition Month of Admission Month on which a patient commences an episode of care. Year of Admission Financial Year in which a patient commences an episode of care. Care type The nature of clinical service (type of care) provided to an admitted patient during an episode of care. There must be one and only one care type code per episode. A change in care type results in a statistical separation and a new episode with a statis 10 Posthumous Organ Procurement 1 NHT/Non-Acute P Designated Paediatric Rehabilitation Program/Unit 2 Designated Rehabilitation Program/Unit: Level 1 6 Designated Rehabilitation Program/Unit: Level 2 8 Palliative Care Program 5x Approved Mental Health Service or Psycho geriatric Program: 5T – Mental Health Nursing Home Type 5E – Mental Health Secure Extended Care Unit (SECU) 5K – Child and Adolescent Mental Health Service (CAMHS) 5G – Acute, Aged Persons Mental Health Service (APMH) 5S – Acute, Specialist Mental Health Service 5A – Acute, Adult Mental Health Service 9 Geriatric Evaluation and Management Program R1 Restorative Care: On-site R2 Restorative Care: Off-site 0 Alcohol and Drug Program 4 Other care (Acute) including Qualified newborn U Unqualified newborn Qualification status indicates whether each patient day within a newborn episode of care is either qualified or unqualified. Qualification Status Admission type Required YES/NO Comments x x N Qualified Newborn U Unqualified Newborn X Not Applicable The type of admission relating to this episode of care: K S Y M C Posthumous Organ Procurement Statistical admission (change in Care Type within this hospital) Birth episode Maternity Emergency admission through Emergency Department at this hospital (VEMD reporting hospitals only) L Admission – from the Waiting List (ESIS reporting hospitals only) O Other emergency admission Admission type indicator X Other admission Admission type indicator derived from Admission Type Criterion for Admission E Emergency L Elective M Maternity N Newborn (<= 9 days old) S Statistical This field indicates the criterion for admission for the episode of care. Intended duration of stay K Posthumous Organ Procurement N Qualified newborn U Unqualified newborn R Restorative Care: Off-site O Patient expected to require hospitalisation for minimum of one night B Day-only Automatically Admitted Procedures E Day-only Extended Medical Treatment C Day-only Not Automatically Qualified Procedures S Secondary family member The intention of the responsible clinician, at the commencement of the episode, to discharge the patient either on the day of admission or a subsequent date. x x 1 Intended Same Day Stay 2 Intended Stay of Overnight (or Longer) 17/09/2012 Tab 2_Admitted Episode Field 2 Admission weight Barthel index on admission FIM Score on Admission Admission/readmission to rehabilitation RUG ADL on admission Source of referral to palliative care The birth weight of the live baby or the weight of the neonate or infant (under one year of age) on the date admitted, if this is different from the date of birth. The Barthel Index is a measure of the type and amount of assistance a patient requires to perform basic functional activities. It is reported within 48 hours of admission for Care Type 6 only and is numeric in the range: 000 to 100. Functional Independence Measure (FIMÔ) Score, as assessed on admission. Only reported for Subacute records. . Reported for Care Type 2,6, 9, R1 and R2. . The 18 different items contain a score between 1-7. Refer to the VAED manual for more information. For Care Types P, 2 and 6, this field indicates whether this is the first or subsequent rehabilitation episode for a particular injury/condition. 0 First rehabilitation admission 1 Readmission for rehabilitation RUG ADL (Resource Utilisation Groups Activities of Daily Living) score as assessed on admission. Cumulative score out of 18. Source of referral to the DH Palliative Care Program (Care Type 8). x 01 Community sector – GP 02 Community sector – Specialist 03 Community sector - Self, Carer, Other (family member, neighbour) 04 Community sector- Community based agency 05 Hospital - Public - Admitted patient 06 Hospital - Private - Admitted patient 07 Hospital - Outpatient - Non-admitted 08 Residential care - Nursing home/hostel 09 Other Demographic data Data Field Description Definition 5 Year age groups Five year age groups Sex of patient 00‑04 05‑09 10‑14 15‑19 20‑24 25‑29 30‑34 35‑39 40‑44 45‑49 50‑54 55‑59 60‑64 65‑69 70‑74 75‑79 80‑84 85+ The sex of the patient: Statistical local area (5 digit) Local government area Region of residence State of residence Carer availability Hospital Region 17/09/2012 Required YES/NO Comments x 1 Male 2 Female 3 Indeterminate (only for infants < 90 days old) 4 Intersex The patient’s Statistical Local Area of residence. Based on Australian Standard Geographical Classification (ASGC) 2009 boundaries and derived from the locality and postcode. The patient’s Local Government Area of residence. Based on Australian Standard Geographical Classification (ASGC) 2004 boundaries for Victoria, and 1999 boundaries for the rest of Australia. The code for the Department of Health/Human Services Region in which the patient resides; derived from the field ‘SLA’. 1 Barwon South Western 2 Grampians 3 Loddon Mallee 4 Hume 5 Gippsland 8 Eastern 9 Southern A North-Western I Interstate M Missing State of patient residence derived from SLA: x 0 Unknown/Itinerate/Overseas 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 Territories A record of whether a person, such as a family member, friend or neighbour has been identified as providing regular on-going care or assistance, which is not linked to a formal service. 1 Carer not needed/ not applicable 2 Lives alone, has a carer 3 Lives alone, has no carer 4 Lives with another, has no carer 5 Lives with another, has a resident carer 6 Lives with another, has a non-resident carer 7 Lives in a mutually dependent situation 8 Missing or not recorded Metropolitan/Rural flag of hospitals. Tab 2_Admitted Episode Field 3 Separation data Data Field Description Definition Month of separation Month of separation, eg Jul, Aug Year of Separation Financial Year of episode separation, e.g. “2010-11”. Length of stay Length of stay type The length of stay is calculated during the PRS/2 processing, summing the total patient days in each of the status segments minus leave with and without permission days. Type of stay, derived from LOS field: Sameday separation flag M Multi day stay S Same day stay (admitted & separated on same day) O Overnight stay. Flag indicating if the separation was a sameday episode (admission date equal to separation date): Contract leave days total Y Yes (sameday) N No (non sameday) The total number of days during this episode of care that the patient was out of the hospital “on contract leave” including days from previous financial year(s). Hospital in the home length of stay Hospital in the Home Length of Stay. Hospital in the Home separation Flag to indicate that the episode includes a “Hospital In The Home” component. Leave With Permission Days Total The total number of days during the current episode that the patient was out of hospital on “normal” leave, including days from the previous financial year(s). Used in calculating LOS . Leave Without Permission Days Total The total number of days during this episode of care that the patient was out of hospital ‘on leave without permission’, including days from the previous financial year(s). Intention to readmit For formal separations (other than death, transfer or left against medical advice) this field indicates the intention of the responsible clinician, at the time of patient’s separation from hospital, whether that patient will be readmitted within 28 days to either this or another acute hospital. Required YES/NO x x x Patient type 0 Not applicable (statistical separations, death, transfers and left against medical advice) 1 Readmission planned to this hospital within 28 days and booking arranged 2 Readmission planned to this hospital within 28 days but no booking yet arranged 3 Readmission planned to another acute hospital within 28 days and booking arranged 4 Readmission planned to another acute hospital within 28 days but no booking yet arranged 9 No plan to readmit within 28 days Patient type derived from Separation Account: x Duration of unit stay H Public P Private S Compensable V DVA X Ineligible Identifies the duration of stay within a specific campus unit. x Accommodation type on separation E Entire admission was at the specified campus unit P Part of the admission was at the specified campus unit. The accommodation occupied by the patient on their last (counted) patient day. x Barthel index on separation FIM Score on Separation RUG ADL on separation Comments The Barthel Index on separation is assessed on the day on which the decision is taken to cease rehabilitation (for Care Type 6 only).). Functional Independence Measure (FIMÔ) Score, as assessed on separation. Only reported for Subacute records. Reported for Care Type 2, 6, 9, R1 and R2.Refer to ‘FIM score on admission’ variable for table of code details. RUGADL (Resource Utilisation Groups Activities of Daily Living) score as assessed on separation (for Care Type 8). Cumulative score out of 18. Diagnosis and procedure data 17/09/2012 Tab 2_Admitted Episode Field 4 Diagnosis and procedure data Data Field Description Definition Victorian Adjusted AR-DRGv6.0x Victorian Adjusted Australian Revised Diagnosis Related Group v6.0x is the same as AR-DRG v6 except where adjustments are made utilising the VIC-DRG v6.0x field, for the purposes of casemix payments. Victorian adjusted AR-MDCv6 Clinical speciality The Australian Revised Major Diagnostic Category (AR-MDC) Version 6.0 is derived through the same grouping process as the AR-DRG v6. Clinical speciality mapped from Vic DRG v6.0x (665 DRGs mapped into 27 Clinical Specialties): DRG Type 01 Neurosurgery 03 Vascular 04 Orthopaedics 05 Neurology 06 Ophthalmology 07 ENT 08 Cardio‑thoracic 09 Cardiology 10 Rehabilitation 11 Dental 12 Rheumatology 13 Plastics 14 General Medicine 15 Psychiatry 16 General Surgery 17 Nephrology 18 Renal Dialysis 19 Urology 20 Gynaecology 21 Obstetrics & Ante-natal 22 Neonatology 23 Haematology 24 Respiratory 25 Oncology/Radiology 26 Endocrinology 27 Gastroenterology 28 Other/Ungroupable DRG type: DRG Coding status M Medical S Surgical O Other Coding status of separation records: First external-cause activity C Coded P Problem DRG (AR-DRG 6.0: 801A, 801B, 801C) <Blank> Not Coded The first diagnosis code in the range U50 – U73. First external-cause place of occurrence The first diagnosis code commencing with Y92. Principal external-cause If the first diagnosis is an injury or poisoning, i.e. in the range S00 to T98, then the principal external cause is the first code in the range of V01 to Y91 or Y95 to Y98. If the first diagnosis is an injury or poisoning i.e. in the range S00 to T98, and principal external cause in range V01-Y34, then activity is the first diagnosis code in the range U50 – U73. If the first diagnosis is an injury or poisoning, i.e. in the range S00 to T98, and principal external cause in range V01 – Y89, then “place of occurrence” is the first diagnosis code commencing with Y92. Principal external-cause activity Principal external-cause place of occurrence Lithotripsy separation flag Renal flag Duration of stay (hours) in intensive care unit Duration of Mechanical Ventilation in ICU Duration of stay (hours) in Coronary Care Unit (CCU) Duration of Non Invasive Ventilation Clinical Sub-program Impairment 17/09/2012 Required YES/NO Comments Flag to identify separations involving lithotripsy. (AR-DRG 5.2 L42Z): Y Yes N No Flag identifying separations involving dialysis. ARDRG6.0 L61Z Renal (Extracorporeal) Dialysis (WIES funded) & ARDRG6.0 L68ZPeritoneal Dialysis (not WIES funded). Y Yes N No Total duration of stay (hours) in an approved Intensive Care Unit (ICU) or Neonatal Intensive Care Unit (NICU), during this episode of care. Duration is reported in hours, rounded up to the nearest hour. Total duration of Mechanical Ventilation (MV) in hours provided in an approved Intensive Care Unit (ICU) or Neonatal Intensive Care (NICU) during this episode of care. The total duration of stay (hours) in an approved Cardiac/Coronary Care Unit (CCU) during this episode of care. If the patient has more than one period in a CCU during this episode, the total duration of all such periods is reported. Total number of hours of non-invasive ventilatory assistance given via any route other than intubation or tracheostomy, provided to patients in an approved Neonatal Intensive Care Unit (NICU) or Special Care Nursery (SCN) or Intensive Care Unit (ICU). The diagnosis, based on the body system manifesting the reason for rehabilitation. Reported for Care Types 2, 6, P, R1 and R2. Clinical Sub-Program is assigned by the treating clinician. A code assigned, based on the body system manifesting the reason for rehabilitation.Only reported for Sub-acute records. Reported for Care Type 2,6, P, R1 and R2. Introduction of Version 1 Australian Impairment codeset for Sub-Acute episodes as an optional field. Tab 2_Admitted Episode Field 5 VICTORIAN ADMITTED EPISODES DATASET (VAED) RESTRICTED DATA Admission fields Data Field Description Definition Accommodation type during admission The Accommodation Type(s) occupied by the patient during the admission, including changes to this item. Mental Health legal status 1 Overnight accommodation - shared room 2 Overnight accommodation - single room 3 Same Day accommodation 4 In the Home (Hospital - HITH) 6 Emergency Department accommodation 7 Ward Based / Medi hotel combination B Other Nursery accommodation or mother’s bedside (rooming in) C Nursery accommodation: NICU/SCN M Medical Assessment and Planning Unit (MAPU) S Short Stay Observation Unit (SOU) A funding-source indicator for involuntary patients: Admission Source 1 Involuntary for all or part of this episode 2 Not involuntary at any time during this episode 9 Not Applicable Describes where the patient was residing or living prior to the commencement of an episode of care. Required YES/NO Comments Required YES/NO Comments A Transfer from mental health residential facility B Transfer from Transition Care bed based program H Admission from private residence/ accommodation N Transfer from aged care residential facility S Statistical Admission (change in Care Type within this hospital) T* Transfer from acute/ extended care/ rehabilitation/ geriatric centre * Requires an admission transfer code Y Birth Episode Demographic fields Data Field Description Definition Age in years Admission age in years. Age in months Age in calendar month at time of admission. Only calculated if AGE in years is “0”. Campus code Indicates the hospital campus where the episode of care was provided. Patient activity must be reported under the campus code at which it occurred. Name of campus Unique hospital site (Campus) name. Interpreter Required The patient’s need for an interpreter, as perceived by the patient or person consenting for the patient. Marital status 1 Yes 2 No 9 Not Stated/Inadequately described The current marital or living status of the patient at the time of admission: Preferred Language 1 Never married 2 Widowed 3 Divorced 4 Separated 5 Married 6 De Facto 9 Not stated/inadequately described The language (including sign language) most preferred by the patient for communication. This may be a language other than English even where the person can speak fluent English. Separation fields 17/09/2012 Tab 2_Admitted Episode Field 6 Separation fields Data Field Description Definition Aged Care Assessment Service The type of involvement of the Aged Care Assessment Service (ACAS) patient discharge. Transfer Source (FROM) Account class on separation Comments Required YES/NO Comments 1 ACAS Assessment completed during this episode 2 ACAS assessment incomplete: referral to Sub- acute services 3 ACAS assessment incomplete: other reason 4 ACAS consultation only during this episode 5 No ACAS involvement during this episode Identification of the hospital campus the person has been transferred from, following separation from that hospital. The patient account classification on separation. Transfer destination (TO) Identification of the hospital campus to which the patient is transferred after separation from this hospital. WIES Total Weighted Inlier Equivalent Separations including co-payments. WIES fundable flag Indicates if the separation was WIES fundable: Separation Mode Y Yes N No U Uncoded (but eligible for WIES funding when coded) Type of separation: Separation referral Required YES/NO A Separation and transfer to mental health residential facility B Separation and transfer to Transition Care bed based program D Death H Separation to private residence/accommodation S Statistical Separation N Separation and transfer to aged care residential facility T* Separation and transfer to other acute hospital/extended care/rehabilitation/geriatric centre R Separation and transfer to Restorative Care bed- based program * Requires separation transfer code Z Left against medical advice Clinical care and support services arranged by the hospital to meet the person’s recuperative needs when discharged to private accommodation or home. Up to four referrals can be transmitted in the one field. A Referral to Aged Care Assessment Service (ACAS), arranged before discharge B Community palliative care support arranged before discharge C Mental health community services arranged before discharge D Psychiatric disability support services arranged before discharge F Domiciliary postnatal care arranged before discharge G Referral to general practitioner arranged before discharge K Referral to Aboriginal and Torres Strait Islander (ATSI) service, arranged before discharge L Alcohol and drug treatment service, arranged before discharge M Referral to a community rehab centre arranged before discharge P Post Acute Care Program services arranged before discharge R Other clinical care &/or support services arranged before discharge S Referral to private psychiatrist arranged before discharge T Referral to Transition Care home based program, arranged before discharge U Home nursing support arranged before discharge X No referral or support services arranged before discharge. Diagnosis and procedure fields Data Field Description Definition Tertiary status A clinical-complexity grading of DRGs: Victorian prefix to ICD-10-AM Diagnosis codes ICD-10-AM Diagnosis codes 1 Primary (least complex) 2 Secondary 3 Tertiary (most complex). Single character prefix to ICD-10-AM diagnosis codes. In the first field, the character will be P. For the remaining 39 fields, if a diagnosis code is present, the corresponding TPREF field will contain one of the following codes: P Primary diagnosis A Associated condition C Complication M Morphology Diagnoses codes (as reported by the medical practitioner) reflecting injuries, disease conditions, patient characteristics and circumstances impacting this episode of care. One principal diagnosis and up to 39 other diagnoses can be reported, using the International Classification of Diseases, 10th Revision, Australian Modification (ICD-10-AM) 7th Ed., in accordance with the Australian Coding Standards (ACS) & Victorian Additions to the Australia Coding Standards. Procedure block number A one to four digit number that identifies a group of related procedure codes. ACHI Procedure Procedure codes reflecting the interventions used for the diagnosis and/or treatment of ill health during this episode of care. Up to 40 codes can be reported using Australian Classification of Health Interventions, 7th Ed, in accordance with the Victorian Additions to the Australia Coding Standards. 17/09/2012 Tab 2_Admitted Episode Field 7 VICTORIAN EMERGENCY MINIMUM DATASET (VEMD) PUBLICLY ACCESSIBLE DATA Definitions: Data Field Description - A brief outline as to what the data field relates to. Definition - A defined definition and breakdown of each data field. Specific code sets are provided where applicable. Required - By clicking the relevant blank space, you can 'check' the data fields you require by entering YES/NO Comment - Provide extra information regarding the data fields, especially if there are specific code sets you require. For example Care Type - E Interim Care . For more information about the data fields for example business rules, guide for use and so forth refer to the collection data manuals available on http://www.health.vic.gov.au/hdss/ Help: Select Required fields by clicking against the data field, alternatively aenter an "X" Presentation data fields Data Field Description Definition Activity When Injured The type of activity being undertaken by the person, at the moment the injury occurred. Arrival Transport Mode L Leisure S Sports (includes sport as a means of income) E Education W Working for income (excludes sports (S) C Other work N Being nursed, cared for V Vital activity, resting, sleeping, eating O Other specified activity U Unspecified activity Month patient first registered or triaged (whichever comes first), by clerical officer, triage nurse or doctor in the Emergency Department. Year patient first registered or triaged (whichever comes first), by clerical officer, triage nurse or doctor in the Emergency Department. Transport used to arrive at the Emergency Department. Bed Request 1 Air Ambulance - fixed wing aircraft. 2 Helicopter 3 Road Ambulance service 6 Community/public transport, (includes council / philanthropic 8 Police Vehicle 9 Undertaker 10 Ambulance service - private ambulance car - MAS / RAV 11 Ambulance service - private ambulance car – hospital contracted 99 Other (includes private car, walked) Y/N indicator if bed request was made. Did Not Wait Flag Text string indicating if patient did not wait for treatment. Length of Stay in ED Length of stay of patient in Emergency Department (calculated in minutes) includes ALL departure status classes. Y/N flag to indicate if patient treated within target time for the relevant Triage Category. Arrival Month Arrival Year Treated in Target Time Required YES/NO Comments x x (Triage Cat 1 <= 1 min; Cat 2 <= 10 min; Cat 3 <= 30 min; Cat 4 <= 60 min: Cat 5 <=120 min). Time to Treatment (in minutes) Triage Category Type of Visit Yes Meets Triage Category target. No Does not meet Triage Category target. N/A Not Applicable; used for patients who left prior to treatment or Dead on Arrival. Time to treatment is the difference between Arrival Time and Treatment Time in minutes for patients who waited for treatment.For reporting purposes, patients who leave ED prior to treatment or were Dead on Arrival are excluded from the calculation. Classification according to urgency of need for medical and nursing care, using National Triage Scale (Australasian College for Emergency Medicine). x 1 Resuscitation 2 Emergency 3 Urgent 4 Semi-urgent 5 Non-urgent 6 Dead on arrival Reason patient presents to the Emergency Department. 1 Emergency presentation 2 Return visit - planned 8 Pre-arranged admission - clerical, nursing, clinical 17/09/2012 Tab 3_Emergency Minimum Field 8 Data Field Description Definition Activity When Injured 9 Patient in transit 10 Dead on arrival Type of accommodation setting in which the patient usually lives. Type of Usual Accommodation Required YES/NO Comments x 1 Private Residence, living alone 2 Private Residence, living with other(s) 3 Residential aged care facility-includes both high care (nursing home) and low care (hostel) 4 Boarding/rooming house/hostel or hostel type accommodation (not including aged care hostel) 5 Community-based residential supported living facility or other supported accommodation 6 Psychiatric Hospital 7 Other Hospital Setting 8 Homeless Person’s Shelter 9 Shelter/refuge (not including homeless person’s shelter) 10 Public place (homeless) 11 Prison/Remand Centre/Youth Training centre 18 Unknown/unable to determine 19 Other accommodation, not elsewhere classified Demographic fields Data Field Description Definition Five Year Age Group Five year age groups Referred By 0‑4 5‑9 10‑14 15‑19 20‑24 25‑29 30‑34 35‑39 40‑44 45‑49 50‑54 55‑59 60‑64 65‑69 70‑74 75‑79 80‑84 85+ Source from which patient was referred to this Emergency Department. Required YES/NO Comments x 0 Staff from this campus 1 Self, family, friends 2 Local medical officer, includes local GP/Doctor 4 Private specialist 6 Staff from another campus 8 Correctional Officer / Police 14 Nurse on Call 15 Other Nurse 16 Mental health telephone assessment/advisory line 17 Telephone advisory line, not otherwise specified 18 Other mental health staff 19 Other 20 Other community services staff Sex Statistical Local Area The sex of the patient. x 1 Male 2 Female 3 Indeterminate (only for infants < 90 days old) 4 Intersex The patient’s Statistical Local Area of residence. Based on Australian Standard Geographical Classification (ASGC) 2009 boundaries and derived from the locality and postcode. Departure fields Data Field Description Definition Departure Month The month on which a patient completes a presentation. Required YES/NO x Departure Year The year on which a patient completes a presentation. x Departure Status Patient destination or status on departure from the Emergency Department x Comments Departure Before Treatment Completed: 5 Left at own risk, after treatment started 7 Died within ED 8 Dead on arrival 11 Left at own risk, without treatment 10 Left after clinical advice regarding treatment options 17/09/2012 Tab 3_Emergency Minimum Field 9 Data Field Description Definition Activity When Injured Required YES/NO Comments x Procedure room at this campus: 27 Cardiac catheter laboratory 28 Other operating theatre/procedure room Ward Setting at this Hospital Campus: 3 Short Stay Observation Unit 14 Medical Assessment and Planning Unit 15 Intensive Care Unit – this campus 18 Ward not elsewhere described 22 Coronary Care Unit – this campus 25 Mental Health Observation/Assessment Unit 26 Other Mental Health Bed - this Campus Transfers to another Hospital Campus: 17 Mental Health bed at another Hospital Campus 19 Another Hospital Campus 20 Another Hospital Campus - Intensive Care Unit 21 Another Hospital Campus - Coronary Care Unit Departure Transport Mode Escort Source Returning to usual residence: 1 Home 12 Correctional/Custodial Facility 23 Mental health residential facility 24 Residential care facility The type of transport used to transfer the patient from the Emergency Department to another hospital. 1 Air ambulance - fixed wing aircraft(excludes where airplane is helicopter (2). 2 Helicopter 3 Ambulance service - MICA 4 Ambulance service - road car 6 Community/public transport (includes council/philanthropic services) 7 Private Car 8 Police vehicle 10 Ambulance Service –private ambulance care-MAS/RAV contracted 11 Ambulance Service-private ambulance care-hospital contracted 19 Other The work location or source of the medical or nursing assistant(s) accompanying a patient being transferred to another hospital. Reason for Transfer 1 Emergency Department 2 ICU/CCU 3 Ward 4 Retrieval Service 5 Nil (no medical or nursing escort) 9 Other medical or nursing escort Reason for transfer to another hospital or health service. Referred to on Departure 1 ICU bed not available 2 CCU bed not available 3 General bed not available 4 Specialty not available 5 Previous patient of destination hospital 6 Insured/Compensable 7 Patient preference 9 Other reason Agency patient was referred to for continuing care. 1 Review in ED - scheduled 2 Review in ED - as required 3 Outpatients 4 LMO 5 Medical Specialist 6 Other Specialist Health Practitioner 7 Home Nursing Services 9 Aged Care Assessment Service 10 Drug and Alcohol Treatment Service 11 Mental Health Community Service 12 Other community service 16 No referral 17 Not known 18 Other 19 Another hospital campus (excludes for Mental Health and ICU or CCU transfer) 17/09/2012 Tab 3_Emergency Minimum Field 10 Data Field Description Definition Activity When Injured Diagnosis and procedure fields Data Field Description Definition The region of the body where the injury was sustained. Human Intent Most likely role of human intent in occurrence of injury or poisoning as assessed by clinician. Nature of Main Injury Place Where Injury Occurred Comments x Body Region Injury Cause Required YES/NO 1 NON-intentional harm 2 Intentional self-harm 3 Sexual assault 4 Child neglect, maltreatment by parent, guardian 5 Maltreatment, assault by domestic partner 6 Police, legal intervention or operations of war 7 Assault not otherwise specified 8 Adverse effect or complication of medical or surgical care 9 Intent cannot be determined 10 Other specified intent 11 Intent not specified Event, circumstances or condition associated with the occurrence of injury, poisoning or adverse effect. 1 Motor vehicle - driver 2 Motor vehicle - passenger 3 Motorcycle - driver 4 Motorcycle - passenger 5 Pedal cyclist - rider or passenger 6 Pedestrian 7 Horse related (fall from, struck or bitten by) 8 Other transport-related circumstance 9 Fall - low (same level or less than 1 metre, or no information on 10 Fall - high (greater than 1 metre) 11 Submersion or drowning - swimming pool 12 Submersion or drowning - other 13 Other threat to breathing (includes strangulation, asphyxiation) 14 Fire, flames, smoke 15 Scalds (hot drink, food, water, other fluid, steam, gas or 16 Contact burn (hot object or substance) 17 Poisoning - medication 18 Poisoning - other or unspecified substance 19 Firearm 20 Cutting, piercing object 21 Dog related 22 Other animal related 23 Struck by or collision with person 24 Struck by or collision with object 25 Machinery 26 Electricity 27 Hot conditions (natural origin, includes sunlight) 28 Cold conditions (natural origin) 29 Other specified external cause 30 Unspecified external cause Nature of the injury primarily responsible for presentation to Emergency Department. The physical location of the person when the injury occurred. Required YES/NO Comments x x x Farm only A Athletics and sports area C Industrial or construction area F Farm H Home I Residential institution M Medical hospital O Other specified place P Place for recreation Q Mine or quarry R Road, street or highway S School, day care centre, public administration area T Trade or service area U Unspecified place 17/09/2012 Tab 3_Emergency Minimum Field 11 Data Field Description Definition Activity When Injured Required YES/NO Comments x VICTORIAN EMERGENCY MINIMUM DATASET (VEMD) RESTRICTED DATA Presentation fields Data Field Description Definition Ambulance Case Number Unique identifier to each ambulance transport occasion. Required YES/NO Comments Required YES/NO Comments Required YES/NO Comments Required YES/NO Comments Alternate codes: B Case number not available due to industrial action (including: bans, strikes) U Case number not available due to Ambulance Officer not providing the case number. Demographic fields Data Field Description Definition Age in Years Age of patient in years at presentation date. Campus Code Indicates the hospital campus in which the Emergency Department presentation occurred. Funding source, where the patient is entitled to compensation as a result of the injury sustained. Compensable Status Country of Birth Interpreter Required Preferred Language 1 Transport Accident Commission 2 Department of Veterans' Affairs 3 WorkCover 4 Common Law, Public liability, Other compensable, Service personnel 5 Ineligible not compensable 6 Medicare patient/Overseas eligible/Ineligible hospital exempt 7 Compensable status unknown The country in which the patient was born, not the country of residence. The patient’s need for an interpreter, as perceived by the patient or person consenting for the patient. 1 Yes 2 No 9 Not stated/Inadequately described The language (including sign language) most preferred by the patient for communication. This may be a language other than English even where the person can speak fluent English. Departure fields Data Field Description Definition Transfer Destination The hospital campus to which the patient was transferred. Transfer Source The acute health care facility from which the patient was transferred to this Emergency Department. Diagnosis and Procedure fields Data Field Description Definition Procedures Specific interventions/treatments performed in the Emergency Department. Up to 30 procedure codes can be entered per presentation. Optional if the Primary Diagnosis item is completed. ICD-10-AM Diagnosis codes Diagnoses codes (as reported by the medical practitioner) reflecting injuries, disease conditions, patient characteristics and circumstances impacting this episode of care. One principal diagnosis and up to 2 additional diagnoses can be reported, using the International Classification of Diseases, 10th Revision, Australian Modification (ICD10-AM) 7th Ed., in accordance with the Australian Coding Standards (ACS) 17/09/2012 Tab 3_Emergency Minimum Field 12
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