The Allied Health Minumum Data Set

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In addition to classifying allied health activity, the NRS Steering Committee recognised a need to collect additional data items in relation to a patient visit or episode of care. These data include characteristics about the patient, the setting in which services are provided, and information on the referral agent and service provider. A shortlist of data items was developed by the Steering Committee which was then subjected to an extensive national verification process across 56 organisations. The objective of the verification process was to identify data items which should be collected by all allied health service providers ie the minimum data set. These data are considered essential to effective management and provision of allied health services.

The table following sets out the elements of the data set with descriptions which were agreed by the Steering Committee of the NRS project for use across Australia.

Data Type

Description

Source **

Unique Client Identifier Person Identifier unique within establishment or agency. NHDD
Sex The sex of the person. NHDD
Date of Birth The date of birth of the person. NHDD
Indigenous Status An Aboriginal or Torres Strait Islander is a person of Aboriginal or Torres Strait Islander descent who identifies as an Aboriginal or Torres Strait Islander and is accepted as such by the community with which he or she is associated ( High Court of Australia in Commonwealth v Tasmania (1983) 46 ALR). NHDD
Area of Usual Residence Geographic location of usual residence as stated by the person. The geographical location is reported using a five digit number code. The first digit is the single digit code to indicate State or Territory. The remaining four digits are numerical code for the Statistical local are within the State or Territory. NHDD
Postcode 4-digit Postcode of area of the usual residence of the person. Aust. Post
Telephone/Contact Number The telephone number or contact telephone number for the person. NRS SC
Need for Interpreter Services Need for interpreter services (yes/no) as perceived by the client. The actual provision or not of interpreter services is not relevant to this item. NHDD
Preferred Language The language ( including sign language) most preferred by the person for communication. This may be a language other than English even where the person can speak fluent English. NHDD
Compensable Status Any client who is entitled to the payment of, or who has been paid compensation for, damages or other benefits ( including a payment in settlement of a claim for compensation, damages or other benefits ) in respect of the injury, illness or disease for which he or she is receiving care and treatment, is classified as a compensable patient.

This definition excludes entitled beneficiaries ( Veteransí Affairs) and Defence Force personnel treated in public and private hospitals. It also excludes Motor Accidents (Compensation) Act 1979 (NT) beneficiaries treated as public patients (on first admission) in Northern Territory hospitals. On second and subsequent admissions, Territory Insurance Office patients should be counted as compensable patients.

NHDD
Carer Availability The carer is any person, for example, family, friend or neighbour, who is giving regular, ongoing assistance to the identified client without payment other than the pension or benefit.

This excludes formal services such as Delivered Meals or Home Help, persons arranged by formal services such as volunteers, and also excludes funded group housing or similar situations.

Availability infers willingness and ability to undertake the caring role. In those circumstances where a potential carer is not prepared to undertake the role, or when their capacity to carry out the necessary tasks is minimal, then the client must be coded as not having a formal carer.

CNMD

Date of Service The date on which services are provided to the client. NRS SC
Date of Admission (for hospital admitted patients only ) The date on which an admitted patient commences an episode of care by one of the following processes.
  • Formal admission is the administrative process by which a hospital records the commencement of treatment and/or care and accommodation of a patient.
  • Statistical admission ( excluding nursing homes ) is the administrative process by which a patient who has been statistically separated recommences treatment and/or care and accommodation and occurs in the following circumstances:
  • Statistical admission following leave of absence exceeding seven consecutive days for admitted patients; or
  • Statistical admission on type change or transfer between episodes of care within the one hospital stay.
NHDD
Client Type Whether service provided on an inpatient, sameday inpatient, outpatient, community, or other basis. NRS SC
Service Provider Identification of staff engaged in service provision to client

( either staff identification number or staffing level )

NRS SC
Party Relationship Identifies to whom services were provided:
  • single client, new ( initial visit in 12 months)
  • single client, follow-up (2nd or subsequent visit)
  • group
  • carer or family
  • community agency
  • other, please specify
DACS
Referral Source Source from which the person was transferred/referred to the treating agency. NHDD
Treatment Settings Describes the setting in which treatment was provided:
  • hospital
  • school
  • pre-school
  • community health centre
  • residential visit
  • work visit
  • other, please specify
NRS SC
Indicator for Intervention Discipline specific diagnosis (which may or may not have been developed at this stage by individual professional associations) NRS SC
Diagnosis The medical diagnosis/es of the client NHDD

**
NHDD - National Health Data Dictionary - Version 6, DACS - Developmental Ambulatory Classification System
CNMD - Community Nurse Minimum Dataset Aust Post - Australia Post postcode system
NRS SC - National Reference Standards Steering Committee - April 1997

It should be noted that those professions wishing to collect data items in addition to those recommended as the minimum data set nationally for allied health professionals should not be deterred from so doing. The emphasis is on minimum data items to be collected in a consistent and routine manner across the country in multiple settings.

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Health Activity Hierarchy