NATIONWIDE SERVICE FRAMEWORK (NSFW) DATA DICTIONARY V8
National, Hospital Specific and Public Health Purchase Units
for Services provided by District Health Boards (DHBs) – updated 4/07/01
TABLE OF CONTENTS
1
INTRODUCTION
3
2
GUIDE TO THE USE OF THE DATA DICTIONARY
4
2.1
Acronyms And Abbreviations
4
2.2
Definition of Headings
5
2.3
Definitions of Units of Measure – These are generic definitions for the purchase units in Section 3.
5
3
4
5
6
DATA DICTIONARY
10
3.1
National Purchase Units
10
3.2
Nationally Purchased Services and Service Specifications with Locally Agreed Prices and Volumes
75
3.3
Regional Purchase Units Mapped to Common Purchase Units
79
3.4
Regional Purchase Units for 2001 only - One off to be deleted
82
3.5
Hospital Specific Purchase Units
83
3.6
Public Health Purchases from DHB in 2001/02
92
MEDICAL/SURGICAL PURCHASING FRAMEWORK –- GENERAL DEFINITIONS
4.1
DRGs
4.2
Non DRG
99
99
100
EXCLUSIONS FROM MEDICAL/SURGICAL DRG PURCHASING
101
5.1
101
Exclusions from casemix purchasing
HEALTH SERVICE SPECIALTY MAPPING TABLE
111
1
INTRODUCTION
Commentary on how this latest version of the data dictionary has evolved from version7 published at 31 March 2000.
Review of Data Dictionary, including reclassification, rationalisation and clear definition of Regional Purchase Units (PUs). Purchase units previously defined as Regional
have been reclassified into new National PUs, mapped to existing Common PUs, created as new Common PU, or classified as Hospital Specific PUs. Some Regional PUs
were for one off purchases for 2000/01. There are some PUs for Public Health purchases from HHS in 2000/01.
NSFW Data Dictionary V8
Page 3
2
GUIDE TO THE USE OF THE DATA DICTIONARY
2.1
Acronyms And Abbreviations
Acronyms and abbreviations appear throughout the dictionary and on the whole are fairly easy to follow. In the first two columns of the data dictionary you will find codes
such as AH01002/AH01.04 –the AH relates to an allied health service. This applies to each purchase unit identified in either the CMS or Purchase Unit code columns – to
assist you these are identified below.
AIDS
ADJ
A&D
AH
ATR
ACTREG
AABR
C
COPD
CS
CHF
CAPD
D
DRG
DSS
DHB
DOM
ECG
ED
FS
FSA
FTE
GP
HB
HFA
HHS
HS
HIV
IGG
ICS
Acquired Immunodeficiency Syndrome
Adjuster
Alcohol and Drug
Allied Health
Assessment, Treatment and Rehabilitation
Australasian Cardiothoracic Transplant Registry
Automated Brainstem Response Audiometry
Child/Children
Chronic Obstructive Pulmonary Disease
Community Services
Congestive Heart Failure
Continuous Abdominal Peritoneal Dialysis
Dental
Diagnosis Related Group
Disability Support Services
District Health Board
Domicillary
Electrocardiogram
Emergency Department
Fertility Services
First Specialist Assessment
Full Time Equivalent
General Practitioner
Health Benefits
Health Funding Authority
Hospital Health Services
Hospital Specific
Human Immunodeficiency Virus
Immune Gamma Globulin
International Classification of Diseases
NSFW Data Dictionary V8
IRF
ISHLT
LMC
MSUD
MUD
M
MHCS
MHQI
MHIS
MHRC
MHRD
MOH
NICU
NZHIS
OT
PICU
PC
PUK
RHA
RU
S
SCBU
SH
SIDS
T
TR
UV
VIC
WH
W
Inter-regional Flows
International Society for Heart Lung Transplant
Lead Maternity Carer
Maple Syrup Urine Disease
Matched Unrelated Donor
Medical
Mental Health Community Services
Mental Health Quality Improvement
Mental Health Inpatient Services
Mental Health Residential Care
Mental Health Research and Development
Ministry of Health
Neonatal Intensive Care Unit
New Zealand Health Information Service
Other
Paediatric Intensive Care Unit
Pain Clinic
Phenylketonuria
Regional Health Authority
Regional Unit
Surgical
Special Care Baby Unit
Sexual Health
Sudden Infant Death Syndrome
Transplant
Transport
Ultra Violet
Victorian
Waitemata Health
Women
Page 4
2.2
Definition of Headings
Column Name
Purchase Unit (V8)
Purchase Unit (V7)
Purchase Unit Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
2.3
Description
Alpha numeric identification code in Contract Management System of SSSG
Alpha numeric identification code in Version 7 Data Dictionary
Name of Purchase Unit
Definition of Purchase Unit
Unit of Measure Contracted
Definition of Unit of Measure Contracted
Definitions of Units of Measure – These are generic definitions for the purchase units in Section 3.
Unit of Measure
Adjuster
Assessments
Unit of Measure Definitions
Price adjustment for cost elements not funded adequately under national purchase unit base prices.
Number of assessments. Initial assessments and reassessments should be counted separately.
Total number of assessments.
T0105, DSS204
DSSC*
Individual assessments.
S60004
Attendances
Number of attendances to a clinic/department/acute assessment unit or domiciliary.
Available bed days
First time a client attends a clinic/department.
Agreed lump sum amount for the attendance of a woman for a screening mammogram.
Attendance to an emergency department. Includes patients who are subsequently admitted. Excludes acute
assessments (see M00.04, M55.04)
Number of attendances to a clinic/department/assessment unit. One event with multiple health professional contacts is
counted as one volume.
Total number of inpatient beds that are available to be occupied during the period multiplied by the number of days they
are available during that period.
Availability of facility for fixed period of time
Total number of beds that are available and/or occupied each day as locally agreed in a community residential facility
over a designated period.
Total number of beds that are occupied each day over a designated period. For reporting purposes, count beds occupied
as at 12 midnight of each day.
Available facility
Bed days
Refer
* denotes various
NSFW Data Dictionary V8
BSA-55
BSA-45
ED*
DSS215
MHIS*
MHIS14
MHCR*
DSS*, DSSR*, RU104
Page 5
Unit of Measure
Case
Client attendances
Clients
Unit of Measure Definitions
Total number of treatment places provided during a specified period by GPs/specialist
Number of deceased persons.
Agreed lump sum. Service purchased in a block arrangement.
Price purchased.
Number of clients is the number of individual clients receiving service on the first day of the reported month.
Number of clients managed by the service in a year.
Completed
treatment
Contacts
Number of client cases.
Total number of client / client tenants supported.
Client cases.
Number of clients managed by the service in a year ie caseload at the commencement of the financial year plus all new
cases year to date.
Full-time equivalent clinical staff member (health professional) involved in the direct delivery of services to consumers.
Exclude time that is formally devoted to administrative or management functions e.g. half-time coordination of a
community team. This includes the non clinical training component of registrar and house surgeon time.
Number of clients seen during the period for any one diagnosis for whom there is no further sessions or treatments
booked.
Number of contacts.
Cost weighted
discharges
Courses
The number of face to face contacts between a health professional and client group or group of clients, for the provision
of clinical services/interventions described in the services specification. A contact is equivalent to a visit.
A contact does not include
 Phone consultations
 Discussions between health professionals regarding a client’s care
 Any contact where the SOLE purpose of the contact is provision of supplies or consumables
 Where during a contact/visit, the health professional provides care to a client under more than one service sub-unit
the contact should be recorded as a single contact under the service that is the primary reason for the contact/visit.
Where a service is provided to a group of people simultaneously by one health professional it will be counted as ONE
contact.
Number of contacts with a client in a clinic/department/assessment unit or domiciliary.
As per the specifications for the calculation of Inlier Equivalent Separations version 8 (WIES8) and Weighted Inlier
Equivalent Separations version 8 (WIES8A).
Number of courses.
Clinical FTEs
NSFW Data Dictionary V8
Refer
* denotes various
MHCS29*
OT02001
HS0060
R564, R567
D01003, D01004
DOM103, DOM104,
M20006
PC0009, HS0016
MHCR17, MHCR18
HS0016
FS01013, FS01014,
SH0103
DOM101
SH01001, SH01002
AH*, MS001
Page 6
Unit of Measure
Day attendances
Deliveries in
catchment area
Deliveries in facility
Devices
Discharges
Fee for service
FTEs
Health specialty
code
Healthcare user
Hours
International units
Item
Locally agreed
Meals
New clients
Non-Clinical FTEs
Nurse Practitioner
Other Clinical FTEs
Unit of Measure Definitions
Refer
* denotes various
Number of attendances to a day session lasting 3 hours or more.
Total volume of deliveries in all facilities in the catchment area plus homebirths.
The number of women who have delivered in the facility, irrespective of whether a women is under the care of a primary
LMC or the secondary or tertiary maternity service.
Total number of devices.
As per NZHIS definition - the process of documentation that changes the status of an admitted healthcare user.
Payment per defined modules.
Full-time equivalent staff member (clinical or non-clinical) involved in direct delivery of services to consumers. Exclude
time that is formally devoted to administrative or management functions e.g. half-time coordination of a community team.
A classification describing the specialty to which a healthcare user has been assigned.
A person booked to receive or receiving healthcare resulting from direct contact with a healthcare provider where the
healthcare results in the use of resources associated with observation, assessment, diagnosis, consultation, rehabilitation
or treatment.
Number of hours provided.
Uniquely agreed at a local level.
Standard definition relating to blood products. Number of International Units used.
DOM105, DOM107
DSS213
M30008, M30010,
M30012, M30013
Number of items provided/repaired.
Uniquely agreed at a local level.
Number of meals provided.
Number of clients at end of the reporting period who were not included in the caseload for the previous reporting period.
Full-time equivalent staff member (without health professional qualification) directly delivering clinical/therapeutic services
to consumers. Exclude time that is formally devoted to administrative or management functions e.g. half-time
coordination of a community team.
Is a registered nurse practising at an advanced practice level in a specific scope of practice, who has been prepared at
masters level of education and has been recognised and approved by the Nursing Council of New Zealand as a nurse
practitioner.
Full-time equivalent clinical staff member (health professional - other than senior medical officer) involved in the direct
delivery of services to consumers. Exclude time that is formally devoted to administrative or management functions e.g.
half-time coordination of a community team. This includes the non clinical training component of registrar and house
surgeon time.
NSFW Data Dictionary V8
Page 7
Unit of Measure
Outpatient
Outpatient Clinic
Patient Months
Per event
Postnatal stays
Premium
Prescription Items
Procedures
Programme
Unit of Measure Definitions
An outpatient is a patient who receives a consultation, or a diagnostic procedure or treatment at a healthcare facility, and
who is not admitted, and the specialist’s intent is that they will leave that facility within 3 hours from the start of the
consultation.
A scheduled administrative arrangement enabling outpatients to receive the attention of a healthcare provider. The
holding of a clinic provides the opportunity for consultation, investigation and minor treatment, and patients normally
attend by prior arrangement. The clinic may be held on or off the hospital site.
The number of patients receiving a minimum of 13 treatments in the last month of the reporting periods.
Provisions of drug per individual per annum.
Facility services provided to women in the post natal period from the time she is transferred to a postnatal facility until
each women is discharged home from the facility.
Agreed lump sum amount.
Agreed lump sum amount. Service purchased in a block arrangement.
Price for purchase of stents.
Provision of drugs per individual per annum.
Cost adjustment for difference of WIES from $109,000.
Number of items dispensed.
Number procedures completed in the period.
Number of procedures.
An individual operative/diagnostic/assessment procedure.
Various - may include short-term studies/ surveys and long-term research lasting more than a year.
Various - mix of facility and staffing cost recovery based on local market rates.
Various quality improvement programmes.
Various - may include number of trainees and/or training programmes.
Various - trainees and/or training programmes purchased by CTA.
Number of co-ordinations. First and review co-ordinations should be counted separately.
Uniquely agreed at a local level.
Price for Programme.
Entire programme – search, harvest and procurement.
Searches - process of looking for a Matched Unrelated Donor (MUD). The search may or may not be successful.
Harvest/transport - process of extracting bone marrow from MUD and transporting it back to the hospital where the
transplant is to take place. Harvest - as for harvest/transport, except that harvest takes place at the hospital where the
transplant procedure is to take place.
Set measures as per International Society for Heart Lung Transplant (ISHLT) Thoracic Transplant Data form; ISHLT
Thoracic Follow-up form; Australasian Cardiothoracic Transplant Registry (ACTREG) Data Entry form.
NSFW Data Dictionary V8
Refer
* denotes various
HS0035, HS0036
HS0069
HS00051
HS0067
FS*
HS0044
M*, S*
MHRD01
MHCS*, MHRE*
MHQI
MHWD01
MHWD02
DSS1005
DSS218
M00007, S25005
M300011
T0103, T0106
Page 8
Unit of Measure
Unit of Measure Definitions
Agreed lump sum amount.
Relative Value Unit
Senior Medical
Clinical FTEs
Service(s)
Agreed lump sum amount. Refer to service specification for contracted service volume.
Total number of programmes.
Number of coordinations completed.
An individual operative/diagnostic/assessment procedure completed according to the College of Radiologists definition
for RVUs and codes.
Full-time equivalent senior medical staff member involved in the direct delivery of services to consumers. Exclude time
that is formally devoted to administrative or management functions e.g. half-time coordination of a community team. This
includes DAMHS positions. Registrars and house surgeons are specifically excluded.
Agreed lump sum amount. Service purchased in a block arrangement
Agreed lump sum amount.
Uniquely agreed at a local level.
Agreed lump sum for programme. Report against agreed performance indicators.
Providing information according to MOH purchasing requirements. Agreed lump sum for programme. Report against
agreed performance indicators.
Service $/patient based on average historical volume.
Total volume of deliveries in all facilities in the catchment area plus homebirths.
Subsidies
Tests
Number of subsidies granted.
Number of separate tests purchased. (eg one person receiving an ECG and a stress test equates to two tests).
Treatment
Treatment hours
Visits
Number of attendances for treatment.
Time, in hours, from patient entering to exiting hyperbaric chamber.
An encounter where the healthcare provider goes to the healthcare user.
Number of visits by health professionals to a client's place of residence.
NSFW Data Dictionary V8
Refer
* denotes various
NCS-P40, NCS-P60,
BSA*
DSSR271
DSSC*
T0108
CS01001
MEOU*
DSS220, DSS226,
DSS230, DSSR270,
DSS1012
RM00*
RM00*
DSSR253
W03001, W04001,
W07006
DSS217, DSSR257
Page 9
3
Data Dictionary
3.1
National Purchase Units
Purchase
unit Code v8
Purchase
Unit Code v7
ADJ101
TL01
Severity /
Complexity Adjuster
- Medical Surgical
Severity and Complexity pricing adjuster for National Medical & Surgical
Purchase units.
Adjuster
ADJ102
TL02
Severity /
Complexity Adjuster
- Neonatal
Severity and Complexity pricing adjuster for National Neonatal Purchase
units.
Adjuster
ADJ103
R270, and
R561
Rural Premium
Price adjuster for costs related to rurality (sparsity) and provincialness for
RDL 1-4 facilities, not covered by base national purchase units.
Adjuster
ADJ104
R391
Diseconomies of
Scale Premium (3
&4)
Price adjuster for costs related to diseconomies of scale for RDL 3 & 4
facilities, not covered by base national purchase units.
Adjuster
Diseconomies of
Scale Premium (1 &
2)
Price adjuster for costs related to diseconomies of scale for RDL 3 & 4
facilities, not covered by base national purchase units.
Adjuster
ADJ105
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
ADJ106
MAOADJ
Maori Health
Adjuster
Price adjuster for costs related to providing culturally appropriate services, in
facilities that provide health services to areas with high Maori populations,
not covered by base national purchase units
Adjuster
ADJ107
CCADJ
Cost of Capital
Adjustment
Adjustment to reflect re-allocation of cost of capital calculation by applying
sector weighted average cost of capital on the basis of DHB specific debt
and equity.
Adjuster
ADJ109
Management of
Acute Demand
Adjustment to reflect allocation of dollars for risk management of acute
demand and development of programmes to alleviate increasing demand
Adjuster
ADJ1010
Blood Adjuster
Price Adjustment for increased blood costs
Adjuster
NSFW Data Dictionary V8
Unit of Measure Definition
Price adjustment for cost elements
not funded adequately under
national purchase unit base
prices.
Price adjustment for cost elements
not funded adequately under
national purchase unit base
prices.
Price adjustment for cost elements
not funded adequately under
national purchase unit base
prices.
Price adjustment for cost elements
not funded adequately under
national purchase unit base
prices.
Price adjustment for cost elements
not funded adequately under
national purchase unit base
prices.
Price adjustment for cost elements
not funded adequately under
national purchase unit base
prices.
Price adjustment for cost elements
not funded adequately under
national purchase unit base
prices.
Increment to recognise local
pressures on demand for acute
services
Price adjustment for cost elements
not funded adequately under
national purchase unit base prices
Page 10
Purchase
unit Code v8
Purchase
Unit Code v7
AH01001
AH01.01
Dietitian
Dietitian services provided in an outpatient or domiciliary setting to DSS and
personal health clients. Includes post discharge services and other DHB
referrals as well as community-referred clients.
Contacts
AH01003
AH01.03
Occupational
Therapy
Occupational Therapy services provided in an Outpatient or domiciliary
setting to DSS and personal health clients. Includes post discharge services
and other DHB referrals as well as community-referred clients.
Contacts
AH01004
AH01.04
Orthoptist
Orthoptist services provided in an Outpatient or domiciliary setting to DSS
and personal health clients. Includes post discharge services and other DHB
referrals as well as community-referred clients.
Contacts
Number of contacts with a client in
a clinic/department/assessment
unit or domiciliary.
AH01005
AH01.05
Physiotherapist
Physiotherapy services provided in an Outpatient or domiciliary setting to
DSS and personal health clients. Includes post discharge services and other
DHB referrals as well as community-referred clients..
Contacts
Number of contacts with a client in
a clinic/department/assessment
unit or domiciliary.
AH01006
AH01.06
Podiatry
Podiatry services provided in an Outpatient or domiciliary setting to DSS and
personal health clients. Includes post discharge services and other DHB
referrals as well as community-referred clients.
Contacts
Number of contacts with a client in
a clinic/department/assessment
unit or domiciliary.
AH01007
AH01.07
Social Work
Social Work services provided in an Outpatient or domiciliary setting to DSS
and personal health clients. Includes post discharge services and other DHB
referrals as well as community-referred clients..
Contacts
Number of contacts with a client in
a clinic/department/assessment
unit or domiciliary.
AH01008
AH01.08
Speech Therapy
Speech therapy services provided in an Outpatient or domiciliary setting to
DSS and personal health clients. Includes post discharge services and other
DHB referrals as well as community-referred clients..
Contacts
Number of contacts with a client in
a clinic/department/assessment
unit or domiciliary.
C01001
C01.01,
Well Child (05years)
Services for well children (0-5 years) aimed at disease prevention and health
education. Includes vision and hearing screening, immunisation and dental
health educator services
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
Well Child - School
Aged Services (518 years)
Services for well children (5-18 years) aimed at disease prevention and
health education. Includes vision and hearing screening, immunisation and
Scholl Based Nursing.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
Purchase Unit
Description
N-DEEDUC
C01002
C01.02,
N-SBNURS
NSFW Data Dictionary V8
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Number of contacts with a client in
a clinic/department/assessment
unit or domiciliary.
Number of contacts with a client in
a clinic/department/assessment
unit or domiciliary.
Page 11
Purchase
unit Code v8
Purchase
Unit Code v7
CS03001
CS03.01a
Dispensing
Pharmaceuticals
Pharmacy services refer to supply of pharmaceuticals and provision of
clinical pharmacy support by a registered pharmacist. This service covers
the dispensing of "Hospital Only" medicines, special foods and "Special
Authority" medicines (including those approved as "Exceptional
Circumstances"), under the provisions of the New Zealand Pharmaceutical
Schedule, to patients who are not under the direct care of the facility, and
related incidental services. This service includes the provision of a vaccine
storage and distribution system for community-based providers of MOHpurchased immunisation programmes. Vaccine storage and distribution to
community-based services (ie not DHB services) is purchased from DHBs.
Provision of the service to DHB units is an overhead for the relevant service.
Prescription
Items
Number of items dispensed.
CS04001
CS04.01
Community referred
tests - cardiology
Cardiology tests referred by a general practitioner or private specialist. eg
ECG, stress tests, echocardiograph. Includes interpretation and reporting of
the test. Excludes tests referred by DHB staff.
Tests
Number of separate tests
purchased (eg one person
receiving an ECG and a stress
test equates to two tests).
CS04002
CS04.02
Community referred
tests - neurology
Neurological tests referred by a general practitioner or private specialist. eg
EEG, EP, EMG. Includes interpretation and reporting of the test. Excludes
tests referred by DHB staff.
Tests
Number of separate tests
purchased
CS04003
CS04.03
Community referred
tests - audiology
Audiology tests referred by a general practitioner or private specialist. eg
audiogram, ABR. Includes interpretation and reporting of the test. Excludes
tests referred by DHB staff.
Tests
Number of separate tests
purchased
CS04004
CS04.04
Community referred
tests gastroenterology
Gastroenterology tests referred by a general practitioner or private specialist.
eg breath tests. Includes interpretation and reporting of the test. Excludes
tests referred by DHB staff. Excludes endoscopy and motility studies.
Tests
Number of separate tests
purchased
CS04005
CS04.05
Community referred
tests endocrinology
Endocrinology tests referred by a general practitioner or private specialist. eg
thyroid tests, bone densitometry. Includes interpretation and reporting of the
test. Excludes tests referred by DHB staff.
Tests
Number of separate tests
purchased
CS04007
CS04.07
Community referred
tests - urology
Urology tests referred by a general practitioner or private specialist. eg
urodynamics. Includes interpretation and reporting of the test. Excludes tests
referred by DHB staff.
Tests
Number of separate tests
purchased
CS04008
CS04.08
Community referred
tests - respiratory
Respiratory tests referred by a general practitioner or private specialist. eg
spirometry, lung function. Includes interpretation and reporting of the test.
Excludes tests referred by DHB staff.
Tests
Number of separate tests
purchased
D01001
D01.01
Inpatient Dental
treatment (DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table. Excludes maxillo-facial services now purchased in
S60001.
Cost Weighted
Discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 12
Purchase
unit Code v8
Purchase
Unit Code v7
D01002
D01.02
Outpatient Dental
treatment
See Section 4 for a generic specialist assessment definition. First
attendance to dental surgeon or dental officer at registrar level or above or
nurse practitioner for specialist assessment/treatment.
Attendances
Number of attendances to a
clinic/department/assessment unit.
D01003
D01.03
School dental
services
School dental care is the provision of a comprehensive range of dental
services to maintain a functional natural dentition. It includes preventive
care, dental health promotion, health education, treatment of oral disease
and restoration of lost or absent tooth tissue. It covers children from the age
of 0 - 2.5 up to secondary school.
Clients
Number of clients managed by the
service in a year ie caseload at
the commencement of the
financial year plus all new cases
year to date.
D01004
D01.04
Adolescent dental
services
A range of dental services, including preventive care, health education and
treatment of oral disease, by special arrangement for secondary school
children who have problems registering with a dentist for regular dental care.
Covers teenagers from Form 3 to 17 years old.
Clients
Number of clients managed by the
service in a year ie caseload at
the commencement of the
financial year plus all new cases
year to date.
D01005
D01.05
Emergency Dental
Care for Low
Income Adults
Dental services that are immediately necessary for the treatment of pain and
infection. It includes examination and diagnosis and treatment and
reparative services as necessary. Elective maintenance and preventative
care are excluded.
Completed
treatment
Number of clients seen during the
period for any one diagnosis for
whom there is no further sessions
or treatments booked.
DOM101
DOM1.01
Community
Services –
specialist
community nursing
services
Professional nursing services provided in the community to people requiring
personal health services. Includes post-discharge community services.
(Refer to service specifications for details) Excludes
Contacts
Number of contacts.
Purchase Unit
Description
Purchase Unit Definition
1.
services covered by other purchase units.
2.
services able to be provided by general practices.
3.
services purchased by other providers. (Refer to Service Specifications
for details)
Unit of Measure
Unit of Measure Definition
DOM102
DOM1.02
Community
Services - home
oxygen
A regular supply of oxygen to patients in the community by either oxygen
concentrator and/or oxygen cylinders, as clinically indicated by the medical
practitioner. Education to patients and their families or carers on the correct
use of domiciliary oxygen.
Clients
Number of clients managed by the
service in a year.
DOM103
DOM1.03
Community
Services - stomal
service
Stomal therapy services including supply of equipment and advice/support
services.
Clients
Number of clients managed by the
service in a year.
DOM104
DOM1.04
Community
Services continence service
Continence services for personal health and disability clients including supply
of equipment and advice/support services.
Clients
Number of clients managed by the
service in a year.
NSFW Data Dictionary V8
Page 13
Purchase
unit Code v8
Purchase
Unit Code v7
DOM105
DOM1.05
Community
Services - home
help
DHB-based home help services are used to support people following illness
or surgical intervention, who require personal health services. (Home help
services for people with disabilities are purchased separately, through DSS
services.) The home help service includes only assistance with domestic
tasks, not personal care, or professional health care. However the same
worker may deliver home help and personal care where appropriate.
Hours
Number of hours provided.
DOM106
DOM1.06
Community
Services - meals on
wheels
Meals on wheels services to prepare and deliver meals to people unable to
do this for themselves.
Meals
Number of meals provided.
DOM107
DOM1.07
Community
Services - personal
care
DHB-based personal care services are used to support people following
illness or surgical intervention, who require personal health services.
(Personal care services for people with disabilities are purchased separately,
through DSS services.) The personal care service includes only assistance
with personal care such as bathing, toileting, dressing, mobility, grooming,
assistance with meals, not home help, or specialist community services.
However the same worker may deliver home help and personal care where
appropriate.
Hours
Number of hours provided.
DSSC101
Cochlear Implant
Assessment
A service to provide assessment for people who meet the disability criteria,
protocols and priority established by CI committee and the Ministry of Health
and who are referred by a needs assessment / service co-ordination agency
or audiologist/otologist
Assessments
Total number of assessments.
DSSC102
Cochlear Implant
Device
The purchase of a suitable CI device to be implanted for those clients who
meet the criteria and priority for funding.
Devices
Total number of devices.
DSSC103
Cochlear Implant
Year 1 Rehab
To provide services to the persons and their family/whanau who have been
provided with Cochlear Implants according to the protocols given in Appendix
Two for Year One Services of the service specification..
Client
Total number of clients receiving
year one programming and
rehabilitation
DSSC104
Cochlear Implant
Year 2 Rehab
To provide services to the persons who have been provided with Cochlear
Implants according to the protocols given in Appendix Two for Year Two
services of the service specification.
Client
Total number of clients receiving
year two programming and
rehabilitation
DSSC105
Cochlear Implant
Year 3+ Rehab
To provide services to the persons who have been provided with Cochlear
Implants according to the protocols given in Appendix Two for Year Three
services of the service specification.
Client
Total number of clients receiving
year three and out-years
programming and rehabilitation
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
This is the level of service provision provided to a person for each year of the
rest of their life.
NSFW Data Dictionary V8
Page 14
Purchase
unit Code v8
Purchase
Unit Code v7
DSSC106
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Cochlear Implant
Device
Replacement
The major external component of Cochlear Implants (the speech processor)
has a finite lifetime and will require replacing at various times during the
lifetime of a person who uses a cochlear implant. The service will provide a
replacement speech processor within available funding when the person’s
processor is deemed to be uneconomical for repair (this has been estimated
at 5-6 years).
Devices
Total number of devices.
DSS1005
DSS1.05
Service
Coordination
Service Coordination is the process of identifying and planning the package
of services required to meet a person’s assessed needs. Service
Coordination will also determine which of those needs can be met by
publicly-funded services and will explore options for addressing service
support needs which cannot be met. Monitoring outcome should be part of
the Service Coordination process.
Programme
Number of co-ordinations. First
and review co-ordinations should
be counted separately.
DSS1012
DSS1.12
Child Development
Child Development services are non medical, multidisciplinary allied health
and community based. Whilst a significant component of the service is early
intervention for pre-school children who have disabilities or who are not
achieving developmental milestones, the service is intended to promote and
facilitate each child’s developmental pathway so that their maximal potential
is attained throughout their development and growth. It is envisaged that
Child Development services will provide a centre of excellence to meet the
needs of young children/young people, who have disabilities, in some
localities this is up to the age of leaving school.
Services
Uniquely agreed at a local level
DSS204
DSS2.04
Needs Assessment
A Needs Assessment is a process of determining the current abilities,
resources, goals, and needs of a person with a disability and prioritising
those needs which is most important. The purpose of the assessment is to
decide what a person needs to achieve/maintain independence and
participate fully in society, in accordance with their abilities, resources and
goals. A person’s comprehensive support needs may include their
recreational, social and personal development needs; their training and
education needs; and their vocational and employment needs.
Assessments
Number of assessments. Initial
assessments and reassessments
should be counted separately.
DSS207
DSS2.07
Residential Long
Stay - Non aged
Clients requiring 24 hour care in a continuing care setting who have been
assessed through a Needs Assessment/service co ordination process.
Bed days
Total number of beds that are
occupied each day over a
designated period. For reporting
occupancy purposes, count beds
occupied as at 12 midnight of
each day.
DSS213
DSS2.13
Respite Beds
Respite Care is a residential based service for clients who have continuous
DSS related health and or support needs who require 24 hour care and
supervision.
Hours
Uniquely agreed at a local level.
NSFW Data Dictionary V8
Page 15
Purchase
unit Code v8
Purchase
Unit Code v7
DSS214
DSS2.14
ATR Inpatient
Multidisciplinary inpatient assessment treatment and rehabilitation for people
with complex medical, cognitive, functional and social needs with the aim of
enabling them to live independently in the community. (Includes aged,
physical, sensory and intellectual AT&R services). (Excludes mental health
for the elderly purchased under a separate purchase unit).
Bed days
Total number of beds that are
occupied each day over a
designated period. For reporting
occupancy purposes, count beds
occupied as at 12 midnight of
each day.
DSS215
DSS2.15
ATR Outpatient –
Clinics
Assessment, treatment and/or rehabilitation in a non home setting by a
health professional. Includes services delivered:
Attendances
Number of attendances to a
clinic/department/assessment unit.
One event with multiple health
professional contacts is counted
as one volume.
Purchase Unit
Description
Purchase Unit Definition
1)
Unit of Measure
within DHB location;
2) outreach services (not within DHB location – ie involves some travel).
Within (1) & (2) these will include specialist, allied health and multidisciplinary
clinics. (Includes all disabilities including MHSE).
Unit of Measure Definition
DSS216
DSS2.16
ATR Outpatient Day Hosp & Day
Programmes
Multidisciplinary assessment treatment and rehabilitation programme for
people with complex needs with the aim of improving their ability to live
independently in the community. Day Hospital definition includes
attendances lasting more than 3 hours and services delivered by at least 2
health professionals. (Includes all disabilities including MHSE).
Day
Attendances
Number of attendances to a day
session lasting 3 hours or more.
DSS217
DSS2.17
ATR Outpatient –
domiciliary
assessments &
education sessions
A contact in a residential situation to determine the requirement for or provide
assessment treatment or rehabilitation. Services to be delivered in a
residential setting by clinical staff, allied health staff & domiciliary nurses who
belong to the ATR team only. (Includes education sessions that should be
linked to individual client needs). (Includes all disabilities including MHSE).
Visits
Number of visits by health
professionals to a client’s place of
residence.
NSFW Data Dictionary V8
Page 16
Purchase
unit Code v8
Purchase
Unit Code v7
DSS218
DSS2.18
Purchase Unit
Description
Orthotics
Purchase Unit Definition
An Orthosis is a device applied to the exterior of the body to;
Unit of Measure
Unit of Measure Definition
Programme
Uniquely agreed at a local level.
Service
Uniquely agreed at a local level.
Service
Uniquely agreed at a local level
Improve function and/or to prevent and correct deformity in those affected by
congenital, developmental or acquired conditions of the nervous or musculoskeletal systems.
Immobilise damaged joints or muscles
Aid healing
Promote venous return and lymphatic flow.
Disability Support Services
Orthotic services are an integral component of support services for people
who have disabilities and for whom some form of Orthosis has been
assessed as being required.
Personal Health Services
People who have not been assessed as having a disability may also require
orthotic services following Medical or Surgical intervention or treatment.
DSS220
DSS226
DSS2.20
DSS2.26
Specialist Support
Environmental
Support
This service is provided by a Community Support Team that will concentrate
on:
1)
education of families, providers and specialised community support
services;
2)
individual clinical intervention programmes aimed at reducing the
incidence of severe challenging behaviour in people with an intellectual
disability and assisting individuals to live more fulfilling lives in the
community;
3)
immediate responses in cases of emergency for service providers,
individual families and the police.
This purchase unit is for longer-term (more than 6 months) equipment
provision, not assessment processes. The service includes provision of,
repairs and maintenance of long term wheelchairs, seating and other
equipment as specified.
Excludes Assessments, Orthotics, Prosthetics, Continence, Oxygen, Ostomy,
Enteral Feeding, Hearing Aid Subsidy, Contact Lens Benefit, Speech
Language Therapy and Audiology.
NSFW Data Dictionary V8
Page 17
Purchase
unit Code v8
Purchase
Unit Code v7
DSS235
DSS2.35
Purchase Unit
Description
Purchase Unit Definition
ATR Inpatient –
Mental Health
Services for Elderly
Multidisciplinary inpatient age-related assessment treatment and
rehabilitation for people with an identifiable or suspected psychiatric disorder
(as defined in DSM IV, or other generally recognised diagnostic
classification):
1)
Which has a significant impact on that person’s ability to function, or
2)
Which is likely to result in long term impairment with the aim of enabling
them to live as independently as possible in the community.
Unit of Measure
Unit of Measure Definition
Bed days
Total number of beds that are
occupied each day over a
designated period. For reporting
occupancy purposes, count beds
occupied as at 12 midnight of
each day.
ED02001
ED02.01
Emergency Dept Level 2
Emergency service in small hospital with designated assessment and
treatment areas. Minor injuries and ailments can be treated. Resuscitation
and limited stabilisation capacity. Nursing staff available to cover emergency
presentations. Visiting medical officer is on call. May be local trauma
service.
Attendances
Attendance to an emergency
department. Includes patients who
are subsequently admitted.
Excludes acute assessments (see
M00.04, M55.04)
ED03001
ED03.01
Emergency Dept Level 3
As for level 2 plus: designated nursing staff available on 24-hour basis. Has
unit manager. Some registered nurses have completed or are undertaking
relevant post-basic studies. 24-hour access to medical officers on site or
available within 10 minutes. Specialists in general surgery, anaesthetics,
paediatrics and medicine available for consultation. Full resuscitation
facilities in separate area. Access to allied health professionals and liaison
psychiatry.
Attendances
Attendance to an emergency
department. Includes patients who
are subsequently admitted.
Excludes acute assessments (see
M00.04, M55.04)
ED04001
ED04.01
Emergency Dept Level 4
As for level 3 plus: can manage most emergencies. Purpose-designed area.
Full-time director, experienced medical officer(s) and nursing staff on site 24
hours. Experienced nursing staff on site 24 hours. Specialists in general
surgery, paediatrics, orthopaedics, anaesthetics and medicine on call 24
hours. May send nursing and medical teams to disaster site. Participation in
regional adult retrieval system is desirable. May be an area trauma service.
Attendances
Attendance to an emergency
department. Includes patients who
are subsequently admitted.
Excludes acute assessments (see
M00.04, M55.04)
ED05001
ED05.01
Emergency Dept Level 5
As for level 4 plus: can manage all emergencies and provide definitive care
for most. Access to specialist clinical nurse is desirable. Has undergraduate
teaching and undertakes research. Has designated registrar. May have
neurology service.
Attendances
Attendance to an emergency
department. Includes patients who
are subsequently admitted.
Excludes acute assessments (see
M00.04, M55.04)
ED06001
ED06.01
Emergency Dept Level 6
As for level 5 plus: has neurosurgery and cardiothoracic surgery on site.
Sub-specialists available on rosters. Has registrar on site 24 hours. May be
a Regional Trauma Service.
Attendances
Attendance to an emergency
department. Includes patients who
are subsequently admitted.
Excludes acute assessments (see
M00.04, M55.04)
ED08001
R583
Emergency Care
Co-ordination
Regional management of Emergency Care Co-ordination Team activities as
part of the national Roadside to Bedside programme
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
NSFW Data Dictionary V8
Page 18
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
FS01001
First Specialist
Assessment
(Tertiary)
FS01002
IVF Programme
FS01003
ISCI addition
FS01004
Purchase Unit Definition
See Section 4 for a generic 1st specialist assessment definition. First
attendance to fertility specialist for specialist assessment
Unit of Measure
Unit of Measure Definition
Attendances
Number of attendances to a clinic
Procedures
Number procedures completed in
the period.
Intracytoplasmic sperm injection – this is a technique where a single sperm is
injected directly, by micromanipulation techniques, into an egg. It is used in
IVF treatments when there are insufficient numbers of normal sperm for
normal fertilization
Procedures
Number procedures completed in
the period.
Donor Insemination
Donor insemination – the insemination of donor sperm into women whose
partners are infertile
Procedures
Number procedures completed in
the period.
FS01005
AIH simple
Artificial insemination by husband – a technique that allows specially
prepared sperm to be inseminated directly into the uterus (womb). It is used
in situations where the male has a reduced or abnormal sperm count, but
may also help some couples with unexplained infertility. Sometimes it is
used with hyperstimulation of the ovary.
Procedures
Number procedures completed in
the period.
FS01006
AIH + stimulation
As above with hyperstimulation of the ovary to produce more than one egg.
Theoretically if more than one egg is released at ovulation there is a higher
chance of conceiving.
Procedures
Number procedures completed in
the period.
FS01007
Donor egg addition
A donated egg (oocyte) is fertilized by recipient partner’s sperm in the
laboratory and replaced in the recipient’s uterus as for IVF.
Procedures
Number procedures completed in
the period.
FS01008
Frozen embryo
replacement
Transfer of additional embryos frozen at time of oocyte pickup in a following
cycle
Procedures
Number procedures completed in
the period.
FS01009
Ovulation induction
Simulation of ovaries with fertility drugs to attempt to purchase a single egg
and allow. Fertilisation to occur by natural intercourse
Procedures
Number procedures completed in
the period.
FS01010
Surgical retrieval of
sperm
Sperm obtained surgically from the epididymis or testis’s and then used for
ICSI
Procedures
Number procedures completed in
the period.
FS01011
Sperm freezing
Additional sperm frozen at time of surgical retrieval for future use
Procedures
Number procedures completed in
the period.
FS01012
Annual storage of
sperm
Sperm stored by freezing in liquid nitrogen
Service
Agreed lump sum amount.
Service purchased in a block
arrangement
NSFW Data Dictionary V8
In vitro fertilization – a technique that allows sperm to be mixed with eggs for
fertilization to occur outside the body. The procedure involves stimulating the
ovary to produce many eggs (oocytes), collecting the eggs by aspirating
them under ultrasound imaging, fertilizing the eggs by mixing them with
sperm, and replacing up to 3 embryos back into the uterus (called embryo
transfer). Spare embryos are usually frozen and stored in liquid nitrogen for
subsequent use
Page 19
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
FS01013
Cancelled cycle
Cancelled cycle after gonadotrophins commenced but before egg collection
Clients
Number of clients managed by the
service in a year ie caseload at
the commencement of the
financial year plus all new cases
year to date
FS01014
Incomplete cycle
No embryo transfer – usually failed fertilization
Clients
Number of clients managed by the
service in a year ie caseload at
the commencement of the
financial year plus all new cases
year to date
M00001
M00.01
General Internal
Medical Services Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M00002
M00.02
General Medicine 1st attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to general physician or medical officer at registrar level or above
or nurse practitioner for specialist assessment
Attendances
Number of attendances to a
clinic/department/assessment unit.
M00003
M00.03
General Medicine Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to general physician or medical officer at registrar
level or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/assessment unit.
M00004
M00.04
Adult Acute
Assessments
Assessments of adults presenting for acute assessment where the
assessment is conducted in a designated acute assessment facility by a
specialist physician or medical officer at registrar level or above or nurse
practitioner and the person is not subsequently admitted. Excludes
emergency department attendances. Includes diagnostic support services.
Attendances
Number of attendances to a
clinic/department/assessment unit.
NSFW Data Dictionary V8
Page 20
Purchase
unit Code v8
Purchase
Unit Code v7
M00006
M00.06
Purchase Unit
Description
General medicine blood transfusions
Purchase Unit Definition
Blood transfusions performed an outpatient or elective daycase in general
medicine, including procedures -
Unit of Measure
Unit of Measure Definition
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
Programme
Price for programme
Service
Agreed lump sum amount.
Service purchased in a block
arrangement
Agreed lump sum amount.
Service purchased in a block
arrangement
That the Admission and Discharge dates are the same
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
That the primary diagnosis OR the first three procedure codes fall in the
range:
ICD10 Blood, primary diagnosis in the range (Z513) OR {primary procedure
in the range (9206000, 1370601, 1370602, 1370603) ANDsecond procedure
in the range (9206000, 1370601, 1370602, 1370603, blank) AND third
procedure blank}.
Excludes blood transfusions performed as part of an inpatient episode.
Canterbury Health initiative nurse managed/doctor supervised outpatient
clinic to prevent admissions – an Integration Project
Integration project working with GPs to reduce admissions to Hospital.
M00007
R256
DVT Project
M00008
R464
Models of Care
M00009
R519
Integration and
Acute Volume
Reduction initiatives
Integration programme for reducing and managing acute growth resulting in
inpatient admission.
Service
M10001
M10.01
Cardiology Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M10002
M10.02
Cardiology - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to cardiologist or medical officer at registrar level or above or
nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M10003
M10.03
Cardiology Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to cardiologist or medical officer at registrar level or
above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
NSFW Data Dictionary V8
Page 21
Purchase
unit Code v8
Purchase
Unit Code v7
M10004
M10.04
Cardiology
Education and
Management
Cardiac education and case management by multi-disciplinary teams in
hospital or community-based setting.
Clients
Number of clients managed by the
service in a year ie caseload at
the commencement of the
financial year plus all new cases
year to date.
M10005
M10.05
Specialist Paediatric
Cardiology Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M10006
M10.06
Specialist Paediatric
Cardiology - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to cardiologist, paediatrician, or medical officer at registrar level
or above or nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M10007
M10.07
Specialist Paediatric
Cardiology –
Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to paediatric cardiac specialist or medical officer at
registrar level or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M10008
R466
Cardiac outreach
service
CHF project to provide support to prevent readmission and lower length of
stay. There is a Service Spec & reporting requirements, Integration project.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement
M15001
M15.01
Dermatology Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M15002
M15.02
Dermatology - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to dermatologist or medical officer at registrar level or above or
nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M15003
M15.03
Dermatology Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to dermatologist or medical officer at registrar level or
above or nurse practitioner. Excludes UV treatment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M15004
M15.04
Dermatology - UV
Treatment
An attendance for the purpose of receiving ultra-violet treatment.
Treatment
Number of attendances for
treatment.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 22
Purchase
unit Code v8
Purchase
Unit Code v7
M20001
M20.01
Endocrinology &
Diabetic - Inpatient
Services (DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M20002
M20.02
Endocrinology - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to endocrinologist or medical officer at registrar level or above or
nurse practitioner for specialist assessment. Excludes diabetes.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M20003
M20.03
Endocrinology Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to endocrinologist or medical officer at registrar level
or above or nurse practitioner. Excludes diabetes.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M20004
M20.04
Diabetes - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to endocrinologist or medical officer at registrar level or above or
nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M20005
M20.05
Diabetes Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to endocrinologist or medical officer at registrar level
or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M20006
M20.06
Diabetes Education
and Management
Diabetes education and case management by multi-disciplinary teams in
hospital or community-based setting.
Clients
Number of clients managed by the
service in a year ie caseload at
the commencement of the
financial year plus all new cases
year to date.
M20007
M20.07
Diabetes - Retinal
Screening
An attendance for the purpose of fundus screening as part of a diabetic
retinopathy programme. This includes the taking of photographs and the
consultant examination and interpretation of the photographs.
Procedures
An individual
operative/diagnostic/assessment
procedure.
M20008
M20.08
Specialist Paediatric
Endocrinology - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to paediatric endocrinologist or medical officer at registrar level or
above or nurse practitioner for specialist assessment. Excludes diabetes.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M20009
M20.09
Specialist Paediatric
Endocrinology Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to paediatric endocrinologist or medical officer at
registrar level or above or nurse practitioner. Excludes diabetes.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M25001
M25.01
Gastroenterology Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 23
Purchase
unit Code v8
Purchase
Unit Code v7
M25002
M25.02
Gastroenterology 1st attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to gastroenterologist or medical officer at registrar level or above
or nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M25003
M25.03
Gastroenterology Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to gastroenterologist or medical officer at registrar
level or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M25004
M25.04
Gastroenterology ERCP
ERCP performed as an outpatient or elective day case, including procedures
That the Admission and Discharge dates are the same
AND
Procedures
An individual
operative/diagnostic/assessment
procedure.
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
The patients age is greater than 15 years old
AND
That the primary procedure code falls in the following range:
ICD10 ERCP, first procedure in the range: (3048400, 3048401, 3048402,
3045200, 3048500, 3049100, 3045202, 3048501, 3049101, 3049400,
3045100, 3045201, 3044200).
AND
That the second procedure code falls in the following range:
ICD10 second procedure in the range: (3048400, 3048401, 3048402,
3045200, 3048500, 3049100, 3045202, 3048501, 3049101, 3049400,
3045100, 3045201, 3044200, 3047801, 3047802, 3209000, 3208400,
3209001, 3208401, 3209300, 3208700, 9030800, 3209400, 3207500,
3207200, 3207201, 3207501, 9031200, 9031201, 3207800, 3208100,
3209900, 3210800, 9034100, 3210500, 4181600, 3047303, 3047810,
4182500, 4182200, 3047304, 3047600, 3047601, 3047806, 3047809,
3047811, 3047812, 3047602, 3047813, 3047900, 3047807, 3047603,
3047300, 3047301, 3047500, 3047501, 3047803, 3209500, 3047804,
9250202,9250300, blank).
AND
That the third procedure code is in (9250202,9250300,blank).
Excludes ERCPS performed as part of an inpatient episode.
NSFW Data Dictionary V8
Page 24
Purchase
unit Code v8
Purchase
Unit Code v7
M25005
M25.05
Purchase Unit
Description
Gastroenterology Colonoscopy
Purchase Unit Definition
Colonoscopy performed as an outpatient or elective day case, including
procedures That the Admission and Discharge dates are the same
Unit of Measure
Procedures
Unit of Measure Definition
An individual
operative/diagnostic/assessment
procedure.
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
The patients age is greater than 15 years old
AND
That the primary procedure code falls in the following range:
ICD10 Colonoscopies, first procedure in the range: (3209000, 3208400,
3209001, 3208401, 3209300, 3208700, 9030800, 3209400, 3207500,
3207200, 3207201, 3207501, 9031200, 9031201, 3207800, 3208100,
3209900, 3210800, 9034100, 3210500).
AND
That the second procedure code falls in the following range:
ICD10 second procedure in the range: (3048400, 3048401, 3048402,
3045200, 3048500, 3049100, 3045202, 3048501, 3049101, 3049400,
3045100, 3045201, 3044200, 3047801, 3047802, 3209000, 3208400,
3209001, 3208401, 3209300, 3208700, 9030800, 3209400, 3207500,
3207200, 3207201, 3207501, 9031200, 9031201, 3207800, 3208100,
3209900, 3210800, 9034100, 3210500, 4181600, 3047303, 3047810,
4182500, 4182200, 3047304, 3047600, 3047601, 3047806, 3047809,
3047811, 3047812, 3047602, 3047813, 3047900, 3047807, 3047603,
3047300, 3047301, 3047500, 3047501, 3047803, 3209500, 3047804,
9250202,9250300, blank).
AND
That the third procedure code is in (9250202,9250300,blank).
Excludes colonscopies performed as part of an inpatient episode. Excludes
motility studies.
NSFW Data Dictionary V8
Page 25
Purchase
unit Code v8
Purchase
Unit Code v7
M25006
M25.06
Purchase Unit
Description
Gastroenterology Gastroscopy
Purchase Unit Definition
Gastroscopy performed as an outpatient or elective day case, including
procedures -
Unit of Measure
Unit of Measure Definition
Procedures
An individual
operative/diagnostic/assessment
procedure.
Procedures
An individual
operative/diagnostic/assessment
procedure.
That the Admission and Discharge dates are the same
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
The patients age is greater than 15 years old
AND
That the primary procedure code falls in the following range:
ICD10 Gastroscopies, first procedure in the range: (4181600, 3047303,
3047810, 4182500, 4182200, 3047304, 3047600, 3047601, 3047806,
3047809, 3047811, 3047812, 3047602, 3047813, 3047900, 3047807,
3047603, 3047300, 3047301, 3047500, 3047501, 3047803, 3209500,
3047804, 3047801, 3047802).
AND
That the second procedure code falls in the following range:
ICD10 second procedure in the range: (3048400, 3048401, 3048402,
3045200, 3048500, 3049100, 3045202, 3048501, 3049101, 3049400,
3045100, 3045201, 3044200, 3047801, 3047802, 3209000, 3208400,
3209001, 3208401, 3209300, 3208700, 9030800, 3209400, 3207500,
3207200, 3207201, 3207501, 9031200, 9031201, 3207800, 3208100,
3209900, 3210800, 9034100, 3210500, 4181600, 3047303, 3047810,
4182500, 4182200, 3047304, 3047600, 3047601, 3047806, 3047809,
3047811, 3047812, 3047602, 3047813, 3047900, 3047807, 3047603,
3047300, 3047301, 3047500, 3047501, 3047803, 3209500, 3047804,
9250202,9250300, blank).
AND
That the third procedure code is in (9250202,9250300,blank).
Excludes gastroscopy performed as part of an inpatient episode. Excludes
motility studies.
M25007
M25.07
NSFW Data Dictionary V8
Gastroenterology Motility
investigations
Oesophageal and anorectal motility studies performed on an outpatient
basis. Excludes motility studies performed as part of an inpatient episode.
Page 26
Purchase
unit Code v8
Purchase
Unit Code v7
M30001
M30.01
Haematology Inpatient Services
(DRGs) (including
bone marrow
transplants)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table. Includes bone marrow transplants. (AN-DRG 006,
VIC-DRGs 11 and 12).
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M30002
M30.02
Haematology - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to haematologist or medical officer at registrar level or above or
nurse practitioner for specialist assessment. Excludes patients with
haemophilia.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M30003
M30.03
Haematology Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to haematologist or medical officer at registrar level or
above or nurse practitioner. Excludes patients with haemophilia and
phoresis.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M30004
M30.04
Haematology Chemotherapy
An attendance where the purpose of the attendance is to receive prescribed
chemotherapy treatment. The specialist may or may not be in attendance.
Includes all pharmaceuticals administered during the attendance. Includes
day case treatment, including procedures –
That the Admission date is the same as the Discharge date
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
AND
That either of the first two diagnosis codes fall in the range:
ICD10 Chem/Radio, either of the first two diagnosis in the range: (Z510,
Z511, Z512).
M30005
M30.05
Haematology Phoresis
Procedure used to remove certain specified components of blood/plasma
and return remaining components to the body. Excludes plasma donation
obtained through blood phoresis.
Procedures
An individual
operative/diagnostic/assessment
procedure.
M30006
M30.06
Haemophilia - Case
Management
Clinical case management of people with severe haemophilia. Includes
education of patients and families, supply of equipment for self-management,
liaison with other specialists and general practitioners including promotion of
treatment guidelines.
Clients
Number of clients managed by the
service in a year ie caseload at
the commencement of the
financial year plus all new cases
year to date.
M30007
M30.07
Haemophilia Clinics
Multi-disciplinary outpatient clinic for follow-up review of people with
haemophilia.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M30008
M30.08
Haemophilia Factor IX
Plasma-derived and synthetic Factor IX blood products administered in
accordance with treatment guidelines to the client group specified in the
service specification. This covers both inpatient and outpatient services.
International
Units
Standard definition relating to
blood products.
NSFW Data Dictionary V8
Total International Units
used/month
Page 27
Purchase
unit Code v8
Purchase
Unit Code v7
M30010
M30.15
Purchase Unit
Description
Haemophilia FEIBA
Purchase Unit Definition
Factor Eight Inhibitor Bypassing Activity blood product administered in
accordance with treatment guidelines to the client group specified in the
service specification. This covers both inpatient and outpatient services.
Unit of Measure
International
Units
Unit of Measure Definition
Standard definition relating to
blood products.
Total International Units
used/month
M30011
M30.11
MUD S
Harvest/Search Fee
Search and procurement fee for matched unrelated donors for bone marrow
transplants.
Programme
Entire programme – search,
harvest and procurement.
Searches - process of looking for
a Matched Unrelated Donor
(MUD). The search may or may
not be successful.
Harvest/transport - process of
extracting bone marrow from MUD
and transporting it back to the
hospital where the transplant is to
take place. Harvest - as for
harvest/transport, except that
harvest takes place at the hospital
where the transplant procedure is
to take place.
M30012
M30.12
Haemophilia Factor VIII synthetic
Synthetic Factor VIII blood products administered in accordance with
treatment guidelines to the client group specified in the service specification.
This covers both inpatient and outpatient services.
International
Units
Standard definition relating to
blood products.
M30013
M30.13
Haemophilia Factor VIII plasmabased
Plasma-derived Factor VIII blood products administered in accordance with
treatment guidelines to the client group specified in the service specification.
This covers both inpatient and outpatient services.
International
Units
Standard definition relating to
blood products.
NSFW Data Dictionary V8
Page 28
Purchase
unit Code v8
Purchase
Unit Code v7
M30014
M30.14
Purchase Unit
Description
Haematology Blood transfusions
Purchase Unit Definition
Blood transfusions performed as an outpatient or elective day case in
general medicine, including procedures That the Admission and Discharge dates are the same
Unit of Measure
Unit of Measure Definition
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
That the primary diagnosis OR the first three procedure codes fall in the
range:
ICD10 Blood, primary diagnosis in the range (Z513) OR {primary procedure
in the range (9206000, 1370601, 1370602, 1370603) AND second procedure
in the range (9206000, 1370601, 1370602, 1370603, blank) AND third
procedure blank}.
Excludes blood transfusions performed as part of an inpatient episode.
M34001
M34.01
Specialist Paediatric
Haematology Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost Weighted
Discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M40001
M40.01
Infectious Diseases
(incl Venereology &
HIV) - Inpatient
Services (DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost Weighted
Discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M40002
M40.02
Infectious Diseases
(incl Venereology &
HIV) - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to infectious diseases specialist or medical officer at registrar
level or above or nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M40003
M40.03
Infectious Diseases
(incl Venereology &
HIV) - Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to infectious diseases specialist or medical officer at
registrar level or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M40004
M40.04
HIV/Aids Specialist
Community Service
Community-based programme of specialist advice and support for people
with HIV/AIDS and their families.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
NSFW Data Dictionary V8
Page 29
Purchase
unit Code v8
Purchase
Unit Code v7
M40005
M40.05
HIV/AIDS Viral
Load Testing
Viral load test for the purpose of monitoring medication requirements for
people with HIV/AIDS.
Tests
Number of separate tests
purchased (eg one person
receiving an ECG and a stress
test equates to two tests).
M45001
M45.01
Neurology Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M45002
M45.02
Neurology - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to neurologist or medical officer at registrar level or above or
nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M45003
M45.03
Neurology Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to neurologist or medical officer at registrar level or
above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M45004
M45.04
Neurology Botulinum toxin
therapy
Attendance for the purpose of receiving botulinum toxin therapy.
Completed
treatment
Number of clients seen during the
period for any one diagnosis for
whom there is no further sessions
or treatments booked.
M49001
M49.01
Specialist Paediatric
Neurology Inpatient
Services (DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost Weighted
Discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M49002
M45.05
Specialist Paediatric
Neurology
Outpatient 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to paediatric neurologist or medical officer at registrar level or
above or nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M49003
M49.03
Specialist Paediatric
Neurology
Outpatient Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to paediatric neurologist or medical officer at registrar
level or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 30
Purchase
unit Code v8
Purchase
Unit Code v7
M50001
M50.01
Oncology Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M50002
M50.02
Oncology - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to oncologist or medical officer at registrar level or above or
nurse practitioner for specialist assessment. Excludes BSA-75
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M50003
M50.03
Oncology Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to oncologist or medical officer at registrar level or
above or nurse practitioner. Excludes chemotherapy and radiotherapy.
Excludes BSA-80.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M50004
M50.04
Oncology Chemotherapy
An attendance where the purpose of the attendance is to receive prescribed
chemotherapy treatment. The specialist may or may not be in attendance.
Includes all pharmaceuticals administered during the attendance. Includes
day case treatment (see DRG exclusions). Excludes urology chemotherapy
which is purchased as S70.04. Excludes BSA-70.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M50005
M50.05
Oncology Radiotherapy
An attendance where the purpose of the attendance is to plan for or to
receive prescribed radiotherapy treatment. The specialist may or may not be
in attendance. Includes all planning and simulation, radioactive isotope
implants or treatments, and radiation. Excludes BSA-65.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M50007
M50.07
Oncology Stereotactic
radiosurgery
Ablation of intracranial lesions using large single doses of radiation.
Completed
treatment
Number of clients seen during the
period for any one diagnosis for
whom there is no further sessions
or treatments booked.
M50008
M50.08
Oncology Stereotactic
radiotherapy
Delivery of a fractionated course of radiation using stereotactic techniques
and precision.
Completed
treatment
Number of clients seen during the
period for any one diagnosis for
whom there is no further sessions
or treatments booked.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 31
Purchase
unit Code v8
Purchase
Unit Code v7
M50009
M50.09
Purchase Unit
Description
Blood transfusions
& Oncology
Purchase Unit Definition
Blood transfusions performed as an outpatient or elective day case in
general medicine, including procedures That the Admission and Discharge dates are the same
Unit of Measure
Unit of Measure Definition
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
That the primary diagnosis OR the first three procedure codes fall in the
range:
ICD10 Blood, primary diagnosis in the range (Z513) OR {primary procedure
in the range (9206000, 1370601, 1370602, 1370603) AND second procedure
in the range (9206000, 1370601, 1370602, 1370603, blank) AND third
procedure blank}.
Excludes blood transfusions performed as part of an inpatient.
M50010
R582
Paediatric Oncology
Project
Management
Fund for the project management of the Paediatric Oncology Steering Group
approved by the Paediatric Specialty Review
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
M50011
R581
Child Cancer Fund
Fund for the provision of the national Child Cancer activities approved by the
Paediatric Specialty Review
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
M54001
M54.01
Specialist Paediatric
Oncology - Inpatient
Services (DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost Weighted
Discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M54002
M54.02
Specialist Paediatric
Oncology Outpatient 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to paediatric oncologist or medical officer at registrar level or
above or nurse practitioner for specialist assessment. Excludes
chemotherapy and radiotherapy.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M54003
M54.03
Specialist Paediatric
Oncology Outpatient
subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to paediatric oncologist or medical officer at registrar
level or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
NSFW Data Dictionary V8
Page 32
Purchase
unit Code v8
Purchase
Unit Code v7
M55001
M55.01
Paediatric Medical Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost Weighted
Discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M55002
M55.02
Paediatric Medical
Outpatient - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to paediatrician or medical officer at registrar level or above or
nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M55003
M55.03
Paediatric Medical
Outpatient Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to paediatrician or medical officer at registrar level or
above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M55004
M55.04
Paediatric Acute
Assessments
Assessments of children presenting for acute assessment where the
assessment is conducted in a designated acute assessment facility by a
specialist paediatrician or medical officer at registrar level or above or nurse
practitioner and the person is not subsequently admitted.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M55005
M55.05
Paediatric
community
programme
Seventy two hour nurse follow up of children who have been assessed
acutely through M55004
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
M55006
R506
Enuresis
Programme
Bed wetting programme
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
M60001
M60.01
Renal Medicine Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M60002
M60.02
Renal Medicine 1st attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to nephrologist or medical officer at registrar level or above or
nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M60003
M60.03
Renal Medicine Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to nephrologist or medical officer at registrar level or
above or nurse practitioner. Excludes dialysis.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M60004
M60.04
Renal Medicine Recurrent home
based CAPD
Programme of home-based treatment for patients requiring long term
continuous ambulatory peritoneal dialysis - treatment component only.
Includes patient/family support and monitoring, ongoing equipment required
including repair and maintenance.
Number of
Patients
The number of patients receiving
a minimum of 13 treatments in the
last month of the reporting
periods.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 33
Purchase
unit Code v8
Purchase
Unit Code v7
M60005
M60.05
Renal Medicine CAPD Training
Initial training and education of patients in self-management of continuous
ambulatory peritoneal dialysis in their home. Includes patient/family
education, initial equipment required, home modifications.
New clients
Number of clients at end of the
reporting period who were not
included in the caseload for the
previous reporting period.
M60006
M60.06
Renal Medicine Recurrent home
based
haemodialysis
Programme of home-based treatment for patients requiring long term
haemodialysis - treatment component only. Includes patient/family support
and monitoring, ongoing equipment required including repair and
maintenance.
Number of
Patients
The number of patients receiving
a minimum of 13 treatments in the
last month of the reporting
periods.
M60007
M60.07
Renal Medicine Home
haemodialysis
Training
Initial training and education of patients in self-management of haemodialysis
in their home. Includes patient/family education, initial equipment required,
home modifications.
New clients
Number of clients at end of the
reporting period who were not
included in the caseload for the
previous reporting period.
M60008
M60.08
Renal Medicine Incentre dialysis
Programme of centre-based treatment for patients requiring long term
haemodialysis - treatment component only. Includes patient/family support
and monitoring, ongoing equipment required including repair and
maintenance.
Number of
Patients
The number of patients receiving
a minimum of 13 treatments in the
last month of the reporting
periods.
M60009
M60.09
Renal Medicine recurrent self
managed dialysis
Programme of centre-based treatment for patients requiring long term
haemodialysis - treatment component only. Includes patient/family support
and monitoring, ongoing equipment required including repair and
maintenance.
Number of
Patients
The number of patients receiving
a minimum of 13 treatments in the
last month of the reporting
periods.
M60010
M60.10
Renal Medicine incentre self
managed dialysis
training
New clients undertaking incentre self managed renal dialysis training.
New clients
Number of clients at end of the
reporting period who were not
included in the caseload for the
previous reporting period.
M60011
R578
Pre-renal
Replacement
Therapy Program
Dedicated outpatient services for newly diagnosed Chronic Renal Failure
patients to provide a basic level of education at an early stage for all newly
diagnosed patients, to identify and resolve at an early stage any social
problems which may influence modality choice and to commence dietary
intervention at an early stage in order to control symptoms, prevent
malnutrition and maintain renal function. This will be provided by a specialist
multidisciplinary team, from a dedicated base facility .
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
M60012
R579
Bridging the Gaps
Program
Specific services targeting the Maori and Pacific Island population to meet
the needs of Maori and Pacific Island population within the renal service.
This will be provided by a multidisciplinary team including a Maori cultural
advisor and Maori diabetic nurse, from a dedicated base facility and including
some outreach clinics. Team will be mobile for some work at other venues.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 34
Purchase
unit Code v8
Purchase
Unit Code v7
M60013
R580
IDEAL Program
The initiation of dialysis at a level of renal function earlier than is currently the
usual practice. Provision of additional costs for patients accepted for early
dialysis. This will be provided by a specialist multidisciplinary team, from a
dedicated base facility.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
M65001
M65.01
Respiratory Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M65002
M65.02
Respiratory - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to respiratory physician or medical officer at registrar level or
above or nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M65003
M65.03
Respiratory Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to respiratory physician or medical officer at registrar
level or above or nurse practitioner. Excludes bronchoscopy.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M65004
M65.04
Respiratory
Education and
Management
Education and case management by multi-disciplinary teams, in hospital or
community settings for patients with chronic respiratory disease and/or
asthma. Excludes home oxygen therapy.
Clients
Number of clients managed by the
service in a year ie caseload at
the commencement of the
financial year plus all new cases
year to date.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 35
Purchase
unit Code v8
Purchase
Unit Code v7
M65005
M65.05
Purchase Unit
Description
Respiratory Bronchoscopy
Purchase Unit Definition
Bronchoscopy, including procedures That the Admission and Discharge dates are the same
Unit of Measure
Unit of Measure Definition
Procedures
An individual
operative/diagnostic/assessment
procedure.
Clients
Number of clients managed by the
service in a year ie caseload at
the commencement of the
financial year plus all new cases
year to date.
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
The patients age is greater than 15 years old
AND
That the primary procedure code falls in the following range:
ICD10 Bronchoscopies, first procedure in the range: (4188901, 4189800,
4188900, 4189200, 4189801, 4176404, 4176403, 4184600, 4184900,
4185500, 4189500).
AND
That the second procedure code falls in the following range:
ICD10 Bronchoscopies, second procedure in the range:. (4188901, 4189800,
4188900, 4189200, 4189801, 4176404, 4176403, 4184600, 4184900,
4185500, 4189500, 9250202, 9250300, blank).
AND
That the third procedure code is in (9250202,9250300,blank).
Excludes procedures performed as part of an inpatient episode.
M65006
M65.06
NSFW Data Dictionary V8
Sleep apnoea assessment
An integrated programme for children & adults of diagnostic tests and short
term (up to 8 weeks) equipment supply for patients suspected clinically of
suffering from obstructive sleep apnoea.
Includes patient overnight stay, inlcuding procedures –
That the integer difference in days between the Discharge and Admission
dates is less than 2
AND
That the AR-DRG equals E63Z.
Excludes medical consultations for specialist assessment which will be
purchased under the appropriate specialist follow up attendance purchase
units.
Page 36
Purchase
unit Code v8
Purchase
Unit Code v7
M65007
M65.07
Sleep apnoea - long
term treatment
Long term equipment supply and maintenance for patients diagnosed with
obstructive sleep apnoea who meet defined guidelines and are assessed as
requiring long term equipment. This includes the capital cost of the
equipment, CPAP, BIPAP and humidifier. Excludes diagnostic assessment
which is purchased through M65.06. Excludes medical consultations for
specialist assessment which will be purchased under the appropriate
specialist followup attendance purchase units.
Clients
Number of clients managed by the
service in a year ie caseload at
the commencement of the
financial year plus all new cases
year to date.
M65008
M65.08
Specialist Paediatric
Respiratory - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to respiratory physician, paediatrician or medical officer at
registrar level or above or nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M65009
M65.09
Specialist Paediatric
Respiratory Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to respiratory physician, paediatrician or medical
officer at registrar level or above or nurse practitioner. Excludes
bronchoscopy.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M65010
R165
Smoking Cessation
Initiative Respiratory
CHF project to provide support to prevent readmission and lower length of
stay. There is a Service a Spec & reporting requirements, Integration project.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
M65011
R508
General &
Respiratory
Programme - Study
Integrated programme encompassing inpatient, outpatient and community
health services. (See attached table for Services included/excluded)
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
M65012
RS3289
COPD Pilot
COPD Models of Care Programme. Includes Pulmonary Rehab, Respiratory
Nurse and Repsiratory Testing
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
M70001
M70.01
Rheumatology (incl
Immunology) Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M70002
M70.02
Rheumatology (incl
immunology) - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to rheumatologist or medical officer at registrar level or above or
nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M70003
M70.03
Rheumatology (incl
immunology) Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to rheumatologist or medical officer at registrar level
or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 37
Purchase
unit Code v8
Purchase
Unit Code v7
M80001
M80.01
Palliative Care Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
M80004
M80.04
Palliative Care Outpatient Services
See Section 4 for a generic specialist assessment definition. First
attendance to palliative care medicine specialist or medical officer at registrar
level or above or nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M80005
M80.05
Palliative Care Community
Services
Programme of community-based care for people assessed as requiring
specialist palliative care.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
M87001
M87.01
Clinical Genetics –
first specialist
assessment
See Section 4 for a generic 1st specialist assessment definition. First
attendance to a medical geneticist assessment or medical officer at registrar
level or above or nurse practitioner for a specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M87002
M87.02
Clinical Genetics Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow up attendances to a medical geneticist or medical officer at registrar
level or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
M87003
M87.03
Clinical Genetic
testing
Laboratory tests referred by other specialists or general practitioners for
genetic testing only.
Tests
Number of separate tests
purchased
M87004
R455
Newborn Screening
National Testing
Centre
New born screening for the following diseases and disorders Phenylketonuria (PKU);
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Maple syrup urine disease (MSUD);
Unit of Measure Definition
Hypothyroidism;
Galactosaemia;
Biotinidase deficiency;
Cystic fibrosis; and
Adrenal hyperplasia.
M87006
R456
Newborn National
Testing Centre out
of region
New born screening for the following diseases and disorders Phenylketonuria (PKU);
Maple syrup urine disease (MSUD);
Hypothyroidism; NN109 Galactosaemia;
Biotinidase deficiency;
Cystic fibrosis; and Adrenal hyperplasia
McLeod genetic testing regional unit.
NSFW Data Dictionary V8
Page 38
Purchase
unit Code v8
Purchase
Unit Code v7
MHCR01
MHCR001
Community
Residential - Level I
This is a community-based residential rehabilitation and support service for
people with psychiatric disabilities. The service will provide "brief daily
support provided by experienced non-clinical staff" in a home-like
atmosphere with partial supervision and a low-key rehabilitation programme
for each resident.
Bed days
Total number of beds that are
available and/or occupied each
day as locally agreed in a
community residential facility over
a designated period.
MHCR02
MHCR002
Community
Residential - Level
II
This is a community-based residential rehabilitation and support service for
people with psychiatric disabilities. The service will provide "24 hour support
provided by non-clinical staff. May include sleepovers" in a home-like
atmosphere with partial supervision and a low-key rehabilitation programme
for each resident.
Bed days
Total number of beds that are
available and/or occupied each
day as locally agreed in a
community residential facility over
a designated period.
MHCR03
MHCR003
Community
Residential - Level
III
This is a community-based residential rehabilitation and support service for
people with psychiatric disabilities. The service will provide "24 hour support
provided predominately by non-clinical staff with some clinical staff available
short term (day hours/sleepovers)" in a home-like atmosphere with partial
supervision and low-key rehabilitation programme for each resident.
Bed days
Total number of beds that are
available and/or occupied each
day as locally agreed in a
community residential facility over
a designated period.
MHCR04
MHCR004
Community
Residential - Level
IV
This is a community-based residential rehabilitation and support service for
people with psychiatric disabilities. The service will provide "24 hour
intensive support - mix of clinical/non-clinical staff providing: - 24 hour access
to medication, behaviour management strategies, daily consultation with
clinical team, harm reduction strategies" in safe and comfortable
accommodation with a home-like atmosphere for each resident.
Bed days
Total number of beds that are
available and/or occupied each
day as locally agreed in a
community residential facility over
a designated period.
MHCR05
MHCR005
Residential Long
Term Service
Provision of service for people with complex needs that require 24-hour
supervision and active support over a very long time.
Bed days
Total number of beds that are
available and/or occupied each
day as locally agreed in a
community residential facility over
a designated period.
MCHR06
MCHR006
Detoxification Residential
Detoxification occurring in a residential facility targeting at those with drug
dependency and related issues.
Bed days
Total number of beds that are
available and/or occupied each
day as locally agreed in a
community residential facility over
a designated period.
MHCR07
MHCR007
Residential
Treatment – Alcohol
and Drug Service
Treatment for alcohol and drug clients in a residential facility.
Bed days
Total number of beds that are
available and/or occupied each
day as locally agreed in a
community residential facility over
a designated period.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 39
Purchase
unit Code v8
Purchase
Unit Code v7
MHCR08
MHCR008
Residential Coordination Service
Coordination services between provider and other agencies/persons relating
to the level 3 and 4 residential care for people with mental disorder.
FTEs
MHCR09
MHCR009
Other Residential
Support
Support services provided to consumers/clients with a mental disorder to
enable them to have the independence stay in their own homes. The
services may include home based support, community support workers and
support for independence services.
FTEs
MHCR09.1
MHCR901
Other Residential
Support– Home
Based Support
Services
Home based support services provided to consumers/clients with a mental
disorder to enable them to have the independence stay in their own homes
FTEs
MHCR09.2
MHCR902
Other Residential
Support–
Community Support
Work
Community support work services provided to consumers/clients with a
mental disorder to enable them to have the independence stay in their own
homes.
FTEs
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
MHCR09.3
MHCR903
Other Residential
Support - Support
For Independence
Support for independence services provided to consumers/clients with a
mental disorder to enable them to have the independence stay in their own
homes.
FTEs
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Page 40
Purchase
unit Code v8
Purchase
Unit Code v7
MHCR10
MHCR010
Child & Youth
Community
Residential Care
Dedicated services for consumers who are under the age of 20 in a
residential setting.
Bed days
Total number of beds that are
available and/or occupied each
day as locally agreed in a
community residential facility over
a designated period.
MHCR11
MHCR011
Forensic
Community
Residential Care
Assessment and support services delivered to individuals in a community
residential facility by forensic team members.
Bed days
Total number of beds that are
available and/or occupied each
day as locally agreedin a
community residential facility over
a designated period.
MHCR13
MHCR013
Kaupapa Maori
Residential
Rehabilitation Level
I
This is a community-based residential rehabilitation and support service for
Maori with psychiatric disabilities. The service will provide "brief daily support
provided by experienced non-clinical staff" in a home-like atmosphere with
partial supervision and a low-key rehabilitation programme for each resident.
This treatment model is expected to contain traditional Maori healing
practices including holistic approach, whanau input and Maori ownership.
Bed days
Total number of beds that are
available and/or occupied each
day as locally agreed in a
community residential facility over
a designated period.
MHCR14
MHCR014
Kaupapa Maori
Residential
Rehabilitation Level
II
This is a community-based residential rehabilitation and support service for
Maori with psychiatric disabilities. The service will provide "24 hour support
provided by non-clinical staff. May include sleepovers" in a home-like
atmosphere with partial supervision and a low-key rehabilitation programme
for each resident.
This treatment model is expected to contain traditional Maori healing
practices including holistic approach, whanau input and Maori ownership.
Bed days
Total number of beds that are
available and/or occupied each
day as locally agreed in a
community residential facility over
a designated period.
MHCR15
MHCR015
Kaupapa Maori
Residential
Rehabilitation Level
III
This is a community-based residential rehabilitation and support service for
Maori with psychiatric disabilities. The service will provide "24 hour support
provided predominately by non-clinical staff with some clinical staff available
short term (day hours/sleepovers)" in a home-like atmosphere with partial
supervision and low-key rehabilitation programme for each resident.
This treatment model is expected to contain traditional Maori healing
practices including holistic approach, whanau input and Maori ownership.
Bed days
Total number of beds that are
available and/or occupied each
day as locally agreed in a
community residential facility over
a designated period.
MHCR16
MHCR016
Kaupapa Maori
Residential
Rehabilitation Level
IV
This is a community-based residential rehabilitation and support service for
people with psychiatric disabilities. The service will provide "24 hour
intensive support - mix of clinical/non-clinical staff providing: - 24 hour access
to medication, behaviour management strategies, daily consultation with
clinical team, harm reduction strategies" in safe and comfortable
accommodation with a home-like atmosphere for each resident.
This treatment model is expected to contain traditional Maori healing
practices including holistic approach, whanau input and Maori ownership.
Bed days
Total number of beds that are
available and/or occupied each
day as locally agreed in a
community residential facility over
a designated period.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 41
Purchase
unit Code v8
Purchase
Unit Code v7
MHCR17
MHCR017
Unit of Measure
Unit of Measure Definition
Purchase Unit
Description
Purchase Unit Definition
Supported Landlord
Service
Provision of community-based, affordable, furnished or unfurnished flats with
low-key regular social support for people with psychiatric disabilities.
Tenants will have security of tenure and social supports will be minimally
intrusive.
Clients
Total number of client tenants
supported.
MHCR18
-
Alcohol and Drug –
Supported Living
Services
Provision of individual support and rehabilitation services for Service Users
who have alcohol and drug dependency and who are living independently,
but not necessarily alone, in the community.
Clients
Total number of clients supported.
MHCR19
-
Child and Youth
Community Alcohol
and Drug
Residential Care
Provision of a home-like 24-hour residential rehabilitation service for children,
adolescents and youth with a serious alcohol and drug problems that result in
complex and ongoing high support needs related to their activities of daily
living.
Bed Day
Total number of beds that are
available and/or occupied each
day as locally agreed in a
community residential facility over
a designated period.
MHCR20
-
Community
Residential – Dual
Diagnosis Mental
Health and Alcohol
and Drug
Provision community-based residential service, which will provide
accommodation and treatment interventions for people who have coexisting
mental health problems with alcohol and drug dependency.
Bed Day
Total number of beds that are
available and/or occupied each
day as locally agreed in a
community residential facility over
a designated period.
Community Alcohol
& Drug Services
(Other Clinical
FTEs)
Alcohol and drug assessment and treatment services provided out of a
community based facility. Community treatment services includes:
 comprehensive assessment & treatment planning;
 the provision of range of time limited treatment interventions such as
individual or family counselling, home based detoxification, day
programmes, referral to specialist services and aftercare and follow up;
 liaison, consultancy and brokerage;
 provision of A&D information and harm reduction strategies;
 community development.
Other Clinical
FTEs
Full-time equivalent clinical staff
member (health professional other than senior medical officer)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
MHCS01A
MHCS01.A
NSFW Data Dictionary V8
Page 42
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS01B
MHCS01.B
Community Alcohol
& Drug Services
(Senior Medical
Clinical FTEs)
MHCS01C
MHCS01.C
MHCS02A
MHCS02.A
NSFW Data Dictionary V8
Unit of Measure
Unit of Measure Definition
Alcohol and drug assessment and treatment services provided out of a
community based facility. Community treatment services includes:
 comprehensive assessment & treatment planning;
 the provision of range of time limited treatment interventions such as
individual or family counselling, home based detoxification, day
programmes, referral to specialist services and aftercare and follow up;
 liaison, consultancy and brokerage;
 provision of A&D information and harm reduction strategies;
 community development.
Senior Medical
Clinical FTEs
Full-time equivalent senior
medical staff member involved in
the direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team. This includes
DAMHS positions. Registrars and
house surgeons are specifically
excluded.
Community Alcohol
& Drug Services
(Non-Clinical FTEs)
Alcohol and drug assessment and treatment services provided out of a
community based facility. Community treatment services includes:
 comprehensive assessment & treatment planning;
 the provision of range of time limited treatment interventions such as
individual or family counselling, home based detoxification, day
programmes, referral to specialist services and aftercare and follow up;
 liaison, consultancy and brokerage;
 provision of A&D information and harm reduction strategies;
 community development.
Non-Clinical
FTEs
Full-time equivalent staff member
(without health professional
qualification) directly delivering
clinical/therapeutic services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Kaupapa Maori
Alcohol & Drug
Services (Other
Clinical FTEs)
Kaupapa Maori alcohol and drug assessment and treatment services
provided out of a community based facility. Community treatment services
includes:
 comprehensive assessment & treatment planning;
 the provision of range of time limited treatment interventions such as
individual or family counselling, home based detoxification, day
programmes, referral to specialist services and aftercare and follow up;
 liaison, consultancy and brokerage;
 provision of A&D information and harm reduction strategies;
 community development.
This treatment model is expected to contain traditional Maori healing
practices including holistic approach, whanau input and Maori ownership.
Other Clinical
FTEs
Full-time equivalent clinical staff
member (health professional other than senior medical officer)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Purchase Unit
Description
Purchase Unit Definition
Page 43
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS02C
MHCS02.C
Kaupapa Maori
Alcohol & Drug
Services (NonClinical FTEs)
MHCS03
MHCS003
MHCS04
MHCS004
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Non-Clinical
FTEs
Full-time equivalent staff member
(without health professional
qualification) directly delivering
clinical/therapeutic services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Detoxification Home/Community
Kaupapa Maori alcohol and drug assessment and treatment services
provided out of a community based facility. Community treatment services
includes:
 comprehensive assessment & treatment planning;
 the provision of range of time limited treatment interventions such as
individual or family counselling, home based detoxification, day
programmes, referral to specialist services and aftercare and follow up;
 liaison, consultancy and brokerage;
 provision of A&D information and harm reduction strategies;
 community development.
This treatment model is expected to contain traditional Maori healing
practices including holistic approach, whanau input and Maori ownership.
Detoxification occurring in a community setting targeting at those with drug
dependency and related issues.
Clinical FTEs
Dual Diagnosis Mental Health and
Alcohol & Drug
Specific services targeting people with co-existing alcohol and drug use and
severe mental health disorders. The services provided include clinical,
consultation/liaison and support services.
Clinical FTEs
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Page 44
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS05
MHCS005
Service for
Profoundly Deaf
Specific services targeting deaf people with mental health disorders. The
services provided include clinical, consultation/liaison and support services.
Clinical FTEs
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
MHCS06A
MHCS06.A
Community Mental
Health Service
(Other Clinical
FTEs)
Includes sub units:

MHCS06A1:
Needs
Assessment &
Service Coordination

MHCS06A2:
Crisis Intervention

MHCS06A4:
Community Day
Hospital
Programme

MHCS06A5:
Early Intervention
for people with
first time
psychosis

MHCS06A6:
Intensive
Treatment
Service – Mobile

MHCS06A7:
Clinical Rehab.
Service –
Comm’ty
Community Mental Health Teams employed to provide initial screening, and
constancy for people requesting public mental health services. They provide
assessment, treatment, continuing care/support for clients with severe mental
illness, both in the community and residential services. Multidisciplinary
team, community mental health team comprises mental health professionals
to provide clinical services, including social workers, psychiatric nurses,
consultant psychiatrists, occupational therapists, medical officers and
psychologist. Include services such as Support Needs Assessment, Crisis
Teams, Continuing Care Teams, Community Day Hospitals and Early
Intervention. They also guide the person to the appropriate service.
Other Clinical
FTEs
Full-time equivalent clinical staff
member (health professional other than senior medical officer)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 45
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS06B
MHCS06.B
Purchase Unit
Description
Community Mental
Health Service
(Senior Medical
FTEs)
Includes sub units:

MHCS06B1:
Needs
Assessment &
Service Coordination

MHCS06B2:
Crisis Intervention

MHCS06B4:
Community Day
Hospital
Programme

MHCS06B5:
Early Intervention
for people with
first time
psychosis

MHCS06B6:
Intensive
Treatment
Service – Mobile
 MHCS06B7:
Clinical Rehab.
Service –
Comm’ty
MHCS07
MHCS007
NSFW Data Dictionary V8
General Hospital
Liaison Service
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Community Mental Health Teams employed to provide initial screening, and
constancy for people requesting public mental health services. They provide
assessment, treatment, continuing care/support for clients with severe mental
illness, both in the community and residential services. Multidisciplinary
team, community mental health team comprises mental health professionals
to provide clinical services, including social workers, psychiatric nurses,
consultant psychiatrists, occupational therapists, medical officers and
psychologist. Include services such as Support Needs Assessment, Crisis
Teams, Continuing Care Teams, Community Day Hospitals and Early
Intervention. They also guide the person to the appropriate service.
Senior Medical
Clinical FTEs
Full-time equivalent senior
medical staff member involved in
the direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team. This includes
DAMHS positions. Registrars and
house surgeons are specifically
excluded.
Dedicated psychiatric consultation/liaison team services to patients at the
general hospital. Includes consultation/liaison services to pain clinics,
accident and emergency clinics and medical, obstetric and surgical services.
Clinical FTEs
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Page 46
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS08A
MHCS08.A
Purchase Unit
Description
Children & Young
People Community
Services (Other
Clinical FTEs)
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Dedicated outpatient services for children up to and including 18 years old.
This will be provided by a specialist, multidisciplinary team, from a dedicated
base facility, and including some outreach clinics. Team will be mobile for
some work at other venues.
Other Clinical
FTEs
Full-time equivalent clinical staff
member (health professional other than senior medical officer)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Includes sub units:

MHCS08A1:
Needs
Assessment &
Service Coordination – Child
& Youth
MHCS08B
MHCS08.B
Children & Young
People Community
Services (Senior
Medical FTEs)
Includes sub units:
 MHCS08B1:
Needs
Assessment &
Service Coordination – Child
& Youth
Dedicated outpatient services for children up to and including 18 years old.
This will be provided by a specialist, multidisciplinary team, from a dedicated
base facility, and including some outreach clinics. Team will be mobile for
some work at other venues.
Senior Medical
Clinical FTEs
Full-time equivalent senior
medical staff member involved in
the direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team. This includes
DAMHS positions. Registrars and
house surgeons are specifically
excluded.
MHCS09
MHCS009
Eating Disorders
Service –
Community (Clinical
FTEs)
A clinical service that provides assessment and treatment for people with a
significant eating disorder including anorexia nervosa and bulimia nervosa.
Clinical FTEs
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
NSFW Data Dictionary V8
Page 47
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS09C
MHCS009C
Eating Disorders
Service –
Community (NonClinical FTEs)
A clinical service that provides assessment and treatment for people with a
significant eating disorder including anorexia nervosa and bulimia nervosa.
Non-Clinical
FTEs
MHCS10
MHCS010
Specialist
Psychotherapy
Service
Therapeutic interventions that are primarily targeted at consumer group with
severe personality disorder.
Clinical FTEs
MHCS11
MHCS011
Community
Forensic Service
Assessment and treatment services delivered to individuals who live in the
community by members of the forensic team.
Clinical FTEs
MHCS12
MHCS012
Prison/Court Liaison
This includes:

assessment and liaison services provided to individuals in prison by
forensic team members

a specialised dedicated health professional services to provide mental
health status assessment, liaison and advice for the court.
Clinical FTEs
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Full-time equivalent staff member
(without health professional
qualification) directly delivering
clinical/therapeutic services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Page 48
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS14
MHCS014
Work Rehabilitation/
Employment and
Educational Support
Services (Clinical
FTEs)
Work rehabilitation, employment, vocational, educational and skills
enhancement support and services provided to psychiatric clients in the
community by dedicated health professionals.
Clinical FTEs
MHCS14C
MHCS015
Work Rehabilitation/
Employment and
Educational Support
Services (NonClinical FTEs)
Work rehab, employment, vocational, educational and skills enhancement
support and services provided to psychiatric clients in the community by
dedicated non-clinical staff.
Non-Clinical
FTEs
MHCS16
MHCS016
Activity-Based
Rehabilitation
Service/Day Activity
and Living Skills
(Clinical FTEs)
Activity rehab services/day & activity living skills and recreational support and
services provided to psychiatric clients in the community by dedicated health
professionals.
Clinical FTEs
MHCS16C
MHCS017
Activity-Based
Rehabilitation
Service/Day Activity
and Living Skills
(Non-Clinical FTEs)
Activity rehab services/day & activity living skills and recreational support and
services provided to psychiatric clients in the community by dedicated non
clinical staff.
Non-Clinical
FTEs
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Full-time equivalent staff member
(without health professional
qualification) directly delivering
clinical/therapeutic services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Full time equivalent staff member
(without health professional
qualification) directly delivering
clinical/therapeutic services to
consumers. Exclude time that is
formally devoted to administrative
or management functions eg halftime coordination of a community
team.
Page 49
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS18
MHCS018
Community Service
- Older People
Dedicated outpatient services for mental health consumers over the age of
65. This will be provided by a specialist, multidisciplinary team, from a
dedicated base facility, and including some outreach clinics. Team will be
mobile for some work at other venues.
Clinical FTEs
MHCS19
MHCS019
Kaupapa Maori
Mental Health
Services - Adult
Community Teams
(Clinical FTEs)
Dedicated outpatient services for Maori consumers. This will be provided by
a specialist, multidisciplinary team, from a dedicated base facility, and
including some outreach clinics. Team will be mobile for some work at other
venues.
Clinical FTEs
Kaupapa Maori
Mental Health
Services - Adult
Community Teams
(Non-Clinical FTEs)
Dedicated outpatient services for Maori consumers provided by non clinical
staff. This will be provided by a specialist, multidisciplinary team, from a
dedicated base facility, and including some outreach clinics. Team will be
mobile for some work at other venues.
MHCS19C
MHCS020
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
This treatment model is expected to contain traditional Maori healing
practices including holistic approach, whanau input and Maori ownership.
This treatment model is expected to contain traditional Maori healing
practices including holistic approach, whanau input and Maori ownership.
Non-Clinical
FTEs
Unit of Measure Definition
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Full-time equivalent staff member
(without health professional
qualification) directly delivering
clinical/therapeutic services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Page 50
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS21
MHCS021
Advocacy/Peer
Support –
Consumers
Includes sub-units
as follows:

MHCS21.1
Adults

MHCS21.2
Older Adults

MHCS21.4
Forensic Services

MHCS21.7
Child & Youth

MHCS21.8
Alcohol & Drug
Advocacy/Peer Support provided to Consumers by dedicated health
professionals & non clinical staff.
FTEs
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
MHCS22
MHCS022
Advocacy/Peer
Support Families/Whanau
Includes sub-units
as follows:

MHCS22.1
Adults

MHCS22.2
Older Adults

MHCS22.4
Forensic Services

MHCS22.7
Child & Youth

MHCS22.8
Alcohol & Drug
Advocacy/Peer Support provided to Families/ Whanau of consumers of
Mental Health services by dedicated health professionals and non clinical
staff.
FTEs
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
MHCS24
MHCS024
Child & Youth Day
Services (part of
inpatient service)
Services that provide specific programmes aimed at enhancing skills such as
interpersonal and living skills for people who have mental health problems
and high support needs, primarily targeted at clients up to 19 years age
group. Provided by inpatient unit.
Programme
Various - mix of facility and
staffing cost recovery based on
local market rates.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 51
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS25
MHCS025
Maori Advisory
Services
Maori Advisory Services relating to the care of Maori people with a mental
disorder.
FTEs
MHCS26
MHCS026
Early Intervention
Alcohol & Drug
Service
Early Intervention Alcohol & Drug Services provided by specialist and
multidisciplinary team to assess and treat people with an alcohol or drug
related problem in the early stage of the illness.
Clinical FTEs
MHCS27
MHCS027
Refugee Mental
Health Service
Psychiatric assessment, treatment and other related services provided to
refugees with a psychiatric (trauma) disorder.
Clinical FTEs
MHCS28
MHCS028
Specialist Maternal
Mental Health
Service
The service is designed to provide assessment, treatment and therapy to
women who have an exacerbation or develop mental illness associated with
pregnancy, or who are suspected of having, moderate to severe mental
health problems.
Clinical FTEs
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Page 52
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS29.1
Purchase Unit Definition
MHCS29.1
Methadone
Treatment –
General Practitioner
To facilitate a primary care service for those people dependent on opioids,
run according to the National Protocol for Methadone Treatment NZ (May
1996). The focus of the programme is harm reduction and stabilisation of the
client's health status, lifestyle and drug use.
Case
Total number of treatment places
provided during a specified period
by GPs.
MHCS29.2
MHCS29.2
Methadone
Treatment –
Specialist
A comprehensive treatment service for those people dependent on opioids,
run according to the National Protocol for Methadone Treatment NZ (May
1996). The focus of the programme is harm reduction and stabilisation of the
client's health status, lifestyle and drug use.
Case
Total number of treatment places
provided during a specified period
by specialists.
MHCS31
MHCS031
Dual Diagnosis with
Intellectual
Disability
Specific services targeting people with co-existing intellectual disability and
severe mental health disorders. The services provided include clinical,
consultation/liaison and support services.
Clinical FTEs
MHCS33
MHCS033
Liaison with Child
Youth & Family
Service
Provision of specialist advice on assessment, treatment and management of
children and young persons involved with the Child Youth and Family
Service.
Clinical FTEs
MHCS34
MHCS034
Sub-contracted
Services
Community Mental Health Networking sub contract.
FTEs
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
NSFW Data Dictionary V8
Unit of Measure
Unit of Measure Definition
Purchase Unit
Description
Page 53
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS35A
MHCS35.A
Community
Services for Pacific
Islands People
(Other Clinical
FTEs)
Dedicated outpatient services for Pacific Islands consumers. This will be
provided by a specialist, multidisciplinary team, from a dedicated base
facility, and including some outreach clinics. Team will be mobile for some
work at other venues.
Other Clinical
FTEs
Full-time equivalent clinical staff
member (health professional other than senior medical officer)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
MHCS35C
MHCS35.C
Community
Services for Pacific
Islands People
(Non-Clinical FTEs)
Dedicated outpatient services for Pacific Islands consumers. This will be
provided by a specialist, multidisciplinary team, from a dedicated base
facility, and including some outreach clinics. Team will be mobile for some
work at other venues.
Non-Clinical
FTEs
Full-time equivalent staff member
(without health professional
qualification) directly delivering
clinical/therapeutic services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
MHCS36A
MHCS36.A
Children and Youth
Alcohol and Drug
Community
Services (Other
Clinical FTEs)
Alcohol and drug assessment and treatment services for people under the
age of 20, provided out of a community based facility. Community treatment
services includes:
 comprehensive assessment & treatment planning;
 the provision of range of time limited treatment interventions such as
individual or family counselling, home based detoxification, day
programmes, referral to specialist services and aftercare and follow up;
 liaison, consultancy and brokerage;
 provision of A&D information and harm reduction strategies;
 community development.
Other Clinical
FTEs
Full-time equivalent clinical staff
member (health professional other than senior medical officer)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 54
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS36B
MHCS36.B
Children and Youth
Alcohol and Drug
Community
Services (Senior
Medical FTEs)
MHCS37
MHCS37
Alcohol and Drug
Day Treatment
Programme
MHCS38
MHCS38
Children and Youth
Day Activity Service
MHCS39
MHCS39
Kaupapa Maori
Mental Health
Services - Tamariki
and Rangatahi
NSFW Data Dictionary V8
Purchase Unit
Description
Unit of Measure
Unit of Measure Definition
Alcohol and drug assessment and treatment services for people under the
age of 20, provided out of a community based facility. Community treatment
services includes:
 comprehensive assessment & treatment planning;
 the provision of range of time limited treatment interventions such as
individual or family counselling, home based detoxification, day
programmes, referral to specialist services and aftercare and follow up;
 liaison, consultancy and brokerage;
 provision of A&D information and harm reduction strategies;
 community development.
Senior Medical
FTEs
Full-time equivalent senior
medical staff member involved in
the direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team. This includes
DAMHS positions. Registrars and
house surgeons are specifically
excluded.
Alcohol and drug assessment and treatment services provided by way of a
day treatment programme out of a community based facility. Community
treatment services includes:
 comprehensive assessment & treatment planning;
 the provision of range of time limited treatment interventions such as
individual or family counselling, home based detoxification, day
programmes, referral to specialist services and aftercare and follow up;
 liaison, consultancy and brokerage;
 provision of A&D information and harm reduction strategies;
 community development.
Activity rehab services/day & activity living skills and recreational support and
services provided to psychiatric clients who are under the age of 20 years old
,in the community by dedicated health professionals.
FTEs
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
FTEs
Dedicated outpatient services for Maori consumers who are under the age of
20 years old. This will be provided by a specialist, multidisciplinary team,
from a dedicated base facility, and including some outreach clinics. Team
will be mobile for some work at other venues.
The treatment model is expected to contain traditional Maori healing
practices including holistic approach, whanau input and Maori ownership.
FTEs
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Purchase Unit Definition
Page 55
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS40
MHCS40
Kaupapa Maori
Mental Health
Services Consultation /
Liaison
Provision of liaison and specialist Maori advice and information to other
services and teams in regard to specific consumers on traditional Maori
healing practices including holistic approach, whanau input and Maori
ownership.
FTEs
MHCS41
MHCS41
Kaupapa Maori
Mental Health
Services - Crisis
Intervention
To provide rapid clinical and cultural assessment and intervention for eligible
Maori people in crisis, in a highly mobile fashion and at the point when the
crisis is occurring.
The treatment model is expected to contain traditional Maori healing
practices including holistic approach, whanau input and Maori ownership.
FTEs
MHCS42
MHCS42
Kaupapa Maori
Mental Health
Services - Day
Programmes
Day programmes to assist eligible Maori people to improve their life skills,
strengthen their sense of identity and knowledge and understanding of their
Maoritanga and overcome social isolation.
The treatment model is expected to contain traditional Maori healing
practices including holistic approach, whanau input and Maori ownership.
FTEs
MHCS43
MHCS43
Kaupapa Maori
Mental Health
Services - Dual
Diagnosis with
Alcohol and Drug
problems
Specific services targeting Maori people with co-existing alcohol and drug
use and severe mental health disorders. The services provided include
clinical, consultation/liaison and support services.
The treatment model is expected to contain traditional Maori healing
practices including holistic approach, whanau input and Maori ownership.
FTEs
MHCS44
MHCS44
Kaupapa Maori
Mental Health
Services - Early
Intervention
Early Intervention Alcohol & Drug Services for Maori consumers provided by
specialist and multidisciplinary team to assess and treat people with an
alcohol or drug related problem in the early stage of the illness.
The treatment model is expected to contain traditional Maori healing
practices including holistic approach, whanau input and Maori ownership.
FTEs
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
Page 56
Purchase
unit Code v8
Purchase
Unit Code v7
MHCS45
MHCS45
Older Persons Day
Hospital
Programme
Dedicated outpatient services for mental health consumers over the age of
65, providing an assessment, treatment and recovery oriented programme.
This will be provided by a specialist, multidisciplinary team, from a dedicated
base facility.
Clinical FTEs
MHCS46
MHCS46
Kaupapa Maori
Mental Health
Services –
Kaumatua and
Taua (Kuia)
Provision of Kaumatua and Taua (Kuia) services to support other Kaupapa
Maori Mental Health Services.
FTEs
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Full-time equivalent clinical staff
member (health professional)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
Full-time equivalent staff member
(clinical or non-clinical) involved in
direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team.
MHCS47A
-
Child and Youth
Intensive Clinical
Support Service
(Other Clinical FTE)
Provision of intensive clinical assessment and treatment services which will
enable children and adolescents who have serious mental health problems
and are under the care of the Department of Child Youth and Family
Services (CYF), to achieve their maximum possible level of wellbeing, live
safely and effectively in a family/whanau environment and to maintain
appropriate social and educational relationships.
Other Clinical
FTEs
Full-time equivalent clinical staff
member (health professional other than senior medical officer)
involved in the direct delivery of
services to consumers. Exclude
time that is formally devoted to
administrative or management
functions e.g. half-time
coordination of a community team.
This includes the non clinical
training component of registrar
and house surgeon time.
MHCS47B
-
Child and Youth
Intensive Clinical
Support Service
(Senior Medical
Provision of intensive clinical assessment and treatment services which will
enable children and adolescents who have serious mental health problems
and are under the care of the Department of Child Youth and Family
Services (CYF), to achieve their maximum possible level of wellbeing, live
safely and effectively in a family/whanau environment and to maintain
appropriate social and educational relationships.
Senior Medical
FTEs
Full-time equivalent senior
medical staff member involved in
the direct delivery of services to
consumers. Exclude time that is
formally devoted to administrative
or management functions e.g.
half-time coordination of a
community team. This includes
DAMHS positions. Registrars and
house surgeons are specifically
excluded.
NSFW Data Dictionary V8
Page 57
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
MHCS48
-
Child and Youth
Wrap Around
Services
MHCS49
-
Child and Youth
Acute Care
Packages
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Provision of individually tailored support packages which will enable
children/adolescents who are using the intensive clinical support services to
live safely and effectively in a family/ whanau environment and to maintain
appropriate social and educational relationships.
Provision of individually tailored packages of care/treatment for children and
adolescents who are experiencing an acute episode of a serious mental
illness/mental health problem.
Programme
Various - mix of facility and
staffing cost recovery based on
local market rates.
Programme
Various - mix of facility and
staffing cost recovery based on
local market rates.
MHIS01
MHIS01.1
Acute Inpatient
Beds
Inpatient assessment and treatment in a designated psychiatric ward or
portion of a ward for consumers who are suffering from an acute mental
disorder and who cannot be safely treated in an outpatient setting.
Available bed
days
Total number of days that
inpatient beds that are available to
be occupied during the period
MHIS02
MHIS002
Older People
Inpatient Beds
Inpatient assessment and treatment in a designated psychiatric ward or
portion of a ward for consumers who are over the age of 65 and who are
suffering from an acute mental disorder and who cannot be safely treated in
an outpatient setting.
Available bed
days
Total number of days that
inpatient beds that are available to
be occupied during the period
MHIS03
MHIS003
Clinical
Rehabilitation/SubAcute/Extended
Care Inpatient Beds
Time spent by a client in a psychiatric rehabilitation inpatient unit (long
term/extended care).
Available bed
days
Total number of days that
inpatient beds that are available to
be occupied during the period
MHIS04
MHIS004
Long Term Secure
Forensic
Services that provide the full range of psychiatric/mental health services to
clients deemed forensic within a maximum secure inpatient environment.
Available bed
days
Total number of days that
inpatient beds that are available to
be occupied during the period
MHIS05
MHIS005
Medium Secure
Forensic
Services that provide the full range of psychiatric/mental health services to
clients deemed forensic within a medium secure inpatient environment.
Available bed
days
Total number of days that
inpatient beds that are available to
be occupied during the period
MHIS06
MHIS006
Minimum Secure
Forensic
Services that provide the full range of psychiatric/mental health services to
clients deemed forensic within a minimum secure inpatient environment.
Available bed
days
Total number of days that
inpatient beds that are available to
be occupied during the period
MHIS07
MHIS007
Child and Youth
Inpatient Beds
Inpatient assessment and treatment in a designated psychiatric ward or
portion of a ward for consumers who are under the age of 19 and who are
suffering from an acute mental disorder and who cannot be safely treated in
an outpatient setting.
Available bed
days
Total number of days that
inpatient beds that are available to
be occupied during the period
MHIS08
MHIS008
Kaupapa Maori
Mental Health
Services - Inpatient
Beds
Inpatient assessment and treatment in a designated psychiatric ward or
portion of a ward for Maori consumers who are suffering from an acute
mental disorder and who cannot be safely treated in an outpatient setting.
Available bed
days
Total number of days that
inpatient beds that are available to
be occupied during the period
NSFW Data Dictionary V8
The treatment model is expected to contain traditional Maori health practices
including holistic approach, whanau input and Maori ownership.
Page 58
Purchase
unit Code v8
Purchase
Unit Code v7
MHIS09
MHIS01.2
Intensive Care
Inpatient Beds
Inpatient assessment and treatment in a designated secure psychiatric ward
or portion of a ward for consumers who are suffering from an acute mental
disorder and who cannot be safely treated in an outpatient setting.
Available bed
days
Total number of days that
inpatient beds that are available to
be occupied during the period
MHIS10
MHIS010
Detoxification –
Medical Inpatient
Detoxification occurring in a designated inpatient facility targeting at those
with complex drug dependency and related issues.
Available bed
days
Total number of days that
inpatient beds that are available to
be occupied during the period
MHIS12
MHIS012
Eating Disorder
Service - Inpatient
Inpatient assessment and treatment in a designated psychiatric ward or
portion of a ward for patients with an Eating Disorder.
Available bed
days
Total number of days that
inpatient beds that are available to
be occupied during the period
MHIS13
MHIS013
Mother and Baby Inpatient
Inpatient assessment and treatment in a designated psychiatric ward/portion
of a ward for mothers & babies.
Available bed
days
Total number of days that
inpatient beds that are available to
be occupied during the period
MHIS14
MHIS014
Inpatient Access
Fee
Provision of a dedicated Mental Health Inpatient Facility of set capacity for a
fixed period of time.
Available
Facility
Availability of facility for fixed
period of time
MHQI01
MHQI001
Quality
Improvements
Include Quality Improvement programmes for monitoring, auditing, reporting
of Mental Health services and contracts.
Programme
Various quality improvement
programmes.
MHRD01
MHRD001
Research and
Development
Research and Development programmes and strategies associated with
Mental Health. Include collaboration with the Health Research Council for
the development of research proposals for casemix, outcomes and
epidemiology study.
Programme
Various - may include short-term
studies/ surveys and long-term
research lasting more than a year.
MHRE01
MHRE01.1
Adult Planned
Respite
Dedicated facility and services provided for client and/or carer and/or family
who require a short break from their own homes.
Programme
Various - mix of facility and
staffing cost recovery based on
local market rates.
MHRE02
MHRE01.2
Adult Crisis Respite
Dedicated facility and services provided for client and/or carer and/or family
who require a short break from their own homes.
Programme
Various - mix of facility and
staffing cost recovery based on
local market rates.
MHRE03
MHRE01.3
Maternal Respite
Respite service for mothers and/or babies who require a short break from
their own homes or additional support in their own home. Services
specifically for women who have had an exacerbation or develop mental
illness associated with pregnancy.
Programme
Various - mix of facility and
staffing cost recovery based on
local market rates.
MHRE04
MHRE01.4
Child and Youth
Planned Respite
Dedicated facility and services provided for client and/or carer and/or family
who require a short break from their own homes.
Programme
Various - mix of facility and
staffing cost recovery based on
local market rates.
MHRE05
MHRE01.5
Child and Youth
Crisis Respite
Dedicated facility and services provided for client and/or carer and/or family
who require a short break from their own homes.
Programme
Various - mix of facility and
staffing cost recovery based on
local market rates.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 59
Purchase
unit Code v8
Purchase
Unit Code v7
MHWD01
MHWD001
Workforce
Development
Purchased of mental health related training programmes and/or training
positions. May include 'one-off' programme development and establishment
services.
Programme
Various - may include number of
trainees and/or training
programmes
MHWD02
MHWD002
Workforce
Development - CTA
Places
Purchased of mental health related training programmes and/or training
positions. May include ‘one-off’ programme development and establishment
services.
Programme
Various - trainees and/or training
programmes purchased by CTA
MS01001
Previously
covered in
AH01002
Nurse led outpatient
clinics
Education and management clinic led by a nurse specialist for specialist
groups of clients excluding diabetes, respiratory and wound care that are
covered in other purchase units.
Attendances
Number of attendances to a
clinic/department/assessment unit
OT02001
OT02.01
Coroner Deaths not
requiring Post
Mortem
Provision of facilities, materials and ancillary staff to deal with human remains
prior to release by a coroner for burial or cremation. No post mortem
required.
Case
Number of deceased persons.
OT05001
OT05.01
Hyperbaric chamber
This includes the delivery of HBO, associated care and treatment by a team
of specialised staff, (including medical nursing and technical staff) liaison with
referrers, discharge planning on both an in patient and day case basis. For
cases admitted but present primarily for HBO costs related to the admission
will be met within this contract.
Treatment
hours
Time, in hours, from patient
entering to exiting hyperbaric
chamber.
PC0001
Pain clinic 1st
attendance –
medical practitioner
First attendance to pain clinic anaesthetist or medical officer/s at registrar
level or above or nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/ assessment unit
PC0002
Pain clinic 1st
attendance – nonmedical practitioner
First attendance to pain clinic clinician (excluding medical practitioner) for
specialist assessment.
Attendances
Number of attendances to a
clinic/department/ assessment unit
PC0003
Pain clinic –
subsequent
attendance –
medical practitioner
Follow-up attendances to pain clinic anaesthetist or medical officer at
registrar level or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/ assessment unit
PC0004
Pain clinic –
standard cost
procedures
Follow-up attendances to anaesthetist(s) or medical officer at registrar level
or above or nurse practitioner, involving a medical/surgical procedure on an
outpatient basis (excluding procedures carried out in operating theatres).
Attendances
Number of attendances to a
clinic/department/ assessment unit
PC0005
Pain clinic –
Follow-up attendances to anaesthetist(s) or medical officer at registrar level
or above or nurse practitioner, involving a medical/surgical procedure on an
outpatient basis in an operating theatre.
Attendances
Number of attendances to a
clinic/department/ assessment unit
Purchase Unit
Description
high cost
procedures
NSFW Data Dictionary V8
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 60
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
PC0006
Pain clinic –
subsequent
attendance – nonmedical practitioner
Follow-up attendances to pain clinic non-medical practitioner for specialist
assessment.
Attendances
Number of attendances to a
clinic/department/ assessment unit
PC0007
Multidisciplinary
Assessment –
Psycho-social
assessment,
functional
assessment and
medical review
Attendance to a Pain Centre for Team Assessment. Team will consist of no
less than 3 health professionals. In depth assessment to gain insight into
patient’s situation, coping strategies, pain effects and readiness for selfmanagement approaches and/or other treatment modalities.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit
PC0009
Pain management
programme
Patient programme including liaison, co-ordination, assessment, diagnosis
and treatment programme for people requiring chronic pain management
service within these programmes. Patients within these programmes will
have the entirety of care under this purchase unit which is for non-inpatient
care, and will not be counted in any other purchase unit.
Clients
Number of client cases
RU101
R066
Generalist Primary
Care (SAMO/INP)
Funding of Special Area Medical Service
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
RU102
R185
Chatham Islands
Health services to Chatham Islands people
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
health services
RU103
R186
Murchison health
services
Health services provided to people in Murchison area
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
RU104
OT04001
Rural Inpatients
Available bed days in designated rural hospitals.
Bed days
Total number of beds that are
occupied each day over a
designated period. For reporting
purposes, count beds occupied as
at 12 midnight of each day
RU105
R420
Motueka Health
Centre Services A4
DSS funded services to small communities
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
RU107
R421
Motueka Health
Centre Services A6
DSS funded services to small communities
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
NSFW Data Dictionary V8
Page 61
Purchase
unit Code v8
Purchase
Unit Code v7
RU108
R422
Motueka Health
Centre Services MS2
DSS funded services to small communities
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
RU109
R423
Golden Bay Health
Centre Services A4
DSS funded services to small communities
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
RU110
R424
Golden Bay Health
Centre Services A6
DSS funded services to small communities
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
RU111
R425
Golden Bay Health
Centre Services MS2
DSS funded services to small communities
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
S00001
S00.01
General Surgery Inpatient Services
(DRGs)
See Appendix for a generic DRG purchase unit definition and health
specialty mapping table. Excludes BSA-50. (Purchaser code 15).
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (IES5) and
Weighted Inlier Equivalent
Separations version 8 (WIES8A).
S00002
S00.06
General Surgery 1st attendance
See Appendix for a generic 1st specialist assessment definition. First
attendance to general surgeon or medical officer at registrar level or above or
nurse practitioner for specialist assessment. Excludes BSA-55.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S00003
S00.07
General Surgery Subsequent
attendance
See Appendix for a generic subsequent specialist assessment definition.
Follow-up attendances to general surgeon or medical officer at registrar level
or above or nurse practitioner. Excludes BSA-50.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 62
Purchase
unit Code v8
Purchase
Unit Code v7
S00004
S00.04
Purchase Unit
Description
General Surgery Colonoscopy
Purchase Unit Definition
Colonoscopy performed as an outpatient or elective day case, including
procedures -
Unit of Measure
Procedures
Unit of Measure Definition
An individual
operative/diagnostic/assessment
procedure.
That the Admission and Discharge dates are the same
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
The patients age is greater than 15 years old
AND
That the primary procedure code falls in the following range:
ICD10 Colposcopy, first procedure in the range: (3560800, 3564600,
3564700, 3560801, 3553902, 3561100, 3553904, 3563705, 3553903,
3560802, 3561400).
AND
That the second procedure code falls in the following range:
ICD10 Colposcopy, second procedure in the range: (3560800, 3564600,
3564700, 3560801, 3553902, 3561100, 3553904, 3563705, 3553903,
3560802, 3561400,9250202,9250300, blank).
AND
That the third procedure code is in (9250202,9250300,blank).
Excludes colonoscopy performed as part of an inpatient episode. Excludes
motility studies.
NSFW Data Dictionary V8
Page 63
Purchase
unit Code v8
Purchase
Unit Code v7
S00005
S00.05
Purchase Unit
Description
General Surgery Gastroscopy
Purchase Unit Definition
Gastroscopy performed as an outpatient or elective day case, including
procedures That the Admission and Discharge dates are the same
Unit of Measure
Procedures
Unit of Measure Definition
An individual
operative/diagnostic/assessment
procedure.
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
The patients age is greater than 15 years old
AND
That the primary procedure code falls in the following range:
ICD10 Gastroscopies, first procedure in the range: (4181600, 3047303,
3047810, 4182500, 4182200, 3047304, 3047600, 3047601, 3047806,
3047809, 3047811, 3047812, 3047602, 3047813, 3047900, 3047807,
3047603, 3047300, 3047301, 3047500, 3047501, 3047803, 3209500,
3047804, 3047801, 3047802).
AND
That the second procedure code falls in the following range:
ICD10 second procedure in the range: (3048400, 3048401, 3048402,
3045200, 3048500, 3049100, 3045202, 3048501, 3049101, 3049400,
3045100, 3045201, 3044200, 3047801, 3047802, 3209000, 3208400,
3209001, 3208401, 3209300, 3208700, 9030800, 3209400, 3207500,
3207200, 3207201, 3207501, 9031200, 9031201, 3207800, 3208100,
3209900, 3210800, 9034100, 3210500, 4181600, 3047303, 3047810,
4182500, 4182200, 3047304, 3047600, 3047601, 3047806, 3047809,
3047811, 3047812, 3047602, 3047813, 3047900, 3047807, 3047603,
3047300, 3047301, 3047500, 3047501, 3047803, 3209500, 3047804,
9250202,9250300, blank).
AND
That the third procedure code is in (9250202,9250300,blank).
Excludes gastroscopy performed as part of an inpatient episode. Excludes
motility studies.
NSFW Data Dictionary V8
Page 64
Purchase
unit Code v8
Purchase
Unit Code v7
S15001
S15.01
Cardiothoracic Inpatient Services
(DRGs)
See Appendix for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (IES5) and
Weighted Inlier Equivalent
Separations version 8 (WIES8A).
S15002
S15.02
Cardiothoracic - 1st
attendance
See Appendix for a generic 1st specialist assessment definition. First
attendance to general surgeon or medical officer at registrar level or above or
nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S15003
S15.03
Cardiothoracic Subsequent
attendance
See Appendix for a generic subsequent specialist assessment definition.
Follow-up attendances to cardiothoracic surgeon or medical officer at
registrar level or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S25001
S25.01
Otorhinolaryngology
(ORL), previously
known as Ear, Nose
and Throat Inpatient Services
(DRGs)
See Appendix for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (IES5) and
Weighted Inlier Equivalent
Separations version 8 (WIES8A).
S25002
S25.02
Otorhinolaryngology
(ORL), previously
known as Ear Nose
and Throat - 1st
attendance
See Appendix for a generic 1st specialist assessment definition. First
attendance to ENT surgeon or medical officer at registrar level or above or
nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S25003
S25.03
Otorhinolaryngology
(ORL), previously
known as Ear Nose
and Throat Subsequent
attendance
See Appendix for a generic subsequent specialist assessment definition.
Follow-up attendances to ENT surgeon or medical officer at registrar level or
above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S25005
R333
National Audiology
Advisory Service
Provision of advice nationally related to audiology services and technical
advice.
Programme
Price per programme
S30001
S30.01
Gynaecology Inpatient Services
(DRGs)
See Appendix for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
S30002
S30.02
Gynaecology - 1st
attendance
See Appendix for a generic 1st specialist assessment definition. First
attendance to gynaecologist or medical officer at registrar level or above or
nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 65
Purchase
unit Code v8
Purchase
Unit Code v7
S30003
S30.03
Gynaecology Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to gynaecologist or medical officer at registrar level or
above or nurse practitioner. Excludes colposcopy and minor procedures.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S30006
S30.06
Termination of
Pregnancy
Surgical termination of pregnancy performed on an outpatient or day patient
basis, including procedures -
Procedures
An individual
operative/diagnostic/assessment
procedure.
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
The AR-DRG is equal to O40Z
Unit of Measure Definition
AND
That the primary procedure/procedure codes fall in the range:
ICD10 Surg ToP, primary procedure in the range: (3564300, 3564301) AND
primary diagnosis in the range (O040-O049 {O04*}).
S30008
S30005
Gynaecology - High
Cost Minor
procedures
Outpatient procedures where the purpose of the attendance is to receive the
procedure and the patient is not admitted. Includes LETZ and Miraena
procedures. Excludes colposcopies. Excludes NCSP-20. purchases
Procedures
An individual
operative/diagnostic/assessment
procedure.
S35001
S35.01
Neurosurgery Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
S35002
S35.02
Neurosurgery - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to neurosurgeon or medical officer at registrar level or above or
nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S35003
S35.03
Neurosurgery Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to neurosurgeon or medical officer at registrar level or
above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S40001
S40.01
Ophthalmology Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
S40002
S40.02
Ophthalmology - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to ophthalmologist or medical officer at registrar level or above or
nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
NSFW Data Dictionary V8
Page 66
Purchase
unit Code v8
Purchase
Unit Code v7
S40003
S40.03
Ophthalmology Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to ophthalmologist or medical officer at registrar level
or above or nurse practitioner. Excludes minor eye procedures, argon laser
and fundus screening.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S40004
S40.04
Minor Eye
Procedures
Outpatient procedures where the purpose of the attendance is to receive the
procedure and the patient is not admitted. Excludes laser treatments.
Procedures
An individual
operative/diagnostic/assessment
procedure.
S40005
S40.05
Eye Laser
Procedures
Laser eye procedures. Includes YAG and Argon. .
Procedures
An individual
operative/diagnostic/assessment
procedure.
S45001
S45.01
Orthopaedics Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
S45002
S45.02
Orthopaedics - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to orthopaedic surgeon or medical officer at registrar level or
above or nurse practitioner for specialist assessment. Excludes fracture
clinic.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S45003
S45.03
Orthopaedics Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to orthopaedic surgeon or medical officer at registrar
level or above or nurse practitioner. Excludes fracture clinic.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S45004
S45.04
Fracture Clinic - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to orthopaedic surgeon or medical officer for assessment and
treatment of fractures. Includes initial assessment and treatment of patients
referred from emergency department.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S45005
S45.05
Fracture Clinic Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to orthopaedic surgeon or medical officer for
assessment and treatment of fractures.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S45006
R548
Gait Lab
Computerised orthopaedic assessment of gait patterns of children that
avoids other intrusive testing.
Assessments
Number of assessments
S50001
S50.01
Spinal Services Acute case
Patients admitted acutely to a spinal injury unit. Excludes pressure areas.
Discharges
As per NZHIS definition - the
process of documentation that
changes the status of an admitted
healthcare user.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 67
Purchase
unit Code v8
Purchase
Unit Code v7
S50002
S50.02
Spinal Services non-acute case
Patients admitted electively to a spinal injury unit. Excludes pressure areas.
Excludes all ACC clients post 1972.
Discharges
As per NZHIS definition - the
process of documentation that
changes the status of an admitted
healthcare user.
S50003
S50.09
Spinal Services Reassessment
Patients admitted to a spinal injury unit who require re-assessment. Excludes
ACC clients.
Discharges
As per NZHIS definition - the
process of documentation that
changes the status of an admitted
healthcare user.
S50005
S50.05
Spinal - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to spinal injury specialist or medical officer at registrar level or
above or nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S50006
S50.06
Spinal - Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to spinal injury specialist or medical officer at registrar
level or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S50008
S50.08
Spinal Services Forearm transfer
Patients admitted to a spinal injury unit who require a forearm transfer
procedure.
Procedures
An individual
operative/diagnostic/assessment
procedure.
S50009
S50.03
Spinal Services pressure area
Patients admitted to a spinal injury unit who require treatment of pressure
areas.
Discharges
As per NZHIS definition - the
process of documentation that
changes the status of an admitted
healthcare user.
S50010
S50.04
Spinal Services Troid transfer
Patients admitted to a spinal injury unit who require a troid transfer
procedure.
Discharges
As per NZHIS definition - the
process of documentation that
changes the status of an admitted
healthcare user.
S55001
S55.01
Paediatric Surgical
Services (DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost Weighted
Discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
S55002
S55.02
Paediatric Surgery
Outpatient - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to a paediatric surgeon or medical officer at registrar level or
above or nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S55003
S55.03
Paediatric Surgery
Outpatient Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to a paediatric surgeon or medical officer at registrar
level or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 68
Purchase
unit Code v8
Purchase
Unit Code v7
S60001
S60.01
Plastic & Burns Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table. This includes maxillo-facial specialty services.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
S60002
S60.02
Plastics (incl Burns
and Maxillofacial) 1st attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to plastic or maxillo-facial surgeon or medical officer at registrar
level or above or nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S60003
S60.03
Plastics (incl Burns
and Maxillofacial) Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to plastic or maxillo-facial surgeon or medical officer
at registrar level or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S60004
Pulse Dye Laser
Treatment Assessments
Initial assessment by appropriate clinician and development of a treatment
plan for children up to 18 years with lesions that are clearly visible from a
distance of 2 metres on skin not usually covered by clothing.
Assessments
Individual assessments.
S60005
Pulse Dye Laser
Treatment Treatments
Treatment for children up to 18 years with lesions that are clearly visible from
a distance of 2 metres on skin not usually covered by clothing.
Treatment
Number of attendances for
treatment.
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
S70001
S70.01
Urology - Inpatient
Services (DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
S70002
S70.02
Urology - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to urologist or medical officer at registrar level or above or nurse
practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S70003
S70.03
Urology Subsequent
attendance
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to urologist or medical officer at registrar level or
above or nurse practitioner. Excludes cystoscopy, lithotripsy and
chemotherapy.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
NSFW Data Dictionary V8
Page 69
Purchase
unit Code v8
Purchase
Unit Code v7
S70004
S70.04
Purchase Unit
Description
Urology Chemotherapy
Purchase Unit Definition
An attendance where the purpose of the attendance is to receive prescribed
chemotherapy treatment. The specialist may or may not be in attendance.
Includes all pharmaceuticals administered during the attendance. Includes
day case treatment, including procedures –
Unit of Measure
Unit of Measure Definition
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
Procedures
An individual
operative/diagnostic/assessment
procedure.
That the Admission date is the same as the Discharge date
AND
That either of the first two diagnosis codes fall in the range:
ICD10 Chem/Radio, either of the first two diagnosis in the range: (Z510,
Z511, Z512).
S70005
S70.05
Urology Cystoscopy
Cystoscopy, including procedures That the Admission and Discharge dates are the same
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
The patients age is greater than 15 years old
AND
That the primary procedure code falls in the following range:
ICD10 Cystoscopies, first procedure in the range: (3681201, 3681200,
3683600, 3683904, 3684503, 3683902, 3684501, 3684500, 3683900,
3684505, 3684504, 3684502, 3731801, 3731500, 3681501, 3682700).
AND
That the second procedure code falls in the following range:
ICD10 Cystoscopies, second procedure in the range: (3681201, 3681200,
3683600, 3683904, 3684503, 3683902, 3684501, 3684500, 3683900,
3684505, 3684504, 3684502, 3731801, 3731500, 3681501, 3682700,
9250202,9250300, blank).
AND
That the third procedure code is in (9250202,9250300,blank).
NSFW Data Dictionary V8
Page 70
Purchase
unit Code v8
Purchase
Unit Code v7
S70006
S70.06
Purchase Unit
Description
Urology - Lithotripsy
Purchase Unit Definition
Lithotripsy, including procedures -
Unit of Measure
Unit of Measure Definition
Procedures
An individual
operative/diagnostic/assessment
procedure.
That the Admission and Discharge dates are the same
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
That the primary procedure code falls in the following range:
ICD10 Lithotripsy, first procedure in the range: (3654600).
AND
That the second procedure code falls in the following range:
ICD10 Lithotripsy, second procedure in the range:
(3654600,9250202,9250300, blank).
AND
That the third procedure code is in the range: (3654600,9250202,9250300,
9250202,9250300, blank).
S70007
S50.07
Urodynamics
Patients treated for urodynamic procedures.
Procedures
An individual
operative/diagnostic/assessment
procedure.
S75001
S75.01
Vascular Surgery Inpatient Services
(DRGs)
See Section 4 for a generic DRG purchase unit definition and health
specialty mapping table.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
S75002
S75.02
Vascular Surgery
Outpatient - 1st
attendance
See Section 4 for a generic 1st specialist assessment definition. First
attendance to vascular surgeon or medical officer at registrar level or above
or nurse practitioner for specialist assessment.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
S75003
S75.03
Vascular Surgery
Outpatient - Subseq
attend
See Section 4 for a generic subsequent specialist assessment definition.
Follow-up attendances to Vascular surgeon or medical officer at registrar
level or above or nurse practitioner.
Attendances
Number of attendances to a
clinic/department/acute
assessment unit.
NSFW Data Dictionary V8
Page 71
Purchase
unit Code v8
Purchase
Unit Code v7
SH01001
SH01.01
Sexual Health First Contact
Assessment, diagnosis and education including any necessary diagnostic
tests, HIV testing and necessary pre-test counselling.
Contacts
The number of face to face
contacts between a health
professional and a client or group
of clients, for the provision of
clinical services. A contact does
not include: phone consultations,
discussions between health
professionals regarding a client's
care, any contact where the sole
purpose of the contact is the
provision of supplies or
consumables.
SH01002
SH01.02
Sexual Health Follow Up
Treatment of patient with diagnosed sexually transmitted infections (SFI),
contact tracing, counselling and education or referral as necessary.
Contact
The number of face to face
contacts between a health
professional and a client or group
of clients, for the provision of
clinical services. A contact does
not include: phone consultations,
discussions between health
professionals regarding a client's
care, any contact where the sole
purpose of the contact is the
provision of supplies or
consumables.
SH01003
SH01.03
Family Planning
Services
Provision of information and advice on sexual and reproductive health
including contraception and pregnancy testing. Provision or prescription of
necessary pharmaceutical drugs and advice. Referrals as necessary.
Clients
Number of clients managed by the
service in a year ie caseload at
the commencement of the
financial year plus all new cases
year to date.
SH01004
R080
Sex Abuse
Programme
Sexual abuse programmes.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
T0102
T01.02
Specialised
Heart/Lung
Transplant Services
- Heart transplant
assessment
Assessment against agreed criteria for access for cardiac transplant.
Assessments
Number of assessments.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 72
Purchase
unit Code v8
Purchase
Unit Code v7
T0103
T01.03
Specialised
Heart/Lung
Transplant Services
- Heart transplant
Transplantation as an accepted treatment for selected patients with endstage cardiac failure.
Programme
Set measures as per International
Society for Heart Lung Transplant
(ISHLT) Thoracic Transplant Data
form; ISHLT Thoracic Follow-up
form; Australasian Cardiothoracic
Transplant Registry (ACTREG)
Data Entry form.
T0105
T01.05
Specialised
Heart/Lung
Transplant Services
- Lung transplant
assessment
Assessment against agreed criteria for access for lung transplant.
Assessment
Number of assessments.
T0106
T01.06
Specialised
Heart/Lung
Transplant Services
- Lung transplant
Transplantation as an accepted treatment for the young (upper age of 55
years for single lung transplantation and 50 years for bilateral-sequential lung
transplantation) and except for end stage pulmonary disease, vigorous and
healthy. Potential clients should have a stable psychological and social
situation. Patient should be in functional class III or IV (NYHA) and have
poor prognosis for survival.
Programme
Set measures as per International
Society for Heart Lung Transplant
(ISHLT) Thoracic Transplant Data
form; ISHLT Thoracic Follow-up
form; Australasian Cardiothoriacic
Transplant Registry (ACTREG)
Data Entry form.
T0108
T01.08
Organ donation coordination
Facilitation of supply of donor organs and tissue for the NZ population and
organ sharing with Australia
Programme
Number of co-ordinations
completed.
T0109
R528
Cadaver Collection
Collection of Cadavers for organ donation for transplants
Service
T0110
R549
Workup for
Overseas Liver
Transplants for
Children
Assessment for suitability for liver transplantation for children.
Assessments
Agreed lump sum amount.
Service purchased in a block
arrangement.
Number of assessments
TR0101
TR01.01
Patient Travel &
Accommodation
Assistance
Implementation of the HFA patient travel and accommodation assistance
policy.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
TR0201
TR02.01
Patient transport non emergency and
inpatient transfers
Transport of patients from one facility in a DHB to a facility in another DHB
when their condition is such that ordinary modes of transport are unsuitable.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
TR0202
TR02.02
Road ambulance emergency
Emergency road ambulance services for medical cases.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 73
Purchase
unit Code v8
Purchase
Unit Code v7
TR0203
TR02.03
Air ambulance emergency
Emergency air ambulance services for medical cases.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
W01001
W01.01
Primary Maternity S51 notice
Lead maternity care, including midwifery support services for doctor LMC.
Fee for service
Payment per defined modules.
W01002
W01.02
Pregnancy and
Parenting Education
Antenatal education course (non LMC).
Courses
Number of Courses
W02001
W02.01
Maternity Facility Fee for labour and
delivery <199 births
Inpatient facility services during labour & birth.
Deliveries in
facility
The number of women who have
delivered in the facility,
irrespective of whether a women
is under the care of a primary
LMC or the secondary or tertiary
maternity service.
W02002
W02.02
Maternity Facility Fee for labour and
delivery 200-599
births
Inpatient facility services during labour & birth.
Deliveries in
facility
The number of women who have
delivered in the facility,
irrespective of whether a women
is under the care of a primary
LMC or the secondary or tertiary
maternity service.
W02003
W02.03
Maternity Facility Fee for labour and
delivery 600+ births
Inpatient facility services during labour & birth.
Deliveries in
facility
The number of women who have
delivered in the facility,
irrespective of whether a women
is under the care of a primary
LMC or the secondary or tertiary
maternity service.
W02004
W02.04
Maternity Facility Fee per postnatal
<199 births
Inpatient facility services postnatally.
Postnatal
stays
Facility services provided to
women in the post natal period
from the time she is transferred to
a postnatal facility until each
women is discharged home from
the facility.
W02005
W02.05
Maternity Facility Fee per postnatal
200-599 births
Inpatient facility services, postnatally.
Postnatal
stays
Facility services provided to
women in the post natal period
from the time she is transferred to
a postnatal facility until each
women is discharged home from
the facility.
NSFW Data Dictionary V8
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 74
Purchase
unit Code v8
Purchase
Unit Code v7
W02006
W02.06
Maternity Facility Fee per postnatal
600+ births
Inpatient facility services, postnatally.
Postnatal
stays
Facility services provided to
women in the post natal period
from the time she is transferred to
a postnatal facility until each
women is discharged home from
the facility.
W03001
W03.01
Secondary
Maternity
24 hour/day specialist inpatient & outpatient services for women who have
complications.
Deliveries in
catchment
area
Total volume of deliveries in all
facilities in the catchment area
plus homebirths.
W04001
W04.01
Tertiary Maternity
Inpatient & outpatient services for rare/complex maternity needs.
Deliveries in
catchment
area
Total volume of deliveries in all
facilities in the catchment area
plus homebirths.
W06002
W06.02
Neonatal home care
Domiciliary services post discharge for specialist neonates.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
W06003
W06.03
Specialist neonates
Inpatient specialist services for sick neonates.
Cost Weighted
Discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
W07006
R434
Budget Holding
Section 51
Obstetrician
Consultations
Funding for obstetric consultants.
Service
Total volume of deliveries in all
facilities in the catchment area
plus homebirths.
W08001
R206
Special Maternity
Project
Special projects to assist women in pregnancy
Programme
Agreed lump sum
3.2
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Nationally Purchased Services and Service Specifications with Locally Agreed Prices and Volumes
Purchase
unit Code v8
Purchase
Unit Code v7
COAM001
NSFW Data Dictionary V8
Purchase Unit
Description
PRIME Rural Bonus
Scheme
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Volunteer support officers – ambulance officers
Services
Agreed lump sum amount
Page 75
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
COAM002
PRIME Rural Bonus
Scheme
Primary response in medical emergency – fees.
Services
Agreed lump sum amount
COAM003
PRIME Rural Bonus
Scheme
Primary response in medical emergency – administration.
Services
Agreed lump sum amount
COAM004
PRIME Rural Bonus
Scheme
Training.
Services
Agreed lump sum amount
COAM005
PRIME Rural Bonus
Scheme
Primary response in medical emergency – equipment
Services
Agreed lump sum amount
COAM006
PRIME Rural Bonus
Scheme
Ambulatory integrated medical services.
Services
Agreed lump sum amount
CS01001
CS01.01
Community
Radiology DHB
Diagnostic imaging referred by a general practitioner or private specialist.
Excludes tests referred by DHB staff. Excludes maternity ultrasound.
Relative Value
Unit
An individual
operative/diagnostic/assessment
procedure completed according to
the College of Radiologists
definition for RVUs and codes
CS02001
CS02.01
Community
Laboratory DHB
Laboratory tests referred by a general practitioner or private specialist.
Excludes tests referred by DHB staff.
Tests
Number of separate tests
purchased.
M90001
Care and Review
Management (including a plan of care) of patients, currently below the
access threshold for secondary inpatient or outpatient services, provided by
either secondary or primary providers.
Services
Agreed lump sum amount
MEOU0001
Redesign - Ear,
Nose and Throat
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0002
Redesign Respiratory
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0003
Redesign Opthalmology
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
NSFW Data Dictionary V8
Page 76
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
MEOU0004
Redesign - General
Medicine
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0005
Redesign - Urology
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0006
Redesign - General
Surgery
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0007
Redesign Gynaecology
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0008
Redesign Orthopaedic
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0009
Redesign Cardiology
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0010
Redesign Cardiology
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0011
Redesign - Dental
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0012
Redesign - Pain
Management
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
NSFW Data Dictionary V8
Page 77
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
MEOU0013
Redesign Gastroenterology
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0014
Redesign Neurosurgery
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0015
Redesign Paediatric
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0016
Redesign Audiology
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0017
Redesign Endocrinology
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0018
Redesign Haematology
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0019
Redesign - Renal
Medicine
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0020
Redesign - Plastics
& Burns
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0021
Redesign Deramtology
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
NSFW Data Dictionary V8
Page 78
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
MEOU0022
Redesign - Vascular
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0023
Redesign –
Cardiothoracic
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0024
Redesign Oncology
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount.
MEOU0025
Redesign Rheumatology
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
MEOU0070
Magnetic Resource
Imaging Scans
Provision of alternative access to secondary assistance for patients below
the outpatient threshold (which may include such things as direct access to
diagnostics, helplines, and management by other health professionals, as
well as the provision of additional FSA and follow-up consultations)
Services
Agreed lump sum amount
Unit of Measure
Unit of Measure Definition
3.3
Regional Purchase Units Mapped to Common Purchase Units
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
S25001 and
New DSS
Purchase
Units –
DSSC*
R017
Temp Cochlear
Implants & Hearing
Aid Subsidy
DOM101
Purchase Unit Definition
Provision of assessment, implant of cochlear and follow up in Years 1, 2 and
3 and replacement of device.
Implant procedure is covered in Casemix purchase S25001
See data dictionary DSSC101 – DSSC106.
R035
Parental Nutrition
Long
Provision of total parental nutrition for region clients. Mapped to Dom 101.
See data dictionary.
R036
Parenteral Nutrition
Temp
See data dictionary.
NSFW Data Dictionary V8
Page 79
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
AH01001 to
AH01008
R060
Allied Support
Services
(Domiciliary)
See data dictionary.
DOM104
R061
Continence
Services/Continenc
e Aids
See data dictionary
DOM101
R064
General/Specialist
Domiciliary Nursing
See data dictionary
DOM105
R073
Home Support
See data dictionary.
DOM106
R075
Meals on Wheels
See data dictionary.
DOM103
R084
Stomal
Services/Stomal
Appliances
See data dictionary.
S25001 and
S25002
R091
Audiology - Ear,
Nose And Throat
See data dictionary.
CS04001
R093
Cardiology Primary
Referred Diagnostic
Tests
See data dictionary.
PC0009
R144
Pain Programme
See data dictionary.
DOM105
R151
Post Discharge
Domiciliary Home
Support
See data dictionary.
DOM101
R152
Post Discharge
Domiciliary Nursing
See data dictionary
M65006
R163
Sleep apnoea
monitoring
See data dictionary.
S60001
R254
Craniofacial
See data dictionary
DOM101
R263
Home IV Pilot
See data dictionary.
M65008
R351
Paediatric
Respiratory first
specialist
assessment
See Section 4 for a generic 1st specialist assessment definition. Specialist
services delivered in or at a hospital and in the community to facilitate the
diagnosis, treatments of acute, sub-acute and chronic conditions. Locally
defined.
NSFW Data Dictionary V8
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Page 80
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
M65009
R352
Paediatric
Respiratory follow
up attendances
See Section 4 for a generic subsequent specialist assessment definition.
Specialist services delivered in or at a hospital and in the community to
facilitate the diagnosis, treatments of acute, sub-acute and chronic
conditions. Locally defined.
C01001
R502
Ear Van Service
See data dictionary.
AH01003
R504
Driving
Assessments
See data dictionary.
D01003 and
D01004
R542
Dental Paediatric
Support
FTE for the Assessment and treatment service delivered to children who live
in the community and have complex dental work.
M50003 and
M55004
R543
Med Specifications
Home and School
Visits
M80004 or
M80005
R547
PI or Well
Child PU
Unit of Measure
Unit of Measure Definition
Clinical FTEs
Full time equivalent staff member
involved in the direct delivery of
services to consumers. HFA
contracted individual
Specialist visits – hospital at home programme
Programme
Price for programme
Palliative Care
Children’s Services
Specialist programme of for children from Starship.
Programme
Price for programme
R563
PI Community Ear
Healthcare Worker
FTE for the assessment and follow up of hearing and vision screening of PI
children in the Central Auckland area.
Programme
Price for programme
New PUs for
Fertility
Services
Dom101
R569
Fertility Services –
Midland Contract
Provision of fertility services by Auckland Healthcare to women domicile in
the Midland region only.
Programme
Price per programme
R574
Total Parental
Nutrition IRF
See data dictionary
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
MHCS06A
RS2077
Community Mental
Health Team
See data dictionary.
MHCS08A
RS2102
Child & Family
Output. Services –
Specialist Clinical
Assess. - Ind. &
Family
See data dictionary.
MHCS08A
RS2367
Child and Youth
Team
See data dictionary.
NSFW Data Dictionary V8
Purchase Unit Definition
Page 81
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
MHCS06A1
RS24
Outpatient Services
- Specialist Clinical
Assessment Individual & Family
See data dictionary
MHCS01A
RS3237
Community Drug
and Alcohol Team
See data dictionary
AH01003
RS3295
Driving
Assessments
See data dictionary.
MHCS29.2
RS41
Methadone - Clinic
See data dictionary.
MHCS29.1
RS42
Methadone - GP
Authority
See data dictionary
MHCS06A
RS730
Outpatient Services
- Follow-up Individual & Family
See data dictionary
3.4
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
Regional Purchase Units for 2001 only - One off to be deleted
Purchase
unit Code v8
OT01001
Purchase
Unit Code v7
Purchase Unit
Description
AH01.02
Other non medical
clinics
Professional allied health services provided in an outpatient and domiciliary
setting to DSS and personal health clients. Includes post discharge services
and other HHS referrals as well as community-referred clients
Attendances
Number of attendances to a
clinic/department/assessment unit.
DOM1.10
Community
Services - orthotics
Orthotic services provided in the community to personal health clients.
Includes post-discharge community services. Excludes services covered by
other purchase units. Excludes DSS services. Mapped to orthotics in DSS.
Service
Uniquely agreed at a local level.
OT01.01
Blood & Blood
Products to Private
Hospitals & Primary
providers
Reasonable supply of blood and blood products for use in non-MOH
purchased services as per explicit contractural agreements between the DHB
and the external (private) provider.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
R564
General Med &
AT&R Elderly
Patients
Acute medical admission for elderly AT&R patients. See Section 4 for
generic DRG purchase unit definition and health speciality mapping.
Client
attendances
Price purchased
NSFW Data Dictionary V8
Page 82
3.5
Hospital Specific Purchase Units
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
HS0001
CORL0001
Rheumatology Labs
Hutt Valley
Health
Cost of community referred lab tests for Rheumatology
Outpatients receiving cytotoxic therapy – HVH
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0002
CS09001
Community
Referred
Ultrasounds
Healthcare
Otago
Community referred cases requiring ultrasound diagnostic
procedures
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0003
R012
Refugee and
Asylum Seekers –
Laboratory tests Regional
Auckland
Healthcare
Screening of newly arrived refugees and those accepted as
asylum seekers according to immigration requirements.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0004
R040
Regional (50%)
Medical outreach
Northland
Travel for outreach clinics
Premium
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0005
R505
Epidermolysis
Bullosa
Treatment of individual with epidermolysis bullosa.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0006
R072
GP Drug Advisory
Service
Canterbury
Health
Purchase of Clinical Pharmacology advice
Service
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0007
R181
Major incident
health co-ordinating
responsibilities
Capital
Coast
Health,
Auckland
Healthcare,
Waikato,
Canterbury,
Otago
Major incident health co-ordinating responsibilities
Service
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0008
Not used
HS0009
R209
Community funding
groups
Pacific
Health
Waikato
Regional unit in the former region providing inpatient
mothercraft support to women.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0010
R231
Haemophilia – High
Cost Drugs
Auckland
Healthcare
Fund for direct purchase of these non schedule drugs from
drug company
Premium
Agreed lump sum amount.
NSFW Data Dictionary V8
Page 83
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
HS0011
R235
Administration of
dental benefit
Administration of dental benefit for secondary school children
Service
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0012
R236
PI Health
programmes
Healthcare
Hawkes Bay,
Hutt Valley
Health,
MidCentral
Health,
Nelson
Marlborough
Health,
Wairarapa
Health,
Good Health
Wanganui
Auckland
Healthcare
Inpatient health-workers working with children and fono at
Starship Hospital and community agencies ensuring cultural
appropriateness of care
Service
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0013
R237
Maori Health
programme
Auckland
Healthcare,
Inpatient health-workers working with children and whanau at
Starship Hospital and community agencies ensuring cultural
appropriateness of care
Service
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0014
R239
Women Health Tararua
MidCentral
Health
Well Women's service in Tararua region.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0015
R240
Youth Sexual
Health
Auckland
Healthcare,
Northland
Health
Regional Health services provided in primary care setting for
youth in relation to sexual health, sexual abuse services and
education programmes. One stop shop clinics.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0016
R242
Cervical Screening
Canterbury
Health,
Otago, West
Coast Health
Clients
Client cases
HS0017
R259
Free Contraception
Services
MidCentral
Health,
Tairawhiti
Health,
Wairarapa
Health
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
NSFW Data Dictionary V8
Non communicable diseases – cervical screening.
Free contraception service at Wairarapa, Tairawhiti and Mid
Central
Page 84
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
HS0018
R264
OME Service
Coast Health
Care,
Healthcare
Otago
Glue ear services
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0019
R268
Regional Paediatric
Canterbury
Health,
Healthcare
Hawkes Bay,
Lakeland
Health
Travel and salary of specialist paediatric general surgeon
carrying out surgery on children in other hospitals. Surgery
and care of patients with surgical DRGs in remote hospital
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0020
R281
Matata Nurse
Pacific
Health
Nurse services to people in Matata
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0021
R282
Mothercraft Unit
Health
Waikato
Regional unit in the former Midland RHA region providing
cost effective secondary level inpatient support for mothers
and babies.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0022
R283
Opotiki Services
Pacific
Health
Health service for people in Opotiki
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0023
R292
Midwifery services
(LMC)
Canterbury
Healthcare,
Taranaki
Health
Premium for Consultants providing LMC service for
deliveirng babies in hospitals
Premium
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0024
R320
Adult sexual assault
Auckland
Healthcare
Provision of forensic services for adult sexual assault.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0025
R324
Child Protection
Auckland
Healthcare,
Northland
Health,
Otago
Waitemata
Health
National advisory service and regional service for children
and whanau in relation to neglect, physical, psychological
and sexual abuse.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0026
R331
Family Information
Service
Auckland
Healthcare
Information provided to families/whanua for children – in and
outpatient at Starship Hospital
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
NSFW Data Dictionary V8
Page 85
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
HS0027
R340
Rheumatic Fever
Counties
Manukau
Nurses in South Auckland schools to support the Rheumatic
Fever Trust
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0028
R342
Youth Specialist
Services
Counties
Manukau
Auckland regional youth specialist service and national
training for staff working with youth
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0029
R370
Visiting Clinics
Capital
Coast Health
One line adjuster for outreach outpatient clinics
Premium
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0030
R375
Breast Op proc 1st
Health
Waikato
Provision of “one stop shop” concept – access to all relevant
health professionals, diagnostics and a clear treatment plan.
This evolved out of a Waikato pilot breast screening
programme
Attendances
Number of attendances to a
clinic/department /acute
assessment unit.
HS0031
R376
Breast Op follow-up
Health
Waikato
Provision of “one stop shop” concept – access to all relevant
health professionals, diagnostics and a clear treatment plan.
This evolved out of a Waikato pilot breast screening
programme
Attendances
Number of attendances to a
clinic/department /acute
assessment unit.
HS0032
R392
ED – Safe Practice
Premium
Pacific
Health
Pacific Health – Premium to upgrade department services to
meet safe practice standards.
Premium
Agreed lump sum
HS0033
R399
Child
development/surger
y
Canterbury
Health
Corrective surgery performed at Burwood for children
Procedures
Number of procedures
HS0034
R471
Non resident bad
debts
Auckland
Healthcare,
Counties
Manukau
Government funding for bad debts associated with nonresidents (non -eligible people) to DHBs for personal health
services.
Premium
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0035
R503
Adolescent Dental
Price Premium MCH
Lakeland
Health,
MidCentral
Health
Administration of dental benefit for secondary school children
Premium
Agreed lump sum
Emergency
Department
Premium Kenepuru
Capital
Coast Health
Premium for provision of services at Keneperu ED.
Premium
Agreed lump sum
See R235
HS0036
R509
NSFW Data Dictionary V8
Page 86
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
HS0037
R510
Service Integration
& Health
Information Projects
Healthcare
Hawkes Bay,
Tairawhiti
Healthcare
GP data sharing and health initiatives
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0038
R516
Paediatric Cardiac
Inpatient Price
Adjustment – Green
Lane
Auckland
Healthcare
Provision of additional funding to cover additional costs of
paediatric cardiac inpatient price.
Premium
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0039
R522
Ceredase Exceptional Case
Capital
Coast Health
Special funding
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0040
Not used
HS0041
R526
Northland Vascular
Clinics
Auckland
Healthcare
Cost to Auckland Healthcare to provide clinic at Whangarei
Hospital.
Premium
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0042
R530
HIV Registry
Auckland
Healthcare
Register of HIV clients
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0043
R531
Northland
Neurology Clinic
Auckland
Healthcare
Cost to Auckland Healthcare to provide clinic at Whangarei
Hospital.
Premium
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0044
R533
MUDs Risk Pool
Auckland
Healthcare
Reimbursement of 3child and 2 adult procedures per year
receiving Matched Unrelated Donor Bone Marrow
Transplants at Starship
Premium
Agreed lump sum amount.
HS0045
R534
Primary &
Secondary
Maternity IRF
regions 2,3, & $
Auckland
Healthcare
Assessment and treatment of primary and secondary
maternity cases from out of region whose previous delivery
was complex and further complexities are probable. OR
mothers transferred pre delivery if complexity of neonate
cannot be handled at regional level due to full units.
Premium
Agreed lump sum amount.
HS0046
R535
Trauma Coordination
Auckland
Healthcare
Trauma Registry, local and regional co-ordination of
education and case management of complex trauma cases
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0047
R537
Otoneurology Clinic
Auckland
Healthcare
Specialist clinic for first and follow up assessments to a
specialist ORL specialist or medical officer at registrar level
or above or nurse practitioner. Multi disciplinary specialist
service for complex head and neck care.
Attendances
Number of attendances to a
clinic/department /acute
assessment unit.
NSFW Data Dictionary V8
Page 87
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
HS0048
R538
Multifaceted
Specialist Clinics
Auckland
Healthcare
Multi-faceted specialist clinics for first and follow up
assessments for complex cardiac or respiratory clients where
client can be seen at a number of outpatient units in one visit.
Attendance
Number of attendances to a
clinic/department /acute
assessment unit.
HS0049
R539
Prosthetic Eyes
Auckland
Healthcare
Assessment and treatment service delivered to individuals
who live in the community who require prosthetic eyes.
”Manufacture” of prosthetics eyes.
Non Clinical
FTEs
Part time non-clinical staff
member (health professional) who
is directly involved in the
manufacture, fitting and
monitoring of prosthetic eyes.
HS0050
R540
Respiratory IGG
Patients
Auckland
Healthcare
Provision of IGG to Immuno Gamma Globulin clients
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0051
R541
Hospital at Home
Cystic fibrosis drug
Auckland
Healthcare
Provision of medication for Cystic Fibrosis children in the
home to maintain children within own environment
Premium
Provisions of drug per individual
per annum
HS0052
R544
Play Therapy
Auckland
Healthcare
Provision of Play Therapists to allay fears and occupy
children with activities at Starship. (Inpatient DRG inclusive)
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0053
R546
Family Options for
Chronically Ill Kids
Auckland
Healthcare
Assistance for families of chronically ill children
Service
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0054
R550
Genetics Services Midland
Auckland
Healthcare
Clinical genetics service delivered to individuals who live in
the community of Waikato catchment area. Refer M87001,
M87002, M87003, M87004 and M87006.
Clinical FTEs
Part-time clinical staff member
(health professional) who is
directly involved in the delivery of
clinical genetics to consumers.
HS0055
R556
Asian Health
Support Services
Waitemata
Health
Information service in Asian languages and supports Asian
people in hospital at Waitemata Health
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0056
R558
Neonatal Premium -
Taranaki
Health
Premium for neonatal volumes
Premium
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0057
R559
Maternity Transition
Premium -
Taranaki
Health
Premium for service viability
Premium
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0058
R565
Lab Tests & Pharm
for Sexual Health
Services
Auckland
Healthcare
Laboratory tests requested by Sexual Health Services
outreach clinics and pharmacy for clients of service.
(SH01.001 and SH01.002)
Premium
Agreed lump sum amount.
Service purchased in a block
arrangement.
NSFW Data Dictionary V8
Page 88
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
HS0059
R566
Cost for Northland
Clinics
Auckland
Healthcare
Transport of Respiratory and Cardiology specialist staff and
team from Auckland Healthcare to Northland Health for
outpatient respiratory and cardiac services.
Premium
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0060
R568
Well Mother
stayimg with Unwell
Baby
Auckland
Healthcare
Transfer and inpatient accommodation of well mothers to
accompany Level 3 NICU neonates inter-regional.
Premium
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0061
R570
PICU
Retrieval/Boarders
Auckland
Healthcare
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
R572
Non-Schedule
Community
Laboratory Tests
Auckland
Healthcare
Retrieval of paediatric (med/surg) cases requiring PICU
specialist services at Starship Hosputal. Purchase unit
includes the retrieval of boarders to accommodate other
tertiary DHB ICU units that are at capacity for
accommodating paediatric cases needing intensive care
Laboratory tests referred by a general practitioner or private
specialist. Excludes tests referred by DHB staff.
HS0062
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0063
R573
Non-Schedule
Community
Laboratory Tests –
Risk Pool
Auckland
Healthcare
Premium
Agreed lump sum amount.
Service purchased in a block
arrangement
HS0064
R575
CAPD Registry
Auckland
Healthcare
Laboratory tests referred by a general practitioner or private
specialist. Excludes tests referred by DHB staff. In the
event that the aggregate value of tests provided for the
period 1 July 2000 to 30 June 2001 exceeds $5,130,480 the
HFA will pay a further sum equal to 90% of the value of the
excess tests, provided that any such additional sum will not
exceed $184,169. In the event that the aggregate value of
tests provided for the period 1 July 2000 to 30 June 2001 is
less than $5,1380,480 A+ will refund to the HFA a sum equal
to 90% of the value of the shortfall of tests provided that any
such refund will not exceed $184,169.
Funds to maintain CAPD registry for national ESRD/CAPD
clients
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0065
R529
Haematology – high
cost haematology
drugs
Auckland
Healthcare
High cost haematology drugs
Premium
Agreed lump sum amount.
HS0066
R577
He Kamaka Oranga
Maori Health change management programme
Programme
Price for programme
HS0067
R571
IRF MUDS
adjustment
Auckland
Healthcare
Auckland
Healthcare
Cost adjustment for difference of WIES from $109,000.
Premium
Cost adjustment for difference of
WIES from $109,000.
HS0068
R527
Northland Oncology
Clinic
Auckland
Healthcare
Cost to Auckland Healthcare to provide clinic at Whangarei
Hospital
Premium
Agreed lump sum amount.
NSFW Data Dictionary V8
Page 89
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
HS0069
R532
Endoluminal
Vascular Stents
Auckland
Healthcare
Purchase of stents.
Premium
Price for purchase of stents.
HS0070
RM051
Child Abuse
Lakes
Child abuse programmes.
Programme
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0071
RM052
Child Abuse
Coordination
Lakes
Coordination of child abuse programmes.
Programme
Agreed lump sum amount.
Service purchased in a block
arrangement.
HS0072
R567
Intrapartum
Transfers from WHL
Region
Auckland
Healthcare
Transfer of Level 2 women from north/west Auckland for
Ceasarian section or Level 2 neonatal SCBU requirements.
Client
attendances
Price purchased
DSS240
DSS2.40
Childrens Hearing
Aid Fund
Auckland
Healthcare
Reimburse the Hearing Aid provider for each hearing aid
supplied to an eligible person.
Subsidies
Number of subsidies granted.
DSSR130
DSSR1.30
ATR-Hospital at
Home
Waikato
Hospital at home services with community based
multidisciplinary team input
Bed days
Total number of beds that are
occupied each day over a
designated period. For reporting
occupancy purposes, count beds
occupied as at 12 midnight of
each day.
DSSR160
DSSR1.60
Info Services
(Specific)
Auckland
Healthcare
A component of Service Coordination but identified as a
separate service targeting information provision in the
Auckland region. Catering for population issues specific
Auckland.
Service
Agreed lump sum amount.
Service purchased in a block
arrangement.
DSSR170
DSSR1.70
Physical Disability
Community
Residential
Nelson/Marl
borough
Clients requiring 24 hour care in a continuing care setting
who have been assessed through a Needs
Assessment/service co ordination process.
Bed days
Total number of beds that are
occupied each day over a
designated period. For reporting
occupancy purposes, count beds
occupied as at 12 midnight of
each day.
DSSR251
DSSR2.51
Inpatient
Assessment
Physical Disability
Canterbury
Healthcare
Assessment service for clients who require ongoing services
of a multidisciplinary nature in a hospital setting and whose
daily activities include an active rehabilitation element in
addition to more intensive nursing and medical care than
could be provided in the community.
Bed days
Total number of beds that are
occupied each day over a
designated period. For reporting
occupancy purposes, count beds
occupied as at 12 midnight of
each day.
NSFW Data Dictionary V8
Page 90
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
DSSR252
DSSR2.52
Computer
Assessment
Physical Disability
Canterbury
Healthcare
A service to provide technology assessments for people who
meet the disability criteria established by the Ministry of
Health and are referred by a Support Needs Assessment
Service, General Practitioner, a Speech Language Therapist
or an Occupational Therapist.
Assessments
Number of assessments. Initial
assessments and reassessments
should be counted separately.
DSSR254
DSSR2.54
ATR Inpatient
Intellectual
Disability
Otago
Multidisciplinary inpatient assessment treatment and
rehabilitation for people with complex medical, cognitive,
functional and social needs with the aim of enabling them to
live as independently as possible in the community.
Bed days
Total number of beds that are
occupied each day over a
designated period. For reporting
occupancy purposes, count beds
occupied as at 12 midnight of
each day.
For people with intellectual disabilities only..
DSSR255
DSSR2.55
Day Care services
Canterbury
Healthcare
Day activity services will be structured and/or informal activity
sessions. The service will provide a flexible and varied
programme of activities that is determined largely by the
client group, a safe environment for support, information and
socialisation
Day
Attendances
Number of attendances to a day
session lasting 3 hours or more.
DSSR257
DSSR2.57
Domicilary Nursing
Canterbury
Healthcare,
West Coast,
South
Canterbury,
Otago,
Southland
Domiciliary support services for people with assessed agerelated health and support needs, on referral from an AT&R
Unit. Locally defined.
Visits
Number of visits by health
professionals to a client's place of
residence.
DSSR260
DSSR2.60
Accredited
equipment
assessment
1) Assessment of hearing loss for the potential provision of
hearing aid or assistive listening device where appropriate.
2) Accredited Equipment Assessment in the areas of
expressive communication, household management,
information and communication processing, personal care,
seating and positioning, standing, walking and wheelchairs.
Assessments
Number of assessments. Initial
assessments and reassessments
should be counted separately.
DSSR262
DSSR2.62
Supply and
maintenance of
hearing aids
Repair of aids/devices as appropriate.
Item
Number of items
provided/repaired.
Capital
Coast
Health,
Wanganui,
Mid Central
Health,
Hutt Valley
Health,
Tairawhiti,
Wairarapa
NSFW Data Dictionary V8
Page 91
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
DSSR270
DSSR2.70
Rehab Plus –
Rehabilitation
Waitemata,
Auckland
Healthcare
DSSR271
DSSR2.71
Personal Care
South Auckland
Spinal Unit
Counties
Manukau
3.6
Specialist tertiary level regional rehabilitation service. Also
includes a sub-regional general rehabilitation service for
adults residing in the Central Auckland and North West subregion
Habilitation/Rehabilitation for all people with spinal injuries
immediately following medical stabilisation, excluding those
eligible under ACC
Unit of Measure
Unit of Measure Definition
Service
Uniquely agreed at a local level
Bed days
Total number of beds that are
occupied each day over a
designated period. For reporting
occupancy purposes, count beds
occupied as at 12 midnight of
each day.
Public Health Purchases from DHB in 2001/02
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
BSA-05
Fixed Funding
Funding provided for the fixed funding component for breast screening
services within the national breast screening programme
Programme
Agreed lump sum amount.
BSA-10
Mobile Screening
Unit for
BreastScreen
Aotearoa
Funding provided for the fixed funding component for the mobile breast
screening unit services within the national breast screening programme
Programme
Agreed lump sum amount.
BSA-15
Health Promotion
Funding provided for the fixed funding component for health promotion
services within the national breast screening programme
Programme
Agreed lump sum amount.
BSA-20
Breast Screening
Services
Funding provided for the screening component within the national breast
screening programme
Procedure
An individual
operative/diagnostic/assessment
procedure.
BSA-25
Breast Screening
Assessment
Funding provided for the assessment component within the national breast
screening programme
Procedure
An individual
operative/diagnostic/assessment
procedure.
BSA-30
Breast Screening
Assessment-Prone
Table Procedure
Funding provided for the prone table assessment within the national breast
screening programme
Procedure
An individual
operative/diagnostic/assessment
procedure.
BSA-35
Breast Screening
Needle Procedure
Fee
Funding provided for the needle procedures within the national breast
screening programme
Procedure
An individual
operative/diagnostic/assessment
procedure.
NSFW Data Dictionary V8
Page 92
Purchase
unit Code v8
Purchase
Unit Code v7
Purchase Unit
Description
Purchase Unit Definition
Unit of Measure
Unit of Measure Definition
BSA-40
Breast Screening
Assessment-Open
Biopsy Procedure
Funding provided for the open biopsy procedure within the national breast
screening programme
Procedure
An individual
operative/diagnostic/assessment
procedure.
BSA-45
Breast Screening
Attendance Fee
Funding provided for the attendance fee within the national breast screening
programme
Attendance
Agreed lump sum amount for the
attendance of a woman for a
screening mammogram.
BSA-50
Breast Screening
Treatment-General
Surgery
Funding provided for the general inpatient surgery services for the national
breast screening programme, under Purchaser code 15.
Cost weighted
discharges
As per the specifications for the
calculation of Inlier Equivalent
Separations version 8 (WIES8)
and Weighted Inlier Equivalent
Separations version 8 (WIES8A).
BSA-55
Breast Screening
Treatment-General
Surgery-First
Specialist
Assessment
(Outpatient 1st
attendance)
Funding provided for the first attendance to general surgeon or medical
officer at registrar level or above for specialist assessment for the national
breast screening programme.
Attendance
First time a client attends a
clinic/department.
BSA-60
Breast Screening
Treatment-General
Surgery-Follow up
(Outpatient
subsequent
attendances)
Funding provided for the follow up attendance to general surgeon or medical
officer at registrar level or above for the national breast screening
programme.
Attendance
Number of times a client attends a
clinic/department.
BSA-65
Breast Screening
TreatmentOncology Radiotherapy
An attendance where the purpose of the attendance is to plan for or to
receive prescribed radiotherapy treatment for a national breast screening
patient. The specialist may or may not be in attendance. Includes all planning
and simulation and radioactive isotope implants or treatments, and radiation.
Attendances
Number of times a client attends a
clinic/department.
NSFW Data Dictionary V8
Page 93
Purchase
unit Code v8
Purchase
Unit Code v7
BSA-70
Purchase Unit
Description
Breast Screening
TreatmentOncology Chemotherapy
Purchase Unit Definition
An attendance where the purpose of the attendance is to receive prescribed
chemotherapy treatment for a national breast screening patient. The
specialist may or may not be in attendance. Includes all pharmaceuticals
administered during the attendance. Includes day case treatment, including
procedures –
Unit of Measure
Unit of Measure Definition
Attendances
Number of times a client attends a
clinic/department.
That the Admission date is the same as the Discharge date
AND
That either of the first two diagnosis codes fall in the range:
ICD10 Chem/Radio, either of the first two diagnosis in the range: (Z510,
Z511, Z512).
BSA-75
Breast Screening
TreatmentOncology –First
Specialist
Assessment
First attendance to oncologist or medical officer specialist at registrar level or
above for the specialist assessment for a national breast screening patient.
Attendances
Number of times a client attends a
clinic/department.
BSA-80
Breast Screening
TreatmentOncology –Follow
Up
Follow up attendance to oncologist or medical officer specialist at registrar
level or above for the specialist assessment for a national breast screening
patient. Excludes chemotherapy and radiotherapy.
Attendances
Number of times a client attends a
clinic/department.
NSFW Data Dictionary V8
Page 94
Purchase
unit Code v8
Purchase
Unit Code v7
NCSP-10
S30.04
Purchase Unit
Description
Gynaecology Colposcopy
Purchase Unit Definition
Formerly S30.04.
Unit of Measure
Unit of Measure Definition
Procedures
An individual
operative/diagnostic/assessment
procedure
Procedures
An individual
operative/diagnostic/assessment
procedure
Programme
Agreed lump sum amount.
Colposcopy performed as an outpatient or elective day case, including
procedures That the Admission and Discharge dates are the same
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
The patients age is greater than 15 years old
AND
That the primary procedure code falls in the following range:
ICD10 Colposcopy, first procedure in the range: (3560800, 3564600,
3564700, 3560801, 3553902, 3561100, 3553904, 3563705, 3553903,
3560802, 3561400).
AND
That the second procedure code falls in the following range:
ICD10 Colposcopy, second procedure in the range: (3560800, 3564600,
3564700, 3560801, 3553902, 3561100, 3553904, 3563705, 3553903,
3560802, 3561400,9250202,9250300, blank).
AND
That the third procedure code is in (9250202,9250300,blank).
NCSP-20
NCSP-40
NSFW Data Dictionary V8
Gynaecology –
(High Cost)
Colposcopy
Directed Treatment
Outpatient procedures where the purpose of the attendance is to receive the
colposcopy directed treatment procedure and the patient is not admitted.
NCSP Regional
Office
The NCSP regional office operationalise the policy of the NCSP by:
Includes Lletz and laser procedures.

developing and implementing NCSP health promotion;

developing and maintaining NCSP provider interfaces;

operation of the regional NCSP-Register;

smear taking (as part of strategy to screen priority groups)
Page 95
Purchase
unit Code v8
Purchase
Unit Code v7
NCSP-60
Purchase Unit
Description
NCSP -Independent
Service Providers
Purchase Unit Definition
The NCSP independent service providers operationalise the policy of the
NCSP by:

developing and implementing NCSP health promotion;

smear taking (as part of a strategy to screen priority groups)
Unit of Measure
Unit of Measure Definition
Programme
Agreed lump sum amount.
RM00100
Prevention of
Alcohol & Other
Drug Related Harm

Prevention of alcohol related harm, liquor licensing and substance
abuse.
Service
Agreed lump sum for programme.
Report against agreed
performance indicators.
RM00101
Communicable
Diseases

Communicable disease control, communicable disease surveillance and
imported diseases control;
Service

Immunisation promotion;

Refugees and asylum seekers;
Providing information according to
MOH purchasing requirements.
Agreed lump sum for programme.
Report against agreed
performance indicators

Needle exchange programme.
RM00102
Food Safety and
Quality

Food safety and quality.
Service
Providing information according to
MOH purchasing requirements.
Agreed lump sum for programme.
Report against agreed
performance indicators
RM00103
Public Health
Infrastructure

Health information;
Service

Workforce development;
Agreed lump sum for programme.
Report against agreed
performance indicators.

Quality plans.

Unintentional injuries among children and young people;
Service

Unintentional injuries among elderly people;
Agreed lump sum for programme.
Report against agreed
performance indicators.

Intentional injury.

Mental health promotion and youth suicide prevention;
Service

Destigmatisation and anti-discrimination
Agreed lump sum for programme.
Report against agreed
performance indicators.
Non-communicable
Diseases

Melanoma prevention;
Service

Asthma prevention;
Agreed lump sum for programme.
Report against agreed
performance indicators.
Nutrition

Nutrition and physical activity
Service
Agreed lump sum for programme.
Report against agreed
performance indicators.
RM00104
RM00105
RM00106
RM00107
NSFW Data Dictionary V8
Injury Prevention
Mental Health
Page 96
Purchase
unit Code v8
Purchase
Unit Code v7
RM00108
Purchase Unit
Description
Physical
Environment
Purchase Unit Definition

Air quality (indoor and outdoor);

Biosecurity and quarantine;

Burial and cremation;

Contaminated land;

Drinking water quality;

Early childhood centers;

Environmental noise management;

Hazardous substances;

Ionising/non-ionisng radiation;

Public Health emergency planning and response;

Recreational water;

Resource management;

Sewage treatment and disposal;

Shellfish and shellfish water;

Waste management (liquid and solid waste);

Other regulatory activities.
Unit of Measure
Unit of Measure Definition
Service
Providing information according to
MOH purchasing requirements.
Agreed lump sum for programme.
Report against agreed
performance indicators
RM00109
Sexual Health

Sexually transmitted diseases including HIV/AIDS.
Service
Providing information according to
MOH purchasing requirements.
Agreed lump sum for programme.
Report against agreed
performance indicators
RM00110
Social Environment

Healthy cities and communities and social environments;
Service

Health Promoting Schools/Healthy schools – Kura Waiora
Agreed lump sum for programme.
Report against agreed
performance indicators

Smoking reduction programmes and smokefree environments.
Service
Providing information according to
MOH purchasing requirements.
Agreed lump sum for programme.
Report against agreed
performance indicators
RM00111
NSFW Data Dictionary V8
Tobacco Control
Page 97
Purchase
unit Code v8
Purchase
Unit Code v7
RM00112
NSFW Data Dictionary V8
Purchase Unit
Description
Well Child
Purchase Unit Definition

Promotion of Well Child;

Parenting support and skills promotion;

Prevention of hearing loss in children/tamariki;

Prevention of Sudden Infant Death Syndrome (SIDS);

Rheumatic fever prevention’

Oral health promotion.
Unit of Measure
Service
Unit of Measure Definition
Agreed lump sum for programme.
Report against agreed
performance indicators.
Page 98
4
MEDICAL/SURGICAL PURCHASING FRAMEWORK –- General Definitions
4.1
DRGs
4.1.1
Definition
The DRG covers all treatment for admitted patients (inpatient and daypatient) from the time of pre-admission assessment, whether in the emergency department or a
pre-admission clinic, to the time of discharge.
Treatment components included are:
 Pre-admission clinic
 Emergency department assessment (These assessments will be included in ED purchase unit volumes as well)
 Clinical support services (e.g. radiology, laboratory, allied health, other diagnostic services)
 Commercial support services (e.g. accommodation, meals)
 Intensive care/coronary care
 Consumable supplies (e.g. pharmaceuticals, blood products, prostheses)
 Overheads related to quality requirements (e.g. interpreting services, culturally appropriate facilities, infection control, staff training, civil disaster preparedness)
 Overheads related to reporting requirements (e.g. information systems, patient registers)
The following Services are purchased through separate purchase units or contracts so they are excluded from DRG purchases :
 Post discharge outpatient or community-based care
 Patient travel & accommodation assistance
 Inpatient transfers
 Community-referred diagnostic services
4.1.2
Exclusions From Med/Surg DRG Purchasing
Section 5 lists exclusion rules for 2001/02. These exclusions have been confirmed with DHBs under version ICD-10-AM
4.1.3
Purchase Unit Mapping Table
A mapping table between health service specialty code and DRG purchase unit codes is in Section 6.
NSFW Data Dictionary V8
Page 99
4.2
Non DRG
Treatment components included are:
 Treatment, therapy, advice, diagnostic or investigatory procedures. The service may be provided at a designated outpatient clinic and/or in a ward or other suitable
setting.
 Diagnostic and other procedures carried out within that clinic location at that attendance will be an input to the attendance, for example minor surgical procedure or
plastering.
 Other health professionals including additional medical practitioners also present at the clinic.
 Tests requested during an attendance but carried out at some other location at the health facility, and not necessarily on the same day, are included as an input into
that attendance, for example laboratory, radiology, ECG, EEG, nerve conduction test, stress test, audiology. This excludes laboratory tests requested from
community laboratories not carried out on day of attendance.
 Pharmaceuticals used or consumed during an assessment/treatment.
 Telephone consultations are not to be counted as assessments, but are to be provided, and included as an overhead cost to the service.
 Staff travel where the service is provided at a location other than the base facility.
 Supply or loan of essential equipment.
 Overheads related to quality requirements (e.g. interpreting services, culturally appropriate facilities, infection control, staff training, civil disaster preparedness).
 Overheads related to reporting requirements (e.g. information systems, patient registers).
Exclusions:
 Attendance for pre-admission assessment/screening is excluded as this is included in the ANDRG purchase unit.
 Pharmaceuticals for use or consumption in the community may be referred to community pharmacies.
GENERIC OUTPATIENT DEFINITIONS.
Outpatient first specialist assessment
Client is seen by registered medical practitioner or nurse practitioner for the first time for a particular referral, or with a self-referral for a discrete episode. The client
receives treatment, therapy, advice, diagnostic or investigatory procedures at a health care facility and leaves within 3 hours of the start of the consultation. Service is
provided in ward and/or at designated outpatient clinic. Excludes Emergency Department attendances. Does not include outpatient attendance for preadmission
assessment/screening, this is included in the price for the relevant AN-DRG-based purchase unit.
Outpatient follow-up attendances
Client is seen by registered medical practitioner or nurse practitioner for services following first specialist assessment for a particular referral. The client receives
treatment, therapy, advice, diagnostic or investigatory procedures at a health care facility and leaves within 3 hours of the start of the consultation. Includes postdischarge follow-up, including new clinic attendance. Service is provided in ward and/or at designated outpatient clinic. Excludes Emergency Department attendances.
Does not include attendances specified as separate purchase units.
Nurse Practitioner
Is a registered nurse practising at an advanced practice level in a specific scope of practice, who has been prepared at masters level of education and has been
recognised and approved by the Nursing Council of New Zealand as a nurse practitioner.
NSFW Data Dictionary V8
Page 100
5
EXCLUSIONS FROM MEDICAL/SURGICAL DRG PURCHASING
5.1
Exclusions from casemix purchasing
The following section lists the tests that identify whether or not a particular event is purchased through the HFA casemix methodology. It should be noted that some of
the tests are order sensitive, e.g. the Medical/Surgical test assumes that the Neonatal test has already been applied. Also, an event may be excluded for more than
one reason (note - the HFA SAS methodology uses individual exclusion flag fields to generate an overall exclusion flag {Yes/No} for each event).
5.1.1
Neonatal Inpatient Casemix Purchasing
This test takes the form of an inclusion rule (as this is easier to specify than the converse exclusion rule). To be potentially included in neonatal casemix purchasing an
event requires a Pregnancy & Childbirth Health Speciality code and to meet one of a variety of tests (originally agreed by the 98/99 joint HFA/HHS Maternity &
Neonates project) which attempt to distinguish between well new-borns and those who required additional health services:
The Health Service Speciality code is in the Pregnancy & Childbirth range (i.e. where the first character is “P”)
AND
(The Health Service Speciality code is in the range (P40, P41, P42, P43)
OR
(The AR-DRG is in the range (P02Z, P61Z, P62Z, P03Z, P63Z, P64Z, P04Z, P65A, P65B, P65C, P65D, P05Z, P66A, P66B, P66C, P06A, P06B, P67B, P67A, P67C))
OR
(The AR-DRG is in the range (P60A, P01Z, P60B, P66D, P67D) AND (the third ICD diagnosis is NOT blank OR the first ICD procedure is NOT blank)))
5.1.2
Non- Medical/Surgical Purchasing
Events which have a DSS or Mental Health Service Specialty code, i.e. first character is “D” or “Y”, are excluded. In addition, Pregnancy & Childbirth events (where the
first character is “P”) are excluded if they do not meet the criteria above in the Neonatal casemix inclusion rule.
5.1.3
Non Base Funding Purchasing
Events which are not part of an HHS’s base contract purchasing are excluded. HFA base contract events, now base DHB service agreements, should have a
Purchaser code in the range (01, 02, 03, 04, 13). Events with any other Purchaser code should be excluded, e.g. privates, ACC direct and Insurers, Elective, i.e. the
former Waiting Times Fund (WTF), events, other MoH/DHB specific non-base purchasing, etc. In addition, any Admission Types of “ZW” (indicating an ACC elective
purchase) are excluded.
NSFW Data Dictionary V8
Page 101
5.1.4
Designated Hospital Purchasing
A combination of a range of Agencies and Facilities have been identified as the providers through which the MoH/DHBs will monitor base casemix contracts. All other
facilities (historically designated as ‘rural’) are excluded. Note with HHS sub-contracting the list of included Facilities may require updating periodically (this assumes
that the Agency will reflect the organisation who have the original contract with the HFA). A list of included Agencies and Facilities is given below. Any combination of
Agency & Facility which does not fall in the below lists are excluded from MoH/DHB casemix purchasing.
Health Agency code
1022
3091
4121
4111
3082
3061
4131
4122
4123
3092
2031
2042
3081
1011
3101
2047
2041
2043
1023
4141
2071
2051
3093
1021
0223
NSFW Data Dictionary V8
Agency Name
Auckland Healthcare
Capital Coast Health
Canterbury Health
Coast Health Care
Good Health Wanganui
Hawke’s Bay Health
Healthcare Otago
Healthlink South
South Canterbury Health
Hutt Valley Health
Health Waikato
Lakeland
Midcentral Health
Northland Health
Nelson-Marlborough Health
Pacific Health
East Bay Health (kept for historical analysis)
Western Bay Health
(kept for historical analysis)
South Auckland Health
Southern Health
Taranaki Healthcare
Tairawhiti Health
Wairarapa Health
Waitemata Health
Heart Surgery South Island
Page 102
Facility code
4111
4112
3211
3212
3213
3214
3215
3216
3239
5011
3311
4911
3411
5311
5312
5313
5320
5323
4811
5329
4711
4712
3611
3612
5711
4311
5511
5812
5816
5811
3811
3911
4011
4013
NSFW Data Dictionary V8
Facility name
Whangarei Area Hospital
Kaitaia
Auckland
Greenlane
National Women’s
Middlemore
North Shore
Waitakere
Starship Hospital
Thames
Whakatane
Tauranga
Gisborne
Waikato
Rotorua
Te Kuiti
Queen Elizabeth
Tokoroa
Taumarunui
Taupo General
Taranaki Base
Hawera
Napier
Hastings Memorial
Wanganui
Palmerston North
Masterton
Hutt
Kenepuru
Wellington
Wairau
Nelson
Christchurch
Burwood
Page 103
Facility code
4014
3111
5911
4411
4211
4511
3250
3220
3221
3240
4113
4114
8270
8331
8432
8595
8233
8422
8366
8377
8580
3313
3314
4212
8507
8462
8471
5818
5819
5820
5814
8313
8314
NSFW Data Dictionary V8
Facility name
Christchurch Womens
Ashburton
Grey Base Hospital
Timaru
Dunedin
Southland
Manukau SuperClinic
Pukekohe
Papakura Obstetric
Botany Downs Maternity Hospital
Dargaville
Bay of Islands
Southern Cross, Hamilton
Bowen
Wakefield
Ascot Hospital
Mercy, Auckland
Our Lady’s Home of Compassion
St Georges
Southern Cross Trust, Christchurch
Oxford Day Clinic
Murupara
Opotiki
Wakari
Manor Park Hospital
Boulcott Clinic
Southern Cross, Wellington
Paraparaumu
Puketiro
Te Whare O Rangituhi
Porirua
Aorangi, (was Mercy)
Southern Cross, Palmerston North
Page 104
5.1.5
Non-Treated Patients
Events where no treatment is provided are excluded. These include Boarders who may be admitted or in the case of Cancelled Operations.
Boarders are tested for by checking the primary diagnosis code (only) for a set of codes:
ICD10 Boarders, primary diagnosis in the range:
Z763, Z764.
Cancelled Operations are tested for by checking that:
The primary operation/procedure code is blank
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
Length of Stay is less than 2 days
AND
The one (or more) of the first six diagnosis codes contain the following codes:
ICD10 Canc Ops, one (or more) of diagnosis 1-6 in the range:
Z530, Z531, Z532, Z538, Z539.
5.1.6
Error DRGs
Events coded to an Error AR-DRG are excluded. Error AR-DRGs are in the range (960Z, 961Z, 962Z, 963Z).
5.1.7
Some Transplants
Some organ Transplants are excluded as they are not purchased via casemix, e.g. liver, heart and lung transplants. Excluded Transplants are in the AR-DRG range
(A01Z, A02Z, A03Z, A05Z). Simultaneous pancreas/kidney transplants will be coded so as to fall under A02Z, Multiple Organ Transplants, thus excluded from casemix
purchasing.
5.1.8
Some Spinal Injuries
Some Spinal services are excluded as they are not purchased via casemix. Excluded Spinal services are in the Health Services Speciality code range (S50, S53).
5.1.9
Surgical Termination of Pregnancy
Surgical Termination of Pregnancy (ToP) events are excluded. These are tested for by checking:
The AR-DRG is equal to O40Z
AND
That the primary procedure/procedure codes fall in the range:
ICD10 Surg ToP, primary procedure in the range: (3564300, 3564301) AND primary diagnosis in the range (O040-O049 {O04*}).
NSFW Data Dictionary V8
Page 105
5.1.10 Renal Dialysis
The WIES DRGs for Renal Dialysis, L61Z, and Peritoneal Dialysis, L61Y, are excluded from casemix purchasing. Unless the associated events were previously coded
to DRG3.1 572, this represents a new exclusion from casemix.
5.1.11
Sameday Chemotherapy & Radiotherapy
Some sameday cases for Chemotherapy and Radiotherapy are excluded from casemix purchasing.
These events are tested for by checking:
That the Admission date is the same as the Discharge date
AND
That either of the first two diagnosis codes fall in the range:
ICD10 Chem/Radio, either of the first two diagnosis in the range: (Z510, Z511, Z512).
5.1.12
Sleep Apnoea
Some Sleep Apnoea events where they stay overnight for tests are excluded from casemix purchasing. These events are tested for by checking:
That the integer difference in days between the Discharge and Admission dates is less than 2
AND
That the AR-DRG equals E63Z.
5.1.13
Lithotripsy
Some sameday Lithotripsy events are excluded from casemix purchasing. These events are tested for by checking:
That the Admission and Discharge dates are the same
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
That the primary procedure code falls in the following range:
ICD10 Lithotripsy, first procedure in the range: (3654600).
AND
That the second procedure code falls in the following range:
ICD10 Lithotripsy, second procedure in the range: (3654600,9250202,9250300, blank).
AND
That the third procedure code is in the range: (3654600,9250202,9250300, 9250202,9250300, blank).
5.1.14
Colposcopies
Some sameday Colposcopy events are excluded from casemix purchasing. These events are tested for by checking:
That the Admission and Discharge dates are the same
NSFW Data Dictionary V8
Page 106
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
The patients age is greater than 15 years old
AND
That the primary procedure code falls in the following range:
ICD10 Colposcopy, first procedure in the range: (3560800, 3564600, 3564700, 3560801, 3553902, 3561100, 3553904, 3563705, 3553903, 3560802, 3561400).
AND
That the second procedure code falls in the following range:
ICD10 Colposcopy, second procedure in the range: (3560800, 3564600, 3564700, 3560801, 3553902, 3561100, 3553904, 3563705, 3553903, 3560802,
3561400,9250202,9250300, blank).
AND
That the third procedure code is in (9250202,9250300,blank).
5.1.15
Cystoscopies
Some sameday Cystoscopies events are excluded from casemix purchasing. These events are tested for by checking:
That the Admission and Discharge dates are the same
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
The patients age is greater than 15 years old
AND
That the primary procedure code falls in the following range:
ICD10 Cystoscopies, first procedure in the range: (3681201, 3681200, 3683600, 3683904, 3684503, 3683902, 3684501, 3684500, 3683900, 3684505, 3684504,
3684502, 3731801, 3731500, 3681501, 3682700).
AND
That the second procedure code falls in the following range:
ICD10 Cystoscopies, second procedure in the range: (3681201, 3681200, 3683600, 3683904, 3684503, 3683902, 3684501, 3684500, 3683900, 3684505, 3684504,
3684502, 3731801, 3731500, 3681501, 3682700, 9250202,9250300, blank).
AND
That the third procedure code is in (9250202,9250300,blank).
5.1.16
ERCPs
Some sameday ERCP (endoscopic retrograde cholangiopancreatography) events are excluded from casemix purchasing. These events are tested for by checking:
That the Admission and Discharge dates are the same
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
The patients age is greater than 15 years old
NSFW Data Dictionary V8
Page 107
AND
That the primary procedure code falls in the following range:
ICD10 ERCP, first procedure in the range: (3048400, 3048401, 3048402, 3045200, 3048500, 3049100, 3045202, 3048501, 3049101, 3049400, 3045100, 3045201,
3044200).
AND
That the second procedure code falls in the following range:
ICD10 second procedure in the range: (3048400, 3048401, 3048402, 3045200, 3048500, 3049100, 3045202, 3048501, 3049101, 3049400, 3045100, 3045201,
3044200, 3047801, 3047802, 3209000, 3208400, 3209001, 3208401, 3209300, 3208700, 9030800, 3209400, 3207500, 3207200, 3207201, 3207501, 9031200,
9031201, 3207800, 3208100, 3209900, 3210800, 9034100, 3210500, 4181600, 3047303, 3047810, 4182500, 4182200, 3047304, 3047600, 3047601, 3047806,
3047809, 3047811, 3047812, 3047602, 3047813, 3047900, 3047807, 3047603, 3047300, 3047301, 3047500, 3047501, 3047803, 3209500, 3047804,
9250202,9250300, blank).
AND
That the third procedure code is in (9250202,9250300,blank).
Colonoscopies
Some sameday Colonoscopies events are excluded from casemix purchasing. These events are tested for by checking:
That the Admission and Discharge dates are the same
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
The patients age is greater than 15 years old
AND
That the primary procedure code falls in the following range:
ICD10 Colonoscopies, first procedure in the range: (3209000, 3208400, 3209001, 3208401, 3209300, 3208700, 9030800, 3209400, 3207500, 3207200, 3207201,
3207501, 9031200, 9031201, 3207800, 3208100, 3209900, 3210800, 9034100, 3210500).
AND
That the second procedure code falls in the following range:
ICD10 second procedure in the range: (3048400, 3048401, 3048402, 3045200, 3048500, 3049100, 3045202, 3048501, 3049101, 3049400, 3045100, 3045201,
3044200, 3047801, 3047802, 3209000, 3208400, 3209001, 3208401, 3209300, 3208700, 9030800, 3209400, 3207500, 3207200, 3207201, 3207501, 9031200,
9031201, 3207800, 3208100, 3209900, 3210800, 9034100, 3210500, 4181600, 3047303, 3047810, 4182500, 4182200, 3047304, 3047600, 3047601, 3047806,
3047809, 3047811, 3047812, 3047602, 3047813, 3047900, 3047807, 3047603, 3047300, 3047301, 3047500, 3047501, 3047803, 3209500, 3047804,
9250202,9250300, blank).
AND
That the third procedure code is in (9250202,9250300,blank).
NSFW Data Dictionary V8
Page 108
5.1.17
Gastroscopies
Some sameday Gastroscopies events are excluded from casemix purchasing. These events are tested for by checking:
That the Admission and Discharge dates are the same
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
The patients age is greater than 15 years old
AND
That the primary procedure code falls in the following range:
ICD10 Gastroscopies, first procedure in the range: (4181600, 3047303, 3047810, 4182500, 4182200, 3047304, 3047600, 3047601, 3047806, 3047809, 3047811,
3047812, 3047602, 3047813, 3047900, 3047807, 3047603, 3047300, 3047301, 3047500, 3047501, 3047803, 3209500, 3047804, 3047801, 3047802).
AND
That the second procedure code falls in the following range:
ICD10 second procedure in the range: (3048400, 3048401, 3048402, 3045200, 3048500, 3049100, 3045202, 3048501, 3049101, 3049400, 3045100, 3045201,
3044200, 3047801, 3047802, 3209000, 3208400, 3209001, 3208401, 3209300, 3208700, 9030800, 3209400, 3207500, 3207200, 3207201, 3207501, 9031200,
9031201, 3207800, 3208100, 3209900, 3210800, 9034100, 3210500, 4181600, 3047303, 3047810, 4182500, 4182200, 3047304, 3047600, 3047601, 3047806,
3047809, 3047811, 3047812, 3047602, 3047813, 3047900, 3047807, 3047603, 3047300, 3047301, 3047500, 3047501, 3047803, 3209500, 3047804,
9250202,9250300, blank).
AND
That the third procedure code is in (9250202,9250300,blank).
5.1.18
Bronchoscopies
Some sameday Bronchoscopies events are excluded from casemix purchasing. These events are tested for by checking:
That the Admission and Discharge dates are the same
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
The patients age is greater than 15 years old
AND
That the primary procedure code falls in the following range:
ICD10 Bronchoscopies, first procedure in the range: (4188901, 4189800, 4188900, 4189200, 4189801, 4176404, 4176403, 4184600, 4184900, 4185500, 4189500).
AND
That the second procedure code falls in the following range:
ICD10 Bronchoscopies, second procedure in the range:. (4188901, 4189800, 4188900, 4189200, 4189801, 4176404, 4176403, 4184600, 4184900, 4185500,
4189500, 9250202, 9250300, blank).
AND
That the third procedure code is in (9250202,9250300,blank).
NSFW Data Dictionary V8
Page 109
5.1.19
Day Case Blood Transfusions
Some sameday Blood Transfusion events are excluded from casemix purchasing. These events are tested for by checking:
That the Admission and Discharge dates are the same
AND
That the event is non-acute (i.e. Admission Type not in “AC”,”ZC”)
AND
That the primary diagnosis OR the first three procedure codes fall in the range:
ICD10 Blood, primary diagnosis in the range (Z513) OR {primary procedure in the range (9206000, 1370601, 1370602, 1370603) AND second procedure in the range
(9206000, 1370601, 1370602, 1370603, blank) AND third procedure blank}.
NSFW Data Dictionary V8
Page 110
6
Health Service Specialty Mapping Table
Code
Health Specialty code description
Rec
Flag
Post 1 July 2001
NZHIS map
WIES8 PU map
for 01/02
Notes
Old
Casemix PU
M00 General Medicine
Keep
M00.01
M00.01
M05 Emergency Medicine
Keep
M00.01
M00.01
M08 Specialist Intensive Care
Keep
M00.01
M00.01
M10 Cardiology
M14 Specialist Paediatric Cardiology
Keep
Keep
M10.01
M10.05
M15 Dermatology
M20 Endocrinology & Diabetology
Keep
Keep
M15.01
M20.01
M24 Specialist Paediatric Endocrinology /
Diabetology
M25 Gastroenterology
Keep
M55.01
Keep
M25.01
M29 Specialist Paediatric Gastroenterology
Keep
M55.01
M30 Haematology
M34 Specialist Paediatric Haematology
Keep
Keep
M35 Immunology
A+ (HCO?)
M10.01
M10.05
M15.01
M20.01
A+ (CCH?)
M55.01
M25.01
A+
M55.01
M30.01
M34.01
A+
M30.01
M34.01
Keep
M70.01
Change in PU mapping
M00.01
M39 Specialist Paediatric Immunology
Keep
M55.01
A+
M55.01
M40 Infectious Diseases
Keep
M40.01
M44 Specialist Paediatric Infectious Diseases Keep
M55.01
M45 Neurology
M45.01
NSFW Data Dictionary V8
Keep
M40.01
A+, CCH
M55.01
M45.01
Old PU desc
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Cardiology - Inpatient Services (DRGs)
Specialist Paediatric Cardiac - Inpatient
Services (DRGs)
Dermatology - Inpatient Services (DRGs)
Endocrinology & Diabetic - Inpatient
Services (DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
Gastroenterology - Inpatient Services
(DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
Haematology - Inpatient Services (DRGs)
Specialist Paediatric Haematology Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
Infectious Diseases (incl Venereology) Inpatient Services (DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
Neurology - Inpatient Services (DRGs)
Page 111
Code
Health Specialty code description
Rec
Flag
Post 1 July 2001
NZHIS map
WIES8 PU map
for 01/02
Notes
Old
Casemix PU
M49 Specialist Paediatric Neurology
Keep
M49.01
A+
M49.01
M50 Oncology
Keep
M50.01
M50.01
M54 Specialist Paediatric Oncology
Keep
M54.01
Radiotherapy removed from
desc (covered in M90)
A+, CCH, HCO
M55 Paediatric Medicine
Keep
M55.01
M55.01
M59 Specialist Paediatric Intensive Care
Keep
M55.01
M55.01
M60 Renal Medicine
Keep
M60.01
M60.01
M64 Specialist Paediatric Renal Medicine
Keep
M55.01
M65 Respiratory Medicine
M69 Specialist Paediatric Respiratory
Medicine
M70 Rheumatology
Keep
Keep
M65.01
M55.01
Keep
M70.01
M70.01
M74 Specialist Paediatric Rheumatology
Keep
M55.01
M55.01
M75 Venereology
Keep
M40.01
M40.01
M79 Specialist Paediatric Venereology
Keep
M55.01
M55.01
M80 Palliative / Terminal Care Medical
Services
M84 Specialist Paediatric Palliative Care
Keep
M80.01
M80.01
Keep
M55.01
M55.01
M85 Other Medical Services
Keep
M00.01
M86 Specialist Nuclear Medicine
Keep
M00.01
M00.01
M89 Specialist Interventionist Radiology
Keep
M00.01
M00.01
M90 Radiotherapy
Keep
M50.01
M50.01
NSFW Data Dictionary V8
M54.01
A+
M55.01
A+
M65.01
M55.01
Should have NMDS warning
associated
M00.01
Old PU desc
Specialist Paediatric Neurology Inpatient
Services (DRGs)
Oncology - Inpatient Services (DRGs)
Specialist Paediatric Oncology - Inpatient
Services (DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
Renal Medicine - Inpatient Services
(DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
Respiratory - Inpatient Services (DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
Rheumatology (incl Immunology) Inpatient Services (DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
Infectious Diseases (incl Venereology) Inpatient Services (DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
Palliative Care - Inpatient Services
(DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Oncology - Inpatient Services (DRGs)
Page 112
Code
Health Specialty code description
Rec
Flag
Post 1 July 2001
NZHIS map
WIES8 PU map
for 01/02
Notes
Old
Casemix PU
M94 Specialist Paediatric Radiotherapy
Keep
M54.01
M54.01
S00
General Surgery
Keep
S00.01
S00.01
S05
Anaesthesiology
Keep
S00.01
S00.01
S10
Gastroenterological Surgery
Keep
S00.01
S00.01
S15
Cardiothoracic Surgery
Keep
S15.01
S15.01
S19
Thoracic Surgery
Keep
S15.01
S15.01
S20
S24
Dental Surgery
Maxillo-Facial Surgery
Keep
Keep
D01.01
S60.01
S25
Otorhinolaryngology (ENT)
Keep
S25.01
S25.01
S30
S35
Gynaecology
Neurosurgery
Keep
Keep
S30.01
S35.01
S30.01
S35.01
S40
Ophthalmology
Keep
S40.01
S40.01
S45
S50
S58
S59
S60
Orthopaedic Surgery
Spinal Surgery
Specialist Paediatric Surgery [Neonates]
Specialist Paediatric Surgery [Others]
Plastic Surgery [excluding burns]
Keep
Keep
Keep
Keep
Keep
S45.01
Excluded
S55.01
S55.01
S60.01
S45.01
Exclu
S55.01
S55.01
S60.01
S65
Burns Surgery
Keep
S60.01
S60.01
S70
S75
Urology
Vascular Surgery
Keep
Keep
S70.01
S75.01
S70.01
S75.01
M01 Allied Health / Community Internal
Medicine
NSFW Data Dictionary V8
Retire
M00
Maxillo-Facial split out into S24
New to split out from Dental
surgery
D01.01
S60.01
M00.01
Old PU desc
Specialist Paediatric Oncology - Inpatient
Services (DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
Cardiothoracic - Inpatient Services
(DRGs)
Cardiothoracic - Inpatient Services
(DRGs)
Inpatient Dental treatment (DRGs)
Ear, Nose and Throat - Inpatient Services
(DRGs)
Gynaecology - Inpatient Services (DRGs)
Neurosurgery - Inpatient Services
(DRGs)
Ophthalmology - Inpatient Services
(DRGs)
Orthopaedics - Inpatient Services (DRGs)
Paediatric Surgical Services (DRGs)
Paediatric Surgical Services (DRGs)
Plastic & Burns - Inpatient Services
(DRGs)
Plastic & Burns - Inpatient Services
(DRGs)
Urology - Inpatient Services (DRGs)
Vascular Surgery - Inpatient Services
(DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Page 113
Code
Health Specialty code description
M02 Generalist Internal Medicine (General
Practitioner, MOSS)
M03 Specialist Internal Medicine
Rec
Flag
Post 1 July 2001
NZHIS map
WIES8 PU map
for 01/02
Notes
Old
Casemix PU
Retire
M00
M00.01
Retire
M00
M00.01
M06 Allied Health / Community Emergency
Retire
Medicine
M07 Generalist Emergency Medicine (General Retire
Practitioner, MOSS)
M11 Allied Health / Community Cardiology
Retire
M05
M00.01
M05
M00.01
M10
PUremapping
M00.01
M12 Generalist Cardiology
Retire
M10
PUremapping
M00.01
M13 Specialist Cardiology
M16 Allied Health / Community Dermatology
Retire
Retire
M10
M15
PUremapping
M10.01
M00.01
M17 Generalist Dermatology
Retire
M15
PUremapping
M00.01
M18 Specialist Dermatology
M19 Specialist Paediatric Dermatology
Retire
Retire
M15
M15
PUremapping
M15.01
M55.01
M21 Allied Health / Community Endocrinology Retire
/ Diabetology
M22 Generalist Endocrinology / Diabetology
Retire
M20
PUremapping
M00.01
M20
PUremapping
M00.01
M23 Specialist Endocrinology / Diabetology
Retire
M20
M26 Allied Health / Community
Gastroenterology
M27 Generalist Gastroenterology
Retire
M25
PUremapping
M00.01
Retire
M25
PUremapping
M00.01
M28 Specialist Gastroenterology
Retire
M25
M31 Allied Health / Community Haematology
Retire
M30
PUremapping
M00.01
M32 Generalist Haematology
Retire
M30
PUremapping
M00.01
M33 Specialist Haematology
Retire
M30
NSFW Data Dictionary V8
M20.01
M25.01
M30.01
Old PU desc
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Cardiology - Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Dermatology - Inpatient Services (DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Endocrinology & Diabetic - Inpatient
Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Gastroenterology - Inpatient Services
(DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Haematology - Inpatient Services (DRGs)
Page 114
Health Specialty code description
Rec
Flag
M36 Allied Health / Community Immunology
Retire
M35
PUremapping
M00.01
M37 Generalist Immunology
Retire
M35
PUremapping
M00.01
M38 Specialist Immunology
Retire
M35
PUremapping
M00.01
M41 Allied Health / Community Services
Retire
M40
PUremapping
M00.01
M42 Generalist Services
Retire
M40
PUremapping
M00.01
M43 Specialist Services
Retire
M40
M46 Allied Health / Community Neurology
Retire
M45
PUremapping
M00.01
M47 Generalist Neurology
Retire
M45
PUremapping
M00.01
M48 Specialist Neurology
M51 Allied Health / Community Oncology
Retire
Retire
M45
M50
PUremapping
M45.01
M00.01
M52 Generalist Oncology
Retire
M50
PUremapping
M00.01
M53 Specialist Oncology
M56 Allied Health / Community Paediatric
Medicine
M57 Generalist Paediatric Medicine
Retire
Retire
M50
M55
M50.01
M55.01
Retire
M55
M55.01
M58 Specialist Paediatric Medicine
Retire
M55
M55.01
M61 Allied Health / Community Renal
Medicine
M62 Generalist Renal Medicine
Retire
M60
PUremapping
M00.01
Retire
M60
PUremapping
M00.01
M63 Specialist Renal Medicine
Retire
M60
M66 Allied Health / Community Respiratory
Medicine
Retire
M65
Code
NSFW Data Dictionary V8
Post 1 July 2001
NZHIS map
WIES8 PU map
for 01/02
Notes
Old
Casemix PU
M40.01
M60.01
PUremapping
M00.01
Old PU desc
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Infectious Diseases (incl Venereology) Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Neurology - Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Oncology - Inpatient Services (DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
Paediatric Medical - Inpatient Services
(DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Renal Medicine - Inpatient Services
(DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Page 115
Code
Health Specialty code description
M67 Generalist Respiratory Medicine
Rec
Flag
Post 1 July 2001
NZHIS map
Retire
M65
M68 Specialist Respiratory Medicine
Retire
M71 Allied Health / Community Rheumatology Retire
M72 Generalist Rheumatology
WIES8 PU map
for 01/02
Notes
Old
Casemix PU
PUremapping
M00.01
M65
M70
PUremapping
M65.01
M00.01
Retire
M70
PUremapping
M00.01
M73 Specialist Rheumatology
Retire
M70
M76 Allied Health / Community Venereology
Retire
M75
PUremapping
M00.01
M77 Generalist Venereology
Retire
M75
PUremapping
M00.01
M78 Specialist Venereology
Retire
M75
M40.01
M81 Allied Health / Community Palliative /
Terminal Care Services
M82 Generalist Palliative Care
Retire
M80
M80.01
Retire
M80
M80.01
M83 Specialist Palliative Care
Retire
M80
M80.01
M87 Specialist Medical Genetics
Retire
M85
M00.01
M88
M91
M92
M93
S01
Retire
Retire
Retire
Retire
Retire
M85
M90
M90
M90
S00
S02
Specialist Genito-Urinary Medicine
Allied Health / Community Radiotherapy
Generalist Radiotherapy
Specialist Radiotherapy
Allied Health / Community General
Surgery
Generalist General Surgery
Retire
S00
S00.01
S03
Specialist General Surgery
Retire
S00
S00.01
S06
Allied Health / Community Services
Retire
S05
S00.01
S07
Generalist Anaesthesia
Retire
S05
S00.01
NSFW Data Dictionary V8
M70.01
PUremapping
S70.01
M50.01
M50.01
M50.01
S00.01
Old PU desc
General Internal Medical Services Inpatient Services (DRGs)
Respiratory - Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Rheumatology (incl Immunology) Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Infectious Diseases (incl Venereology) Inpatient Services (DRGs)
Palliative Care - Inpatient Services
(DRGs)
Palliative Care - Inpatient Services
(DRGs)
Palliative Care - Inpatient Services
(DRGs)
General Internal Medical Services Inpatient Services (DRGs)
Urology - Inpatient Services (DRGs)
Oncology - Inpatient Services (DRGs)
Oncology - Inpatient Services (DRGs)
Oncology - Inpatient Services (DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
Page 116
Code
Health Specialty code description
Rec
Flag
Post 1 July 2001
NZHIS map
WIES8 PU map
for 01/02
Notes
Old
Casemix PU
S08
Specialist Anaesthesia
Retire
S05
S00.01
S11
Retire
S10
S00.01
S12
Allied Health / Community
Gastroenterological Surgery
Generalist Gastroenterological Surgery
Retire
S10
S00.01
S13
Specialist Gastroenterological Surgery
Retire
S10
S00.01
S16
S15
PUremapping
S00.01
S17
Allied Health / Community Cardiothoracic Retire
Surgery
Generalist Cardiothoracic Surgery
Retire
S15
PUremapping
S00.01
S18
Specialist Cardiothoracic Surgery
Retire
S15
S15.01
S21
S22
S23
S26
Retire
Retire
Retire
Retire
S20
S20
S20
S25
PUremapping
D01.01
D01.01
D01.01
S00.01
S27
Allied Health / Community Dental Surgery
Generalist Dental Surgery
Specialist Dental / Maxillo-Facial Surgery
Allied Health / Community Ear, Nose and
Throat Surgery
Generalist ENT Surgery
Retire
S25
PUremapping
S00.01
S28
Specialist Otorhinolaryngology
Retire
S25
S31
Allied Health / Community Gynaecology
Retire
S30
PUremapping
S00.01
S32
Generalist Gynaecology
Retire
S30
PUremapping
S00.01
S33
S36
Specialist Gynaecology
Retire
Allied Health / Community Neurosurgery Retire
S30
S35
PUremapping
S30.01
S00.01
S37
Generalist Neurosurgery
Retire
S35
PUremapping
S00.01
S38
Specialist Neurosurgery
Retire
S35
S41
Allied Health / Community
Ophthalmology
Retire
S40
NSFW Data Dictionary V8
S25.01
S35.01
PUremapping
S00.01
Old PU desc
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
Cardiothoracic - Inpatient Services
(DRGs)
Inpatient Dental treatment (DRGs)
Inpatient Dental treatment (DRGs)
Inpatient Dental treatment (DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
Ear, Nose and Throat - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
Gynaecology - Inpatient Services (DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
Neurosurgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
Page 117
Code
Health Specialty code description
Rec
Flag
Post 1 July 2001
NZHIS map
WIES8 PU map
for 01/02
Notes
S42
Generalist Ophthalmology
Retire
S40
S43
Specialist Ophthalmology
Retire
S40
S46
Allied Health / Community Orthopaedic
Surgery
Generalist Orthopaedic Surgery
Retire
S45
PUremapping
S00.01
Retire
S45
PUremapping
S00.01
Specialist Orthopaedic Surgery
Allied Health / Community Spinal Surgery
Generalist Spinal Surgery
Specialist Spinal Surgery
Paediatric Surgical Services
Allied Health / Community Paediatric
Surgery
Generalist Paediatric Surgery
Retire
Retire
Retire
Retire
Retire
Retire
S45
S50
S50
S50
S59
S59
PUremapping
S45.01
S45.01
S45.01
Exclu
S55.01
S00.01
Retire
S59
PUremapping
S00.01
Retire
S60
PUremapping
S00.01
S62
Allied Health / Community Plastic
Surgery
Generalist Plastic Surgery
Retire
S60
PUremapping
S00.01
S63
Specialist Plastic Surgery
Retire
S60
S66
Allied Health / Community Burns Surgery Retire
S65
PUremapping
S00.01
S67
Generalist Burns Surgery
Retire
S65
PUremapping
S00.01
S68
Specialist Burns Surgery
Retire
S65
S71
Allied Health / Community Urology
Retire
S70
PUremapping
S00.01
S72
Generalist Urology
Retire
S70
PUremapping
S00.01
S73
S76
Specialist Urology
Allied Health / Community Vascular
Surgery
Retire
Retire
S70
S75
PUremapping
S70.01
S00.01
S47
S48
S51
S52
S53
S55
S56
S57
S61
NSFW Data Dictionary V8
PUremapping
Old
Casemix PU
S00.01
S40.01
S60.01
S60.01
Old PU desc
General Surgery - Inpatient Services
(DRGs)
Ophthalmology - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
Orthopaedics - Inpatient Services (DRGs)
Orthopaedics - Inpatient Services (DRGs)
Orthopaedics - Inpatient Services (DRGs)
Paediatric Surgical Services (DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
Plastic & Burns - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
Plastic & Burns - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
General Surgery - Inpatient Services
(DRGs)
Urology - Inpatient Services (DRGs)
General Surgery - Inpatient Services
(DRGs)
Page 118
Code
Health Specialty code description
Rec
Flag
Post 1 July 2001
NZHIS map
S77
Generalist Vascular Surgery
Retire
S75
S78
Specialist Vascular Surgery
Retire
S75
NSFW Data Dictionary V8
WIES8 PU map
for 01/02
Notes
PUremapping
Old
Casemix PU
S00.01
S75.01
Old PU desc
General Surgery - Inpatient Services
(DRGs)
Vascular Surgery - Inpatient Services
(DRGs)
Page 119