Ambulatory Mental Health Data NSW Department of Health Background Ambulatory mental health care is dedicated to the assessment, treatment, rehabilitation or care of non-admitted patients. It may include mental health day programs, psychiatric outpatients and outreach services (eg. home visits). Also included is care provided by hospital based consultation-liaison services to admitted patients in non-psychiatric and hospital emergency settings; care provided by community workers to admitted patients and clients in staffed community residential settings; and mental health promotion and prevention services. Data structure for Mental Health Ambulatory (CHAMB) data The Mental Health Ambulatory Minimum Data Set (MH-MDS) collection is held within the State Health Information Exchange (HIE) in the structure shown below. Activities perfomed by a clinician(s) (Community_Activity) to a Patient (Patient) are recorded within a contact record (Community Visit). Attributes around the contact are supported by tables such as Location and Service_Unit. The diagram represents a highly relational model. MH MDS AMBULATORY DATA MODEL of_mrn PATIENT_ FACILITY_ patient_details_ PATIENT_CONTACT_DETAILS_ area facility_of_service facility_of_mrn patients_alias_names contact_summary_ PATIENT_ALIAS_ _PATIENT_CONTACT_ _LOCATION PPDC_FIN_PROGRAM_ SERVICE_UNIT_ PPDC_FIN_SUB_PROGRAM_ contact_details_ COMMUNITY_VISIT service_visits fin_sub_program_visit location_visits unit_visits fin_progarm_visit visit_diagnosis group_events visit_activity COMM_VISIT_DIAGNOSIS GROUP_EVENT COMMUNITY_ACTIVITY Conceptual Data Model Model: MH_IDP Package: Diagram: MH_IDP Author: robh Date : 27/6/2005 Version : 1.1 The data custodian would strongly encourage researchers to make contact with InforMH in the developmental stage of their application to further discuss the structure and complexity 1 Mental Health Ambulatory Data Collection Last updated June 2015 of the CHAMB collection. Please contact the Associate Director Program Performance Analysis and Reporting Team, InforMH,on 02 8877 5121 (direct line). Things to keep in mind when using Mental Health Ambulatory (CHAMB) data in linkage studies CHAMB data for linkage by the Centre for Health Record Linkage (CHeReL) is available from January 2001 onwards. However, there was significant under-reporting of community mental health activity/contacts in the early stages of the community mental health data collection (prior to 2005/06). CHAMB data is for individuals and groups. It should be noted that data is collected for activities/contacts for identified and unidentified individual clients and population groups. Recording of “unidentified” data occurs where a clinician is unable to obtain enough data to positively identify or register an individual, for example: engagement over the phone where identification is not possible or engagement with a large group of people where identification is not possible or necessary. Linkage requires, and only provides results for, information about identified clients. Counting and Analysing Activity and Contacts When analysing CHAMB data different methods need to be applied to calculating items such as frequency of contact, duration of contact, types of activity, duration of activity depending on whether it is an individual or group activity/contact and whether a client or clinician perspective is required. Individual Client/Contact Activity 1. One person could have multiple contacts. 2. One contact could have multiple activities. 3. One contact could have multiple diagnoses. 4. One activity could have multiple service providers involved. Individual Client/Contact Activity Diagram Person (Unique Person ID) Diagnosis (Secondary diagnosis ) Contact 1 (Unique Visit ID) Contact 2 (Unique Visit ID) Contact 3 (Unique Visit ID) Diagnosis ( Primary diagnosis ) Activity 1 Activity 2 Activity 1 Activity 1 Activity 2 Activity 3 Service Provider 1 Service Provider 1 Service Provider 2 Service Provider 1 Service Provider 2 Service Provider 3 2 Mental Health Ambulatory Data Collection Last updated June 2015 Group Contact /Activity At group contact, multiple persons attend one contact/activity. These persons have the same contact identifier (Unique Visit ID), but the Record IDs are different. Group Contact Diagram Activity 1 Unique Contact (Unique Visit ID) Activity 2 Person 1 (Unique Person ID) RecordID=1 Person 2 (Unique Person ID) RecordID=2 Person 3 (Unique Person ID) RecordID=3 Assistance should be sought from the data provider on the most appropriate methods to use when analysing activity and contact data. Data Quality Issues As Indigenous Status, Legal Status and Diagnosis are items of particular interest for a number of mental health related studies, analysis of the quality of this data within the CHAMB data collection has been undertaken. These data elements have a high level of completeness, however, because they allow the insertion of free text, rather than using predefined drop down options, they are prone to contain incorrect values. Indigenous Status – incidence of incorrect and missing values 3 Year Incidence of Incorrect Values (%) Missing/ Blank (%) 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 0.001 0.002 0.005 0.3 0.5 0.5 0.1 0.004 0.00007 0.00001 2 3 2 5 9 10 12 12 11 11 10 10 10 9 8 Mental Health Ambulatory Data Collection Last updated June 2015 Legal Status – incidence of incorrect and missing values Year Incidence of Incorrect Values (%) Missing/ Blank (%) 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 1 3 0.001 0.006 0.007 0.2 0.1 0.8 7 8 7 5 4 4 55 31 11 16 26 22 22 20 19 19 17 12 11 10 9 Diagnosis Codes – incidence of incorrect and missing values Year Total Number of Diagnoses Incidence of Incorrect Values (%) Incidence of 99.1 and 99.2 codes (%) * Missing/ Blank (%) 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 233,828 901,158 1,186,257 1,422,660 1,505,599 1,837,675 2,209,150 2,348,384 2,786,251 2,918,013 3,299,857 3,629,828 4,226,728 4,901,223 5,084,749 0.02 0.02 0.06 0.1 0.04 0.05 0.3 0.6 0.1 0.2 0.1 0.2 0.2 0.1 - 0.2 0.3 0.2 10 24 29 22 23 22 22 21 22 27 26 24 0.0008 0.0003 14 5 0.0003 0.002 0.01 0.002 0.003 0.0007 0.002 0.008 0.005 0.1 0.2 *Code 99.1 corresponds to Mental Diagnosis yet to be allocated, and code 99.2 corresponds to Mental Health diagnosis not applicable. 4 Mental Health Ambulatory Data Collection Last updated June 2015 Access to information on Aboriginal and Torres Strait Islander peoples An application to the Aboriginal Health and Medical Research Council (AH&MRC) ethics committee should be made for research projects for which one or more of the following apply: The experience of Aboriginal people is an explicit focus of all or part of the research Data collection is explicitly directed at Aboriginal peoples Aboriginal peoples, as a group, are to be examined in the results The information has an impact on one or more Aboriginal communities Aboriginal health funds are a source of funding Research that is not specifically directed at Aboriginal people or communities, such as for the total population or a sub-population (eg. rural NSW, people over 50 years old) can still potentially impact on Aboriginal people. However, an application for such research need only be made to the Committee if any one of the following applies: Any of the five factors listed above are present; or Aboriginal people are known, or are likely, to be significantly over-represented in the group being studied (eg. compared to the 2.1% of the total NSW population as shown in the 2006 Census); or The Aboriginal experience of the medical condition being studied is known, or is likely, to be different from the overall population; or There are Aboriginal people who use the services being studied in distinct ways, or who face unique barriers that limit their access to the services; or It is proposed to separately identify data relating to Aboriginal people in the results. The AH&MRC ethics committee have some specific requirements, including evidence of community engagement in the research. Relevant documents can be found on the AH&MRC website at: http://www.ahmrc.org.au. If you are unsure whether an application to the AH&MRC Ethics Committee is required, please seek the advice of the Ethics Committee secretariat (T: 02 9212 4777). Data Set Managed by: InforMH, Mental Health and Drug & Alcohol Office NSW Ministry of Health. All initial discussions for access and items should be referred to the Associate Director Program Performance Analysis and Reporting Team, InforMH,on 02 8877 5121 (direct line). Data custodian Director Mental Health and Drug & Alcohol Office System Purchasing and Performance Ministry of Health 5 Mental Health Ambulatory Data Collection Last updated June 2015 Ministry of Health Mental Health Ambulatory (Non-Admitted Patient) Data Variable information Variable Activity Start Time HIE Field Name service_start_time activity _start _time HIE Table Name COMMUNITY_VISIT COMMUNITY_ACTIVITY Activity Code Mental Health activity_code COMMUNITY_ACTIVITY Activity Codeset activity_codeset - COMMUNITY_ACTIVITY Activity Duration activity_duration - COMMUNITY_ACTIVITY 6 Mental Health Ambulatory Data Collection Description/Notes Start time of the first activity. Start time of activity. The code associated with the Mental Health classification value that best describes the service/activity that is being undertaken by the service provider. The activity may or may not be client related. The Codeset being used to supply the code that describes the activity that was performed. Each Codeset has only one valid set of values. The time in minutes spent by the individual provider in performing the activity that is being recorded. Last updated June 2015 Codes See Attachment 1 M = Mental Health Clinical Intervention Code (MHCLIC) Codeset (default) I = ICD10 ACHI Codeset B = PBS Codeset U = United States ICD-10-_PCS C = Canadian ICD-10 –CCI H = ACBHSC (CHIME Codeset) T = CATCH X = Miscellaneous Activity Codeset Comments Variable Activity Start Date HIE Field Name service_contact_date HIE Table Name - COMMUNITY_VISIT Age (months) COMMUNITY_VISIT Age (years) COMMUNITY_VISIT Area health service of residence 7 area_identifier Description/Notes The start date of the first activity within a service event will populate the service contact date in the community visit table. - PATIENT_CONTACT_DETAILS - PATIENT_CONTACT - PATIENT_ALIAS Mental Health Ambulatory Data Collection The date on which the activity started. The age in months of the patient derived from subtracting the date of birth from the date of admission. The age in years of the patient derived from subtracting the date of birth from the date of admission. 2005 boundaries. Last updated June 2015 Codes See Attachment 2 – Area Health Services Comments Variable Area of usual residence HIE Field Name area_of_usual_residence Area Identifier area_identifier Client Present Status client_present_status 8 HIE Table Name - PATIENT_CONTACT_DETAILS - PATIENT_CONTACT - - PATIENT_CONTACT_DETAILS - PATIENT_CONTACT - PATIENT_ALIAS - COMMUNITY_VISIT - COMMUNITY_ACTIVITY Mental Health Ambulatory Data Collection Description/Notes The derived data element required by the Commonwealth is "Area of Usual Residence", which is reported using Statistical Local Area (SLA) that may be aggregated to larger areas. Codes Comments The SLA will be assigned by the HIE, and it is derived from the address and postcode. Code of Area Health Service. Indicator of whether the client, who was the subject of the activity, was physically present by any means of communication during the performance of the activity being recorded. Last updated June 2015 1= 2= Yes – client present No – client not present Variable Country of birth HIE Field Name assccs_country_of_birth country_of_birth_sacc HIE Table Name - PATIENT_CONTACT_DETAILS - COMMUNITY_VISIT Department of Veteran’s Affairs Health Card Type dva_card_type - PATIENT_CONTACT_DETAILS - COMMUNITY_VISIT Financial Class financial_class - COMMUNITY_VISIT Group Identifier group_id - GROUP_SESSION Group Reason group_reason - GROUP_SESSION 9 Mental Health Ambulatory Data Collection Description/Notes The country in which the patient was born. DVA Card Type indicates the type of repatriation health and pharmaceutical card issued by the Department of Veterans' Affairs (DVA). A state-wide code indicating the person or organisation wholly or partly responsible for the cost of the patient's care. Identifier for the group for which the episode or event occurred. Reason for Group's existence. Last updated June 2015 Codes Codes are the Australian Bureau of Statistics 4 digit country of birth names http://www.abs.gov.au/ausstats/abs@ .nsf/mf/1269.0 See Attachment 3 1=White card 2=Gold card 3=Orange card See Attachment 4 See Attachment 5 Comments Variable Indigenous status HIE Field Name indigenous_status HIE Table Name - PATIENT_CONTACT_DETAILS - COMMUNITY_VISIT Description/Notes Whether the person is Aboriginal or Torres Strait Islander, based on the person’s own self-report. Individual Provider Identifier indiv_provider_id_enc (encrypted version of the input Individual Provider Identifier) - COMMUNITY_ACTIVITY The identifier of the Staff member responsible for the ascertainment and collection of the outcomes and casemix measures and other associated data items on the specified collection occasion. Legal Status legal_status - COMMUNITY_VISIT Local Health District of residence ahs_of_residence - PATIENT_CONTACT COMMUNITY_VISIT 10 Mental Health Ambulatory Data Collection The legal status of a person under the NSW Mental Health Act 1990 at a point in time. 2011 boundaries Last updated June 2015 Codes -1 = Missing (Not Stated) 1 = Aboriginal but not Torres Strait Islander Origin 2 = Torres Strait Islander 3 = Aboriginal and Torres Strait Islander origin 4 = Neither Aboriginal nor Torres Strait Islander 5 = Indigenous – not further specified 8 = Declined to respond 9 = Unknown NULL = Not Stated Comments Please note access to information on Aboriginal and Torres Strait Islander peoples is contingent on the researcher having obtained approval from the AH&MRC (see notes above regarding acess to this variable). This field requires special agreement to access as there are a number of single clinician teams leading to possible direct identification. It functions on a Database only level. A clinician may have multiple identifers across multiple databases. See Attachment 6 See Attachment 7 Variable Marital status HIE Field Name marital_status_nhdd HIE Table Name - PATIENT_CONTACT_DETAILS - COMMUNITY_VISIT Description/Notes The marital status of the person. nhdd values are presented. Codes 0 = Missing 1 = Married (including de facto) 2 = Never married 3 = Widowed 4 = Divorced 5 = Separated 6 = Unknown 8 = Declined to respond Mental Health Additional Diagnosis (3 fields) diagnosis_code, with diagnosis_type of 01 - COMM_VISIT_DIAGNOSIS Where a client/patient has more than one diagnosis code listed, it will fill the additional mental health diagnosis codes starting from Mental Health Additional Diagnosis 1. This is to record diagnosis groups contributing to or present during the client/patient's presentation to a community mental health care facility. These fields 1 to 3 (filled from 1 to 3) may only be present if the Mental Health Diagnosis group code is present. See Attachment 8 diagnosis_code, with diagnosis_type of 02 diagnosis_code, with diagnosis_type of 03 11 Mental Health Ambulatory Data Collection Last updated June 2015 Comments Variable Mental Health Diagnosis Group HIE Field Name diagnosis_code, with diagnosis_type of P HIE Table Name - COMM_VISIT_DIAGNOSIS Mental Health Provider Role mh_provider_discipline - COMMUNITY_ACTIVITY Mental Health Provider type mh_provider_type - COMMUNITY_ACTIVITY Mental Health Target Group Type mh_target_group_type - COMMUNITY_VISIT - GROUP_SESSION Multidisciplinary Flag multidisciplinary_flag - COMMUNITY_ACTIVITY Postcode of residence patient_postcode postcode - PATIENT_CONTACT_DETAILS - COMMUNITY_VISIT 12 Mental Health Ambulatory Data Collection Description/Notes The mental health diagnosis code chiefly responsible for occasioning the client/patient's presentation to a community mental health care facility. The code which identifies the role in which the provider is acting while delivering this activity. A high level occupational category to describe providers. The type of group of unidentified peoples that is the focus of or to which an activity is directed. Indicator of presence of doctor as part of provider team. Postcode of residence. Last updated June 2015 Codes See Attachment 8 See Attachment 9 See Attachment 10 See Attachment 11 Y = There is more than one provider and at least one is a doctor N = No providers are doctors Comments Variable Preferred language HIE Field Name preferred_language_ascl HIE Table Name - PATIENT_CONTACT_DETAILS - COMMUNITY_VISIT Description/Notes The language (including sign language) most preferred by the person for communication. Principal Service Category principal_serv_category - COMMUNITY_ACTIVITY Provider Award State provider_award_state - COMMUNITY_ACTIVITY Provider Financial Program PPDC financial_program_ppdc - COMMUNITY_ACTIVITY The primary purpose or treatment goal of the activity or service contact. The code that identifies the award under which a person is employed. The financial budget program under which the provider is delivering the activity/ intervention being recorded. 13 Mental Health Ambulatory Data Collection Last updated June 2015 Codes Codes are the Australian Bureau of Statistics 4 digit preferred language codes. http://www.abs.gov.au/ausstats/abs@ .nsf/Latestproducts/1200.0.55.004Mai n%20Features12012,%20Version%201. 0?opendocument&tabname=Summary &prodno=1200.0.55.004&issue=2012, %20Version%201.0&num=&view= See Attachment 12 See Attachment 13 MHWOKER = An agency or locum worker PARTNER = External providers Code Description 1.1 Primary and Community Based Services 1.2 Aboriginal Health Services 1.3 Outpatient Services 2.1 Emergency Departments 2.2 Overnight Acute Inpatient Services 2.3 Same Day Acute Inpatient Services 3.1 Mental Health Services 4.1 Rehabilitation and Extended Care Service 5.1 Population Health Services 6.1 Teaching and Research ZZ.ZZ Other and unspecified Comments Variable Provider Financial Sub Program/Category PPDC HIE Field Name financial_sub_prog_ppdc HIE Table Name - COMMUNITY_ACTIVITY Description/Notes The financial subprogram/ category budget program under which the provider is delivering the activity /intervention being recorded. Referred to Further Care Type referral_to_mh - COMMUNITY_VISIT The person or service entity type to which this client was referred for further care. 14 Mental Health Ambulatory Data Collection Last updated June 2015 Codes .ZZ.ZZ Financial Sub Program Not Specified means the sub program not specified .01.1 = Child & Adolescent Mental Health: Admitted Patients .02.1 = General and Adult Mental Health: Admitted Patients .03.1 = Older People Psychiatric Care: Admitted Patients .04.1 = Forensic Mental Health: Admitted patients .00.1 = Mental Health: Total Admitted Patients .01.2 = Child & Adolescent Mental Health: Non Admitted Patients .02.2 = General and Adult Mental Health: Non Admitted Patients .03.2 = Older People Psychiatric Care: Non Admitted .04.2 = Forensic Mental Health: Non Admitted patients .00.2 = Mental Health: Total Non Admitted Patients See Attachment 14 Comments Variable Service Contact Mode HIE Field Name service_contact_mode HIE Table Name - COMMUNITY_VISIT Description/Notes The method of communication used between the provider and the person with whom they are communicating during the performance of this activity. Service Delivery Location type location_type - COMMUNITY_ACTIVITY Service Event ID visit_identifier contact_identifier - COMMUNITY_VISIT - COMMUNITY_ACTIVITY - GROUP_SESSION - PATIENT_CONTACT Unique_Visit_Iden tifier Derived field - The broad category of venue or setting where the service was provided. Unique identifier within the source system of the event (contact, attendance, or non- client event) that links together activities performed within that event. This field is used to identify an unique visit identifier for each facility/visit. 15 Mental Health Ambulatory Data Collection Last updated June 2015 Codes 0 = Not applicable 1 = Face to face 3 = Telephone 4 = Video link 5 = Other method 6 = Telemedicine link-provide The provider recording the activity is providing the service 7 = Telemedicine link-receive The provider recording the activity is at the receiving site for the telemedicine service. The client may or may not be present. 8 = Unknown 9 = Not Stated See attachment 15 Comments Variable Sex HIE Field Name sex HIE Table Name - PATIENT_CONTACT_DETAILS - COMMUNITY_VISIT Source of Referral Type source_of_ref_mh_type - COMMUNITY_VISIT State of residence state_of_usual_residence - COMMUNITY_VISIT - PATIENT_CONTACT_DETAILS 16 Mental Health Ambulatory Data Collection Description/Notes The biological sex of the patient. Post and Pre Sex Redefining Procedures are coded to the biological sex at birth, not their newly assigned sex. Transgender are coded to their biological sex, not their gender role. The person, provider, or service entity type from which this client was referred to this service. Indicates the Australian state of residence for the patient. Last updated June 2015 Codes 1 =Male 2 = Female 3 = Indeterminate/Intersex 9 = Not stated/inadequately described/unknown See Attachment 16 0 = Australia 1 = NSW 2 = Vic 3 = Qld 4 = SA 5 = WA 6 = Tas 7 = NT 8 = ACT 9 = Other/Territories Comments Note 3 is only valid for new borns Attachment 1 – Mental Health Activity Code Code ACT AD^ AS^ AW^ CA^ CC^ CE^ CM^ CO^ CP^ DC^ DP^ ED^ LE^ LR^ MH^ MS^ PT^ RF^ RP^ RV^ RX^ SC^ SK^ SM^ SU^ TC^ TP^ TR^ TRV WT^ Description Activity unspecified Administration Assessment Assistance with Carer support Care conference Counselling and education Care management, not otherwise specified Counselling Care Planning Discharge client Day Program activities Education Other legal activity not related to Mental Health Act Participation in staff training in learning role Legal activity related to Mental Health Act Missed appointment Psychotherapies Refer client Documentation & report writing Clinical review Medication activity Service Coordination Skills training, unspecified Standard Measures Supervision clinical Participation in staff training in teaching role Transport or accompany client Triage Summary Travel Time Waiting Time – late client NOTE: The following codes are part of the classification, but represent system-generated activity. Therefore they should not be used by the service provider. CS^ SR^ Close service request Open Service Request 17 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 2 – Area Health Service of Residence Code X160 X170 X175 X500 X510 X520 X530 X540 X550 X560 X570 X580 X600 X610 X900 X910 X920 X930 X940 X950 X960 X970 X980 X990 X997 X998 X999 Description Childrens Hospital at Westmead Justice Health Clinical Excellence Commission Sydney South West AHS South Eastern Sydney & Illawarra AHS Sydney West AHS Northern Sydney & Central Coast AHS Hunter & New England AHS North Coast AHS Greater Southern AHS Greater Western AHS Health Technology Health Support Services Health Administration Corporation – Health Infrastructure Ambulance Service of NSW NSW Not Further Defined Victoria Queensland South Australia Western Australia Tasmania Northern Territory Australia Capital Territory Other Australian Territories Overseas Locality No Fixed Address NSW Department of Health 18 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 3 – Country of Birth codes and descriptions Code 0000 0001 0002 0003 0911 0912 0913 Description Inadequately Described At Sea/ Born at Sea 0Not Elsewhere Classified Unknown Europe, nfd Former USSR, nfd Former Yugolsavia, nfd Code 5201 5202 5203 5204 5205 5206 6101 0913 0914 0917 0918 0923 1000 1101 Former Yugoslavia, nfd Former Czechoslovakia, nfd Asia, nfd Africa, nfd United Kingdom, nfd Oceania and Antarctica, nfd Australia 6101 6102) 6103 6104 6105 6201 6202) 1102 1199 1201 1301 1302 1303 1304 1401 1402 1403 1404 1405 1406 1407 1501 1502 1503 1504 1505 1506 1507 1508 1511 1512 1513 1599 Norfolk Island Australian External Territories, nec New Zealand New Caledonia Papua New Guinea Solomon Islands Vanuatu Guam Kiribati Marshall Islands Micronesia, Federated States of Nauru Northern Mariana Islands Palau Cook Islands Fiji French Polynesia Niue Samoa Samoa, American Tokelau Tonga Tuvalu Wallis and Futuna Pitcairn Islands Polynesia (excludes Hawaii), nec 6203 7101 7102 7103 7104 7105 7106 7107 7201 7202 7203 7204 7205 7206 7206 7207 7208 7211 8000 8101 8102 8103 8104 8201 8202 8203 Description Brunei Darussalam Indonesia Malaysia Phillipines Singapore East Timor China (excludes SARs and Taiwan Province) China (excludes SARs and Taiwan) Hong Kong (SAR of China) Macau (SAR of China) Mongolia Taiwan Japan Korea, Democratic People's Republic of (North) Korea, Republic of (South) Bangladesh Bhutan India Maldives Nepal Pakistan Sri Lanka Afghanistan Armenia Azerbaijan Georgia Kazakhstan Kyrgyz Republic Kyrgyzstan Tajikistan Turkmenistan Uzbekistan Americas, nfd Bermuda Canada St Pierre and Miquelon United States of America Argentina Bolivia Brazil 19 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code 1601 1602 1603 1604 1605 1606 1607 2101 2102 2103 2104 2105 2106 2107 2108 2201 2301 2302 2303 2304 2305 2306 2307 2308 2311 2401 2402 2402 2403 2404 2405 2406 2407 2408 3101 3102 3103 3104 3105 3106 3107 3108 3201 3202 Description Adelie Land (France) Argentinian Antarctic Territory Australian Antarctic Territory British Antarctic Territory Chilean Antarctic Territory Queen Maud Land (Norway) Ross Dependency (New Zealand) Channel Islands England Isle of Man Northern Ireland Scotland Wales Guernsey Jersey Ireland Austria Belgium France Germany Liechtenstein Luxembourg Monaco Netherlands Switzerland Denmark Faeroe Islands Faroe Islands Finland Greenland Iceland Norway Sweden Aland Islands Andorra Gibraltar Holy See Italy Malta Portugal San Marino Spain Albania Bosnia and Herzegovina Code 8204 8205 8206 8207 8208 8211 8212 8213 8214 8215 8216 8299 8301 8302 8303 8304 8305 8306 8307 8308 8401 8402 8403 8404 8405 8406 8407 8408 8411 8412 8413 8414 8415 8416 8417 8418 8421 8422 8423 8424 8425 8426 8427 8428 Description Chile Colombia Ecuador Falkland Islands French Guiana Guyana Paraguay Peru Suriname Uruguay Venezuela South America, nec Belize Costa Rica El Salvador Guatemala Honduras Mexico Nicaragua Panama Anguilla Antigua and Barbuda Aruba Bahamas Barbados Cayman Islands Cuba Dominica Dominican Republic Grenada Guadeloupe Haiti Jamaica Martinique Montserrat Netherlands Antilles Puerto Rico St Kitts and Nevis St Lucia St Vincent and the Grenadines Trinidad and Tobago Turks and Caicos Islands Virgin Islands, British Virgin Islands, United States 20 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code 3203 3204 3205 3206) 3207 3208 3211 3212 3213 3214 3215 3216 3301 3302 3303 3304 3305 3306 3307 3308 3311 3312 4101 4102 4103 4104 4105 4106 4107 4108 4199 4201 4202 4203 4204 4205 4206 4207 4208 4211 4212 4213 4214 Description Bulgaria Croatia Cyprus Former Yugoslav Republic of Macedonia (FYROM) Greece Moldova 3Romania Slovenia Serbia and Montenegro Montenegro Serbia Kosovo Belarus Czech Republic Estonia Hungary Latvia Lithuania Poland Russian Federation Slovakia Ukraine Algeria Egypt Libya Morocco Sudan Tunisia Western Sahara Spanish North Africa North Africa, nec Bahrain Gaza Strip and West Bank Iran Iraq Israel Jordan Kuwait Lebanon Oman Qatar Saudi Arabia Syria Code 8431 8432 9101 9102 Description St Barthelemy St Martin (French part) Benin Burkina Faso 9103 9104 9105 9106 9107 9108 9111 9112 9113 9114 9115 9116 9117 9118 9121 9122 9123 9124 9125 9126 9127 9128 9201 9202 9203 9204 9205 9206 9207 9208 9211 9212 9213 9214 9215 9216 9217 9218 9221 Cameroon Cape Verde Central African Republic Chad Congo Congo, Democratic Republic of Cote d'lvoire Equatorial Guinea Gabon Gambia Ghana Guinea Guinea-Bissau Liberia Mali Mauritania Niger Nigeria Sao Tome and Principe Senegal Sierra Leone Togo Angola Botswana Burundi Comoros Djibouti Eritrea Ethiopia Kenya Lesotho Madagascar Malawi Mauritius Mayotte Mozambique Namibia Reunion Rwanda 21 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code 4215 4216 4217 5101 5102 5103 5104 5105 5105 Description Turkey United Arab Emirates Yemen Burma (Myanmar) Cambodia Laos Thailand Viet Nam Vietnam Code 9222 9223 9224 9225 9226 9227 9228 9231 9232 9299 Description St Helena Seychelles Somalia South Africa Swaziland Tanzania Uganda Zambia Zimbabwe Southern and East Africa, nec 22 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 4 – Financial Class Code 20 Description Eligible Non-chargeable - Client is an eligible Medicare cardholder or is an overseas visitor with reciprocal overseas health care rights. 50 Department of Veterans’ Affairs. – A person for whom DVA has accepted responsibility for payment for care/treatment. 40 WorkCover – Client is entitled to receive payment for costs of care under an Australian law relating to workers compensation. 41 Motor Accident Authority - Client is entitled to receive payment for costs of care under an Australian law relating to motor vehicle accidents. 90 Transcover – Client is entitled to receive payment for costs of care under the NSW motor vehicle accident cover. 60 Ineligible – Client is not eligible under Medicare because he/she is an overseas visitor without reciprocal health care rights. 42 Other compensable – Client is entitled to compensation other than that related to Workcover, Motor Accidents or Transcover. 52 Registered Non-admitted Patients - A client who no longer requires medical care or treatment, but do require supervision and care. They include residents of aged care institutions and community residential care units. 30 Privately Referred Non admitted patient – Client is seen on a private basis. 91 Privately Contracted Non-admitted Patients – A client who is being treated by a contracted individual staff and service providers from the private sector to meet their community requirements. 92 Publicly Contracted Non-admitted Patients - A client who is being treated by a contracted public health service facility (hospital or Health Service) on behalf of another public health service facility. 98 Unknown 99 Not applicable 23 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 5 – Group Reason Code 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 Description Medication Clinic Advisory Group Aerobics Age Specific Activities Anger Management Anti Discrimination Groups Anxiety Management Art Art Therapy Attention Deficit Hyperactivity C&A Board Games Budget Planning Calculating Games Carers Group Children’s Groups Club Style Processes Co-operative Experiences Cognitive Behavioural Therapy Cognitive Remediation Therapy Collaborative Therapy Communication Skills Community Awareness & Environmental Safety Consumer Perspectives & Focus Group Consumer Support / Self Help Groups Consumers Participation Education & Training Consumers Planning Group Cooking / Cues For Socialising Creative Writing Current Affairs Dance Therapy Dealing With Bullying & Harassment C&A Developing Coping Mechanisms Dialectical Behaviour Therapy Discharge Planning Discussion Groups Drama Therapy Education Through Videos Events Family & Carer Group Family Education Family Therapy Financial Management & Recording 24 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 Description Gardening Gender & Sexuality Issues Health Awareness & Personal Safety Household Chores Hygiene Introspection Job Hunting / Applications & Resumes Keyboard Skills Learning Through Association Literacy & Numeracy Development Loss & Grief Managing Depression Managing Educational Involvement Managing Hallucinations Managing Physical Illness Medication Adherence / Concordance Medication Use Men’s Group Mental Health First Aid Mental Health Literacy Modern Technology Motor Skill Building Music Appreciation Music Therapy Neurocognitive Rehabilitation Neurolinguistics Nutritional Instruction Paradoxical Therapy Passive Exercises Personal Development & Self Image Physical Games Play Groups C&A Pre-Vocational Skills Problem Solving Psychoanalytical Psychoeducation Raising Community Awareness Reality Orientation Relaxation Relaxation Therapy Religious & Spiritual Expression Reminiscence Resilience Building Groups Road Safety & Use Of Public Transport 25 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code 87 88 89 90 91 92 93 94 95 97 98 99 100 101 102 103 104 105 106 107 108 109 110 Description Satisfaction Group Self Awareness & Communication Self Esteem Shopping Social Gaming Events / Housie Socialising Approaches Sporting Groups Staggered Progress Activity Stress Management Substance Abuse Support & Self Help Groups Swimming Task & Teamwork C&A Telephones & Other Communication Mediums Time Management Transactional Analysis Understanding Mental Illness Understanding Stigma Using Media Walks Women’s Groups Word Games Workshop Experience 26 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 6 – Legal Status v5.0 (including retrospective codes) Code 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 1A 1B 1C 1E 1F 20 21 22 23 24 25 26 2A 2B 2C 2D 2E 2F 2G 2H Description MH Act s12(1) Informal MH Act s12(2) Informal Guardianship Order MH Act s135A Informal Community Treatment Order MH Act s21 Involuntary – Medical Practitioner MH Act s23 Involuntary – Relative/Friend MH Act s24 Involuntary – Police MH Act s25 & MH CP s.33 Involuntary – Court Order MH Act s26 Involuntary – Welfare Officer MH Act s29 First Hospital Assessment - Mentally Ill MH Act s29 First Hospital Assessment - Mentally Disordered MH Act s51 Temporary Involuntary Detention MH Act s57(3)(a) Continued Involuntary MH Act s57(3)(b) Further Temporary Involuntary Detention MH Act s59(3) Reviewed Continued Involuntary MH Act s78 Temporary or Continued Involuntary Transfer MH Act s118 Community Counselling Order MH Act s131 Community Treatment Order MH Act s143(1)(a) Breached Community Treatment Order – Mentally Ill MH Act s143(1)(b) Breached Community Treatment Order – Mentally Disordered Inpatient: Voluntary – Admission on own request Inpatient: Voluntary admission of persons under guardianship Inpatient: Re-classification of involuntary patient as voluntary patient Inpatient: Re-classification of involuntary patient as correctional patient Inpatient: Re-classification of correctional patient as voluntary patient MH Act s143A(3) Temporary Involuntary Post Community Treatment Order Breach MH Act s89 Forensic Reclassified as Continued MH Act Schedule 1 Forensic Inebriates Act s3(1) Order for Control of Inebriates Child Protection Act Other State Mental Health Act Mental Health Act s21 Involuntary – Accredited Person Inpatient: Detention on certificate of medical practitioner or accredited person Inpatient: Detention on information of ambulance officer Inpatient: Detention after apprehension by police Inpatient: Detention after order for medical examination or observation Inpatient: Detention on order of Magistrate or bail officer Inpatient: Detention on order of the Mental Health Review Tribunal Inpatient: Detention after transfer from another health facility Inpatient: Detention on request of primary carer, relative or friend 27 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code 2J 2K 2L 2M 2N 30 31 32 33 34 35 36 3A 3B 40 41 42 43 44 45 46 47 48 49 4A 4B 4C 60 61 62 63 70 71 72 95 98 99 Description Inpatient: Detention order or request from other specified authorised person or body Inpatient: Detention on certificate of medical practitioner or accredited person (Mentally Ill) Inpatient: Detention on certificate of medical practitioner or accredited person (Mentally Disordered) Inpatient: Detention on breach of Community Treatment Order Inpatient: Detention with assistance of police on breach of Community Treatment Order Bail Act s36A(2) Additional bail conditions NSW Drug Court Act-1998 s7,s8 NSW Intoxicated Persons Act-2000 (Amendment) s5(3),s5(4) NSW Crimes Act-1999 (Sentencing Procedure) s9,s11,s12 NSW Crimes Act-1999 (Administration of Sentences) s103 NSW Young Offenders Act-1997 s37(2),s37(3) NSW Children (Criminal Proceedings) Act-1987 s50b Ambulatory or inpatient: Community Treatment Order Ambulatory: Voluntary mental health client CYP CP Act s17 Director-General's request for assistance from other agencies CYP CP Act s18 Obligation to co-operate CYP CP Act s53 Making of assessment orders CYP CP Act s74 Order for provision of support services CYP CP Act s75 Order to attend therapeutic or treatment program CYP CP Act s123 What is "compulsory assistance"? CYP CP Act s132 Emergency compulsory assistance CYP CP Act s173 Medical examination of children in need of care and protection CYP CP Act s174 Emergency medical treatment CYP CP Act s175 Special medical treatment Forensic patient Reclassification of forensic patient as involuntary patient Forensic Community Treatment Order Guard. Act s40 Consent by Person Responsible Guard. Act s44 Tribunal Consent Guard. Act s45AA Tribunal Approval - Clinical Trials Guard. Act s46A Guardian Overrides Patient's Objections Authorised by Tribunal PH Act s4 Orders and Directions During State of Emergency PH Act s22 Power To Require Medical Examination PH Act s23 Making of Public Health Order Other legal status, nec No act applies Unknown 28 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 7 – Local Health District of Residence Code X700 X710 X720 X730 X740 X750 X760 X770 X800 X810 X820 X830 X840 X850 X860 X630 X690 X180 X170 X910 X920 X921 X930 X940 X950 X960 X970 X980 X990 X997 X998 9999 Description Sydney LHD South Western Sydney LHD South Eastern Sydney LHD Illawarra Shoalhaven LHD Western Sydney LHD Nepean Blue Mountains LHD Northern Sydney LHD Central Coast LHD Hunter New England LHD Northern NSW LHD Mid North Coast LHD Southern NSW LHD Murrumbidgee LHD Western NSW LHD Far West LHD Sydney Children’s Hospitals Network St Vincent’s Health Network Forensic Mental Health Network Justice Health NSW not further specified Victoria Albury (Victoria in-reach) Queensland South Australia Western Australia Tasmania Northern Territory Australian Capital Territory Other Australian Territories Overseas Locality No Fixed Address Missing 29 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 8 – Mental Health Diagnosis Group Code 99.1 99.2 F00# F05 F06 F10 F11# F20# F20 F21 F23 F25 F30 F31 F32# F40 F41 F42 F43 F44 F45 F48 F50 F51 F52 F60 F61 F79 F80 F81 F84 F89 F90 F91# F93 F98.0 F98.1 F99 G40 R45.81 T74.0 Description Mental Health Diagnosis not yet allocated Mental Health Diagnosis not applicable Dementia Delirium, not induced by alcohol and other psychoactive substances Other mental disorders due to brain damage and dysfunction and to physical disease Mental and behavioural disorders due to use of alcohol Mental and behavioural disorders due to use of drugs Chronic Psychotic Disorder, not elsewhere classified Schizophrenia Schizotypal disorder Acute and transient psychotic disorders Schizoaffective disorders Manic episode Bipolar affective disorder Depression Phobic anxiety disorders Other anxiety disorders Obsessive-compulsive disorder Reaction to severe stress, and adjustment disorders Dissociative [conversion] disorders Somatoform disorders Other neurotic disorders Eating disorders Nonorganics sleep disorders Sexual dysfunction, not caused by organic disorder or disease Specific personality disorders Mixed and other personality disorders Unspecified mental retardation Specific developmental disorders of speech and language Specific developmental disorders of scholastic skills Pervasive developmental disorders Unspecified disorder of psychological development Hyperkinetic disorders Conduct disorders Emotional disorders with onset specific to childhood Non-organic enuresis Non-organic encopresis Mental disorder, not otherwise specified Epilepsy Suicide ideation Neglect and abandonment 30 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code T74.1 T74.2 X84 Z60.1 Z62.0 Z62.1 Z63.8 Z72.4 Z81.1 Z81.8 Description Physical abuse Sexual abuse Intentional self harm by unspecified means Atypical parenting situation Inadequate parental supervision and control Parental overprotection Other specified problems related to primary support group Inappropriate diet and eating habits Family history of alcohol abuse Family history of mental/behavioural disorder 31 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 9 – Mental Health Provider Role v1.0 Code 1112-11-1 1112-11-2 1224-11-0 1292-00-1 1292-00-2 1292-13-0 1292-13-1 1293-11-0 2115-11-0 2115-11-1 2129-15-0 2221-11-0 2231-17-0 2231-17-1 2231-79-1 2231-79-2 2291-17-1 2291-17-2 2291-17-3 2292-11-0 2299-11-0 2311-11-1 2311-11-2 2311-11-3 2311-11-4 2311-81-0 2312-00-1 2312-00-2 2312-00-3 2312-11-0 2312-13-0 2312-15-0 2312-17-0 2312-19-0 2312-21-0 2312-23-0 Description Chief Exec Officer General Manager Information Technology Manager Health Service Manager, nos Coord rehab Hosp, IAHS Medical Administrator Medical Administrator, Trainee School Principal Medical Scientist Medical Scientist, Trainee Biomedical Engineer Public Relations Officer Applications and Analyst Programmer Applications and Analyst Programmer, Trainee Computer Operator Field Implementation Officer Staff Development Officer Staff Training Officer Health Education Officer Librarian Health Information Manager Career Medical Officer (CMO) Community Physician Registrar, nos VMO GP Medical Practitioner in Training Specialist Medical Practitioner, nos Staff Specialist, nos VMO Specialist, nos Anaesthetist Dermatologist Emergency Medicine Specialist Obstetrician & Gynaecologist Ophthalmologist Paediatrician Pathologist 32 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code 2312-25-0 2312-27-0 2312-27-1 2312-27-2 2312-29-0 2312-31-0 2312-79-0 2321-11-0 2321-11-1 2322-11-0 2322-11-1 2323-11-0 2323-11-1 2323-11-2 2323-11-3 2323-11-4 2323-11-5 2323-11-6 2324-11-0 2325-11-0 2325-11-1 2325-11-2 2325-11-3 2325-11-4 2325-11-5 2381-11-0 2381-11-1 2381-13-0 2381-13-1 2382-11-0 2383-11-0 2385-11-0 2386-11-0 2388-11-0 2391-11-0 2391-11-1 2393-11-0 2399-11-0 Description Specialist Physician Psychiatrist Child Psychiatrist Psychogeriatrician Radiologist Surgeon Specialist Medical Practitioner. Nec Nurse Manager Nursing Unit Manager (NUM) Nurse Educator Clinical Nurse Educator (CNE) Registered Nurse Clinical Nurse Consultant(CNC) Clinical Nurse Specialist (CNS) Nurse Practitioner Mothercraft Nurse Flight Sister Agency Nurse Registered Midwife Registered Mental Health Nurse Registered Mental Health Nurse, Trainee Child and Adolescent Mental Health Nurse Psychiatric Rehabilitation Nurse Psychogeriatric Care Nurse Drug & Alcohol Nurse Dentist VDO Dental Specialist VDO, Specialist Hospital Pharmacist Occupational Therapist Physiotherapist Speech Pathologist Podiatrist Medical Diagnostic Radiographer Medical Diagnostic Radiographer, Trainee Dietitian Audiologist 33 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code 2399-13-0 2399-15-0 2399-79-1 6313-19-2 2399-79-3 2410-00-1 2411-11-0 2421-11-1 2511-11-0 2512-11-0 2513-13-0 2513-79-1 2514-11-0 2514-79-0 2529-13-0 2529-13-1 2543-13-0 2549-79-1 3111-11-0 3111-79-0 3111-79-1 3111-79-2 3111-79-3 3292-11-0 3321-00-1 3322-00-1 3411-11-0 3411-11-1 3421-13-0 3421-15-1 3491-11-0 3491-11-1 3491-11-3 3491-11-4 3491-11-5 3492-11-0 3492-11-1 3492-13-0 Description Orthoptist Orthotist Diversional Therapist Music Therapist Remedial Gymnast School Teacher, nos Pre-Primary School Teacher Clinical Academic Social Worker Welfare Worker Drug and Alcohol Counsellor Nurse Counsellor Clinical Psychologist Psychologists nec Interpreter Regional Advisor - Migrant Health Environmental Health Officer Food Inspector Medical Laboratory Technical Officer Medical Technical Officers nec Medical Technical Officers nec, Trainee Medical Technologist Audiometrist Project or Program Administrator Trainee Catering Officer Chef, nos Enrolled Nurse Enrolled Nurse, Trainee Youth Worker Residential Care Nurse Ambulance Officer Ambulance Officer, Clinical Educator Ambulance Officer, District Officer Ambulance Officer, Operations Centre Officer Ambulance Officer, Technical Educator Dental Therapist Dental Therapist, Student Dental Hygienist 34 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code 3492-15-0 3492-15-1 3493-11-1 3493-11-2 3995-11-1 3997-11 3999-79-0 3999-79-1 4311-11-1 4410-00-1 4411-13-0 4411-83 4414-11-0 4414-81-0 4416-11-0 4421-11-0 4422-11-0 4431-11-0 4513-11-0 4513-81-0 4623-01-0 4623-11-0 4623-81-0 4931-11-0 4942-11-1 4943-13-0 4992-19-1 5111-13-0 6121-11-0 6142-11-0 6213-11 6312-11-0 6313-00-1 6313-19-0 6313-19-1 6313-19-2 6314-11-1 6314-11-2 Description Dental Technician Dental Technician, Trainee Aboriginal Health Worker, Coordinator Aboriginal Health Worker, Education Officer Fire Safety Officer Library Technician Associate Professionals nec Pharmacy Assistant Electrical Tradesperson Plasterer. Nos Carpenter Apprentice Carpenter Bricklayer Apprentice Bricklayer Wall and Floor Tiler Painter and Decorator Signwriter General Plumber Cook Apprentice Cook or Chef Head Gardener General Gardener Apprentice General Gardener Hairdresser Upholsterer Medical Grade Shoemaker Projectionist Personal Assistant Typist and Word Processing Operator Payroll Clerk Retail Supervisor Child Care Worker Residential Care Assistant Therapy Aide Diversional Therapist's Assistant Tech Assistant (Orthotic) Aide, nos Community Aide 35 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code 6314-11-3 6314-13-0 6321-00-1 6321-00-2 6321-00-3 6391-11-0 6399-15-0 6399-15-1 6399-79-1 6399-79-2 6399-79-3 6399-79-4 6399-79-5 7121-11-0 7121-11-1 7299-00-1 7313-11-1 7314-11-1 8211-79-0 8297-11-1 8311-11-0 8312-00-1 8313-11-1 8314-11-0 8315-11-0 9922-13-0 9931-11-0 9993-11-0 UUUU-01-U UUUU-02-U UUUU-03-U UUUU-04-U UUUU-05-U UUUU-06-U UUUU-07-U UUUU-08-U UUUU-09-U UUUU-10-U Description Patient Services/ Care Assistant Nursing Assistant Housekeeper/ Domestic Supervisor Home Supervisor Linen Supply Officer Dental Assistant Animal Attendant Animal Technician Attendant Hospital Assistant Laboratory Attendant Trainee Laboratory Assistant Trainee Hospital Assistant Engine or Boiler Operator Fireman Blindmaker Driver/ Gen Assist Motor Vehicle Driver Sales Assistants nec Food Services Trainee Security Officer Hall Attendant Domestic Assistant Caretaker Laundry Worker Garden Labourer Kitchenhand Handyperson Analyst/Chemist Apprentice Electrician Apprentice Fitter Apprentice Painter Apprentice Plumber Assistant Engineer Audio visual Officer Audio visual Officer, Trainee Cleaner Dental Therapist Tutor 36 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code UUUU-11-U UUUU-12-U UUUU-13-U UUUU-14-U UUUU-15-U UUUU-16-U UUUU-17-U UUUU-18-U UUUU-19-U UUUU-20-U UUUU-21-U UUUU-22-U UUUU-23-U UUUU-24-U UUUU-25-U UUUU-26-U UUUU-27-U UUUU-28-U UUUU-29-U UUUU-30-U UUUU-31-U UUUU-32-U UUUU-33-U UUUU-34-U UUUU-35-U UUUU-36-U UUUU-37-U UUUU-38-U UUUU-39-U UUUU-40-U UUUU-41-U UUUU-42-U UUUU-43-U UUUU-44-U UUUU-45-U UUUU-46-U UUUU-47-U UUUU-48-U Description Dep Dir Dental Serv Dep Manager-Patient Serv-RPAH Deputy Superintendent Direc Dental Serv Director Of Animal Care Wmead Duty Operations Centre Officer Elec Instrument Fitter Electrical Tradesperson Electronics Technician Engineer Ethnic Health Worker Fitter/Mech Fitter/Motor Mechanic Group Coordinator Group Engineer Jobskill Train, No Increment Maintenance Supervisor Mechanical Craftsman Motor Mechanic Operations Centre Assist Super Operations Centre Comms Assist Patient Transport Officer Perfusionist Planning Officer Postgraduate Fellow, No Increment Printing Operator Programme Director Project Officer Quality Assurance Officer Research Assistant Research Fellow Research Mechanic Research Officer Scanner Scientific Instrument Maker Seamstress Senior Research Fellow Senior Research Officer 37 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code UUUU-49-U UUUU-50-U UUUU-51-U UUUU-52-U UUUU-53-U UUUU-54-U UUUU-55-U UUUU-56-U UUUU-57-U UUUU-58-U UUUU-59-U UUUU-60-U UUUU-61-U UUUU-62-U UUUU-63-U UUUU-64-U UUUU-65-U UUUU-66-U UUUU-67-U UUUU-68-U UUUU-69-U ZZZZ.ZZ.0 ZZZZ.ZZ.1 ZZZZ.ZZ.2 ZZZZ.ZZ.3 ZZZZ.ZZ.4 ZZZZ.ZZ.5 ZZZZ.ZZ.6 ZZZZ.ZZ.7 ZZZZ.ZZ.8 ZZZZ.ZZ.9 ZZZZ.ZZ.Z Description Sewing Room Supervisor Sexual Assault Worker Snr Operations Centre Officer Snr Principal Research Fellow Social Educator Station Officer Superintendent Support Services Officer Tech Dental Instrum Plant Technical Assistant Telephonist Tool Maker Tradesman Supervisor Trainee Trainee Office Assistant Tyre Fitter Vocational Instructor Vocational Training Offr Wardperson Welder Appropriately Qualified MH Prof Gen Admin/Clerical Accommodation - eg JGS Housing Consumer/Carer DoCS - Youth Link Education - School Link Funding - eg DSP, pensions NGO- Link General Health Law-link Work-Link Other Partner NOS - Link 38 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 10 – Mental Health Provider Type Code A1 C1 D1 E1 F1 G1 H1 J1 K1 L1 MP MH MC MS MH MT N1 N2 N3 N4 N5 N6 N7 N8 N9 NA NC NE NF NM NP NR NS NU NV P0 Description Accommodation - Link Consumer/Carer DoCS - Youth Link Education - School Link Funding - Link NGO- Link General Health Law-link Work-Link Other Partner NOS - Link Paediatrician Staff Specialist nos Career Medical Officer (CMO) Specialist Medical Practitioner Staff Specialist nos Medical Practitioner in Training Nurse Manager Nurse Educator Nurse Counsellor Mothercraft Nurse Registered Midwife C&A Mental Health Nurse Drug & Alcohol Nurse Psychiatric Rehab Nurse Psychogeriatric Care Nurse Registered MH Nurse,Trainee Clinical Nurse Consultant (CNC) Clinical Nurse Educator (CNE) Flight Sister Registered MH Nurse Nurse Practitioner Registered Nurse Clinical Nurse Specialist (CNS) Nursing Unit Manager (NUM) Agency Nurse Staff Psychiatrist Code Q9 QA QC QD QE QS QF QG QJ QK QM QN QP QR QQ QY R1 S1 T1 U1 U2 V1 WA WE WF WG WH WM WP WR WS WT WU X1 X2 X3 Description Assistant D&A Counsellor Sexual Assault Worker Dentist Health Education Officer Educator Interpreter Medical Diagnostic Radiographer Welfare Worker Youth Worker Ethnic Health Worker Nurse Other Music Therapist Remedial Gymnast Appropriately Qualified MH Prof Psychologists (non clinical) Psychiatric Registrar Social Worker Pharmacist GP in coordinated care VMO GP VMO Psychiatrist Administrative worker Educator Information Professional Information Worker Health Service Manager Manager Patient CareWorker Research Worker Scientific/Technical Worker Tradesperson Trainee Audiologist Audiometrist Dietitian 39 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code P1 P2 Q1 Q2 Q3 Q4 Q6 Q7 Q8 Description Child Psychiatrist Psychogeriatrician Aboriginal Worker Aide Ambulance Officer Associate Professionals nec Child Care Worker Clinical Academic Dental Worker Code X4 X5 X6 X7 X8 X9 XA Y1 Description Diversional Therapist Occupational Therapist Orthoptist Orthotist Physiotherapist Podiatrist Speech Pathologist Clinical Psychologist 40 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 11 – Mental Health Target Group Type Code 1 2 3 4 5 6 7 8 9 10 12 13 14 15 16 17 18 98 99 Description General population Group activity focus is the general population Children/young people Focus of activity is children or young people mostly 1-17 Adults Focus of activity is the whole adult population mostly between 18-64 Older Adults Focus of activity is older people mostly those over 65 Indigenous people Focus of activity is Aboriginal and/or Torres St Islander people CLD related Focus of activity is people of other cultural or linguistic background Consumers group Focus of activity are MH consumers Carers group Focus of activity are carers of MH consumers Other Providers Focus of activity is other providers MH Partnership group Focus of activity is people associated with a partnership agreement between Mental Health and another agency eg Police. Workplace/organisation Focus of activity is a workplace or organisation NGO Group Focus of activity is a group of people related to NGO service/s Travel group To be used as system default when travel time is recorded for a group of unidentified clients seen over the course of a day. Intake group To be used to record all intake activity for a particular worker where no separate activity record was entered for any client included in the group. Pre School Age Focus of activity are participants in the School Link program Primary School Age Focus of activity are participants in the School Link program Secondary School Age Focus of activity are participants in the School Link program Other specified group Any specific group defined by the service unit Not a target group 41 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 12 – Preferred Language codes and description Code 0000 0001 0002 1000 Description Inadequately described Non Verbal, so described Unknown, not stated Northern European Languages, nfd Code 8153 8154 8155 8199 1100 1101 1102 1103 1199 1201 1300 1301 1302 1303 1400 Celtic, nfd Gaelic Irish Welsh Celtic, nec English German and Related Languages, nfd German Letzeburgish Yiddish Netherlandic and Related Languages, nfd Dutch Frisian Afrikaans Scandanavian, nfd Danish Icelandic Norwegian Swedish Scandinavian, nec Estonian Finnish Finnish and Related Languages, nec Southern European Languages, nfd French Greek Iberian Romance, nfd Catalan Portugese Spanish Iberian Romance, nec Italian Maltese Other Southern Eurpean Langauges, nfd Basque 8200 8211 8212 8213 8219 8221 8222 8229 8231 8232 8233 Description Nungali Wambaya Wardaman Arnhem Land and Daly River Region Languages, nec Yongu Matha, nfd Galpu Golumala Wangurri Dhangu, nec Dhalwangu Djarrwark Dhay'yi, nec Djambarrpuyngu Djapu Daatiwuy 8234 8235 8239 8241 8242 8243 8244 8245 8246 8247 8249 8251 8259 8261 8269 8271 8279 8281 8299 8300 8301 8302 8303 Marrangu Liyagalawumirr Dhuwal, nec Dhuwaya Gumatj Gupapuyngu Guyamirrilili Madarrpa Manggalili Wubulkarra Dhuwala, nec Wurlaki Djinang, nec Ganalbingu Djinba, nec Ritharrngu Yakuy, nec Nhangu Other Yolngu Matha, nec Cape York Peninsula Languages, nfd Kuku Yalanji Guugu Yimidhirr Kuuku-Ya'u 8304 Wik-Mungkan 1401 1402 1403 1500 1501 1502 1503 1504 1599 1601 1602 1699 2000 2101 2201 2300 2301 2302 2303 2399 2401 2501 2900 2901 42 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code 2902 2999 3000 3100 3101 3102 3301 3400 3401 3402 3403 3500 3501 3502 3503 3504 3505 3506 3507 3600 3601 3602 3603 3900 3901 3903 3904 3905 3999 4000 4100 4101 4102 4104 4105 4106 4199 4200 Description Latin Other Southern European Languages, nec Eastern European Langauges, nfd Baltic, nfd Latvian Lithuanian Hungarian East Slavic, nfd Belorussian Russian Ukranian South Slavic, nfd Bosnian Bulgarian Code 8305 8306 Description Djabugay Dyirbal 8307 8308 8311 8312 8313 8314 8399 8400 8401 8402 8403 8500 Croatian Macedonian Serbian Slovene Serbo-Croatian/Yugoslavian, so described West Slavic, nfd Czech Polish Slovak Other Eastern European Languages, nfd Albanian Aromunian Romanian Romany Other Eastern European Languages, nec Southwest Asian and North African Languages, nfd Iranic, nfd Kurdish Pashto Balochi Dari Persian (excluding Dari) Iranic, nec Middle Eastern Semitic Languages, 8504 8505 8506 8507 8508 Girramay Koko-Bera Kuuk Thayorre Lamalama Yidiny Wik Ngathan Cape York Peninsula Languages, nec Torres Strait Island Languages, nfd Kalaw Kawaw Ya/ Kalaw Lagaw Ya Meriam Mir Torres Strait Creole Northern Desert Fringe Area Languages, nfd Bilinarra Gurindji Gurindji Kriol Jaru Light Warlpiri 8511 8512 8513 8514 8515 Malngin Mudburra Ngandi Ngardi Ngarinyman 8516 8517 8518 8521 8522 Walmajarri Wanyjirra Warlmanpa Warlpiri Warumungu 8599 Northern Desert Fringe Area Languages, nec Arandic, nfd Alyawarr Anmatyerr Arrernte Kaytetye Arandic, nec Western Desert Language, nfd Antikarinya 8600 8603 8604 8605 8606 8699 8700 8703 43 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code 4202 4203 4204 4299 4300 4301 4302 4303 4304 4305 4306 4399 4901 4902 4999 5000 5100 5101 5102 5103 5104 5105 5199 5200 5201 5202 5203 5204 5205 5206 5207 5208 5211 5212 5213 5214 5215 5216 5299 5999 6000 Description nfd Arabic Assyrian Hebrew Middle Eastern Semitic Languages, nec Turkic, nfd Turkish Azeri Tatar Turkmen Uygur Uzbek Turkic, nec Armenian Georgian Other Southwest and Central Asian Languages, nec Southern Asian Languages, nfd Dradvidian, nfd Kannada Malayalam Tamil Telugu Tulu Dravidian, nec Indo-Aryan, nfd Bengali Gujarati Hindi Konkani Marathi Nepali Punjabi Sindhi Sinhalese Urdu Assamese Dhivehi Kashmiri Oriya Indo-Aryan, nec Other Southern Asian Languages Southeast Asian Languages, nfd Code Description 8704 8705 8706 8707 Kartujarra Kukatha Kukatja Luritja 8708 8711 8712 8713 8714 8715 8716 8717 8718 8721 8799 Manyjilyjarra Martu Wangka Ngaanyatjarra Pintupi Pitjantjatjara Wangkajunga Wangkatha Warnman Yankunytjatjara Yulparija Western Desert Language, nec 8801 8802 8803 8804 8805 8806 8807 8808 8811 8812 8899 8901 8902 8903 8904 8905 8906 8907 8908 8911 8912 8913 8914 8915 8916 8917 Bardi Bunuba Gooniyandi Miriwoong Ngarinyin Nyikina Worla Worrorra Wunambal Yawuru Kimberley Area Languages, nec Adnymathanha Arabana Bandjalang Banyjima Batjala Bidjara Dhanggatti Diyari Gamilaraay Garrwa Garuwali Githabul Gumbaynggi Kanai Karajarri 44 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code 6100 6101 6102 6103 6199 6200 6201 6299 6300 6301 6302 6303 6399 6400 6401 6402 6499 6500 6501 6502 6503 6504 6505 6507 6508 6511 6512 6513 6514 6515 6516 6517 6518 6521 6599 6999 7000 7100 7101 7102 Description Burmese and Related Languages, nfd Burmese Haka Karen Burmese and Related Languages, nec Hmong-Mien, nfd Hmong Hmong-Mien, nec Mon-Khmer, nfd Khmer Vietnamese Mon Mon-Khmer, nec Tai, nfd Lao Thai Tai, nec Western Austronesian Languages, nfd Bisaya Cebuano Ilokano Indonesian Malay Tetum Code 8918 8921 8922 8923 8924 Description Kariyarra Kaurna Kayardild Kija Kriol 8925 8926 8927 8928 8931 8932 8933 8934 8935 8936 8937 8938 8941 Lardil Mangala Muruwari Narungga Ngarluma Ngarrindjeri Nyamal Nyangumarta Nyungar Paakantyi Palyku/Nyiyaparli Wajarri Wiradjuri 8942 8943 8944 8945 8998 8999 Timorese Tagalog Filipino Achenese Balinese Bikol Iban Ilonggo (Hiligaynon) Javanese Pampangan Southeast Asian Austronesian Languages, nec Other Southeast Asian Languages Eastern Asian Languages, nfd Chinese, nfd Cantonese Hakka 9000 9101 9200 9201 9203 9205 9206 9207 9208 9211 9212 Yanyuwa Yindjibarndi Yinhawangka Yorta Yorta Aboriginal English, so described Other Australian Indigenous Languages, nec Other Languages, nfd American Languages African Languages, nfd Acholi Akan Mauritian Creole Oromo Shona Somali Swahili Yoruba 9213 9214 9215 9216 9217 Zulu Amharic Bemba Dinka Ewe 45 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code 7103 7104 7105 7106 7199 7201 7301 7901 7902 7999 8000 8100 8101 8102 8108 8111 8113 8114 8115 8117 8121 8122 8123 8124 8125 8126 8127 8128 8131 8132 8133 8134 8135 8136 8137 8138 8141 8142 8143 8144 8145 8146 Description Hokkien Mandarin Teochew Wu Chinese, nec Japanese Korean Tibetan Mongolian Other Eastern Asian Languages, nec Australian Indigenous Languages, nfd Arnhem Land and Daly River Region Languages, nfd Anindilyakwa Burarra Kunwinjku Maung Ngangkikurungurr Nunggubuyu Rembarrnga Tiwi Alawa Dalabon Gudanji Gundjeihmi Gun-nartpa Gurr-goni Iwaidja Jaminjunj Jawoyn Jingulu Kunbarlang Kune Kuninjku Larrakiya Malak Malak Mangarrayi Mariningarr Marra Marrithiyel Matngala Mayali Murrinh Patha Code 9218 9221 9222 9223 9224 9225 9226 9227 9228 9231 9232 Description Ga Harari Hausa Igbo Kikuyu Krio Luganda Luo Ndebele Nuer Nyanja (Chichewa) 9233 Shilluk 9234 9235 9236 9237 9238 9299 9300 9301 9302 9303 9304 9305 9306 9307 9308 9311 9312 9313 9314 9315 9399 9400 9401 9402 9403 9404 9405 9499 9502 9599 Tigré Tigrinya Tswana Xhosa Seychelles Creole African Languages, nec Pacific Austronesian Languages, nfd Fijian Gilbertese Maori (Cook Island) Maori (New Zealand) Motu Nauruan Niue Samoan Tongan Rotuman Tokelauan Tuvaluan Yapese Pacific Austronesian Languages, nec Oceanian Pidgins and Creoles, nfd Tok Pisin Bislama Hawaiian English Pitcairnese Solomon Islands Pijin Oceanian Pidgins and Creoles, nec Kiwai Papua New Guinea Papuan 46 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Code Description Code 8147 8148 8151 8152 Na-kara Ndjebbana (Gunavidji) Ngalakgan Ngaliwurru 9601 9700 9701 9702 Description Languages, nec Invented Languages Sign Languages, nfd Auslan Makaton 47 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 13 – Principal Service Code Code P V Y D N G J E F A H Q R S X U W C K M L Description Mental Health Promotion Mental Illness Prevention Early Intervention - Psychosis Early Intervention - Depression Early Intervention - Anxiety Early Intervention - General Promotion, Prevention or Early Intervention, not otherwise specified Emergency - Clinical Emergency - Social Acute - Clinical Acute - Social Emergency/acute - Clinical/social Rehabilitation - Clinical Rehabilitation - Social Extended - Clinical Extended - Social Non acute - Clinical/social Consultation (to a service unit not funded from the MH program) Consultation (to a Mental Health Service Unit) MH Service not otherwise specified Research 48 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 14 – Referred to further care type Code 1 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 36 37 98 99 Description Not referred Public Mental Health service in Area (+) Public Mental Health service in other Area (+) Emergency Department Public Inpatient service Palliative Care Community residential Nursing home Boarding House Private Psych Hospital Outpatients (Non MH) Community Health (Non MH) Specialist Older People Service Specialist Child & Family Service Specialist Adolescent services Specialist D&A Service Specialist Aboriginal Service Specialist CLD Service District Nurse GP Private Psychiatrist Other specialist Medical Officer Other Specialist Clinician NGO DoCS Service Housing Service Education Service Law Enforcement Service Criminal Justice service Employment/Vocational Service Workplace service (EAP) Other health service Other non health service Other Unknown/not stated 49 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 15 – Service Delivery Location type Code 1 Description Inpatient Health Care Setting - Bed based units within a hospital Comment 2 Hospital Outpatient Setting Ambulatory care delivery site within a hospital where this site is not regarded as a community facility, includes services delivered in Emergency Departments. 3 Community Health Care Setting - Residential or ambulatory. May be on a hospital Campus. Street or other public place 4 5 6 7 8 9 Law enforcement/criminal justice facility Police station, court, detention centre, gaol etc. School or other educational institution Nursing home - State or private Boarding house Other usual place of residence 10 11 12 98 NGO setting Workplace setting Other location, not elsewhere classified Unknown 99 Not stated Family home, group home or any other form of supported accommodation. Excludes nursing home, boarding house, NGO or community residential coded under 03 above 50 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015 Attachment 16 – Source of referral type Code 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 98 99 Description Self Family/friend Public Mental Health service in Area (+) Public Mental Health service in other Area (+) Emergency Department Public Inpatient service Palliative Care Community residential Nursing home Boarding House Private Psych Hospital Outpatients Community Health Specialist Older People Service Specialist Child & Family Service Specialist Adolescent services Specialist D&A Service Specialist Aboriginal Service Specialist CLD Service District Nurse GP Private Psychiatrist Other specialist Medical Officer Other Specialist Clinician NGO DoCS Service Housing Service Education Service Law Enforcement Service Criminal justice service Employment/Vocational Service Workplace service (EAP) Type change Born in Hospital Other health service Other non health service Other Unknown/not stated 51 All codesets are aligned with the Health Information Resource Directory (HIRD) Metadata website as of 5 June 2015. Mental Health Ambulatory Data Collection Last updated June 2015