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National health data dictionary Summary of updates since Version 14.1 Feb 2009 to June 2009 © Australian Institute of Health and Welfare 2009 This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced without prior written permission from the Australian Institute of Health and Welfare. Requests and enquiries concerning reproduction and rights should be directed to the Head, Business Promotion, Australian Institute of Health and Welfare, GPO Box 570, Canberra ACT 2601. Any enquiries about or comments on this publication should be directed to: METeOR and Metadata Unit Australian Institute of Health and Welfare GPO Box 570 Canberra ACT 2601 Email: [email protected] Phone: (02) 6244 1222 Fax: (02) 6244 1299 ii List of metadata items Data element short names ................................................................................................................................ vi Summary of updates to the National health data dictionary (NHDD) version 14.1 .................................. 1 National minimum data sets ............................................................................................................................. 6 Admitted patient care NMDS 2009-2010 ................................................................................................... 7 Admitted patient mental health care NMDS 2009-2010 ........................................................................ 10 Admitted patient palliative care NMDS 2009-10 ................................................................................... 13 Community mental health care NMDS 2009-2010 ................................................................................. 15 Government health expenditure NMDS 2009-2010 ............................................................................... 17 Residential mental health care NMDS 2009-2010 .................................................................................. 19 Data set specifications ...................................................................................................................................... 21 Breast cancer (Cancer registries) DSS ...................................................................................................... 22 Cancer (clinical) DSS .................................................................................................................................. 24 Data element clusters ....................................................................................................................................... 27 Government health expenditure organisation expenditure capital consumption data element cluster ........................................................................................................................................................................ 28 Government health expenditure organisation expenditure data element cluster ............................. 29 Government health expenditure organisation expenditure employee related data element cluster .......................................................................................................................................................................... 30 Government health expenditure organisation expenditure purchase of goods and services data element cluster ............................................................................................................................................ 31 Government health expenditure organisation revenue data element cluster .................................... 32 Data elements .................................................................................................................................................... 33 Establishment—geographical location, code (ASGC 2008) NNNNN ................................................. 34 Health industry relevant organisation—main activity type, code NNN ........................................... 36 Occupied bed—hospital in the home care, average number of beds N[NNN.N] ............................ 47 Organisation—capital consumption expenses, total Australian currency NNNNN.N ................... 49 Person with cancer— Nil metastasis status, M stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX ......................................................................................................................... 51 Person with cancer—extent of primary cancer, TNM stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XXXX{[X]XX} ...................................................................................................... 53 Person with cancer—histopathological grade, code N ......................................................................... 55 Person with cancer—human epidermal growth factor receptor-2 test result, code N ..................... 57 Person with cancer—human epidermal growth factor receptor-2 test type, code N ....................... 60 Person with cancer—lymphovascular invasion, code N ...................................................................... 62 Person with cancer—morphology of cancer, code (ICDO-3) NNNN/N ........................................... 64 Person with cancer—neoadjuvant therapy indicator, code N ............................................................. 67 Person with cancer—number of positive regional lymph nodes, total N[N] .................................... 69 Person with cancer—number of positive sentinel lymph nodes, total code N[N] ............................ 71 Person with cancer—number of regional lymph nodes examined, total code N[N] ........................ 72 Person with cancer—number of sentinel lymph nodes examined, total code N[N] ........................ 74 Person with cancer—oestrogen receptor assay result, code N ............................................................ 75 Person with cancer—primary site of cancer, code (ICDO-3) ANN{.N[N]} ........................................ 77 Person with cancer—primary tumour status, T stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX[X] ................................................................................................................... 79 New Data item Revised data item iv Person with cancer—regional lymph node metastasis status, N stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX ...................................................................................................... 81 Person with cancer—solid tumour size (at diagnosis), total millimetres NNN ................................ 83 Person—area of usual residence, geographical location code (ASGC 2008) NNNNN .................... 86 Service delivery outlet—geographic location, code (ASGC 2008) NNNNN ..................................... 89 Classifications .................................................................................................................................................... 91 Australian Standard Geographical Classification 2008 ......................................................................... 92 International Union against Cancer (UICC) TNM Classification of Malignant Tumours 6th edition .......................................................................................................................................................................... 93 v Data element short names Geographical location of establishment .......................................................................................................... 34 Health industry relevant organisation type ................................................................................................... 36 Average available beds for hospital-in-the-home patients........................................................................... 47 Capital consumption expenses ......................................................................................................................... 49 Cancer staging—M stage code ......................................................................................................................... 51 Cancer staging—TNM stage grouping code .................................................................................................. 53 Histopathological grade .................................................................................................................................... 55 Human epidermal growth factor receptor-2 test result ................................................................................ 57 Human epidermal growth factor receptor-2 test type .................................................................................. 60 Lymphovascular invasion ................................................................................................................................. 62 Morphology of cancer........................................................................................................................................ 64 Neo-adjuvant therapy ....................................................................................................................................... 67 Regional lymph nodes positive ........................................................................................................................ 69 Number of positive sentinel lymph nodes ..................................................................................................... 71 Number of regional lymph nodes examined ................................................................................................. 72 Number of sentinel lymph nodes examined .................................................................................................. 74 Oestrogen receptor assay result ....................................................................................................................... 75 Primary site of cancer (ICDO-3 code) .............................................................................................................. 77 Cancer staging—T stage code .......................................................................................................................... 79 Cancer staging—N stage code .......................................................................................................................... 81 Tumour size at diagnosis (solid tumours) ...................................................................................................... 83 Area of usual residence ..................................................................................................................................... 86 Geographical location of service delivery outlet ........................................................................................... 89 vi Summary of updates to the National health data dictionary (NHDD) version 14.1 The purpose of this document is to inform users of updates to the NHDD version 14.1 published January 2009. This reflects changes to national health data standards between the 1st February 2009 and the 30 June 2009. One data set specification and seven data elements have been added to the NHDD. Other changes include the revision of six national minimum data sets, one data set specification, five data element clusters, sixteen data elements and two classifications. As a result of standards being revised sixteen data elements, six national minimum data sets, one data set specification and two classifications have been superseded. No national standards have been retired since version 14.1 of the NHDD was published. These new standards have been agreed and endorsed by the members of the National Health Information Standards and Statistics Committee (NHISSC) and the National Electronic Health Information Principal Committee (NEHIPC). Summary table of updates to the NHDD version 14.1 Registration status National Minimum Data Sets Data Set Specifications Data element clusters Data elements Classifications Glossary items Standards (new) 0 1 0 7 0 0 Standards (revised) 6 1 5 16 2 0 Superseded 6 1 5 16 2 0 Retired 0 0 0 0 0 0 Revised National minimum data sets since 01/02/2009 NMDS Description of change Data elements revised Data elements added Data elements removed Admitted patient care NMDS 2009-2010 Revision to one data element Area of usual residence Nil Nil Admitted patient mental health care NMDS 2009-2010 Revision to one data element Area of usual residence Nil Nil Admitted patient palliative care NMDS 2009-2010 Revision to one data element Area of usual residence Nil Nil Community mental health care NMDS 2009-2010 Revision to one data element Area of usual residence Nil Nil Government health expenditure NMDS 2009-2010 Revision to two data elements Health industry relevant organisation type Nil Nil Nil Nil Capital consumption expenses Residential mental health care NMDS 2009-2010 New Data item Revision to one data element Revised data item 1 Area of usual residence Revised Data set specifications since 01/02/2009 DSS Description of change Data elements revised Data elements added Data elements removed Cancer (clinical) DSS Revision to eleven data elements Cancer staging—M stage code Nil Nil Cancer staging—TNM stage grouping code Histopathological grade Morphology of cancer Regional lymph nodes positive Number of regional lymph nodes examined Oestrogen receptor assay result Primary site of cancer (ICDO-3 code) Cancer staging—T stage code Cancer staging—N stage code Tumour size at diagnosis (solid tumours) New Data set specifications since 01/02/2009 Name Description Breast cancer (Cancer registries) DSS The breast cancer data set enables common, consistent and high quality breast cancer data to be collected by State and Territory cancer registries and collated nationally. This data will help inform research, policy, planning and guideline development work in the breast cancer area. Revised Data element clusters since 01/02/2009 Name Description of change Data elements revised Data elements added Data elements removed Government health expenditure organisation expenditure capital consumption data element cluster Revision to two data elements Health industry relevant organisation type Nil Nil Government health expenditure organisation expenditure data element cluster Revision to two data elements Nil Nil Capital consumption expenses Health industry relevant organisation type Capital consumption expenses 2 Name Description of change Data elements revised Data elements added Data elements removed Government health expenditure organisation expenditure employee related data element cluster Revision to one data element Health industry relevant organisation type Nil Nil Government health expenditure organisation expenditure purchase of goods and services data element cluster Revision to one data element Health industry relevant organisation type Nil Nil Government health expenditure organisation revenue data element cluster Revision to one data element Health industry relevant organisation type Nil Nil 3 Revised data elements in NHDD since 01/02/2009 Short name Technical name Description of change Geographical location of establishment Establishment—geographical location, code (ASGC 2008) NNNNN Value domain uses updated ASGC 2008 classification. Health industry relevant organisation type Health industry relevant organisation—main activity type, code NNN Addition of category’ 204 Residential age care’ to value domain and associated guide for use changes. Capital consumption expenses Organisation—capital consumption expenses, total Australian currency NNNNN.N Property changed from Depreciation expenses for consistency with definition, therefore changing the data element concept and data element. Cancer staging—M stage code Person with cancer—distant metastasis status, M stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX Value domain updated to 6th edition of UICC TNM Classification of Malignant Tumours. Guide for use updated to clarify that TNM staging applies to solid tumours, excluding brain tumours. Cancer staging—TNM stage grouping code Person with cancer—extent of primary cancer, TNM stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XXXX{[X]XX} Value domain updated to 6th edition of UICC TNM Classification of Malignant Tumours. Guide for use updated to clarify that TNM staging applies to solid tumours, excluding brain tumours. Histopathological grade Person with cancer—histopathological grade, code N Revision to definition for clarity. Guide for use expanded to clarify coding rules including breast cancer. Collection methods updated to provide information about cancer registries. Morphology of cancer Person with cancer—morphology of cancer, code (ICDO-3) NNNN/N Collection methods updated to provide more comprehensive information for cancer registries. Regional lymph nodes positive Person with cancer—number of positive regional lymph nodes, total N[N] Additional information added to the Guide for use, including a reference to TNM Classification of Tumours, 6th Edition. Data element now using a generic value domain which is reused across a number of cancer data elements. Number of regional lymph nodes examined Person with cancer—number of regional lymph nodes examined, total code N[N] Additional information added to the Guide for use, including a reference to TNM Classification of Tumours, 6th Edition. Oestrogen receptor assay result Person with cancer—oestrogen receptor assay result, code N Information about coding rules added to Guide for use. Collection methods updated to provide information about cancer registries. Additional information added to value domain clarifying use of supplementary codes. Primary site of cancer (ICDO-3 code) Person with cancer—primary site of cancer, code (ICDO-3) ANN{.N[N]} Information about cancer registries and coding rules added to Guide for use. Cancer staging—T stage code Person with cancer—primary tumour status, T stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX[X] Value domain updated to 6th edition of UICC TNM Classification of Malignant Tumours. Guide for use updated to clarify that TNM staging applies to solid tumours, excluding brain tumours. Cancer staging—N stage code Person with cancer—regional lymph node metastasis status, N stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX Value domain updated to 6th edition of UICC TNM Classification of Malignant Tumours. Guide for use updated to clarify that TNM staging applies to solid tumours, excluding brain tumours. Tumour size at diagnosis (solid tumours) Person with cancer—solid tumour size (at diagnosis), total millimetres NNN Guide for use expanded to include detailed information about reporting standards and coding rules. New Data item Revised data item 4 Short name Technical name Description of change Area of usual residence Person—area of usual residence, geographical location code (ASGC 2008) NNNNN Value domain uses updated ASGC 2008 classification. Geographical location of service delivery outlet Service delivery outlet—geographic location, code (ASGC 2008) NNNNN Value domain uses updated ASGC 2008 classification. New data elements in NHDD since 01/02/2009 Short name Technical name Average available beds for hospital-in-thehome patients Occupied bed—hospital in the home care, average number of beds N[NNN.N] Human epidermal growth factor receptor-2 test result Person with cancer—human epidermal growth factor receptor-2 test result, code N Human epidermal growth factor receptor-2 test type Person with cancer—human epidermal growth factor receptor-2 test type, code N Lymphovascular invasion Person with cancer—lymphovascular invasion, code N Neo-adjuvant therapy Person with cancer—neoadjuvant therapy indicator, code N Number of positive sentinel lymph nodes Person with cancer—number of positive sentinel lymph nodes, total code N[N] Number of sentinel lymph nodes examined Person with cancer—number of sentinel lymph nodes examined, total code N[N] Revised classification schemes since 01/02/2009 Name Description of change Australian Standard Geographical Classification 2008 Australian Standard Geographical Classification 2008 replaces Australian Standard Geographical Classification 2007. International Union against Cancer (UICC) TNM Classification of Malignant Tumours 6th edition International Union against Cancer (UICC) TNM Classification of Malignant Tumours 6th edition replaces TNM Classification of Malignant Tumours 5th edition. New Data item Revised data item 5 National minimum data sets New Data item Revised data item 6 Admitted patient care NMDS 2009-2010 Identifying and definitional attributes Metadata item type: Data Set Specification METeOR identifier: 374205 Registration status: Health, Standard 04/02/2009 DSS type: National Minimum Data Set (NMDS) Scope: The purpose of this National Minimum Data Set is to collect information about care provided to admitted patients in Australian hospitals. The scope is episodes of care for admitted patients in all public and private acute and psychiatric hospitals, free standing day hospital facilities and alcohol and drug treatment centres in Australia. Hospitals operated by the Australian Defence Force, corrections authorities and in Australia's off-shore territories may also be included. Hospitals specialising in dental, ophthalmic aids and other specialised acute medical or surgical care are included. Hospital boarders and still births are not included as they are not admitted to hospital. Posthumous organ procurement episodes are also not included. Collection and usage attributes Statistical unit: Episodes of care for admitted patients Collection methods: Data are collected at each hospital from patient administrative and clinical record systems. Hospitals forward data to the relevant state or territory health authority on a regular basis (e.g. monthly). National reporting arrangements: State and territory health authorities provide the data to the Australian Institute of Health and Welfare for national collation, on an annual basis. Periods for which data are collected and nationally collated Financial years ending 30 June each year. Implementation start date: 01/07/2009 Comments: Scope links with other NMDS: Episodes of care for admitted patients which occur partly or fully in designated psychiatric units of public acute hospitals or in public psychiatric hospitals: Admitted patient mental health care NMDS. Episodes of care for admitted patients where care type is palliative care: Admitted patient palliative care NMDS. Glossary items Some previous Knowledgebase data element concepts are available in the METeOR glossary. Glossary items are available online through links in the relevant metadata items. In addition links to the glossary terms that are relevant to this National Minimum Data Set are listed below: Admission Diagnosis New Data item Revised data item 7 Episode of acute care Hospital boarder Hospital-in-the-home care Live birth Neonate Newborn qualification status Organ procurement - posthumous Same-day patient Separation Relational attributes Related metadata references: Supersedes Admitted patient care NMDS 2008-2009 Health, Superseded 04/02/2009 Metadata items in this Data Set Specification Metadata item Obligation - Episode of admitted patient care (newborn)—number of qualified days, total N[NNNN] Conditional 1 - Episode of admitted patient care—admission date, DDMMYYYY Mandatory 1 - Episode of admitted patient care—admission mode, code N Mandatory 1 - Episode of admitted patient care—admission urgency status, code N Mandatory 1 - Episode of admitted patient care—condition onset flag, code N Mandatory 50 - Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Mandatory 1 - Episode of admitted patient care—intended length of hospital stay, code N Mandatory 1 - Episode of admitted patient care—inter-hospital contracted patient status, code N Mandatory 1 - Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Mandatory 1 - Episode of admitted patient care—number of days of hospitalin-the-home care, total {N[NN]} Mandatory 1 - Episode of admitted patient care—number of leave days, total N[NN] Mandatory 1 - Episode of admitted patient care—patient election status, code N Mandatory 1 - Episode of admitted patient care—procedure, code (ACHI 6th edn) NNNNN-NN Mandatory 50 - Episode of admitted patient care—referral source, public psychiatric hospital code NN Conditional 1 - Episode of admitted patient care—separation date, DDMMYYYY Mandatory 1 - Episode of admitted patient care—separation mode, code N Mandatory 1 - Episode of care—additional diagnosis, code (ICD-10-AM 6th edn) ANN{.N[N]} Mandatory 50 - Episode of care—mental health legal status, code N Mandatory 1 Seq No. New Data item Revised data item 8 Max occurs - Episode of care—number of psychiatric care days, total N[NNNN] Mandatory 1 - Episode of care—principal diagnosis, code (ICD-10-AM 6th edn) ANN{.N[N]} Mandatory 1 - Episode of care—principal source of funding, hospital code NN Mandatory 1 - Establishment—Australian state/territory identifier, code N Mandatory 1 - Establishment—organisation identifier (state/territory), NNNNN Mandatory 1 - Establishment—region identifier, X[X] Mandatory 1 - Establishment—sector, code N Mandatory 1 - Hospital service—care type, code N[N].N Mandatory 1 - Injury event—activity type, code (ICD-10-AM 6th edn) ANNNN Mandatory 50 - Injury event—external cause, code (ICD-10-AM 6th edn) ANN{.N[N]} Mandatory 50 - Injury event—place of occurrence, code (ICD-10-AM 6th edn) ANN{.N[N]} Mandatory 50 - Patient—hospital insurance status, code N Mandatory 1 - Person—area of usual residence, geographical location code (ASGC 2008) NNNNN Mandatory 1 - Person—country of birth, code (SACC 2008) NNNN Mandatory 1 - Person—date of birth, DDMMYYYY Mandatory 1 - Person—Indigenous status, code N Mandatory 1 - Person—person identifier, XXXXXX[X(14)] Mandatory 1 - Person—sex, code N Mandatory 1 - Person—weight (measured), total grams NNNN Conditional 1 New Data item Revised data item 9 Admitted patient mental health care NMDS 2009-2010 Identifying and definitional attributes Metadata item type: Data Set Specification METeOR identifier: 374207 Registration status: Health, Standard 04/02/2009 DSS type: National Minimum Data Set (NMDS) Scope: The scope of this minimum data set is restricted to admitted patients receiving care in psychiatric hospitals or in designated psychiatric units in acute hospitals. The scope does not currently include patients who may be receiving treatment for psychiatric conditions in acute hospitals who are not in psychiatric units. Collection and usage attributes Statistical unit: Episodes of care for admitted patients Collection methods: Data are collected at each hospital from patient administrative and clinical record systems. Hospitals forward data to the relevant state or territory health authority on a regular basis (for example, monthly). National reporting arrangements: State and territory health authorities provide the data to the Australian Institute of Health and Welfare for national collation, on an annual basis. Periods for which data are collected and nationally collated: Financial years ending 30 June each year. Implementation start date: 01/07/2009 Comments: Number of days of hospital in the home care data will be collected from all states and territories except Western Australia from 1 July 2001. Western Australia will begin to collect data from a later date. Scope links with other NMDSs: Episodes of care for admitted patients which occur partly or fully in designated psychiatric units of public acute hospitals or in public psychiatric hospitals: Admitted patient care NMDS Admitted patient palliative care NMDS Glossary items: Some previous Knowledgebase data element concepts are available in the METeOR glossary. Currently the metadata search in METeOR does not cover glossary items, however these items are available through links in the relevant metadata items. In addition links to the glossary terms that are relevant to this National Minimum Data Set are included here: Resident Residential mental health care service Same-day patients Separation New Data item Revised data item 10 Source and reference attributes Submitting organisation: National Health Information Group Relational attributes Related metadata references: Supersedes Admitted patient mental health care NMDS 20082009 Health, Superseded 04/02/2009 Metadata items in this Data Set Specification Metadata item Obligation - Episode of admitted patient care (mental health care)—referral destination, code N Mandatory 1 - Episode of admitted patient care—admission date, DDMMYYYY Mandatory 1 - Episode of admitted patient care—diagnosis related group, code (AR-DRG v5.1) ANNA Mandatory 1 - Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Mandatory 1 - Episode of admitted patient care—number of leave days, total N[NN] Mandatory 1 - Episode of admitted patient care—referral source, public psychiatric hospital code NN Mandatory 1 - Episode of admitted patient care—separation date, DDMMYYYY Mandatory 1 - Episode of admitted patient care—separation mode, code N Mandatory 1 - Episode of care—additional diagnosis, code (ICD-10-AM 6th edn) ANN{.N[N]} Mandatory 1 - Episode of care—mental health legal status, code N Mandatory 1 - Episode of care—number of psychiatric care days, total N[NNNN] Mandatory 1 - Episode of care—principal diagnosis, code (ICD-10-AM 6th edn) ANN{.N[N]} Mandatory 1 - Establishment—organisation identifier (Australian), NNX[X]NNNNN Mandatory 1 - Hospital service—care type, code N[N].N Mandatory 1 - Patient—previous specialised treatment, code N Mandatory 1 - Person—accommodation type (prior to admission), code N Mandatory 1 - Person—accommodation type (usual), code N[N] Mandatory 1 - Person—area of usual residence, geographical location code (ASGC 2008) NNNNN Mandatory 1 - Person—country of birth, code (SACC 2008) NNNN Conditional 1 - Person—date of birth, DDMMYYYY Mandatory 1 - Person—Indigenous status, code N Mandatory 1 - Person—labour force status, acute hospital and private psychiatric hospital admission code N Mandatory 1 - Person—labour force status, public psychiatric hospital admission code N Mandatory 1 - Person—marital status, code N Conditional 1 Seq No. New Data item Revised data item 11 Max occurs - Person—person identifier, XXXXXX[X(14)] Mandatory 1 - Person—sex, code N Mandatory 1 New Data item Revised data item 12 Admitted patient palliative care NMDS 2009-10 Identifying and definitional attributes Metadata item type: Data Set Specification METeOR identifier: 374209 Registration status: Health, Standard 04/02/2009 DSS type: National Minimum Data Set (NMDS) Scope: The scope of this data set is admitted patients receiving palliative care in all public and private acute hospitals, and free standing day hospital facilities. Hospitals operated by the Australian Defence Force, correctional authorities and Australia's external territories are not currently included. Palliative care patients are identified by the data element Hospital service—care type, code N[N].N. Collection and usage attributes Statistical unit: Episodes of care for admitted patients Collection methods: National reporting arrangements: State and territory health authorities provide the data to the Australian Institute of Health and Welfare for national collation, on an annual basis. Periods for which data collected and collated nationally: Financial years ending 30 June each year. Implementation start date: 01/07/2009 Comments: Scope links with other NMDSs Episodes of care for admitted patients receiving palliative care in all public and private acute hospitals and free standing day hospital facilities: Admitted patient care NMDS. Admitted patient mental health care NMDS. Source and reference attributes Submitting organisation: National Health Information Group Relational attributes Related metadata references: Supersedes Admitted patient palliative care NMDS 2008-09 Health, Superseded 04/02/2009 Metadata items in this Data Set Specification Metadata item Obligation - Episode of admitted patient care—number of days of hospitalin-the-home care, total {N[NN]} Mandatory 1 - Episode of admitted patient care—separation date, DDMMYYYY Mandatory 1 - Episode of admitted patient care—separation mode, code N Mandatory 1 - Episode of care—additional diagnosis, code (ICD-10-AM 6th edn) ANN{.N[N]} Mandatory 1 - Episode of care—principal diagnosis, code (ICD-10-AM 6th Conditional 1 Seq No. New Data item Revised data item 13 Max occurs edn) ANN{.N[N]} - Episode of care—principal source of funding, hospital code NN Mandatory 1 - Establishment—organisation identifier (Australian), NNX[X]NNNNN Mandatory 1 - Hospital service—care type, code N[N].N Mandatory 1 - Patient—previous specialised treatment, code N Mandatory 1 - Person—area of usual residence, geographical location code (ASGC 2008) NNNNN Mandatory 1 - Person—country of birth, code (SACC 2008) NNNN Mandatory 1 - Person—date of birth, DDMMYYYY Conditional 1 - Person—Indigenous status, code N Mandatory 1 - Person—person identifier, XXXXXX[X(14)] Conditional 1 - Person—sex, code N Mandatory 1 - Episode of admitted patient care—admission date, DDMMYYYY Mandatory 1 - Episode of admitted patient care—admission mode, code N Mandatory 1 New Data item Revised data item 14 Community mental health care NMDS 2009-2010 Identifying and definitional attributes Metadata item type: Data Set Specification METeOR identifier: 374216 Registration status: Health, Standard 04/02/2009 DSS type: National Minimum Data Set (NMDS) Scope: This NMDS includes data about service contacts provided by specialised mental health services for patients/clients, other than those admitted to psychiatric hospitals or designated psychiatric units in acute care hospitals, and those resident in 24 hour staffed specialised residential mental health services. Collection and usage attributes Statistical unit: Mental health service contact Implementation start date: 01/07/2009 Relational attributes Related metadata references: Supersedes Community mental health care NMDS 2008-2009 Health, Superseded 04/02/2009 Metadata items in this Data Set Specification Metadata item Obligation - Episode of care—mental health legal status, code N Mandatory 1 - Episode of care—principal diagnosis, code (ICD-10-AM 6th edn) ANN{.N[N]} Mandatory 1 - Establishment—Australian state/territory identifier, code N Mandatory 1 - Establishment—organisation identifier (Australian), NNX[X]NNNNN Mandatory 1 - Establishment—organisation identifier (state/territory), NNNNN Mandatory 1 - Establishment—region identifier, X[X] Mandatory 1 - Establishment—sector, code N Mandatory 1 - Mental health service contact—patient/client participation indicator, yes/no code N Mandatory 1 - Mental health service contact—service contact date, DDMMYYYY Mandatory 1 - Mental health service contact—service contact duration, total minutes NNN Mandatory 1 - Mental health service contact—session type, code N Mandatory 1 - Person—area of usual residence, geographical location code (ASGC 2008) NNNNN Mandatory 1 - Person—country of birth, code (SACC 2008) NNNN Conditional 1 - Person—date of birth, DDMMYYYY Mandatory 1 - Person—Indigenous status, code N Mandatory 1 - Person—marital status, code N Mandatory 1 Seq No. New Data item Revised data item 15 Max occurs - Person—person identifier, XXXXXX[X(14)] Mandatory 1 - Person—sex, code N Mandatory 1 New Data item Revised data item 16 Government health expenditure NMDS 2009-2010 Identifying and definitional attributes Metadata item type: Data Set Specification METeOR identifier: 376403 Registration status: Health, Standard 01/04/2009 DSS type: National Minimum Data Set (NMDS) Scope: The scope of this dataset is direct government and governmentfunded expenditure on health and health–related goods and services. The purpose of this NMDS is to provide an enhanced understanding of the overall financial resources (recurrent and capital) used by the health system, and of unit costs and performance; to enable greater comparability of health expenditure data between jurisdictions and over time; and to provide a more efficient compilation of national reports and analyses on government funded health expenditure. Collection and usage attributes Statistical unit: Providers of health or health related goods and services or nonhealth services that support the health services industry; health or health related functions; and the sources of funds for these providers or functions. Guide for use: The GHE NMDS consists of five mandatory data clusters and one conditional data cluster. The first two data elements named in each data cluster form one of the two axes of a matrix that combine to provide all data in Australian dollars. Data are to be reported in Australian dollars except when reporting the State/Territory identifier of the Jurisdiction. Collection methods: Data are collected by a number of providers from their administrative systems and forwarded to the relevant state or territory health authority on a regular basis (for example, monthly). Hospitals forward data obtained from patient administrative and clinical record systems to the relevant state or territory health authority on a regular basis (for example, monthly). Other data are obtained either directly from annual reports or through surveys. National reporting arrangements: State and Territory health authorities provide the data to the Australian Institute of Health and Welfare for national collation, on an annual basis. Periods for which data are collected and nationally collated: Financial years ending 30 June each year. Implementation start date: 01/07/2009 Comments: Scope links with other NMDSs: National Public Hospital Establishments NMDS Mental Health Establishments NMDS Source and reference attributes New Data item Revised data item 17 Submitting organisation: Health Expenditure Advisory Committee Relational attributes Related metadata references: Supersedes Government health expenditure NMDS 2008-2009 Health, Superseded 03/12/2008 Metadata items in this Data Set Specification Metadata item Obligation 1 Government health expenditure organisation revenue data element cluster Mandatory 1 2 Government health expenditure organisation expenditure data element cluster Mandatory 1 3 Government health expenditure organisation expenditure purchase of goods and services data element cluster Mandatory 1 4 Government health expenditure organisation expenditure employee related data element cluster Mandatory 1 5 Government health expenditure organisation expenditure capital consumption data element cluster Mandatory 1 6 Government health expenditure function revenue data element cluster Conditional 1 7 Jurisdiction—Australian state/territory identifier, code N Mandatory 1 Seq No. New Data item Revised data item 18 Max occurs Residential mental health care NMDS 2009-2010 Identifying and definitional attributes Metadata item type: Data Set Specification METeOR identifier: 374223 Registration status: Health, Standard 04/02/2009 DSS type: National Minimum Data Set (NMDS) Scope: Episodes of residential care for residents in all governmentfunded residential mental health care services in Australia, except those residential care services that are in receipt of funding under the Aged Care Act and subject to Commonwealth reporting requirements (i.e. report to the System for the payment of Aged Residential Care (SPARC) collection). Collection and usage attributes Statistical unit: Episodes of residential care: Statistical units are entities from or about which statistics are collected, or in respect of which statistics are compiled, tabulated or published. Collection methods: Data are collected at each service from resident administrative and care related record systems. Services forward data to the relevant state or territory health authority on a regular basis (e.g. monthly). National reporting arrangements: State and territory health authorities provide the data to the Australian Institute of Health and Welfare for national collection, on an annual basis. Western Australia will be able to only collect data for 2004-05 for those data elements that were included in the National Health Data Dictionary version 12. Government-operated services that employ mental health trained staff on-site 24 hours per day are to be included from 1 July 2004. Government-funded, non-government operated services and non 24-hour staffed services can be included from 1 July 2004, optionally. For non 24-hour staffed services to be included they must employ mental health-trained staff on-site at least 50 hours per week with at least 6 hours staffing on any single day. Periods for which data are collected and nationally collated: Financial years ending 30 June each year. The reference period starts on 1 July and ends on 30 June each year. Implementation start date: 01/07/2009 Comments: Some admitted patient care services may meet the definition of a residential mental health service. However, as they are admitted patient care services, relevant data on their patients are reported to the National Minimum Data Set for Admitted Patient Care. Glossary items: Some previous Knowledgebase data element concepts are New Data item Revised data item 19 available in the METeOR glossary. Currently the metadata search in METeOR does not cover glossary items however these items are available through links in the relevant metadata items. In addition links to the glossary terms that are relevant to this National minimum data set are included here: Episode of residential care end Episode of residential care start Resident Residential mental health care service Relational attributes Related metadata references: Supersedes Residential mental health care NMDS 2008-2009 Health, Superseded 04/02/2009 Metadata items in this Data Set Specification Metadata item Obligation - Episode of care—additional diagnosis, code (ICD-10-AM 6th edn) ANN{.N[N]} Mandatory 1 - Episode of care—mental health legal status, code N Mandatory 1 - Episode of care—principal diagnosis, code (ICD-10-AM 6th edn) ANN{.N[N]} Mandatory 1 - Episode of residential care—episode end date, DDMMYYYY Mandatory 1 - Episode of residential care—episode end mode, code N Mandatory 1 - Episode of residential care—episode start date, DDMMYYYY Mandatory 1 - Episode of residential care—episode start mode, code N Mandatory 1 - Episode of residential care—number of leave days, total N[NN] Mandatory 1 - Episode of residential care—referral destination (mental health care), code N Mandatory 1 - Establishment—Australian state/territory identifier, code N Mandatory 1 - Establishment—organisation identifier (Australian), NNX[X]NNNNN Mandatory 1 - Establishment—organisation identifier (state/territory), NNNNN Mandatory 1 - Establishment—region identifier, X[X] Mandatory 1 - Establishment—sector, code N Mandatory 1 - Person—area of usual residence, geographical location code (ASGC 2008) NNNNN Mandatory 1 - Person—country of birth, code (SACC 2008) NNNN Conditional 1 - Person—date of birth, DDMMYYYY Mandatory 1 - Person—Indigenous status, code N Mandatory 1 - Person—marital status, code N Mandatory 1 - Person—person identifier, XXXXXX[X(14)] Mandatory 1 - Person—sex, code N Mandatory 1 - Residential stay—episode start date, DDMMYYYY Mandatory 1 Seq No. New Data item Revised data item 20 Max occurs Data set specifications New Data item Revised data item 21 Breast cancer (Cancer registries) DSS Identifying and definitional attributes Metadata item type: Data Set Specification METeOR identifier: 370008 Registration status: Health, Standard 06/03/2009 DSS type: Data Set Specification (DSS) Scope: This breast cancer data set is not mandated for collection but is recommended as best practice if breast cancer data are to be collected. The data set would allow common, consistent and high quality breast cancer data to be collected by State and Territory cancer registries and collated nationally. This data will help inform research, policy, planning and guideline development work in the breast cancer area. Breast cancer may be used as a forerunner for other cancers in terms of establishing common data collections across cancer registries. This data set includes 20 items, with the inclusion of five new standards and the addition of further detail to several existing standards. Collection and usage attributes Guide for use: Report each of the data elements in this data set once, and in no particular order. Collection methods: State and Territory cancer registries collect data on incidence and annually report data to the Australian Institute of Health and Welfare. Source and reference attributes Submitting organisation: National Breast and Ovarian Cancer centre (NBOCC) Australasian Association of Cancer Registries (AACR) Australian Institute of Health and Welfare (AIHW) Steward: Australasian Association of Cancer Registries (AACR) Origin: National Breast and Ovarian Cancer centre (NBOCC) Australasian Association of Cancer Registries (AACR) Australian Institute of Health and Welfare (AIHW) Reference documents: Johnson CH, Adamo M (eds.), SEER Program Coding and Staging Manual 2007. National Cancer Institute, NIH Publication number 07-5581, Bethesda, MD 2007. Metadata items in this Data Set Specification Metadata item Obligation - Patient—diagnosis date (cancer), DDMMYYYY Mandatory 1 - Person with cancer—distant metastasis status, M stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX Mandatory 1 - Person with cancer—extent of primary cancer, TNM stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XXXX{[X]XX} Mandatory 1 Seq No. New Data item Revised data item 22 Max occurs - Person with cancer—histopathological grade, code N Mandatory 1 - Person with cancer—human epidermal growth factor receptor-2 test result, code N Mandatory 1 - Person with cancer—human epidermal growth factor receptor-2 test type, code N Conditional 0 - Person with cancer—laterality of primary cancer, code [N] Mandatory 1 - Person with cancer—lymphovascular invasion, code N Mandatory 1 - Person with cancer—morphology of cancer, code (ICDO-3) NNNN/N Mandatory 1 - Person with cancer—most valid basis of diagnosis of a cancer, code N Mandatory 1 - Person with cancer—neoadjuvant therapy indicator, code N Mandatory 1 - Person with cancer—number of positive regional lymph nodes, total N[N] Mandatory 1 - Person with cancer—number of positive sentinel lymph nodes, total code N[N] Mandatory 1 - Person with cancer—number of regional lymph nodes examined, total code N[N] Mandatory 1 - Person with cancer—number of sentinel lymph nodes examined, total code N[N] Mandatory 1 - Person with cancer—oestrogen receptor assay result, code N Mandatory 1 - Person with cancer—primary site of cancer, code (ICDO-3) ANN{.N[N]} Mandatory 1 - Person with cancer—primary tumour status, T stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX[X] Mandatory 1 - Person with cancer—regional lymph node metastasis status, N stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX Mandatory 1 - Person with cancer—solid tumour size (at diagnosis), total millimetres NNN Mandatory 1 New Data item Revised data item 23 Cancer (clinical) DSS Identifying and definitional attributes Metadata item type: Data Set Specification METeOR identifier: 342187 Registration status: Health, Standard 06/03/2009 DSS type: Data Set Specification (DSS) Scope: This Cancer (clinical) data set specification is not mandated for collection but is recommended as best practice if cancer clinical data are to be collected. The Cancer (clinical) data set underpins the evaluation of cancer treatment services and this can occur at a number of levels; the individual clinician, the health care institution, at state or territory level and ultimately at a national level. Clinicians use such data for ongoing patient management and the ability to link patient management to outcomes allows treatments or outcomes to be identified and assessed. Institutions can monitor through-put in their centres for planning and resource allocation purposes to obtain optimum return for cancer expenditure. End-points can be monitored to ensure that objectives are being met. The principal aim of good quality and consistent data is to provide information that can lead to improved quality and length of life for all patients by providing a systematic foundation for evidence-based medicine, informing quality assurance and improvement decisions and guiding successful planning and evaluation of cancer control activities. Collection and usage attributes Collection methods: This data set is primarily concerned with the clinical use of cancer data. It can also be used by a wider range of health and health-related establishments that create, use, or maintain records on health-care clients. Source and reference attributes Submitting organisation: National Cancer Control Initiative (NCCI) Relational attributes Related metadata references: Supersedes Cancer (clinical) DSS Health, Superseded 06/03/2009 Metadata items in this Data Set Specification Metadata item Obligation - Cancer staging—cancer staging scheme source edition number, code N[N] Mandatory 1 - Cancer staging—cancer staging scheme source, code N Mandatory 1 - Cancer staging—staging basis of cancer, code A Mandatory 1 - Cancer treatment—cancer treatment type, code N Mandatory 1 - Cancer treatment—intention of treatment, code N Mandatory 1 Seq No. New Data item Revised data item 24 Max occurs - Cancer treatment—non-surgical cancer treatment completion date, DDMMYYYY Mandatory 1 - Cancer treatment—non-surgical cancer treatment start date, DDMMYYYY Mandatory 1 - Cancer treatment—outcome of treatment, code N.N Mandatory 1 - Cancer treatment—radiation dose received, total Gray N[NNNN] Mandatory 1 - Cancer treatment—radiotherapy treatment type, code N Mandatory 1 - Cancer treatment—surgical procedure date, DDMMYYYY Mandatory 1 - Cancer treatment—surgical procedure for cancer, procedure code (ACHI 6th edn) NNNNN-NN Mandatory 1 - Cancer treatment—systemic therapy agent name (primary cancer), antineoplastic drug code (Self-Instructional Manual for Tumour Registrars Book 8 3rd edn) X[X(39)] Mandatory 1 - Cancer treatment—target site for cancer treatment, code (ICD-10AM 6th edn) ANN{.N[N]} Mandatory 1 - Cancer treatment—target site for cancer treatment, code (ICDO-3) ANN Mandatory 1 - Establishment—organisation identifier (state/territory), NNNNN Mandatory 1 - Patient—diagnosis date (cancer), DDMMYYYY Mandatory 1 - Patient—diagnosis date (first recurrence of cancer), DDMMYYYY Mandatory 1 - Person (address)—address line, text [X(180)] Mandatory 1 - Person (name)—family name, text X[X(39)] Mandatory 1 - Person (name)—given name, text [X(40)] Mandatory 1 - Person with cancer—distant metastasis status, M stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX Mandatory 1 - Person with cancer—extent of primary cancer, TNM stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XXXX{[X]XX} Conditional 1 - Person with cancer—histopathological grade, code N Conditional 1 - Person with cancer—laterality of primary cancer, code [N] Mandatory 1 - Person with cancer—melanoma thickness (at diagnosis), total millimetres NNN.NN Conditional 1 - Person with cancer—morphology of cancer, code (ICDO-3) NNNN/N Mandatory 1 - Person with cancer—most valid basis of diagnosis of a cancer, code N Conditional 1 - Person with cancer—number of positive regional lymph nodes, total N[N] Conditional 1 - Person with cancer—number of regional lymph nodes examined, total code N[N] Conditional 1 - Person with cancer—oestrogen receptor assay results, code N Mandatory 1 - Person with cancer—primary site of cancer, code (ICD-10-AM 6th edn) ANN{.N[N]} Mandatory 1 - Person with cancer—primary site of cancer, code (ICDO-3) ANN{.N[N]} Mandatory 1 - Person with cancer—primary tumour status, T stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX[X] Conditional 1 - Person with cancer—progesterone receptor assay results, code N Mandatory 1 New Data item Revised data item 25 - Person with cancer—region of first recurrence of cancer, code N Conditional 1 - Person with cancer—regional lymph node metastasis status, N stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX Conditional 1 - Person with cancer—solid tumour size (at diagnosis), total millimetres NNN Mandatory 1 - Person—date of birth, DDMMYYYY Conditional 1 - Person—date of death, DDMMYYYY Mandatory 1 - Person—government funding identifier, Medicare card number N(11) Mandatory 1 - Person—person identifier, XXXXXX[X(14)] Mandatory 1 - Person—sex, code N Mandatory 1 New Data item Revised data item 26 Data element clusters New Data item Revised data item 27 Government health expenditure organisation expenditure capital consumption data element cluster Identifying and definitional attributes Metadata item type: Data Set Specification METeOR identifier: 376401 Registration status: Health, Standard 01/04/2009 DSS type: Data Set Specification (DSS) Scope: The scope of this data cluster is direct government and government-funded expenditure by a health industry relevant organisation consisting of consumption of fixed capital (depreciation). These are all either health and health–related goods and services or non-health care goods and services to support the health industry relevant organisation’s activities. Collection and usage attributes Guide for use: Expenses are to be reported in millions to the nearest 100,000 e.g. $4.1 million. Collection methods: This data is collected according to the organisation's main activity types and type of health or health related function relevant to each State and Territory. This is supplied by the Government Health Expenditure and specified in the reporting guidelines as provided by the Australian Institute of Health and Welfare. Relational attributes Related metadata references: Supersedes Government health expenditure organisation expenditure capital consumption data element cluster Health, Superseded 01/04/2009 Implementation in Data Set Specification: Government health expenditure NMDS 2009-2010 Health, Standard 01/04/2009 Implementation start date: 01/07/2009 Metadata items in this Data Set Specification Metadata item Obligation 1 Health industry relevant organisation—main activity type, code NNN Conditional 1 2 Organisation—type of health or health related function, code NNN Conditional 1 3 Organisation—capital consumption expenses, total Australian currency NNNNN.N Conditional 1 Seq No. New Data item Revised data item 28 Max occurs Government health expenditure organisation expenditure data element cluster Identifying and definitional attributes Metadata item type: Data Set Specification METeOR identifier: 376888 Registration status: Health, Standard 01/04/2009 DSS type: Data Set Specification (DSS) Scope: The scope of this data cluster is direct government and government-funded expenditure by a health industry relevant organisation consisting mainly of wages, salaries and supplements, superannuation employer contributions, workers compensation premiums and payouts, purchases of goods and services and consumption of fixed capital (depreciation). These are all either health and health–related goods and services or non-health care goods and services to support the health industry relevant organisation’s activities. Collection and usage attributes Guide for use: Expenses are to be reported in millions to the nearest 100,000 e.g. $4.1 million. Collection methods: This data is collected according to the organisation's main activity types and type of health or health related function relevant to each State and Territory. This is supplied by the Government Health Expenditure and specified in the reporting guidelines as provided by the Australian Institute of Health and Welfare. Relational attributes Related metadata references: Supersedes Government health expenditure organisation expenditure data element cluster Health, Superseded 01/04/2009 Implementation in Data Set Specification: Government health expenditure NMDS 2009-2010 Health, Standard 01/04/2009 Implementation start date: 01/07/2009 Metadata items in this Data Set Specification Metadata item Obligation 1 Health industry relevant organisation—main activity type, code NNN Mandatory 1 2 Organisation—type of health or health related function, code NNN Mandatory 1 3 Organisation—expenses, total Australian currency NNNNN.N Mandatory 1 4 Organisation—capital consumption expenses, total Australian currency NNNNN.N Mandatory 1 5 Organisation—employee related expenses, total Australian currency NNNNN.N Mandatory 1 6 Organisation—purchase of goods and services, total Australian currency NNNNN.N Mandatory 1 Seq No. New Data item Revised data item 29 Max occurs Government health expenditure organisation expenditure employee related data element cluster Identifying and definitional attributes Metadata item type: Data Set Specification METeOR identifier: 376897 Registration status: Health, Standard 01/04/2009 DSS type: Data Set Specification (DSS) Scope: The scope of this data cluster is direct government and government-funded expenditure by a health industry relevant organisation consisting mainly of wages, salaries and supplements, superannuation employer contributions, and workers compensation premiums and payouts. These are all either health and health–related goods and services or nonhealth care goods and services to support the health industry relevant organisation’s activities. Collection and usage attributes Guide for use: Expenses are to be reported in millions to the nearest 100,000 e.g. $4.1 million. Collection methods: This data is collected according to the organisation's main activity types and type of health or health related function relevant to each State and Territory. This is supplied by the Government Health Expenditure and specified in the reporting guidelines as provided by the Australian Institute of Health and Welfare. Relational attributes Related metadata references: Supersedes Government health expenditure organisation expenditure employee related data element cluster Health, Superseded 01/04/2009 Implementation in Data Set Specification: Government health expenditure NMDS 2009-2010 Health, Standard 01/04/2009 Implementation start date: 01/07/2009 Metadata items in this Data Set Specification Metadata item Obligation 1 Health industry relevant organisation—main activity type, code NNN Conditional 1 2 Organisation—type of health or health related function, code NNN Conditional 1 3 Organisation—employee related expenses, total Australian currency NNNNN.N Mandatory 1 Seq No. New Data item Revised data item 30 Max occurs Government health expenditure organisation expenditure purchase of goods and services data element cluster Identifying and definitional attributes Metadata item type: Data Set Specification METeOR identifier: 376891 Registration status: Health, Standard 01/04/2009 DSS type: Data Set Specification (DSS) Scope: The scope of this data cluster is direct government and government-funded expenditure by a health industry relevant organisation consisting mainly of purchases of goods and services. These are all either health and health–related goods and services or non-health care goods and services to support the health industry relevant organisation’s activities. Collection and usage attributes Guide for use: Expenses are to be reported in millions to the nearest 100,000 e.g. $4.1 million. Collection methods: This data is collected according to the organisation's main activity types and type of health or health related function relevant to each State and Territory. This is supplied by the Government Health Expenditure and specified in the reporting guidelines as provided by the Australian Institute of Health and Welfare. Relational attributes Related metadata references: Supersedes Government health expenditure organisation expenditure purchase of goods and services data element cluster Health, Superseded 01/04/2009 Implementation in Data Set Specification: Government health expenditure NMDS 2009-2010 Health, Standard 01/04/2009 Implementation start date: 01/07/2009 Metadata items in this Data Set Specification Metadata item Obligation 1 Health industry relevant organisation—main activity type, code NNN Conditional 1 2 Organisation—type of health or health related function, code NNN Conditional 1 3 Organisation—purchase of goods and services, total Australian currency NNNNN.N Mandatory 1 Seq No. New Data item Revised data item 31 Max occurs Government health expenditure organisation revenue data element cluster Identifying and definitional attributes Metadata item type: Data Set Specification METeOR identifier: 376884 Registration status: Health, Standard 01/04/2009 DSS type: Data Set Specification (DSS) Scope: The scope of this data cluster is revenue relating to direct government and government-funded expenditure by a health industry relevant organisation. Collection and usage attributes Guide for use: Revenues are to be reported in millions to the nearest 100,000 e.g. $4.1 million. Collection methods: This data is collected according to the organisation's source of revenue and main activity types relevant to each State and Territory. This is supplied by the Government Health Expenditure and specified in the reporting guidelines as provided by the Australian Institute of Health and Welfare. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Relational attributes Related metadata references: Supersedes Government health expenditure organisation revenue data element cluster Health, Superseded 01/04/2009 Implementation in Data Set Specification: Government health expenditure NMDS 2009-2010 Health, Standard 01/04/2009 Implementation start date: 01/07/2009 Metadata items in this Data Set Specification Metadata item Obligation 1 Health industry relevant organisation—main activity type, code NNN Mandatory 1 2 Health industry relevant organisation—source of revenue, public and private code NNN Mandatory 1 3 Organisation—revenue, total Australian currency NNNNN.N Conditional 99 Seq No. New Data item Revised data item 32 Max occurs Data elements New Data item Revised data item 33 Establishment—geographical location, code (ASGC 2008) NNNNN Identifying and definitional attributes Metadata item type: Data Element Short name: Geographical location of establishment METeOR identifier: 374922 Registration status: Health, Standard 04/02/2009 Definition: The geographical location of the main administrative centre of an establishment, as represented by a code. Data Element Concept: Establishment—geographic location Value domain attributes Representational attributes Classification scheme: Australian Standard Geographical Classification 2008 Representation class: Code Data type: Number Format: NNNNN Maximum character length: 5 Data element attributes Collection and usage attributes Guide for use: The geographical location is reported using a five-digit numerical code to indicate the Statistical Local Area (SLA) within the reporting state or territory, as defined in the Australian Standard Geographical Classification (ASGC) (Australian Bureau of Statistics (ABS), catalogue number 1216.0). It is a composite of State identifier and SLA (first digit = State identifier, next four digits = SLA). The Australian Standard Geographical Classification (ASGC) is updated on an annual basis with a date of effect of 1 July each year. The Australian Bureau of Statistics National Localities Index (NLI) can be used to assign each locality or address in Australia to an SLA. The NLI is a comprehensive list of localities in Australia with their full code (including SLA) from the main structure of the ASGC. For the majority of localities, the locality name (suburb or town, for example) is sufficient to assign an SLA. However, some localities have the same name. For most of these, limited additional information such as the postcode or state can be used with the locality name to assign the SLA. In addition, other localities cross one or more SLA boundaries and are referred to as split localities. For these, the more detailed information of the number and street of the establishment is used with the Streets Sub-index of the NLI to assign the SLA. Source and reference attributes New Data item Revised data item 34 Origin: Australian Standard Geographical Classification (Australian Bureau of Statistics Catalogue No. 1216.0) Relational attributes Related metadata references: Is formed using Establishment—Australian state/territory identifier, code N Health, Standard 01/03/2005 Supersedes Establishment—geographical location, code (ASGC 2007) NNNNN Health, Superseded 04/02/2009 Implementation in Data Set Specifications: Mental health establishments NMDS 2009-2010 Health, Standard 03/12/2008 Implementation start date: 01/07/2009 Mental health establishments NMDS 2009-2010 No registration status Implementation start date: 01/07/2009 Mental health establishments NMDS 2010-2011 Health, Standardisation pending 21/05/2009 Implementation start date: 01/07/2010 Information specific to this data set: For the Mental health establishments National Minimum Data Set reporting of this data element is mandatory for non-government residential mental health services and specialised mental health services provided by private hospitals that receive state or territory government funding. Public hospital establishments NMDS 2009-2010 Health, Standard 03/12/2008 Implementation start date: 01/07/2009 New Data item Revised data item 35 Health industry relevant organisation—main activity type, code NNN Identifying and definitional attributes Metadata item type: Data Element Short name: Health industry relevant organisation type METeOR identifier: 372264 Registration status: Health, Standard 01/04/2009 Definition: Describes a health industry relevant organisation based on its main activity, as represented by a code. Data Element Concept: Health industry relevant organisation—main activity type Value domain attributes Representational attributes Representation class: Code Data type: Number Format: NNN Maximum character length: 3 Permissible values: Value Meaning Main Health Care Services organisation New Data item 101 Hospital – public 102 Hospital – private (excluding private freestanding day hospital facility) 103 Hospital – private free-standing day hospital facility (excluding private non free-standing day hospital facility) 104 Residential facility – mental health care 105 Residential facility – other 106 Provider of ambulance service 107 Medical and diagnostic laboratory 108 Clinical practices – medical – general 109 Clinical practices – medical – specialist 110 Clinical practices – medical – other 111 Clinical practices – dental 112 Clinical practices – other 113 Community health facility – substance abuse 114 Community health facility – mental 115 Community health facility – other 116 Blood and organ bank 117 Retail sale/supplier of medical goods – optical glasses and other vision products 118 Retail sale/supplier of medical goods – hearing aids 119 Retail sale/supplier of medical goods – Revised data item 36 dispensing community pharmacist 120 Retail sale/supplier of medical goods – other 121 Public health program service provider 122 General health administration service provider 123 Private health insurance 188 Other Main Health Care Service providers 198 Regional health service not further defined 199 State/territory health authority not further defined Secondary/non-Health Care Services organisation 201 Pharmaceutical industry 202 University 203 Non-health related insurance 204 Residential aged care facility 288 Other Secondary/non-Health Care Services organisation Collection and usage attributes Guide for use: New Data item Main Health Care Service organisation: CODE 101 Hospital – public An organisation comprised of a health care facility or group of health care facilities established under Commonwealth, state or territory legislation as a hospital or free-standing day hospital facility and authorised to provide treatment and/or care to patients. Comprises all health care facilities that are reported as public hospitals to the Public Hospital Establishments National Minimum Data Set (PHE NMDS). This includes organisations such as rehabilitation hospitals, psychiatric hospitals, mothercraft hospitals, and hospices and multi-purpose services defined as hospitals. The list of public hospitals reported to the PHE NMDS is available at www.aihw.gov.au/publications/index.cfm in the Australian Hospital Statistics annual report. NOTE 1: Excludes providers of services where those services are not captured in the hospital financial statements. For example, the provider of a pathology or pharmacy service may be co-located within the hospital, but as a private service, and will pay the hospital for use of the site. The provider of this pathology or pharmacy service would be recorded under codes 106 to 112. CODE 102 Hospital – private (excluding private free-standing day hospital facilities) An organisation comprised of a health care facility or a group of health care facilities established under Commonwealth, state or territory legislation as a hospital and authorised to provide treatment and/or care to patients. Comprises hospitals that are NOT reporting to the PHE NMDS. NOTE: State and territory data providers are to refer to the Government Health Expenditure NMDS Collection Guidelines for instructions on how to report expenditure for this category. Excludes private free-standing day hospital facilities reported Revised data item 37 under code 103. CODE 103 Hospital - private free-standing day facility (excluding private non free-standing day hospital facilities) An organisation comprised of one or more private free-standing day hospital facilities which provide investigation and treatment for acute conditions on a day-only basis and is approved by the Commonwealth as a hospital for the purposes of private health insurance benefits. The four main types of private free-standing day hospitals are specialist endoscopy, ophthalmic, plastic/cosmetic and general. Excludes private non free-standing day hospital facilities reported under code 102. CODE 104 Residential facility – mental health care An organisation comprised of one or more specialised mental health facilities primarily engaged in providing residential care to persons requiring mental health diagnosis and treatment combined with either nursing, supervisory or other types of care as required (including medical) by the residents. Excludes residential care facilities primarily providing aged care or care for persons requiring treatment for alcohol or other substance abuse or persons with a disability. CODE 105 Residential facility – other Includes all government-funded facilities primarily engaged in providing residential care to persons requiring diagnosis and treatment for alcohol and other substance abuse combined with either nursing, supervisory or other types of care as required (including medical) by the residents. Includes hospices that are not defined as hospitals and respite and transitional care services. Excludes facilities primarily providing services to aged persons or persons requiring mental health diagnosis and treatment. Also excludes residential care facilities that report under the Commonwealth, State and Territory Disability Agreement where the primary purpose is care for persons with a disability. CODE 106 Provider of ambulance service Organisations primarily engaged in providing transportation of patients by ground or air, along with health (or medical) care. These services are often provided during a medical emergency but are not restricted to emergencies. The vehicles are equipped with lifesaving equipment operated by medically trained personnel. Includes organisations providing public ambulance services or flying doctor services such as Royal Flying Doctor Service and Care Flight, and support programs to assist isolated patients with travel to obtain specialised health care. NOTE 2: Excludes providers of services where those services are captured in public or private hospital financial statements. For example, the provider of an ambulance, medical or diagnostic laboratory, general practice, specialist medical, dental or other health practitioner service may be located within a hospital set of accounts and its expenditure recorded on the hospital financial statement. The provider of the ambulance or other service would then be recorded under code 101. CODE 107 Medical and diagnostic laboratory This item is not currently required to be reported by state and territory health authorities. New Data item Revised data item 38 Organisations primarily engaged in providing analytic or diagnostic services, including body fluid analysis and diagnostic imaging, generally to the medical profession or the patient on referral from a health practitioner. Includes diagnostic imaging centres, dental or medical X-ray laboratories ultrasound services, medical testing laboratories, medical pathology laboratories, medical forensic laboratories, and X-ray clinic services. Includes public and private medical and diagnostic laboratories. See NOTE 2 under code 106. CODE 108 Clinical practices – medical – general Organisations of registered medical practitioners holding the degree of a Doctor of medicine or a qualification at a corresponding level primarily engaged in the independent practice of general medicine. These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or medical centres. See NOTE 2 under code 106. This item is not currently required to be reported by state and territory health authorities. CODE 109 Clinical practices – medical – specialist This item is not currently required to be reported by state and territory health authorities. Organisations of health practitioners holding the degree of a Doctor of medicine or a qualification at a corresponding level primarily engaged in the independent practice of specialist medicine or surgery, other than pathology and diagnostic imaging services. These practitioners operate a wide range of specialities in private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or health maintenance type medical centres. Includes for example: Anaesthetist service Dermatology service Ear, nose and throat specialist service Gynaecology service Neurology service Obstetrics service Paediatric service Psychiatry service Specialist medical clinic service Specialist surgical service See NOTE 2 under code 106. CODE 110 Clinical practices – medical – other This item is not currently required to be reported by state and territory health authorities. Includes organisations of physicians not able to be allocated to Codes 108 or 109. CODE 111 Clinical practices – dental Organisations of registered health practitioners holding the degree of Doctor of dental medicine or a qualification at a corresponding level primarily engaged in the independent practice of general or specialised dentistry or dental surgery. New Data item Revised data item 39 These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals, medical centres or community health facilities. They can provide either comprehensive preventive, cosmetic, or emergency care, or specialise in a single field of dentistry. Also included are dental hospitals providing ambulatory services only. Includes for example: Cleft lip and palate services Community dental service Dental assessment and treatment Dental hospital (out-patient) Dental practice service Dental practitioner service Dental surgery service Endodontic service Oral and maxillofacial services Oral pathology service Oral surgery service Orthodontic service Pedodontic service Periodontic service See NOTE 2 under code 106. CODE 112 Clinical practices – other This item is not currently required to be reported by state and territory health authorities. Organisations of independent health practitioners (other than physicians and dentists), such as chiropractors, optometrists, mental health specialists, physical, occupational, and speech therapists and audiologists organisations primarily engaged in providing ambulatory health care. These practitioners operate private or group practices in their own offices (e.g., centres, clinics) or in the facilities of others, such as hospitals or medical centres. Includes for example: Acupuncture service Aromatherapy service Audiology service Chiropractic service Clinical psychology service Dental hygiene service Dietician service Hearing aid dispensing Homoeopathic service Midwifery service Naturopathic service Nursing service Occupational therapy service Optometrist Osteopathic service Podiatry service Speech pathology service New Data item Revised data item 40 Therapeutic massage service See NOTE 2 under code 106. CODE 113 Community health facility – substance abuse Organisations with health staff primarily engaged in providing ambulatory services related to the diagnosis and treatment of alcohol and other substance abuse. These are community-based organisations that treat patients who do not require admitted patient treatment. They may provide counselling staff and information regarding a wide range of substance abuse issues and/or refer patients to more extensive treatment program, if necessary. Includes for example: Community based alcoholism treatment centres and clinics (other than hospitals or residential care facilities); Community based detoxification centre and clinics (other than hospitals or residential care facilities); Community based drug addiction treatment centres and clinics (other than hospitals or residential care facilities); Community based substance abuse treatment centres and clinics (other than hospitals or residential care facilities). CODE 114 Community health facility – mental An organisation comprised of one or more specialised mental health services or facilities with health staff primarily engaged in providing ambulatory services related to the diagnosis and treatment of mental health disorders. These specialised mental health services generally treat patients who do not require admitted patient treatment. However, these services do include consultation/liaison services provided to admitted patients by community mental health services. They may provide counselling staff and information regarding a wide range of mental health issues and/or refer patients to more extensive treatment programs, if necessary. They may also provide treatment both on and off site, for example through mobile units. Includes only government-funded specialised mental health services, such as community mental health centres and clinics. Includes expenditure on government-managed community specialised mental health services, plus the cost of the grants to non-government organisations that provide community specialised mental health services, not the total expenditure by these non-government organisations. Excludes mental health clinics in hospitals and residential mental health care facilities. CODE 115 Community health facility – other Organisations with health staff primarily engaged in providing general or specialised ambulatory care. Centres or clinics of health practitioners with the same degree or with different degrees from more than one speciality practising within the same establishment (i.e., physician and dentist) are included in this item. Includes only government-funded community health facilities such as: Community centres and clinics; General practitioner plus centres; Multi-speciality community clinics. Excludes clinical practices that provide exclusively medical New Data item Revised data item 41 services or exclusively health services, ambulatory mental health and substance abuse centres, and free-standing ambulatory surgical centres (reported under codes 108 to 114) and kidney dialysis centres and clinics (reported under codes 101 to 103 if part of a hospital or code 109 if they are freestanding ambulatory centres). CODE 116 Blood and organ bank This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in collecting, storing and distributing blood and blood products and storing and distributing body organs. CODE 117 Retail sale/supplier of medical goods – optical glasses and other vision products This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the retail sale of optical glasses and other vision products to the general public for personal or household consumption or utilisation. This includes the fitting and repair provided in combination with sales of optical glasses and other vision products. Excludes organisations primarily engaged in providing optometric services. CODE 118 Retail sale/supplier of medical goods – hearing aids This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the sale of hearing aids to the general public for personal or household consumption or utilisation. This includes the fitting and repair provided in combination with the sale of hearing aids. Excludes organisations primarily engaged in hearing testing where that also includes a component of hearing aid dispensing and fitting. CODE 119 Retail sale/supplier of medical goods – dispensing community pharmacist This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the retail sale of pharmaceuticals to the general public for personal or household consumption or utilisation. Instances when the processing of medicine may be involved should be only incidental to selling. This includes both medicines with and without prescription. Excludes organisations listed under code 201. CODE 120 Retail sale/supplier of medical goods – other This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in the sale of medical appliances other than optical goods and hearing aids to the general public with or without prescription for personal or household consumption or utilisation. Included are: Organisations primarily engaged in the manufacture of medical appliances but where the fitting and repair is usually done in combination with manufacture of medical New Data item Revised data item 42 appliances. Organisations engaged in the retail sale of other miscellaneous medical goods to the general public for personal or household consumption or utilisation (included are sales other than by shops, such as electronic shopping and mail-order houses). Illustrative examples sale of fluids (e.g. for home dialysis); all other miscellaneous health and personal care stores; all other sale of pharmaceuticals and medical goods; electronic shopping and mail-order houses specialised in medical goods. CODE 121 Provision and administration of public health program Organisations engaged in government or private administration and provision of public health programs such as health promotion, organised screening, immunisation and health protection programs. CODE 122 General health administration Organisations primarily engaged in the regulation of activities of agencies that provide health care, overall administration of health policy, and health insurance. This item comprises government administration (excluding social security) primarily engaged in the formulation and administration of government policy in health and in the setting and enforcement of standards for medical and paramedical personnel and for hospitals, clinics, etc., including the regulation and licensing of providers of health services. For example: Department of Health; Agencies for the regulation of safety in the workplace. Excludes organisations primarily engaged in the provision and administration of public health programs which is reported under code 121. CODE 123 Private health insurance provider This item is not currently required to be reported by state and territory health authorities. Organisations engaged in insurance of health (other than social security funds and other social insurance funds) that provide insurance cover for hospital, medical, dental, pharmaceutical or funeral expenses. This includes organisations primarily engaged in activities involved in or closely related to the management of private health insurance (activities of insurance agents, average and loss adjusters and actuaries. CODE 188 Main Health Care Service organisation - other Organisations mainly engaged in providing health care services that are not reported under codes 101 to 123. Includes health or health-related call centres or e-health sites such as Poisons Information Centre and centres that provide information on alcohol and other drugs, mental health or other health issues. CODE 198 Regional health service (not further defined) Organisations at an area health service or regional level could be a combination of categories 101 to 188 but which could not be further disaggregated. New Data item Revised data item 43 CODE 199 State/territory health authority (not further defined) Organisations at the state or territory health authority level that could be a combination of categories 101 to 188 but which could not be further disaggregated. Secondary/non-Health Care Service organisation This item is not currently required to be reported by state and territory health authorities. CODE 201 Pharmaceutical industry This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in wholesaling human pharmaceuticals, medicines, cosmetics, perfumes and toiletries. Also included are units mainly engaged in wholesaling veterinary drugs or medicines Excludes organisations listed under code 119. CODE 202 University This item is not currently required to be reported by state and territory health authorities. Organisations primarily engaged in providing undergraduate or postgraduate teaching but which also undertake health research activities. Also includes organisations primarily engaged in undertaking research in the agricultural, biological, physical or social sciences. Units may undertake the research for themselves or others. Includes: Postgraduate school, university operation Research school, university operation Specialist institute or college Undergraduate school, university operation University operation For reporting purposes includes only the health or health related research component or other health services component of these organisations' activities. CODE 203 Non-health related insurance This item is not currently required to be reported by state and territory health authorities. Units mainly engaged in providing general insurance cover (except life and health insurance). Includes: Motor vehicle third party insurance provision Worker’s compensation insurance provision CODE 204 Residential aged care facility This item is not currently required to be reported by state and territory health authorities. An organisation comprised of one or more government-funded facilities primarily engaged in providing residential care to aged persons and in receipt of funding under the Aged Care Act and subject to Commonwealth reporting requirements (i.e. report to the System for the payment of Aged Residential Care (SPARC) collection. Excludes facilities primarily providing services to persons requiring mental health diagnosis and treatment. Also excludes New Data item Revised data item 44 residential care facilities that report under the Commonwealth, State and Territory Disability Agreement where the primary purpose is care for persons with a disability. CODE 288 Secondary/non-Health Care Service organisation – other This item is not currently required to be reported by state and territory health authorities. This item comprises organisations that are not reported under codes 201 to 203 which provide health care as secondary providers or other providers. Included are providers of occupational health care and home care provided by private households. Includes: Occupational health care services not provided in separate health care organisations (all industries); Military health services not provided in separate health care organisations Prison health services not provided in separate health care organisations School health services Other providers n.e.c. Other providers of services which support the health care industry such as laundry or catering services. Other providers of services unrelated to the health care industry such as the building or automotive industry. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Reference documents: Organisation for Economic Cooperation and Development 2000. A System of Health Accounts. Version 1.0. Paris: OECD. Australian Bureau of Statistics 2006. Australian and New Zealand Standard Industry Classification (ANZIC) Cat. no. 1292.0. Canberra: ABS. RACGP 6 September 2005 <www.racgp.org.au/whatisgeneralpractice> Data element attributes Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Relational attributes Related metadata references: Supersedes Health industry relevant organisation—main activity type, code NNN Health, Superseded 01/04/2009 Implementation in Data Set Specifications: Government health expenditure organisation expenditure capital consumption data element cluster Health, Standard 01/04/2009 Government health expenditure organisation expenditure data element cluster Health, Standard 01/04/2009 Government health expenditure organisation expenditure employee related data element cluster Health, Standard New Data item Revised data item 45 01/04/2009 Government health expenditure organisation expenditure purchase of goods and services data element cluster Health, Standard 01/04/2009 Government health expenditure organisation revenue data element cluster Health, Standard 01/04/2009 New Data item Revised data item 46 Occupied bed—hospital in the home care, average number of beds N[NNN.N] Identifying and definitional attributes Metadata item type: Data Element Short name: Average available beds for hospital-in-the-home patients METeOR identifier: 373955 Registration status: Health, Standard 24/03/2009 Definition: The number of beds used to care for hospital admitted patients in their place of residence as a substitute for hospital accommodation, calculated by dividing the number of days of hospital-in-the-home care reported for the period by the number of days in the period. Place of residence may be permanent or temporary. Data Element Concept: Occupied bed—hospital in the home care Value domain attributes Representational attributes Representation class: Average Data type: Number Format: N[NNN.N] Maximum character length: 5 Unit of measure: Bed Collection and usage attributes Guide for use: Average available beds, rounded to the nearest decimal or whole number. Data element attributes Collection and usage attributes Guide for use: Calculated by dividing the total hospital-in-the-home patient days by the number of days in the period, e.g. in a normal year, a hospital records 4000 hospital-in-the-home patient days – the average hospital-in-the-home beds would be 4000/365 = 11.0. Collection methods: Beds exclusively or predominantly for overnight-stay admitted care, beds exclusively or predominantly for same-day admitted care, and non-special-care neonatal cots are collected and reported in separate categories. Hospitals should establish clear recording and reporting practices. Criteria should exist to ensure that each available bed is counted and that no available bed is counted more than once. A bed should first be assessed as available and then categorised according to its predominant use. For large hospitals a reconciliation of the sum of the counts for the four available bed types and an unduplicated establishment bed count is advisable. Comments: This data element is necessary to provide an indicator of the availability and type of service for an establishment. New Data item Revised data item 47 Source and reference attributes Submitting organisation: New Data item Victorian Department of Human Services Revised data item 48 Organisation—capital consumption expenses, total Australian currency NNNNN.N Identifying and definitional attributes Metadata item type: Data Element Short name: Capital consumption expenses METeOR identifier: 376399 Registration status: Health, Standard 01/04/2009 Definition: Expenses of an organisation consisting of consumption of fixed capital (depreciation), in Australian currency. Data Element Concept: Organisation—capital consumption expenses Value domain attributes Representational attributes Representation class: Total Data type: Currency Format: NNNNN.N Maximum character length: 6 Unit of measure: Australian currency (AU$) Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Data element attributes Collection and usage attributes Guide for use: Data are collected and nationally collated for the reporting period - the financial year ending 30th June each year. Depreciation expenses are to be reported in millions to the nearest 100,000 e.g. $4,064,000 should be reported as $4.1 million. When revenue from transactions are offset against expenses from transactions, the result equates to the net operating balance in accordance with Australian Accounting Standards Board 1049 (September 2006). Depreciation represents the expensing of a long-term asset over its useful life and is related to the basic accounting principle of matching revenue and expenses for the financial period. Depreciation charges for the current financial year only should be shown as expenditure. Where intangible assets are amortised (such as with some private hospitals) this should also be included in recurrent expenditure. Collection methods: Depreciation expenses are to be reported for the Health industry relevant organisation type and Type of health and health related functions data elements. Health industry relevant organisation type: State and territory health authorities are NOT to report the following codes: New Data item Revised data item 49 Codes 106–109; 111; 115–119; 123; 201 and 203 Type of health and health related functions: State and territory health authorities are NOT to report the following codes: Codes 199; 299; 303–305; 307; 499; 503–504; 599; 601–603; 688; 699 Comments: In accounting terms, expenses are consumptions or losses of future economic benefits in the form of reductions in assets or increases in liabilities of the entity (other than those relating to distributions to owners) that result in a decrease in equity or net worth during the reporting period. Source and reference attributes Submitting organisation: Health Expenditure Advisory Committee Origin: Australian Bureau of Statistics: Government Finance Statistics 1998, Cat. No. 5514.0. Australian Bureau of Statistics 2006. Australian System of Government Finance Statistics: Concepts, sources and methods, 2005. Cat. no. 5514.0.55.001 Canberra: ABS. Australian Accounting Standards Board 1049, September 2006, <www.aasb.com.au> Relational attributes Related metadata references: Supersedes Organisation—depreciation expenses, total Australian currency NNNNN.N Health, Superseded 01/04/2009 Is used in the formation of Organisation—expenses, total Australian currency NNNNN.N Health, Standard 05/12/2007 Implementation in Data Set Specifications: Government health expenditure organisation expenditure capital consumption data element cluster Health, Standard 01/04/2009 Government health expenditure organisation expenditure data element cluster Health, Standard 01/04/2009 New Data item Revised data item 50 Person with cancer— Nil metastasis status, M stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX Identifying and definitional attributes Metadata item type: Data Element Short name: Cancer staging—M stage code METeOR identifier: 341300 Registration status: Health, Standard 06/03/2009 Definition: Absence or presence of distant metastasis at the time of diagnosis of the primary cancer, as represented by a code. Data Element Concept: Person with cancer—distant metastasis status Value domain attributes Representational attributes Classification scheme: International Union against Cancer (UICC) TNM Classification of Malignant Tumours 6th edition Representation class: Code Data type: String Format: XX Maximum character length: 2 Supplementary values: Value Meaning 88 Not applicable Collection and usage attributes Guide for use: Valid M codes from the current edition of the UICC TNM Classification of Malignant Tumours. Refer to the TNM Supplement: A Commentary on Uniform Use, 3rd Edition for coding rules. Data element attributes Collection and usage attributes Guide for use: TNM staging applies to solid tumours excluding brain tumours. Choose the lower (less advanced) M category when there is any uncertainty. Collection methods: From information provided by the treating doctor and recorded on the patient's medical record. Comments: Cancer prognosis and survival can be related to the extent of the disease at diagnosis. Survival rates are generally higher if the disease is localised to the organ of origin compared with cases in which the tumour has spread beyond the primary site. Staging systems seek to classify patients having a similar prognosis into groups or stages. TNM staging is an internationally agreed staging classification system based on the anatomical site of the primary tumour and its extent of spread. The T component refers to the size of the tumour and New Data item Revised data item 51 whether or not it has spread to surrounding tissues. The N component describes the presence or absence of tumour in regional lymph nodes. The M component refers to the presence or absence of tumour at sites distant from the primary site. Source and reference attributes Origin: International Union Against Cancer (UICC) Commission on Cancer, American College of Surgeons Reference documents: Sobin LH, Wittekind C. TNM Classification of Malignant Tumours. 6th ed. Hoboken, New Jersey: John Wiley & Sons; 2002 Commission on Cancer Facility Oncology Registry Data Standards (FORDS): Revised for 2004 Relational attributes Related metadata references: Supersedes Person with cancer—distant metastasis status, M stage (UICC TNM Classification of Malignant Tumours 5th ed) code XX Health, Superseded 06/03/2009 Is used in the formation of Person with cancer—extent of primary cancer, TNM stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XXXX{[X]XX} Health, Standard 06/03/2009 Implementation in Data Set Specifications: Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Cancer (clinical) DSS Health, Standard 06/03/2009 Conditional obligation:: Collection of this element is conditional on the disease site being listed in the UICC TNM Classification. Information specific to this data set: For survival analysis adjusted by stage at diagnosis and distribution of cancer cases by type and stage. New Data item Revised data item 52 Person with cancer—extent of primary cancer, TNM stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XXXX{[X]XX} Identifying and definitional attributes Metadata item type: Data Element Short name: Cancer staging—TNM stage grouping code METeOR identifier: 341304 Registration status: Health, Standard 06/03/2009 Definition: The anatomical extent of disease at diagnosis based on the previously coded T, N and M stage categories, as represented by a code. Data Element Concept: Person with cancer—extent of primary cancer Value domain attributes Representational attributes Classification scheme: International Union against Cancer (UICC) TNM Classification of Malignant Tumours 6th edition Representation class: Code Data type: String Format: XXXX{[X]XX} Maximum character length: 7 Supplementary values: Value Meaning 8888 Not applicable 9999 Unknown, Stage X Collection and usage attributes Guide for use: Valid stage grouping codes from the current edition of the UICC TNM Classification of Malignant Tumours. Data element attributes Collection and usage attributes Guide for use: TNM staging applies to solid tumours excluding brain tumours. Refer to the TNM Supplement: A Commentary on Uniform Use, 3rd Edition for coding rules. Choose the lower (less advanced) T category when there is any uncertainty. Collection methods: From information provided by the treating doctor and recorded on the patient's medical record. Relational attributes Related metadata references: New Data item Is formed using Person with cancer—primary tumour status, T stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX[X] Health, Standard 06/03/2009 Is formed using Person with cancer—distant metastasis status, Revised data item 53 M stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX Health, Standard 06/03/2009 Is formed using Person with cancer—regional lymph node metastasis status, N stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX Health, Standard 06/03/2009 Supersedes Person with cancer—extent of primary cancer, TNM stage (UICC TNM Classification of Malignant Tumours 5th ed) code XXXX{[X]XX} Health, Superseded 06/03/2009 Implementation in Data Set Specifications: Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Cancer (clinical) DSS Health, Standard 06/03/2009 Conditional obligation: Collection of this element is conditional on the disease site being listed in the UICC TNM Classification. Information specific to this data set: For survival analysis adjusted by stage at diagnosis and distribution of cancer cases by type and stage. New Data item Revised data item 54 Person with cancer—histopathological grade, code N Identifying and definitional attributes Metadata item type: Data Element Short name: Histopathological grade METeOR identifier: 370019 Registration status: Health, Standard 06/03/2009 Definition: The histopathological grade or differentiation describes how much the tumour resembles the normal tissue from which it arose, as represented by a code. For lymphohaematopoietic neoplasms (leukaemias and lymphomas) this data element is used to denote cell lineage. Data Element Concept: Person with cancer—histopathological grade Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Supplementary values: Value Meaning 1 Grade 1: Low grade; well differentiated, differentiated, NOS 2 Grade 2: Intermediate grade, moderately differentiated, moderately well differentiated, intermediate differentiation 3 Grade 3: High grade, poorly differentiated 4 Grade 4: Undifferentiated, anaplastic 5 T-cell: T-cell 6 B-cell: B-cell, Pre-B, B-Precursor 7 Null-cell: Null cell, Non T- non B 8 NK-cell: Natural killer cell 9 Grade/differentiation unknown: Grade/cell type not determined, not stated or not applicable Data element attributes Collection and usage attributes Guide for use: New Data item Only one code can be recorded. When more than one grade is documented for the primary tumour within the same specimen report, use the highest grade. For example, if grade 2-3 is documented, record the grade as 3. If the grades differ on multiple pathology reports for the same tumour, use the value from the larger specimen (for example, the grade from a surgical excision specimen would be used over Revised data item 55 the grade from a specimen from a diagnostic biopsy). Breast cancer coding rules: Use the Nottingham grade (Elston-Ellis modification of BloomRichardson grading system). This classification only uses grades 1-3, 9. For an invasive tumour with an in situ component, record the grade for the invasive component only. If the grade of the invasive component is not reported, record the grade as unknown. Collection methods: Cancer registry use: Collection of this data item should only be from notification and pathology reports relating to initial diagnosis and not for recurrent or metastatic disease. Source and reference attributes Origin: World Health Organisation Commission on Cancer American College of Surgeons Reference documents: World Health Organisation International Classification of Diseases Oncology, Third edition (ICD-O-3) (2000) Commission on Cancer, Standards of the Commission on Cancer Registry Operations and Data Standards (ROADS) Volume II (1998) Johnson CH, Adamo M (eds.), SEER Program Coding and Staging Manual 2007. National Cancer Institute, NIH Publication number 07-5581, Bethesda, MD 2007. Relational attributes Related metadata references: Supersedes Person with cancer—histopathological grade, code N Health, Superseded 06/03/2009 Implementation in Data Set Specifications: Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Information specific to this data set: Breast cancer coding rules: Use the Nottingham grade (Elston-Ellis modification of Bloom-Richardson grading system). This classification only uses grades 1-3, 9. For an invasive tumour with an in situ component, record the grade for the invasive component only. If the grade of the invasive component is not reported, record the grade as unknown. Cancer (clinical) DSS Health, Standard 06/03/2009 New Data item Revised data item 56 Person with cancer—human epidermal growth factor receptor-2 test result, code N Identifying and definitional attributes Metadata item type: Data Element Short name: Human epidermal growth factor receptor-2 test result Synonymous names: HER2 test result METeOR identifier: 370572 Registration status: Health, Standard 06/03/2009 Definition: The result of a person's human epidermal growth factor receptor-2 (HER2) test, as represented by a code. Data Element Concept: Person with cancer—human epidermal growth factor receptor-2 test result Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Supplementary values: Value Meaning 1 Positive 2 Negative 3 Equivocal 7 Unknown (test results not available) 8 Not applicable (test not done) Collection and usage attributes Guide for use: New Data item Record the reported conclusion of the HER2. If no conclusion is reported use the following guidelines (from the National Breast and Ovarian Cancer Centre and Australian Cancer Network’s pathology reporting guide (3rd ed.) for breast cancer): CODE 1 Positive For in situ hybridisation: Result is more than 6 copies of the HER2 gene per nucleus OR a ratio of HER2 gene signals to chromosome 17 signals of more than 2.2. For Immunochemistry: Result is described as 3+ or +++ OR >30% of cancer cells show strong complete membrane staining without cytoplasmic staining and without staining of normal tissue. CODE 2 Negative For in situ hybridisation: Result is less than 4 copies of the HER2 gene per nucleus OR a ratio of HER2 gene signals to chromosome 17 signals of less than 1.8. Revised data item 57 For Immunochemistry: Result described as 0, 1+ or + OR <10% of cancer cells show staining. CODE 3 Equivocal For in situ hybridisation: Result is an average of between 4 and 6 HER2 gene copies per nucleus with a single probe OR a ratio of HER2 gene signals to chromosome 17 signals in the range of 1.8-2.2. For Immunochemistry: Result described as 2+ or ++ OR <10% of cancer cells show strong complete membrane staining (rare) OR 10-30% of cancer cells show weak to moderate complete membrane staining OR Strong cytoplasmic staining is present, making assessment of membrane staining difficult. Supplementary codes CODE 7 Unknown (test results not available) Use this code when the test has been performed but the results are not yet available for analysis. CODE 8 Not applicable (test not done) This code is used as a validation measure, to show that the reason for the lack of results is due to the test not being performed. Data element attributes Collection and usage attributes Collection methods: For cancer registries, collection of this data item should only be from notification and pathology reports relating to initial diagnosis and not for recurrent or subsequent metastatic disease. Where different values are available from multiple specimens, the appropriate values to enter are selected according to the following hierarchy of rules: When multiple HER2 values are available, the value established by the most accurate test is used as per the hierarchy: FISH > CISH/SISH > IHC. (See Person with cancer—HER2 test type, code N) If the HER2 values differ on multiple pathology reports for the same tumour, use the value from the larger specimen. For multifocal tumours, use the HER2 value from the largest focus or from a metastatic deposit e.g. Lymph node metastasis. A smaller focus that is HER2 positive may in fact be the source of a metastasis and in this setting the patient would derive benefit from the therapy offered as a result of HER2 positive status. Comments: Human epidermal growth factor receptor-2 (HER2) promotes the growth of cancer cells. HER2 is also known as c-erB-2 and Her2/neu. Tumours that are HER2-positive tend to grow more quickly than other types of cancer. HER2 status is an important prognostic marker and predicts the response to several therapies. Source and reference attributes Origin: New Data item National Breast and Ovarian Cancer Centre (NBOCC) Revised data item 58 Australasian Association of Cancer Registries (AACR) Australian Institute of Health and Welfare (AIHW) Reference documents: National Breast and Ovarian Cancer Centre and Australian Cancer Network. The Pathology reporting of breast cancer. A guide for pathologists, surgeons, radiologists and oncologists (3rd edition). National Breast and Ovarian Cancer Centre, Surry Hills, NSW, 2008. Relational attributes Implementation in Data Set Specifications: New Data item Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Revised data item 59 Person with cancer—human epidermal growth factor receptor-2 test type, code N Identifying and definitional attributes Metadata item type: Data Element Short name: Human epidermal growth factor receptor-2 test type Synonymous names: HER2 test type METeOR identifier: 370607 Registration status: Health, Standard 06/03/2009 Definition: The type of test used to determine the results of human epidermal growth factor receptor-2 (HER2) at the time of diagnosis of the primary tumour, as represented by a code. Data Element Concept: Person with cancer—human epidermal growth factor receptor-2 test type Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Supplementary values: Value Meaning 1 Fluorescence in situ hybridisation (FISH) 2 Brightfield in situ hybridisation 3 Immunochemistry (IHC) 8 Other 9 Test type not stated or unknown Collection and usage attributes Guide for use: CODE 2 Brightfield in situ hybridisation Includes Chromogenic in situ hybridisation (CISH) and Silver in situ hybridisation (SISH). Data element attributes Collection and usage attributes Guide for use: Record the test type corresponding to the test result recorded in ‘Person with Cancer - human epidermal growth factor receptor2 test result’. Comments: Immunochemistry (IHC) measures how much HER2 protein is present in the tumour sample. Fluorescence in situ hybridisation (FISH), chromogenic in situ hybridisation (CISH) and silver in situ hybridisation (SISH) measure the amount of amplification of the gene responsible for HER2. The type of HER2 test used to determine HER2 status affects the accuracy of the information. New Data item Revised data item 60 Source and reference attributes Origin: National Breast and Ovarian Cancer Centre (NBOCC) Australasian Association of Cancer Registries (AACR) Australian Institute of Health and Welfare (AIHW) Relational attributes Implementation in Data Set Specifications: New Data item Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Revised data item 61 Person with cancer—lymphovascular invasion, code N Identifying and definitional attributes Metadata item type: Data Element Short name: Lymphovascular invasion METeOR identifier: 370618 Registration status: Health, Standard 06/03/2009 Definition: The presence or absence of the invasion of cancer cells into blood vessel(s) and/or the lymphatic system, as represented by a code. Data Element Concept: Person with cancer—lymphovascular invasion Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Supplementary values: Value Meaning 1 Present 2 Absent 3 Suspicious 9 Not stated or unknown Data element attributes Collection and usage attributes Guide for use: The presence of lymphovascular invasion should be recorded as Code 1, regardless of whether the extent of the invasion is described or not. Collection methods: For cancer registries, collection of this data item should only be from notification and pathology reports relating to initial diagnosis and not for recurrent or metastatic disease. If pathology report pertaining to initial diagnosis is for a metastasis, and not the primary tumour, record as 9. Comments: Invasion of the lymphatics or blood vessels by cancer cells is an important prognostic factor that indicates that the tumour is likely to spread. This item is included in data items defined for reporting in the pathology reporting guidelines as prepared by the National Breast and Ovarian Cancer Centre and Australian Cancer Network. Source and reference attributes Origin: New Data item National Breast and Ovarian Cancer Centre (NBOCC) Australasian Association of Cancer Registries (AACR) Australian Institute of Health and Welfare (AIHW) Revised data item 62 Reference documents: National Breast and Ovarian Cancer Centre and Australian Cancer Network. The Pathology reporting of breast cancer. A guide for pathologists, surgeons, radiologists and oncologists (3rd edition). National Breast and Ovarian Cancer Centre, Surry Hills, NSW, 2008. Relational attributes Implementation in Data Set Specifications: New Data item Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Revised data item 63 Person with cancer—morphology of cancer, code (ICDO3) NNNN/N Identifying and definitional attributes Metadata item type: Data Element Short name: Morphology of cancer METeOR identifier: 370023 Registration status: Health, Standard 06/03/2009 Definition: The histological classification of the cancer tissue (histopathological type) and a description of the course of development that a tumour is likely to take: benign or malignant (behaviour), as represented by a code. Data Element Concept: Person with cancer—morphology of cancer Value domain attributes Representational attributes Classification scheme: International Classification of Diseases for Oncology 3rd edition Representation class: Code Data type: Number Format: NNNN/N Maximum character length: 5 Collection and usage attributes Guide for use: ICDO morphology describes histology and behaviour as separate variables, recognising that there are a large number of possible combinations. In ICDO, morphology is a 4-digit number ranging from 8000 to 9989, and behaviour is a single digit which can be 0, 1, 2, 3, 6 or 9. Record morphology codes in accordance with ICDO coding standards. Use the 5th-digit to record behaviour. The 5th-digit behaviour code numbers used in ICDO are listed below: 0 Benign 1 Uncertain whether benign or malignant borderline malignancy low malignant potential 2 Carcinoma in situ intraepithelial non-infiltrating non-invasive 3 Malignant, primary site 6 Malignant, metastatic site malignant, secondary site 9 Malignant, uncertain whether primary or metastatic site Source and reference attributes Origin: New Data item International Classification of Diseases for Oncology, Third Revised data item 64 Edition (ICDO-3) Data element attributes Collection and usage attributes Collection methods: Cancer registry use: Collection of this data item should only be from notification and pathology reports relating to initial diagnosis and not for recurrent or metastatic disease. Morphology information should be obtained from a pathology report or pathology system, and recorded with/on the patient's medical record and/or the hospital's patient administration system. Additional information may also be sought from the patient's attending clinician or medical practitioner. If the morphology differs on multiple pathology reports for the same tumour, use the value from the most representative tumour specimen examined. For example, if tumour is described as ductal on core biopsy but undifferentiated carcinoma on the excision specimen the morphology would be coded as undifferentiated carcinoma (a lower code) which has a less favourable diagnosis. Hospital morbidity use: In hospitals, the morphology code is modified for use with ICD10-AM. The morphology code consists of histologic type (4 digits) and behaviour code (1 digit) ranging from 8000/0 to 9989/9. Source and reference attributes Origin: World Health Organization New South Wales Health Department State and Territory Cancer Registries Reference documents: New South Wales Inpatient Statistics Collection Manual, 2000/2001 Esteban D, Whelan S, Laudico A and Parkin DM editors. International Agency for Research on Cancer World Health Organization and International Association of Cancer Registries: Manual for cancer registry personnel. IARC Technical Report No 10. Lyon: IARC,1995 Relational attributes Related metadata references: Supersedes Person with cancer—morphology of cancer, code (ICDO-3) NNNN/N Health, Superseded 06/03/2009 Implementation in Data Set Specifications: Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Cancer (clinical) DSS Health, Standard 06/03/2009 Information specific to this data set: This information is collected for the purpose of: classifying tumours into clinically relevant groupings on the basis of both their morphology (cell type) and their degree of invasion or malignancy as indicated by the behaviour code component (the last digit of the morphology code); New Data item Revised data item 65 New Data item monitoring the number of new cases of cancer for planning treatment services. Revised data item 66 Person with cancer—neoadjuvant therapy indicator, code N Identifying and definitional attributes Metadata item type: Data Element Short name: Neo-adjuvant therapy METeOR identifier: 370014 Registration status: Health, Standard 06/03/2009 Definition: Whether a person with a solid tumour has received neoadjuvant therapy, as represented by a code. Data Element Concept: Person with cancer—neoadjuvant therapy indicator Value domain attributes Representational attributes Representation class: Code Data type: Boolean Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Yes 2 No Data element attributes Collection and usage attributes Guide for use: To be reported when therapy is received after a diagnosis of cancer and prior to primary surgical treatment. This data item is used to flag cases in which tumour descriptors, for example solid tumour size, may be inaccurate due to shrinkage from neoadjuvant therapy. Yes - indicates that the client has received neo-adjuvant therapy after a diagnosis of cancer and prior to primary surgical treatment No - indicates that the client did not receive neo-adjuvant therapy after a diagnosis of cancer and prior to primary surgical treatment For invasive breast cancer information is obtained from: Clinical notes on pathology report mentions that patient underwent chemotherapy prior to surgery New Data item Microscopy section of pathology report describes tumour changes as a result of neoadjuvant therapy (coder may be alerted to look for this detail by a long interval between biopsy and wider excision) Hospital notification indicates that admission if for chemotherapy only (and admission date is before that for surgery) Revised data item 67 Comments: Preoperative chemotherapy and/or radiotherapy may be received after a diagnosis of cancer but before surgical treatment. The effects of chemotherapy and/or radiotherapy prior to surgery will shrink the tumour, and so the size of the tumour found from the subsequent surgical excision will be smaller than the original size of the tumour at the time of diagnosis. This impacts on the TNM-T and staging classification, and is important to take into account for analysis and research. Source and reference attributes Origin: National Breast and Ovarian Cancer Centre (NBOCC) Australasian Association of Cancer Registries (AACR) Australian Institute of Health and Welfare (AIHW) Reference documents: Johnson CH, Adamo M (eds.), SEER Program Coding and Staging Manual 2007. National Cancer Institute, NIH Publication number 07-5581, Bethesda, MD 2007. Relational attributes Implementation in Data Set Specifications: New Data item Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Revised data item 68 Person with cancer—number of positive regional lymph nodes, total N[N] Identifying and definitional attributes Metadata item type: Data Element Short name: Regional lymph nodes positive METeOR identifier: 370027 Registration status: Health, Standard 06/03/2009 Definition: The total number of regional lymph nodes reported as containing tumour after examination by a pathologist. Data Element Concept: Person with cancer—number of positive regional lymph nodes Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[N] Maximum character length: 3 Supplementary values: Value Meaning 997 Number of lymph nodes unknown Data element attributes Collection and usage attributes Guide for use: A list of which lymph nodes are defined as regional lymph nodes for each cancer site may be found in the TNM Classification of Tumours, 6th Edition, UICC. Number includes all positive nodes regardless of whether removed/examined at a single or multiple procedures e.g. for breast cancer, record the sum of positive nodes detected in node sampling/sentinel node biopsy and those removed at axillary clearance. For cancer registries, collection of this data item should only be from notification and pathology reports relating to initial diagnosis and not for recurrent or metastatic disease. Source and reference attributes Origin: Australian Cancer Network Commission on Cancer American College of Surgeons Reference documents: Australian Cancer Network The pathology reporting of breast cancer. A guide for pathologists, surgeons and radiologists Second Edition Sydney (2001) Commission on Cancer, Standards of the Commission on Cancer Registry Operations and Data Standards (ROADS) Volume II (1998) Johnson CH, Adamo M (eds.), SEER Program Coding and Staging Manual 2007. National Cancer Institute, NIH New Data item Revised data item 69 Publication number 07-5581, Bethesda, MD 2007. Relational attributes Related metadata references: See also Person with cancer—number of regional lymph nodes examined, total N[N] Health, Superseded 06/03/2009 Supersedes Person with cancer—number of positive regional lymph nodes, total N[N] Health, Superseded 06/03/2009 Implementation in Data Set Specifications: Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Cancer (clinical) DSS Health, Standard 06/03/2009 New Data item Revised data item 70 Person with cancer—number of positive sentinel lymph nodes, total code N[N] Identifying and definitional attributes Metadata item type: Data Element Short name: Number of positive sentinel lymph nodes METeOR identifier: 370549 Registration status: Health, Standard 06/03/2009 Definition: The total number of sentinel lymph nodes reported as containing tumour after examination by a pathologist. Data Element Concept: Person with cancer—number of positive sentinel lymph nodes Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[N] Maximum character length: 3 Supplementary values: Value Meaning 997 Number of lymph nodes unknown Data element attributes Collection and usage attributes Collection methods: For cancer registries: Collection of this data item should only be from notification and pathology reports relating to initial diagnosis and not for recurrent or metastatic disease. Comments: Sentinel lymph nodes are the first nodes that filter fluid draining away from the area of cancer. The number of lymph nodes with metastasis is important for cancer staging Source and reference attributes Origin: National Breast and Ovarian Cancer Centre (NBOCC) Australasian Association of Cancer Registries (AACR) Australian Institute of Health and Welfare (AIHW) Reference documents: Johnson CH, Adamo M (eds.), SEER Program Coding and Staging Manual 2007. National Cancer Institute, NIH Publication number 07-5581, Bethesda, MD 2007. Relational attributes Implementation in Data Set Specifications: New Data item Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Revised data item 71 Person with cancer—number of regional lymph nodes examined, total code N[N] Identifying and definitional attributes Metadata item type: Data Element Short name: Number of regional lymph nodes examined METeOR identifier: 370032 Registration status: Health, Standard 06/03/2009 Definition: The total number of a person's regional lymph nodes examined by the pathologist. Data Element Concept: Person with cancer—number of regional lymph nodes examined Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[N] Maximum character length: 2 Supplementary values: Value Meaning 997 Number of lymph nodes unknown Data element attributes Collection and usage attributes Guide for use: A list of which lymph nodes are defined as regional lymph nodes for each cancer site may be found in the TNM Classification of Tumours, 6th Edition, UICC. The number includes all nodes examined regardless of whether removed/examined at a single or multiple procedures e.g. for breast cancer, record the sum of regional lymph nodes examined from node sampling/sentinel node biopsy and axillary clearance. The number of regional lymph nodes is cumulative from all procedures that removed lymph nodes through the completion of surgeries for the treatment of the cancer. Breast cancer: Regional lymph nodes include all ipsilateral axillary, ipsilateral infraclavicular/subclavicular, ipsilateral internal mammary and ipsilateral supraclavicaular nodes. All other nodes (including contralateral internal mammary nodes) are considered to be distant metastases and should not be recorded in this data item. Definitions from UICC TNM Classification of Malignant Tumours 6th Edition. Collection methods: For cancer registries, collection of this data item should only be from notification and pathology reports relating to initial diagnosis and not for recurrent or metastatic disease. New Data item Revised data item 72 Source and reference attributes Origin: Australian Cancer Network Commission on Cancer American College of Surgeons Reference documents: Australian Cancer Network The pathology reporting of breast cancer. A guide for pathologists, surgeons and radiologists Second Edition Sydney (2001) Commission on Cancer, Standards of the Commission on Cancer Registry Operations and Data Standards (ROADS) Volume II (1998) Johnson CH, Adamo M (eds.), SEER Program Coding and Staging Manual 2007. National Cancer Institute, NIH Publication number 07-5581, Bethesda, MD 2007. Relational attributes Related metadata references: See also Person with cancer—number of positive regional lymph nodes, total N[N] Health, Superseded 06/03/2009 Supersedes Person with cancer—number of regional lymph nodes examined, total N[N] Health, Superseded 06/03/2009 Implementation in Data Set Specifications: Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Information specific to this data set: Breast cancer: Regional lymph nodes include all ipsilateral axillary, ipsilateral infraclavicular/subclavicular, ipsilateral internal mammary and ipsilateral supraclavicaular nodes. All other nodes (including contralateral internal mammary nodes) are considered to be distant metastases and should not be recorded in this data item. Definitions from UICC TNM Classification of Malignant Tumours 6th Edition. Cancer (clinical) DSS Health, Standard 06/03/2009 New Data item Revised data item 73 Person with cancer—number of sentinel lymph nodes examined, total code N[N] Identifying and definitional attributes Metadata item type: Data Element Short name: Number of sentinel lymph nodes examined METeOR identifier: 370558 Registration status: Health, Standard 06/03/2009 Definition: The total number of a person's sentinel lymph nodes examined by the pathologist. Data Element Concept: Person with cancer—number of sentinel lymph nodes examined Value domain attributes Representational attributes Representation class: Total Data type: Number Format: N[N] Maximum character length: 3 Supplementary values: Value Meaning 997 Number of lymph nodes unknown Data element attributes Collection and usage attributes Collection methods: For cancer registries, collection of this data item should only be from pathology reports relating to initial diagnosis and not for recurrent or metastatic tumour. Comments: Sentinel lymph nodes are the first nodes that filter fluid draining away from the area of cancer. The presence of cancer cells in the lymph nodes indicates that cancer cells have already spread outside the primary site and may have spread to other areas of the body. This is important for cancer staging and treatment options. Source and reference attributes Origin: National Breast and Ovarian Cancer Centre (NBOCC) Australasian Association of Cancer Registries (AACR) Australian Institute of Health and Welfare (AIHW) Reference documents: Johnson CH, Adamo M (eds.), SEER Program Coding and Staging Manual 2007. National Cancer Institute, NIH Publication number 07-5581, Bethesda, MD 2007. Relational attributes Implementation in Data Set Specifications: New Data item Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Revised data item 74 Person with cancer—oestrogen receptor assay result, code N Identifying and definitional attributes Metadata item type: Data Element Short name: Oestrogen receptor assay result METeOR identifier: 370036 Registration status: Health, Standard 06/03/2009 Definition: The result of oestrogen receptor assay at the time of diagnosis of the primary breast tumour, as represented by a code. Data Element Concept: Person with cancer—oestrogen receptor assay result Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Supplementary values: Value Meaning 1 Positive 2 Negative 3 Equivocal 7 Unknown (test results not available) 8 Not applicable (test not done) Collection and usage attributes Guide for use: Supplementary codes CODE 7 Unknown (test results not available) Use this code when the test has been performed but the results are not yet available for analysis. CODE 8 Not applicable (test not done) This code is used as a validation measure, to show that the reason for the lack of results is due to the test not being performed. Data element attributes Collection and usage attributes Guide for use: New Data item Where the pathologist has stated the test result in the conclusion of the pathology report as being positive, negative or equivocal this value should be coded. If the report does not specifically state the test result, this should be interpreted from the reported % nuclei stained positive. If => 1% of nuclei are reported as stained regardless of stain intensity (weak, intermediate or high/strong) the result is positive. If % nuclei stained is <1% the result is negative. Definitions from NBOCC Revised data item 75 & ACN Pathology Reporting Guidelines. Collection methods: For cancer registries: Collection of this data item should only be from notification and pathology reports relating to initial diagnosis and not for recurrent or subsequent metastatic disease. Where there are multiple reports relating to the primary breast tumour (from different specimens), the 'most positive' value is chosen according to the following hierarchy: Positive > Equivocal > Negative> Test done but results not known > Test not done. If oestrogen receptor assay tests are completed for invasive tumours with an in situ component, use the values from the invasive tumour. Do not record oestrogen receptor values for in situ tumours. For multifocal tumours, use the oestrogen receptor value from the largest focus or from a metastatic deposit e.g. Lymph node metastasis. A smaller focus that is ER positive may in fact be the source of a metastasis and in this setting the patient would derive benefit from the therapy offered as a result of hormone receptor positive status. Comments: Hormone receptor status is an important prognostic indicator for breast cancer. The Australian Cancer Network Working Party established to develop guidelines for the pathology reporting of breast cancer recommends that hormone receptor assays be performed on all cases of invasive breast carcinoma. The report should include: the percentage of nuclei staining positive and the predominant staining intensity (low, medium, high) and a conclusion as to whether the assay is positive or negative. Source and reference attributes Origin: Royal College of Pathologists of Australasia Australian Cancer Network Commission on Cancer American College of Surgeons Reference documents: Royal College of Pathologists of Australasia Manual of Use and Interpretation of Pathology Tests: Third Edition Sydney (2001) Australian Cancer Network Working Party The pathology reporting of breast cancer. A guide for pathologists, surgeons and radiologists Second Edition Sydney (2001) Commission on Cancer, Standards of the Commission on Cancer Registry Operations and Data Standards (ROADS) Volume II (1998) Relational attributes Related metadata references: Supersedes Person with cancer—oestrogen receptor assay results, code N Health, Superseded 06/03/2009 Implementation in Data Set Specifications: Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 New Data item Revised data item 76 Person with cancer—primary site of cancer, code (ICDO3) ANN{.N[N]} Identifying and definitional attributes Metadata item type: Data Element Short name: Primary site of cancer (ICDO-3 code) METeOR identifier: 370039 Registration status: Health, Standard 06/03/2009 Definition: The site of origin of the tumour, as opposed to the secondary or metastatic sites, as represented by an ICDO-3 code. Data Element Concept: Person with cancer—primary site of cancer Value domain attributes Representational attributes Classification scheme: International Classification of Diseases for Oncology 3rd edition Representation class: Code Data type: String Format: ANN{.N[N]} Maximum character length: 5 Collection and usage attributes Guide for use: Report the primary site of cancer, if known, for patients who have been diagnosed with a cancer. In ICDO, primary site is identified using both the Cxx.x code identifying site and the behaviour code to identify whether the site is the primary site. The behaviour code numbers used in ICDO are listed below: 0 Benign 1 Uncertain whether benign or malignant borderline malignancy low malignant potential 2 Carcinoma in situ intraepithelial non-infiltrating non-invasive 3 Malignant, primary site 6 Malignant, metastatic site malignant, secondary site 9 Malignant, uncertain whether primary or metastatic site Data element attributes Collection and usage attributes Guide for use: New Data item For cancer registries, collection of this data item should only be from notification and pathology reports relating to initial diagnosis and not for recurrent or metastatic disease. Revised data item 77 If the primary site differs on multiple pathology or other notification reports for the same tumour, use the most specific value. For multifocal tumours with foci in more than one quadrant, use the quadrant of the largest focus. Collection methods: Cancer registries use Site codes from ICDO 3rd edition. Source and reference attributes Origin: World Health Organization Relational attributes Related metadata references: Supersedes Person with cancer—primary site of cancer, code (ICDO-3) ANN{.N[N]} Health, Superseded 06/03/2009 Implementation in Data Set Specifications: Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Cancer (clinical) DSS Health, Standard 06/03/2009 Information specific to this data set: This information is collected for the purpose of: classifying tumours into clinically-relevant groupings on the basis of both their site of origin and their histological type monitoring the number of new cases of cancer for planning treatment services epidemiological studies. New Data item Revised data item 78 Person with cancer—primary tumour status, T stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX[X] Identifying and definitional attributes Metadata item type: Data Element Short name: Cancer staging—T stage code METeOR identifier: 341306 Registration status: Health, Standard 06/03/2009 Definition: Extent of primary cancer including tumour size, at the time of diagnosis, as represented by a code. Data Element Concept: Person with cancer—primary tumour status Value domain attributes Representational attributes Classification scheme: International Union against Cancer (UICC) TNM Classification of Malignant Tumours 6th edition Representation class: Code Data type: String Format: XX[X] Maximum character length: 3 Supplementary values: Value Meaning 88 Not applicable Collection and usage attributes Guide for use: Valid T codes from the current edition of the UICC TNM Classification of Malignant Tumours. Refer to the TNM Supplement: A Commentary on Uniform Use, 3rd Edition for coding rules. Data element attributes Collection and usage attributes Guide for use: TNM staging applies to solid tumours excluding brain tumours. Choose the lower (less advanced) T category when there is any uncertainty. T stage value is derived from value of "Solid tumour size (at diagnosis) total millimetres". Refer to usage attributes for this data element for additional detail Collection methods: From information provided by the treating doctor and recorded on the patient's medical record. Comments: Cancer prognosis and survival can be related to the extent of the disease at diagnosis. Survival rates are generally higher if the disease is localised to the organ of origin compared with cases in which the tumour has spread beyond the primary site. New Data item Revised data item 79 Staging systems seek to classify patients having a similar prognosis into groups or stages. TNM staging is an internationally agreed staging classification system based on the anatomical site of the primary tumour and its extent of spread. The T component refers to the size of the tumour and whether or not it has spread to surrounding tissues. The N component describes the presence or absence of tumour in regional lymph nodes. The M component refers to the presence or absence of tumour at sites distant from the primary site. Source and reference attributes Reference documents: Sobin LH, Wittekind C. TNM Classification of Malignant Tumours. 6 ed. Hoboken, New Jersey: John Wiley & Sons; 2002 Commission on Cancer Facility Oncology Registry Data Standards (FORDS): Revised for 2004 Relational attributes Related metadata references: Is formed using Person with cancer—solid tumour size (at diagnosis), total millimetres NNN Health, Standard 06/03/2009 Supersedes Person with cancer—primary tumour status, T stage (UICC TNM Classification of Malignant Tumours 5th ed) code XX[X] Health, Superseded 06/03/2009 Is used in the formation of Person with cancer—extent of primary cancer, TNM stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XXXX{[X]XX} Health, Standard 06/03/2009 Implementation in Data Set Specifications: Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Cancer (clinical) DSS Health, Standard 06/03/2009 Conditional obligation: Collection of this element is conditional on the disease site being listed in the UICC TNM Classification. Information specific to this data set: For survival analysis adjusted by stage at diagnosis and distribution of cancer cases by type and stage. New Data item Revised data item 80 Person with cancer—regional lymph node metastasis status, N stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX Identifying and definitional attributes Metadata item type: Data Element Short name: Cancer staging—N stage code METeOR identifier: 341302 Registration status: Health, Standard 06/03/2009 Definition: Extent of regional lymph node metastasis at the time of diagnosis of the primary cancer, as represented by a code. Data Element Concept: Person with cancer—regional lymph node metastasis status Value domain attributes Representational attributes Classification scheme: International Union against Cancer (UICC) TNM Classification of Malignant Tumours 6th edition Representation class: Code Data type: String Format: XX Maximum character length: 2 Supplementary values: Value Meaning 88 Not applicable Collection and usage attributes Guide for use: Valid N codes from the current edition of the UICC TNM Classification of Malignant Tumours. Refer to the TNM Supplement: A Commentary on Uniform Use, 3rd Edition for coding rules. Data element attributes Collection and usage attributes Guide for use: TNM staging applies to solid tumours excluding brain tumours. Choose the lower (less advanced) N category when there is any uncertainty. Collection methods: From information provided by the treating doctor and recorded on the patient's medical record. Comments: Cancer prognosis and survival can be related to the extent of the disease at diagnosis. Survival rates are generally higher if the disease is localised to the organ of origin compared with cases in which the tumour has spread beyond the primary site. Staging systems seek to classify patients having a similar prognosis into groups or stages. TNM staging is an internationally agreed staging classification system based on the anatomical site of the primary tumour and its extent of spread. The T component refers to the size of the tumour and New Data item Revised data item 81 whether or not it has spread to surrounding tissues. The N component describes the presence or absence of tumour in regional lymph nodes. The M component refers to the presence or absence of tumour at sites distant from the primary site. Source and reference attributes Reference documents: Sobin LH, Wittekind C. TNM Classification of Malignant Tumours. 6 ed. Hoboken, New Jersey: John Wiley & Sons; 2002 Commission on Cancer Facility Oncology Registry Data Standards (FORDS): Revised for 2004 Relational attributes Related metadata references: Supersedes Person with cancer—regional lymph node metastasis status, N stage (UICC TNM Classification of Malignant Tumours 5th ed) code XX Health, Superseded 06/03/2009 Is used in the formation of Person with cancer—extent of primary cancer, TNM stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XXXX{[X]XX} Health, Standard 06/03/2009 Implementation in Data Set Specifications: Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Cancer (clinical) DSS Health, Standard 06/03/2009 Conditional obligation: Collection of this element is conditional on the disease site being listed in the UICC TNM Classification. Information specific to this data set: For survival analysis adjusted by stage at diagnosis and distribution of cancer cases by type and stage. New Data item Revised data item 82 Person with cancer—solid tumour size (at diagnosis), total millimetres NNN Identifying and definitional attributes Metadata item type: Data Element Short name: Tumour size at diagnosis (solid tumours) METeOR identifier: 370042 Registration status: Health, Standard 06/03/2009 Definition: The largest dimension of a solid tumour, measured in millimetres. Data Element Concept: Person with cancer—solid tumour size Value domain attributes Representational attributes Representation class: Total Data type: String Format: NNN Maximum character length: 3 Supplementary values: Unit of measure: Value Meaning 999 Unknown Millimetre (mm) Collection and usage attributes Guide for use: Size in millimetres with valid values 001 to 997. Data element attributes Collection and usage attributes Guide for use: New Data item The reporting standard for the size of solid tumours is: Breast cancer or other solid neoplasms - the largest tumour dimension, measured to a precision of 1mm. Round to the nearest millimetre, rounding up if size is ≥ .5 mm eg 1.50mm, 1.54mm recorded as 2mm, 1.47mm recorded as 1mm. General coding rules: Recorded size: Only record measured size if stated, otherwise record size as unknown. Do not attempt to estimate size from descriptions of the tumour, such as 'tumour occupying three quarters of tissue'. Do not take values for size from sources other than histopathology (such as imaging, mammography or clinical examination). Size reported for multiple specimens: If tumour is removed in more than one procedure (e.g. biopsy and excision, local excision and re-excision) do not sum the sizes across multiple pathology reports but rather use the larger of the measured sizes from the separate pathology reports. Revised data item 83 If tumour is divided into several parts (in the same pathology report), do not sum sizes together but rather use the larger of the measured sizes. However, if the pathologist states an aggregate or composite size, record that size. Multifocal tumour: If the tumour is multifocal, record the size of the largest measured focus. Do not attempt to sum sizes of different foci. Macroscopic size: If only macroscopic size is given, record this value. If the macroscopic and microscopic measurements differ, the microscopic measurement should be recorded. Exclusions: Size is not recorded for Phyllodes tumours, sarcomas, or lymphomas. Invasive breast cancer coding rules: Note: These rules are to be used only when the record pertains to an invasive breast cancer (as per Person with cancer-primary site of cancer, code (ICDO-3), ANN{.N[N]}). Invasive tumours with an in situ component: When an invasive tumour contains an in-situ component, only record the size of the invasive component as stated. If the size of the invasive tumour is not recorded separately to the in situ component, then record the total size of the tumour without any attempt to estimate the invasive component using percentage or size of the in situ component. Microinvasive tumour: For microinvasive tumours, record size in millimetres if stated. If microinvasion is stated but no size is recorded, enter 990 in size field to enable these very small tumours to be differentiated from other tumours without measured sizes. Bilateral breasts tumours: Bilateral tumours are recorded as two separate primary tumours each having their own size (and other data elements). Multifocal tumours with different morphology: Foci with different morphology should be considered to be separate primary tumours each having their own size (and other data elements). The coder needs to ascertain whether two foci with differing morphology are separate primaries with different morphology or a single multifocal primary with a mixed histology. In the latter case the rule of taking the size from the larger focus would apply as stated. Collection methods: This data item is collected for the size of tumours as specified in pathology reports. Source and reference attributes Reference documents: New Data item Johnson CH, Adamo M (eds.). SEER Program Coding and Staging Manual 2007. National Cancer Institute, NIH Publication number 07-5581, Bethesda, MD 2007. National Breast and Ovarian Cancer Centre and Australian Cancer Network. The Pathology reporting of breast cancer. A guide for pathologists, surgeons, radiologists and oncologists (3rd edition). National Breast and Ovarian Cancer Centre, Surry Revised data item 84 Hills, NSW, 2008. Relational attributes Related metadata references: Supersedes Person with cancer—solid tumour size (at diagnosis), total millimetres NNN Health, Superseded 06/03/2009 Is used in the formation of Person with cancer—primary tumour status, T stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX[X] Health, Standard 06/03/2009 Implementation in Data Set Specifications: Breast cancer (Cancer registries) DSS Health, Standard 06/03/2009 Cancer (clinical) DSS Health, Standard 06/03/2009 Information specific to this data set: This is used to measure the diameter of the largest dimension of breast cancers and other solid neoplasms for patient management, population cancer statistics and research. New Data item Revised data item 85 Person—area of usual residence, geographical location code (ASGC 2008) NNNNN Identifying and definitional attributes Metadata item type: Data Element Short name: Area of usual residence METeOR identifier: 377103 Registration status: Health, Standard 04/02/2009 Definition: Geographical location of usual residence of the person, as represented by a code. Data Element Concept: Person—area of usual residence Value domain attributes Representational attributes Classification scheme: Australian Standard Geographical Classification 2008 Representation class: Code Data type: Number Format: NNNNN Maximum character length: 5 Data element attributes Collection and usage attributes Guide for use: New Data item The geographical location is reported using a five digit numerical code. The first digit is the single-digit code to indicate State or Territory. The remaining four digits are the numerical code for the Statistical Local Area (SLA) within the State or Territory. The single digit codes for the states and territories and the four digit codes for the SLAs are as defined in the Australian Standard Geographical Classification (ASGC). The ASGC is updated on an annual basis with a date of effect of 1 July each year. The codes for SLA are unique within each State and Territory, but not within the whole country. Thus, to define a unique location, the code of the State or Territory is required in addition to the code for the SLA. The Australian Bureau of Statistics (ABS) National Localities Index (NLI) (ABS Catalogue number 1252.0) can be used to assign each locality or address in Australia to a SLA. The NLI is a comprehensive list of localities in Australia with their full code (including State or Territory and SLA) from the main structure of the ASGC. For the majority of localities, the locality name (suburb or town, for example) is sufficient to assign a SLA. However, some localities have the same name. For most of these, limited additional information such as the postcode or State can be used with the locality name to assign the SLA. In addition, other localities cross one or more SLA boundaries and are referred to as split localities. For these, the more detailed Revised data item 86 information of the number and street of the person's residence is used with the Streets Sub-index of the NLI to assign the SLA. If the information available on the person's address indicates that it is in a split locality but is insufficient to assign an SLA, the code for the SLA which includes most of the split locality should be reported. This is in accordance with the NLI assignment of SLA when a split locality is identified and further detail about the address is not available. The NLI does not assign a SLA code if the information about the address is insufficient to identify a locality, or is not an Australian locality. In these cases, the appropriate codes for undefined SLA within Australia (State or Territory unstated), undefined SLA within a stated State or Territory, no fixed place of abode (within Australia or within a stated State or Territory) or overseas should be used. Collection methods: When collecting the geographical location of a person's usual place of residence, the Australian Bureau of Statistics (ABS) recommends that 'usual' be defined as: 'the place where the person has or intends to live for 6 months or more, or the place that the person regards as their main residence, or where the person has no other residence, the place they currently reside.' Apart from collecting a person's usual place of residence there is also a need in some collections to collect area of residence immediately prior to or after assistance is provided, or at some other point in time. Comments: Geographical location is reported using Statistical Local Area (SLA) to enable accurate aggregation of information to larger areas within the Australian Standard Geographical Classification (ASGC) (such as Statistical Subdivisions and Statistical Divisions) as well as detailed analysis at the SLA level. The use of SLA also allows analysis relating the data to information complied by the Australian Bureau of Statistics on the demographic and other characteristics of the population of each SLA. Analyses facilitates by the inclusion of SLA information include: comparison of the use of services by persons residing in different geographical areas characterisation of catchment areas and populations for establishments for planning purposes documentation of the provision of services to residents of States or Territories other than the State or Territory of the provider. Relational attributes Related metadata references: Supersedes Person—area of usual residence, geographical location code (ASGC 2007) NNNNN Health, Superseded 04/02/2009 Implementation in Data Set Specifications: Admitted patient care NMDS 2009-2010 Health, Standardisation pending 03/12/2008 Implementation start date: 01/07/2009 Admitted patient mental health care NMDS 2009-2010 Health, Standardisation pending 03/12/2008 Implementation start date: 01/07/2009 New Data item Revised data item 87 Admitted patient palliative care NMDS 2009-10 Health, Standardisation pending 03/12/2008 Implementation start date: 01/07/2009 Community mental health care NMDS 2009-2010 Health, Standardisation pending 03/12/2008 Implementation start date: 01/07/2009 Non-admitted patient emergency department care NMDS 20092010 Health, Standardisation pending 03/12/2008 Implementation start date: 01/07/2009 Perinatal NMDS 2010-2011 Health, Recorded 08/11/2008 Implementation start date: 01/07/2010 Residential mental health care NMDS 2009-2010 Health, Standardisation pending 03/12/2008 Implementation start date: 01/07/2009 New Data item Revised data item 88 Service delivery outlet—geographic location, code (ASGC 2008) NNNNN Identifying and definitional attributes Metadata item type: Data Element Short name: Geographical location of service delivery outlet METeOR identifier: 377108 Registration status: Health, Standard 04/02/2009 Definition: Geographical location of a site from which a health/community service is delivered, as represented by a code. Data Element Concept: Service delivery outlet—geographic location Value domain attributes Representational attributes Classification scheme: Australian Standard Geographical Classification 2008 Representation class: Code Data type: Number Format: NNNNN Maximum character length: 5 Data element attributes Collection and usage attributes Guide for use: Comments: The geographical location is reported using a five digit numerical code to indicate the Statistical Local Area (SLA) within the reporting state or territory, as defined in the Australian Standard Geographical Classification (ASGC). It is a composite of State identifier and SLA (first digit = State identifier, next four digits = SLA). The Australian Bureau of Statistics National Localities Index (NLI) can be used to assign each locality or address in Australia to an SLA. The NLI is a comprehensive list of localities in Australia with their full code (including SLA) from the main structure of the ASGC. For the majority of localities, the locality name (suburb or town, for example) is sufficient to assign an SLA. However, some localities have the same name. For most of these, limited additional information such as the postcode or State can be used with the locality name to assign the SLA. In addition, other localities cross one or more SLA boundaries and are referred to as split localities. For these, the more detailed information of the number and street of the establishment is used with the Streets Sub- index of the NLI to assign the SLA. To enable the analysis of the accessibility of service provision in relation to demographic and other characteristics of the population of a geographic area. Source and reference attributes New Data item Revised data item 89 Submitting organisation: Intergovernmental Committee on Drugs National Minimum Data Set Working Group Origin: Australian Standard Geographical Classification (ABS Cat. No. 1216.0) Relational attributes Related metadata references: Supersedes Service delivery outlet—geographic location, code (ASGC 2007) NNNNN Health, Superseded 04/02/2009 Is formed using Establishment—Australian state/territory identifier, code N Health, Standard 01/03/2005 Implementation in Data Set Specifications: Alcohol and other drug treatment services NMDS 2009-2010 Health, Standardisation pending 03/12/2008 Implementation start date: 01/07/2009 New Data item Revised data item 90 Classifications New Data item Revised data item 91 Australian Standard Geographical Classification 2008 Identifying and definitional attributes Metadata item type: Classification Scheme Synonymous names: ASGC 2008 METeOR identifier: 374926 Registration status: Health, Standard 04/02/2009 Community services, Standard 09/04/2009 Definition: The Australian Bureau of Statistics classification for the classification of geographical locations. Source and reference attributes Origin: Australian Bureau of Statistics 2006. Australian Standard Geographical Classification (ASGC). Cat No. 1216.0. Canberra: ABS. Viewed on 14/11/2008 Relational attributes Related metadata references: Supersedes Australian Standard Geographical Classification 2007 Health, Superseded 04/02/2009, Community services, Superseded 09/04/2009 Value Domains based on this Classification Scheme: Geographical location code (ASGC 2008) NNNNN Health, Standard 04/02/2009 Community services, Standard 09/04/2009 New Data item Revised data item 92 International Union against Cancer (UICC) TNM Classification of Malignant Tumours 6th edition Identifying and definitional attributes Metadata item type: Classification Scheme METeOR identifier: 341286 Registration status: Health, Standard 06/03/2009 Definition: The International Union Against Cancer classification for malignant tumours. Source and reference attributes Reference documents: Sobin LH, Wittekind C. TNM Classification of Malignant Tumours. 6th ed. Hoboken, New Jersey: John Wiley & Sons; 2002 Relational attributes Related metadata references: Supersedes International Union against Cancer TNM Classification of Malignant Tumours 5th edition Health, Superseded 06/03/2009 Value Domains based on this Classification Scheme: M stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX Health, Standard 06/03/2009 N stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX Health, Standard 06/03/2009 T stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XX[X] Health, Standard 06/03/2009 TNM stage (UICC TNM Classification of Malignant Tumours, 6th ed) code XXXX{[X]XX} Health, Standard 06/03/2009 New Data item Revised data item 93
