Hospital In-Patient Enquiry (HIPE)

Transcription

1 In-Patient Enquiry (HIPE) Data Dictionary 2014 Version 6.0

2 Reproduction of material This work is copyright. It may be reproduced in part for study and training purposes within the In-Patient Enquiry (HIPE) scheme in Ireland subject to the inclusion of an acknowledgement of the source and no commercial usage or resale. Reproduction for other purposes than those stated above requires the written permission of the Healthcare Pricing Office. i

3 Contents Introduction... xi s... 1 Admission Date... 2 Admission Weight... 3 Admitting Consultant... 4 Admitting Ward... 5 Age... 6 Age in Weeks... 7 Area of Residence... 8 Australian Refined - Diagnosis Related Group... 9 Batch Coded Civil Status Consultant Specialty Date First Coded Date of Birth Date of Discharge Date of Principal Procedure Date of procedure sequenced 2nd Date of procedure sequenced 3rd Date of procedure sequenced 4th Date of procedure sequenced 5th Date of procedure sequenced 6th Date of procedure sequenced 7th Date of procedure sequenced 8th Date of procedure sequenced 9th Date of procedure sequenced 10th Date of procedure sequenced 11th Date of procedure sequenced 12th Date of procedure sequenced 13th Date of procedure sequenced 14th Date of procedure sequenced 15th Date of procedure sequenced 16th Date of procedure sequenced 17th ii

4 Date of procedure sequenced 18th Date of procedure sequenced 19th Date of procedure sequenced 20th Date of Transfer to Pre-Discharge Unit/Rehab Day Case Indicator Day Ward Identifier Day Ward Indicator Discharge Code Discharge Consultant Discharge Specialty Discharge Status Discharge Ward Episode Number Health Insurer Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis iii

5 Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Acquired Diagnosis Number Intensive Care Consultant Intensive Care Consultant Intensive Care Consultant Intensive Care Consultant Intensive Care Consultant Intensive Care Consultant Intensive Care Consultant Intensive Care Consultant Intensive Care Consultant Intensive Care Consultant Last Changed Date/Time Major Diagnostic Category (MDC) Medical Card Medical Card Number Medical Record Number Mode of Emergency Admission NHO Flag Non Acute Length of Stay: Temporary Leave Days Number of Days in Intensive Care Environment Oncology Day Ward Flag Parity: Live births Parity: Still births Patient's name Primary Consultant iv

6 Principal Diagnosis Principal Diagnosis Consultant Principal Procedure Principal Procedure Anaesthetist Principal Procedure Consultant Private Bed Public Bed Semi Private Bed Sex of Admission Time of Admission Time of Discharge Transfer : From Transfer : To Type of Admission Type of Elective Admission Waiting List Indicator st Additional Diagnosis st Additional Diagnosis Consultant st Additional Procedure st Additional Procedure Anaesthetist st Additional Procedure Consultant nd Additional Diagnosis nd Additional Diagnosis Consultant nd Additional Procedure nd Additional Procedure Anaesthetist nd Additional Procedure Consultant rd Additional Diagnosis rd Additional Diagnosis Consultant rd Additional Procedure rd Additional Procedure Anaesthetist rd Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant v

7 4th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis vi

8 11th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant vii

9 18th Additional Diagnosis th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Procedure th Additional Procedure Anaesthetist th Additional Procedure Consultant th Additional Diagnosis th Additional Diagnosis Consultant st Additional Diagnosis st Additional Diagnosis Consultant nd Additional Diagnosis nd Additional Diagnosis Consultant rd Additional Diagnosis rd Additional Diagnosis Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Diagnosis th Additional Diagnosis Consultant th Additional Diagnosis th Additional Diagnosis Consultant Appendix I - CODE SETS ADMSOURCE - of Admission ADMTPE - Type of Admission DACASE viii

10 DISC_CODE Discharge Code DIS_STATUS Discharge Status ElectiveType Type of Elective Admission EMADM Mode of Emergency Admission Enc_Type - Additional Encounter Type Health Insurer Code List Code List (continued) MARR Civil Status MCARD Medical Card RESID Area of Residence (HSE Region only applies to Republic of Ireland) RepeatStatus Oncology Day Ward Flag SEX SPECIALT (Department of Health Database list of consultant specialties) WARDIND Registered Day Ward Indicator WLIST Waiting List Indicator Appendix II ASCII File Names Appendix III - Classifications Appendix IV- Abbreviations Appendix V HIPE Documents Appendix VI - Organisations ix

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12 Introduction The In-Patient Enquiry (HIPE) scheme is a health information system designed to collect clinical and administrative data on discharges from, and deaths in, acute hospitals in Ireland. 1 It is the principal source of national data on discharges from acute hospitals. The Healthcare Pricing Office (HPO) oversees the administration and management of this scheme, including the development and support of the data collection and reporting software, training of coders and data quality audit, reporting, and responding to requests for data. 2 The figure below summarises the HIPE data collection and reporting process. Further information on the development of the HIPE scheme can be found in our annual report series. 3 Patient Discharged Discharge summary by physician compiled Case to HIPE Admin data downloaded from PAS Coder reviews chart and extracts clinical data Coder enters data on HIPE Data Quality Data Checks Data Audit Coder Education Monthly Export to HPO National File created Central Data Quality Activities Data dissemination to HSE and DoH Uses of HIPE Data Funding and Planning Annual Report Research PQs Data Requests Figure: The HIPE Data Collection and Reporting Process The In-Patient Enquiry (HIPE) scheme was established in 1971 by the Health Research Board (HRB). Between 1990 and 2013 the Economic and Social Research Institute (ESRI) oversaw the administration and management of this scheme on behalf of the Health Service Executive (HSE) and the Department of Health (DoH). From January 1, 2014 the National Casemix Programme and the Health Research and Information Division at the ESRI became the Healthcare Pricing Office (HPO). This Office has responsibility for the HIPE scheme. While the HPO will initially be established on an administrative basis, in the HSE, it is planned that this Office will ultimately be established on a statutory basis. This development is in line with the proposals in the Money Follows the Patient policy paper published by the Department of Health in February The HPO also has responsibility for the National Perinatal Reporting System (NPRS). Between 1999 and 2013 the ESRI oversaw the administration and management of this system on behalf of the HSE and the DoH. HIPE Annual Reports can be found on xi

13 Objectives of HIPE Data Dictionary Version 6.0 HIPE collects information on in-patient and day patient activity from participating hospitals. A HIPE discharge record is created when a patient is discharged from (or dies in) hospital. This record contains administrative, demographic and clinical information for a discrete episode of care. An episode of care begins at admission to hospital, as a day or in-patient, and ends at discharge from (or death in) that hospital. This dictionary provides definitions and codes for data collected within HIPE as of It provides standard definitions for variables with the objective of ensuring that consistency and data quality are maintained. It is also hoped that the dictionary will be of use to researchers, clinicians and hospital management in understanding and analysing HIPE data. Using the Data Dictionary The HIPE Data Dictionary contains publicly available information. Internal variables relating to data quality and the HIPE database structure are not included. Other exclusions from the HIPE Data Dictionary Version 6.0 are data and non-hipe cases collected from 01/01/2014 through the HIPE system but not included in the national file. 4 All variables are listed alphabetically and an alphabetic index is included in the table of contents. The code sets used for variables are listed in Appendix I and can be accessed via hyperlinks. Appendix II provides the ASCII file name for all variables. For information on the classifications for diagnoses and procedures and the Casemix classification and grouping software see Appendix III. A glossary of abbreviations is provided in Appendix IV and hyperlinks to source documents and organisations are provided in Appendices V and VI respectively. 4 From the 01/01/2011 all cases categorised as in-patients or day cases are to be downloaded from the hospital PAS to HIPE, including those cases not normally coded on HIPE. It is expected that the additional cases in the download will be for non-acute (not normally coded) activity on the hospital campus such as rehabilitation or psychiatry. The Healthcare Pricing Office identifies for individual hospitals, a list of wards which should be downloaded as part of this change. These additional downloaded records are not included on the national file. For patients discharged on or after 01/01/2011, the HIPE record will also collect information on internal ward transfers of the patient during the episode of stay. This information is typically stored in a ward transfer file or ward transfer database as part of the PAS/HIS system. This information will be downloaded to the HIPE portal and can be viewed by the coder but cannot be amended. The information will be exported by the hospital monthly to the Healthcare Pricing Office as part of the normal export process. xii

14 Updates This document will be updated as variables are added or amended. Summary of Changes between version 1.0 and 2.0 of Data Dictionary Addition of variable: Oncology Day Ward Flag to store the value of oncology day ward repeat status. Addition of code set: RepeatStatus; values for Oncology Day Ward Flag. Addition of Blackrock Hospice to hospital codes code set. Summary of Changes between version 2.0 and 3.0 of Data Dictionary The migration from Windows HIPE (a windows based data entry and reporting system) to the HIPE Portal (a web based portal based on SQL server) has resulted in changes to variable names. Changes to Diagnoses: Rename variables from diag-cxdia DIAG1 DIAG30 Diagnosis Consultants: Rename variables from DCON - CxCON DIAGCONS1 DIAGCONS30 Procedures: Rename procedure variables from PROC PkPRO PROC1-PROC20 Procedure Consultants: Rename procedure consultant variables from PCON PkCON PROCON1-PROCON20 Procedure dates: Rename procedure date variables from P1Date or Theatre PROCDATE1- PROCDATE20 Procedure Anaesthetist: Rename procedure date variables from P1ANA-PkANA ANACONS1-ANACONS20 Additional s in 2011 Acquired Diagnosis Health Insurer Parity Live births Parity Still births Procedure dates Days in Semi Private Bed Changes to Number of Days in Intensive Care Environment Additional Codes to Code sets Additional Specialty Code 2605 Breast Surgery code for removal of temporary transfer code for CUMH xiii

15 Summary of Changes between version 3.0 and 4.0 of Data Dictionary Additional s Time of Admission Time of Discharge Changes Marital Status changed to Marital/Civil Status, addition of Civil Partner, Former Civil Partner and Surviving Civil Partner Health Insurer of the Patient - removal of Saturday Fund Code removal of 412, HIPE activity data from University College Galway and Merlin Park Regional are now reported as 404, Galway University s. Transfer Codes addition of 0948, 0949 Errata to Version 3.0 Addition of DIAGCONS1 variable Correction of details of PRIMARCONS variable Correction of data entry guideline at MEDICAL variable Abbreviations Department of Health & Children (DoHC) changed to Department of Health (DoH) Summary of Changes between version 4.0 and 5.0 of Data Dictionary Additional s Type of Elective Admission Discharge Specialty Changes to Categories Health Insurer of the Patient Renamed Quinn Healthcare to Laya Mode of Emergency Admission 2 changed to AMAU admitted as inpatient 5 changed to AMAU only and updated explanation to state: This code is assigned if the patient is admitted as an emergency to the AMAU and discharged from there. Changes Health Insurer of the Patient - New Category Glohealth Changes in terminology Mode of Emergency Admission was updated to include the term Acute Medical Assessment Unit (AMAU). xiv

16 Summary of Changes between version 5.0 and 6.0 of Data Dictionary Some changes to this data dictionary reflect the transfer of HIPE from the ESRI to the HPO. Additional s Batch Coded Date First Coded Last Changed Date/Time Update variable information to reflect establishment of HPO Admitting Consultant Discharge Consultant Number Changes to label Marital/Civil Status updated to Civil Status Changes Area of Residence - added Croatia and Switzerland, updated The Netherlands (Holland) Changes to Mode of Emergency Admission data entry guideline was updated Additional Appendix ASCI I File Names Removal of variables from data dictionary as these are not available on national file Additional consultant involvement - encounter consultant Additional consultant involvement - encounter position Additional consultant involvement - encounter type xv

17 Page Layout While each page does not necessarily include all fields, each page in the data dictionary has a consistent format as follows: Name of variable 5 since 6 Field Size Provides a description of the variable. What is the source of the definition of this information - e.g. HPO Information may come from, PAS, assigned by HPO or it may be derived from other variables. Month and year when collection of variable commenced. Is this variable collected from or is it derived from the HIPE Portal data entry software? Details the information options available for each variable. Provides further guidance on how a variable is assigned to case. name in Portal Integer or Alphanumeric Number of characters in the variable If no, this variable is only populated in the hospital version of HIPE and is not available on the national file. Who reports this variable? This will generally be the. For what cases/discharges is this information reported? The HIPE Instruction Manual forms part of the training material provided by the HPO. It provides details of administrative and demographic variables collected and is updated to reflect any changes or updates in data collection, this order is numerically based. The s are used in conjunction with the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Australian Classification of Health Interventions (ACHI) and Australian Coding Standards (ACS) and apply to all activity coded in HIPE in Ireland. 5 6 As the ESRI oversaw the administration and management of the HIPE scheme on behalf of the HSE and the DoH for the period between 1990 and 2013,, may be recorded as the definition source for a number of variables. Between 1990 and 2013 the ESRI managed the HIPE scheme; variables in operation prior to this data will be marked as pre xvi

18 PRODUCED B AND CONTACT DETAILS Healthcare Pricing Office (HPO) ESRI Building Whitaker Square Sir John Rogerson's Quay Dublin 2 Ireland Telephone Fax info@hpo.ie xvii

19 s 1

20 Admission Date Admission Date The date on which a patient was admitted as an in-patient or day case to the hospital for care. source since PAS pre-1990 DD/MM/ must be less than or equal to DISDATE. ADMDATE Date Field Size 8 All cases reported to HIPE. 3 2

21 Admission Weight Admission Weight Admission weight of patient in grams (Infant). source PAS since 2004 Limits: 400 to Can only enter less than 400 with an explanation is entered where admission weight is unknown. ADMWEIGHT Integer Field Size 4 All cases where age was less than 28 days (0-27 days), or age was less than 1 year and weight less than 2,500 grams. 9 HIPE Guidelines for Administrative Data VI 3

22 Admitting Consultant Admitting Consultant source The consultant who admits the patient. If there is no clear information on the chart on the identity of the admitting consultant, the code for the primary consultant is used. Each consultant has a unique number/code assigned by the HPO, which may not be used for any other consultant. The unique number assigned by the HPO is encrypted to a unique alphanumeric code when HIPE data are exported from the hospitals. The encrypted values are stored on the HIPE National File and it is not possible to ascertain the identity of individual consultants from any of the consultant fields in the National File. ESRI HIPE unit PAS since 1994 Where the entire case is handled by one consultant his/her code number need be entered only opposite the principal diagnosis. If more than one consultant is involved in a case the relevant consultant number will be placed opposite the relevant diagnosis/procedures. ADMCONS Integer Field Size 4 - encrypted All cases reported to HIPE. 22b 4

23 Admitting Ward Admitting Ward The ward to which the patient is formally admitted, based on the midnight census on the day of admission. source since PAS optional; 2007 mandatory. ADMWARD Alphanumeric Field Size 6 All cases reported to HIPE. 24 HIPE Guidelines for Administrative Data II 5

24 Age The patient's age in years at admission. Calculated at hospital level. Age source since ADMDATE - DOB pre-1990 Derived AGE Integer Field Size 3 n/a All cases reported to HIPE. 6

25 Age in Weeks Age in Weeks Age in weeks where patient's age is less than 1 year. Calculated at hospital level. source ADMDATE - DOB where AGE < 1. since 2010 Derived AgeInWeeks Integer Field Size 2 n/a All cases where age was less than 1 year. 7

26 Area of Residence Area of Residence The place the patient would normally reside. Foreign nationals resident in Ireland should have a code assigned for their Irish place of residence. Foreign visitors on short stay should be coded to their country of residence. source since pre-1990 RESID RESID Integer Field Size 4 All cases reported to HIPE. 14 8

27 Australian Refined - Diagnosis Related Group Australian Refined - Diagnosis Related Group The DRG scheme enables the disaggregation of patients into homogeneous groups, which are expected to undergo similar treatment processes and incur similar levels of resource use. The data required for DRG assignment include principal and additional diagnoses, procedures performed, age, sex, and discharge status. source Grouper Version 6.0 Grouping Programme since 2005 using Grouper Version 5.1; 2009 onwards Version 6.0. Derived DRG Alphanumeric Field Size 5 All cases reported to HIPE. 9

28 Batch Coded Batch Coded Indicates that a case is batch coded by the hospital. A batch coded case is flagged on the national file with the value 1. source HIPE Portal Batch Coder since 2013 Derived (system generated) BATCH_CODE_BATCH Integer Field Size 1 All cases reported to HIPE. 10

29 Civil Status Current civil status of the patient. Civil Status source PAS since Pre-1990; updated in 2001 and updated 2012 following Civil Partnership and Certain Rights and Obligations of Cohabitants Act label updated in 2014 from Marital/Civil Status to Civil Status. MARR MARRSTATUS Integer Field Size 1 All cases reported to HIPE

30 Consultant Specialty Consultant Specialty A specialty code is assigned to the record on the basis of the specialty assignment of the consultant associated with the principal diagnosis. The specialty of the consultant is the specialty in which s/he is formally recognised and contracted to work. A consultant may be formally recognised and contracted to work in more than one specialty; in these cases one specialty is recognised as the main one. source DoH PAS since 1994 SPECIALT Specialty is assigned locally at the hospital from the DoH list. SPECIALT Integer Field Size 4 All cases reported to HIPE

31 Date First Coded Date First Coded This is the date and time an episode was first coded, that is when a principal diagnosis is added and saved to the episode. source HIPE Portal Data Entry Module since April Derived (system generated) firstcodeddate Datetime Field Size 12 All cases reported to HIPE. 13

32 Date of Birth Date of Birth Patient's Date of Birth. At national level only month and year of birth are available with day of birth set to 15. source since PAS pre-1990 At least year of birth is required. If Day/Month are unknown, enter as 00/00/. Day, month will be derived to 01, and the variable UNSURE is populated. DOB Date Field Size 8 (month and year only) All cases reported to HIPE. 8 14

33 Date of Discharge Date of Discharge The date on which the patient is discharged from hospital following an episode of care. If the patient dies during the episode of care, the date of death is the date of discharge. source since PAS pre-1990 DD/MM/ must be greater than or equal to ADMDATE. DISDATE Date Field Size 8 All cases reported to HIPE. 6 15

34 Date of Principal Procedure Date of Principal Procedure Date the Principal Procedure was performed. source since Name change migration to Portal. Previously called THEATRE. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. Mandatory where PROC1 is completed. PROCDATE1 Date Field Size 8 All cases where a principal procedure (PROC1)was performed. 23 ICS 002x 16

35 Date of procedure sequenced 2nd Date of procedure sequenced 2nd. Date of procedure sequenced 2nd source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE2 Date Field Size 8 All cases where 1st additional procedure (PROC2) was performed. 23 ICS002x 17

36 Date of procedure sequenced 3rd Date of procedure sequenced 3rd. Date of procedure sequenced 3rd source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE3 Date Field Size 8 All cases where a 2nd additional procedure (PROC3)was performed. 23 ICS002x 18

37 Date of procedure sequenced 4th Date of procedure sequenced 4th. Date of procedure sequenced 4th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE4 Date Field Size 8 All cases where a 3rd additional procedure (PROC4) was performed. 23 ICS002x 19

38 Date of procedure sequenced 5th Date of procedure sequenced 5th. Date of procedure sequenced 5th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE5 Date Field Size 8 All cases where a 4th additional procedure (PROC5) was performed. 23 ICS002x 20

39 Date of procedure sequenced 6th Date of procedure sequenced 6th. Date of procedure sequenced 6th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE6 Date Field Size 8 All cases where a 5th additional procedure (PROC6) was performed. 23 ICS002x 21

40 Date of procedure sequenced 7th Date of procedure sequenced 7th. Date of procedure sequenced 7th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE7 Date Field Size 8 All cases where a 6th additional procedure (PROC7) was performed. 23 ICS002x 22

41 Date of procedure sequenced 8th Date of procedure sequenced 8th. Date of procedure sequenced 8th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE8 Date Field Size 8 All cases where a 7th additional procedure (PROC8) was performed. 23 ICS002x 23

42 Date of procedure sequenced 9th Date of procedure sequenced 9th. Date of procedure sequenced 9th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISCHARGE date. PROCDATE9 Date Field Size 8 All cases where an 8th additional procedure (PROC9)was performed. 23 ICS002x 24

43 Date of procedure sequenced 10th Date of procedure sequenced 10th. Date of procedure sequenced 10th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE10 Date Field Size 8 All cases where a 9th additional procedure (PROC10) was performed. 23 ICS002x 25

44 Date of procedure sequenced 11th Date of procedure sequenced 11th. Date of procedure sequenced 11th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE11 Date Field Size 8 All cases where a 10th additional procedure (PROC11) was performed. 23 ICS002x 26

45 Date of procedure sequenced 12th Date of procedure sequenced 12th. Date of procedure sequenced 12th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE12 Date Field Size 8 All cases where an 11th additional procedure (PROC12)was performed. 23 ICS002x 27

46 Date of procedure sequenced 13th Date of procedure sequenced 13th. Date of procedure sequenced 13th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE13 Date Field Size 8 All cases where a 12th additional procedure (PROC13)was performed. 23 ICS002x 28

47 Date of procedure sequenced 14th Date of procedure sequenced 14th. Date of procedure sequenced 14th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE14 Date Field Size 8 All cases where a 13th additional procedure (PROC14)was performed. 23 ICS002x 29

48 Date of procedure sequenced 15th Date of procedure sequenced 15th. Date of procedure sequenced 15th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE15 Date Field Size 8 All cases where a 14th additional procedure (PROC15)was performed. 23 ICS002x 30

49 Date of procedure sequenced 16th Date of procedure sequenced 16th. Date of procedure sequenced 16th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE16 Date Field Size 8 All cases where a 15th additional procedure (PROC16)was performed. 23 ICS002x 31

50 Date of procedure sequenced 17th Date of procedure sequenced 17th. Date of procedure sequenced 17th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE17 Date Field Size 8 All cases where a 16th additional procedure (PROC17)was performed. 23 ICS002x 32

51 Date of procedure sequenced 18th Date of procedure sequenced 18th. Date of procedure sequenced 18th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE18 Date Field Size 8 All cases where a 17th additional procedure (PROC18)was performed. 23 ICS002x 33

52 Date of procedure sequenced 19th Date of procedure sequenced 19th. Date of procedure sequenced 19th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE19 Date Field Size 8 All cases where an 18th additional procedure (PROC19) was performed. 23 ICS002x 34

53 Date of procedure sequenced 20th Date of procedure sequenced 20th. Date of procedure sequenced 20th source since migration to Portal. DD/MM/ must be greater than or equal to ADMDATE and less than or equal to DISDATE. PROCDATE20 Date Field Size 8 All cases where a 19th additional procedure (PROC20)was performed. 23 ICS002x 35

54 Date of Transfer to Pre-Discharge Unit/Rehab Date of Transfer to Pre-Discharge Unit/Rehab Date when a patient is transferred to a registered Pre- Discharge Unit/Rehab within the hospital prior to discharge. source since 2004 DD/MM/ - must be greater than or equal to ADMDATE & less than DISDATE. s must register the pre- Discharge Unit/Rehab with the Healthcare Pricing Office. PDUTRANSDATE Date Field Size 8 Optional 36

55 Day Case Indicator Day Case. Day Case Indicator source DoH PAS since 2000 DACASE A day case is a patient who is admitted to hospital on an elective basis for care and/or treatment which does not require use of a hospital bed overnight and who is discharged as scheduled. If Daycase is indicated, Day Ward Indicator/Identifier must be completed. ISDACASE Integer Field Size 1 All cases reported to HIPE

56 Day Ward Identifier Day Ward Identifier Name of pre-registered Day Ward - to identify the day place where the patient was treated. source PAS since 2005 Dedicated Day Wards must be registered with the Healthcare Pricing Office. DAWARD Alphanumeric Field Size 6 All cases where WARDIND =

57 Day Ward Indicator Day Ward Indicator Indicates if a day case patient was admitted to a dedicated Day Ward. source PAS since 2004 WARDIND Dedicated Day Wards must be registered with the Healthcare Pricing Office. WARDIND = 0 if patient is marked as a day case but the episode was not admitted to a dedicated Day Ward, WARDIND = 1 if patient is marked as a day case and the episode was admitted to a dedicated Day Ward, WARDIND = 2 If the patient is marked as a day case and the setting of the episode is unknown. WASINDAWARD Integer Field Size 1 All cases where DACASE = HIPE Guideline V 39

58 Discharge Code Identifies the discharge destination. Discharge Code source PAS since 2002 DISC_CODE DISCHARGECODE Integer Field Size 2 All cases reported to HIPE. 7 40

59 Discharge Consultant Discharge Consultant The consultant who discharges the patient at the end of the episode. Each consultant has a unique number/code assigned by the HPO, which may not be used for any other consultant. The unique number assigned by the HPO is encrypted to a unique Alphanumeric code when HIPE data are exported from the hospitals. The encrypted values are stored on the HIPE National File and it is not possible to ascertain the identity of individual consultants from any of the consultant fields in the National File. source since PAS optional; mandatory. Where the entire case is handled by one consultant his/her code number need be entered only opposite the principal diagnosis. If more than one consultant is involved in a case the relevant consultant number will be placed opposite the relevant diagnosis/procedures DISCONS Integer Field Size 4 - encrypted All cases reported to HIPE. 22c 41

60 Discharge Specialty Discharge Specialty The specialty of the discharge consultant identified by a four digit code source DoH PAS since 2013 Specialty Specialty is assigned locally at the hospital from the DoH list. DisConsSpec Integer Field Size 4 All cases reported to HIPE. 22(d) 42

61 Discharge Status Discharge Status Public/Private status of patient on discharge. source PAS since 1999 DIS_STATUS Refers to the public/private status of patient, it does not relate to the type of bed occupied nor is it an indicator of possession of private health insurance. DISSTATUS Integer Field Size 1 All cases reported to HIPE

62 Discharge Ward The ward occupied prior to discharge. Discharge Ward source since PAS optional; 2007 mandatory. DISWARD Alphanumeric Field Size 6 All cases reported to HIPE. 24 HIPE Guideline II 44

63 Episode Number Episode Number PAS or HIS episode identifier. varies by hospital and may not be completed by all hospitals. source since PAS 2000 locally, 2010 national level. EPISODENUMBER Alphanumeric Field Size 8 All cases downloaded from a PAS or HIS system. 45

64 Health Insurer Health Insurer Name of Health Insurer. At national level categories available are Named Health Insurer/Not Stated/Other/No Insurance source Casemix Technical Group PAS since migration to Portal, updated HealthInsurer HealthInsurer Integer Field Size 2 (Named health insurer/not Stated/Other/No Insurance) All cases where DIS_STATUS = 2 (private)

65 Acquired Diagnosis 2 Acquired Diagnosis 2 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 1 st additional diagnosis (DIAG2). source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX2 Integer Field Size 1 Optional for all additional diagnoses. ICS

66 Acquired Diagnosis 3 Acquired Diagnosis 3 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 2nd additional diagnosis (DIAG3). source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX3 Integer Field Size 1 Optional for all additional diagnoses. ICS

67 Acquired Diagnosis 4 Acquired Diagnosis 4 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 3rd additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX4 Integer Field Size 1 Optional for all additional diagnoses. ICS

68 Acquired Diagnosis 5 Acquired Diagnosis 5 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 4th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX5 Integer Field Size 1 Optional for all additional diagnoses. ICS

69 Acquired Diagnosis 6 Acquired Diagnosis 6 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 5th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX6 Integer Field Size 1 Optional for all additional diagnoses. ICS

70 Acquired Diagnosis 7 Acquired Diagnosis 7 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 6th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX7 Integer Field Size 1 Optional for all additional diagnoses. ICS

71 Acquired Diagnosis 8 Acquired Diagnosis 8 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 7th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX8 Integer Field Size 1 Optional for all additional diagnoses. ICS

72 Acquired Diagnosis 9 Acquired Diagnosis 9 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 8th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX9 Integer Field Size 1 Optional for all additional diagnoses. ICS

73 Acquired Diagnosis 10 Acquired Diagnosis 10 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 9th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX10 Integer Field Size 1 Optional for all additional diagnoses. ICS

74 Acquired Diagnosis 11 Acquired Diagnosis 11 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 10th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX11 Integer Field Size 1 Optional for all additional diagnoses. ICS

75 Acquired Diagnosis 12 Acquired Diagnosis 12 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 11th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX12 Integer Field Size 1 Optional for all additional diagnoses. ICS

76 Acquired Diagnosis 13 Acquired Diagnosis 13 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 12th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX13 Integer Field Size 1 Optional for all additional diagnoses. ICS

77 Acquired Diagnosis 14 Acquired Diagnosis 14 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 13th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX14 Integer Field Size 1 Optional for all additional diagnoses. ICS

78 Acquired Diagnosis 15 Acquired Diagnosis 15 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 14th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX15 Integer Field Size 1 Optional for all additional diagnoses. ICS

79 Acquired Diagnosis 16 Acquired Diagnosis 16 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 15th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX16 Integer Field Size 1 Optional for all additional diagnoses. ICS

80 Acquired Diagnosis 17 Acquired Diagnosis 17 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 16th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX17 Integer Field Size 1 Optional for all additional diagnoses. ICS

81 Acquired Diagnosis 18 Acquired Diagnosis 18 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 17th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX18 Integer Field Size 1 Optional for all additional diagnoses. ICS

82 Acquired Diagnosis 19 Acquired Diagnosis 19 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 18th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX19 Integer Field Size 1 Optional for all additional diagnoses. ICS

83 Acquired Diagnosis 20 Acquired Diagnosis 20 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 19th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX20 Integer Field Size 1 Optional for all additional diagnoses. ICS

84 Acquired Diagnosis 21 Acquired Diagnosis 21 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 20th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX21 Integer Field Size 1 Optional for all additional diagnoses. ICS

85 Acquired Diagnosis 22 Acquired Diagnosis 22 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 21st additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX22 Integer Field Size 1 Optional for all additional diagnoses. ICS

86 Acquired Diagnosis 23 Acquired Diagnosis 23 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 22nd additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX23 Integer Field Size 1 Optional for all additional diagnoses. ICS

87 Acquired Diagnosis 24 Acquired Diagnosis 24 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 23rd additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX24 Integer Field Size 1 Optional for all additional diagnoses. ICS

88 Acquired Diagnosis 25 Acquired Diagnosis 25 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 24th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX25 Integer Field Size 1 Optional for all additional diagnoses. ICS

89 Acquired Diagnosis 26 Acquired Diagnosis 26 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 25th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX26 Integer Field Size 1 Optional for all additional diagnoses. ICS

90 Acquired Diagnosis 27 Acquired Diagnosis 27 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 26th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX27 Integer Field Size 1 Optional for all additional diagnoses. ICS

91 Acquired Diagnosis 28 Acquired Diagnosis 28 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 27th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX28 Integer Field Size 1 Optional for all additional diagnoses. ICS

92 Acquired Diagnosis 29 Acquired Diagnosis 29 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 28th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX29 Integer Field Size 1 Optional for all additional diagnoses. ICS

93 Acquired Diagnosis 30 Acquired Diagnosis 30 Flag: diagnosis acquired during the patient's episode of care that was not present on admission, 29th additional diagnosis. source since migration to Portal. 1 = Acquired Diagnosis, otherwise null HADX30 Integer Field Size 1 Optional for all additional diagnoses. ICS

94 Number Number Unique numeric identifier assigned to each hospital by HIPE for operational purposes. source since Assigned by the HPO. pre-1990 Code List The 3-digit number is allocated to the hospital by the HPO for HIPE purposes and is automatically assigned by the HIPE software. This code number differs from the DoH hospital codes which are used for transfers to and from hospitals. HOSPITAL Alphanumeric Field Size 3 All cases reported to HIPE. 1 76

95 Intensive Care Consultant 1 Intensive Care Consultant 1 Intensive Care Consultant/Consultant Intensivist. Consultants involved in a case but who do not record a diagnosis or procedure may be captured here. ICU Consultant 1. source since 01 JAN 2012; previously all 10 ICU consultants collected together in ICUCON. ICUCONS1 Alphanumeric Field Size 4 - encrypted Optional for all cases where Number of Days in Intensive Care Environment (ITUDAS) greater than or equal to 0. 22f 77

96 Intensive Care Consultant 2 Intensive Care Consultant 2 Intensive Care Consultant/Consultant Intensivist. Consultants involved in a case but who do not record a diagnosis or procedure may be captured here. ICU Consultant 2. source since 01 JAN 2012; previously all 10 ICU consultants collected together in ICUCON. ICUCONS2 Alphanumeric Field Size 4 - encrypted Optional for all cases where Number of Days in Intensive Care Environment (ITUDAS) greater than or equal to 0. 22f 78

97 Intensive Care Consultant 3 Intensive Care Consultant 3 Intensive Care Consultant/Consultant Intensivist. Consultants involved in a case but who do not record a diagnosis or procedure may be captured here. ICU Consultant 3. source since 01 JAN 2012; previously all 10 ICU consultants collected together in ICUCON. ICUCONS3 Alphanumeric Field Size 4 - encrypted Optional for all cases where Number of Days in Intensive Care Environment (ITUDAS) greater than or equal to 0. 22f 79

98 Intensive Care Consultant 4 Intensive Care Consultant 4 Intensive Care Consultant/Consultant Intensivist. Consultants involved in a case but who do not record a diagnosis or procedure may be captured here. ICU Consultant 4. source since 01 JAN 2012; previously all 10 ICU consultants collected together in ICUCON. ICUCONS4 Alphanumeric Field Size 4 - encrypted Optional for all cases where Number of Days in Intensive Care Environment (ITUDAS) greater than or equal to 0. 22f 80

99 Intensive Care Consultant 5 Intensive Care Consultant 5 Intensive Care Consultant/Consultant Intensivist. Consultants involved in a case but who do not record a diagnosis or procedure may be captured here. ICU Consultant 5. source since 01 JAN 2012; previously all 10 ICU consultants collected together in ICUCON. ICUCONS5 Alphanumeric Field Size 4 - encrypted Optional for all cases where Number of Days in Intensive Care Environment (ITUDAS) greater than or equal to 0. 22f 81

100 Intensive Care Consultant 6 Intensive Care Consultant 6 Intensive Care Consultant/Consultant Intensivist. Consultants involved in a case but who do not record a diagnosis or procedure may be captured here. ICU Consultant 6. source since 01 JAN 2012; previously all 10 ICU consultants collected together in ICUCON. ICUCONS6 Alphanumeric Field Size 4 - encrypted Optional for all cases where Number of Days in Intensive Care Environment (ITUDAS) greater than or equal to 0. 22f 82

101 Intensive Care Consultant 7 Intensive Care Consultant 7 Intensive Care Consultant/Consultant Intensivist. Consultants involved in a case but who do not record a diagnosis or procedure may be captured here. ICU Consultant 7. source since 01 JAN 2012; previously all 10 ICU consultants collected together in ICUCON. ICUCONS7 Alphanumeric Field Size 4 - encrypted Optional for all cases where Number of Days in Intensive Care Environment (ITUDAS) greater than or equal to 0. 22f 83