5. Data model and specifications

5.1. Data model

There are three contexts where data can be submitted using the version 4 specification:

1. Intake teams
2. Treatment organisations
3. Combined Intake/Treatment organisations

Different records in the specification are intended to be used in each of these contexts.

Within the PMHC-MDS system a single intake team and individual service providers/treatment organisations will each have their own organisation path and report data against those organisations.

Below is the combined Intake/Treatment data model. If an Intake only or Treatment only organisation is submitting data, a sub set of this data model may be submitted. Please refer to Contexts for data models of the different contexts that may be submitted.

Fig. 5.1 PMHC MDS Version 4.0 combined data model

Note

• The above data model diagram is in the SVG format and can be enlarged or zoomed by opening in a new tab or window or by downloading it.

Fig. 5.2 PMHC MDS Version 4.0 Collection Occasion data model

Note

See PMHC MDS Version 4.0 combined data model for more details about how Collection Occasion records fit into the overall structure.

5.2. Key concepts

5.2.1. Primary Health Network

Primary Health Networks (PHNs) have been established by the Australian Government with the key objectives of increasing the efficiency and effectiveness of medical services for patients, particularly those at risk of poor health outcomes, and improving coordination of care to ensure patients receive the right care in the right place at the right time.

5.2.2. Provider Organisation

The Provider Organisation is the business entity that the PHN has commissioned to provide the service.

See Provider Organisation for the data elements for a provider organisation.

5.2.3. Practitioner

The Practitioner is the person who is delivering the service. Multiple practitioners can deliver a service.

See Practitioner for the data elements for a practitioner.

5.2.4. Client

The Client is the person who is receiving the service.

See Client for the data elements for a client.

5.2.4.1. Active Client

An active client is a client who has had one or more Service Contacts in a reference reporting period.

5.2.5. Intake

For the purpose of the PMHC MDS, an Intake is defined as a point of contact between a client and a PHN-commissioned organisation where the client is assessed to determine the appropriate level of care and referred to a service provider to provide clinical care. An Intake may include the collection of an IAR-DST measure.

The collection of Intake and IAR data may not be required for all programs. Please see Intake.

5.2.5.1. Concluded Intake

Concluded intakes are intakes where Organisation type referred to at Intake conclusion is not blank.

5.2.6. Intake Episode

The Intake Episode record links an Intake record and an Episode record. It must be provided by the organisation that delivers the episode, not the intake.

5.2.7. Episode

For the purposes of the PMHC MDS, an Episode of Care is defined as a more or less continuous period of contact between a client and a PHN-commissioned provider organisation/clinician that starts at the point of first contact, and concludes at discharge. Episodes comprise a series of one or more Service Contacts. This structure allows for a logical data collection protocol that specifies what data are collected when, and by whom. Different sets of PMHC MDS items are collected at various points in the client’s engagement with the provider organisation. Some items are only collected once at the episode level, while others are collected at each Service Contact.

Four business rules apply to how the Episode of Care concept is implemented across PHN-commissioned services:

• One Intake may be associated with each episode. An episode is not required to be associated with an Intake.

• One episode at a time for each client, defined at the level of the provider organisation.

  While an individual may have multiple Episodes of Care over the course of their illness, they may be considered as being in only one episode at any given point of time for any particular PHN-commissioned provider organisation. The implication is that the care provided by the organisation to an individual client at any point in time is subject to only one set of reporting requirements.

• Episodes commence at the point of first contact. The episode start date will be derived from the first service contact regardless of no show state as long as there is a service contact that isn’t a no show. Therefore, if there is no attended service contact the episode is uncommenced.

  Some examples:

  • If a service contact occurs on the 1/1/2018 that is recorded as a no show then the episode is uncommenced.
  • If a service contact occurs on the 1/1/2018 that is recorded as a no show and another service contact occurs on the 2/1/2018 that is attended then the episode start date is derived as 1/1/2018.

• Discharge from care concludes the episode

  Discharge may occur clinically or administratively in instances where contact has been lost with the client. A new episode is deemed to commence if the person re-presents to the organisation.

See Episode for the data elements for a episode.

5.2.7.1. Open Episode

Open episodes are those with Episode Completion Status recorded as open (Response item 0).

5.2.7.2. Closed Episode

Closed episodes are those with Episode Completion Status recorded using one of the ‘Episode closed’ responses (Response items 1-6).

5.2.7.3. Active Episode

An active episode is an episode with one or more Attended Service Contacts recorded in a reference reporting period.

5.2.8. Service Contact

• Service contacts are defined as the provision of a service by one or more PHN commissioned mental health service provider(s) for a client where the nature of the service would normally warrant a dated entry in the clinical record of the client.

• A service contact must involve at least two persons, one of whom must be a mental health service provider.

• Service contacts can be either with the client or with a third party, such as a carer or family member, and/or other professional or mental health worker, or other service provider.

• Service contacts are not restricted to face‑to‑face communication but can include telephone, internet, video link or other forms of direct communication.

• Service provision is only regarded as a service contact if it is relevant to the clinical condition of the client. This means that it does not include services of an administrative nature (e.g. telephone contact to schedule an appointment).

  Definition based on METeOR: 493304 with modification.

5.2.8.1. Attended Service Contact

An attended service contact is one that is not marked as ‘No show’.

See Service Contact for the data elements for a service contact.

5.2.9. Service Contact Practitioner

Service Contacts can have more than one practitioner. Practitioners are linked to Service Contacts through Service Contact Practitioner.

One (and only one) practitioner must be specified as the Primary Practitioner for each Service Contact.

See Service Contact Practitioner for the data elements for a service contact practitioner.

5.2.10. Collection Occasion

A Collection Occasion is defined as an occasion during an Episode of Care when specific Service Activities are required to be collected. At a minimum, collection is required at both Episode Start and Episode End, but may be more frequent if clinically indicated and agreed by the client.

Measures will be the Kessler Psychological Distress Scale K10+ (in the case of Aboriginal and Torres Strait Islander clients, the K5) as well as the Strengths & Difficulties Questionnaires.

See Collection Occasion for the data elements for a collection occasion.

5.3. Record formats

5.3.1. Metadata

The Metadata table must be included in file uploads in order to identify the type and version of the uploaded data.

Table 5.1 Metadata record layout

Data Element (Field Name)	Type (min,max)	Required	Format / Values
Key (key)	string	yes	A metadata key name.
Value (value)	string	yes	The metadata value.

For this version of the specification the required content is shown in the following table:

key	value
type	PMHC
version	4.0

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5.3.2. Provider Organisation

See Provider Organisation for the definition of a provider organisation.

Provider Organisation data is for administrative use within the PMHC MDS system. It is managed by the PHN’s via the PMHC MDS administrative interface, it cannot be uploaded.

Table 5.2 Provider Organisation record layout

Data Element (Field Name)	Type (min,max)	Required	Format / Values
Organisation Path (organisation_path)	string	yes	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing a service to the client.
Organisation Key (organisation_key)	string (2,50)	yes	A sequence of characters which uniquely identifies the provider organisation to the Primary Health Network. Assigned by the Primary Health Network.
Name (organisation_name)	string (2,100)	yes	The name of the provider organisation.
Legal Name (organisation_legal_name)	string	—	The legal name of the provider organisation.
ABN (organisation_abn)	string (11)	yes	The Australian Business Number of the provider organisation.
Organisation Type (organisation_type)	string	yes	1:Private Allied Health Professional Practice 2:Private Psychiatry Practice 3:General Medical Practice 4:Private Hospital 5:Headspace Centre 6:Early Youth Psychosis Centre 7:Community-managed Community Support Organisation 8:Aboriginal Health/Medical Service 9:State/Territory Health Service Organisation 10:Drug and/or Alcohol Service 11:Primary Health Network 12:Medicare Local 13:Division of General Practice 98:Other 99:Missing
State (organisation_state) METeOR: 613718	string	yes	1:New South Wales 2:Victoria 3:Queensland 4:South Australia 5:Western Australia 6:Tasmania 7:Northern Territory 8:Australian Capital Territory 9:Other Territories
Organisation Start Date (organisation_start_date)	date	yes	The date on which a provider organisation started delivering services.
Organisation End Date (organisation_end_date)	date	yes	The date on which a provider organisation stopped delivering services.
Organisation Tags (organisation_tags)	string	—	List of tags for the provider organisation.

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5.3.3. Practitioner

See Practitioner for the definition of a practitioner.

Practitioner data is intended to provide workforce planning data for use regionally by the PHN and nationally by the Department. It is managed by the provider organisations via either the PMHC MDS administrative interface or upload.

Table 5.3 Practitioner record layout

Data Element (Field Name)	Type (min,max)	Required	Format / Values
Organisation Path (organisation_path)	string	yes	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing a service to the client.
Practitioner Key (practitioner_key)	string (2,50)	yes	A unique identifier for a practitioner within the responsible provider organisation. Assigned by either the PHN or Provider Organisation depending on local procedures.
Practitioner Category (practitioner_category)	string	yes	1:Clinical Psychologist 2:General Psychologist 3:Social Worker 4:Occupational Therapist 5:Mental Health Nurse 6:Aboriginal and Torres Strait Islander Health/Mental Health Worker 7:Low Intensity Mental Health Worker 8:General Practitioner 9:Psychiatrist 10:Other Medical 11:Other 12:Psychosocial Support Worker 13:Peer Support Worker 99:Not stated
ATSI Cultural Training (atsi_cultural_training)	string	yes	1:Yes 2:No 3:Not required 9:Missing / Not recorded
Year of Birth (practitioner_year_of_birth)	gYear	yes	gYear
Practitioner Gender (practitioner_gender) ABS	string	yes	0:Not stated/Inadequately described 1:Male 2:Female 3:Other
Practitioner Aboriginal and Torres Strait Islander Status (practitioner_atsi_status) METeOR: 291036	string	yes	1:Aboriginal but not Torres Strait Islander origin 2:Torres Strait Islander but not Aboriginal origin 3:Both Aboriginal and Torres Strait Islander origin 4:Neither Aboriginal or Torres Strait Islander origin 9:Not stated/inadequately described
Active (practitioner_active)	string	yes	0:Inactive 1:Active
Practitioner Tags (practitioner_tags)	string	—	List of tags for the practitioner.

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5.3.4. Client

See Client for definition of a client.

Clients are managed by the provider organisations via either the PMHC MDS administrative interface or upload.

Table 5.4 Client record layout

Data Element (Field Name)	Type (min,max)	Required	Format / Values
Organisation Path (organisation_path)	string	yes	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing a service to the client.
Client Key (client_key)	string (2,50)	yes	This is a number or code assigned to each individual client referred to the commissioned organisation. The client identifier must be unique and stable for each individual within the Provider Organisation. Assigned by either the PHN or Provider Organisation depending on local procedures.
Statistical Linkage Key (slk) METeOR: 349510	string (14,40)	yes	A key that enables two or more records belonging to the same individual to be brought together.
Date of Birth (date_of_birth) METeOR: 287007	date	yes	The date on which an individual was born.
Estimated Date of Birth Flag (est_date_of_birth)	string	yes	1:Date of birth is accurate 2:Date of birth is an estimate 8:Date of birth is a ‘dummy’ date (ie, 09099999) 9:Accuracy of stated date of birth is not known
Client Gender (client_gender) ABS	string	yes	0:Not stated/Inadequately described 1:Male 2:Female 3:Other
Aboriginal and Torres Strait Islander Status (client_atsi_status) METeOR: 291036	string	yes	1:Aboriginal but not Torres Strait Islander origin 2:Torres Strait Islander but not Aboriginal origin 3:Both Aboriginal and Torres Strait Islander origin 4:Neither Aboriginal or Torres Strait Islander origin 9:Not stated/inadequately described
Country of Birth (country_of_birth) METeOR: 459973 ABS	string (4)	yes	1101:Australia 1102:Norfolk Island 1199:Australian External Territories, nec 1201:New Zealand 1301:New Caledonia 1302:Papua New Guinea 1303:Solomon Islands 1304:Vanuatu 1401:Guam 1402:Kiribati 1403:Marshall Islands 1404:Micronesia, Federated States of 1405:Nauru 1406:Northern Mariana Islands 1407:Palau 1501:Cook Islands 1502:Fiji 1503:French Polynesia 1504:Niue 1505:Samoa 1506:Samoa, American 1507:Tokelau 1508:Tonga 1511:Tuvalu 1512:Wallis and Futuna 1513:Pitcairn Islands 1599:Polynesia (excludes Hawaii), nec 1601:Adelie Land (France) 1602:Argentinian Antarctic Territory 1603:Australian Antarctic Territory 1604:British Antarctic Territory 1605:Chilean Antarctic Territory 1606:Queen Maud Land (Norway) 1607:Ross Dependency (New Zealand) 2102:England 2103:Isle of Man 2104:Northern Ireland 2105:Scotland 2106:Wales 2107:Guernsey 2108:Jersey 2201:Ireland 2301:Austria 2302:Belgium 2303:France 2304:Germany 2305:Liechtenstein 2306:Luxembourg 2307:Monaco 2308:Netherlands 2311:Switzerland 2401:Denmark 2402:Faroe Islands 2403:Finland 2404:Greenland 2405:Iceland 2406:Norway 2407:Sweden 2408:Aland Islands 3101:Andorra 3102:Gibraltar 3103:Holy See 3104:Italy 3105:Malta 3106:Portugal 3107:San Marino 3108:Spain 3201:Albania 3202:Bosnia and Herzegovina 3203:Bulgaria 3204:Croatia 3205:Cyprus 3206:The former Yugoslav Republic of Macedonia 3207:Greece 3208:Moldova 3211:Romania 3212:Slovenia 3214:Montenegro 3215:Serbia 3216:Kosovo 3301:Belarus 3302:Czech Republic 3303:Estonia 3304:Hungary 3305:Latvia 3306:Lithuania 3307:Poland 3308:Russian Federation 3311:Slovakia 3312:Ukraine 4101:Algeria 4102:Egypt 4103:Libya 4104:Morocco 4105:Sudan 4106:Tunisia 4107:Western Sahara 4108:Spanish North Africa 4111:South Sudan 4201:Bahrain 4202:Gaza Strip and West Bank 4203:Iran 4204:Iraq 4205:Israel 4206:Jordan 4207:Kuwait 4208:Lebanon 4211:Oman 4212:Qatar 4213:Saudi Arabia 4214:Syria 4215:Turkey 4216:United Arab Emirates 4217:Yemen 5101:Myanmar 5102:Cambodia 5103:Laos 5104:Thailand 5105:Vietnam 5201:Brunei Darussalam 5202:Indonesia 5203:Malaysia 5204:Philippines 5205:Singapore 5206:Timor-Leste 6101:China (excludes SARs and Taiwan) 6102:Hong Kong (SAR of China) 6103:Macau (SAR of China) 6104:Mongolia 6105:Taiwan 6201:Japan 6202:Korea, Democratic People’s Republic of (North) 6203:Korea, Republic of (South) 7101:Bangladesh 7102:Bhutan 7103:India 7104:Maldives 7105:Nepal 7106:Pakistan 7107:Sri Lanka 7201:Afghanistan 7202:Armenia 7203:Azerbaijan 7204:Georgia 7205:Kazakhstan 7206:Kyrgyzstan 7207:Tajikistan 7208:Turkmenistan 7211:Uzbekistan 8101:Bermuda 8102:Canada 8103:St Pierre and Miquelon 8104:United States of America 8201:Argentina 8202:Bolivia 8203:Brazil 8204:Chile 8205:Colombia 8206:Ecuador 8207:Falkland Islands 8208:French Guiana 8211:Guyana 8212:Paraguay 8213:Peru 8214:Suriname 8215:Uruguay 8216:Venezuela 8299:South America, nec 8301:Belize 8302:Costa Rica 8303:El Salvador 8304:Guatemala 8305:Honduras 8306:Mexico 8307:Nicaragua 8308:Panama 8401:Anguilla 8402:Antigua and Barbuda 8403:Aruba 8404:Bahamas 8405:Barbados 8406:Cayman Islands 8407:Cuba 8408:Dominica 8411:Dominican Republic 8412:Grenada 8413:Guadeloupe 8414:Haiti 8415:Jamaica 8416:Martinique 8417:Montserrat 8421:Puerto Rico 8422:St Kitts and Nevis 8423:St Lucia 8424:St Vincent and the Grenadines 8425:Trinidad and Tobago 8426:Turks and Caicos Islands 8427:Virgin Islands, British 8428:Virgin Islands, United States 8431:St Barthelemy 8432:St Martin (French part) 8433:Bonaire, Sint Eustatius and Saba 8434:Curacao 8435:Sint Maarten (Dutch part) 9101:Benin 9102:Burkina Faso 9103:Cameroon 9104:Cabo Verde 9105:Central African Republic 9106:Chad 9107:Congo, Republic of 9108:Congo, Democratic Republic of 9111:Cote d’Ivoire 9112:Equatorial Guinea 9113:Gabon 9114:Gambia 9115:Ghana 9116:Guinea 9117:Guinea-Bissau 9118:Liberia 9121:Mali 9122:Mauritania 9123:Niger 9124:Nigeria 9125:Sao Tome and Principe 9126:Senegal 9127:Sierra Leone 9128:Togo 9201:Angola 9202:Botswana 9203:Burundi 9204:Comoros 9205:Djibouti 9206:Eritrea 9207:Ethiopia 9208:Kenya 9211:Lesotho 9212:Madagascar 9213:Malawi 9214:Mauritius 9215:Mayotte 9216:Mozambique 9217:Namibia 9218:Reunion 9221:Rwanda 9222:St Helena 9223:Seychelles 9224:Somalia 9225:South Africa 9226:Swaziland 9227:Tanzania 9228:Uganda 9231:Zambia 9232:Zimbabwe 9299:Southern and East Africa, nec 9999:Unknown
Main Language Spoken at Home (main_lang_at_home) METeOR: 460125 ABS	string (4)	yes	1101:Gaelic (Scotland) 1102:Irish 1103:Welsh 1199:Celtic, nec 1201:English 1301:German 1302:Letzeburgish 1303:Yiddish 1401:Dutch 1402:Frisian 1403:Afrikaans 1501:Danish 1502:Icelandic 1503:Norwegian 1504:Swedish 1599:Scandinavian, nec 1601:Estonian 1602:Finnish 1699:Finnish and Related Languages, nec 2101:French 2201:Greek 2301:Catalan 2302:Portuguese 2303:Spanish 2399:Iberian Romance, nec 2401:Italian 2501:Maltese 2901:Basque 2902:Latin 2999:Other Southern European Languages, nec 3101:Latvian 3102:Lithuanian 3301:Hungarian 3401:Belorussian 3402:Russian 3403:Ukrainian 3501:Bosnian 3502:Bulgarian 3503:Croatian 3504:Macedonian 3505:Serbian 3506:Slovene 3507:Serbo-Croatian/Yugoslavian, so described 3601:Czech 3602:Polish 3603:Slovak 3604:Czechoslovakian, so described 3901:Albanian 3903:Aromunian (Macedo-Romanian) 3904:Romanian 3905:Romany 3999:Other Eastern European Languages, nec 4101:Kurdish 4102:Pashto 4104:Balochi 4105:Dari 4106:Persian (excluding Dari) 4107:Hazaraghi 4199:Iranic, nec 4202:Arabic 4204:Hebrew 4206:Assyrian Neo-Aramaic 4207:Chaldean Neo-Aramaic 4208:Mandaean (Mandaic) 4299:Middle Eastern Semitic Languages, nec 4301:Turkish 4302:Azeri 4303:Tatar 4304:Turkmen 4305:Uygur 4306:Uzbek 4399:Turkic, nec 4901:Armenian 4902:Georgian 4999:Other Southwest and Central Asian Languages, nec 5101:Kannada 5102:Malayalam 5103:Tamil 5104:Telugu 5105:Tulu 5199:Dravidian, nec 5201:Bengali 5202:Gujarati 5203:Hindi 5204:Konkani 5205:Marathi 5206:Nepali 5207:Punjabi 5208:Sindhi 5211:Sinhalese 5212:Urdu 5213:Assamese 5214:Dhivehi 5215:Kashmiri 5216:Oriya 5217:Fijian Hindustani 5299:Indo-Aryan, nec 5999:Other Southern Asian Languages 6101:Burmese 6102:Chin Haka 6103:Karen 6104:Rohingya 6105:Zomi 6199:Burmese and Related Languages, nec 6201:Hmong 6299:Hmong-Mien, nec 6301:Khmer 6302:Vietnamese 6303:Mon 6399:Mon-Khmer, nec 6401:Lao 6402:Thai 6499:Tai, nec 6501:Bisaya 6502:Cebuano 6503:IIokano 6504:Indonesian 6505:Malay 6507:Tetum 6508:Timorese 6511:Tagalog 6512:Filipino 6513:Acehnese 6514:Balinese 6515:Bikol 6516:Iban 6517:Ilonggo (Hiligaynon) 6518:Javanese 6521:Pampangan 6599:Southeast Asian Austronesian Languages, nec 6999:Other Southeast Asian Languages 7101:Cantonese 7102:Hakka 7104:Mandarin 7106:Wu 7107:Min Nan 7199:Chinese, nec 7201:Japanese 7301:Korean 7901:Tibetan 7902:Mongolian 7999:Other Eastern Asian Languages, nec 8101:Anindilyakwa 8111:Maung 8113:Ngan’gikurunggurr 8114:Nunggubuyu 8115:Rembarrnga 8117:Tiwi 8121:Alawa 8122:Dalabon 8123:Gudanji 8127:Iwaidja 8128:Jaminjung 8131:Jawoyn 8132:Jingulu 8133:Kunbarlang 8136:Larrakiya 8137:Malak Malak 8138:Mangarrayi 8141:Maringarr 8142:Marra 8143:Marrithiyel 8144:Matngala 8146:Murrinh Patha 8147:Na-kara 8148:Ndjebbana (Gunavidji) 8151:Ngalakgan 8152:Ngaliwurru 8153:Nungali 8154:Wambaya 8155:Wardaman 8156:Amurdak 8157:Garrwa 8158:Kuwema 8161:Marramaninyshi 8162:Ngandi 8163:Waanyi 8164:Wagiman 8165:Yanyuwa 8166:Marridan (Maridan) 8171:Gundjeihmi 8172:Kune 8173:Kuninjku 8174:Kunwinjku 8175:Mayali 8179:Kunwinjkuan, nec 8181:Burarra 8182:Gun-nartpa 8183:Gurr-goni 8189:Burarran, nec 8199:Arnhem Land and Daly River Region Languages, nec 8211:Galpu 8212:Golumala 8213:Wangurri 8219:Dhangu, nec 8221:Dhalwangu 8222:Djarrwark 8229:Dhay’yi, nec 8231:Djambarrpuyngu 8232:Djapu 8233:Daatiwuy 8234:Marrangu 8235:Liyagalawumirr 8236:Liyagawumirr 8239:Dhuwal, nec 8242:Gumatj 8243:Gupapuyngu 8244:Guyamirrilili 8246:Manggalili 8247:Wubulkarra 8249:Dhuwala, nec 8251:Wurlaki 8259:Djinang, nec 8261:Ganalbingu 8262:Djinba 8263:Manyjalpingu 8269:Djinba, nec 8271:Ritharrngu 8272:Wagilak 8279:Yakuy, nec 8281:Nhangu 8282:Yan-nhangu 8289:Nhangu, nec 8291:Dhuwaya 8292:Djangu 8293:Madarrpa 8294:Warramiri 8295:Rirratjingu 8299:Other Yolngu Matha, nec 8301:Kuku Yalanji 8302:Guugu Yimidhirr 8303:Kuuku-Ya’u 8304:Wik Mungkan 8305:Djabugay 8306:Dyirbal 8307:Girramay 8308:Koko-Bera 8311:Kuuk Thayorre 8312:Lamalama 8313:Yidiny 8314:Wik Ngathan 8315:Alngith 8316:Kugu Muminh 8317:Morrobalama 8318:Thaynakwith 8321:Yupangathi 8322:Tjungundji 8399:Cape York Peninsula Languages, nec 8401:Kalaw Kawaw Ya/Kalaw Lagaw Ya 8402:Meriam Mir 8403:Yumplatok (Torres Strait Creole) 8504:Bilinarra 8505:Gurindji 8506:Gurindji Kriol 8507:Jaru 8508:Light Warlpiri 8511:Malngin 8512:Mudburra 8514:Ngardi 8515:Ngarinyman 8516:Walmajarri 8517:Wanyjirra 8518:Warlmanpa 8521:Warlpiri 8522:Warumungu 8599:Northern Desert Fringe Area Languages, nec 8603:Alyawarr 8606:Kaytetye 8607:Antekerrepenh 8611:Central Anmatyerr 8612:Eastern Anmatyerr 8619:Anmatyerr, nec 8621:Eastern Arrernte 8622:Western Arrarnta 8629:Arrernte, nec 8699:Arandic, nec 8703:Antikarinya 8704:Kartujarra 8705:Kukatha 8706:Kukatja 8707:Luritja 8708:Manyjilyjarra 8711:Martu Wangka 8712:Ngaanyatjarra 8713:Pintupi 8714:Pitjantjatjara 8715:Wangkajunga 8716:Wangkatha 8717:Warnman 8718:Yankunytjatjara 8721:Yulparija 8722:Tjupany 8799:Western Desert Languages, nec 8801:Bardi 8802:Bunuba 8803:Gooniyandi 8804:Miriwoong 8805:Ngarinyin 8806:Nyikina 8807:Worla 8808:Worrorra 8811:Wunambal 8812:Yawuru 8813:Gambera 8814:Jawi 8815:Kija 8899:Kimberley Area Languages, nec 8901:Adnymathanha 8902:Arabana 8903:Bandjalang 8904:Banyjima 8905:Batjala 8906:Bidjara 8907:Dhanggatti 8908:Diyari 8911:Gamilaraay 8913:Garuwali 8914:Githabul 8915:Gumbaynggir 8916:Kanai 8917:Karajarri 8918:Kariyarra 8921:Kaurna 8922:Kayardild 8924:Kriol 8925:Lardil 8926:Mangala 8927:Muruwari 8928:Narungga 8931:Ngarluma 8932:Ngarrindjeri 8933:Nyamal 8934:Nyangumarta 8935:Nyungar 8936:Paakantyi 8937:Palyku/Nyiyaparli 8938:Wajarri 8941:Wiradjuri 8943:Yindjibarndi 8944:Yinhawangka 8945:Yorta Yorta 8946:Baanbay 8947:Badimaya 8948:Barababaraba 8951:Dadi Dadi 8952:Dharawal 8953:Djabwurrung 8954:Gudjal 8955:Keerray-Woorroong 8956:Ladji Ladji 8957:Mirning 8958:Ngatjumaya 8961:Waluwarra 8962:Wangkangurru 8963:Wargamay 8964:Wergaia 8965:Yugambeh 8998:Aboriginal English, so described 8999:Other Australian Indigenous Languages, nec 9101:American Languages 9201:Acholi 9203:Akan 9205:Mauritian Creole 9206:Oromo 9207:Shona 9208:Somali 9211:Swahili 9212:Yoruba 9213:Zulu 9214:Amharic 9215:Bemba 9216:Dinka 9217:Ewe 9218:Ga 9221:Harari 9222:Hausa 9223:Igbo 9224:Kikuyu 9225:Krio 9226:Luganda 9227:Luo 9228:Ndebele 9231:Nuer 9232:Nyanja (Chichewa) 9233:Shilluk 9234:Tigre 9235:Tigrinya 9236:Tswana 9237:Xhosa 9238:Seychelles Creole 9241:Anuak 9242:Bari 9243:Bassa 9244:Dan (Gio-Dan) 9245:Fulfulde 9246:Kinyarwanda (Rwanda) 9247:Kirundi (Rundi) 9248:Kpelle 9251:Krahn 9252:Liberian (Liberian English) 9253:Loma (Lorma) 9254:Lumun (Kuku Lumun) 9255:Madi 9256:Mandinka 9257:Mann 9258:Moro (Nuba Moro) 9261:Themne 9262:Lingala 9299:African Languages, nec 9301:Fijian 9302:Gilbertese 9303:Maori (Cook Island) 9304:Maori (New Zealand) 9306:Nauruan 9307:Niue 9308:Samoan 9311:Tongan 9312:Rotuman 9313:Tokelauan 9314:Tuvaluan 9315:Yapese 9399:Pacific Austronesian Languages, nec 9402:Bislama 9403:Hawaiian English 9404:Norf’k-Pitcairn 9405:Solomon Islands Pijin 9499:Oceanian Pidgins and Creoles, nec 9502:Kiwai 9503:Motu (HiriMotu) 9504:Tok Pisin (Neomelanesian) 9599:Papua New Guinea Languages, nec 9601:Invented Languages 9701:Auslan 9702:Key Word Sign Australia 9799:Sign Languages, nec 9999:Unknown
Proficiency in Spoken English (prof_english) METeOR: 270203	string	yes	0:Not applicable (persons under 5 years of age or who speak only English) 1:Very well 2:Well 3:Not well 4:Not at all 9:Not stated/inadequately described
Client Tags (client_tags)	string	—	List of tags for the client.

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5.3.5. Intake

See Intake for definition of an intake.

The collection of Intake and IAR data is a requirement for Head to Health programs. This includes the Head to Health Phone Service, centres, satellites and Pop-Up clinics. PHNs may choose to collect Intake and IAR data for other non-Head to Health programs using the PMHC-MDS v4 specification, however reporting of this data remains optional subject to further guidance from the department.

Intakes are managed by the provider organisations via either the PMHC MDS administrative interface or upload.

Table 5.5 Intake record layout

Data Element (Field Name)	Type (min,max)	Required	Format / Values
Organisation Path (organisation_path)	string	yes	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing a service to the client.
Intake Key (intake_key)	string (2,50)	yes	This is a number or code assigned to each intake. The Intake Key is unique and stable for each intake at the level of the organisation.
Client Key (client_key)	string (2,50)	yes	This is a number or code assigned to each individual client referred to the intake organisation. The client identifier must be unique and stable for each individual within the intake organisation. Assigned by either the PHN or intake organisation depending on local procedures.
Client Consent to Anonymised Data (client_consent)	string	yes	An indication that the client has consented to their anonymised data being provided to the Department of Health for statistical purposes in planning and improving mental health services.
Referral Date (referral_date)	date	yes	The date the referrer made the referral.
Program Type (program_type)	string	yes	1:Flexible Funding Pool 2:Head to Health 3:AMHC 4:Psychosocial 5:Bushfire Recovery 2020
Referrer Profession (referrer_profession)	string	yes	1:General Practitioner 2:Psychiatrist 3:Obstetrician 4:Paediatrician 5:Other Medical Specialist 6:Midwife 7:Maternal Health Nurse 8:Psychologist 9:Mental Health Nurse 10:Social Worker 11:Occupational therapist 12:Aboriginal Health Worker 13:Educational professional 14:Early childhood service worker 15:Other 98:N/A - Self referral 99:Not stated
Referrer Organisation Type (referrer_organisation_type)	string	yes	1:General Practice 2:Medical Specialist Consulting Rooms 3:Private practice 4:Public mental health service 5:Public Hospital 6:Private Hospital 7:Emergency Department 8:Community Health Centre 9:Drug and Alcohol Service 10:Community Support Organisation NFP 11:Indigenous Health Organisation 12:Child and Maternal Health 13:Nursing Service 14:Telephone helpline 15:Digital health service 16:Family Support Service 17:School 18:Tertiary Education institution 19:Housing service 20:Centrelink 21:Other 98:N/A - Self referral 99:Not stated
Date client contacted Intake (date_client_contacted_intake)	date	yes	The date on which the client first contacted the intake service
Suicide Referral Flag (suicide_referral_flag)	string	yes	1:Yes 2:No 9:Unknown
Date referred to other service at Intake conclusion (date_referred_to_other_service_at_intake_conclusion)	date	—	The date the client was referred to another organisation at Intake conclusion.
Organisation type referred to at Intake conclusion (organisation_type_referred_to_at_intake_conclusion)	string	—	1:GP/Medical Practitioner 2:Hospital 3:Psychiatric/mental health service or facility 4:Alcohol and other drug treatment service 5:Other community/health care service 6:Correctional service 7:Police diversion 8:Court diversion 9:Legal service 10:Child protection agency 11:Community support groups/agencies 12:Centrelink or employment service 13:Housing and homelessness service 14:Telephone & online services/referral agency e.g. direct line 15:Disability support service 16:Aged care facility/service 17:Immigration department or asylum seeker/refugee support service 18:School/other education or training institution 19:Community based Drug and Alcohol Service 20:Youth service (non-AOD) 21:Indigenous service (non-AOD) 22:Extended care/rehabilitation facility 23:Palliative care service 24:Police (not diversion) 25:Public dental provider - community dental agency 26:Dental Hospital 27:Private Dental Provider 28:Early childhood service 29:Maternal and Child Health Service 30:Community nursing service 31:Emergency relief 32:Family support service (excl family violence) 33:Family violence service 34:Gambling support service 35:Maternity services 36:Peer support/self-help group 37:Private allied health provider 38:Sexual Assault service 39:Financial counsellor 40:Sexual health service 41:Medical specialist 42:AMHC 43:Other PHN funded service 44:HeadtoHelp / HeadtoHealth 97:No Referral 98:Other 99:Not stated/Inadequately described Multiple space separated values allowed
Referred to Organisation Path (referred_to_organisation_path)	string	—	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation to which the intake referred the client.
Intake Tags (intake_tags)	string	—	List of tags for the intake.

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5.3.6. Intake Episode

See Intake Episode for definition of an intake episode.

Intake Episodes are managed by the provider organisations via either the PMHC MDS administrative interface or upload.

Table 5.6 Intake Episode record layout

Data Element (Field Name)	Type (min,max)	Required	Format / Values
Episode Organisation Path (episode_organisation_path)	string	yes	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing the clinical service to the client.
Episode Key (episode_key)	string (2,50)	yes	This is a number or code assigned to each PMHC MDS episode. The Episode Key is unique and stable for each episode at the level of the organisation. This key must link to an existing episode within the PMHC MDS.
Intake Organisation Path (intake_organisation_path)	string	yes	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing the intake to the client.
Intake Key (intake_key)	string (2,50)	yes	This is a number or code assigned to each intake. The Intake Key is unique and stable for each intake at the level of the organisation.

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5.3.7. Episode

See Episode for definition of an episode.

Episodes are managed by the provider organisations via either the PMHC MDS administrative interface or upload.

Table 5.7 Episode record layout

Data Element (Field Name)	Type (min,max)	Required	Format / Values
Organisation Path (organisation_path)	string	yes	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing a service to the client.
Episode Key (episode_key)	string (2,50)	yes	This is a number or code assigned to each episode. The Episode Key is unique and stable for each episode at the level of the Provider Organisation.
Client Key (client_key)	string (2,50)	yes	This is a number or code assigned to each individual client referred to the commissioned organisation. The client identifier is unique and stable for each individual within the Provider Organisation.
Episode End Date (episode_end_date) METeOR: 614094	date	—	The date on which an Episode of Care is formally or administratively ended
Client Consent to Anonymised Data (client_consent)	string	yes	1:Yes 2:No
Episode Completion Status (episode_completion_status)	string	—	0:Episode open 1:Episode closed - treatment concluded 2:Episode closed administratively - client could not be contacted 3:Episode closed administratively - client declined further contact 4:Episode closed administratively - client moved out of area 5:Episode closed administratively - client referred elsewhere 6:Episode closed administratively - other reason
Referral Date (referral_date)	date	yes	The date the referrer made the referral.
Program Type (program_type)	string	yes	1:Flexible Funding Pool 2:Head to Health 3:AMHC 4:Psychosocial 5:Bushfire Recovery 2020
Principal Focus of Treatment Plan (principal_focus)	string	yes	1:Psychological therapy 2:Low intensity psychological intervention 3:Clinical care coordination 4:Complex care package 5:Child and youth-specific mental health services 6:Indigenous-specific mental health services 7:Other
GP Mental Health Treatment Plan Flag (mental_health_treatment_plan)	string	yes	1:Yes 2:No 3:Unknown 9:Not stated/inadequately described
Homelessness Flag (homelessness)	string	yes	1:Sleeping rough or in non-conventional accommodation 2:Short-term or emergency accommodation 3:Not homeless 9:Not stated / Missing
Area of usual residence, postcode (client_postcode) METeOR: 429894	string	yes	The Australian postcode of the client.
Labour Force Status (labour_force_status) METeOR: 621450	string	yes	1:Employed 2:Unemployed 3:Not in the Labour Force 9:Not stated/inadequately described
Employment Participation (employment_participation) METeOR: 269950	string	yes	1:Full-time 2:Part-time 3:Not applicable - not in the labour force 9:Not stated/inadequately described
Source of Cash Income (income_source) METeOR: 386449	string	yes	0:N/A - Client aged less than 16 years 1:Disability Support Pension 2:Other pension or benefit (not superannuation) 3:Paid employment 4:Compensation payments 5:Other (e.g. superannuation, investments etc.) 6:Nil income 7:Not known 9:Not stated/inadequately described
Health Care Card (health_care_card) METeOR: 605149	string	yes	1:Yes 2:No 3:Not Known 9:Not stated
NDIS Participant (ndis_participant)	string	yes	1:Yes 2:No 9:Not stated/inadequately described
Marital Status (marital_status) METeOR: 291045	string	yes	1:Never married 2:Widowed 3:Divorced 4:Separated 5:Married (registered and de facto) 6:Not stated/inadequately described
Suicide Referral Flag (suicide_referral_flag)	string	yes	1:Yes 2:No 9:Unknown
Principal Diagnosis (principal_diagnosis)	string	yes	100:Anxiety disorders (ATAPS) 101:Panic disorder 102:Agoraphobia 103:Social phobia 104:Generalised anxiety disorder 105:Obsessive-compulsive disorder 106:Post-traumatic stress disorder 107:Acute stress disorder 108:Other anxiety disorder 200:Affective (Mood) disorders (ATAPS) 201:Major depressive disorder 202:Dysthymia 203:Depressive disorder NOS 204:Bipolar disorder 205:Cyclothymic disorder 206:Other affective disorder 300:Substance use disorders (ATAPS) 301:Alcohol harmful use 302:Alcohol dependence 303:Other drug harmful use 304:Other drug dependence 305:Other substance use disorder 400:Psychotic disorders (ATAPS) 401:Schizophrenia 402:Schizoaffective disorder 403:Brief psychotic disorder 404:Other psychotic disorder 501:Separation anxiety disorder 502:Attention deficit hyperactivity disorder (ADHD) 503:Conduct disorder 504:Oppositional defiant disorder 505:Pervasive developmental disorder 506:Other disorder of childhood and adolescence 601:Adjustment disorder 602:Eating disorder 603:Somatoform disorder 604:Personality disorder 605:Other mental disorder 901:Anxiety symptoms 902:Depressive symptoms 903:Mixed anxiety and depressive symptoms 904:Stress related 905:Other 999:Missing
Additional Diagnosis (additional_diagnosis)	string	yes	000:No additional diagnosis 100:Anxiety disorders (ATAPS) 101:Panic disorder 102:Agoraphobia 103:Social phobia 104:Generalised anxiety disorder 105:Obsessive-compulsive disorder 106:Post-traumatic stress disorder 107:Acute stress disorder 108:Other anxiety disorder 200:Affective (Mood) disorders (ATAPS) 201:Major depressive disorder 202:Dysthymia 203:Depressive disorder NOS 204:Bipolar disorder 205:Cyclothymic disorder 206:Other affective disorder 300:Substance use disorders (ATAPS) 301:Alcohol harmful use 302:Alcohol dependence 303:Other drug harmful use 304:Other drug dependence 305:Other substance use disorder 400:Psychotic disorders (ATAPS) 401:Schizophrenia 402:Schizoaffective disorder 403:Brief psychotic disorder 404:Other psychotic disorder 501:Separation anxiety disorder 502:Attention deficit hyperactivity disorder (ADHD) 503:Conduct disorder 504:Oppositional defiant disorder 505:Pervasive developmental disorder 506:Other disorder of childhood and adolescence 601:Adjustment disorder 602:Eating disorder 603:Somatoform disorder 604:Personality disorder 605:Other mental disorder 901:Anxiety symptoms 902:Depressive symptoms 903:Mixed anxiety and depressive symptoms 904:Stress related 905:Other 999:Missing
Medication - Antipsychotics (N05A) (medication_antipsychotics)	string	yes	1:Yes 2:No 9:Unknown
Medication - Anxiolytics (N05B) (medication_anxiolytics)	string	yes	1:Yes 2:No 9:Unknown
Medication - Hypnotics and sedatives (N05C) (medication_hypnotics)	string	yes	1:Yes 2:No 9:Unknown
Medication - Antidepressants (N06A) (medication_antidepressants)	string	yes	1:Yes 2:No 9:Unknown
Medication - Psychostimulants and nootropics (N06B) (medication_psychostimulants)	string	yes	1:Yes 2:No 9:Unknown
Referrer Profession (referrer_profession)	string	yes	1:General Practitioner 2:Psychiatrist 3:Obstetrician 4:Paediatrician 5:Other Medical Specialist 6:Midwife 7:Maternal Health Nurse 8:Psychologist 9:Mental Health Nurse 10:Social Worker 11:Occupational therapist 12:Aboriginal Health Worker 13:Educational professional 14:Early childhood service worker 15:Other 98:N/A - Self referral 99:Not stated
Referrer Organisation Type (referrer_organisation_type)	string	yes	1:General Practice 2:Medical Specialist Consulting Rooms 3:Private practice 4:Public mental health service 5:Public Hospital 6:Private Hospital 7:Emergency Department 8:Community Health Centre 9:Drug and Alcohol Service 10:Community Support Organisation NFP 11:Indigenous Health Organisation 12:Child and Maternal Health 13:Nursing Service 14:Telephone helpline 15:Digital health service 16:Family Support Service 17:School 18:Tertiary Education institution 19:Housing service 20:Centrelink 21:Other 98:N/A - Self referral 99:Not stated
Organisation type referred to at Episode conclusion (organisation_type_referred_to_at_episode_conclusion)	string	—	0:None/Not applicable 1:General Practice 2:Medical Specialist Consulting Rooms 3:Private practice 4:Public mental health service 5:Public Hospital 6:Private Hospital 7:Emergency Department 8:Community Health Centre 9:Drug and Alcohol Service 10:Community Support Organisation NFP 11:Indigenous Health Organisation 12:Child and Maternal Health 13:Nursing Service 14:Telephone helpline 15:Digital health service 16:Family Support Service 17:School 18:Tertiary Education institution 19:Housing service 20:Centrelink 21:Other 22:HeadtoHelp / HeadtoHealth Hub 23:Other PHN funded service 24:AMHC 99:Not stated Multiple space separated values allowed
Episode Tags (episode_tags)	string	—	List of tags for the episode.

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5.3.8. Service Contact

See Service Contact for definition of a service contact.

Service contacts are managed by the provider organisations via either the PMHC MDS administrative interface or upload.

Table 5.8 Service contact record layout

Data Element (Field Name)	Type (min,max)	Required	Format / Values
Organisation Path (organisation_path)	string	yes	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing a service to the client.
Service Contact Key (service_contact_key)	string (2,50)	yes	This is a number or code assigned to each service contact. The Service Contact Key is unique and stable for each service contact at the level of the Provider Organisation.
Episode Key (episode_key)	string (2,50)	yes	This is a number or code assigned to each episode. The Episode Key is unique and stable for each episode at the level of the organisation.
Service Contact Date (service_contact_date) METeOR: 494356	date	yes	The date of each mental health service contact between a health service provider and patient/client.
Service Contact Type (service_contact_type)	string	yes	0:No contact took place 1:Assessment 2:Structured psychological intervention 3:Other psychological intervention 4:Clinical care coordination/liaison 5:Clinical nursing services 6:Child or youth specific assistance NEC 7:Suicide prevention specific assistance NEC 8:Cultural specific assistance NEC 9:Psychosocial support 98:ATAPS
Postcode (service_contact_postcode) METeOR: 429894	string	yes	The Australian postcode where the service contact took place.
Modality (service_contact_modality)	string	yes	0:No contact took place 1:Face to Face 2:Telephone 3:Video 4:Internet-based
Participants (service_contact_participants)	string	yes	1:Individual client 2:Client group 3:Family / Client Support Network 4:Other health professional or service provider 5:Other 9:Not stated
Venue (service_contact_venue)	string	yes	1:Client’s Home 2:Service provider’s office 3:GP Practice 4:Other medical practice 5:Headspace Centre 6:Other primary care setting 7:Public or private hospital 8:Residential aged care facility 9:School or other educational centre 10:Client’s Workplace 11:Other 12:Aged care centre - non-residential 98:Not applicable (Service Contact Modality is not face to face) 99:Not stated
Duration (service_contact_duration)	string	yes	0:No contact took place 1:1-15 mins 2:16-30 mins 3:31-45 mins 4:46-60 mins 5:61-75 mins 6:76-90 mins 7:91-105 mins 8:106-120 mins 9:over 120 mins
Copayment (service_contact_copayment)	number	yes	0 - 999999.99
Client Participation Indicator (service_contact_participation_indicator) METeOR: 494341	string	yes	1:Yes 2:No
Interpreter Used (service_contact_interpreter)	string	yes	1:Yes 2:No 9:Not stated
No Show (service_contact_no_show)	string	yes	1:Yes 2:No
Final Service Contact (service_contact_final)	string	yes	1:No further services are planned for the client in the current episode 2:Further services are planned for the client in the current episode 3:Not known at this stage
Start Time (service_contact_start_time)	time	yes	The start time of each mental health service contact between a health service provider and patient/client.
Funding Source (funding_source)	string	yes	0:Flexible funding pool - Not Otherwise Stated 11:Flexible funding pool - Low intensity 12:Flexible funding pool - Youth Severe 13:Flexible funding pool - Child and Youth 14:Flexible funding pool - Psychological therapies for hard to reach 15:Flexible funding pool - Services for People with Severe Mental Illness 16:Flexible funding pool - Suicide Prevention - Indigenous 17:Flexible funding pool - Suicide Prevention - General 18:Indigenous Mental Health 19:Commonwealth Psychosocial Support 20:Psychological Treatment in Residential Aged Care Facilities 21:Emergency Response - Bushfire Recovery 2020 22:Emergency Response - Flood 2022 23:Head to Health program 24:Head to Health Kids Hubs 25:Norfolk Island 26:National Suicide Prevention Trial 27:Way Back Support Service 97:Other funding source – no Commonwealth Funding 98:Unknown/Not stated
Service Contact Tags (service_contact_tags)	string	—	List of tags for the service contact.

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5.3.9. Service Contact Practitioner

See Service Contact Practitioner for definition of a service contact practitioner.

Service contacts practitioners are managed by the provider organisations via either the PMHC MDS administrative interface or upload.

Table 5.9 Service contact practitioner record layout

Data Element (Field Name)	Type (min,max)	Required	Format / Values
Organisation Path (organisation_path)	string	yes	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing a service to the client.
Service Contact Practitioner Key (service_contact_practitioner_key)	string (2,50)	yes	This is a number or code assigned to each service contact practitioner. The Service Contact Practitioner Key is unique and stable for each service contact practitioner at the level of the Provider Organisation.
Service Contact Key (service_contact_key)	string (2,50)	yes	This is a number or code assigned to each service contact. The Service Contact Key is unique and stable for each service contact at the level of the Provider Organisation.
Practitioner Key (practitioner_key)	string (2,50)	yes	A unique identifier for a practitioner within the provider organisation.
Primary Practitioner Indicator (primary_practitioner_indicator)	string	yes	1:Yes 2:No

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5.3.10. Collection Occasion

See Collection Occasion for definition of a collection occasion.

Individual item scores will eventually be required, however, it is noted that in the short term there are issues with collecting individual item scores. Therefore, as a transitional phase, reporting overall scores/subscales will be allowed.

Collection occasions are managed by the provider organisations via either the PMHC MDS administrative interface or upload.

Table 5.10 Collection Occasion record layout

Data Element (Field Name)	Type (min,max)	Required	Format / Values
Organisation Path (organisation_path)	string	yes	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing a service to the client.
Collection Occasion Key (collection_occasion_key)	string (2,50)	yes	This is a number or code assigned to each collection occasion of service activities. The Collection Occasion Key is unique and stable for each collection occasion at the level of the organisation.
Episode Key (episode_key)	string (2,50)	yes	This is a number or code assigned to each PMHC MDS episode. The Episode Key is unique and stable for each episode at the level of the organisation. This key must link to an existing episode within the PMHC MDS.
Collection Occasion Date (collection_occasion_date)	date	yes	The date of the collection occasion.
Collection Occasion Reason (reason_for_collection)	string	yes	1:Episode start 2:Review 3:Episode end
Collection Occasion Tags (collection_occasion_tags)	string	—	List of tags for the collection occasion.

5.3.11. Measures

5.3.11.1. Measures at Intake

5.3.11.1.1. IAR-DST

The collection of Intake and IAR DST data may not be required for all programs. Please see Intake.

Where an Intake is recorded, an associated IAR-DST should also be recorded. However, this is not enforced by the PMHC MDS as Intake data could be collected separately from IAR DST data.

Table 5.11 IAR-DST record layout

Data Element (Field Name)	Type (min,max)	Required	Format / Values
Organisation Path (organisation_path)	string	yes	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing a service to the client.
Measure Key (measure_key)	string (2,50)	yes	This is a number or code assigned to each instance of a measure. The Measure Key is unique and stable for each instance of a measure at the level of the organisation.
Intake Key (intake_key)	string (2,50)	yes	This is a number or code assigned to each intake. The Intake Key is unique and stable for each intake at the level of the organisation.
IAR-DST - Version (iar_dst_version)	string	yes	1:DST specified by National PHN Guidance Initial Assessment and Referral for Mental Healthcare version 1.05
IAR-DST - Domain 1 - Symptom Severity and Distress (Primary Domain) (iar_dst_domain_1)	string	yes	0:No problem in this domain 1:Mild or sub diagnostic 2:Moderate 3:Severe 4:Very severe
IAR-DST - Domain 2 - Risk of Harm (Primary Domain) (iar_dst_domain_2)	string	yes	0:No identified risk in this domain 1:Low risk of harm 2:Moderate risk of harm 3:High risk of harm 4:Very high risk of harm
IAR-DST - Domain 3 - Functioning (Primary Domain) (iar_dst_domain_3)	string	yes	0:No problems in this domain 1:Mild impact 2:Moderate impact 3:Severe impact 4:Very severe to extreme impact
IAR-DST - Domain 4 - Impact of Co-existing Conditions (Primary Domain) (iar_dst_domain_4)	string	yes	0:No problem in this domain 1:Minor impact 2:Moderate impact 3:Severe impact 4:Very severe impact
IAR-DST - Domain 5 - Treatment and Recovery History (Contextual Domain) (iar_dst_domain_5)	string	yes	0:No prior treatment history 1:Full recovery with previous treatment 2:Moderate recovery with previous treatment 3:Minor recovery with previous treatment 4:Negligible recovery with previous treatment
IAR-DST - Domain 6 - Social and Environmental Stressors (Contextual Domain) (iar_dst_domain_6)	string	yes	0:No problem in this domain 1:Mildly stressful environment 2:Moderately stressful environment 3:Highly stressful environment 4:Extremely stressful environment
IAR-DST - Domain 7 - Family and Other Supports (Contextual Domain) (iar_dst_domain_7)	string	yes	0:Highly supported 1:Well supported 2:Limited supports 3:Minimal supports 4:No supports
IAR-DST - Domain 8 - Engagement and Motivation (Contextual Domain) (iar_dst_domain_8)	string	yes	0:Optimal 1:Positive 2:Limited 3:Minimal 4:Disengaged
IAR-DST - Recommended Level of Care (iar_dst_recommended_level_of_care)	string	yes	1:Level 1 - Self Management 1+:Level 1 or above - Review assessment on Contextual Domains to determine most appropriate placement 2:Level 2 - Low Intensity Services 2+:Level 2 or above - Review assessment on Contextual Domains to determine most appropriate placement 3:Level 3 - Moderate Intensity Services 3+:Level 3 or above - Review assessment on Contextual Domains to determine most appropriate placement 4:Level 4 - High Intensity Services 4+:Level 4 or above - Review assessment on Contextual Domains to determine most appropriate placement 5:Level 5 - Acute and Specialist Community Mental Health Services
IAR-DST - Practitioner Level of Care (iar_dst_practitioner_level_of_care)	string	yes	1:Level 1 - Self Management 2:Level 2 - Low Intensity Services 3:Level 3 - Moderate Intensity Services 4:Level 4 - High Intensity Services 5:Level 5 - Acute and Specialist Community Mental Health Services 9:Not stated
IAR-DST - Tags (iar_dst_tags)	string	—	List of tags for the measure.

5.3.11.2. Measures during an Episode

PMHC MDS requires the use of one of the following three required measures, as follows:

• For adults (18+ years) - Kessler Psychological Distress Scale (K10+) is the prescribed measure, with the option to use the K5 for Aboriginal and Torres Strait Islander people if that is considered more appropriate.
• For children and young people (up to and including 17 years) - the Strengths & Difficulties Questionnaires (SDQ) is the prescribed tool. The specified versions include the parent-report for 4-10 years and 11-17 years; and the self-report for 11-17 years.

Please note: For adolescents, clinician-discretion is allowed, and that the K10+ or K5 may be used, even though the person is under 18 years

5.3.11.2.1. K10+

As noted above, reporting individual item scores will eventually be required. In the short term, respondents can either report all 14 item scores or report the K10 total score as well as item scores for the 4 extra items in the K10+.

Table 5.12 K10+ record layout

Data Element (Field Name)	Type (min,max)	Required	Format / Values
Organisation Path (organisation_path)	string	yes	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing a service to the client.
Measure Key (measure_key)	string (2,50)	yes	This is a number or code assigned to each instance of a measure. The Measure Key is unique and stable for each instance of a measure at the level of the organisation.
Collection Occasion Key (collection_occasion_key)	string (2,50)	yes	This is a number or code assigned to each collection occasion of service activity. The Collection Occasion Key is unique and stable for each collection occasion at the level of the organisation.
K10+ - Question 1 (k10p_item1)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K10+ - Question 2 (k10p_item2)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K10+ - Question 3 (k10p_item3)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K10+ - Question 4 (k10p_item4)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K10+ - Question 5 (k10p_item5)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K10+ - Question 6 (k10p_item6)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K10+ - Question 7 (k10p_item7)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K10+ - Question 8 (k10p_item8)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K10+ - Question 9 (k10p_item9)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K10+ - Question 10 (k10p_item10)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K10+ - Question 11 (k10p_item11)	integer	yes	0 - 28, 99 = Not stated / Missing
K10+ - Question 12 (k10p_item12)	integer	yes	0 - 28, 99 = Not stated / Missing
K10+ - Question 13 (k10p_item13)	integer	yes	0 - 89, 99 = Not stated / Missing
K10+ - Question 14 (k10p_item14)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K10+ - Score (k10p_score)	integer	yes	10 - 50, 99 = Not stated / Missing
K10+ - Tags (k10p_tags)	string	—	List of tags for the measure.

When the client’s responses to Q1-10 are all recorded as 1 ‘None of the time’, they are not required to answer questions 11-14. Where a question has not been answered please select a response of ‘Not stated / missing’.

5.3.11.2.2. K5

As noted above, reporting individual item scores will eventually be required. In the short term, respondents can either report all 5 item scores or report the K5 total score.

Table 5.13 K5 record layout

Data Element (Field Name)	Type (min,max)	Required	Format / Values
Organisation Path (organisation_path)	string	yes	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing a service to the client.
Measure Key (measure_key)	string (2,50)	yes	This is a number or code assigned to each instance of a measure. The Measure Key is unique and stable for each instance of a measure at the level of the organisation.
Collection Occasion Key (collection_occasion_key)	string (2,50)	yes	This is a number or code assigned to each collection occasion of service activity. The Collection Occasion Key is unique and stable for each collection occasion at the level of the organisation.
K5 - Question 1 (k5_item1)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K5 - Question 2 (k5_item2)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K5 - Question 3 (k5_item3)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K5 - Question 4 (k5_item4)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K5 - Question 5 (k5_item5)	string	yes	1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing
K5 - Score (k5_score)	integer	yes	5 - 25, 99 = Not stated / Missing
K5 - Tags (k5_tags)	string	—	List of tags for the measure.

5.3.11.2.3. SDQ

Extensive support materials are available on the SDQ developers’ website, including copies of the various versions of the instrument, background information and scoring instructions. See http://www.sdqinfo.com. There are six versions (parent-report and youth-self report) currently specified format PMHC MDS reporting.

The “1” versions are administered on admission and are rated on the basis of the proceeding 6 months. The “2” follow up versions are administered on review and discharge and are rated on the basis of the previous 1 month period.

The versions specified for PMHC MDS reporting are:

• PC1 - SDQ Parent Report: 4-10 years (Baseline version);
• PC2 - SDQ Parent Report: 4-10 years (Follow up version);
• PY1 - SDQ Parent Report: 11-17 years (Baseline version);
• PY2 - SDQ Parent Report: 11-17 years (Follow up version);
• YR1 - SDQ Youth Report: 11-17 years (Baseline version); and
• YR2 - SDQ Youth Report: 11-17 years (Follow up version).

We acknowledge that there is also a parent-report for 2-4 years; and teacher versions for all the years (2-4; 4-10 and 11-17) but that these are not to be reported the PMHC-MDS.

Please note that the item numbering in the SDQ versions is deliberately non sequential because it covers all items in all versions, both to indicate item equivalence across versions and to assist data entry, especially of translated versions. The table below indicates the items that are included in each version, the rating periods used and the broad content covered by each item.

	Informant	Parent				Young Person
	Age range	4-10		11-17		11 - 17
	Application	Baseline	Followup	Baseline	Followup	Baseline	Followup
	Rating period	6 months	1 month	6 months	1 month	6 months	1 month
Items	Item Content	Version
		PC1	PC2	PY1	PY2	YR1	YR2
1-25	Symptoms	✓	✓	✓	✓	✓	✓
26	Overall	✓	✓	✓	✓	✓	✓
27	Duration	✓	X	✓	X	✓
28-33	Impact	✓	✓	✓	✓	✓	✓
34-35	Follow up progress	X	✓	X	✓	X	✓
36-38	Cross-Informant information	✓	X	✓	X	X	X
39-42	Cross-Informant information	X	X	X	X	✓	X

As noted above, reporting individual item scores will eventually be required. In the short term, respondents can either report all 42 item scores or report the SDQ subscale scores.

5.3.11.2.3.1. SDQ items and Scale Summary scores

The first 25 items in the SDQ comprise 5 scales of 5 items each. It is usually easiest to score all 5 scales before working out the Total Difficulties score. For data entry, the responses to items should always be entered the same way (see below), but they are not all scored the same way. Somewhat True is always scored as 1, but the scoring of Not True and Certainly True varies with each item (see Table 5). For each of the 5 scales the score can range from 0-10 if all 5 items were completed. Scale scores can be prorated if at least 3 items were completed.

		Not True	Some-what True	Certainly True	Summary Score
Standard Values for Data Entry		0	1	2
Data element	SDQ Item number and description	Item Score
Emotional Symptoms Scale					0-10
Item 03	Often complains of headaches …	0	1	2
Item 08	Many worries or often seems worried	0	1	2
Item 13	Often unhappy, depressed or tearful	0	1	2
Item 16	Nervous or clingy in new situations …	0	1	2
Item 24	Many fears, easily scared	0	1	2
Conduct Problem Scale					0-10
Item 05	Often loses temper …	0	1	2
Item 07	Generally well behaved …	2	1	0
Item 12	Often fights with other children …	0	1	2
Item 18	Often lies or cheats	0	1	2
Item 22	Steals from home, school …	0	1	2
Hyperactivity Scale					0-10
Item 02	Restless, overactive …	0	1	2
Item 10	Constantly fidgeting …	0	1	2
Item 15	Easily distracted …	0	1	2
Item 21	Thinks things out before acting	2	1	0
Item 25	Good attention span …	2	1	0
Peer Problem Scale					0-10
Item 06	Rather solitary, prefers to play alone	0	1	2
Item 11	Has at least one good friend	2	1	0
Item 14	Generally liked by other children	2	1	0
Item 19	Picked on or bullied …	0	1	2
Item 23	Gets along better with adults …	0	1	2
Prosocial Scale					0-10
Item 01	Considerate of other people’s feelings	0	1	2
Item 04	Shares readily with other children …	0	1	2
Item 09	Helpful if someone is hurt …	0	1	2
Item 17	Kind to younger children	0	1	2
Item 20	Often volunteers to help others …	0	1	2
SDQ Total Difficulties Score = Sum of Scales below					0-40
	Emotional Symptoms Scale	0-10
	Conduct Problem Scale	0-10
	Hyperactivity Scale	0-10
	Peer Problem Scale	0-10

• NB. Bold items indicate reverse scoring

5.3.11.2.3.2. Scoring the SDQ

The standard values for coding individual Item responses are 0 (Not True), 1 (Somewhat True), 2 (Certainly True) and 9 (Missing data).

For completed items (response coded 0,1,2) the Item scores are usually the same as the standard values. Them exceptions are item 07, 11, 14, 21 and 25. These items are “reverse-scored”, that is, the standard value is mapped to Item scores as follows: 0->2, 1->1, 2->0.

Summary scores are only calculated if at least three of the five items have been completed (that is, coded 0, 1 or 2). Otherwise the summary score is set to missing. For the Summary scores, the missing value used should be 99.

The Summary scores are computed using the equation shown below, with the result being rounded to the nearest whole number. In the first 25 SDQ questions, each summary scale is composed of five items.

Summary score = (sum of item scores/number of valid completed items) x number of items

The simplest way to calculate the total difficulties score is to add up the following summary scores with the result being rounded to the nearest whole number.

Total score = Emotional Scale + Conduct Scale + Hyperactivity Scale + Peer Problem Scale

However, some of the summary scores may be missing. The rule is if more than one summary score is missing the Total Score is set to missing, value 99.

Items 28-32 are not completed if respondents have answered “No” to Item 26, which asks for an overall opinion about difficulties being present. In this case, all Item responses for Items 27 through 33 should be coded “8” for “not applicable”, and the impact score should be coded to zero. Item 27 is not included in the Impact Score since it assesses the chronicity of the difficulties- the length of time they have been present. Item 33 is not included in the Impact Score, since it assess the burden on others rather than on the child/youth.

The coded Item Responses for the remaining Items 28 through 32 have to be mapped to their Item Scores before adding up. This mapping is the same for all, namely: 0->0, 1->0, 2->1, 3->2.

Table 5.14 SDQ record layout

Data Element (Field Name)	Type (min,max)	Required	Format / Values
Organisation Path (organisation_path)	string	yes	A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing a service to the client.
Measure Key (measure_key)	string (2,50)	yes	This is a number or code assigned to each instance of a measure. The Measure Key is unique and stable for each instance of a measure at the level of the organisation.
Collection Occasion Key (collection_occasion_key)	string (2,50)	yes	This is a number or code assigned to each collection occasion of service activity. The Collection Occasion Key is unique and stable for each collection occasion at the level of the organisation.
SDQ Collection Occasion - Version (sdq_version)	string	yes	PC101:Parent Report Measure 4-10 yrs, Baseline version, Australian Version 1 PC201:Parent Report Measure 4-10 yrs, Follow Up version, Australian Version 1 PY101:Parent Report Measure 11-17 yrs, Baseline version, Australian Version 1 PY201:Parent Report Measure 11-17 yrs, Follow Up version, Australian Version 1 YR101:Self report Version, 11-17 years, Baseline version, Australian Version 1 YR201:Self report Version, 11-17 years, Follow Up version, Australian Version 1
SDQ - Question 1 (sdq_item1)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 2 (sdq_item2)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 3 (sdq_item3)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 4 (sdq_item4)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 5 (sdq_item5)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 6 (sdq_item6)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 7 (sdq_item7)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 8 (sdq_item8)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 9 (sdq_item9)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 10 (sdq_item10)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 11 (sdq_item11)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 12 (sdq_item12)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 13 (sdq_item13)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 14 (sdq_item14)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 15 (sdq_item15)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 16 (sdq_item16)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 17 (sdq_item17)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 18 (sdq_item18)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 19 (sdq_item19)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 20 (sdq_item20)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 21 (sdq_item21)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 22 (sdq_item22)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 23 (sdq_item23)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 24 (sdq_item24)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 25 (sdq_item25)	string	yes	0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 26 (sdq_item26)	string	yes	0:No 1:Yes - minor difficulties 2:Yes - definite difficulties 3:Yes - severe difficulties 7:Unable to rate (insufficient information) 9:Not stated / Missing
SDQ - Question 27 (sdq_item27)	string	yes	0:Less than a month 1:1-5 months 2:6-12 months 3:Over a year 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 28 (sdq_item28)	string	yes	0:Not at all 1:A little 2:A medium amount 3:A great deal 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 29 (sdq_item29)	string	yes	0:Not at all 1:A little 2:A medium amount 3:A great deal 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 30 (sdq_item30)	string	yes	0:Not at all 1:A little 2:A medium amount 3:A great deal 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 31 (sdq_item31)	string	yes	0:Not at all 1:A little 2:A medium amount 3:A great deal 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 32 (sdq_item32)	string	yes	0:Not at all 1:A little 2:A medium amount 3:A great deal 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 33 (sdq_item33)	string	yes	0:Not at all 1:A little 2:A medium amount 3:A great deal 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 34 (sdq_item34)	string	yes	0:Much worse 1:A bit worse 2:About the same 3:A bit better 4:Much better 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 35 (sdq_item35)	string	yes	0:Not at all 1:A little 2:A medium amount 3:A great deal 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 36 (sdq_item36)	string	yes	0:No 1:A little 2:A lot 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 37 (sdq_item37)	string	yes	0:No 1:A little 2:A lot 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 38 (sdq_item38)	string	yes	0:No 1:A little 2:A lot 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 39 (sdq_item39)	string	yes	0:No 1:A little 2:A lot 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 40 (sdq_item40)	string	yes	0:No 1:A little 2:A lot 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 41 (sdq_item41)	string	yes	0:No 1:A little 2:A lot 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Question 42 (sdq_item42)	string	yes	0:No 1:A little 2:A lot 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing
SDQ - Emotional Symptoms Scale (sdq_emotional_symptoms)	integer	yes	0 - 10, 99 = Not stated / Missing
SDQ - Conduct Problem Scale (sdq_conduct_problem)	integer	yes	0 - 10, 99 = Not stated / Missing
SDQ - Hyperactivity Scale (sdq_hyperactivity)	integer	yes	0 - 10, 99 = Not stated / Missing
SDQ - Peer Problem Scale (sdq_peer_problem)	integer	yes	0 - 10, 99 = Not stated / Missing
SDQ - Prosocial Scale (sdq_prosocial)	integer	yes	0 - 10, 99 = Not stated / Missing
SDQ - Total Difficulties Score (sdq_total)	integer	yes	0 - 40, 99 = Not stated / Missing
SDQ - Impact Score (sdq_impact)	integer	yes	0 - 10, 99 = Not stated / Missing
SDQ - Tags (sdq_tags)	string	—	List of tags for the measure.

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5.4. Definitions

5.4.1. ABN

The Australian Business Number of the provider organisation.

Field name:organisation_abn Data type:string (11) Required:yes Notes:The Australian Business Registry maintains ABN search and technical docs. The PMHC MDS does not check the if ABN is registered, only that it satisfies the algorithm documented at https://abr.business.gov.au/Help/AbnFormat

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5.4.2. Aboriginal and Torres Strait Islander Status

Whether a person identifies as being of Aboriginal and/or Torres Strait Islander origin, as represented by a code.

Field name:

client_atsi_status

Data type:

string

Required:

yes

Domain:

1:Aboriginal but not Torres Strait Islander origin 2:Torres Strait Islander but not Aboriginal origin 3:Both Aboriginal and Torres Strait Islander origin 4:Neither Aboriginal or Torres Strait Islander origin 9:Not stated/inadequately described

Notes:

Code 9 is not to be available as a valid answer to the questions but is

intended for use:

• Primarily when importing data from other data collections that do not contain mappable data.
• Where an answer was refused.
• Where the question was not able to be asked prior to completion of assistance because the client was unable to communicate or a person who knows the client was not available.

METeOR:

291036

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5.4.3. Active

A flag to represent whether a practitioner is actively delivering services. This is a system field that is aimed at helping organisations manage practitioner codes.

Field name:

practitioner_active

Data type:

string

Required:

yes

Domain:

0:Inactive 1:Active

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5.4.4. Additional Diagnosis

The main additional condition or complaint co-existing with the Principal Diagnosis or arising during the episode of care.

Field name:

additional_diagnosis

Data type:

string

Required:

yes

Domain:

000:No additional diagnosis 100:Anxiety disorders (ATAPS) 101:Panic disorder 102:Agoraphobia 103:Social phobia 104:Generalised anxiety disorder 105:Obsessive-compulsive disorder 106:Post-traumatic stress disorder 107:Acute stress disorder 108:Other anxiety disorder 200:Affective (Mood) disorders (ATAPS) 201:Major depressive disorder 202:Dysthymia 203:Depressive disorder NOS 204:Bipolar disorder 205:Cyclothymic disorder 206:Other affective disorder 300:Substance use disorders (ATAPS) 301:Alcohol harmful use 302:Alcohol dependence 303:Other drug harmful use 304:Other drug dependence 305:Other substance use disorder 400:Psychotic disorders (ATAPS) 401:Schizophrenia 402:Schizoaffective disorder 403:Brief psychotic disorder 404:Other psychotic disorder 501:Separation anxiety disorder 502:Attention deficit hyperactivity disorder (ADHD) 503:Conduct disorder 504:Oppositional defiant disorder 505:Pervasive developmental disorder 506:Other disorder of childhood and adolescence 601:Adjustment disorder 602:Eating disorder 603:Somatoform disorder 604:Personality disorder 605:Other mental disorder 901:Anxiety symptoms 902:Depressive symptoms 903:Mixed anxiety and depressive symptoms 904:Stress related 905:Other 999:Missing

Notes:

Additional Diagnosis gives information on conditions that are significant in terms of treatment required and resources used during the episode of care. Additional diagnoses should be interpreted as conditions that affect client management in terms of requiring any of the following:

• Commencement, alteration or adjustment of therapeutic treatment
• Diagnostic procedures
• Increased clinical care and/or monitoring

Where the client one or more comorbid mental health conditions in addition to the condition coded as the Principal Diagnosis, record the main condition as the Additional Diagnosis.

The following responses have been added to allow mapping of ATAPS data to PMHC format.

• 100: Anxiety disorders (ATAPS)
• 200: Affective (Mood) disorders (ATAPS)
• 300: Substance use disorders (ATAPS)
• 400: Psychotic disorders (ATAPS)

Note: These four codes should only be used for Episodes that are migrated from ATAPS MDS sources that cannot be described by any other Diagnosis. It is expected that the majority of Episodes delivered to clients from 1st July, 2017 can be assigned to other diagnoses.

These responses will only be allowed on episodes where the original ATAPS referral date was before 1 July 2017

These responses will only be allowed on episodes with the !ATAPS flag.

For further notes on the recording of diagnosis codes see Principal Diagnosis.

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5.4.5. Area of usual residence, postcode

The Australian postcode of the client.

Field name:

client_postcode

Data type:

string

Required:

yes

Notes:

A valid Australian postcode or 9999 if the postcode is unknown or the client has not provided sufficient information to confirm their current residential address.

The full list of Australian Postcodes can be found at Australia Post.

When collecting the postcode of a person’s usual place of residence, the 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.’

Postcodes are deemed valid if they are in the range 0200-0299, 0800-9999.

METeOR:

429894

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5.4.6. ATSI Cultural Training

Indicates whether a practitioner has completed a recognised training programme in the delivery of culturally safe services to Aboriginal and Torres Strait Islander peoples.

Field name:

atsi_cultural_training

Data type:

string

Required:

yes

Domain:

1:Yes 2:No 3:Not required 9:Missing / Not recorded

Notes:

This item is reported by the practitioner and applies to service providers who are either:

• not of Aboriginal or Torres Strait Islander status; or
• are not employed by an Aboriginal Community Controlled Health Service.

1 - Yes

The practitioner has:

• undertaken specific training in the delivery of culturally appropriate mental health /health services for Aboriginal and Torres Strait Islander peoples. As a guide, recognised training programs include those endorsed by the Australian Indigenous Psychologists’ Association (AIPA) or similar organisation; or
• undertaken local cultural awareness training in the community in which they are practising, as delivered or endorsed by the elders of that community or the local Aboriginal Community Controlled Health Service.

2 - No

The practitioner has not met the requirements stated above.

3 - Not required

This option is reserved only for practitioners who are of Aboriginal and Torres Strait Islander descent, or employed by an Aboriginal Community Controlled Health Service.

4 - Missing/Not recorded

This is a system code for missing data and not a valid response option for practitioners.

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5.4.7. Client Consent to Anonymised Data

An indication that the client has consented to their anonymised data being provided to the Department of Health for statistical purposes in planning and improving mental health services.

Field name:

client_consent

Data type:

string

Required:

yes

Notes:

1 - Yes

The client has consented to their anonymised data being provided to the Department of Health for statistical purposes in planning and improving mental health services. The client’s data will be included in reports and extracts accessible by the Department of Health.

2 - No

The client has not consented to their anonymised data being provided to the Department of Health for statistical purposes in planning and improving mental health services. The client’s data will be excluded from reports and extracts accessible by the Department of Health.

All data can be uploaded, regardless of consent flag.

All data will be available to PHNs to extract for their own internal data evaluation purposes.

---

5.4.8. Client Gender

The term ‘gender’ refers to the way in which a person identifies their masculine or feminine characteristics. A persons gender relates to their deeply held internal and individual sense of gender and is not always exclusively male or female. It may or may not correspond to their sex assigned at birth.

Field name:

client_gender

Data type:

string

Required:

yes

Domain:

0:Not stated/Inadequately described 1:Male 2:Female 3:Other

Notes:

1 - M - Male

Adults who identify themselves as men, and children who identify themselves as boys.

2 - F - Female

Adults who identify themselves as women, and children who identify themselves as girls.

3 - X- Other

Adults and children who identify as non-binary, gender diverse, or with descriptors other than man/boy or woman/girl.

ABS:

http://www.abs.gov.au/ausstats/abs@.nsf/Latestproducts/1200.0.55.012Main%20Features12016?opendocument&tabname=Summary&prodno=1200.0.55.012&issue=2016&num=&view=

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5.4.9. Client Key

This is a number or code assigned to each individual client referred to the commissioned organisation. The client identifier must be unique and stable for each individual within the Provider Organisation. Assigned by either the PHN or Provider Organisation depending on local procedures.

Field name:

client_key

Data type:

string (2,50)

Required:

yes

Notes:

Client keys must be unique within each Provider Organisation. The Client Key will be managed by the Provider Organisation, however, the PHN may decide to play a role in coordinating assignment and management of these client keys. Clients should not be assigned multiple keys within the same Provider Organisation.

Client keys are case sensitive and must be valid unicode characters.

See Managing Client Keys

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5.4.10. Client Participation Indicator

An indicator of whether the client participated, or intended to participate, in the service contact, as represented by a code.

Field name:

service_contact_participation_indicator

Data type:

string

Required:

yes

Domain:

1:Yes 2:No

Notes:

Service contacts are not restricted to in-person communication but can include telephone, video link or other forms of direct communication.

1 - Yes

This code is to be used for service contacts between a mental health service provider and the patient/client in whose clinical record the service contact would normally warrant a dated entry, where the patient/client is participating.

2 - No

This code is to be used for service contacts between a mental health service provider and a third party(ies) where the patient/client, in whose clinical record the service contact would normally warrant a dated entry, is not participating.

Note: Where a client intended to participate in a service contact but failed to attend, Client Participation Indicator should be recorded as ‘1: Yes’ and No Show should be recorded as ‘1: Yes’.

METeOR:

494341

---

5.4.11. Client Tags

List of tags for the client.

Field name:

client_tags

Data type:

string

Required:

no

Notes:

A comma separated list of tags.

Organisations can use this field to tag records in order to partition them as per local requirements.

Tags can contain lower case letters (or will get lowercased), numbers, dashes, spaces, and !. Leading and trailing spaces will be stripped. e.g. priority!, nurse required, pending-outcome-1 would all be legitimate.

Tags beginning with an exclamation mark (!) are reserved for future use by the Department. e.g. !reserved, ! reserved, !department-use-only.

---

5.4.12. Collection Occasion Date

The date of the collection occasion.

Field name:

collection_occasion_date

Data type:

date

Required:

yes

Notes:

For Date fields, data must be recorded in compliance with the standard format used across the National Health Data Dictionary; specifically, dates must be of fixed 8 column width in the format DDMMYYYY, with leading zeros used when necessary to pad out a value. For instance, 13th March 2008 would appear as 13032008.

If the date the activity was performed is unknown, 09099999 should be used.

• For an intake collection occasion, the collection date must not be before 1st January 2020, otherwise, the collection date must not be before 1st January 2016.
• The collection date must not be in the future.

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5.4.13. Collection Occasion Key

This is a number or code assigned to each collection occasion of service activities. The Collection Occasion Key is unique and stable for each collection occasion at the level of the organisation.

Field name:collection_occasion_key Data type:string (2,50) Required:yes Notes:Collection Occasion Keys must be generated by the organisation to be unique at the Provider Organisation level and must persist across time. See Identifier Management

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5.4.14. Collection Occasion Reason

The reason for the collection of the service activities on the identified Collection Occasion.

Field name:

reason_for_collection

Data type:

string

Required:

yes

Domain:

1:Episode start 2:Review 3:Episode end

Notes:

1 - Episode start

Refers to an outcome measure undertaken at the beginning of an Episode of Care. For the purposes of the PMHC MDS protocol, episodes may start at the point of first Service Contact with a new client who has not been seen previously by the organisation, or a first contact for a new Episode of Care for a client who has received services from the organisation in a previous Episode of Care that has been completed.

2 - Review

Refers to an outcome measure undertaken during the course of an Episode of Care that post-dates Episode Start and pre-dates Episode End. An outcome measure may be undertaken at Review for a number of reasons including:

• in response to critical clinical events or changes in the client’s mental health status;
• following a client-requested review; or
• other situations where a review may be indicated.

3 - Episode end

Refers to the outcome measures collected at the end of an Episode of Care.

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5.4.15. Collection Occasion Tags

List of tags for the collection occasion.

Field name:

collection_occasion_tags

Data type:

string

Required:

no

Notes:

A comma separated list of tags.

Organisations can use this field to tag records in order to partition them as per local requirements.

Tags can contain lower case letters (or will get lowercased), numbers, dashes, spaces, and !. Leading and trailing spaces will be stripped. e.g. priority!, nurse required, pending-outcome-1 would all be legitimate.

Tags beginning with an exclamation mark (!) are reserved for future use by the Department. e.g. !reserved, ! reserved, !department-use-only.

---

5.4.16. Copayment

The co-payment is the amount paid by the client per session.

Field name:

service_contact_copayment

Data type:

number

Required:

yes

Domain:

0 - 999999.99

Notes:

Up to 6 digits before the decimal point; up to 2 digits after the decimal point.

The co-payment is the amount paid by the client per service contact, not the fee paid by the project to the practitioner or the fee paid by the project to the practitioner plus the client contribution. In many cases, there will not be a co-payment charged and therefore zero should be entered. Where a co-payment is charged it should be minimal and based on an individual’s capacity to pay.

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5.4.17. Country of Birth

The country in which the client was born, as represented by a code.

Field name:

country_of_birth

Data type:

string (4)

Required:

yes

Domain:

1101:Australia 1102:Norfolk Island 1199:Australian External Territories, nec 1201:New Zealand 1301:New Caledonia 1302:Papua New Guinea 1303:Solomon Islands 1304:Vanuatu 1401:Guam 1402:Kiribati 1403:Marshall Islands 1404:Micronesia, Federated States of 1405:Nauru 1406:Northern Mariana Islands 1407:Palau 1501:Cook Islands 1502:Fiji 1503:French Polynesia 1504:Niue 1505:Samoa 1506:Samoa, American 1507:Tokelau 1508:Tonga 1511:Tuvalu 1512:Wallis and Futuna 1513:Pitcairn Islands 1599:Polynesia (excludes Hawaii), nec 1601:Adelie Land (France) 1602:Argentinian Antarctic Territory 1603:Australian Antarctic Territory 1604:British Antarctic Territory 1605:Chilean Antarctic Territory 1606:Queen Maud Land (Norway) 1607:Ross Dependency (New Zealand) 2102:England 2103:Isle of Man 2104:Northern Ireland 2105:Scotland 2106:Wales 2107:Guernsey 2108:Jersey 2201:Ireland 2301:Austria 2302:Belgium 2303:France 2304:Germany 2305:Liechtenstein 2306:Luxembourg 2307:Monaco 2308:Netherlands 2311:Switzerland 2401:Denmark 2402:Faroe Islands 2403:Finland 2404:Greenland 2405:Iceland 2406:Norway 2407:Sweden 2408:Aland Islands 3101:Andorra 3102:Gibraltar 3103:Holy See 3104:Italy 3105:Malta 3106:Portugal 3107:San Marino 3108:Spain 3201:Albania 3202:Bosnia and Herzegovina 3203:Bulgaria 3204:Croatia 3205:Cyprus 3206:The former Yugoslav Republic of Macedonia 3207:Greece 3208:Moldova 3211:Romania 3212:Slovenia 3214:Montenegro 3215:Serbia 3216:Kosovo 3301:Belarus 3302:Czech Republic 3303:Estonia 3304:Hungary 3305:Latvia 3306:Lithuania 3307:Poland 3308:Russian Federation 3311:Slovakia 3312:Ukraine 4101:Algeria 4102:Egypt 4103:Libya 4104:Morocco 4105:Sudan 4106:Tunisia 4107:Western Sahara 4108:Spanish North Africa 4111:South Sudan 4201:Bahrain 4202:Gaza Strip and West Bank 4203:Iran 4204:Iraq 4205:Israel 4206:Jordan 4207:Kuwait 4208:Lebanon 4211:Oman 4212:Qatar 4213:Saudi Arabia 4214:Syria 4215:Turkey 4216:United Arab Emirates 4217:Yemen 5101:Myanmar 5102:Cambodia 5103:Laos 5104:Thailand 5105:Vietnam 5201:Brunei Darussalam 5202:Indonesia 5203:Malaysia 5204:Philippines 5205:Singapore 5206:Timor-Leste 6101:China (excludes SARs and Taiwan) 6102:Hong Kong (SAR of China) 6103:Macau (SAR of China) 6104:Mongolia 6105:Taiwan 6201:Japan 6202:Korea, Democratic People’s Republic of (North) 6203:Korea, Republic of (South) 7101:Bangladesh 7102:Bhutan 7103:India 7104:Maldives 7105:Nepal 7106:Pakistan 7107:Sri Lanka 7201:Afghanistan 7202:Armenia 7203:Azerbaijan 7204:Georgia 7205:Kazakhstan 7206:Kyrgyzstan 7207:Tajikistan 7208:Turkmenistan 7211:Uzbekistan 8101:Bermuda 8102:Canada 8103:St Pierre and Miquelon 8104:United States of America 8201:Argentina 8202:Bolivia 8203:Brazil 8204:Chile 8205:Colombia 8206:Ecuador 8207:Falkland Islands 8208:French Guiana 8211:Guyana 8212:Paraguay 8213:Peru 8214:Suriname 8215:Uruguay 8216:Venezuela 8299:South America, nec 8301:Belize 8302:Costa Rica 8303:El Salvador 8304:Guatemala 8305:Honduras 8306:Mexico 8307:Nicaragua 8308:Panama 8401:Anguilla 8402:Antigua and Barbuda 8403:Aruba 8404:Bahamas 8405:Barbados 8406:Cayman Islands 8407:Cuba 8408:Dominica 8411:Dominican Republic 8412:Grenada 8413:Guadeloupe 8414:Haiti 8415:Jamaica 8416:Martinique 8417:Montserrat 8421:Puerto Rico 8422:St Kitts and Nevis 8423:St Lucia 8424:St Vincent and the Grenadines 8425:Trinidad and Tobago 8426:Turks and Caicos Islands 8427:Virgin Islands, British 8428:Virgin Islands, United States 8431:St Barthelemy 8432:St Martin (French part) 8433:Bonaire, Sint Eustatius and Saba 8434:Curacao 8435:Sint Maarten (Dutch part) 9101:Benin 9102:Burkina Faso 9103:Cameroon 9104:Cabo Verde 9105:Central African Republic 9106:Chad 9107:Congo, Republic of 9108:Congo, Democratic Republic of 9111:Cote d’Ivoire 9112:Equatorial Guinea 9113:Gabon 9114:Gambia 9115:Ghana 9116:Guinea 9117:Guinea-Bissau 9118:Liberia 9121:Mali 9122:Mauritania 9123:Niger 9124:Nigeria 9125:Sao Tome and Principe 9126:Senegal 9127:Sierra Leone 9128:Togo 9201:Angola 9202:Botswana 9203:Burundi 9204:Comoros 9205:Djibouti 9206:Eritrea 9207:Ethiopia 9208:Kenya 9211:Lesotho 9212:Madagascar 9213:Malawi 9214:Mauritius 9215:Mayotte 9216:Mozambique 9217:Namibia 9218:Reunion 9221:Rwanda 9222:St Helena 9223:Seychelles 9224:Somalia 9225:South Africa 9226:Swaziland 9227:Tanzania 9228:Uganda 9231:Zambia 9232:Zimbabwe 9299:Southern and East Africa, nec 9999:Unknown

Notes:

Standard Australian Classification of Countries (SACC), 2016 4-digit code (ABS Catalogue No. 1269.0) SACC 2016 is a four-digit, three-level hierarchical structure specifying major group, minor group and country. 9999 is used when the information is not known or the client has refused to provide the information.

Organisations are encouraged to produce customised lists of the most common languages in use by their local populations from the above resource. Please refer to Country of Birth for help on designing forms.

METeOR:

459973

ABS:

http://www.abs.gov.au/ausstats/abs@.nsf/mf/1269.0

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5.4.18. Date client contacted Intake

The date on which the client first contacted the intake service

Field name:

date_client_contacted_intake

Data type:

date

Required:

yes

Notes:

For Date fields, data must be recorded in compliance with the standard format used across the National Health Data Dictionary; specifically, dates must be of fixed 8 column width in the format DDMMYYYY, with leading zeros used when necessary to pad out a value. For instance, 13th March 2008 would appear as 13032008.

• The contact date must not be before 1st January 2020.
• The contact date must not be in the future.

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5.4.19. Date of Birth

The date on which an individual was born.

Field name:

date_of_birth

Data type:

date

Required:

yes

Notes:

• The date of birth must not be before January 1st 1900.
• The date of birth must not be in the future.
• If the date of birth is unknown, the following approaches should be used:
  • If the age of the person is known, the age should be used to derive the year of birth
  • If the age of the person is unknown, an estimated age of the person should be used to estimate a year of birth
  • An actual or estimated year of birth should then be converted into an estimated date of birth using the following convention: 0101Estimated year of birth.
  • If the date of birth is totally unknown, use 09099999.
  • If you have estimated the year of birth make sure you record this in the ‘Estimated date of birth flag’

METeOR:

287007

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5.4.20. Date referred to other service at Intake conclusion

The date the client was referred to another organisation at Intake conclusion.

Field name:

date_referred_to_other_service_at_intake_conclusion

Data type:

date

Required:

no

Notes:

• The referral out date must not be before 1st January 2020.
• The referral out end date must not be in the future.

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5.4.21. Duration

The time from the start to finish of a service contact.

Field name:

service_contact_duration

Data type:

string

Required:

yes

Domain:

0:No contact took place 1:1-15 mins 2:16-30 mins 3:31-45 mins 4:46-60 mins 5:61-75 mins 6:76-90 mins 7:91-105 mins 8:106-120 mins 9:over 120 mins

Notes:

For group sessions the time for client spent in the session is recorded for each client, regardless of the number of clients or third parties participating or the number of service providers providing the service. Writing up details of service contacts is not to be reported as part of the duration, except if during or contiguous with the period of client or third party participation. Travel to or from the location at which the service is provided, for example to or from outreach facilities or private homes, is not to be reported as part of the duration of the service contact.

0 - No contact took place

Only use this code where the service contact is recorded as a no show.

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5.4.22. Employment Participation

Whether a person in paid employment is employed full-time or part-time, as represented by a code.

Field name:

employment_participation

Data type:

string

Required:

yes

Domain:

1:Full-time 2:Part-time 3:Not applicable - not in the labour force 9:Not stated/inadequately described

Notes:

Applies only to people whose labour force status is employed. (See metadata item Labour Force Status, for a definition of ‘employed’). Paid employment includes persons who performed some work for wages or salary, in cash or in kind, and persons temporarily absent from a paid employment job but who retained a formal attachment to that job.

1 - Full-time

Employed persons are working full-time if they: (a) usually work 35 hours or more in a week (in all paid jobs) or (b) although usually working less than 35 hours a week, actually worked 35 hours or more during the reference period.

2 - Part-time

Employed persons are working part-time if they usually work less than 35 hours a week (in all paid jobs) and either did so during the reference period, or were not at work in the reference period.

9 - Not stated / inadequately described

Is not to be used on primary collection forms. It is primarily for use in administrative collections when transferring data from data sets where the item has not been collected.

METeOR:

269950

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5.4.23. Episode Completion Status

An indication of the completion status of an Episode of Care.

Field name:

episode_completion_status

Data type:

string

Required:

no

Domain:

0:Episode open 1:Episode closed - treatment concluded 2:Episode closed administratively - client could not be contacted 3:Episode closed administratively - client declined further contact 4:Episode closed administratively - client moved out of area 5:Episode closed administratively - client referred elsewhere 6:Episode closed administratively - other reason

Notes:

In order to use code 1 (Episode closed - treatment concluded) the client must have at least one service contact. All other codes may be applicable even when the client has no service contacts.

0 or Blank - Episode open

The client still requires treatment and further service contacts are required.

1 - Episode closed - treatment concluded

No further service contacts are planned as the client no longer requires treatment.

2 - Episode closed administratively - client could not be contacted

Further service contacts were planned but the client could no longer be contacted.

3 - Episode closed administratively - client declined further contact

Further service contacts were planned but the client declined further treatment.

4 - Episode closed administratively - client moved out of area

Further service contacts were planned but the client moved out of the area without a referral elsewhere. Where a client was referred somewhere else Episode Completion Status should be recorded as code 5 (Episode closed administratively - client referred elsewhere).

5 - Episode closed administratively - client referred elsewhere

Where a client still requires treatment, but a different service has been deemed appropriate or a client has moved out of the area so has moved to a different provider.

6 - Episode closed administratively - other reason

Where a client is no longer being given treatment but the reason for conclusion is not covered above.

Episode Completion Status interacts with two other data items in the PMHC MDS - Service Contact - Final, and Episode End Date.

Service Contact - Final

Collection of data for Service Contacts includes a Service Contact - Final item that requires the service provider to indicate whether further Service Contacts are planned. Where this item is recorded as ‘no further services planned’, the Episode Completion Status should be recorded as code 1 (Episode closed - treatment concluded) code 3 (Episode closed administratively - client declined further contact), code 4 (Episode closed administratively - client moved out of area), or code 5 (Episode closed administratively - client referred elsewhere). Selection of coding option should be that which best describes the circumstances of the episode ending.

Episode End Date

Where a Final Service Contact is recorded Episode End Date should be recorded as the date of the final Service Contact.

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5.4.24. Episode End Date

The date on which an Episode of Care is formally or administratively ended

Field name:

episode_end_date

Data type:

date

Required:

no

Notes:

• The episode end date must not be before 1st January 2016.
• The episode end date must not be in the future.

An Episode of Care may be ended in one of two ways:

• clinically, consequent upon conclusion of treatment for the client and discharge from care; or
• administratively (statistically), where contact with the client has been lost by the organisation prior to completion of treatment or other factors prevented treatment being completed.

Episode End Date interacts with two other data items in the PMHC MDS - Service Contact - Final, and Episode Completion Status.

Service Contact - Final

Collection of data for Service Contacts includes a Service Contact - Final item that requires the service provider to indicate whether further Service Contacts are planned. Where this item is recorded as ‘no further services planned’, the date of the final Service Contact should be recorded as the Episode End Date.

Episode Completion Status

This field should be recorded as ‘Episode closed treatment concluded’ when a Service Contact - Final is recorded. The Episode Completion Status field can also be manually recorded to allow for administrative closure of episodes (e.g., contact has been lost with a client over a prolonged period - see Episode Completion Status for additional guidance). Where an episode is closed administratively, the Episode End Date should be recorded as the date on which the organisation made the decision to close episode.

METeOR:

614094

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5.4.25. Episode Key

This is a number or code assigned to each PMHC MDS episode. The Episode Key is unique and stable for each episode at the level of the organisation. This key must link to an existing episode within the PMHC MDS.

Field name:

episode_key

Data type:

string (2,50)

Required:

yes

Notes:

Episode Keys must be generated by the organisation to be unique at the Provider Organisation level and must persist across time. Creation of episode keys in this way allows clients to be merged (where duplicate Client Keys have been identified) without having to re-allocate episode identifiers since they can never clash. See Managing Episode Keys

Episode Keys are case sensitive and must be valid unicode characters.

A recommended approach for the creation of Episode Keys is to compute random UUIDs.

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5.4.26. Episode Organisation Path

A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing the clinical service to the client.

Field name:

episode_organisation_path

Data type:

string

Required:

yes

Notes:

A combination of the Primary Health Network’s (PHN’s) Organisation Key and the Provider Organisation’s Organisation Key separated by a colon.

Here is an example organisation structure showing the Organisation Path for each organisation:

Organisation Key	Organisation Name	Organisation Type	Commissioning Organisation	Organisation Path
PHN999	Test PHN	Primary Health Network	None	PHN999
PO101	Test Provider Organisation	Private Allied Health Professional Practice	PHN999	PHN999:PO101

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5.4.27. Episode Tags

List of tags for the episode.

Field name:

episode_tags

Data type:

string

Required:

no

Notes:

A comma separated list of tags.

Organisations can use this field to tag records in order to partition them as per local requirements.

Tags can contain lower case letters (or will get lowercased), numbers, dashes, spaces, and !. Leading and trailing spaces will be stripped. e.g. priority!, nurse required, pending-outcome-1 would all be legitimate.

Tags beginning with an exclamation mark (!) are reserved for future use by the Department. e.g. !reserved, ! reserved, !department-use-only.

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5.4.28. Estimated Date of Birth Flag

The date of birth estimate flag records whether or not the client’s date of birth has been estimated.

Field name:

est_date_of_birth

Data type:

string

Required:

yes

Domain:

1:Date of birth is accurate 2:Date of birth is an estimate 8:Date of birth is a ‘dummy’ date (ie, 09099999) 9:Accuracy of stated date of birth is not known

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5.4.29. Final Service Contact

An indication of whether the Service Contact is the final for the current Episode of Care

Field name:

service_contact_final

Data type:

string

Required:

yes

Domain:

1:No further services are planned for the client in the current episode 2:Further services are planned for the client in the current episode 3:Not known at this stage

Notes:

Service providers should report this item on the basis of future planned or scheduled contacts with the client. Where this item is recorded as 1 (No further services planned), the episode should be recorded as completed by:

• the date of the final Service Contact should be recorded as the Episode End Date
• the Episode Completion Status field should be recorded as ‘Treatment concluded.

Note that no further Service Contacts can be recorded against an episode once it is marked as completed. Where an episode has been marked as completed prematurely, the Episode End Date can be manually corrected to allow additional activity to be recorded.

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5.4.30. Funding Source

The source of PHN Mental Health funds that are wholly or primarily funding the Service Contact.

Field name:

funding_source

Data type:

string

Required:

yes

Domain:

0:Flexible funding pool - Not Otherwise Stated 11:Flexible funding pool - Low intensity 12:Flexible funding pool - Youth Severe 13:Flexible funding pool - Child and Youth 14:Flexible funding pool - Psychological therapies for hard to reach 15:Flexible funding pool - Services for People with Severe Mental Illness 16:Flexible funding pool - Suicide Prevention - Indigenous 17:Flexible funding pool - Suicide Prevention - General 18:Indigenous Mental Health 19:Commonwealth Psychosocial Support 20:Psychological Treatment in Residential Aged Care Facilities 21:Emergency Response - Bushfire Recovery 2020 22:Emergency Response - Flood 2022 23:Head to Health program 24:Head to Health Kids Hubs 25:Norfolk Island 26:National Suicide Prevention Trial 27:Way Back Support Service 97:Other funding source – no Commonwealth Funding 98:Unknown/Not stated

Notes:

Organisations must record this information for all new Service Contacts under the Version 4 specification.

0 - Flexible funding pool - Not Otherwise Stated

This response is only to be used for existing data entered under a Version 2 or HeadtoHelp Version 3 specification.

23 - Head to Health program

This includes Head to Health Adult Centres and Satellites, and pop-up clinics.

25 - Norfolk Island

This category only applies to services commissioned through the Central and Eastern Sydney PHN.

27 - Way Back Support Service

This category must only to be used in conjunction with the Wayback Extension.

97 - Other funding source - no Commonwealth Funding

This category can only to be used where a service is wholly funded by a non-PHN funding source such as State/Territory jurisdictional funds.

Where a service is co-funded by both PHN funds and State/Territory jurisdictional funds, the appropriate Funding Source category for PHN funding used to pay for the service should be selected unless otherwise advised by relevant guidance from the Department. Tags and/or other reporting measures can be used to differentiate co-funded arrangements.

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5.4.31. GP Mental Health Treatment Plan Flag

An indication of whether a client has a GP mental health treatment plan. A GP should be involved in a referral where appropriate however a mental health treatment plan is not mandatory.

Field name:

mental_health_treatment_plan

Data type:

string

Required:

yes

Domain:

1:Yes 2:No 3:Unknown 9:Not stated/inadequately described

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5.4.32. Health Care Card

An indication of whether the person is a current holder of a Health Care Card that entitles them to arrange of concessions for Government funded health services.

Field name:

health_care_card

Data type:

string

Required:

yes

Domain:

1:Yes 2:No 3:Not Known 9:Not stated

Notes:

Details on the Australian Government Health Care Card are available at: https://www.humanservices.gov.au/customer/services/centrelink/health-care-card

METeOR:

605149

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5.4.33. Homelessness Flag

An indication of whether the client has been homeless in the 4 weeks prior to the current service episode.

Field name:

homelessness

Data type:

string

Required:

yes

Domain:

1:Sleeping rough or in non-conventional accommodation 2:Short-term or emergency accommodation 3:Not homeless 9:Not stated / Missing

Notes:

1 - Sleeping rough or in non-conventional accommodation

Includes sleeping on the streets, in a park, in cars or railway carriages, under bridges or other similar ‘rough’ accommodation

2 - Short-term or emergency accommodation

Includes sleeping in short-term accommodation, emergency accommodation, due to a lack of other options. This may include refuges; crisis shelters; couch surfing; living temporarily with friends and relatives; insecure accommodation on a short term basis; emergency accommodation arranged in hotels, motels etc by a specialist homelessness agency.

3 - Not homeless

Includes sleeping in own accommodation/rental accommodation or living with friends or relatives on a stable, long term basis

9 - Not stated / Missing

Not stated / Missing

Select the code that best fits the client’s sleeping arrangements over the preceding 4 weeks. Where multiple options apply (e.g., client has experienced more than one of the sleeping arrangements over the previous 4 weeks) the following coding hierarchy should be followed:

• If code 1 applied at any time over the 4 week period, code 1
• If code 2 but not code 1 applied at any time over the 4 week period, code 2
• Otherwise Code 3 applies

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5.4.34. IAR-DST - Domain 1 - Symptom Severity and Distress (Primary Domain)

An initial assessment should examine severity of symptoms, distress and previous history of mental illness. Severity of current symptoms and associated levels of distress are important factors in assigning a level of care and making a referral decision. Assessing changes in symptom severity and distress also forms an important part of outcome monitoring.

Field name:

iar_dst_domain_1

Data type:

string

Required:

yes

Domain:

0:No problem in this domain 1:Mild or sub diagnostic 2:Moderate 3:Severe 4:Very severe

Notes:

Please refer to IAR-DST Domain 1 - Symptom Severity and Distress (Primary Domain)

---

5.4.35. IAR-DST - Domain 2 - Risk of Harm (Primary Domain)

An initial assessment should include an evaluation of risk to determine a person’s potential for harm to self or others. Results from this assessment are of fundamental importance in deciding the appropriate level of care required.

Field name:

iar_dst_domain_2

Data type:

string

Required:

yes

Domain:

0:No identified risk in this domain 1:Low risk of harm 2:Moderate risk of harm 3:High risk of harm 4:Very high risk of harm

Notes:

Please refer to IAR-DST Domain 2 - Risk of Harm (Primary Domain)

---

5.4.36. IAR-DST - Domain 3 - Functioning (Primary Domain)

An initial assessment should consider functional impairment caused by or exacerbated by the mental health condition. While other types of disabilities may play a role in determining what types of support services may be required, they should generally not be considered in determining mental health intervention intensity within a stepped care continuum.

Field name:

iar_dst_domain_3

Data type:

string

Required:

yes

Domain:

0:No problems in this domain 1:Mild impact 2:Moderate impact 3:Severe impact 4:Very severe to extreme impact

Notes:

Please refer to IAR-DST Domain 3 - Functioning (Primary Domain)

---

5.4.37. IAR-DST - Domain 4 - Impact of Co-existing Conditions (Primary Domain)

Increasingly, individuals are experiencing and managing multi-morbidity (coexistence of multiple conditions including chronic disease). An initial assessment should specifically examine the presence of other concurrent health conditions that contribute to (or have the potential to contribute to) increased severity of mental health problems and/or compromises the person’s ability to participate in the recommended treatment.

Field name:

iar_dst_domain_4

Data type:

string

Required:

yes

Domain:

0:No problem in this domain 1:Minor impact 2:Moderate impact 3:Severe impact 4:Very severe impact

Notes:

Please refer to IAR-DST Domain 4 - Impact of Co-existing Conditions (Primary Domain)

---

5.4.38. IAR-DST - Domain 5 - Treatment and Recovery History (Contextual Domain)

This initial assessment domain should explore the individual’s relevant treatment history and their response to previous treatment. Response to previous treatment is a reasonable predictor of future treatment need and is particularly important when determining appropriateness of lower intensity services.

Field name:

iar_dst_domain_5

Data type:

string

Required:

yes

Domain:

0:No prior treatment history 1:Full recovery with previous treatment 2:Moderate recovery with previous treatment 3:Minor recovery with previous treatment 4:Negligible recovery with previous treatment

Notes:

Please refer to IAR-DST Domain 5 - Treatment and Recovery History (Contextual Domain)

---

5.4.39. IAR-DST - Domain 6 - Social and Environmental Stressors (Contextual Domain)

This initial assessment domain should consider how the person’s environment might contribute to the onset or maintenance of a mental health condition. Significant situational or social complexities can lead to increased condition severity and/or compromise ability to participate in the recommended treatment. Unresolved situational or social complexities can limit the likely benefit of treatment. Furthermore, understanding the complexities experienced by the individual (with carer/support person perspectives if available), may alter the type of service offered, or indicate that additional service referrals may be required (e.g., a referral to an emergency housing provider).

Field name:

iar_dst_domain_6

Data type:

string

Required:

yes

Domain:

0:No problem in this domain 1:Mildly stressful environment 2:Moderately stressful environment 3:Highly stressful environment 4:Extremely stressful environment

Notes:

Please refer to IAR-DST Domain 6 - Social and Environmental Stressors (Contextual Domain)

---

5.4.40. IAR-DST - Domain 7 - Family and Other Supports (Contextual Domain)

This initial assessment domain should consider whether informal supports are present and their potential to contribute to recovery. A lack of supports might contribute to the onset or maintenance of the mental health condition and/or compromise ability to participate in the recommended treatment.

Field name:

iar_dst_domain_7

Data type:

string

Required:

yes

Domain:

0:Highly supported 1:Well supported 2:Limited supports 3:Minimal supports 4:No supports

Notes:

Please refer to IAR-DST Domain 7 - Family and Other Supports (Contextual Domain)

---

5.4.41. IAR-DST - Domain 8 - Engagement and Motivation (Contextual Domain)

This initial assessment domain should explore the person’s understanding of the mental health condition and their willingness to engage in or accept treatment.

Field name:

iar_dst_domain_8

Data type:

string

Required:

yes

Domain:

0:Optimal 1:Positive 2:Limited 3:Minimal 4:Disengaged

Notes:

Please refer to IAR-DST Domain 8 - Engagement and Motivation (Contextual Domain)

---

5.4.42. IAR-DST - Practitioner Level of Care

The individualised level of care assessed by the practitioner for the referral

Field name:

iar_dst_practitioner_level_of_care

Data type:

string

Required:

yes

Domain:

1:Level 1 - Self Management 2:Level 2 - Low Intensity Services 3:Level 3 - Moderate Intensity Services 4:Level 4 - High Intensity Services 5:Level 5 - Acute and Specialist Community Mental Health Services 9:Not stated

Notes:

Please refer to IAR-DST Levels of Care

This field was added on 25/2/2021. IAR-DST data entered into the PMHC-MDS before 25/2/2021 will have the Practitioner Level of Care set to 9: Missing. All data entered after 25/2/2021 must use responses 1-5.

---

5.4.43. IAR-DST - Recommended Level of Care

The information gathered through the initial assessment is used to assign a recommended level of care and inform a referral decision. The levels of care are not intended to replace individualised assessment and care - rather to provide information to guide decision making.

Field name:

iar_dst_recommended_level_of_care

Data type:

string

Required:

yes

Domain:

1:Level 1 - Self Management 1+:Level 1 or above - Review assessment on Contextual Domains to determine most appropriate placement 2:Level 2 - Low Intensity Services 2+:Level 2 or above - Review assessment on Contextual Domains to determine most appropriate placement 3:Level 3 - Moderate Intensity Services 3+:Level 3 or above - Review assessment on Contextual Domains to determine most appropriate placement 4:Level 4 - High Intensity Services 4+:Level 4 or above - Review assessment on Contextual Domains to determine most appropriate placement 5:Level 5 - Acute and Specialist Community Mental Health Services

Notes:

Please refer to IAR-DST Levels of Care

---

5.4.44. IAR-DST - Tags

List of tags for the measure.

Field name:

iar_dst_tags

Data type:

string

Required:

no

Notes:

A comma separated list of tags.

Organisations can use this field to tag records in order to partition them as per local requirements.

Tags can contain lower case letters (or will get lowercased), numbers, dashes, spaces, and !. Leading and trailing spaces will be stripped. e.g. priority!, nurse required, pending-outcome-1 would all be legitimate.

Tags beginning with an exclamation mark (!) are reserved for future use by the Department. e.g. !reserved, ! reserved, !department-use-only.

---

5.4.45. IAR-DST - Version

The version of the IAR-DST collected.

Field name:

iar_dst_version

Data type:

string

Required:

yes

Domain:

1:DST specified by National PHN Guidance Initial Assessment and Referral for Mental Healthcare version 1.05

---

5.4.46. Intake Key

This is a number or code assigned to each intake. The Intake Key is unique and stable for each intake at the level of the organisation.

Field name:

intake_key

Data type:

string (2,50)

Required:

yes

Notes:

Intake Keys must be generated by the organisation to be unique at the provider organisation level and must persist across time. Creation of intake keys in this way allows clients to be merged (where duplicate Client Keys have been identified) without having to re-allocate intake identifiers since they can never clash.

A recommended approach for the creation of Intake Keys is to compute random UUIDs.

---

5.4.47. Intake Organisation Path

A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing the intake to the client.

Field name:

intake_organisation_path

Data type:

string

Required:

yes

Notes:

A combination of the Primary Health Network’s (PHN’s) Organisation Key and the Provider Organisation’s Organisation Key separated by a colon.

Here is an example organisation structure showing the Organisation Path for each organisation:

Organisation Key	Organisation Name	Organisation Type	Commissioning Organisation	Organisation Path
PHN999	Test PHN	Primary Health Network	None	PHN999
PO101	Test Provider Organisation	Private Allied Health Professional Practice	PHN999	PHN999:PO101

---

5.4.48. Intake Tags

List of tags for the intake.

Field name:

intake_tags

Data type:

string

Required:

no

Notes:

A comma separated list of tags.

Organisations can use this field to tag records in order to partition them as per local requirements.

Tags can contain lower case letters (or will get lowercased), numbers, dashes, spaces, and !. Leading and trailing spaces will be stripped. e.g. priority!, nurse required, pending-outcome-1 would all be legitimate.

Tags beginning with an exclamation mark (!) are reserved for future use by the Department. e.g. !reserved, ! reserved, !department-use-only.

---

5.4.49. Interpreter Used

Whether an interpreter service was used during the Service Contact

Field name:

service_contact_interpreter

Data type:

string

Required:

yes

Domain:

1:Yes 2:No 9:Not stated

Notes:

Interpreter services includes verbal language, non-verbal language and languages other than English.

1 - Yes

Use this code where interpreter services were used during the Service Contact. Use of interpreter services for any form of sign language or other forms of non-verbal communication should be coded as Yes.

2 - No

Use this code where interpreter services were not used during the Service Contact.

9 - Not stated

Indicates that the item was not collected. This item should not appear as an option for clinicians, it is for administrative use only.

---

5.4.50. Key

A metadata key name.

Field name:

key

Data type:

string

Required:

yes

Notes:

Current allowed metadata keys are type and version.

Please refer to Metadata file for an example of the metadata file/worksheet that must be used with this specification.

---

5.4.51. K5 - Question 1

In the last 4 weeks, about how often did you feel nervous?

Field name:

k5_item1

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.52. K5 - Question 2

In the last 4 weeks, about how often did you feel without hope?

Field name:

k5_item2

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.53. K5 - Question 3

In the last 4 weeks, about how often did you feel restless or jumpy?

Field name:

k5_item3

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.54. K5 - Question 4

In the last 4 weeks, about how often did you feel everything was an effort?

Field name:

k5_item4

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.55. K5 - Question 5

In the last 4 weeks, about how often did you feel so sad that nothing could cheer you up?

Field name:

k5_item5

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.56. K5 - Score

The overall K5 score.

Field name:

k5_score

Data type:

integer

Required:

yes

Domain:

5 - 25, 99 = Not stated / Missing

Notes:

The K5 Total score is based on the sum of K5 item 1 through 5 (range: 5-25).

The Total score is computed as the sum of the item scores. If any item has not been completed (that is, has not been coded 1, 2, 3, 4, 5), it is excluded from the calculation and not counted as a valid item. If any item is missing, the Total Score is set as missing.

For the Total score, the missing value used should be 99.

When reporting individual item scores use ‘99 - Not stated / Missing’

---

5.4.57. K5 - Tags

List of tags for the measure.

Field name:

k5_tags

Data type:

string

Required:

no

Notes:

A comma separated list of tags.

Organisations can use this field to tag records in order to partition them as per local requirements.

Tags can contain lower case letters (or will get lowercased), numbers, dashes, spaces, and !. Leading and trailing spaces will be stripped. e.g. priority!, nurse required, pending-outcome-1 would all be legitimate.

Tags beginning with an exclamation mark (!) are reserved for future use by the Department. e.g. !reserved, ! reserved, !department-use-only.

---

5.4.58. K10+ - Question 1

In the past 4 weeks, about how often did you feel tired out for no good reason?

Field name:

k10p_item1

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.59. K10+ - Question 2

In the past 4 weeks, about how often did you feel nervous?

Field name:

k10p_item2

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.60. K10+ - Question 3

In the past 4 weeks, about how often did you feel so nervous that nothing could calm you down?

Field name:

k10p_item3

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.61. K10+ - Question 4

In the past 4 weeks, how often did you feel hopeless?

Field name:

k10p_item4

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.62. K10+ - Question 5

In the past 4 weeks, how often did you feel restless or fidgety?

Field name:

k10p_item5

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.63. K10+ - Question 6

In the past 4 weeks, how often did you feel so restless you could not sit still?

Field name:

k10p_item6

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.64. K10+ - Question 7

In the past 4 weeks, how often did you feel depressed?

Field name:

k10p_item7

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.65. K10+ - Question 8

In the past 4 weeks, how often did you feel that everything was an effort?

Field name:

k10p_item8

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.66. K10+ - Question 9

In the past 4 weeks, how often did you feel so sad that nothing could cheer you up?

Field name:

k10p_item9

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.67. K10+ - Question 10

In the past 4 weeks, how often did you feel worthless?

Field name:

k10p_item10

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When reporting total score use ‘9 - Not stated / Missing’

---

5.4.68. K10+ - Question 11

In the past four weeks, how many days were you totally unable to work, study or manage your day to day activities because of these feelings?

Field name:k10p_item11 Data type:integer Required:yes Domain:0 - 28, 99 = Not stated / Missing Notes:When the client’s responses to Q1-10 are all recorded as 1 ‘None of the time’, they are not required to answer questions 11-14. Where this question has not been answered a response of ‘99 - Not stated / Missing’ should be selected.

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5.4.69. K10+ - Question 12

Aside from those days, in the past four weeks, how many days were you able to work or study or manage your day to day activities, but had to cut down on what you did because of these feelings?

Field name:k10p_item12 Data type:integer Required:yes Domain:0 - 28, 99 = Not stated / Missing Notes:When the client’s responses to Q1-10 are all recorded as 1 ‘None of the time’, they are not required to answer questions 11-14. Where this question has not been answered a response of ‘99 - Not stated / Missing’ should be selected.

---

5.4.70. K10+ - Question 13

In the past four weeks, how many times have you seen a doctor or any other health professional about these feelings?

Field name:k10p_item13 Data type:integer Required:yes Domain:0 - 89, 99 = Not stated / Missing Notes:When the client’s responses to Q1-10 are all recorded as 1 ‘None of the time’, they are not required to answer questions 11-14. Where this question has not been answered a response of ‘99 - Not stated / Missing’ should be selected.

---

5.4.71. K10+ - Question 14

In the past four weeks, how often have physical health problems been the main cause of these feelings?

Field name:

k10p_item14

Data type:

string

Required:

yes

Domain:

1:None of the time 2:A little of the time 3:Some of the time 4:Most of the time 5:All of the time 9:Not stated / Missing

Notes:

When the client’s responses to Q1-10 are all recorded as 1 ‘None of the time’, they are not required to answer questions 11-14. Where this question has not been answered a response of ‘99 - Not stated / Missing’ should be selected.

---

5.4.72. K10+ - Score

The overall K10 score.

Field name:

k10p_score

Data type:

integer

Required:

yes

Domain:

10 - 50, 99 = Not stated / Missing

Notes:

The K10 Total score is based on the sum of K10 item 01 through 10 (range: 10-50). Items 11 through 14 are excluded from the total because they are separate measures of disability associated with the problems referred to in the preceding ten items.

The Total score is computed as the sum of the scores for items 1 to 10. If any item has not been completed (that is, has not been coded 1, 2, 3, 4, 5), it is excluded from the total

When items 01 through 10 has one item “not stated/missing” (value 9), the Total Score is pro-rated using the following formula:

Total score = round( sum of valid item scores / 9 * 10 )

When items 01 through 10 has more than one item “not stated/missing” (value 9), the Total Score is set as invalid. Where this is the case, the “not stated/missing” (value 99) should be used.

For more information on scoring the K10+, please refer to page 58 of AMHOCN’s Overview of clinician-rated and consumer self-report measures at https://www.amhocn.org/sites/default/files/publication_files/nocc_clinician_and_self-report_measures_overview_v2.1_20210913_1.pdf

When upload report individual item scores and use a Total Score ‘99 - Not stated / Missing’, the PMHC MDS will calculate the total score.

---

5.4.73. K10+ - Tags

List of tags for the measure.

Field name:

k10p_tags

Data type:

string

Required:

no

Notes:

A comma separated list of tags.

Organisations can use this field to tag records in order to partition them as per local requirements.

Tags can contain lower case letters (or will get lowercased), numbers, dashes, spaces, and !. Leading and trailing spaces will be stripped. e.g. priority!, nurse required, pending-outcome-1 would all be legitimate.

Tags beginning with an exclamation mark (!) are reserved for future use by the Department. e.g. !reserved, ! reserved, !department-use-only.

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5.4.74. Labour Force Status

The self-reported status the person currently has in being either in the labour force (employed/unemployed) or not in the labour force, as represented by a code.

Field name:

labour_force_status

Data type:

string

Required:

yes

Domain:

1:Employed 2:Unemployed 3:Not in the Labour Force 9:Not stated/inadequately described

Notes:

1 - Employed

Employed persons are those aged 15 years and over who met one of the following criteria during the reference week:

• Worked for one hour or more for pay, profit, commission or payment in kind, in a job or business or son a farm (employees and owner managers of incorporated or unincorporated enterprises).
• Worked for one hour or more without pay in a family business or on a farm (contributing family workers).
• Were employees who had a job but were not at work and were:
  • away from work for less than four weeks up to the end of the reference week; or
  • away from work for more than four weeks up to the end of the reference week and
  • received pay for some or all of the four week period to the end of the reference week; or
  • away from work as a standard work or shift arrangement; or
  • on strike or locked out; or
  • on workers’ compensation and expected to return to their job.
• Were owner managers who had a job, business or farm, but were not at work.

2 - Unemployed

Unemployed persons are those aged 15 years and over who were not employed during the reference week, and:

• had actively looked for full time or part time work at any time in the four weeks up to the end of the reference week and were available for work in the reference week; or
• were waiting to start a new job within four weeks from the end of the reference week and could have started in the reference week if the job had been available then.

Actively looked for work includes:

• written, telephoned or applied to an employer for work;
• had an interview with an employer for work;
• answered an advertisement for a job;
• checked or registered with a Job Services Australia provider or any other employment agency;
• taken steps to purchase or start your own business;
• advertised or tendered for work; and
• contacted friends or relatives in order to obtain work.

3 - Not in the labour force

Persons not in the labour force are those aged 15 years and over who were not in the categories employed or unemployed, as defined, during the reference week. They include people who undertook unpaid household duties or other voluntary work only, were retired, voluntarily inactive and those permanently unable to work.

9 - Not stated/inadequately described

Includes children under 15 (0-14 years)

METeOR:

621450

---

5.4.75. Legal Name

The legal name of the provider organisation.

Field name:organisation_legal_name Data type:string Required:no

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5.4.76. Main Language Spoken at Home

The language reported by a client as the main language other than English spoken by that client in his/her home (or most recent private residential setting occupied by the client) to communicate with other residents of the home or setting and regular visitors, as represented by a code.

Field name:

main_lang_at_home

Data type:

string (4)

Required:

yes

Domain:

1101:Gaelic (Scotland) 1102:Irish 1103:Welsh 1199:Celtic, nec 1201:English 1301:German 1302:Letzeburgish 1303:Yiddish 1401:Dutch 1402:Frisian 1403:Afrikaans 1501:Danish 1502:Icelandic 1503:Norwegian 1504:Swedish 1599:Scandinavian, nec 1601:Estonian 1602:Finnish 1699:Finnish and Related Languages, nec 2101:French 2201:Greek 2301:Catalan 2302:Portuguese 2303:Spanish 2399:Iberian Romance, nec 2401:Italian 2501:Maltese 2901:Basque 2902:Latin 2999:Other Southern European Languages, nec 3101:Latvian 3102:Lithuanian 3301:Hungarian 3401:Belorussian 3402:Russian 3403:Ukrainian 3501:Bosnian 3502:Bulgarian 3503:Croatian 3504:Macedonian 3505:Serbian 3506:Slovene 3507:Serbo-Croatian/Yugoslavian, so described 3601:Czech 3602:Polish 3603:Slovak 3604:Czechoslovakian, so described 3901:Albanian 3903:Aromunian (Macedo-Romanian) 3904:Romanian 3905:Romany 3999:Other Eastern European Languages, nec 4101:Kurdish 4102:Pashto 4104:Balochi 4105:Dari 4106:Persian (excluding Dari) 4107:Hazaraghi 4199:Iranic, nec 4202:Arabic 4204:Hebrew 4206:Assyrian Neo-Aramaic 4207:Chaldean Neo-Aramaic 4208:Mandaean (Mandaic) 4299:Middle Eastern Semitic Languages, nec 4301:Turkish 4302:Azeri 4303:Tatar 4304:Turkmen 4305:Uygur 4306:Uzbek 4399:Turkic, nec 4901:Armenian 4902:Georgian 4999:Other Southwest and Central Asian Languages, nec 5101:Kannada 5102:Malayalam 5103:Tamil 5104:Telugu 5105:Tulu 5199:Dravidian, nec 5201:Bengali 5202:Gujarati 5203:Hindi 5204:Konkani 5205:Marathi 5206:Nepali 5207:Punjabi 5208:Sindhi 5211:Sinhalese 5212:Urdu 5213:Assamese 5214:Dhivehi 5215:Kashmiri 5216:Oriya 5217:Fijian Hindustani 5299:Indo-Aryan, nec 5999:Other Southern Asian Languages 6101:Burmese 6102:Chin Haka 6103:Karen 6104:Rohingya 6105:Zomi 6199:Burmese and Related Languages, nec 6201:Hmong 6299:Hmong-Mien, nec 6301:Khmer 6302:Vietnamese 6303:Mon 6399:Mon-Khmer, nec 6401:Lao 6402:Thai 6499:Tai, nec 6501:Bisaya 6502:Cebuano 6503:IIokano 6504:Indonesian 6505:Malay 6507:Tetum 6508:Timorese 6511:Tagalog 6512:Filipino 6513:Acehnese 6514:Balinese 6515:Bikol 6516:Iban 6517:Ilonggo (Hiligaynon) 6518:Javanese 6521:Pampangan 6599:Southeast Asian Austronesian Languages, nec 6999:Other Southeast Asian Languages 7101:Cantonese 7102:Hakka 7104:Mandarin 7106:Wu 7107:Min Nan 7199:Chinese, nec 7201:Japanese 7301:Korean 7901:Tibetan 7902:Mongolian 7999:Other Eastern Asian Languages, nec 8101:Anindilyakwa 8111:Maung 8113:Ngan’gikurunggurr 8114:Nunggubuyu 8115:Rembarrnga 8117:Tiwi 8121:Alawa 8122:Dalabon 8123:Gudanji 8127:Iwaidja 8128:Jaminjung 8131:Jawoyn 8132:Jingulu 8133:Kunbarlang 8136:Larrakiya 8137:Malak Malak 8138:Mangarrayi 8141:Maringarr 8142:Marra 8143:Marrithiyel 8144:Matngala 8146:Murrinh Patha 8147:Na-kara 8148:Ndjebbana (Gunavidji) 8151:Ngalakgan 8152:Ngaliwurru 8153:Nungali 8154:Wambaya 8155:Wardaman 8156:Amurdak 8157:Garrwa 8158:Kuwema 8161:Marramaninyshi 8162:Ngandi 8163:Waanyi 8164:Wagiman 8165:Yanyuwa 8166:Marridan (Maridan) 8171:Gundjeihmi 8172:Kune 8173:Kuninjku 8174:Kunwinjku 8175:Mayali 8179:Kunwinjkuan, nec 8181:Burarra 8182:Gun-nartpa 8183:Gurr-goni 8189:Burarran, nec 8199:Arnhem Land and Daly River Region Languages, nec 8211:Galpu 8212:Golumala 8213:Wangurri 8219:Dhangu, nec 8221:Dhalwangu 8222:Djarrwark 8229:Dhay’yi, nec 8231:Djambarrpuyngu 8232:Djapu 8233:Daatiwuy 8234:Marrangu 8235:Liyagalawumirr 8236:Liyagawumirr 8239:Dhuwal, nec 8242:Gumatj 8243:Gupapuyngu 8244:Guyamirrilili 8246:Manggalili 8247:Wubulkarra 8249:Dhuwala, nec 8251:Wurlaki 8259:Djinang, nec 8261:Ganalbingu 8262:Djinba 8263:Manyjalpingu 8269:Djinba, nec 8271:Ritharrngu 8272:Wagilak 8279:Yakuy, nec 8281:Nhangu 8282:Yan-nhangu 8289:Nhangu, nec 8291:Dhuwaya 8292:Djangu 8293:Madarrpa 8294:Warramiri 8295:Rirratjingu 8299:Other Yolngu Matha, nec 8301:Kuku Yalanji 8302:Guugu Yimidhirr 8303:Kuuku-Ya’u 8304:Wik Mungkan 8305:Djabugay 8306:Dyirbal 8307:Girramay 8308:Koko-Bera 8311:Kuuk Thayorre 8312:Lamalama 8313:Yidiny 8314:Wik Ngathan 8315:Alngith 8316:Kugu Muminh 8317:Morrobalama 8318:Thaynakwith 8321:Yupangathi 8322:Tjungundji 8399:Cape York Peninsula Languages, nec 8401:Kalaw Kawaw Ya/Kalaw Lagaw Ya 8402:Meriam Mir 8403:Yumplatok (Torres Strait Creole) 8504:Bilinarra 8505:Gurindji 8506:Gurindji Kriol 8507:Jaru 8508:Light Warlpiri 8511:Malngin 8512:Mudburra 8514:Ngardi 8515:Ngarinyman 8516:Walmajarri 8517:Wanyjirra 8518:Warlmanpa 8521:Warlpiri 8522:Warumungu 8599:Northern Desert Fringe Area Languages, nec 8603:Alyawarr 8606:Kaytetye 8607:Antekerrepenh 8611:Central Anmatyerr 8612:Eastern Anmatyerr 8619:Anmatyerr, nec 8621:Eastern Arrernte 8622:Western Arrarnta 8629:Arrernte, nec 8699:Arandic, nec 8703:Antikarinya 8704:Kartujarra 8705:Kukatha 8706:Kukatja 8707:Luritja 8708:Manyjilyjarra 8711:Martu Wangka 8712:Ngaanyatjarra 8713:Pintupi 8714:Pitjantjatjara 8715:Wangkajunga 8716:Wangkatha 8717:Warnman 8718:Yankunytjatjara 8721:Yulparija 8722:Tjupany 8799:Western Desert Languages, nec 8801:Bardi 8802:Bunuba 8803:Gooniyandi 8804:Miriwoong 8805:Ngarinyin 8806:Nyikina 8807:Worla 8808:Worrorra 8811:Wunambal 8812:Yawuru 8813:Gambera 8814:Jawi 8815:Kija 8899:Kimberley Area Languages, nec 8901:Adnymathanha 8902:Arabana 8903:Bandjalang 8904:Banyjima 8905:Batjala 8906:Bidjara 8907:Dhanggatti 8908:Diyari 8911:Gamilaraay 8913:Garuwali 8914:Githabul 8915:Gumbaynggir 8916:Kanai 8917:Karajarri 8918:Kariyarra 8921:Kaurna 8922:Kayardild 8924:Kriol 8925:Lardil 8926:Mangala 8927:Muruwari 8928:Narungga 8931:Ngarluma 8932:Ngarrindjeri 8933:Nyamal 8934:Nyangumarta 8935:Nyungar 8936:Paakantyi 8937:Palyku/Nyiyaparli 8938:Wajarri 8941:Wiradjuri 8943:Yindjibarndi 8944:Yinhawangka 8945:Yorta Yorta 8946:Baanbay 8947:Badimaya 8948:Barababaraba 8951:Dadi Dadi 8952:Dharawal 8953:Djabwurrung 8954:Gudjal 8955:Keerray-Woorroong 8956:Ladji Ladji 8957:Mirning 8958:Ngatjumaya 8961:Waluwarra 8962:Wangkangurru 8963:Wargamay 8964:Wergaia 8965:Yugambeh 8998:Aboriginal English, so described 8999:Other Australian Indigenous Languages, nec 9101:American Languages 9201:Acholi 9203:Akan 9205:Mauritian Creole 9206:Oromo 9207:Shona 9208:Somali 9211:Swahili 9212:Yoruba 9213:Zulu 9214:Amharic 9215:Bemba 9216:Dinka 9217:Ewe 9218:Ga 9221:Harari 9222:Hausa 9223:Igbo 9224:Kikuyu 9225:Krio 9226:Luganda 9227:Luo 9228:Ndebele 9231:Nuer 9232:Nyanja (Chichewa) 9233:Shilluk 9234:Tigre 9235:Tigrinya 9236:Tswana 9237:Xhosa 9238:Seychelles Creole 9241:Anuak 9242:Bari 9243:Bassa 9244:Dan (Gio-Dan) 9245:Fulfulde 9246:Kinyarwanda (Rwanda) 9247:Kirundi (Rundi) 9248:Kpelle 9251:Krahn 9252:Liberian (Liberian English) 9253:Loma (Lorma) 9254:Lumun (Kuku Lumun) 9255:Madi 9256:Mandinka 9257:Mann 9258:Moro (Nuba Moro) 9261:Themne 9262:Lingala 9299:African Languages, nec 9301:Fijian 9302:Gilbertese 9303:Maori (Cook Island) 9304:Maori (New Zealand) 9306:Nauruan 9307:Niue 9308:Samoan 9311:Tongan 9312:Rotuman 9313:Tokelauan 9314:Tuvaluan 9315:Yapese 9399:Pacific Austronesian Languages, nec 9402:Bislama 9403:Hawaiian English 9404:Norf’k-Pitcairn 9405:Solomon Islands Pijin 9499:Oceanian Pidgins and Creoles, nec 9502:Kiwai 9503:Motu (HiriMotu) 9504:Tok Pisin (Neomelanesian) 9599:Papua New Guinea Languages, nec 9601:Invented Languages 9701:Auslan 9702:Key Word Sign Australia 9799:Sign Languages, nec 9999:Unknown

Notes:

Australian Standard Classification of Languages (ASCL), 2016 4-digit code (ABS Catalogue No. 1267.0) or 9999 if info is not known or client refuses to supply.

The ABS recommends the following question in order to collect this data: Which language does the client mainly speak at home? (If more than one language, indicate the one that is spoken most often.)

Organisations are encouraged to produce customised lists of the most common countries based on their local populations from the above resource. Please refer to Main Language Spoken at Home for help on designing forms.

METeOR:

460125

ABS:

http://www.abs.gov.au/ausstats/abs@.nsf/mf/1267.0

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5.4.77. Marital Status

A person’s current relationship status in terms of a couple relationship or, for those not in a couple relationship, the existence of a current or previous registered marriage, as represented by a code.

Field name:

marital_status

Data type:

string

Required:

yes

Domain:

1:Never married 2:Widowed 3:Divorced 4:Separated 5:Married (registered and de facto) 6:Not stated/inadequately described

Notes:

Refers to the current marital status of a person.

2 - Widowed

This code usually refers to registered marriages but when self-reported may also refer to de facto marriages.

4 - Separated

This code refers to registered marriages but when self-reported may also refer to de facto marriages.

5 - Married (registered and de facto)

Includes people who have been divorced or widowed but have since re-married, and should be generally accepted as applicable to all de facto couples, including of the same sex.

6 - Not stated/inadequately described

This code is not for use on primary collection forms. It is primarily for use in administrative collections when transferring data from data sets where the item has not been collected.

METeOR:

291045

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5.4.78. Measure Key

This is a number or code assigned to each instance of a measure. The Measure Key is unique and stable for each instance of a measure at the level of the organisation.

Field name:measure_key Data type:string (2,50) Required:yes Notes:Measure keys are case sensitive and must be valid unicode characters.

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5.4.79. Medication - Antidepressants (N06A)

Whether the client is taking prescribed antidepressants for a mental health condition as assessed at intake assessment, as represented by a code.

Field name:

medication_antidepressants

Data type:

string

Required:

yes

Domain:

1:Yes 2:No 9:Unknown

Notes:

The N06A class of drugs a therapeutic subgroup of the Anatomical Therapeutic Chemical Classification System, a system of alphanumeric codes developed by the World Health Organisation (WHO) for the classification of drugs and other medical products. It covers drugs designed for the depressive disorders.

Details of drugs included in the category can be found here: http://www.whocc.no/atc_ddd_index/?code=N06A

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5.4.80. Medication - Antipsychotics (N05A)

Whether the client is taking prescribed antipsychotics for a mental health condition as assessed at intake assessment, as represented by a code.

Field name:

medication_antipsychotics

Data type:

string

Required:

yes

Domain:

1:Yes 2:No 9:Unknown

Notes:

The N05A class of drugs a therapeutic subgroup of the Anatomical Therapeutic Chemical Classification System, a system of alphanumeric codes developed by the World Health Organisation (WHO) for the classification of drugs and other medical products. It covers drugs designed for the treatment of psychotic disorders.

Details of drugs included in the category can be found here: http://www.whocc.no/atc_ddd_index/?code=N05A

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5.4.81. Medication - Anxiolytics (N05B)

Whether the client is taking prescribed anxiolytics for a mental health condition as assessed at intake assessment, as represented by a code.

Field name:

medication_anxiolytics

Data type:

string

Required:

yes

Domain:

1:Yes 2:No 9:Unknown

Notes:

The N05B class of drugs a therapeutic subgroup of the Anatomical Therapeutic Chemical Classification System, a system of alphanumeric codes developed by the World Health Organisation (WHO) for the classification of drugs and other medical products. It covers drugs designed for the treatment of disorders associated with anxiety and tension.

Details of drugs included in the category can be found here: http://www.whocc.no/atc_ddd_index/?code=N05B

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5.4.82. Medication - Hypnotics and sedatives (N05C)

Whether the client is taking prescribed hypnotics and sedatives for a mental health condition as assessed at intake assessment, as represented by a code.

Field name:

medication_hypnotics

Data type:

string

Required:

yes

Domain:

1:Yes 2:No 9:Unknown

Notes:

The N05C class of drugs a therapeutic subgroup of the Anatomical Therapeutic Chemical Classification System, a system of alphanumeric codes developed by the World Health Organisation (WHO) for the classification of drugs and other medical products. It covers drugs designed to have mainly sedative or hypnotic actions. Hypnotic drugs are used to induce sleep and treat severe insomnia. Sedative drugs are prescribed to reduce excitability or anxiety.

Details of drugs included in the category can be found here: http://www.whocc.no/atc_ddd_index/?code=N05C

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5.4.83. Medication - Psychostimulants and nootropics (N06B)

Whether the client is taking prescribed psychostimulants and nootropics for a mental health condition as assessed at intake assessment, as represented by a code.

Field name:

medication_psychostimulants

Data type:

string

Required:

yes

Domain:

1:Yes 2:No 9:Unknown

Notes:

The N06B class of drugs a therapeutic subgroup of the Anatomical Therapeutic Chemical Classification System, a system of alphanumeric codes developed by the World Health Organisation (WHO) for the classification of drugs and other medical products. It covers drugs designed to attention-deficit hyperactivity disorder (ADHD) and to improve impaired cognitive abilities.

Details of drugs included in the category can be found here: http://www.whocc.no/atc_ddd_index/?code=N06B

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5.4.84. Modality

How the service contact was delivered, as represented by a code.

Field name:

service_contact_modality

Data type:

string

Required:

yes

Domain:

0:No contact took place 1:Face to Face 2:Telephone 3:Video 4:Internet-based

Notes:

0 - No contact took place

Only use this code where the service contact is recorded as a no show.

1 - Face to Face

• If ‘Face to Face’ is selected, a value other than ‘Not applicable’ must be selected for Service Contact Venue
• If ‘Face to Face’ is selected a valid Australian postcode must be entered for Service Contact Postcode. The unknown postcode is not valid.

2 - Telephone

Includes any voice based communication that does not use video, regardless of the technology used to provide the voice communication. For example, this could either be over land line telephone, mobile telephone, VoIP.

3 - Video

Includes any video based communication.

4 - Internet-based

Any internet based communications that do not fall into the 2 - Telephone or 3 - Video categories. This includes email communication, providing the communication would normally warrant a dated entry in the clinical record of the client, involving a third party, such as a carer or family member, and/or other professional or mental health worker, or other service provider.

Note: If Service Contact Modality is not ‘Face to Face’ the postcode must be entered as unknown 9999.

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5.4.85. Name

The name of the provider organisation.

Field name:organisation_name Data type:string (2,100) Required:yes

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5.4.86. NDIS Participant

Is the client a participant in the National Disability Insurance Scheme?, as represented by a code.

Field name:

ndis_participant

Data type:

string

Required:

yes

Domain:

1:Yes 2:No 9:Not stated/inadequately described

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5.4.87. No Show

Where an appointment was made for an intended participant(s), but the intended participant(s) failed to attend the appointment, as represented by a code.

Field name:

service_contact_no_show

Data type:

string

Required:

yes

Domain:

1:Yes 2:No

Notes:

1 - Yes

The intended participant(s) failed to attend the appointment.

2 - No

The intended participant(s) attended the appointment.

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5.4.88. Organisation End Date

The date on which a provider organisation stopped delivering services.

Field name:

organisation_end_date

Data type:

date

Required:

yes

Notes:

For Date fields, data must be recorded in compliance with the standard format used across the National Health Data Dictionary; specifically, dates must be of fixed 8 column width in the format DDMMYYYY, with leading zeros used when necessary to pad out a value. For instance, 13th March 2008 would appear as 13032008.

• If the organisation end date is unknown, use 09099999.

For validation rules please refer to Organisation.

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5.4.89. Organisation Key

A sequence of characters which uniquely identifies the provider organisation to the Primary Health Network. Assigned by the Primary Health Network.

Field name:

organisation_key

Data type:

string (2,50)

Required:

yes

Notes:

Organisation Keys must be generated by the PHN to be unique and must persist across time. See Managing Provider Organisation Keys

Organisation keys are case sensitive and must be valid unicode characters.

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5.4.90. Organisation Path

A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation providing a service to the client.

Field name:

organisation_path

Data type:

string

Required:

yes

Notes:

A combination of the Primary Health Network’s (PHN’s) Organisation Key and the Provider Organisation’s Organisation Key separated by a colon.

Here is an example organisation structure showing the Organisation Path for each organisation:

Organisation Key	Organisation Name	Organisation Type	Commissioning Organisation	Organisation Path
PHN999	Test PHN	Primary Health Network	None	PHN999
PO101	Test Provider Organisation	Private Allied Health Professional Practice	PHN999	PHN999:PO101

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5.4.91. Organisation Start Date

The date on which a provider organisation started delivering services.

Field name:

organisation_start_date

Data type:

date

Required:

yes

Notes:

For Date fields, data must be recorded in compliance with the standard format used across the National Health Data Dictionary; specifically, dates must be of fixed 8 column width in the format DDMMYYYY, with leading zeros used when necessary to pad out a value. For instance, 13th March 2008 would appear as 13032008.

For validation rules please refer to Organisation.

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5.4.92. Organisation Tags

List of tags for the provider organisation.

Field name:

organisation_tags

Data type:

string

Required:

no

Notes:

A comma separated list of tags.

Organisations can use this field to tag records in order to partition them as per local requirements.

Tags can contain lower case letters (or will get lowercased), numbers, dashes, spaces, and !. Leading and trailing spaces will be stripped. e.g. priority!, nurse required, pending-outcome-1 would all be legitimate.

Tags beginning with an exclamation mark (!) are reserved for future use by the Department. e.g. !reserved, ! reserved, !department-use-only.

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5.4.93. Organisation Type

The category that best describes the provider organisation.

Field name:

organisation_type

Data type:

string

Required:

yes

Domain:

1:Private Allied Health Professional Practice 2:Private Psychiatry Practice 3:General Medical Practice 4:Private Hospital 5:Headspace Centre 6:Early Youth Psychosis Centre 7:Community-managed Community Support Organisation 8:Aboriginal Health/Medical Service 9:State/Territory Health Service Organisation 10:Drug and/or Alcohol Service 11:Primary Health Network 12:Medicare Local 13:Division of General Practice 98:Other 99:Missing

Notes:

1 - Private Allied Health Professional Practice

The provider organisation is a group of single- or multi-discipline allied health practitioners operating as private service providers. This includes both group and solo practitioner entities.

2 - Private Psychiatry practice

The provider organisation is a Private Psychiatry practice. This includes both group and solo practitioner entities.

3 - General Medical Practice

The provider organisation is a General Medical Practice. This includes both group and solo practitioner entities.

4 - Private Hospital

The provider organisation is a private hospital. This includes for-profit and not-for-profit hospitals.

5 - Headspace Centre

The provider organisation is a Headspace centre, delivering services funded by the PHN.

Note: Headspace and Early Psychosis Youth Centres currently collect and report a standardised dataset to headspace National Office. Pending the future of these arrangements, reporting of the PMHC minimum data set is not required by those organisations previously funded through headspace National Office that transitioned to PHNs. Where new or additional services are commissioned by PHNs and delivered through existing Headspace or Early Psychosis Youth Centres, local decisions will be required as to whether these services can be captured through headspace National Office sustem or are better reported through the PMHC MDS.

6 - Early Youth Psychosis Centre

The provider organisation is a Early Youth Psychosis Centre, delivering services funded by the PHN.

Note: See Note above re Headspace.

7 - Community-managed Community Support Organisation

The provider organisation is a community-managed (non-government) organisation that primarily delivers disability-related or social support services.

8 - Aboriginal Health/Medical Service

The provider organisation is an Aboriginal or Torres Strait Islander-controlled health service organisation.

9 - State/Territory Health Service Organisation

The provider organisation is a health service entity principally funded by a state or territory government. This includes all services delivered through Local Hospital Networks (variously named across jurisdictions).

10 - Drug and/or Alcohol Service Organisation

The provider organisation is an organisation that provides specialised drug and alcohol treatment services. The organisation may be operating in the government or non-government sector, and where the latter, may be for-profit or not-for-profit.

11 - Primary Health Network

The PHN is the provider organisation and employs the service delivery practitioners. This may occur during the transition period as the PHN moves to a full commissioning role, or in cases of market failure where there is no option to commission external providers.

12 - Medicare Local

The provider organisation is a former Medicare Local entity.

13 - Division of General Practice

The provider organisation is a former Division of General Practice entity.

98 - Other

The provider organisation cannot be described by any of the available options.

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5.4.94. Organisation type referred to at Episode conclusion

Type of organisation to which the the client was referred at the Episode conclusion.

Field name:

organisation_type_referred_to_at_episode_conclusion

Data type:

string

Required:

no

Domain:

0:None/Not applicable 1:General Practice 2:Medical Specialist Consulting Rooms 3:Private practice 4:Public mental health service 5:Public Hospital 6:Private Hospital 7:Emergency Department 8:Community Health Centre 9:Drug and Alcohol Service 10:Community Support Organisation NFP 11:Indigenous Health Organisation 12:Child and Maternal Health 13:Nursing Service 14:Telephone helpline 15:Digital health service 16:Family Support Service 17:School 18:Tertiary Education institution 19:Housing service 20:Centrelink 21:Other 22:HeadtoHelp / HeadtoHealth Hub 23:Other PHN funded service 24:AMHC 99:Not stated

Multiple space separated values allowed

Notes:

Medical Specialist Consulting Rooms includes private medical practitioner rooms in public or private hospital or other settings.

Public mental health service refers to a state- or territory-funded specialised mental health services (i.e., specialised mental health care delivered in public acute and psychiatric hospital settings, community mental health care services, and specialised residential mental health care services).

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5.4.95. Organisation type referred to at Intake conclusion

Type of organisation to which the the client was referred at the Intake conclusion.

Field name:

organisation_type_referred_to_at_intake_conclusion

Data type:

string

Required:

no

Domain:

1:GP/Medical Practitioner 2:Hospital 3:Psychiatric/mental health service or facility 4:Alcohol and other drug treatment service 5:Other community/health care service 6:Correctional service 7:Police diversion 8:Court diversion 9:Legal service 10:Child protection agency 11:Community support groups/agencies 12:Centrelink or employment service 13:Housing and homelessness service 14:Telephone & online services/referral agency e.g. direct line 15:Disability support service 16:Aged care facility/service 17:Immigration department or asylum seeker/refugee support service 18:School/other education or training institution 19:Community based Drug and Alcohol Service 20:Youth service (non-AOD) 21:Indigenous service (non-AOD) 22:Extended care/rehabilitation facility 23:Palliative care service 24:Police (not diversion) 25:Public dental provider - community dental agency 26:Dental Hospital 27:Private Dental Provider 28:Early childhood service 29:Maternal and Child Health Service 30:Community nursing service 31:Emergency relief 32:Family support service (excl family violence) 33:Family violence service 34:Gambling support service 35:Maternity services 36:Peer support/self-help group 37:Private allied health provider 38:Sexual Assault service 39:Financial counsellor 40:Sexual health service 41:Medical specialist 42:AMHC 43:Other PHN funded service 44:HeadtoHelp / HeadtoHealth 97:No Referral 98:Other 99:Not stated/Inadequately described

Multiple space separated values allowed

Notes:

Medical Specialist Consulting Rooms includes private medical practitioner rooms in public or private hospital or other settings.

Public mental health service refers to a state- or territory-funded specialised mental health services (i.e., specialised mental health care delivered in public acute and psychiatric hospital settings, community mental health care services, and specialised residential mental health care services).

The intent is that each referral out only has one organisation type and that multiple organisation types imples multiple referrals. Where an organisation could belong to multiple types, the type that best suits the reason for the referral should be selected.

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5.4.96. Participants

An indication of who participated in the Service Contact.

Field name:

service_contact_participants

Data type:

string

Required:

yes

Domain:

1:Individual client 2:Client group 3:Family / Client Support Network 4:Other health professional or service provider 5:Other 9:Not stated

Notes:

1 - Individual

Code applies for Service Contacts delivered individually to a single client without third party participants. Please refer to the Note below.

2 - Client group

Code applies for Service Contacts delivered on a group basis to two or more clients.

3 - Family / Client Support Network

Code applies to Service Contacts delivered to the family/social support persons of the client, with or without the participation of the client.

4 - Other health professional or service provider

Code applies for Service Contacts that involve another health professional or service provider (in addition to the Practitioner), with or without the participation of the client.

5 - Other

Code applies to Service Contacts delivered to other third parties (e.g., teachers, employer), with or without the participation of the client.

Note: This item interacts with Client Participation Indicator. Where Participants has a value of ‘1: Individual’, Client Participation Indicator must have a value of ‘1: Yes’. No Show is used to record if the patient failed to attend the appointment.

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5.4.97. Postcode

The Australian postcode where the service contact took place.

Field name:

service_contact_postcode

Data type:

string

Required:

yes

Notes:

A valid Australian postcode or 9999 if the postcode is unknown. The full list of Australian Postcodes can be found at Australia Post.

• If Service Contact Modality is not ‘Face to Face’ enter 9999
• If Service Contact Modality is ‘Face to Face’ a valid Australian postcode must be entered
• As of 1 November 2016, PMHC MDS currently validates that postcodes are in the range 0200-0299 or 0800-9999.

METeOR:

429894

---

5.4.98. Practitioner Aboriginal and Torres Strait Islander Status

Whether a person identifies as being of Aboriginal and/or Torres Strait Islander origin, as represented by a code.

Field name:

practitioner_atsi_status

Data type:

string

Required:

yes

Domain:

1:Aboriginal but not Torres Strait Islander origin 2:Torres Strait Islander but not Aboriginal origin 3:Both Aboriginal and Torres Strait Islander origin 4:Neither Aboriginal or Torres Strait Islander origin 9:Not stated/inadequately described

Notes:

Code 9 is not to be available as a valid answer to the questions but is

intended for use:

• Primarily when importing data from other data collections that do not contain mappable data.
• Where an answer was refused.
• Where the question was not able to be asked prior to completion of assistance because the client was unable to communicate or a person who knows the client was not available.

METeOR:

291036

---

5.4.99. Practitioner Category

The type or category of the practitioner, as represented by a code.

Field name:

practitioner_category

Data type:

string

Required:

yes

Domain:

1:Clinical Psychologist 2:General Psychologist 3:Social Worker 4:Occupational Therapist 5:Mental Health Nurse 6:Aboriginal and Torres Strait Islander Health/Mental Health Worker 7:Low Intensity Mental Health Worker 8:General Practitioner 9:Psychiatrist 10:Other Medical 11:Other 12:Psychosocial Support Worker 13:Peer Support Worker 99:Not stated

Notes:

Practitioner category refers to the labour classification of the service provider delivering the Service Contact. Practitioners should be assigned to the code that best describes their role for which they are engaged to deliver services to clients. Practitioners are registered in the PMHC MDS by Provider Organisations, with each practitioner assigned a code that is unique within the organisation.

In most cases, Practitioner Category will be determined by the training and qualifications of the practitioner. However, in some instances, a practitioner may be employed in a capacity that does not necessarily reflect their formal qualifications. For example, a person with a social work qualification may be employed primarily as a peer support worker on the basis of their lived experience of a mental illness. In such instances, the practitioner should be classified as a peer support worker.

12 - Psychosocial Support Worker

Refers to practitioners who are principally employed to provide psychosocial support services to clients where the practitioner has specific training in the area (e.g., Cert 4 qualification) and cannot be better described by another category.

13 - Peer Support Worker

Refers to practitioners who are principally employed to provide support to clients on the basis of the practitioner’s lived experience of mental illness.

Changes in effect from 1 January 2019

• Two new codes have been added to the existing Practitioner Category data item, to allow for Psychosocial Support Workers (new code 12) and Peer Support Workers (new code 13) who are typically employed in psychosocial support programs.

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5.4.100. Practitioner Gender

The term ‘gender’ refers to the way in which a person identifies their masculine or feminine characteristics. A persons gender relates to their deeply held internal and individual sense of gender and is not always exclusively male or female. It may or may not correspond to their sex assigned at birth.

Field name:

practitioner_gender

Data type:

string

Required:

yes

Domain:

0:Not stated/Inadequately described 1:Male 2:Female 3:Other

Notes:

1 - M - Male

Adults who identify themselves as men, and children who identify themselves as boys.

2 - F - Female

Adults who identify themselves as women, and children who identify themselves as girls.

3 - X- Other

Adults and children who identify as non-binary, gender diverse, or with descriptors other than man/boy or woman/girl.

ABS:

http://www.abs.gov.au/ausstats/abs@.nsf/Latestproducts/1200.0.55.012Main%20Features12016?opendocument&tabname=Summary&prodno=1200.0.55.012&issue=2016&num=&view=

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5.4.101. Practitioner Key

A unique identifier for a practitioner within the responsible provider organisation. Assigned by either the PHN or Provider Organisation depending on local procedures.

Field name:

practitioner_key

Data type:

string (2,50)

Required:

yes

Notes:

PMHC MDS keys are case sensitive and must have between 2-50 valid unicode characters. Keys must start with A-Za-z0-9 (POSIX :alnum:).

Where data is being exported from client systems, these keys can be auto generated, providing that a key does not change once it is assigned.

Keys must be generated by the organisation to be unique at the Provider Organisation level and must persist across time. Creation of keys in this way allows records to be merged (where duplicate keys of the same record type have been identified) without having to re-allocate keys since they can never clash.

A recommended approach for the creation of keys is to compute random UUIDs.

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5.4.102. Practitioner Tags

List of tags for the practitioner.

Field name:

practitioner_tags

Data type:

string

Required:

no

Notes:

A comma separated list of tags.

Organisations can use this field to tag records in order to partition them as per local requirements.

Tags can contain lower case letters (or will get lowercased), numbers, dashes, spaces, and !. Leading and trailing spaces will be stripped. e.g. priority!, nurse required, pending-outcome-1 would all be legitimate.

Tags beginning with an exclamation mark (!) are reserved for future use by the Department. e.g. !reserved, ! reserved, !department-use-only.

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5.4.103. Primary Practitioner Indicator

An indicator of whether the practitioner was the primary practitioner responsible for the service contact.

Field name:

primary_practitioner_indicator

Data type:

string

Required:

yes

Domain:

1:Yes 2:No

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5.4.104. Principal Diagnosis

The Principal Diagnosis is the diagnosis established after study to be chiefly responsible for occasioning the client’s care during the current Episode of Care.

Field name:

principal_diagnosis

Data type:

string

Required:

yes

Domain:

100:Anxiety disorders (ATAPS) 101:Panic disorder 102:Agoraphobia 103:Social phobia 104:Generalised anxiety disorder 105:Obsessive-compulsive disorder 106:Post-traumatic stress disorder 107:Acute stress disorder 108:Other anxiety disorder 200:Affective (Mood) disorders (ATAPS) 201:Major depressive disorder 202:Dysthymia 203:Depressive disorder NOS 204:Bipolar disorder 205:Cyclothymic disorder 206:Other affective disorder 300:Substance use disorders (ATAPS) 301:Alcohol harmful use 302:Alcohol dependence 303:Other drug harmful use 304:Other drug dependence 305:Other substance use disorder 400:Psychotic disorders (ATAPS) 401:Schizophrenia 402:Schizoaffective disorder 403:Brief psychotic disorder 404:Other psychotic disorder 501:Separation anxiety disorder 502:Attention deficit hyperactivity disorder (ADHD) 503:Conduct disorder 504:Oppositional defiant disorder 505:Pervasive developmental disorder 506:Other disorder of childhood and adolescence 601:Adjustment disorder 602:Eating disorder 603:Somatoform disorder 604:Personality disorder 605:Other mental disorder 901:Anxiety symptoms 902:Depressive symptoms 903:Mixed anxiety and depressive symptoms 904:Stress related 905:Other 999:Missing

Notes:

Diagnoses are grouped into 8 major categories (9 for Additional Diagnosis):

• 000 - No additional diagnosis (Additional Diagnosis only)
• 1xx - Anxiety disorders
• 2xx - Affective (Mood) disorders
• 3xx - Substance use disorders
• 4xx - Psychotic disorders
• 5xx - Disorders with onset usually occurring in childhood and adolescence not listed elsewhere
• 6xx - Other mental disorders
• 9xx except 999 - No formal mental disorder but subsyndromal problems
• 999 - Missing or Unknown

The Principal Diagnosis should be determined by the treating or supervising clinical practitioner who is responsible for providing, or overseeing, services delivered to the client during their current episode of care. Each episode of care must have a Principal Diagnosis recorded and may have an Additional Diagnoses. In some instances the client’s Principal Diagnosis may not be clear at initial contact and require a period of contact before a reliable diagnosis can be made. If a client has more than one diagnosis, the Principal Diagnosis should reflect the main presenting problem. Any secondary diagnosis should be recorded under the Additional Diagnosis field.

The coding options developed for the PMHC MDS have been selected to balance comprehensiveness and brevity. They comprise a mix of the most prevalent mental disorders in the Australian adult, child and adolescent population, supplemented by less prevalent conditions that may be experienced by clients of PHN-commissioned mental health services. The diagnosis options are based on an abbreviated set of clinical terms and groupings specified in the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV-TR). These code list summarises the approximate 300 unique mental health disorder codes in the full DSM-IV to a set to 9 major categories, and 37 individual codes. Diagnoses are grouped under higher level categories, based on the DSM-IV. Code numbers have been assigned specifically for the PMHC MDS to create a logical ordering but are capable of being mapped to both DSM-IV and ICD-10 codes.

Options for recording Principal Diagnosis include the broad category ‘No formal mental disorder but subsyndromal problems’ (codes commencing with 9). These codes should be used for clients who present with problems that do not meet threshold criteria for a formal diagnosis - for example, people experiencing subsyndromal symptoms who may be at risk of progressing to a more severe symptom level.

Each category has a final entry for capturing other conditions that don’t meet the more specific entries in the category. This includes the ‘No formal mental disorder but subsyndromal problems’ category. Code 905 (‘Other symptoms’) can be used to capture situations where a formal mental disorder has not be diagnosed, but the symptoms do not fall under the more specific 9XX series entries. The 905 code should not be used where there is a formal but unlisted mental disorder. In such a situation code 605 (‘Other mental disorder’) should be used.

Reference: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association.

The following responses have been added to allow mapping of ATAPS data to PMHC format.

• 100: Anxiety disorders (ATAPS)
• 200: Affective (Mood) disorders (ATAPS)
• 300: Substance use disorders (ATAPS)
• 400: Psychotic disorders (ATAPS)

Note: These four codes should only be used for Episodes that are migrated from ATAPS MDS sources that cannot be described by any other Diagnosis. It is expected that the majority of Episodes delivered to clients from 1st July, 2017 can be assigned to other diagnoses.

These responses will only be allowed on episodes where the original ATAPS referral date was before 1 July 2017

These responses will only be allowed on episodes with the !ATAPS flag.

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5.4.105. Principal Focus of Treatment Plan

The range of activities that best describes the overall services intended to be delivered to the client throughout the course of the episode. For most clients, this will equate to the activities that account for most time spent by the service provider.

Field name:

principal_focus

Data type:

string

Required:

yes

Domain:

1:Psychological therapy 2:Low intensity psychological intervention 3:Clinical care coordination 4:Complex care package 5:Child and youth-specific mental health services 6:Indigenous-specific mental health services 7:Other

Notes:

Describes the main focus of the services to be delivered to the client for the current Episode of Care, selected from a defined list of categories.

Service providers are required to report on the ‘Principal Focus of Treatment Plan’ for all accepted referrals. This requires a judgement to be made about the main focus of the services to be delivered to the client for the current Episode of Care, made following initial assessment and modifiable at a later stage. It is chosen from a defined list of categories, with the provider required to select the category that best fits the treatment plan designed for the client.

Principal Focus of Treatment Plan is necessarily a judgement made by the provider at the outset of service delivery but consistent with good practice, should be made on the basis of a treatment plan developed in collaboration with the client. It should not be confused with Service Type which is collected at each Service Contact.

1 - Psychological therapy

The treatment plan for the client is primarily based around the delivery of psychological therapy by one or more mental health professionals. This category most closely matches the type of services delivered under the previous ATAPS program where up to 12 individual treatment sessions, and 18 in exceptional circumstances, could be provided. These sessions could be supplemented by up to 10 group-based sessions.

The concept of ‘mental health professionals’ has a specific meaning defined in the various guidance documentation prepared to support PHNs in implementation of reforms. It refers to service providers who meet the requirements for registration, credentialing or recognition as a qualified mental health professional and includes:

• Psychiatrists
• Registered Psychologists
• Clinical Psychologists
• Mental Health Nurses;
• Occupational Therapists;
• Social Workers
• Aboriginal and Torres Strait Islander health workers.

2 - Low intensity psychological intervention

The treatment plan for the client is primarily based around delivery of time-limited, structured psychological interventions that are aimed at providing a less costly intervention alternative to ‘standard’ psychological therapy. The essence of low intensity interventions is that they utilise nil or relatively little qualified mental health professional time and are targeted at people with, or at risk of, mild mental illness. Low intensity episodes can be delivered through a range of mechanisms including:

• use of individuals with appropriate competencies but who do not meet the requirements for registration, credentialing or recognition as a mental health professional;
• delivery of services principally through group-based programs; and
• delivery of brief or low cost forms of treatment by mental health professionals.

3 - Clinical care coordination

The treatment plan for the client is primarily based around delivery of a range of services where the overarching aim is to coordinate and better integrate care for the individual across multiple providers with the aim of improving clinical outcomes. Consultation and liaison may occur with primary health care providers, acute health, emergency services, rehabilitation and support services or other agencies that have some level of responsibility for the client’s clinical outcomes. These clinical care coordination and liaison activities are expected to account for a significant proportion of service contacts delivered throughout these episodes.

Activities focused on working in partnership and liaison with other health care and service providers and other individuals to coordinate and integrate service delivery to the client with the aim of improving their clinical outcomes. Consultation and liaison may occur with primary health care providers, acute health, emergency services, rehabilitation and support services, family, friends, other support people and carers and other agencies that have some level of responsibility for the client’s treatment and/or well-being.

4 - Complex Care Package

The treatment plan for the client is primarily based around the delivery of an individually tailored ‘package’ of services for a client with severe and complex mental illness who is being managed principally within a primary care setting. The overarching requirement is that the client receives an individually tailored ‘package’ of services that bundles a range of services that extends beyond ‘standard’ service delivery and which is funded through innovative, non-standard funding models. Note: As outlined in the relevant guidance documentation, only three selected PHN Lead Sites with responsibilities for trialling work in this area are expected to deliver complex care packages. A wider roll-out may be undertaken in the future pending results of the trial.

5 - Child and youth-specific mental health services

The treatment plan for the client is primarily based around the delivery of a range of services for children (0-11 years) or youth (aged 12-24 years) who present with a mental illness, or are at risk of mental illness. These episodes are characterised by services that are designed specifically for children and young people, include a broader range of both clinical and non-clinical services and may include a significant component of clinical care coordination and liaison. Child and youth-specific mental health episodes have substantial flexibility in types of services actually delivered.

6 - Indigenous-specific services

The treatment plan for the client is primarily based around delivery of mental health services that are specifically designed to provide culturally appropriate services for Aboriginal and Torres Strait Islander peoples.

7 - Other

The treatment plan for the client is primarily based around services that cannot be described by other categories.

---

5.4.106. Proficiency in Spoken English

The self-assessed level of ability to speak English, asked of people whose first language is a language other than English or who speak a language other than English at home.

Field name:

prof_english

Data type:

string

Required:

yes

Domain:

0:Not applicable (persons under 5 years of age or who speak only English) 1:Very well 2:Well 3:Not well 4:Not at all 9:Not stated/inadequately described

Notes:

0 - Not applicable (persons under 5 years of age or who speak only English)

Not applicable, is to be used for people under 5 years of age and people who speak only English.

9 - Not stated/inadequately described

Not stated/inadequately described, is not to be used on primary collection forms. It is primarily for use in administrative collections when transferring data from data sets where the item has not been collected.

METeOR:

270203

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5.4.107. Program Type

The overarching program area that an Intake or Episode record is associated with.

Field name:

program_type

Data type:

string

Required:

yes

Domain:

1:Flexible Funding Pool 2:Head to Health 3:AMHC 4:Psychosocial 5:Bushfire Recovery 2020

Notes:

1 - Flexible Funding Pool

Organisations can use this field for episodes being delivered through all other Programs commissioned through Primary Mental Health Care Schedule that are not otherwise described by another category. This may include but is not limited to general Stepped Care, Mental Health in Residential Aged Care Facilities, and Indigenous Mental Health.

2 - Head to Health

Organisations can use this field for episodes delivered through the Head to Health Program. This includes Head to Health Adult Centres and Satellites and pop-up clinics.

NSW and Victorian pop-up clinics data have been identified using the Head to Help Version 3 extension and !covid19 tag. Any historical or new records that are identified this way will be mapped to this Program Type field under the Version 4 specification. The !covid19 tag will remain as a reserved tag for the original purpose of indicating that an episode has occurred as result of the COVID-19 pandemic once Head to Help Version 3 extension reaches it’s end of life date.

3 - AMHC

Organisations can use this field for episodes delivered through the Head to Health Program by organisations that were already delivering the Adult Mental Health Centre (AMHC) trial sites.

This change only applies to the following PHNs implementing AMHCs from December 2021:

• West Victoria PHN
• Northern Territory PHN
• ACT PHN
• North Perth PHN
• Nepean Blue Mountains PHN
• North Queensland PHN
• Tasmania PHN

AMHC data has been identified using the !amhc tag. Any historical records created on or before 30 June 2022 that use this tag will be mapped to this Program Type under the Version 4 specification. The !amhc tag will be removed from future use once PMHC MDS Version 2 specification reaches it’s end of life date.

From July 1 2022 the AMHC trial sites were consolidated under the Head to Health program. For data collection purposes, organisations delivering Head to Health services that were already delivering AMHC trial sites can use either the AMHC or Head to Health program type for records created on or after 1 July 2022.

4 - Psychosocial

Organisations can use this field for episodes delivered through the National Psychosocial Support Services Program.

Psychosocial data has been identified using the Principal Focus of Treatment Plan (PFOT) “Psychosocial” category. Any historical or new records that utilise the Psychosocial PFOT will be mapped to this Program Type field under the Version 4 specification. The Psychosocial PFOT category will no longer be available under the Version 4 specification and further guidance will be provided by the Department to support the management of this change in data collection requirements.

Any records that have the Psychosocial PFOT but also have a !covid19, !amhc, or !br20 tag will be mapped to the respective Program Type associated with those tags rather than the Psychosocial Program Type.

5 - Bushfire Recovery 2020

Organisations in fire affected communities can use this field for episodes delivered through the Australian Government Mental Health Response to Bushfire Trauma.

This data has been identified using the !br20 tag. Any historical or new records using this tag will be mapped to this Program Type field under the Version 4 specification. The !br20 tag will be removed from future use once the Bushfire Program is concluded.

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5.4.108. Referral Date

The date the referrer made the referral.

Field name:

referral_date

Data type:

date

Required:

yes

Notes:

The referral date is the date the client was originally referred to an MDS reporting service. Typically the referral is made by an external (non-MDS) provider - such as a general practitioner, but it may be another MDS reporting service or the client themselves.

Where there is a linked intake and treatment both the Intake and Episode records must use the same date - ie. the date the client was originally referred. The referral date is NOT the date that an intake service refers a client to a treatment organisation.

For clients who self refer, the referral date should be the date the client first contacted the intake service or provider organisation. For the intake of a client who self referred, the referral date will be the same as the Date client contacted Intake.

For Date fields, data must be recorded in compliance with the standard format used across the National Health Data Dictionary; specifically, dates must be of fixed 8 column width in the format DDMMYYYY, with leading zeros used when necessary to pad out a value. For instance, 13th March 2008 would appear as 13032008.

• The referral date for Intakes must not be before 1st January 2020.
• The referral date for Episodes must not be before 1st January 2014.
• The referral date must not be in the future.

Referral date was optional in specifications prior to Version 4. In Version 4 referral date has been made mandatory. In order to export and re-upload episode data that was uploaded or entered prior to Version 4 the value ‘09099999’ will be used in data exports and allowed for existing episode data without a referral date. See Episode for rules on how this value may be used.

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5.4.109. Referred to Organisation Path

A sequence of colon separated Organisation Keys that fully specifies the Provider Organisation to which the intake referred the client.

Field name:

referred_to_organisation_path

Data type:

string

Required:

no

Notes:

A combination of the referred to Primary Health Network’s (PHN’s) Organisation Key and the referred to Provider Organisation’s Organisation Key separated by a colon.

Here is an example organisation structure showing the Organisation Path for each organisation:

Organisation Key	Organisation Name	Organisation Type	Commissioning Organisation	Organisation Path
PHN999	Test PHN	Primary Health Network	None	PHN999
PO101	Test Provider Organisation	Private Allied Health Professional Practice	PHN999	PHN999:PO101

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5.4.110. Referrer Organisation Type

Type of organisation in which the referring professional is based.

Field name:

referrer_organisation_type

Data type:

string

Required:

yes

Domain:

1:General Practice 2:Medical Specialist Consulting Rooms 3:Private practice 4:Public mental health service 5:Public Hospital 6:Private Hospital 7:Emergency Department 8:Community Health Centre 9:Drug and Alcohol Service 10:Community Support Organisation NFP 11:Indigenous Health Organisation 12:Child and Maternal Health 13:Nursing Service 14:Telephone helpline 15:Digital health service 16:Family Support Service 17:School 18:Tertiary Education institution 19:Housing service 20:Centrelink 21:Other 98:N/A - Self referral 99:Not stated

Notes:

Medical Specialist Consulting Rooms includes private medical practitioner rooms in public or private hospital or other settings.

Public mental health service refers to a state- or territory-funded specialised mental health services (i.e., specialised mental health care delivered in public acute and psychiatric hospital settings, community mental health care services, and specialised residential mental health care services).

Not applicable should only be selected in instances of Self referral.

Where there is a linked intake and treatment, both the Intake and Episode records must use the same referrer organisation type - ie the intake service is NOT the referrer.

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5.4.111. Referrer Profession

Profession of the provider who referred the client.

Field name:

referrer_profession

Data type:

string

Required:

yes

Domain:

1:General Practitioner 2:Psychiatrist 3:Obstetrician 4:Paediatrician 5:Other Medical Specialist 6:Midwife 7:Maternal Health Nurse 8:Psychologist 9:Mental Health Nurse 10:Social Worker 11:Occupational therapist 12:Aboriginal Health Worker 13:Educational professional 14:Early childhood service worker 15:Other 98:N/A - Self referral 99:Not stated

Notes:

New arrangements for some services delivered in primary mental health care allows clients to refer themselves for treatment. Therefore, ‘Self’ is a response option included within ‘Referrer profession’.

Where there is a linked intake and treatment, both the Intake and Episode records must use the same referrer profession - ie the intake service is not the referrer.

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5.4.112. SDQ Collection Occasion - Version

The version of the SDQ collected.

Field name:

sdq_version

Data type:

string

Required:

yes

Domain:

PC101:Parent Report Measure 4-10 yrs, Baseline version, Australian Version 1 PC201:Parent Report Measure 4-10 yrs, Follow Up version, Australian Version 1 PY101:Parent Report Measure 11-17 yrs, Baseline version, Australian Version 1 PY201:Parent Report Measure 11-17 yrs, Follow Up version, Australian Version 1 YR101:Self report Version, 11-17 years, Baseline version, Australian Version 1 YR201:Self report Version, 11-17 years, Follow Up version, Australian Version 1

Notes:

Domain values align with those collected in the NOCC dataset as defined at https://webval.validator.com.au/spec/NOCC/current/SDQ/SDQVer

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5.4.113. SDQ - Conduct Problem Scale

Field name:

sdq_conduct_problem

Data type:

integer

Required:

yes

Domain:

0 - 10, 99 = Not stated / Missing

Notes:

See SDQ items and Scale Summary scores for instructions on scoring the Conduct Problem Scale.

When reporting individual item scores use ‘99 - Not stated / Missing’.

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5.4.114. SDQ - Emotional Symptoms Scale

Field name:

sdq_emotional_symptoms

Data type:

integer

Required:

yes

Domain:

0 - 10, 99 = Not stated / Missing

Notes:

See SDQ items and Scale Summary scores for instructions on scoring the Emotional Symptoms Scale.

When reporting individual item scores use ‘99 - Not stated / Missing’.

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5.4.115. SDQ - Hyperactivity Scale

Field name:

sdq_hyperactivity

Data type:

integer

Required:

yes

Domain:

0 - 10, 99 = Not stated / Missing

Notes:

See SDQ items and Scale Summary scores for instructions on scoring the Hyperactivity Scale.

When reporting individual item scores use ‘99 - Not stated / Missing’.

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5.4.116. SDQ - Impact Score

Field name:

sdq_impact

Data type:

integer

Required:

yes

Domain:

0 - 10, 99 = Not stated / Missing

Notes:

See SDQ items and Scale Summary scores for instructions on scoring the Impact Score.

When reporting individual item scores use ‘99 - Not stated / Missing’.

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5.4.117. SDQ - Peer Problem Scale

Field name:

sdq_peer_problem

Data type:

integer

Required:

yes

Domain:

0 - 10, 99 = Not stated / Missing

Notes:

See SDQ items and Scale Summary scores for instructions on scoring the Peer Problem Scale.

When reporting individual item scores use ‘99 - Not stated / Missing’.

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5.4.118. SDQ - Prosocial Scale

Field name:

sdq_prosocial

Data type:

integer

Required:

yes

Domain:

0 - 10, 99 = Not stated / Missing

Notes:

See SDQ items and Scale Summary scores for instructions on scoring the Prosocial Scale.

When reporting individual item scores use ‘99 - Not stated / Missing’.

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5.4.119. SDQ - Question 1

Parent Report: Considerate of other people’s feelings.

Youth Self Report: I try to be nice to other people. I care about their feelings.

Field name:

sdq_item1

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.120. SDQ - Question 2

Parent Report: Restless, overactive, cannot stay still for long.

Youth Self Report: I am restless, I cannot stay still for long.

Field name:

sdq_item2

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

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5.4.121. SDQ - Question 3

Parent Report: Often complains of headaches, stomach-aches or sickness.

Youth Self Report: I get a lot of headaches, stomach-aches or sickness.

Field name:

sdq_item3

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

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5.4.122. SDQ - Question 4

Parent Report: Shares readily with other children {for example toys, treats, pencils} / young people {for example CDs, games, food}.

Youth Self Report: I usually share with others, for examples CDs, games, food.

Field name:

sdq_item4

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.123. SDQ - Question 5

Parent Report: Often loses temper.

Youth Self Report: I get very angry and often lose my temper.

Field name:

sdq_item5

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

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5.4.124. SDQ - Question 6

Parent Report: {Rather solitary, prefers to play alone} / {would rather be alone than with other young people}.

Youth Self Report: I would rather be alone than with people of my age.

Field name:

sdq_item6

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

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5.4.125. SDQ - Question 7

Parent Report: {Generally well behaved} / {Usually does what adults requests}.

Youth Self Report: I usually do as I am told.

Field name:

sdq_item7

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

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5.4.126. SDQ - Question 8

Parent Report: Many worries or often seems worried.

Youth Self Report: I worry a lot.

Field name:

sdq_item8

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.127. SDQ - Question 9

Parent Report: Helpful if someone is hurt, upset or feeling ill.

Youth Self Report: I am helpful if someone is hurt, upset or feeling ill.

Field name:

sdq_item9

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.128. SDQ - Question 10

Parent Report: Constantly fidgeting or squirming.

Youth Self Report: I am constantly fidgeting or squirming.

Field name:

sdq_item10

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.129. SDQ - Question 11

Parent Report: Has at least one good friend.

Youth Self Report: I have one good friend or more.

Field name:

sdq_item11

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.130. SDQ - Question 12

Parent Report: Often fights with other {children} or bullies them / {young people}.

Youth Self Report: I fight a lot. I can make other people do what I want.

Field name:

sdq_item12

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.131. SDQ - Question 13

Parent Report: Often unhappy, depressed or tearful.

Youth Self Report: I am often unhappy, depressed or tearful.

Field name:

sdq_item13

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.132. SDQ - Question 14

Parent Report: Generally liked by other {children} / {young people}

Youth Self Report: Other people my age generally like me.

Field name:

sdq_item14

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.133. SDQ - Question 15

Parent Report: Easily distracted, concentration wanders.

Youth Self Report: I am easily distracted, I find it difficult to concentrate.

Field name:

sdq_item15

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.134. SDQ - Question 16

Parent Report: Nervous or {clingy} in new situations, easily loses confidence {omit clingy in PY}.

Youth Self Report: I am nervous in new situations. I easily lose confidence.

Field name:

sdq_item16

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.135. SDQ - Question 17

Parent Report: Kind to younger children.

Youth Self Report: I am kind to younger people.

Field name:

sdq_item17

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.136. SDQ - Question 18

Parent Report: Often lies or cheats.

Youth Self Report: I am often accused of lying or cheating.

Field name:

sdq_item18

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.137. SDQ - Question 19

Parent Report: Picked on or bullied by {children} / {youth}.

Youth Self Report: Other children or young people pick on me or bully me.

Field name:

sdq_item19

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.138. SDQ - Question 20

Parent Report: Often volunteers to help others (parents, teachers, {other} children) / Omit ‘other’ in PY.

Youth Self Report: I often volunteer to help others (parents, teachers, children).

Field name:

sdq_item20

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.139. SDQ - Question 21

Parent Report: Thinks things out before acting.

Youth Self Report: I think before I do things.

Field name:

sdq_item21

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.140. SDQ - Question 22

Parent Report: Steals from home, school or elsewhere.

Youth Self Report: I take things that are not mine from home, school or elsewhere.

Field name:

sdq_item22

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.141. SDQ - Question 23

Parent Report: Gets along better with adults than with other {children} / {youth}.

Youth Self Report: I get along better with adults than with people my own age.

Field name:

sdq_item23

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.142. SDQ - Question 24

Parent Report: Many fears, easily scared.

Youth Self Report: I have many fears, I am easily scared.

Field name:

sdq_item24

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.143. SDQ - Question 25

Parent Report: Good attention span sees chores or homework through to the end.

Youth Self Report: I finish the work I’m doing. My attention is good.

Field name:

sdq_item25

Data type:

string

Required:

yes

Domain:

0:Not True 1:Somewhat True 2:Certainly True 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.144. SDQ - Question 26

Parent Report: Overall, do you think that your child has difficulties in any of the following areas: emotions, concentration, behaviour or being able to get along with other people?

Youth Self Report: Overall, do you think that you have difficulties in any of the following areas: emotions, concentration, behaviour or being able to get along with other people?

Field name:

sdq_item26

Data type:

string

Required:

yes

Domain:

0:No 1:Yes - minor difficulties 2:Yes - definite difficulties 3:Yes - severe difficulties 7:Unable to rate (insufficient information) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.145. SDQ - Question 27

Parent Report: How long have these difficulties been present?

Youth Self Report: How long have these difficulties been present?

Field name:

sdq_item27

Data type:

string

Required:

yes

Domain:

0:Less than a month 1:1-5 months 2:6-12 months 3:Over a year 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions: - PC101 - PY101 - YR101

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.146. SDQ - Question 28

Parent Report: Do the difficulties upset or distress your child?

Youth Self Report: Do the difficulties upset or distress you?

Field name:

sdq_item28

Data type:

string

Required:

yes

Domain:

0:Not at all 1:A little 2:A medium amount 3:A great deal 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.147. SDQ - Question 29

Parent Report: Do the difficulties interfere with your child’s everyday life in the following areas? HOME LIFE.

Youth Self Report: Do the difficulties interfere with your everyday life in the following areas? HOME LIFE.

Field name:

sdq_item29

Data type:

string

Required:

yes

Domain:

0:Not at all 1:A little 2:A medium amount 3:A great deal 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.148. SDQ - Question 30

Parent Report: Do the difficulties interfere with your child’s everyday life in the following areas? FRIENDSHIPS.

Youth Self Report: Do the difficulties interfere with your everyday life in the following areas? FRIENDSHIPS.

Field name:

sdq_item30

Data type:

string

Required:

yes

Domain:

0:Not at all 1:A little 2:A medium amount 3:A great deal 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.149. SDQ - Question 31

Parent Report: Do the difficulties interfere with your child’s everyday life in the following areas? CLASSROOM LEARNING.

Youth Self Report: Do the difficulties interfere with your everyday life in the following areas? CLASSROOM LEARNING

Field name:

sdq_item31

Data type:

string

Required:

yes

Domain:

0:Not at all 1:A little 2:A medium amount 3:A great deal 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.150. SDQ - Question 32

Parent Report: Do the difficulties interfere with your child’s everyday life in the following areas? LEISURE ACTIVITIES.

Youth Self Report: Do the difficulties interfere with your everyday life in the following areas? LEISURE ACTIVITIES.

Field name:

sdq_item32

Data type:

string

Required:

yes

Domain:

0:Not at all 1:A little 2:A medium amount 3:A great deal 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.151. SDQ - Question 33

Parent Report: Do the difficulties put a burden on you or the family as a whole?

Youth Self Report: Do the difficulties make it harder for those around you (family, friends, teachers, etc)?

Field name:

sdq_item33

Data type:

string

Required:

yes

Domain:

0:Not at all 1:A little 2:A medium amount 3:A great deal 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions: All

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.152. SDQ - Question 34

Parent Report: Since coming to the services, are your child’s problems:

Youth Self Report: ‘Since coming to the service, are your problems:

Field name:

sdq_item34

Data type:

string

Required:

yes

Domain:

0:Much worse 1:A bit worse 2:About the same 3:A bit better 4:Much better 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions:

• PC201
• PY201
• YR201

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.153. SDQ - Question 35

Has coming to the service been helpful in other ways eg. providing information or making the problems bearable?

Field name:

sdq_item35

Data type:

string

Required:

yes

Domain:

0:Not at all 1:A little 2:A medium amount 3:A great deal 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions:

• PC201
• PY201
• YR201

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.154. SDQ - Question 36

Over the last 6 months have your child’s teachers complained of fidgetiness, restlessness or overactivity?

Field name:

sdq_item36

Data type:

string

Required:

yes

Domain:

0:No 1:A little 2:A lot 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions:

• PC101
• PY101

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.155. SDQ - Question 37

Over the last 6 months have your child’s teachers complained of poor concentration or being easily distracted?

Field name:

sdq_item37

Data type:

string

Required:

yes

Domain:

0:No 1:A little 2:A lot 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions:

• PC101
• PY101

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.156. SDQ - Question 38

Over the last 6 months have your child’s teachers complained of acting without thinking, frequently butting in, or not waiting for his or her turn?

Field name:

sdq_item38

Data type:

string

Required:

yes

Domain:

0:No 1:A little 2:A lot 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions:

• PC101
• PY101

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.157. SDQ - Question 39

Does your family complain about you having problems with overactivity or poor concentration?

Field name:

sdq_item39

Data type:

string

Required:

yes

Domain:

0:No 1:A little 2:A lot 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions:

• YR101

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.158. SDQ - Question 40

Do your teachers complain about you having problems with overactivity or poor concentration?

Field name:

sdq_item40

Data type:

string

Required:

yes

Domain:

0:No 1:A little 2:A lot 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions:

• YR101

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.159. SDQ - Question 41

Does your family complain about you being awkward or troublesome?

Field name:

sdq_item41

Data type:

string

Required:

yes

Domain:

0:No 1:A little 2:A lot 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions:

• YR101

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.160. SDQ - Question 42

Do your teachers complain about you being awkward or troublesome?

Field name:

sdq_item42

Data type:

string

Required:

yes

Domain:

0:No 1:A little 2:A lot 7:Unable to rate (insufficient information) 8:Not applicable (collection not required - item not included in the version collected, or SDQ Item 26 = 0) 9:Not stated / Missing

Notes:

Required Versions:

• YR101

When reporting subscale and total scores use ‘9 - Not stated / Missing’.

---

5.4.161. SDQ - Tags

List of tags for the measure.

Field name:

sdq_tags

Data type:

string

Required:

no

Notes:

A comma separated list of tags.

Organisations can use this field to tag records in order to partition them as per local requirements.

Tags can contain lower case letters (or will get lowercased), numbers, dashes, spaces, and !. Leading and trailing spaces will be stripped. e.g. priority!, nurse required, pending-outcome-1 would all be legitimate.

Tags beginning with an exclamation mark (!) are reserved for future use by the Department. e.g. !reserved, ! reserved, !department-use-only.

---

5.4.162. SDQ - Total Difficulties Score

Field name:

sdq_total

Data type:

integer

Required:

yes

Domain:

0 - 40, 99 = Not stated / Missing

Notes:

See SDQ items and Scale Summary scores for instructions on scoring the Total Difficulties Score.

When reporting individual item scores use ‘99 - Not stated / Missing’.

---

5.4.163. Service Contact Date

The date of each mental health service contact between a health service provider and patient/client.

Field name:

service_contact_date

Data type:

date

Required:

yes

Notes:

For Date fields, data must be recorded in compliance with the standard format used across the National Health Data Dictionary; specifically, dates must be of fixed 8 column width in the format DDMMYYYY, with leading zeros used when necessary to pad out a value. For instance, 13th March 2008 would appear as 13032008.

• The service contact date must not be before 1st January 2014.
• The service contact date must not be in the future.

METeOR:

494356

---

5.4.164. Service Contact Key

This is a number or code assigned to each service contact. The Service Contact Key is unique and stable for each service contact at the level of the Provider Organisation.

Field name:

service_contact_key

Data type:

string (2,50)

Required:

yes

Notes:

PMHC MDS keys are case sensitive and must have between 2-50 valid unicode characters. Keys must start with A-Za-z0-9 (POSIX :alnum:).

Where data is being exported from client systems, these keys can be auto generated, providing that a key does not change once it is assigned.

Keys must be generated by the organisation to be unique at the Provider Organisation level and must persist across time. Creation of keys in this way allows records to be merged (where duplicate keys of the same record type have been identified) without having to re-allocate keys since they can never clash.

A recommended approach for the creation of keys is to compute random UUIDs.

---

5.4.165. Service Contact Practitioner Key

This is a number or code assigned to each service contact practitioner. The Service Contact Practitioner Key is unique and stable for each service contact practitioner at the level of the Provider Organisation.

Field name:

service_contact_practitioner_key

Data type:

string (2,50)

Required:

yes

Notes:

PMHC MDS keys are case sensitive and must have between 2-50 valid unicode characters. Keys must start with A-Za-z0-9 (POSIX :alnum:).

Where data is being exported from client systems, these keys can be auto generated, providing that a key does not change once it is assigned.

Keys must be generated by the organisation to be unique at the Provider Organisation level and must persist across time. Creation of keys in this way allows records to be merged (where duplicate keys of the same record type have been identified) without having to re-allocate keys since they can never clash.

A recommended approach for the creation of keys is to compute random UUIDs.

---

5.4.166. Service Contact Tags

List of tags for the service contact.

Field name:

service_contact_tags

Data type:

string

Required:

no

Notes:

A comma separated list of tags.

Organisations can use this field to tag records in order to partition them as per local requirements.

Tags can contain lower case letters (or will get lowercased), numbers, dashes, spaces, and !. Leading and trailing spaces will be stripped. e.g. priority!, nurse required, pending-outcome-1 would all be legitimate.

Tags beginning with an exclamation mark (!) are reserved for future use by the Department. e.g. !reserved, ! reserved, !department-use-only.

---

5.4.167. Service Contact Type

The main type of service provided in the service contact, as represented by the service type that accounted for most provider time.

Field name:

service_contact_type

Data type:

string

Required:

yes

Domain:

0:No contact took place 1:Assessment 2:Structured psychological intervention 3:Other psychological intervention 4:Clinical care coordination/liaison 5:Clinical nursing services 6:Child or youth specific assistance NEC 7:Suicide prevention specific assistance NEC 8:Cultural specific assistance NEC 9:Psychosocial support 98:ATAPS

Notes:

Describes the main type of service delivered in the contact, selected from a defined list of categories. Where more than service type was provided select that which accounted for most provider time. Service providers are required to report on Service Type for all Service Contacts.

Note: NEC is used for ‘Not Elsewhere Classified’. For these records, only use these service types if they cannot be classified by any of the other service options.

0 - No contact took place

Only use this code where the service contact is recorded as a no show.

1 - Assessment

Determination of a person’s mental health status and need for mental health services, made by a suitably trained mental health professional, based on the collection and evaluation of data obtained through interview and observation, of a person’s history and presenting problem(s). Assessment may include consultation with the person’s family and concludes with formation of problems/issues, documentation of a preliminary diagnosis, and a treatment plan.

2 - Structured psychological intervention

Those interventions which include a structured interaction between a client and a service provider using a recognised, psychological method, for example, cognitive behavioural techniques, family therapy or psycho education counselling. These are recognised, structured or published techniques for the treatment of mental ill-health. Structured psychological interventions are designed to alleviate psychological distress or emotional disturbance, change maladaptive behaviour and foster mental health. Structured psychological therapies can be delivered on either an individual or group basis, typically in an office or community setting. They may be delivered by trained mental health professionals or other individuals with appropriate competencies but who do not meet the requirements for registration, credentialing or recognition as a mental health professional. Structured Psychological Therapies include but are not limited to:

• Psycho-education (including motivational interviewing)
• Cognitive-behavioural therapies
• Relaxation strategies
• Skills training
• Interpersonal therapy

3 - Other psychological intervention

Psychological interventions that do not meet criteria for structured psychological intervention.

4 - Clinical care coordination/liaison

Activities focused on working in partnership and liaison with other health care and service providers and other individuals to coordinate and integrate service delivery to the client with the aim of improving their clinical outcomes. Consultation and liaison may occur with primary health care providers, acute health, emergency services, rehabilitation and support services, family, friends, other support people and carers and other agencies that have some level of responsibility for the client’s treatment and/or well being.

5 - Clinical nursing services

Services delivered by mental health nurses that cannot be described elsewhere. Typically, these aim to provide clinical support to clients to effectively manage their symptoms and avoid unnecessary hospitalisation. Clinical nursing services include:

• monitoring a client’s mental state;
• liaising closely with family and carers as appropriate;
• administering and monitoring compliance with medication;
• providing information on physical health care, as required and, where appropriate, assist in addressing the physical health inequities of people with mental illness; and
• improving links to other health professionals/clinical service providers.

6 - Child or youth-specific assistance NEC

Services delivered to, or on behalf, of a child or young person that cannot be described elsewhere. These can include, for example, working with a child’s teacher to provide advice on assisting the child in their educational environment; working with a young person’s employer to assist the young person to their work environment.

Note: This code should only be used for Service Contacts that cannot be described by any other Service Type. It is expected that the majority of Service Contacts delivered to children and young people can be assigned to other categories.

7 - Suicide prevention specific assistance NEC

Services delivered to, or on behalf, of a client who presents with risk of suicide that cannot be described elsewhere. These can include, for example, working with the person’s employers to advise on changes in the workplace; working with a young person’s teacher to assist the child in their school environment; or working with relevant community-based groups to assist the client to participate in their activities.

Note: This code should only be used for Service Contacts that cannot be described by any other Service Type. It is expected that the majority of Service Contacts delivered to client’s who have a risk of suicide can be assigned to other categories.

8 - Cultural specific assistance NEC

Culturally appropriate services delivered to, or on behalf, of an Aboriginal or Torres Strait Islander client that cannot be described elsewhere. These can include, for example, working with the client’s community support network including family and carers, men’s and women’s groups, traditional healers, interpreters and social and emotional wellbeing counsellors.

Note: This code should only be used for Service Contacts that cannot be described by any other Service Type. It is expected that the majority of Service Contacts (see domains below) delivered to Aboriginal or Torres Strait Islander clients can be assigned to other categories.

9 - Psychosocial support

Service providers are required to report on Service Contact Type for every contact with a client. This requires a judgement about the main service delivered at each contact, selected from a small list of options, and based on the activity that accounted for most provider time. Service Contact Type complements Principal Focus of Treatment Plan by capturing information to understand the mix of services provided within an individual episode of care.

Service Contact Type should be coded as Psychosocial Support (code 9) where the main services delivered during the contact involved the delivery of psychosocial support services. Psychosocial support services are defined for PMHC MDS purposes as services that focus on building capacity and stability in one or more of the following areas:

• social skills and friendships, family connections;
• managing daily living needs;
• financial management and budgeting;
• finding and maintaining a home;
• vocational skills and goals, including volunteering;
• educational and training goals;
• maintaining physical wellbeing, including exercise;
• building broader life skills including confidence and resilience.

These services are usually delivered by a range of non-clinical providers including peer support workers with lived experience of mental illness.

Service Contacts recorded as psychosocial support may be delivered in all episodes of care, regardless of episode type. However, it is expected that they will be mainly associated with episodes where the Principal Focus of Treatment Plan is classified as Psychosocial Support.

98 - ATAPS

Services delivered as part of ATAPS funded referrals that are recorded and/or migrated into the PMHC MDS.

Note: This code should only be used for Service Contacts that are migrated from ATAPS MDS sources that cannot be described by any other Service Type. It is expected that the majority of Service Contacts delivered to clients from 1st July, 2017 can be assigned to other categories.

This response will not be allowed on service contacts delivered after 30 June 2018. (All ATAPS referrals should have concluded by that date).

This response will only be allowed on service contacts with the !ATAPS flag.

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5.4.168. Source of Cash Income

The source from which a person derives the greatest proportion of his/her income, as represented by a code.

Field name:

income_source

Data type:

string

Required:

yes

Domain:

0:N/A - Client aged less than 16 years 1:Disability Support Pension 2:Other pension or benefit (not superannuation) 3:Paid employment 4:Compensation payments 5:Other (e.g. superannuation, investments etc.) 6:Nil income 7:Not known 9:Not stated/inadequately described

Notes:

This data standard is not applicable to person’s aged less than 16 years.

This item refers to the source by which a person derives most (equal to or greater than 50%) of his/her income. If the person has multiple sources of income and none are equal to or greater than 50%, the one which contributes the largest percentage should be counted.

This item refers to a person’s own main source of income, not that of a partner or of other household members. If it is difficult to determine a ‘main source of income’ over the reporting period (i.e. it may vary over time) please report the main source of income during the reference week.

Code 7 ‘Not known’ should only be recorded when it has not been possible for the service user or their carer/family/advocate to provide the information (i.e. they have been asked but do not know).

METeOR:

386449

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5.4.169. Start Time

The start time of each mental health service contact between a health service provider and patient/client.

Field name:

service_contact_start_time

Data type:

time

Required:

yes

Notes:

Notes: Indicates the time at which the Service Contact began. Time should be recorded in 24-hour time in the format HH:MM. Leading zeroes are accepted but not required. For example, 8:30 in the morning could be 8:30 or 08:30 and 3:45 in the afternoon would be 15:45.

The end-of-day flag “24:00” may be used as a missing time value for any existing Service Contacts that have previously been added to the MDS without a start time. See Service Contact for rules on how the end-of-day value may be used.

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5.4.170. State

The state that the provider organisation operates in.

Field name:

organisation_state

Data type:

string

Required:

yes

Domain:

1:New South Wales 2:Victoria 3:Queensland 4:South Australia 5:Western Australia 6:Tasmania 7:Northern Territory 8:Australian Capital Territory 9:Other Territories

Notes:

• Name is taken from Australian Statistical Geography Standard (ASGS) July 2011.
• Code is from Meteor with the addition of code for Other Territories.

METeOR:

613718

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5.4.171. Statistical Linkage Key

A key that enables two or more records belonging to the same individual to be brought together.

Field name:

slk

Data type:

string (14,40)

Required:

yes

Notes:

System generated non-identifiable alphanumeric code derived from information held by the PMHC organisation.

Supported formats:

• 14 character SLK
• a Crockford encoded sha1 hash of a 14 character SLK. This must be 32 characters in length.
• a hex encoded sha1 hash of a 14 character SLK. This must be 40 characters in length.

SLK values are stored in sha1_hex format.

METeOR:

349510

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5.4.172. Suicide Referral Flag

Identifies those individuals where a recent history of suicide attempt, or suicide risk, was a factor noted in the referral that underpinned the person’s needs for assistance at intake or entry to the episode, as represented by a code.

Field name:

suicide_referral_flag

Data type:

string

Required:

yes

Domain:

1:Yes 2:No 9:Unknown

Notes:

Where there is a linked intake and treatment, both the Intake and Episode records must use the same suicide referral flag.

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5.4.173. Value

The metadata value.

Field name:value Data type:string Required:yes Notes:Please refer to Metadata file for an example of the metadata file/worksheet that must be used with this specification.

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5.4.174. Venue

Where the service contact was delivered, as represented by a code.

Field name:

service_contact_venue

Data type:

string

Required:

yes

Domain:

1:Client’s Home 2:Service provider’s office 3:GP Practice 4:Other medical practice 5:Headspace Centre 6:Other primary care setting 7:Public or private hospital 8:Residential aged care facility 9:School or other educational centre 10:Client’s Workplace 11:Other 12:Aged care centre - non-residential 98:Not applicable (Service Contact Modality is not face to face) 99:Not stated

Notes:

Note that this data item concerns only where the service contact took place. It is not about where the client lives. Thus, if a resident of an aged care residential facility is seen at another venue (e.g., at a GP Clinic), then the Service Contact Venue should be recorded as ‘GP Practice’ (code 3) to accurately reflect where the contact took place.

Values other than ‘98 - Not applicable’ only to be specified when Service Contact Modality is ‘Face to Face’.

6 - Other primary care setting

This code is suitable for primary care settings such as community health centres.

8 - Residential aged care facility

Use this code when the client is seen at an aged care residential facility.

12 - Aged care centre - non-residential

Use this code when the client is seen at a non-residential aged care centre (e.g., community day program centre for older people).

98 - Not applicable (Service Contact Modality is not face to face)

This code must only to be used where the Service Contact Modality is not face to face

All other data items would be recorded as per the guidelines that apply to those items – there are no special requirements specific to delivery of services to residents of aged care facilities. For example, any of the episode of care types recorded under the Principal Focus of Treatment Plan may apply; similarly, service contacts delivered to aged care residents may be any of the options available in Service Contact Type field.

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5.4.175. Year of Birth

The year the practitioner was born.

Field name:

practitioner_year_of_birth

Data type:

gYear

Required:

yes

Domain:

gYear

Notes:

• The year of birth must not be in the future.
• The year of birth must be after 1900.
• If the year of birth is unknown, the following approaches should be used:
  • If the age of the practitioner is known, the age should be used to derive the year of birth
  • If the age of the practitioner is unknown, an estimated age of the practitioner should be used to estimate a year of birth
  • If the date of birth is totally unknown, use 9999.

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5.5. Download Specification Files

Available for software developers designing extracts for the PMHC MDS, please click the link below to download the PMHC MDS Specification files:

• Specification zip

These files conform to the CSV on the Web (CSVW) standard that is defined at https://csvw.org/.

They are used:

• to generate the Record formats and Definitions sections of the data specification documentation
• in the first pass of upload validations