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Using SNAPshot V3.8 to collect the AROC version 3 dataset

1. Not collected If the patient was admitted for assessment only enter the code for the type of assessment 1 Medical with diagnostic pathology and or imaging 2 Medical without diagnostic pathology or imaging 3 Non medical 4 Both medical and non medical with diagnostic pathology and or imaging 5 Both medical and non medical without diagnostic pathology or Imaging If Assessment only 1 then this item is a mandatory SNAPshot field it must be completed to enable the record to be saved response to item 12 was 1 private residence Mode of episode Item 23 1 Admitted from usual accommodation start 2 Admitted from other than usual accommodation 3 Transferred from another hospital 4 Transferred from acute care in another ward 5 Change from acute care to sub acute non acute care same ward 6 Change of sub acute non acute care type 9 Other Type of usual Item 12 Can also be entered in patient screen if previously accommodation entered maps to this screen prior to admission Enter the code for the type of accommodation that the client lived in prior to hospitalisation for this admission 1 Private residence including unit in retirement village 2 Residential aged care low level care hostel 3 Residential aged care high level care nursing home 4 Community group home 5 Boarding house 6 Transitional living unit 7 Other Support provided Item 13 Enter the code for the
2. CHSD SNAPshot web page http chsd uow edu au snapshot html AROC website http chsd uow edu au aroc The AROC DataMatters newsletter available from the above website contains occasional tips and feedback for SNAPshot users It is strongly recommended that SNAPshot users obtain some training prior to using SNAPshot to collect the AROC version 3 dataset 2 1 1 What is SNAPshot SNAPshot is software designed primarily to collect SNAP Sub Acute and Non Acute Patient information It has been used since 1996 SNAPshot has been modified for a range of applications including collecting the ACAT ACAP DVA AROC PCOC and HACC Minimum Data Sets SNAPshot has not been specifically designed to collect the AROC Data Set Information required for AROC is therefore entered into a number of different screens Information relevant to AROC is then mapped or copied into the AROC Dataset Screen Some data fields can also be set to default to the most common code or response for your facility to save time in data entry 2 1 2 Logging on to SNAPshot e Opening SNAPshot Double click on the SNAPshot shortcut on your desk top xX Shortcut to SNAPshot Or click Start Programs SNAPshot e When SNAPshot opens a pop up will also open telling you how many Episodes have been open for 90 days or more The location of your database file is also displayed Click OK Using SNAPshot V3 8 to collect AROC Dataset Page 3 Centr
3. Spinal stenosis other than cervical if deficit includes weakness Late effects of spinal cord injury Pathological fracture with associated spinal cord dysfunction An unavoidable recognised surgical complication resulting in spinal cord dysfunction following surgery for the above conditions Traumatic Spinal Cord Dysfunction USE this group for cases with quadriplegia paresis and paraplegia paresis secondary to trauma accident injury AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group SPINAL CORD 4 211 Paraplegia Fracture of vertebral column with spinal cord DYSFUNCTION Incomplete injury Spinal cord injury without evidence of spinal 4 212 Paraplegia bone injury Complete 4 2211 Quadriplegia Incomplete C1 4 4 2212 Quadriplegia thcomplete Co 8 s _O T LC CLCOC WWW Using SNAPshot V3 8 to collect AROC Dataset Page 41 4 2221 Quadriplegia Complete C1 4 Centre for Health Service Development 5 A ca tik lesa Spinal cord dysfunction resulting from surgical misadventure 5 AMPUTATION OF LIMB USE this group for cases in which the major deficit is partial or complete absence of a limb AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group AMPUTATION 5 1 Single Upper Neoplasm of bones or cartilage and OF LIMB Amputation Above other soft tissue of limb the Elbow
4. AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group POST 8 211 Unilateral hip Psoriatic arthropathy ORTHOPAEDIC replacement Pyogenic arthritis SURGERY Rheumatoid arthritis 8 212 Bilateral hip replacement Juvenile chronic polyarthritis Chronic post rheumatic arthropathy 8 221 Unilateral knee Osteoarthritis and allied disorder replacement Other and unspecified arthropathies Ankylosing spondylitis 8 222 Bilateral knee re place i ct A A Using SNAPshot V3 8 to collect AROC Dataset Page 44 8 231 Knee and hip replacement same side Centre for Health Service Development 5 Lsiversioy of Waollongpika Mechanical complication of intemal orthopedic device implant and graft Infection and inflammatory reaction implant and graft due to internal orthopedic device implant and graft Other complications due to intemal orthopedic or prosthetic device cartilage Neoplasm of bone and articular Secondary neoplasm of bone 8 25 Post spinal surgery discectomy Excludes spinal cord Includes nerve root injury laminectomy spinal fusion Includes spinal deformity surgery caudaequina major nerve root dysfunction classify to 4 8 26 Other orthopaedic surgery joint Other and unspecified disorders of intervention Pathologic fracture requiring surgical Osteotomy Bone Lengthening 9 CARDIAC USE for cases
5. Centre for Health Service Development 5 EEE E EE 3 2 Default settings mapped fields and Auto responses Some fields can have a default value set to the most common response within your facility For example Case Type can be set to default to Rehabilitation 2 This saves time when entering data and can be over written if required To set up or change your default settings go to the Facility Screen Many data items such as Mode of Episode Start are mapped or copied from one Data Set to another This minimises double data entry Other data items such as the Episode Identifier are automatically generated Mapped or automatically generated fields are coloured blue They are read only and cannot be changed 3 3 Initial setup the facility screen The Facility Screen contains information to identify the facility it is set up once usually by the SNAPshot administrator at your site Table 1 Definitions for fields relevant to AROC in the Facility Data Set Facility code Item 1 Enter a 4 character alphanumeric code for your facility This would normally be the code issued by the Department of Health Facility name Item 2 Enter the name of your establishment 3 4 Initial setup the provider unit screen The Provider Unit Screen contains information to identify the provider unit it is set up once usually by the SNAPshot administrator at your site Typically there is a unique provider unit a
6. Using SNAPshot V3 8 to collect the AROC version 3 dataset qaroe Australasian Rehabilitation Outcomes Centre Centre for Health Service Development oS UNIVERSITY OF WOLLONGONG V3 8 updated version Frances Simmonds Tara Stevermuer Elizabeth Cuthbert Suggested citation AROC 2007 Using SNAPshot V3 8 to collect the AROC version 3 dataset Centre for Health Service Development University of Wollongong Centre for Health Service Development 5 EAE Ul eaianstis Table of Contents LIST OF TABLES 2 LIST OF FIGURES 2 1 PURPOSE OF THIS GUIDE 3 1 1 More information 3 1 1 1 What is SNAPshot 3 1 1 2 Logging on to SNAPshot 3 1 1 3 The Main Screen 4 1 1 4 Making changes or additions 5 1 2 General Operations 6 1 2 1 Transactions 6 1 3 General Editing Controls 6 1 3 1 Entering information into data fields 7 2 ENTERING CLIENT INFORMATION 7 2 1 Client information for AROC is mainly entered into SNAPshot in 4 screens 7 2 2 Default settings mapped fields and Auto responses 8 2 3 Initial setup the facility screen 8 2 4 Initial setup the provider unit screen 8 2 5 Initial setup the wardteam screen 8 2 6 Entering information into the patient screen 9 2 7 Entering information into the episode screen 10 2 8 Entering information into the Rehab GEM screen 13 2 9 Entering information into the AROCDataset screen 15 3 DATA EXTRACTION AND REPORTING 16 3 1 AROC missing data report and A
7. patient screen The Patient Client Screen contains identifying and demographic information Before adding a new patient client it is a good idea to check first to see if they are already in SNAPshot as this will avoid duplicate records Refer to Appendix 2 for how to search by MRN or Surname Adding a New Client Patient Record 1 Select the Patient data set from the Set List The Patient Details Screen will now be displayed in the Edit View 2 Click on Add a new Client Record will be opened in the Edit View 3 Complete the fields as explained in Table 4 below Table 4 Definitions for fields relevant to AROC in the Patient Data Set Medical Record Item 5 Client file number or medical record number Maximum Number 12 digits must be unique within Facility Date of Birth Item 6 Client s birth date in format DD MM YYYY Surname Not collected Helpful for local purposes required for HCP Given Names Not collected Helpful for local purposes required for HCP Sex Item 7 Code for the patient s gender 1 Male 2 Female 3 Indeterminate 4 Not stated inadequately defined DVA Number Not collected If episode is funded by DVA then DVA card number is required for HCP Indigenous status Item 8 Enter code for the patient s indigenous status 1 Aboriginal but not Torres Strait Islander origin 2 Torres Strait Islande
8. 1 Australia Health Care Agreements public patient patient 2 Private health insurance 3 Self funded 4 Workers compensation 5 Motor vehicle third party personal claim 6 Other compensation eg public liability common law medical negligence 7 Department of Veterans Affairs 8 Department of Defence 9 Correctional facility 10 Other hospital or public authority contracted care 11 Reciprocal health care agreement other countries 12 Other 99 Not known Health fund other Item 15 If you entered the value 2 4 or 5 in item 14 you now need payer to specify the name of the funding organisation enter the complete if 2 4 appropriate code from the drop down list items are or 5 entered in grouped by Health Fund CTP Insurer and Worker s item 14 compensation insurer Fund Not collected If Episode is funded by private health insurance then Membership membership number is required by HCP number Update these fields in the episode screen if needing correction or if found missing when submitting to AROC Once all information on the screen has been entered click Save 3 7 Entering information into the episode screen An Episode of Care is a sequence or period of care between a client and a facility An Episode begins e On admission to a facility including change of case type An Episode ends e At discharge e When the main goal of the care changes that is the case type changes
9. 1 SNAPshot main screen 4 Figure 2 Transaction buttons at the top of the Edit View screen 5 Figure 3 The AROC data sets in the set list 7 Figure 4 Report options and Preview screen for the Missing AROC Fields Report 18 Figure 5 Extracting the AROC data 19 Figure 6 Bulk assigning an AN SNAP class and the version option 22 Figure 7 Resetting the Facility 23 Figure 8 Resetting the Provider Unit 24 Figure 9 After resetting the Facility and Provider Unit 25 Figure 10 Searching fora client record 29 Acknowledgment AROC acknowledges the work carries out by Debra Hinton in her publication Hinton D 2004 Using SNAPshot V3 6 to collect the AROC Dataset Centre for Health Service Development University of Wollongong Centre for Health Service Development 5 EE E 2 Purpose of this guide This is a guide for clinicians and data entry workers using SNAPshot software to collect the AROC Version 3 Data Set 2 1 More information For information about how to use SNAPshot please refer to the user s guide available on the SNAPshot 3 8 CD or download from the CHSD SNAPshot webpage and or the user s guide specific to the AROC data collection also on this CD and on the AROC website For a list of changes since SNAPshot 3 70a refer to the SNAPshot 3 8 User Manual Detailed information on AROC and SNAPshot is available from SNAPshot 3 8 User Manual Centre for Health Service Development University of Wollongong 2007
10. 4 Table 7 Definitions for fields in Click on Add a new AROC Dataset Record will be opened in the Edit View Complete the fields as explained in Table 7 below the AROCDataset screen Employment Item 17 Enter the code for the patient s employment status refer Status Appendix 5 for inclusions and exclusions by code 1 Employed 2 Not Employed 3 Not in Labour Force 9 Not stated inadequately described First admission Item 19 Identify if this is the first rehabilitation admission for this for this impairment impairment 1 Yes 2 No Was impairment Item 20 Trauma accident injury non trauma illness post result of trauma surgery eg tumour infarct 1 Yes 2 No Existing Item 34 Indicate if the patient has any comorbidity that interferes comorbidity with the process of rehabilitation 1 Yes 2 No Comorbidities Item 35 Record type of any significant illness impairment in addition to the principal presenting condition which according to the client s doctor interferes with the process of rehabilitation Enter up to 4 comorbidity codes in order of impact Ischaemic heart disease Cardiac failure Atrial fibrillation Osteoporosis Osteoarthritis Upper limb amputation Lower limb amputation Depression Schizophrenia Drug and alcohol use Dementia Asthma CAL COPD Using SNAPshot V3 8 to collect AROC Dataset Page 16 Centre for Health Service D
11. Linear skull fracture DYSFUNCTION injury Concussion Cerebral laceration and contusion Subarachnoid subdural extradural and other unspecified haemorrhage following injury Other and unspecified intracranial haemorrhage following injury Using SNAPshot V3 8 to collect AROC Dataset Page 39 Centre for Health Service Development 3 NEUROLOGIC CONDITIONS 5 Lisiversioy of Waollongika USE this group for cases with neurologic or neuromuscular dysfunctions of various aetiologies AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group NEUROLOGIC 3 1 Multiple Sclerosis Multiple Sclerosis CONDITIONS 3 2 Parkinsonism Parkinsonism 3 3 Polyneuropathy Hereditary and idiopathic peripheral neuropathy Peripheral neuropathy inflammatory toxic traumatic or other Brachial plexus or lumbosacral plexus injury 3 4 Guillain Barr Syndrome Acute inflammatory polyneuritis 3 5 Cerebral Palsy Infantile cerebral palsy 3 8 Neuromuscular Disorders Post poliomyelitis post polio syndrome Motor neurone disease Myasthenia gravis Muscular dystrophies and other myopathies 3 9 Other Neurologic disorders Other extrapyramidal disease and abnormal movement disorders Spinocerebellar disease Disorders of the autonomic nervous system Other demyelinating diseases of the central nervous system Using SNAPshot
12. Score Ensure that the AdultHoNOS data items have been entered for adult mental health episodes 323 Field error LSP 13 Score Ensure that the AdultLSP data items have been entered for adult mental health episodes 324 Field error CGAS Begin Score Enter CGA begin and end scores in ChildMH screen for child mental health episodes 325 Field error MHLS Ensure that the MH data items have been entered for mental health episodes 326 Field error HONOSCA Ensure that the age specific HONOS child adolescent Behaviour Score data items have been entered 327 Field error HONOSCA School Ensure that the age specific HONOS child adolescent Score data items have been entered 328 Field error HONOSCA Total Ensure that the age specific HONOS child adolescent Begin Score data items have been entered 329 Field error Factors Affecting Ensure that the age specific HONOS child adolescent Health Status Total data items have been entered 330 Field error Complete End Enter Episode end date and supporting episode end Date data 999 Can t assign class Refer to status code above and suggested resolution Using SNAPshot V3 8 to collect AROC Dataset Page 29 Centre for Health Service Development 5 EE tile enters Appendix 1 Control Keys Arrows Move left right up or down Enter or Tab Save field changes if any and move to the next field to the right or down Shift Tab Save field changes if any and move to the previous fie
13. Secondary neoplasm of bone Diabetes with neurologic manifestations 5 2 Single Upper or diabetes with peripheral circulatory Amputation Below the disorders Elbow Hereditary and idiopathic peripheral neuropathy 5 3 Single Lower Inflammatory and toxic neuropathy Amputation Above Atherosclerosis of the extremities the Knee includes Peripheral vascular disease unspecified through the knee Arterial embolism and thrombosis extremities 5 4 Single Lower Amputation Below the Knee Buergers disease Acquired deformity or injury affecting limbs Aneurysm of extremities Traumatic amputation complete partial Amputation stump complication revision Haemangioma 5 5 Double Lower Amputation Above the Knee includes through the knee 5 6 Double Lower Vasculitis eg scleroderma SLE Amputation Connective tissue disorders Above Below the Gangrene B Knee Infective processes eg osteomyelitis cellulitis 5 7 Double Lower Congential limb loss when prosthesis Amputation Below the required Knee 5 8 Partial Foot Amputation includes single double 5 9 Other Amputation Using SNAPshot V3 8 to collect AROC Dataset Page 42 Centre for Health Service Development 5 E E eet 6 ARTHRITIS USE this group for cases in which the major disorder is arthritis of all aetiologies Do NOT use for cases entering rehabilitation immediately after joint replacement even if the procedure was pe
14. V3 8 to collect AROC Dataset Page 40 Centre for Health Service Development 5 Lisiversioy of Wallon pint 4 SPINAL CORD DYSFUNCTION USE this group only if there is a spinal cord caudaequina dysfunction Do NOT use this group for post spinal surgery unless the surgery has resulted in dysfunction of the spinal cord caudaequina Non traumatic Spinal Cord Dysfunction USE this group for cases with quadriplegia paresis and paraplegia paresis of non traumatic i e medical or post operative origin AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group SPINAL CORD 4 111 Paraplegia Tuberculosis infective processes involving the DYSFUNCTION Incomplete vertebral column Neoplasm tumour of spinal column or spinal 4 112 Paraplegia meninges malignant or benign includes secondary Complete tumours Neoplasm of other parts of nervous system of 4 1211 unspecified nature Quadriplegia Transverse myelitis Incomplete C1 4 4 1212 Quadriplegia Incomplete C5 8 4 1221 Quadriplegia Complete C1 4 4 1222 Quadriplegia Complete C5 8 4 13 Other Non traumatic Spinal Cord Dysfunction Intraspinal or paraspinal abscess Dissection of aorta Aortic aneurysm ruptured Spontaneous haematoma Spondylosis with myelopathy Spinal infarction Intervertebral disc disorder with myelopathy Spinal stenosis in cervical region if deficits include weakness
15. episode there is only one episode and there may be one or more review dates This item is a mandatory SNAPshot field it must be completed to enable the record to be saved Once all information on the screen has been entered click Save NOTE Review of function For rehabilitation episodes a patient can now be reviewed and have an AN SNAP class assigned without needing to end the episode in previous versions of the AROC dataset an episode had to be ended with a 90 day review and a subsequent episode started with a 90 day review To enter a functional review which you may wish to still occur each 90 days enter the end FIM scores for Using SNAPshot V3 8 to collect AROC Dataset Page 15 Centre for Health Service Development 5 Liniversioy of Wallen pigs the current review period then press the Add button for the Rehab GEM screen The end FIM scores of the earlier review date are copied to become the begin FIM scores for this review period Enter the review date for the patient in order to save the record 3 9 Entering information into the AROCDataset screen Information on the client s rehabilitation program of care is recorded in the AROC Data Set screen Adding a new AROC Dataset Record 1 2 Highlight the required patient in the Patient List Select the AROCDataset data set from the Set List The AROC Data Set Details Screen will now be displayed in the Edit View 3
16. level of support that the client prior to admission received prior to being hospitalised Required if Lives alone no support care provided Lives with others no support care provided Lives alone with external support s Lives with others who provide support care Lives with others with external support s Other arrangements Not stated inadequately described OOnNRWN gt Model of Care Not collected The type of care provided to the client SNAPshot recognises 6 Models of Care as listed below Typically for Rehabilitation patients this will be 1 Direct Care and this can be defaulted This item is a mandatory SNAPshot field it must be completed to enable the record to be saved 1 Direct care 2 1 GP Shared care 2 2 Shared care with another service provider 3 1 GP Consulttation iaison Using SNAPshot V3 8 to collect AROC Dataset Page 12 Centre for Health Service Development 5 Usiversioy of Waollongika Not collected The type of care provided to the client SNAPshot recognises 6 Models of Care as listed below Typically for Rehabilitation patients this will be 1 Direct Care and this can be defaulted This item is a mandatory SNAPshot field it must be completed to enable the record to be saved 1 Direct care 2 1 GP Shared care 2 2 Shared care with another service provider 3 1 GP Consulttation liaison 3 2 Consultation iaison with another service provider 3 3 Consultation liaison w
17. list by surname or by Medical Record Number MRN Click in the Patient List or press the F6 key to move the cursor to it If the patient list ordering is by Name then Name will appear in the caption bar If the patient list ordering is by MRN then MRN will appear in the caption bar It is also possible to order and search by HACC statistical key HACCKey however this is not relevant to the AROC data collection Press the F7 key to reorder the list of clients by MRN or Name as preferred To search by Name order the patient list by name Type the family name the whole name or the first few letters The letters you type will appear immediately to the right of the of name in the caption bar Press the F7 key Choose from the Options Window in Figure 10 Figure 10 Searching for a client record Options select button below Curent hrd besl you Clear fied feet to enable sort order bo be aekeched by pressing Fe Find nest Mame containing pou les find teat you Cancel operon Alternatively press Shift F7 at the same time Snapshot will automatically search for the first record that matches your selection If the first record found is not the required one press F7 and choose the option Find next Name containing To search by MRN type the required MRN and follow the same procedure as for searching by Name Using SNAPshot V3 8 to collect AROC Dataset Page 31 Centre for
18. none enter 0 on which the client was on leave from the rehabilitation centre A leave period is a temporary absence from hospital with medical approval for a period of no greater than seven consecutive days Note that these days do not count towards the client s length of stay Suspension interruption days Item 26 Enter the total number of days that rehabilitation treatment was suspended days during the episode Rehab treatment may have been suspended a number of times Using SNAPshot V3 8 to collect AROC Dataset Page 13 Centre for Health Service Development 5 Lsiversioy of Wallongpika Item 26 Enter the total number of days that rehabilitation treatment was suspended days during the episode Rehab treatment may have been suspended a number of times Count all days If there were none enter 0 Number of Item 27 occurrences treatment suspensions Enter the number of periods of suspension of rehabilitation treatment that occurred during the episode If there were none enter 0 Was suspension Item 28 unplanned Indicate YES where a patient experienced an unexpected medical condition that required rehab treatment to be suspended If more than one period of suspension occurred indicate whether suspension was unplanned for the longest period 1 Yes 2 No WardTeam Items 3 amp 4 Enter the code for the ward or team previously set up in the Ward Team screen you wi
19. placement agency notice boards being registered with a job placement agency checking or registering with any other employment agency advertising or tendering for work or contacting friends or relatives CODE3 Not inthe Labour Force Persons not in the labour force are those persons aged 15 years and over who during the reference week were not in the categories employed or unemployed as defined They include persons who were keeping house unpaid retired voluntarily inactive permanently unable to work persons in institutions hospitals gaols sanatoriums etc trainee teachers members of contemplative religious orders and persons whose only activity during the reference week was jury service or unpaid voluntary work for a charitable organisation Using SNAPshot V3 8 to collect AROC Dataset Page 37 Centre for Health Service Development 5 EE tile enters Appendix 6 AROC Impairment Coding Guidelines The aim of these guidelines is to assist in correctly classifying a rehabilitation episode according to impairment groups There are 2 over riding rules that need to be considered when using these guidelines 1 The episode should be classified according to the primary reason for the current episode of rehabilitation care 2 Rehabilitation program names related to funding are not necessarily the same as the impairment group names eg a patient in a debility reconditioning funding program may be having rehabilitation due to deconditi
20. to identify either individual or group staff records Set List The Set List shows all the different data sets contained within SNAPshot The data set selected in the Set List is displayed in the Edit View window Once selected it is possible to make changes or additions to that data set Multi List The Multi List contains various lists depending on the data set currently selected For example in ambulatory care settings if the EpiOOS data set is selected the multi list will show the occasions of service entered for the client selected in the patient list Edit View The Edit View is where information is added deleted edited or updated for the various data sets If the patient data set is selected from the set list then all of the fields for the patient data set are displayed in the edit view This allows changes to be made to this data set 2 1 4 Making changes or additions The Edit View The Edit View refer to 1 1 3 2 above is where information is added deleted with due care edited or updated for the various data sets Using SNAPshot V3 8 to collect AROC Dataset Page 5 Centre for Health Service Development 5 EEE E Figure 2 Transaction buttons at the top of the Edit View screen Patient Details _ Patient identifier 3 PUTON Choose the data set that you want to make changes or additions to from the set list Click Add to create a new record in the data set Click Save to save a recor
21. will need to press Ctrl Alt Del select SNAPshot and then press the End Using SNAPshot V3 8 to collect AROC Dataset Page 22 Centre for Health Service Development 5 EE sale aia Task button to quit Snap Write to Report html If you have Internet Explorer on your computer you can build more customised reports by writing to an HTML file This option will write selected rows or all rows if none are marked to a file identified using the option further below Specify HTML file By default the folder and file name will be c SnapShot Report html To view this file you will need to go out of SNAPshot and into your windows explorer Go to the folder that your HTML file is in and then double click the HTML file to view You can create as many HTML files as required and locate them wherever is convenient You should avoid using a shared file on your file server since your report output may then be overwritten by another user You should create your own file preferably on your local c drive You can use the same file repeatedly by creating report output printing the HTML file and then reusing it or you can create several different files and print them later Note that any report output previously written to this file will be overwritten using this option if you want to add data to the selected HTML file use the append to Report html option Append to Report html You may wish to add the AROCdataset screen information of several patient rec
22. AROC for this data submission Click lt email audit report and submit the data gt button to submit your data to the AROC database All listed emails will receive an acknowledgment email from AROC with a data audit report as an attachment AROC will also be sent an email The audit email is your confirmation that AROC has received your data Using SNAPshot V3 8 to collect AROC Dataset Page 21 Centre for Health Service Development 5 Liniversiny of Wellici grits 4 2Printing AROC Patient data for case conferences SNAPshot enables you to print reports from the main snapshot screen From here you can print the full AROC dataset for any patient or group of patients Function key F8 has been reserved to invoke report options from any segment on the Main screen note this option works on all Main screens in SNAPshot not just the AROCdataset screen Go the AROCDataset screen and press F8 IFEN will have the following options L SS a t Serra Can Add Dai Geng Flere fice e SPIO Date Sat ris frar Hia SS o ae fered hiiri il faer Faj keni qf we ia Pept hird fe ADAT HD Apem io Report hind Pa pia Emi Bpecdy HT HL Be fe Ervay3 hot Repeort hin i F Venns Ena ei Page Par paip 4 eS eT Tero Facility _ areae shabu iTar iba dmir but roi Shona Dgn Print Preview If you select this option the rows selected will be displayed in the print preview screen and you c
23. For example if Using SNAPshot V3 8 to collect AROC Dataset Page 10 Centre for Health Service Development 5 E E the main goal of care case type changes from Rehabilitation to Maintenance Care the Rehabilitation Episode should be closed and a new Maintenance Episode commenced The Episode Screen contains information specific to that episode of care some of the information is mapped copied from the Patient screen Adding a new Episode Record 1 Highlight the required patient in the Patient List 2 Select the Episode data set from the Set List The Episode Admin Details Screen will now be displayed in the Edit View 3 Click on Add a new Episode Record will be opened in the Edit View 4 Complete the fields as explained in Table 5 below Table 5 Definitions for fields relevant to AROC in the Episode Data Set Episode begin Item 18 Enter the date of the clients admission as an inpatient to a date hospital in format DD MM YYYY Case type Not collected Enter the code for case type assigned on admission For the AROC inpatient data collection this will always be 2 Rehabilitation and can be defaulted The SNAPshot software requires this field to be completed to enable the record to be saved Episode type Not collected Enter the code for the client s episode type Admission may be to an inpatient facility or to a rehabilitation program in an outpatient or community based setting Fo
24. Health Service Development Appendix 3 AUS Version 1 AROC Impairment Codes 1 STROKE 1 1 Left Body Involvement Right Brain 1 2 Right Body Involvement Left Brain 1 3 Bilateral Involvement 1 4 No Paresis 1 9 Other stroke 2 BRAIN DYSFUNCTION Non traumatic brain dysfunction 2 11 Sub arachnoid haemorrhage 2 12 Anoxic brain damage 2 13 Other non traumatic brain dysfunction Traumatic brain dysfunction 2 21 Open Injury 5 Liniversioy of Wallon pie 2 22 Closed Injury 3 NEUROLOGICAL CONDITIONS 3 1 Multiple Sclerosis 3 2 Parkinsonism 3 3 Polyneuropathy 3 4 Guillian Barre Syndrome 3 5 Cerebral Palsy 3 8 Neuromuscular Disorders include motor neurone disease 3 9 Other neurologic disorders 4 SPINAL CORD DYSFUNCTION Non Traumatic Spinal Cord Dysfunction 4 111 Paraplegia Incomplete 4 112 Paraplegia Complete 4 1211 Quadriplegia Incomplete C1 4 4 1212 Quadriplegia Incomplete C5 8 4 1221 Quadriplegia Complete C1 4 4 1222 Quadriplegia Complete C5 8 4 13 Other non traumatic SCI Traumatic Spinal Cord Dysfunction 4 211 Paraplegia Incomplete 4 212 Paraplegia Complete 4 2211 Quadriplegia Incomplete C1 4 4 2212 Quadriplegia Incomplete C5 8 4 2221 Quadriplegia Complete C1 4 4 2222 Quadriplegia Complete C5 8 4 23 Other traumatic spinal cord dysfunction 5 AMPUTATION OF LIMB 5 1 Single Upper Amputation Above the Elbow 5 2 Single Upper Amputation Below the Elbow 5 3 Single Lower Amputation Above the Knee includ
25. NAPshot V3 8 to collect AROC Dataset Page 18 Centre for Health Service Development 5 University of Wollongos 4 1 3 Extract Folder The default extract folder is C SNAPextract You can use this default folder or you can specify another folder in which to write the data extract files This folder can be on a different computer for example on a server If the folder you set for your extracts does not already exist you will be asked if you want it to be created You should answer Yes 4 1 4 Selection criteria If you do not enter any values in the criteria edit boxes all relevant records will be included Alternatively you may choose any combination of values to select data subsets If you specify more than one field value then all of the conditions must be met The reports by date are based on care date Both From and To dates must be entered Records are listed if the patients were in care between the From and To dates For example to list patients in care on 23 07 07 specify From 23 07 07 To 23 07 07 You could choose intervals longer than one day such as a week but only those patients in care for the entire period would be listed 4 1 5 The Generate button If you press the Generate button you can see how the report will appear when it is printed and how many pages will be required Figure 4 below shows the option screen followed by an example of the Missing AROC Fields Report output in the Preview screen Figure 4 R
26. Other malaise and fatigue Re conditioning restorative following medical illness 16 3 Deconditioning as a result of cancer or Cancer rehabilitation treatment for cancer Using SNAPshot V3 8 to collect AROC Dataset Page 48
27. ROC Inpatient extract 16 3 1 1 The Report Database 17 3 1 2 The Report Database Folder 17 3 1 3 Extract Folder 17 3 1 4 Selection criteria 17 3 1 5 The Generate button 18 3 1 6 Generating the AROC Inpatient Extract 19 3 1 7 Uploading your AROC data extract file to AROC via AROC Online Services 20 3 2 Printing AROC Patient data for case conferences 20 3 3 Assigning an AN SNAP class to your episodes 22 4 TROUBLESHOOTING 23 5 DATA QUALITY 25 6 SNAPCLASS STATUS CODES 26 APPENDIX 1CONTROL KEYS 28 APPENDIX 2SEARCHING FOR A CLIENT BY NAME OR BY MRN 29 APPENDIX 3 AROC IMPAIRMENT CODES 30 APPENDIX 4LIST OF HEALTH FUNDS AND OTHER PAYERS 33 APPENDIX 5EMPLOYMENT STATUS INCLUSIONS EXCLUSIONS BY CODE 35 Centre for Health Service Development 5 EE E APPENDIX 6 AROC IMPAIRMENT CODING GUIDELINES 36 List of Tables Table 1 Definitions for fields relevant to AROC in the Facility Data Set 8 Table 2 Definitions for fields relevant to AROC in the Provider Unit Data Set 8 Table 3 Definitions for fields relevant to AROC in the WardTeam Data Set 8 Table 4 Definitions for fields relevant to AROC in the Patient Data Set 9 Table 5 Definitions for fields relevant to AROC in the Episode Data Set 11 Table 6 Definitions for fields relevant to AROC in the Rehab GEM Data Set 14 Table 7 Definitions for fields in the AROCDataset screen 15 Table 8SNAPclass status codes and suggested resolutions to field errors 26 List of Figures Figure
28. T Include na end date 25 Suspect Age eat 14 100 par Case ye oF Missing AADC Fields Repot Epis Type Heath Fund EXTRACTS Care Modet Poet ac 52 ACAT AGS MDS Extract Postcode Fieeub Disk ern T tonoaf EA owen Grae sg Fg HACC MDS Extract j Case Manager 29 PCOC Evtract WAM DOCONOTE Patent page tire Repert 4 1 7 Uploading your AROC data extract file to AROC via AROC Online Services The AROC data extract is submitted to AROC using AROC Online Services AOS for which you will need your facility s UserName and Password An error check is run on all submitted data and an acknowledgment email with an audit report attached is sent to the provided email addresses S7 AROC Inpatient Extract To submit your data to AROC log in to AOS and click the lt Upload Data gt button on the main menu Click on lt browse gt select the file that is your most current AROC extract then press lt submit gt You will be asked to confirm the file you selected is the correct data to be submitted to AROC AOS determines the AROC dataset version from your extract file name this is why it is important not to change the filename given to your extract by SNAPshot If the file selected is correct press the lt Next gt button to go to the Upload AROC dataset Audit screen Check the email address listed is correct add up to three more email addresses to also receive the acknowledgment and audit email from
29. acility wide data items will be visible Figure 8 Resetting the Provider Unit Using SNAPshot V3 8 to collect AROC Dataset Page 25 Centre for Health Service Development m University of Wall Once the provider Unit has been reset the data sets under that provider unit will be visible Using SNAPshot V3 8 to collect AROC Dataset Page 26 Centre for Health Service Development 5 University of Wollongon Figure 9 After resetting the Facility and Provider Unit SAP ahd Ea Pain Proven Limi Pld Paecility Kad j Cikal biy 61150 eee HE Caster Hash Seve oP Maia TE Eit Thr isade Hesh Serve AC his 6 Data Quality There are a several standard reports that can be run to assist facilities to ensure that the data entered is of a high standard e Report 19 Database Summary this provides a count of the different records held in the database as well as MRNs of those records which appear to be incomplete greater than 90 days or missing an end date Patient details without any episode data those records where the DOBs are the same the majority of these will be simply people who share a birth date however it may highlight instances where two medical record numbers have been issued to the same patient those records with the same MRN but with different DOBs which could be the result of a clerical error on data entry and a list of Ungroupable episodes Prior to running this report you should first bulk group all the record
30. act press Shift F8 whilst positioned on any of the data lists in SNAPshot Select item 57 AROC Inpatient Extract from the list of reports enter your Facility Code and then press Generate Report This produces a text file named AROCFacilityNameYY Y YMMDDV3 8x txt where facility name is the name as entered in the Facility screen and YYYYMMDD is today s date the day the extract is created Do not change the name of the file created by SNAPshot Please note that from and to dates should not be selected when creating the AROC Inpatient Extract The AROC Inpatient Extract text file is written into the extract folder The default location of the extract folder is c Snapshot however you can specify another folder which can be on any computer including other than the one SNAPshot is installed for further information please refer to either the SNAPshot V3 8 Manual or to 3 1 3 above Using SNAPshot V3 8 to collect AROC Dataset Page 20 Centre for Health Service Development 5 Liniversigy of Wiel ingk The file can now be uploaded to AROC via AROC Online Services AOS note that the extract contains client MRN and date of birth but does not include any other identifying data items Figure 5 Extracting the AROC data Repot DB e RepDE mde OO EwactFoler 2s o e Reperis Selection crbetia te T o 5 oho Cae ry a seer i a TU Mon Common SHAP Classes pron me eee Fi Onietter Be pape MOONE Nimat Tolem Date
31. an choose to print all pages by pressing the printer icon a range of pages or the current page If no rows are marked all rows will be displayed but you can choose which rows to display by marking them You can mark rows in a list by clicking on the record indicator the grey box at the left of each row of data To mark a contiguous block click on the first row hold down the Shift key and click on the last row To mark unmark individual rows selectively hold down the Ctrl key and click on the relevant record indicators Before choosing to produce hardcopy you should check the number of pages displayed at the top of the print preview screen since there are some options which may optimise the printed output For example you can use the Page Setup option see below to reduce the margins or to select landscape orientation You should also note that less space is required in the printed output to display data values than on screen so you may be able to reduce column widths to fit all of the data on one page You can also reduce the row height of the grid temporarily if for example the displayed output is slightly longer than one page Caution if you want to exit the print preview window without printing use the File Exit menu option or press Alt F4 to quit the window rather than pressing the X in the top right hand corner On some versions of Windows pressing the X can cause Snap to lock up If the system locks under Windows 95 98 you
32. cluding metastases encephalitis inflammation anoxia metabolic toxicity or degenerative processes Do NOT use this group for cases with hemorrhagic stroke other than subarachnoid haemorrhage These should be classified to STROKE 1 haemorrhage 2 12 Anoxic brain damage 2 13 Other non traumatic brain dysfunction AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group BRAIN 2 11 Non raumatic Non traumatic spontaneous berry aneurysm DYSFUNCTION subarachnoid Anoxic brain damage Anoxic hypoxic encephalopathy Encephalitis Meningitis Neoplasm tumour of brain or meninges malignant or benign includes secondary tumours Neoplasm tumour of cranial nerves Intracranial abscess Hydrocephalus Toxic encephalopathy Traumatic Brain Dysfunction USE this group for cases with motor and or cognitive disorder secondary to brain trauma Definition A closed head injury is defined as an injury where the meninges remain intact includes a linear fracture of the skull AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group BRAIN 2 21 Traumatic open Skull fracture DYSFUNCTION injury Cerebral laceration and contusion with open intracranial wound Subarachnoid subdural extradural and other unspecified haemorrhage following injury Other and unspecified intracranial haemorrhage following injury BRAIN 2 22 Traumatic closed
33. creen 312 Field error FIM Admission Ensure that the FIM cognition scores have been entered Cognition Score in the Rehab GEM screen 313 Field error HONOS Total Ensure that the AdultHoNOS data items have been entered for adult mental health episodes 314 Field error HONOS Overactive Ensure that the AdultHoNOS data items have been Score entered for adult mental health episodes 315 Field error HONOS ADL Score Ensure that the AdultHoNOS data items have been entered for adult mental health episodes 316 Field error Maintenance Type Ensure that the Maintenance Type has been entered in the Maint RUG screen 317 Field error Focus of Care Ensure that the MH data items have been entered for mental health episodes 318 Field error Sole Practitioner Ensure that the data item Sole Practitioner in the Episode Screen has been completed 319 Field error MH Service Ensure that the Mental Health Service data item in the Episode screen has been completed for mental health episodes 320 Field error Diagnosis 1 Enter primary diagnosis diagnosis 1 in Clinical screen for mental health episodes Using SNAPshot V3 8 to collect AROC Dataset Page 28 Centre for Health Service Development 5 Lisiversioy of Wallon ping 321 Field error HONOS 5 Score Ensure that the AdultHoNOS data items have been entered for adult mental health episodes Status Description Suggested resolution Code 322 Field error HONOS 10
34. d that you have added or changed Before you can save a record you must move the cursor out of the field that you have changed by hitting the Enter or Tab key or by using the mouse to click in another field Click Cancel to cancel any changes that you have just made Click Delete if you want to delete a record from the data set A warning message will ask you if you are sure that you want to delete the record The Reset button is used to select a different Facility and Provider Unit it may also be necessary to re select the facility and provider unit after the database has been moved or restored The Group button is used to group the data into an appropriate SNAP class refer to 0 below 2 2 General Operations The SetList segment lists all of the data sets that you can edit When you click on a data set name such as Patient or AROCDataset the fields for the data set are displayed in the EditView segment For some data sets such as Facility when you make the selection a list will appear in the MultiList segment and the currently selected facility record will appear in the EditView 2 2 1 Transactions As described above all database transactions are performed in the EditView segment and include Add which is used to insert a new record of the type currently displayed in EditView Del which is used to delete the record currently displayed in EditView Save which is used to save the record currently
35. displayed in EditView Cancel which is used to discard changes you have made to the record currently displayed in EditView Reset which is used to re select all lists when you change provider unit or facility but which can also be used to refresh the data currently being displayed to reflect any changes made by other users When you are editing a data set the SetList will disappear and the message Edit will appear 2 3 General Editing Controls To edit an existing record in EditView simply click on the relevant field and enter data If you are moving from field to field F2 can be used to put you into field edit mode If there are multiple columns you can use Tab or Shift Tab to move right and left or you can use the left and right arrow keys To move up and down use the up down arrow keys Before you can press the Save Using SNAPshot V3 8 to collect AROC Dataset Page 6 Centre for Health Service Development 5 Liniversioy of Wallen pigs button to save changes you must move off the field you have just edited pressing the Enter key is fine otherwise you will receive an error prompt Date formats are flexible for example 01 Jul 2007 can be entered as 1 7 07 but it will be displayed as 01 07 2007 Note that separator character such as slashes or spaces must be entered The current year will be assumed eg 1 7 will convert to 01 07 2007 2 3 1 Entering information into data fields Many fields such as Impairm
36. e Unknown Workers Compensation Insurer WorkCover Qld Allianz Australia Workers Compensation Cambridge Integrated Services Vic Pty Ltd CGU Workers Compensation JLT Workers Compensation Services Pty Ltd QBE Worker s Compensation Wyatt Gallagher Bassett Workers Compensation Victoria Pty Ltd Employers Mutual Indemnity GIO Workers Compensation NSW Royal amp Sun Alliance Workers Compensation CATHOLIC CHURCH INSURANCES LTD GUILD INSURANCE LTD INSURANCE COMMISSION OF WA Zurich Australia Insurance Ltd WESFARMERS FEDERATION INSURANCE LTD Territory Insurance Office ComCare Victoria Workcover Authority Unknown Using SNAPshot V3 8 to collect AROC Dataset 5 Liniversioy of Wallon pigs Page 36 Centre for Health Service Development 5 EE sale aia Appendix 5 Employment Status Inclusions Exclusions by code CODE1 Employed Persons aged 15 years and over who during the reference week a worked for one hour or more for pay profit commission or payment in kind in a job or business or on a farm comprising Employees Employers and Own Account Workers or b worked for one hour or more without pay in a family business or on a farm i e Contributing Family Worker or c were Employees who had a job but were not at work and were e on paid leave e on leave without pay for less than four weeks up to the end of the reference week e stood down without pay because of bad weather or plant brea
37. e for Health Service Development GD university of Wollongong E i Database CiSnapahot 33a Snap Test mdb Episodes gt G0 days 0 BegDate lt 09 05 2007 e Press Shift F7 together A pop up will open asking you to enter the facility password to open the database 2 1 3 The Main Screen The Main Screen is where information is recorded about a facility its staff its clients personal information and health status and occasions of service provided The Main Screen has 6 parts a Patient List an Episode List a Staff List a Set List a Multi List and an Edit View Figure 1 SNAPshot main screen Patient List Set List Multi List SAP ah a Hair Preevidier Limi Pull fa ii Sad 4 Je Bee i ann ee Fajen Pacii f BCs ee j Epon Ba a E eee eel eH an a pe SR Clack AL Bey ETIT od NEDSS Be 1 7 1 r Damna emy m eu faj f i ME ed f ek MEO rs ours BEER brs EEST A erem Fake SL Ered BE hendar Lun eh MEE rg TAA BG CREE Maotobeteiee A aH Aima Heiata SRDAN Femeia e ATT BD Chidt Fatale Dike Eel Cann haiie TIC Erans l Ye Magee iran maang Frv eta Dhein Coan Type 7 chsh JATA reves fay rE Eia Daiei pinis Te A Cova r paier BE 1S sarc ware Daliai Caan hladal rec cma BER ge Mantes eet Hera Heh Seca 1 Pa TS heoa ma a ERS ni Marcel path deperi pathodogy arches meggi Episode List Aap 2 ri Fo 1o n 7 rer hl io pua TEH Heh O a E mma o
38. e found in the SNAPshot V3 8 Manual Using SNAPshot V3 8 to collect AROC Dataset Page 23 Centre for Health Service Development QJ vniversity of Wollonar Figure 6 Bulk assigning an AN SNAP class and the version option pan e eat eim TER Which version of AN Sinap 1 or 27 PROTE All grouped records wil have the AN Snap Version field set tothe selected vertion OOO KANT Group to AN Snap 2 Using SNAPshot V3 8 to collect AROC Dataset Page 24 Centre for Health Service Development am University of Wollongong 5 Troubleshooting If on opening up the main screen and logging on you do not see any data you will need to reset which Facility and Provider unit SNAPshot should be focusing on To do this simply highlight Facility in the set list and then click on Reset this button can be found in the middle of the right hand window refer to Figure 7 now highlight ProvUnit in the set list and click Reset again refer to Figure 8 At this point your data should magically reappear refer to Figure 9 If you have more than one Facility or Provider Unit you will need to also select the appropriate facility provunit in the multi list top right hand window Figure 7 Resetting the Facility Oo GAP shad Lda Hair Provider Lied PLS Tadi KIBE p GAE Facil f INE Arima Hoi CoM 1 7 4 I J 4 Lorreunay patent ite JiPe ee mie i a Once the Facility has been reset the F
39. e to select particular subsets of the database 5 A page throw option which is enabled for some reports to allow you to specify that the data for each patient is to commence on a new page 6 Operation buttons Generate and Exit 4 1 1 The Report Database When you generate a report the data are written into an Access database which is different from main database Each user PC should have a separate report database preferably on the local hard disk drive If the report database has to be stored on a server computer each user should have a different file Typically this file is called RepDB mdb and is located in C SNAPshot however you can change this When you change the report database name Snap will either select an existing file or if it does not exist will create it for you 4 1 2 The Report Database Folder You can create as many report databases as you like for example you might want to keep the tables which are generated during a session for analysis using another system In this situation it is normally preferable to keep the report databases in the same folder However if you wish to use multiple folders you will have to copy the rpt files into each folder where you store report databases The reporting facility inside Snap uses Crystal Reports version 8 and the rpt files are the report definition files You should not change the rpt files if you have a copy of the Crystal Reports system installed Using S
40. eld errors Status Description Suggested resolution Code 100 Grouping OK No action required 301 Field error CaseType Check Case Type refer to the AN SNAP clinical training handbook for business rules 302 Field error EpisType Check Episode Type refer to the AN SNAP clinical training handbook for business rules 303 Field error Assessment Only Currently it is only possible to assign a SNAP class to Assessment Only for a Rehabilitation Episode 304 Field error Age Check date of birth rules now prevent non sensical DOBs but previous versions didn t apply any checks 305 Field error LOS Episode End Date needs to completed along with all supporting episode end data 306 Field error ProvType Check Provider Type refer to the AN SNAP clinical training handbook for business rules 307 Field error Phase Check PallCare Phase refer to the AN SNAP clinical training handbook for business rules 308 Field error Severity Total For Ambulatory pallcare clients check valid values for Pain Symptom Pysch Spiritual Family carer scores within PallCare dataset 309 Field error RUG Admission Ensure that the RUG scores have been entered in the Total Maint RUG screen 310 Field error Impairment Integer Ensure that the Impairment Code has been entered in the Rehab GEM screen 311 Field error FIM Admission Ensure that the FIM motor scores have been entered in Motor Score the Rehab GEM s
41. ent code have a drop down list with a code for each item In these fields you can either type the code directly into the field or make a selection from the drop down list You can press Alt Down Arrow together to open the drop down menu for the data field that you are in 3 Entering client information 3 1 Client information for AROC is mainly entered into SNAPshot in 4 screens Figure 3 The AROC data sets in the set list Baraj A UG HH AduhHoMDE AduilSP Acclult HI Chichi SnapClace I PimeAiehab Sai WardT eam Members pEmOoS JHACCMDS J ACAT AGS Mo J OVeRes MDe f Pic Urat p Facility 4 Initially at setup Facilty Screen Provider Unit Screens primarily used for entering AROC data Patient screen Episode screen Rehab GEM screen AROCDataset Most screens contain more data fields than those required by the AROC v3 dataset Non AROC dataset fields do not need to be completed for AROC reporting purposes Facilities may choose to complete additional items such as client names and telephone number for their own information or benefit These fields will not be extracted or used by AROC As well as the AROC business rules you will need to follow local business rules as to which data items need to be completed as your facility may be using the data collection for local reporting purposes or to satisfy other data collection needs such as HACC ACAP Using SNAPshot V3 8 to collect AROC Dataset Page 7
42. eport options and Preview screen for the Missing AROC Fields Report Options select button below Aeoods genet ated 7 Button T is thie recommended opa Display report on screen wath option to pen Send report drechy bo porter Cancel operation Using SNAPshot V3 8 to collect AROC Dataset Page 19 Centre for Health Service Development 5 EEE E EE Fai Mismi Fiski Lisi fume orbs Maor Eenp let Airt liss beeper Traore Seb coleDale_ Oeselline Cai mert Camiri There are a number of controls at the top of the Preview screen The first button printer allows you to send the report or selected pages to the printer The envelop button provides options for exporting the data to various file types such as comma separated value Excel and Word files The lightning button refreshes the data but you should not normally need to press it The drop down list contains a zoom option which you can change by selecting from the list The next four buttons let you navigate through the report to the first page the next page the previous page and the last page respectively The binoculars button let you search for text in the report To exit from the Preview screen press the close button X in the top right of the screen 4 1 6 Generating the AROC Inpatient Extract This report produces a fixed format ASCII file that comprises the version 3 AROC data set to be submitted to AROC To create the AROC Inpatient Extr
43. es through knee 5 4 Single Lower Amputation Below the Knee 5 5 Double Lower Amputation Above the Knee includes through knee Using SNAPshot V3 8 to collect AROC Dataset Page 32 Centre for Health Service Development 5 6 5 7 5 8 5 9 6 ARTHRITIS 6 1 6 2 6 9 5 Liniversioy of Wallon pine Double Lower Amputation Above below the Knee Double Lower Amputation Below the Knee Partial Foot Amputation includes single double Other Amputation Rheumatoid Arthritis Osteoarthritis Other Arthritis 7 PAIN SYNDROMES 7 1 7 2 7 3 7 4 7 5 7 9 Neck Pain Back Pain Extremity Pain Headache includes migraine Multi site pain Other Pain includes abdominal chest wall 8 ORTHOPAEDIC CONDITIONS Fracture includes dislocation excludes neurological involvement 8 111 8 112 8 12 8 13 8 141 8 142 8 15 8 16 8 17 8 19 Fracture of hip unilateral includes NOF Fracture of hip bilateral includes NOF Fracture of shaft of femur excludes femur involving knee joint Fracture of pelvis Fracture of knee includes patella femur involving knee joint tibia or fibula involving knee joint Fracture of lower leg ankle foot Fracture of upper limb includes hand fingers wrist forearm arm shoulder Fracture of spine excludes where the major disorder is pain Fracture of multiple sites multiple bones of same lower limb both lower limbs lower with upper limb lower limb with rib or sternum Excludes with brain
44. evelopment 5 Usiversioy of Wallon ping Item 35 Record type of any significant illness impairment in addition to the principal presenting condition which according to the client s doctor interferes with the process of rehabilitation Enter up to 4 comorbidity codes in order of impact 1 Ischaemic heart disease 2 Cardiac failure 3 Atrial fibrillation 4 Osteoporosis 5 Osteoarthritis 6 Upper limb amputation 7 Lower limb amputation 8 Depression 9 Schizophrenia 10 Drug and alcohol use 11 Dementia 12 Asthma 13 CAL COPD 14 Renal failure 15 Epilepsy 16 Parkinson 17 CVA 18 Spinal cord injury disease 19 Visual impairment 20 Hearing impairment 21 Diabetes 22 Delerium 23 Morbid obesity 99 Other Complications Item 36 Record type of any disease or disorder concurrent with interfering with the principal presenting condition which according to the process of patient s doctor interferes with the process of rehabilitation rehabilitation Enter up to 4 complication codes 1 No Complications 2 UTI 3 Pressure ulcer 4 Wound infection 5 DVT PE 6 Chest infection 7 Significant electrolyte imbalance 8 Falls 9 Faecal impaction 99 Other Date of relevant Item 21 If current admission for rehabilitation was preceded by an acute admission episode of acute care in the previous 3 months relevant to the current rehabilitation episode enter the date of that ac
45. h Limited Health Care Insurance Limited Health Insurance Fund of W A Healthguard Health Benefits Fund Ltd trading as Central West Health CY Health amp GMF Health Health Partners Latrobe Health Services Inc Lysaght Peoplecare Ltd Manchester Unity Australia Ltd MBF Australia Ltd Medibank Private Ltd Mildura District Hospital Fund Limited Naval Health Ltd NIB Health Funds Ltd Phoenix Health Fund Ltd Queensland Country Health Ltd Railway amp Transport Health Fund Ltd Reserve Bank Health Society Ltd St Luke s Medical amp Hospital Benefits Association Ltd Teachers Federation Health Ltd HBF Health Funds Inc HCF Hospitals Contribution Fund of Australia Ltd The Transport Health Pty Ltd Westfund Ltd NRMA Health MBF Alliances Queensland Teachers Union Health Fund Ltd Police Health Unknown CTP Insurer Allianz Australia Insurance Ltd Australian Associated Motor Insurers Ltd QBE Insurance Australia Suncorp Metway RACQ Insurance Ltd NRMA Insurance Ltd Transport Accident Commission Vic Using SNAPshot V3 8 to collect AROC Dataset Page 35 Centre for Health Service Development 608 609 610 611 612 613 614 615 616 999 WC Code 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 999 AAMI CIC GIO QBE Zurich Insurance Commission of Western Australia Motor Accident Insurance Board Tasmania Territory Insurance Office NT SGIC General Insuranc
46. in which the purpose of this rehabilitation episode is to address poor activity tolerance secondary to cardiac insufficiency or general deconditioning due to cardiac disorder AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group CARDIAC 9 1 Acute myocardial infarction DISORDERS Cardiac disorder Cardiac myopathy following recent onset of new cardiac impairment Post cardiac surgery 9 2 Coronary atherosclerosis Chronic cardiac Ischemic heart disease insufficiency Heart failure Cardiac myopath 9 3 Heart or heart lung transplant Using SNAPshot V3 8 to collect AROC Dataset Page 45 Centre for Health Service Development 5 E E EE 10 PULMONARY DISORDERS USE for cases in which the purpose of this rehabilitation episode is to address poor activity tolerance secondary to pulmonary insufficiency AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group PULMONARY 10 1 Chronic Chronic obstructive pulmonary disease DISORDERS Obstructive Pulmonary Disease 10 2 Lung Transplant 10 9 Other Pulmonary Chronic bronchitis Disorders Post pneumonia Emphysema Asthma Bronchiectasis Pulmonary insufficiency following trauma surgery 11 BURNS USE for cases in which the purpose of this rehabilitation episode is to address burns to major areas of skin and or underlying tissue AROC AROC Impairment Impairment Group Code Aetiologic Diagno
47. inal Cord Multiple Fracture Amputation 14 9 Other Multiple Trauma 1 DEVELOPMENTAL DISABILITIES excludes cerebral palsy includes patients who have significant intellectual 5 disabilities 15 1 Developmental Disabilities 1 RE CONDITIONING RESTORATIVE excludes primary cardiac insufficiency or primary pulmonary insufficiency 16 1 Re conditioning following surgery 16 2 Re conditioning following medical illness 16 3 Cancer rehab where patient is de conditioned as a result of their cancer or treatment for their cancer excludes patients with ongoing cancer management issues Using SNAPshot V3 8 to collect AROC Dataset Page 34 Centre for Health Service Development 5 E E eet Appendix 4 Health Fund Code 1 2 11 13 14 18 19 20 22 25 26 29 32 37 38 40 41 46 47 48 49 50 53 56 57 61 65 66 68 71 74 77 78 81 83 85 86 87 999 CTP Code 601 602 603 604 605 606 607 List of Health Funds and Other Payers Health Fund ACA Health Benefits Fund The Doctor s Health Fund Ltd Australian Health Management Group Australian Unity Health Limited BUPA Australia Health Pty Ltd trading as HBA in Vic amp Mutual Community in SA CBHS Health Fund Limited Cessnock District Health Benefits Fund Credicare Health Fund Limited Defence Health Limited Druids Friendly Society Victoria Druids Friendly Society NSW Geelong Medical and Hospital Benefits Assoc Ltd GMHBA Grand United Corporate Healt
48. injury or with spinal cord injury Other orthopaedic fracture includes jaw face rib orbit or sites not elsewhere classified Post Orthopaedic Surgery includes secondary to fracture or arthritis 8 211 8 212 8 221 8 222 8 231 8 232 8 24 8 25 8 26 9 CARDIAC 9 1 9 2 9 3 1 PULMONARY 0 10 1 10 2 10 9 1 BURNS Using SNAPshot V3 8 to collect AROC Dataset Unilateral hip replacement Bilateral hip replacement Unilateral knee replacement Bilateral knee replacement Knee and hip replacement same side Knee and hip replacement differrent sides Shoulder replacement or repair Post spinal surgery includes nerve root injury laminectomy spinal fusion discectomy excludes spinal cord injury or caudaequina Other orthopaedic surgery Following recent onset of new cardiac impairment AMI heart transplant cardiac surgery Chronic cardiac insufficiency Heart and heart lung transplant Chronic Obstructive Pulmonary Disease Lung Transplant Other Pulmonary Page 33 Centre for Health Service Development 5 n Tl eases 1 11 Burns 1 CONGENITAL DEFORMITIES 2 12 1 Spina Bifida 12 9 Other Congenital 1 OTHER DISABLING IMPAIRMENTS 3 13 1 Lymphoedema 13 2 Other Disabling Impairments cases that cannot be classified into a specific group This laaxi fication shanld vi i 1 MAJOR MULTIPLE TRAUMA excludes multiple fractures only 14 1 Brain Spinal Cord Injury 14 2 Brain Multiple Fracture Amputation 14 3 Sp
49. ithin the SNAP provider unit Episode end date Item 29 Enter the date of discharge from rehabilitation in the format DD MMIYYYY Mode of episode end Item 30 Discharged to usual accommodation Discharged to interim accommodation Death Discharged transferred to another hospital Change from sub acute non acute to acute care different ward 6 Change from sub acute non acute to acute care same ward 7 Change of case type within sub acute non acute care 8 Discharge at own risk 9 Other aRWN gt Accommodation post discharge Item 31 Enter the code for the type of accommodation that the Client will be living in after discharge 1 Private residence inc unit in retirement village 2 Residential aged care low level care hostel 3 Residential aged care high level care nursing home 4 Community group home 5 Boarding house 6 Transitional living unit 7 Other Support provided at episode end Required if response to item 31 was 1 private residence Item 32 Enter the code for the level of support that the client received at episode end Lives alone no support care provided Lives with others no support care provided Lives alone with external support s Lives with others who provide support care Lives with others with external support s Other arrangements Not stated inadequately described OAMARWN gt Leave days Item 25 Enter the number of days if
50. kdown at their place of employment for less than four weeks up to the end of the reference week e on strike or locked out e onworkers compensation and expected to be returning to their job or e receiving wages or salary while undertaking full time study or d were Employers Own Account Workers or Contributing Family Workers who had a job business or farm but were not at work CODE2 Unemployed Unemployed persons are those aged 15 years and over who were not employed during the reference week and a 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 Were available for work in the reference week or would have been available except for temporary illness i e lasting for less than four weeks to the end of the reference week Or were waiting to start a new job within four weeks from the end of the reference week and would have started in the reference week if the job had been available then or b were waiting to be called back to a full time or part time job from which they had been stood down without pay for less than four weeks up to the end of the reference week including the whole of the reference week for reasons other than bad weather or plant breakdown Note Actively looking for work includes writing telephoning or applying in person to an employer for work It also includes answering a newspaper advertisement for a job checking factory or job
51. ld to the left or up Alt down arrow For coded fields open the drop down list Ctrit A Add a new record Ctrl S Save the current changes Esc If the field in edit mode cancel field changes In record edit mode cancel record changes If you are positioned in the EditView but are not currently editing pressing the Esc key will move the cursor to the Date field and you can move forward to the Shift field by pressing the Tab key or back to the control buttons using Shift Tab Pressing the Tab key on the Shift field will move you to the EditView If you press the Esc key on the Date field you will jump to the SetList and you can move up and down the SetList without selecting a set by holding down the Shift key whilst you press the Up Down arrow keys Shift Up Down on SetList You can move up and down the SetList without selecting a set by holding down the Shift key whilst you press the Up Down arrow keys When you are positioned on the required set release the Shift key and the set will be selected F6 The F6 key will move you forwards from segment to segment Shift F6 will move backwards F7 F7 is the Process key and for certain segments data sets provides additional processing options Using SNAPshot V3 8 to collect AROC Dataset Page 30 Centre for Health Service Development 5 Universiry of Wollongong Appendix 2 Searching for a client by name or by mrn You can search for a client in the Patient
52. ne or post arthroplasty joint replacement Fracture includes dislocation USE when joint replacement arthroplasty or hemiarthroplasty is part of the fracture treatment eg if rehabilitation follows a hip replacement for hip fracture AROC AROC Impairment Impairment Group Code Group FRACTURE 8 111 Fracture of Hip includes NOF unilateral 8 112 Fracture of Hip includes NOF bilateral 8 12 Fracture of shaft of excludes femur involving knee joint femur 8 13 Fracture of pelvis 8 141 Fracture of knee includes patella femur involving knee joint tibia or fibula involving knee joint 8 142 Fracture of lower leg ankle foot 8 15 Fracture of upper limb includes hand fingers wrist forearm arm shoulder 8 16 Fracture of spine excludes where the major disorder is pain 8 17 Fracture of multiple multiple bones of same lower limb sites both lower limbs lower with upper limb lower limb with rib or sternum Excludes with brain injury classify to 14 2 or with spinal cord injury classify to 14 3 8 19 Other orthopaedic includes jaw face rib orbit or sites fracture not elsewhere classified Post Orthopaedic Surgery USE this group for cases where the orthopaedic surgery involved the revision or repair of previous orthopaedic surgery Do NOT use this group when orthopaedic surgery is part of acute fracture management These should be classified to 8 111 8 19
53. o mma i a ia BLUE 3 iva a Ta pral O AT Eii Heem ii iiaa i dey iz i Com LE eo T Ti T iini 1 a Lren lG moam CALS T TETA or L Using SNAPshot V3 8 to collect AROC Dataset Page 4 Centre for Health Service Development 5 e tiadinaes 2 1 3 1 Moving Around the Main Screen Point and click with the mouse to move to another field or another part of the screen Or use the following short cut keys Use the F6 key to move from one part of the Main Screen to another Use the Enter or Tab keys to move to the right or down to the next field Use the Shift Tab key to move to the left or up to the previous field See Appendix 1 for a complete list of short cut keys 2 1 3 2 Different parts of the screen Patient List The Patient List displays the Name Date of Birth and Medical Record Number MRN of the clients that have been registered by your facility Episode List The Episode List shows each of the Episodes that have been opened for the client selected in the Patient List The Episode List displays the date the episode commence BegDate the Case Type CT the Episode Type ET the Episode Identifier EpisID and the date the episode ended EndDate if applicable Staff List The Staff List shows the staff registered in your facility by Staff Number Staff Staff Name StaffName Staff Id used internally by SNAPshot Commencement Date StfDate and Session Type Ses which is used
54. oning related to a cardiac disorder this episode should be classified to 9 2 Chronic cardiac insufficiency not to 16 Re conditioning restorative Please note that the examples of aetiologic diagnoses that underpin each impairment which are provided under each impairment group are not exhaustive 1 STROKE USE this group for cases with the diagnosis of cerebral ischemia due to vascular thrombosis embolism or haemorrhage Do NOT use this group for 1 cases of brain dysfunction secondary to non vascular causes such as trauma inflammation tumour or degenerative changes 2 cases of subarachnoid haemorrhage These should be classified to BRAIN DYSFUNCTION 2 AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group STROKE 1 1 Left Body Intracerebral haemorrhage Involvement Right Other and unspecified intracranial Brain haemorrhage 1 2 Right Body Occlusion and stenosis of precerebral Involvement Left Brain arteries with cerebral infarction 1 3 Bilateral Occlusion of cerebral arteries with cerebral Involvement infarction 1 4 No Paresis Acute but ill defined cerebrovascular 1 9 Other Stroke disease Late effects of cerebrovascular disease Using SNAPshot V3 8 to collect AROC Dataset Page 38 Centre for Health Service Development 2 BRAIN DYSFUNCTION Non traumatic Brain Dysfunction 5 Lisiversioy of Wallon pint USE this group cases with such aetiologies as neoplasm in
55. ords for a case conference This option will enable you to append selected rows or all rows if none are marked of multiple patients to the selected HTML file You can view the appended records in the HTML file by double clicking on the HTML file in windows explorer Specify HTML file Use this option to specify the name of your HTML file for example you might want to create a folder called AROCCaseConference on your c drive and store your HTML file s there Page Printer setup This option will display the Page Setup dialog and you can set page options such as margins and can press the Printer button to set printer options 4 3 Assigning an AN SNAP class to your episodes If you wish to analyse your own data by AN SNAP class you should use the inbuilt grouper tool to assign a SNAP class to each episode of care This can be done either by selecting the SnapClass dataset and clicking on the Group button for each completed Episode SNAPshot defaults to the version 2 AN SNAP classes unless you specify within the facility screen to use version 1 AN SNAP classes or by bulk grouping all episodes in the database by holding down the lt shift gt key and Group then select Bulk group all episodes phases in the databases In this case SNAPshot asks if you would like to group to Version 1 or Version 2 AN SNAP classes NOTE From July 2007 AROC will do all reporting using AN SNAP version 2 classes Further information on Grouping can b
56. ores Items 37 38 Record the scores 1 7 for each of the 18 items of the Functional Independence Measure FIM both at the beginning and at the end of the episode Date episode start FIM Assessed Item 39 Enter the date on which the episode start FIM was assessed Time stamp should be the date on which the last component of the assessment occurs Even if the recording of this date happens on a day subsequent to the day the last item of any assessment was completed the date recorded must be the date the last item of any assessment was completed Date episode end FIM Assessed Item 40 Enter the date on which the episode end FIM was assessed Date Rehab care plan established Item 41 Enter the date on which the patient s rehabilitation plan was established format DD MM YYYY This usually occurs at the first case conference after the patient s admission Date Discharge Item 42 Enter the date on which the patient s discharge plan was care plan established format DD MM YYYY A discharge plan is established usually established prior to separation and is available for the patient at the time of separation Review date Not collected The review date of the client SNAPshot enables long stay clients to have regular reviews to monitor functional improvement Review dates replace the old concept of a 90 day review instead of ending the episode each 90 days and starting a new
57. pairment AROC Impairment Group Code Aetiologic Group Diagnosis MAJOR 14 1 Brain Spinal Cord Injury spinal cord MULTIPLE caudaequina spinal nerve root major TRAUMA plexus or multiple roots 14 2 Brain Multiple Fracture Amputation 14 3 Spinal Cord spinal cord caudaequina spinal nerve root major plexus or multiple roots Multiple Fracture Amputation 14 9 Other Multiple Trauma 15 DEVELOPMENTAL DISABILITY USE for patients who have significant intellectual disabilities mental retardation Do NOT use for cases of cerebral palsy These should be classified to CEREBRAL PALSY 3 5 AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group DEVELOPMENTAL 15 1 Developmental Disability DISABILITY Using SNAPshot V3 8 to collect AROC Dataset Centre for Health Service Development 5 E E eet 16 RE CONDITIONING RESTORATIVE USE for cases with generalized deconditioning not attributable to any of the other Impairment Groups eg where deconditioning is due to a cardiac disorder classify as 9 2 where deconditioning is due to pulmonary insufficiency classify as 10 2 AROC AROC Impairment Impairment Aetiologic Diagnosis Group Group Code RECONDITIONING 16 1 Muscular wasting and disuse atrophy RESTORATIVE Re conditioning not elsewhere classified restorative following Unspecified disorder of muscle surgery ligament and fascia Chronic fatigue syndrome 16 2
58. r the AROC inpatient data collection this will always be 1 or 0 and can be defaulted 0 Overnight admitted patient non designated sub non acute unit Patient is admitted and discharged on different dates ly Overnight admitted patient designated sub non acute unit Patient is admitted and discharged on different dates 2 Same day admitted patient Patient is admitted and discharged on the same date 3 Outpatient Patient receives care in a hospital outpatient clinic 4 Community Patient Patient receives care in the home or other non hospital site The SNAPshot software requires this field to be completed to enable the record to be saved Assessment only Item 24 If the client was seen on one occasion only for assessment and or treatment and no further intervention by this facility team is planned within the next 90 days he she is classified as assessment only Enter the code indicating whether the patient was seen for assessment only 1 Yes 2 No Assessment Not collected If the patient was admitted for assessment only enter the Type code for the type of assessment if assessment 1 Medical with diagnostic pathology and or imaging only 1 Yes 2 Medical without diagnostic pathology or imaging 3 Non medical 4 Both medical and non medical with diagnostic Using SNAPshot V3 8 to collect AROC Dataset Page 11 Centre for Health Service Development 5 Lsiversioy of Waollongpika
59. r but not Aboriginal origin 3 Both Aboriginal and Torres Strait Islander origin 4 Neither Aboriginal nor Torres Strait Islander origin 9 Not stated inadequately described Interpreter Item 16 1 Yes required 2 No State Item 9 AUSonly Enter the code for the state of residence 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 Cocos Islands Christmas Island Jervis Bay Territory 99 Other Country Postcode Item 10 AUS only Enter the post code for the patient s usual address Country Item 11 NZ only Enter the code for the country of patients residence 1101 Australia Using SNAPshot V3 8 to collect AROC Dataset Page 9 Centre for Health Service Development 5 ELE E Item 11 NZony Enter the code for the country of patient s residence 1101 Australia 1201 New Zealand Type of usual Item 12 Enter the code for the type of accommodation that the accommodation client lived in prior to hospitalisation for this admission prior to admission 1 Private residence including unit in retirement vilage 2 Residential aged care low level care hostel 3 Residential aged care high level care nursing home 4 Community group home 5 Boarding house 6 Transitional living unit 7 Other Funding source Item 14 Enter the code for the funding source for this episode for hospital
60. rformed secondary to arthritis These should be classified to POST ORTHOPAEDIC SURGERY 8 211 08 26 AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group ARTHRITIS 6 1 Rheumatoid arthritis Rheumatoid arthritis Juvenile chronic polyarthritis Chronic post rheumatic arthropathy 6 2 Osteoarthritis Osteoarthritis and allied disorders 6 9 Other Arthritis Psoriatic arthropathy Scleroderma Systemic lupus erythematosus Systemic sclerosis Dermatomyositis Polymyositis Pyogenic arthritis Other and unspecified arthropathies Fibromyalgia Ankylosing spondylitis 7 CHRONIC PAIN USE this group for cases in which the primary purpose for this rehabilitation episode is pain management Do NOT use this group if pain management is only one component of the patient s rehabilitation program These should be classified to the group representing the primary impairment AROC AROC Impairment Impairment Group Code Aetiologic Diagnosis Group PAIN 7 1 Neck Pain SYNDROMES Various aetiologies 7 2 Back Pain 7 3 Extremity Pain 7 4 Headache includes migraine 7 5 Multi site pain 7 9 Other Pain includes abdominal chest wall Using SNAPshot V3 8 to collect AROC Dataset Page 43 Centre for Health Service Development 5 EE tile enters 8 ORTHOPAEDIC DISORDERS USE this group for cases in which the major disorder is post fracture of bo
61. s in the database refer to 0 above as this will ensure that the report reflects the current data e Report 25 Suspect age not 14 100 Report this shows those patients where their age at the time of the episode was younger than 14 or older than 100 whilst it is possible that this is correct it may highlight records that have an incorrect DOB e Report 27 Missing AROC Fields Report for each episode that has missing data this report lists the number of AROC data items not completed and then names each of the missing fields e Deleted report AROC Patient data refer to 3 2 Printing AROC Patient data for case conferences above Using SNAPshot V3 8 to collect AROC Dataset Page 27 Centre for Health Service Development 7 SNAPclass status codes When you attempt to assign a SNAPclass to a record either by performing a bulk group operation refer to 3 3 Assigning an AN SNAP class to your episodes above or by selecting SNAPclass in the setlist and hitting the group button for individual records SNAPshot will assign a status code to the record These status codes can be viewed by record in theSNAPclass screen and a summary of all the ungroupable records that is those records with a status code other than 100 can be found in the Database Summary report number 19 5 Lsiversioy of Wallongpika Refer to Table 8 below to determine how best to correct the problem Table 8 SNAPclass status codes and suggested resolutions to fi
62. sh to allocate to this episode Once all information on the screen has been entered click Save 3 8 Entering information into the Rehab GEM screen Information on the client s impairment and their Functional Independence Measures FIM are recorded in the Rehab GEM screen Adding a new Record 1 Highlight the required patient in the P atient List 2 Select the Rehab GEM data set from the Set List The Rehab GEM Details Screen will now be displayed in the Edit View 3 Click on Add a new Rehab GEM Record will be opened in the Edit View 4 Complete the fields as explained in Table 6 below Using SNAPshot V3 8 to collect AROC Dataset Page 14 Centre for Health Service Development Table 6 Impairment Code Item 33 5 Usiversioy of Waollongpika Definitions for fields relevant to AROC in the Rehab GEM Data Set Enter the Impairment Code that best describes the primary reason for admission to the rehabilitation program Subgroups of Impairment Groups carry the Impairment Group number a decimal point and a unique number from one to four digits for the subgroups Enter the number of the Impairment Group then a decimal point then the number for the subgroups Code as specifically as possible Use the Guide for Allocating an Impairment Code as an aid See Appendix 3 for Impairment Group Codes and Appendix 6 for the Impairment Coding Guide FIM sc
63. sis Group BURNS 11 Burns 12 CONGENITAL DEFORMITIES USE for cases in which the purpose of this rehabilitation episode is to address an anomaly or deformity of the nervous or musculoskeletal system that has been present since birth 12 1 Spina Bifida 12 9 Other Congenital Deformities AROC AROC Impairment Impairment Aetiologic Diagnosis Group Group Code CONGENITAL 12 1 Spina Bifida DEFORMITIES Spina Bifida 12 9 Arthrogryposis Other congenital Other congenital anomalies of nervous deformities system Osteogenesis imperfecta Using SNAPshot V3 8 to collect AROC Dataset Page 46 Centre for Health Service Development 13 OTHER DISABLING IMPAIRMENTS USE 13 1 for cases in which the major disorder is lymphoedema USE 13 2 for cases that cannot be classified into any other impairment group This group should be 5 Lisiversioy of Wallon pint rarely used AROC AROC Impairment Impairment Aetiologic Diagnosis Group Group Code OTHER 13 1 Lymphoedema DISABLING IMPAIRMENTS 13 2 Other This group should be rarely used Disabling Impairments 14 MAJOR MULTIPLE TRAUMA USE for trauma cases with complex management due to involvement of multiple systems or sites where specialised rehabilitation is required for each of the impairments Do NOT use for multiple fractures These should be classified to FRACTURE OF MULTIPLE SITES 8 17 AROC Im
64. ssociated with each medical record system in practice this means that for each facility there will be one provider unit This information is not collected by AROC but it is required by the SNAPshot software Table 2 Definitions for fields relevant to AROC in the Provider Unit Data Set Provider unit Not collected Enter a 6 character alphanumeric code for your provider unit e g PU0001 Name Not collected Enter the name of your provider unit e g Rehab 3 5 Initial setup the wardteam screen The WardTeam Screen allows a site to set up a number of different wards or teams Not all facilities will need or want to do this and completing these data items is not mandatory but has been included in this v3 of the AROC dataset to give those facilities that would like to be able to differentiate by ward or team the ability to do that When data relating to an episode is entered into SNAPshot it can then be assigned to a specific ward team see Table 4 data items entered in the Episode screen Table 3 Definitions for fields relevant to AROC in the WardTeam Data Set Ward identifier Item 3 Enter up to a 4 character alphanumeric code for your _ward or team e g Tm01 Using SNAPshot V3 8 to collect AROC Dataset Page 8 Centre for Health Service Development 5 Liniversioy of Wallen pings Ward Name Item 4 Enter the name of your ward or team e g Redman Ward 3 6 Entering information into the
65. ute admission format DD MM YYYY eg elective ortho procedure stroke etc Time since onset tem 22 Enter if the time since onset of the impairment not related or acute to an acute admission collected at item 21 and or had an exacerbation of insidious onset impairment eg time since arthritis started affecting the patient s function Comment optional An optional comment relevant to this episode of care Up Using SNAPshot V3 8 to collect AROC Dataset Page 17 Centre for Health Service Development 5 ELE E An optional comment relevant to this episode of care Up to 50 characters can be entered for example if the patient is unusually young or old you could note that the DOB had been confirmed Once all information on the screen has been entered click Save To print a copy of all the AROC data for one or more patients say for a case conference refer to 3 2 Printing AROC Patient data for case conferences 4 Data extraction and reporting 4 1 AROC missing data report and AROC Inpatient extract To display the Snap Report dialog screen press Shift F8 whilst positioned on any of the data lists The Snap Report dialog screen provides the following controls 1 The location and name of the report database 2 The location and name of the folder into which extracts will be placed 3 A list of reports click on the report you wish to generate 4 Selection criteria enter the values you wish to us

Using SNAPshot V3.8 to collect the AROC version 3 dataset

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