9 Cardiac disorders All Impairments Cardiac, Pain Syndromes, Pulmonary 10 Pulmonary Disorders All Other Impairments Cardiac, Pain Syndromes, Pulmonary 11 Burns All Other Impairments All Other Impairments 12 Congenital deformities All Other Impairments All Other Impairments 13 Other disabling impairments All Impairments All Impairments 14 Major Multiple Trauma Major Multiple Trauma Multiple Trauma 15 Developmental Disability All Other Impairments All Impairments 16 Reconditioning/ restorative All Other Impairments Reconditioning A preliminary map between the AROC Impairment and the AN-SNAP V4 paediatric impairment groups has been developed. It is presented in the following table with examples of aetiologic diseases that underpin each impairment and some guidelines around their use. Impairment code map AROC Impairment Code When to use this group and/or definitions Aetiologic Diagnosis AN-SNAP V4 Paediatric Impairment 1.11 Stroke – Haemorrhagic: Left Body Involvement (Right Brain) 1.12 Stroke – Haemorrhagic: Right Body Involvement (Left Brain) 1.13 Stroke – Haemorrhagic: Bilateral Involvement 1.14 Stroke – haemorrhagic: No Paresis 1.19 Stroke – Haemorrhagic: Other Stroke USE this group for cases with the diagnosis of cerebral ischemia due to vascular thrombosis, embolism, or haemorrhage. Ischaemic strokes that then have a haemorrhagic event should be classified as Stroke – Ischaemic. 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 (2.11) Intracerebral haemorrhage Other and unspecified intracranial haemorrhage Brain 1.21 Stroke – Ischaemic: Left Body Involvement Brain) 1.22 Stroke – Ischaemic: Right Body Involvement (Left Brain) USE this group for cases with the diagnosis of cerebral ischemia due to vascular thrombosis, embolism, or haemorrhage. Ischaemic strokes that then have a haemorrhagic event should
6.9 Arthritis: Other USE this group for cases in which the major disorder is arthritis of another aetiology Do NOT use for cases entering rehabilitation immediately after joint replacement, even if the procedure was performed secondary to arthritis. These should be classified to Post Orthopaedic Surgery (8.211 – 8.26) Psoriatic arthropathy Scleroderma Systemic lupus erythematosus Systemic sclerosis Dermatomyositis Polymyositis Pyogenic arthritis Other and unspecified arthropathies Fibromyalgia Ankylosing spondylitis Other 7.1 Pain Syndromes: Neck Pain 7.2 Pain Syndromes: Back Pain 7.3 Pain Syndromes: Extremity Pain 7.4 Pain Syndromes: Headache (includes migraine) 7.5 Pain Syndromes: pain 7.9 Pain Syndromes: Other Pain (includes abdominal/chest wall) 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. Various aetiologies Other 8.111 Orthopaedic Fracture: Hip, unilateral USE this group for cases in which the major disorder is post-fracture of bone or (joint replacement). USE when replacement (arthroplasty or hemiarthroplasty) is part of the fracture treatment includes #NOF Other 8.112 Orthopaedic Fracture: Hip, bilateral USE this group for cases in which the major disorder is post-fracture of bone or (joint replacement). USE when joint replacement (arthroplasty or hemiarthroplasty) is part of the fracture treatment includes #NOF Other 8.12 Orthopaedic Fracture: shaft of femur USE this for cases in which the major disorder is post-fracture of bone or (joint replacement). USE when replacement (arthroplasty or hemiarthroplasty) is part of the fracture treatment excludes femur involving knee joint Other
8.13 Orthopaedic Fracture: pelvis USE this for cases in which the major disorder is post-fracture of bone or (joint replacement). USE when joint replacement (arthroplasty or hemiarthroplasty) is part of the fracture treatment Other 8.141 Orthopaedic Fracture: knee USE this group for cases in which the major disorder is post-fracture of bone or (joint replacement). USE when replacement (arthroplasty or hemiarthroplasty) is part of the fracture treatment includes patella, femur involving knee joint, tibia or fibula involving knee joint Other 8.142 Orthopaedic Fracture: lower leg, ankle, foot USE this for cases in which the major disorder is post-fracture of bone or (joint replacement). USE when replacement (arthroplasty or hemiarthroplasty) is part of the fracture treatment 8.15 Orthopaedic Fracture: upper limb USE this group for cases in which the major disorder is post-fracture of bone or (joint replacement). USE when joint replacement (arthroplasty or hemiarthroplasty) is part of the fracture treatment includes hand, fingers, wrist, forearm, arm, shoulder Other 8.16 Fracture of spine USE this group for cases in which the major disorder is post-fracture of bone or (joint replacement). USE when replacement (arthroplasty or hemiarthroplasty) is part of the fracture treatment excludes where the major disorder is pain Other 8.17 Orthopaedic Fracture: multiple USE this group for cases in which the major disorder is post-fracture of bone or (joint replacement). USE when joint replacement (arthroplasty or hemiarthroplasty) is part of the fracture treatment multiple bones of same lower limb, 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) Other 8.19 Orthopaedic Fracture: Other USE this group for cases in which the major disorder is
requiring rehabilitation but no fracture. DO NOT use this group for cases where there is a fracture in addition to soft tissue injuries. These should be classified to 8.111 – 8.19. resulting in severe soft tissue injury but no fractures 9.1 Cardiac disorders: following recent onset of new cardiac impairment USE for cases 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. myocardial infarction Cardiac myopathy Post cardiac surgery Other 9.2 Cardiac disorders: Chronic cardiac insufficiency USE for cases 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. Coronary atherosclerosis Ischemic heart disease failure Congenital disease Cardiac myopath Other 9.3 Cardiac disorders: Heart or heart/lung transplant USE for 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. Other 10.1 Pulmonary Disorders: Chronic Obstructive Pulmonary Disease USE for cases in which the purpose of this rehabilitation episode is to address poor activity tolerance secondary to pulmonary insufficiency. Chronic obstructive pulmonary disease Other 10.2 Pulmonary Disorders: Lung Transplant USE for cases in which the purpose of this rehabilitation episode is to address poor activity tolerance secondary to pulmonary insufficiency. Other 10.9 Pulmonary Disorders: Other Pulmonary Disorders USE for cases in which the purpose of this rehabilitation episode is to address poor activity tolerance secondary to pulmonary insufficiency. Chronic bronchitis Post pneumonia Emphysema Asthma Bronchiectasis Pulmonary insufficiency following trauma, surgery Other 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. Other 12.1 Congenital deformities: Spina Bifida USE for in which the purpose of this rehabilitation episode is to address Spina Bifida. Bifida Spinal cord injury or disease
4 5 9 than two persons physical assist Two-person (or more) physical assist Not assessed Eating 1 2 3 9 Independent or supervision only Limited assistance Extensive assistance/total dependence/tube fed Not assessed APPENDIX 3 The AN-SNAP V4 four-character numbering system (NCCC) Character 1 Item Codes Description AN-SNAP version 4 Version number Character 2 Item Codes Description Care type and treatment setting – overnight classes A B C D E F G Adult rehabilitation palliative care Adult geriatric evaluation and management Adult psychogeriatric care Adult non-acute care Paediatric rehabilitation Paediatric palliative care Care type and treatment setting – same-day classes J K L M O P Adult rehabilitation Adult palliative care Adult geriatric evaluation and management psychogeriatric care Paediatric rehabilitation Paediatric palliative care Care type and treatment setting – non-admitted classes S T U V X Y Adult rehabilitation Adult palliative care Adult geriatric evaluation and management psychogeriatric care Paediatric rehabilitation Paediatric palliative care Error class 9 Grouping variable missing Character 3