Data Collection Forms are specific for each country, as well as split for Inpatient and Ambulatory. If you require further clarification on which form to download, contact aroc@uow.edu.au.
AUSTRALIA
INPATIENT V4
Direct inpatient care, pathway 3 (8 pages total: 4 data collection pages, 3 appendices)
In-Reach rehabilitation care, pathway 2 (5 pages total: 3 data collection pages, 2 appendices)
Consult liaison; one off assessment, pathway 1 (4 pages total: 2 data collection pages, 2 appendices)
PROM (optional data collection)
PROM at start of rehabilitation (5 pages)
PROM at end of rehabilitation (6 pages)
AMBULATORY V4.1
Ambulatory direct care, pathway 4 (10 pages total: 6 data collection pages, 4 appendices)
PAEDIATRIC V1
Inpatient direct care - Paediatric (7 pages total: 4 data collection pages, 2 appendices)
Ambulatory direct care - Paediatric (7 pages total: 4 data collection pages, 2 appendices)
NEW ZEALAND
INPATIENT V4
Direct inpatient care, pathway 3 (9 pages total: 5 data collection pages, 3 appendices)
In-Reach rehabilitation care, pathway 2 (5 pages total: 3 data collection pages, 2 appendices)
Consult liaison; one off assessment, pathway 1 (4 pages total: 2 data collection pages, 2 appendices)
AMBULATORY V4.1
Ambulatory direct care, pathway 4 (8 pages total: 6 data collection pages, 2 appendices)
PAEDIATRIC V1
Inpatient direct care - Paediatric (6 pages total: 5 data collection pages, 1 appendix)
Ambulatory direct care - Paediatric (6 pages total: 5 data collection pages, 1 appendix)
APPENDICES (INCLUDED WITH FORM)
AROC impairment codes - Adult (1 page)
AROC impairment coding guidelines (14 pages)
AROC impairment codes - Paediatric (1 page)
List of health funds (2 pages)
Phases of amputee care (1 page)