The National Rehabilitation Reporting System (NRS) collects data from participating adult inpatient rehabilitation facilities and programs across Canada.
Service providers in participating facilities collect data in several ways:
- At the time of admission to inpatient rehabilitation
- At the time of discharge from inpatient rehabilitation
- Through an optional process following discharge from inpatient rehabilitation
Facilities that participate in the NRS sign an end-user licence agreement with CIHI.
The NRS collects data from participating adult inpatient rehabilitation facilities and programs in 9 provinces across Canada.
Facilities and programs that participate in the NRS may include
- Specialized facilities
- Hospital rehabilitation units
- Hospital rehabilitation programs
- Designated rehabilitation beds
The minimum data set contains clinical data on functional status. This is based on the 18-item FIM® instrument and additional elements that measure cognitive function and the performance of iInstrumental activities of daily living (IADLs).
Facilities collect client data on admission and discharge from the inpatient rehabilitation program. They send the data directly to CIHI on a quarterly basis so it can be included in online comparative reports.
There is an option to collect additional information in a follow-up assessment 80 to 180 days after a client completes his or her rehabilitation stay. Collecting information at this stage provides an opportunity to assess whether functional outcomes gained during rehabilitation have been sustained.
NRS data is available from 2000–2001 to the most recently completed fiscal quarter. NRS data is released quarterly in secure online eReporting for participating facilities and other authorized users. These reports are available 8 weeks after the end of the fiscal quarter.
8 NRS indicators are reported publicly on an annual basis.
To obtain data outside of eReports and CIHI’s Quick Stats, please complete a data request form.
The NRS uses an ICD-10-CA pick-list for data elements such as
- Most Responsible Health Condition
- Pre- and Post-Admit Comorbid Health Conditions
- Service Interruption Reason
- Transfer or Death Reason
The NRS uses CCI codes to capture Pre-Admit Comorbidity Procedure or Intervention. Functional outcome measures are captured primarily using the FIM® instrument.
Rehabilitation Client Groups
Within the NRS, a client is categorized into 1 of 17 health condition groups known as Rehabilitation Client Groups (RCGs). The RCG selected for a particular client is based on the condition that best describes the primary reason for his or her admission to the inpatient rehabilitation unit or facility, such as a stroke or limb amputation. For a full list of RCGs used in the NRS, send an email to email@example.com.
Rehabilitation Client Groups (RCGs) adapted with permission from UDSMR impairment codes. Copyright © 1997 Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc., all rights reserved.
The NRS data elements are organized under the following categories:
- Socio-demographic information
- Administrative data
- Health characteristics
- Activities and participation
These elements are used to calculate indicators, including wait times and client outcomes.
Complete specifications and coding guidelines for the NRS are published in the Rehabilitation Minimum Data Set Manual. Access to the manual is restricted to licensed users. To order the manual, please refer to the instructions in the user guide.
Download a sample list of data elements (PDF).
For valid domain values, see the following sample National Rehabilitation Data Set recording forms.
CIHI ensures that the quality of the information in our data holdings is suited to its intended uses and that data users are provided with accurate information about data quality. Read more about our Data Quality Enhancement Program.
Data quality documents are available as companion pieces for organizations and data requestors that have received an NRS data file.