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Identifying and Definitional Attributes
QH 041588 v5
Data Element
Data Element
Current
01-Jul-2008
Superseded
30-Jun-2012
Standard
01-Jul-2008
30-Jun-2012
One of twenty-three mutually exclusive major diagnostic categories (MDCs) that correspond to a single body system or aetiology. In general these are associated with a particular medical specialty. An additional two categories address exceptions (pre-MDCs) and errors. They are derived from the Diagnosis Related Group (DRG) code.
Institutional health care
Major diagnostic category (MDC)
MDC
Representational Attributes
Numeric Character
Code
N[NN]
1
3
Permissible Values

Permissible_values

Valid MDC codes from the AR-DRG classification Version 6.0 Definitions Manual Volumes I, II, and III, Commonwealth Department of Health and Ageing.
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Hospital Based Corporate Information System (HBCIS):
MDCs are calculated at the facility using the "derived from" related data items. Transmit as fixed width 3 character, left adjusted, blank if null.

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
As part of QHAPDC processing of inpatient data by the Data Collections Unit (DCU), MDCs are re-calculated using the "derived from" related data items and any discrepancies with facility calculated items are queried with the facility.
The development of the Australian Refined Diagnosis Related Group (AR-DRG) classification has created a descriptive framework for studying hospitalisation. DRGs provide a summary of the varied reasons for hospitalisation and the complexity of cases a hospital treats. Moreover, as a framework for describing the products of a hospital (that is, patients receiving services), they allow meaningful comparisons of hospitals' efficiency and effectiveness under alternative systems of health care provision.
The AR-DRGs are a patient classification scheme consisting of classes of patients who are similar clinically and in terms of their consumption of hospital resources. AR-DRG version 6.0 was released by the Department of Health and Ageing in November 2008 for use with ICD-10-AM 6th edition codes from July 2008. Implementation of the 7th edition of ICD-10-AM / ACHI / ACS began on 1 July 2010 and it will continue to be used until 30 June 2013. Version 6.0 of the AR-DRG will also be used until 30 June 2013.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 15
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementEpisode of admitted patient care-major diagnostic category (AR-DRG v5.2)QH 041588 Version 4Superseded
Has been superseded byData ElementData ElementEpisode of admitted patient care-major diagnostic category (AR-DRG v6.0x)QH 041588 Version 6Superseded
Is derived fromData ElementData ElementAdmission date-episodeQH 040008 Version 1Superseded
Is derived fromData ElementData ElementBirth weightQH 040001 Version 2Superseded
Is derived fromData ElementData ElementDiagnosis code typeQH 040099 Version 2Superseded
Is derived fromData ElementData ElementDiagnostic code (ICD-10-AM)QH 040100 Version 2Superseded
Is derived fromData ElementData ElementEpisode of admitted patient care-procedure code (ACHI 6th edn)QH 041650 Version 6Superseded
Is derived fromData ElementData ElementEpisode of admitted patient care-procedure code (ACHI 7th edn)QH 041650 Version 7Superseded
Is derived fromData ElementData ElementEpisode of care-additional diagnosis code (ICD-10-AM 6th edn)QH 041646 Version 6Superseded
Is derived fromData ElementData ElementEpisode of care-additional diagnosis code (ICD-10-AM 7th edn)QH 041646 Version 7Superseded
Is derived fromData ElementData ElementEpisode of care-principal diagnosis code (ICD-10-AM 6th edn)QH 041644 Version 6Superseded
Is derived fromData ElementData ElementEpisode of care-principal diagnosis code (ICD-10-AM 7th edn)QH 041644 Version 7Superseded
Is derived fromData ElementData ElementIntended length of hospital stayQH 040012 Version 1Superseded
Is derived fromData ElementData ElementMode of separationQH 040119 Version 6Superseded
Is derived fromData ElementData ElementPerson-date of birthQH 040163 Version 3Superseded
Implementation in Metadata Sets

Implemented

  • 1 - 2
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 2MandatoryCurrent01-Jul-201930-Jun-2012
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1MandatorySuperseded01-Jul-200830-Jun-2012
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data element: Episode of admitted patient care-diagnosis related group, code (AR-DRG v 6) ANNA, identifier 391295, Health, Standard 22/12/2009 https://meteor.aihw.gov.au/content/index.phtml/itemId/391298/meteorItemView/long