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Data Element Detail

Episode of admitted patient care-procedure code (ACHI 8th edn)
Identifying and Definitional Attributes
QH 041650 v8
Data Element
Data Element
Draft
23-Apr-2013		Current
09-Jul-2013		Superseded
30-Jun-2015
Standard
01-Jul-2013
30-Jun-2015
A clinical intervention represented by a code that:
- is surgical in nature; and/or
- carries a procedural risk; and/or
- carries an anaesthetic risk; and/or
- requires specialised training; and/or
- requires special facilities or equipment only available in an acute care setting.
Procedure (ACHI)
Representational Attributes
Numeric
Code
N(5)-N(2)
8
8
Permissible Values

Permissible_values

A valid 8th edition ACHI code from the corporate reference data system (CRDS) ICD-10-AM data set maintained by Statistical Standards and Strategies, Health Statistics Unit.
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
The order of codes should be determined using the following hierarchy:
- Procedure performed for treatment of the principal diagnosis
- Procedure performed for the treatment of an additional diagnosis
- Diagnostic/exploratory procedure related to the principal diagnosis
- Diagnostic/exploratory procedure related to an additional diagnosis for the episode of care.
Must be a valid ICD-10-AM 8th edition code.
ICD-10-AM codes are validated against a number of national and state edits (e.g. age, sex, comb, etc) to improve coding quality.
Record and code all procedures undertaken during the episode of admitted patient care in accordance with the Australian Coding Standards (refer to ACS 0016 General procedure guidelines, ACS 0042 Procedures normally not coded, ACS 0029 Coding of contracted procedures). Procedures are derived from and must be substantiated by clinical documentation.

It is possible to have duplicate codes in this section, for example, bilateral cataract extraction requires two codes to represent the bilateral aspect of the procedure. Please refer to ACS 0020 Bilateral/Multiple Procedures for further information.

All significant procedures undertaken from the time of admission to the time of separation should be coded. Procedures performed in the hospital emergency department, or elsewhere, that precede the admission time should not be coded in the admitted patient episode. Significant procedures include diagnostic and therapeutic procedures. Also include any procedures that were performed under contract with another contracted hospital, health authority or private health provider (non-hospital) and use the contract flag to identify whether they were performed on an admitted or non-admitted basis.

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Punctuation is excluded in QHAPDC.
This metadata item gives an indication of the extent to which specialised resources, for example, human resources, theatres and equipment, are used. It also provides an estimate of the numbers of surgical operations performed and the extent to which particular procedures are used to resolve medical problems. It is used for classification of episodes of acute care for admitted patients into Australian Refined Diagnosis Related Groups (AR-DRGs).
The National Casemix and Classification Centre advises the National Health Information Standards and Statistics Committee of relevant changes to the ACHI.
AR-DRG Version 7.0 was released by the National Casemix and Classification Centre in May 2013 for use with ICD-10-AM/ACHI 8th edition codes. ICD-10-AM/ACHI 8th edition is effective from 1 July 2013. Proposed AR-DRG Version 7.0 data elements have been withdrawn from National Minimum Data Sets (NMDS) for 2013-14. In Queensland ICD-10-AM/ACHI data will be grouped to various AR-DRG versions, including Version 7.0. This will allow Queensland to meet NMDS and activity based funding specification requirements as needed.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 12
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementEpisode of admitted patient care-procedure code (ACHI 7th edn)QH 041650 Version 7Superseded
Has been superseded byData ElementData ElementEpisode of admitted patient care-procedure code (ACHI 9th edn)QH 041650 Version 9Superseded
Is qualified byData ElementData ElementEpisode of admitted patient care-clinical code type (ICD-10-AM/ACHI)QH 040099 Version 3Superseded
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-diagnosis related group (AR-DRG v7.0)QH 041587 Version 8Superseded
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-diagnosis related group (AR-DRG v7.0)QH 041587 Version 7Superseded
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-major diagnostic category (AR-DRG v7.0)QH 041588 Version 8Superseded
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-major diagnostic category (AR-DRG v7.0)QH 041588 Version 7Superseded
Relates toData ElementData ElementEpisode of admitted patient care-clinical code (ICD-10-AM/ACHI)QH 040100 Version 3Superseded
Relates toData ElementData Element ConceptDiagnosisQH 040789 Version 2Current
Relates toData ElementData Element ConceptEpisode of admitted patient careQH 041604 Version 1Current
Relates toData ElementData Element ConceptPrincipal diagnosis (ICD-10-AM)QH 040244 Version 2Current
Relates toData ElementData Element ConceptProcedure (ACHI)QH 040617 Version 2Superseded
Implementation in Metadata Sets

Implemented

  • 1 - 1
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1ConditionalSuperseded01-Jul-201330-Jun-2015
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data element: Episode of admitted patient care-procedure, code (ACHI 8th edn) NNNNN-NN, Identifier 514040, Health Standard 02/05/2013 https://meteor.aihw.gov.au/content/index.phtml/itemId/514040/meteorItemView/long
ACHI codes; CRDI; CRDI QHAPDC; ICD-10-AM codes; Intervention; Procedure;