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Identifying and Definitional Attributes
Representational Attributes
Collection and Usage Attributes
Relational Attributes
Source and Reference Attributes
Episode of admitted patient care-clinical coding status
Identifying and Definitional Attributes
Identifier & Version
QH 041607 v1
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
04-Oct-2012
Current
25-Jan-2013
Approval Type
Standard
Approving Authority
Effective From
01-Jul-2012
Effective To
Definition
The status of clinical coding for an episode of admitted patient care.
Context
Admitted patient care
Short Name
Clinical coding status
Name in Other Contexts
Coding status
Representational Attributes
Datatype
Numeric
Representation Class
Code
Format
N
Minimum Character Length
1
Maximum Character Length
1
Permissible Values
Permissible_values
Code
Description
1
Not started
2
Started - incomplete
3
Complete
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Supplementary Values
Supplemenary_values
-
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Collection and Usage Attributes
Guide for Use
Episode of admitted patient care-clinical coding status is derived from the Incomplete coded episode of admitted patient care-reason for incomplete clinical coding data element and/or the presence or absence of recorded ICD-10-AM (International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification) and/or ACHI (Australian Classification of Health Related Problems) codes as follows:
Code 1 Not started
No ICD-10-AM codes are recorded for the episode of admitted patient care.
Code 2 Started - incomplete
A reason for incomplete coding is recorded for the episode of admitted patient care.
Code 3 Complete
ICD-10-AM codes are recorded and a reason for incomplete clinical coding is not recorded for the episode of admitted patient care.
New
Verification Rules
Collection Methods
Comments
Clinical coding of an episode of admitted patient care involves the assignment of ICD-10-AM and/or ACHI codes according to Australian coding standards and coding convention.
Relational Attributes
Related Metadata References
Related Metadata References_IR
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Relationship
Metadata Item Type
Metadata Item Subtype
Name
Identifier & Version
Approval Status
Is mappable from
Data Element
Data Element
Incomplete coded episode of admitted patient care-reason for incomplete clinical coding
QH 041585 Version 1
Current
Relates to
Data Element
Data Element Concept
Episode of admitted patient care
QH 041604 Version 1
Current
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Implementation in Metadata Sets
Implemented
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Data Quality Declaration
Source and Reference Attributes
Source Organisation
Source Document
Keywords
Clinical coding
;
Coding
;
Incomplete coding
;
Morbidity codes
;