[WWW - 2023.07.31]

Data Element Detail

Episode of care-procedure code (ACHI 11th edn)
Identifying and Definitional Attributes
QH 041650 v12
Data Element
Data Element
Draft
29-May-2019		Current
19-Nov-2019		Superseded
15-May-2023
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2019
30-Jun-2022
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.
Health services
Procedure (ACHI)
Intervention
Representational Attributes
Numeric
Code
N(5)-N(2)
8
8
Permissible Values

Permissible_values

A valid 11th edition Australian Classification of Health Interventions (ACHI) code from the Corporate Reference Data System (CRDS) ICD-10-AM data set maintained by Statistical Standards and Strategies, Statistical Services Branch (SSB).
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 ACHI 11th edition code.
ACHI codes are validated against a number of national and state edits (e.g. age, sex, combination, etc) to improve coding quality.
Record and code all procedures undertaken during the episode of care in accordance with the Australian Coding Standards (refer to ACS 0010 Clinical documentation and general abstraction guidelines, ACS 0016 General procedure guidelines, ACS 0042 Procedures normally not coded, ACS 0029 Coding of contracted procedures). Procedures are abstracted 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.

Admitted patient care:
Procedures performed in the hospital emergency department, or elsewhere, that precede the admission time should not be coded in the admitted patient episode. 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 Independent Hospital Pricing Authority (IHPA) advises the National Health Data Information and Statistics Committee (NHDSIC) of relevant changes to the ACHI.
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
AR-DRG Version 10.0 is for use with ICD-10-AM/ACHI 11th edition codes;
-for 2019-20 Version 9.0 will be reported
-for 2020-21 Version 10.0 will be reported.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 8
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementEpisode of care-procedure code (ACHI 10th edn)QH 041650 Version 11Superseded
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-diagnosis related group (AR-DRG v10.0)QH 041587 Version 11Current
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-major diagnostic category (AR-DRG v10.0)QH 041588 Version 11Current
Relates toData ElementData ElementElective surgery waiting list episode-planned primary procedure code (ACHI 11th edn) (QHAPDC)QH 042474 Version 3Superseded
Relates toData ElementData ElementEpisode of care-clinical code (ICD-10-AM/ACHI 11th edn)QH 040100 Version 5Superseded
Relates toData ElementData Element ConceptDiagnosisQH 040789 Version 2Current
Relates toData ElementData Element ConceptEpisode of careQH 041640 Version 1Current
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 2ConditionalCurrent01-Jul-201930-Jun-2022
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data element: Episode of admitted patient care-procedure, code (ACHI 11th edn) NNNNN-NN, identifier 699716, Health Standard 12/12/2018 https://meteor.aihw.gov.au/content/index.phtml/itemId/699716/meteorItemView/long
ACHI codes; CRDI; CRDI QHAPDC; Intervention; Procedure;