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Data Element Detail

Episode of admitted patient care-duration of continuous ventilatory support, total hours and minutes
Identifying and Definitional Attributes
QH 041655 v2
Data Element
Data Element
Draft
06-Dec-2017		Current
30-Jan-2018
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2017
The total time a patient has spent on continuous ventilatory support during a single episode of admitted patient care, expressed as hours and minutes.
Admitted patient care
Duration of continuous ventilatory support, total hours and minutes
Duration of mechanical ventilation
Representational Attributes
Numeric Character
Time
hhhhhmm
7
7
Permissible Values

Permissible_values

Total hours and minutes expressed as 000000, 0000145, 0042510 etc.
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Continuous ventilatory support or invasive ventilation refers to the application of ventilation via an invasive artificial airway. For the purposes of this data element, invasive artificial airway is that provided via an endotracheal tube or a tracheostomy tube.

An endotracheal tube can be placed orally or nasally. It is usually employed prior to a surgically placed tracheostomy tube.

With prolonged ventilation, or when prolonged ventilation is expected, a tracheostomy tube is placed surgically.
Must not be greater than 9999959.
Last 2 digits must not be greater than 59.

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
There are validation checks between hours and ACHI procedure codes 1388200 Management of continuous ventilatory support less than or equal to 24 hours, 1388201 Management of continuous ventilatory support greater than 24 hours and less than 96 hours, and 1388202 Management of continuous ventilatory support greater than or equal to 96 hours.
Must be transmitted as a 12 character string, right adjusted and zero filled from the left.
For the purposes of calculating the duration of continuous ventilatory support, begin calculation with one of the following:
- Initiation of continuous ventilatory support. For example, for patients with endotracheal intubation and subsequent initiation of continuous ventilatory support, begin counting at the time of intubation. Patients with a tracheostomy, begin counting at the point when continuous ventilatory support is begun; or
- Admission of a ventilated patient. For those patients admitted with continuous ventilatory support, begin counting the duration at the time of the admission.

End the calculation with one of the following:
- Extubation (e.g. removal of endotracheal tube);
- Cessation of continuous ventilatory support after any period of weaning. For tracheostomy patients, the tracheal tube may not be withdrawn for days after discontinuation of continuous ventilatory support. Therefore, the duration would end with the cessation of continuous ventilatory support. For weaning, using methods such as positive pressure ventilation or oxygen delivery via a tracheostomy collar, include the weaning in the duration of continuous ventilatory support up to a maximum of 24 hours following cessation, or the removal of the tracheostomy. Where continuous ventilatory support via the tracheostomy recommences > 24 hours following cessation a new period of ventilation commences;
- Discharge, death of transfer of a patient on continuous ventilatory support; or
- Change of episode type.

Subsequent periods of continuous ventilatory support should be added together. For example, if a patient is on continuous ventilatory support on the first day of their admission, then again on the fourth day of their admission, the hours should be added together.

Ventilatory support which is provided to a patient during surgery is associated with anaesthesia and is considered an integral part of the surgical procedure. Duration of continuous ventilatory support should not be counted if it is part of a surgical procedure, except in the following circumstances:
- Ventilatory support was performed for respiratory support prior to surgery and then continued during surgery and post surgery; or
- Ventilatory support was initiated during surgery, continues after surgery and for more than 24 hours post surgery. Where a patient has multiple visits to theatre requiring ventilation, each period of ventilation should be considered individually. If the period of ventilation post surgery is < 24 hours it is not considered or used cumulatively with other periods of ventilation in the episode of care.

Hours of ventilatory support should be reported as completed hours and minutes. If a patient is intubated and ventilated for < 1 hour the intubation and ventilation are not reported. This includes patients who die or are discharged or transferred.

For national reporting of the Episode of admitted patient care-duration of continuous ventilatory support, total hours data element this data element is converted to completed cumulative hours in the hhhh format. For example:
- If the total duration of continuous ventilatory support is 98 hours 45 minutes, round down to 98 hours (0098).
- If the total duration of continuous ventilatory support is equal to or greater than 99999 hours, report 9999 hours (9999).
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 3
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementEpisode of admitted patient care-duration of continuous ventilatory support, total hours and minutesQH 041655 Version 1Superseded
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-duration of continuous ventilatory support, total hoursQH 041654 Version 2Current
Relates toData ElementData Element ConceptEpisode of admitted patient careQH 041604 Version 1Current
Implementation in Metadata Sets

Implemented

  • 1 - 14
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 2ConditionalCurrent01-Jul-2019
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1ConditionalSuperseded01-Jul-201730-Jun-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2017-2018QH 020501 Version 1ConditionalSuperseded01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2018-2019QH 020503 Version 1ConditionalSuperseded01-Jul-201830-Jun-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2019-2020QH 020581 Version 1ConditionalSuperseded01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2020-2021QH 020692 Version 1ConditionalSuperseded01-Jul-202030-Jun-2021
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2021-2022QH 020780 Version 1ConditionalSuperseded01-Jul-202130-Jun-2022
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2022-2023QH 0139401 Version 1ConditionalCurrent01-Jul-202230-Jun-2023
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2017-2018QH 020329 Version 1ConditionalSuperseded01-Jul-201730-Jun-2018
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2018-2019QH 020504 Version 1ConditionalSuperseded01-Jul-201830-Jun-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2019-2020QH 020582 Version 1ConditionalSuperseded01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2020-2021QH 020693 Version 1ConditionalSuperseded01-Jul-202030-Jun-2021
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2021-2022QH 020781 Version 1ConditionalSuperseded01-Jul-202130-Jun-2022
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2022-2023QH 0140697 Version 1ConditionalCurrent01-Jul-202230-Jun-2023
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data elements:
Episode of admitted patient care-duration of continuous ventilatory support, total hours NNNN, Identifier 652006, Health Standard 28/09/2016 https://meteor.aihw.gov.au/content/index.phtml/itemId/652006/meteorItemView/long
Episode of admitted patient care-duration of continuous ventilatory support, total hours NNNN, Identifier 708842, Health Standard 12/12/2018 https://meteor.aihw.gov.au/content/index.phtml/itemId/708842/meteorItemView/long
CRDI; CRDI QHAPDC; CVS; Mechanical ventilation;