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Data Element Detail

Episode of admitted patient care-same-day banded procedure
Identifying and Definitional Attributes
QH 040059 v2
Data Element
Data Element
Draft
12-Jun-2014		Current
04-Aug-2014
Standard
01-Jul-2014
Classification to categorise same-day procedures into bands as defined in the Commonwealth Same Day Procedures Manual.
Admitted patient care
Same-day banded procedure
Band (QHQPDC)
Representational Attributes
Alphanumeric
Code
N[A]
1
2
Permissible Values

Permissible_values

CodeDescription
1ABand 1A
1BBand 1B
2Band 2
3Band 3
4Band 4
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
All day only surgical and non-operative procedures can be allocated a number as per the Commonwealth Medicare Benefits Schedule. These are called CMBS numbers. Based on CMBS numbers and other factors, procedures can be categorised into one of four different bands.

For private patients, both in public and private hospitals, the bands are used as a basis to determine the level of charges. Bands are also used to determine whether patients are admitted as day only patients, or otherwise.

Patients who receive a procedure that would not normally warrant admission, may be admitted with a Day Only Procedure Certificate issued by the attending medical practitioner. Bands can only be determined reliably on patient separation when the procedure that was performed is known, and a CMBS number has been given.

Do not allocate a band if the procedure was performed as a day only episode within a longer hospital stay (involving statistical admission and/or separation for a change in episode type). Band is only for stand-alone day only hospital stays.

Definitions and information on each band can be found in the current version of the Private Health Insurance (Benefit Requirements) Rules.
Internet: http://www.comlaw.gov.au/

Band 1A is a definitive list of procedures including gastrointestinal endoscopy, certain minor surgical items and non-surgical procedures that do not normally require anaesthetic.

1B relates to professional attention that embraces all other day only admission to hospital not related to bands 2, 3 or 4.

Bands 2, 3 and 4 are determined by the anaesthetic type and theatre time.

Band 2 means procedures (other than band 1) carried out under local anaesthetic with no sedation.

Band 3 means procedures (other than band 1) carried out under general or regional anaesthesia or intravenous sedation with theatre time (actual time in theatre) less than one hour.

Band 4 means procedures (other than band 1) carried out under general or regional anaesthesia or intravenous sedation with theatre time (actual time in theatre) of one hour or more.
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Validated against a list of band codes, if not null.
Must be a same day patient.
Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Mandatory only for private day benefit patients, however hospitals may supply bands for public patients.

HBCIS hospitals: This data item is not entered separately as it is derived from the item account class (B1A; B1B; B2; B3; B4) and translated to 1A, 1B, 02, 03 and 04. If a patient changes from day only to overnight or longer, the admission account class must be altered, rather than recording an account class variation. Usually, only accounts staff can do this.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 4
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementBandQH 040059 Version 1Superseded
Is derived fromData ElementData ElementEpisode of admitted patient care-account classQH 040165 Version 2Current
Relates toData ElementData Element ConceptEpisode of admitted patient careQH 041604 Version 1Current
Relates toData ElementData Element ConceptSame-day patientQH 040018 Version 2Current
Implementation in Metadata Sets

Implemented

  • 1 - 15
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-201430-Jun-2019
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Private Facility Data Supply Requirement (DSR) 2016-2017QH 020315 Version 1ConditionalSuperseded01-Jul-201630-Jun-2017
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) 2016-2017QH 020314 Version 1ConditionalSuperseded01-Jul-201630-Jun-2017
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
Source and Reference Attributes
Band; Day benefit; Same day patient;