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Data Element Detail

Procedure
Identifying and Definitional Attributes
QH 040617 v1
Data Element
Data Element Concept
Current
01-Jul-1999		Superseded
08-Jul-2013
Standard
01-Jul-1999
30-Jun-2013
A clinical intervention 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.
Institutional health care: this 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.
Representational Attributes
Permissible Values

Permissible_values

-
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Admitted patients: record all procedures undertaken during an episode of care in accordance with the ICD-10-AM Australian Coding Standards.

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; or
- diagnostic/exploratory procedure related to an additional diagnosis for the episode of care.
As a minimum requirement procedure codes must be valid codes from ICD-10-AM procedure codes and validated against the nationally agreed age and sex edits.
Record and code all procedures undertaken during the episode of care in accordance with the ICD-10-AM Australian Coding Standards. An unlimited number of diagnosis and procedure codes are able to be entered into HBCIS, but for grouping purposes only the first twenty-one procedure codes and first twenty-one diagnosis codes are used. Procedures are derived from and must be substantiated by clinical documentation.
The National Centre for Classification in Health advises the National Health Data Committee of relevant changes to the ICD-10-AM.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 13
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData Element ConceptAdditional proceduresQH 040247 Version 1Retired
SupersedesData ElementData Element ConceptPrincipal procedureQH 040246 Version 1Retired
Has been superseded byData ElementData Element ConceptProcedure (ACHI)QH 040617 Version 2Superseded
Relates toData ElementData ElementDiagnosis code typeQH 040099 Version 2Superseded
Relates toData ElementData ElementEpisode of admitted patient care-date of procedureQH 040627 Version 2Superseded
Relates toData ElementData ElementEpisode of admitted patient care-date of procedureQH 040627 Version 1Superseded
Relates toData ElementData ElementEpisode of admitted patient care-procedure code (ACHI 5th edn)QH 041650 Version 5Superseded
Relates toData ElementData ElementEpisode of admitted patient care-procedure code (ACHI 6th edn)QH 041650 Version 6Superseded
Relates toData ElementData ElementEpisode of admitted patient care-procedure code (ACHI 7th edn)QH 041650 Version 7Superseded
Relates toData ElementData ElementEpisode of admitted patient care-procedure code (ICD-10-AM 1st edn)QH 041650 Version 1Superseded
Relates toData ElementData ElementEpisode of admitted patient care-procedure code (ICD-10-AM 2nd edn)QH 041650 Version 2Superseded
Relates toData ElementData ElementEpisode of admitted patient care-procedure code (ICD-10-AM 3rd edn)QH 041650 Version 3Superseded
Relates toData ElementData ElementEpisode of admitted patient care-procedure code (ICD-10-AM 4th edn)QH 041650 Version 4Superseded
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 1Superseded01-Jul-199930-Jun-2013
Source and Reference Attributes
National Centre for Classification in Health, National Health Data Committee
International Statistical Classification of Diseases and Related Health Problems - Tenth Revision - Australian Modification (1998); National Centre for Classification in Health, Sydney.
Procedure;