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Identifying and Definitional Attributes
QH 041650 v4
Data Element
Data Element
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.
Procedure (ICD-10-AM)
Representational Attributes
Permissible Values


A valid 4th edition code from the corporate reference data system (CRDS) ICD-10-AM data set maintained by Statistical Standards and Strategies, Health Statistics Unit.
Supplementary 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 ICD-10-AM 4th edition code.
ICD-10-AM codes are validated against a number of national and state edits (e.g. age, sex, comb, etc) to improve coding quality.
Record and code all procedures undertaken during the episode of admitted patient care in accordance with the Australian Coding Standards (refer to ACS 0016 General procedure guidelines, ACS 0042 Procedures normally not coded, ACS 0029 Coding of contracted procedures). Procedures are derived 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.

All significant procedures undertaken from the time of admission to the time of separation should be coded. Procedures performed in the hospital emergency department, or elsewhere, that precede the admission time should not be coded in the admitted patient episode. Significant procedures include diagnostic and therapeutic procedures. Also 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 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 - 7
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementEpisode of admitted patient care-procedure code (ICD-10-AM 3rd edn)QH 041650 Version 3Superseded
Has been superseded byData ElementData ElementEpisode of admitted patient care-procedure code (ACHI 5th edn)QH 041650 Version 5Superseded
Is used in the derivation ofData ElementData ElementEpisode of admitted patient care-diagnosis related group (AR-DRG v5.1)QH 041587 Version 3Superseded
Is used in the derivation ofData ElementData ElementEpisode of admitted patient care-major diagnostic category (AR-DRG v5.1)QH 041588 Version 3Superseded
Relates toData ElementData ElementDiagnostic code (ICD-10-AM)QH 040100 Version 2Superseded
Relates toData ElementData Element ConceptPrincipal diagnosisQH 040244 Version 1Superseded
Relates toData ElementData Element ConceptProcedureQH 040617 Version 1Superseded
Implementation in Metadata Sets


  • 1 - 1
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1ConditionalSuperseded01-Jul-200430-Jun-2006
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data element: Episode of admitted patient care-procedure, code (ICD-10-AM 4th edn) NNNNN-NN, identifier 333826, Health standard 28/06/2004 https://meteor.aihw.gov.au/content/index.phtml/itemId/333826/meteorItemView/long