[WWW - 2021.12.16]
Identifying and Definitional Attributes
QH 040617
Metadata Item Type
Data Element
Data Element Type
Data Element Concept
Approval Status
Approval Type
Approving Authority
Effective From
Effective To
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.
Collection and Usage Attributes
Guide for Use
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.
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
Has been superseded by Procedure (ACHI) QH 040617 Version 2
Supersedes Additional procedures QH 040247 Version 1
Supersedes Principal procedure QH 040246 Version 1
Implementation in Metadata Sets


  • 1 - 1
ViewMetadata Item TypeMetadata Set TypeNameAscendingIdentifier & VersionObligationEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 101-Jul-199930-Jun-2013
Source and Reference Attributes
Source Organisation
National Centre for Classification in Health, National Health Data Committee
Source Document
International Statistical Classification of Diseases and Related Health Problems - Tenth Revision - Australian Modification (1998); National Centre for Classification in Health, Sydney.