[WWW - 2021.12.16]
Identifying and Definitional Attributes
Identifier
QH 041607
Version
1
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
04-Oct-2012  
Current
25-Jan-2013  
Approval Type
Standard
Approving Authority
-
Effective From
01-Jul-2012
Effective To
-
Definition
The status of clinical coding for an episode of admitted patient care.
Context
Admitted patient care
Short Name
Clinical coding status
Name in Other Contexts
-
Representational Attributes
Datatype
Numeric
Representation Class
Code
Format
N
Minimum Character Length
1
Maximum Character Length
1
Permissible Values
CodeDescription
1Not started
2Started - incomplete
3Complete
Supplementary Values
-
Collection and Usage Attributes
Guide for Use
Episode of admitted patient care-clinical coding status is derived from the Incomplete coded episode of admitted patient care-reason for incomplete clinical coding data element and/or the presence or absence of recorded ICD-10-AM (International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification) and/or ACHI (Australian Classification of Health Related Problems) codes as follows:

Code 1 Not started
No ICD-10-AM codes are recorded for the episode of admitted patient care.

Code 2 Started - incomplete
A reason for incomplete coding is recorded for the episode of admitted patient care.

Code 3 Complete
ICD-10-AM codes are recorded and a reason for incomplete clinical coding is not recorded for the episode of admitted patient care.
Verification Rules
-
Collection Methods
-
Comment
Clinical coding of an episode of admitted patient care involves the assignment of ICD-10-AM and/or ACHI codes according to Australian coding standards and coding convention.
Relational Attributes
Related Metadata References
Implementation in Metadata Sets
Data Quality Declaration
-
Source and Reference Attributes
Source Organisation
-
Source Document
-