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Episode of admitted patient care-procedure code (ACHI 10th edn)
Identifying and Definitional Attributes
Identifier
QH 041650
Version
10
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
28-Sep-2017  		Current
30-Jan-2018  		Superseded
15-Jul-2019  
Approval Type
Standard
Approving Authority
Information Management Strategic Governance Committee (IMSGC), Queensland Health
Effective From
01-Jul-2017
Effective To
30-Jun-2018
Definition 
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.
Context 
Health services
Short Name
Procedure (ACHI)
Name in Other Contexts
-
Representational Attributes
Datatype
Numeric
Representation Class
Code
Format
N(5)-N(2)
Minimum Character Length
8
Maximum Character Length
8
Permissible Values 
A valid 10th edition ACHI code from the Corporate Reference Data System (CRDS) ICD-10-AM data set maintained by Statistical Standards and Strategies, Statistical Services Branch (SSB).
Supplementary Values
-
Collection and Usage Attributes
Guide for Use 
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.
Verification Rules 
Must be a valid ACHI 10th edition code.
ACHI codes are validated against a number of national and state edits (e.g. age, sex, combination, etc) to improve coding quality.
Collection Methods 
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, ACS 0049 Disease codes that must never be assigned). 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.
Comment
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 Independent Hospital Pricing Authority (IHPA) advises the National Health Information Standards and Statistics Committee of relevant changes to the ACHI.  
 
AR-DRG Version 9.0 is for use with ICD-10-AM/ACHI 10th edition codes from 1 July 2017.
 
 
Relational Attributes
Related Metadata References
Has been superseded by Episode of care-procedure code (ACHI 10th edn) QH 041650 Version 11
Is used in the derivation of Episode of admitted patient care-diagnosis related group (AR-DRG v9.0) QH 041587 Version 10
Is used in the derivation of Episode of admitted patient care-major diagnostic category (AR-DRG v9.0) QH 041588 Version 10
Relates to Episode of admitted patient care QH 041604 Version 1
Relates to Episode of care-clinical code (ICD-10-AM/ACHI 10th edn) QH 040100 Version 4
Relates to Principal diagnosis (ICD-10-AM) QH 040244 Version 2
Relates to Procedure (ACHI) QH 040617 Version 2
Supersedes Episode of admitted patient care-procedure code (ACHI 9th edn) QH 041650 Version 9
 
Implementation in Metadata Sets

Otherrelational

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ViewMetadata Item TypeMetadata Set TypeNameAscendingIdentifier & VersionObligationEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1Conditional01-Jul-201730-Jun-2018
Data Quality Declaration 
-
Source and Reference Attributes
Source Organisation 
Australian Institute of Health and Welfare
Source Document
METeOR data element: Episode of admitted patient care-procedure, code (ACHI 10th edn) NNNNN-NN, identifier 641379, Health Standard 05/10/2016 https://meteor.aihw.gov.au/content/index.phtml/itemId/641379/meteorItemView/long