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Episode of admitted patient care—procedure, code (ACHI 7th edn) NNNNN-NN

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termProcedure
METEOR identifier:Help on this term391349
Registration status:Help on this term
  • Commonwealth Department of Health, Recorded 16/07/2015
  • Health, Superseded 02/05/2013
  • National Health Performance Authority (retired), Retired 01/07/2016
Definition:Help on this term

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.
Data Element Concept:Episode of admitted patient care—procedure

Value domain attributes

Representational attributes

Classification scheme:Australian Classification of Health Interventions (ACHI) 7th edition
Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termNNNNN-NN
Maximum character length:Help on this term7

Data element attributes

Collection and usage attributes

Collection methods:Help on this termRecord and code all procedures undertaken during the episode of care in accordance with the ACHI (7th edition). Procedures are derived from and must be substantiated by clinical documentation.
Comments:Help on this termThe National Centre for Classification in Health advises the National Health Information Standards and Statistics Committee of relevant changes to the ACHI.

Source and reference attributes

Origin:Help on this term

National Centre for Classification in Health

National Health Information Standards and Statistics Committee

Relational attributes

Related metadata references:Help on this term
Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA
  • Commonwealth Department of Health, Recorded 16/07/2015
  • Health, Standard 30/06/2013
  • Tasmanian Health, Incomplete 23/07/2012
Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6.0x) ANNA
  • Tasmanian Health, Superseded 06/09/2016
Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 7.0) ANNA
  • Tasmanian Health, Standard 06/09/2016
Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN
  • Commonwealth Department of Health, Recorded 16/07/2015
  • Health, Standard 30/06/2013
  • Tasmanian Health, Superseded 07/09/2016
Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 8.0) NN
  • Tasmanian Health, Superseded 12/01/2018
Supersedes Episode of admitted patient care—procedure, code (ACHI 6th edn) NNNNN-NN
  • Health, Superseded 22/12/2009
Has been superseded by Episode of admitted patient care—procedure, code (ACHI 8th edn) NNNNN-NN
  • Health, Superseded 13/11/2014
  • National Health Performance Authority (retired), Not progressed 01/07/2016
  • Tasmanian Health, Superseded 02/09/2016
Implementation in Data Set Specifications:Help on this term
All attributes +

Admitted patient care NMDS 2010-11Health, Superseded 18/01/2011

DSS specific attributes +

Implementation start date: 01/07/2010

Implementation end date: 30/06/2011

DSS specific information:

As a minimum requirement procedure codes must be valid codes from the Australian Classification of Health Interventions (ACHI) procedure codes and validated against the nationally agreed age and sex edits. More extensive edit checking of codes may be utilised within individual hospitals and state and territory information systems.

An unlimited number of diagnosis and procedure codes should be able to be collected in hospital morbidity systems. Where this is not possible, a minimum of 20 codes should be able to be collected.

Record all procedures undertaken during an episode of care in accordance with the ACHI (7th edition) 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
  • diagnostic/exploratory procedure related to an additional diagnosis for the episode of care.

Admitted patient care NMDS 2011-12Commonwealth Department of Health, Recorded 16/07/2015
Health, Superseded 11/04/2012

DSS specific attributes +

Implementation start date: 01/07/2011

Implementation end date: 30/06/2012

DSS specific information:

As a minimum requirement procedure codes must be valid codes from the Australian Classification of Health Interventions (ACHI) procedure codes and validated against the nationally agreed age and sex edits. More extensive edit checking of codes may be utilised within individual hospitals and state and territory information systems.

An unlimited number of diagnosis and procedure codes should be able to be collected in hospital morbidity systems. Where this is not possible, a minimum of 20 codes should be able to be collected.

Record all procedures undertaken during an episode of care in accordance with the ACHI (7th edition) 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
  • diagnostic/exploratory procedure related to an additional diagnosis for the episode of care.

Admitted patient care NMDS 2012-13Health, Superseded 02/05/2013

DSS specific attributes +

Implementation start date: 01/07/2012

Implementation end date: 30/06/2013

DSS specific information:

As a minimum requirement procedure codes must be valid codes from the Australian Classification of Health Interventions (ACHI) procedure codes and validated against the nationally agreed age and sex edits. More extensive edit checking of codes may be utilised within individual hospitals and state and territory information systems.

An unlimited number of diagnosis and procedure codes should be able to be collected in hospital morbidity systems. Where this is not possible, a minimum of 20 codes should be able to be collected.

Record all procedures undertaken during an episode of care in accordance with the ACHI (7th edition) 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
  • diagnostic/exploratory procedure related to an additional diagnosis for the episode of care.

Implementation in Indicators:Help on this term
Used as Numerator

3.1 Number of knee arthroscopy admissions to hospital per 100,000 people aged 55 years and over, 2012–13 National Health Performance Authority (retired), Retired 01/07/2016
Australian Commission on Safety and Quality in Health Care, Standard 23/11/2016

3.3 Estimated annual number of lumbar spine surgery admissions to hospital per 100,000 people aged 18 years and over, 2010-11 to 2012-13 National Health Performance Authority (retired), Retired 01/07/2016
Australian Commission on Safety and Quality in Health Care, Standard 23/11/2016

3.4 Number of radical prostatectomy admissions to hospital per 100,000 men aged 40 years and over, 2012–13 National Health Performance Authority (retired), Retired 01/07/2016
Australian Commission on Safety and Quality in Health Care, Standard 23/11/2016

3.5 Number of hysterectomy and endometrial ablation admissions to hospital per 100,000 women, 2012-13 National Health Performance Authority (retired), Retired 01/07/2016
Australian Commission on Safety and Quality in Health Care, Standard 23/11/2016

3.6 Number of tonsillectomy admissions to hospital per 100,000 people aged 17 years and under, 2012-13 National Health Performance Authority (retired), Retired 01/07/2016
Australian Commission on Safety and Quality in Health Care, Standard 23/11/2016

3.7 Number of myringotomy admissions to hospital per 100,000 people aged 17 years and under, 2012-13 National Health Performance Authority (retired), Retired 01/07/2016
Australian Commission on Safety and Quality in Health Care, Standard 23/11/2016

6.8 Number of diabetes-related lower limb amputation admissions to hospital per 100,000 people aged 18 years and over, 2012–13 National Health Performance Authority (retired), Retired 01/07/2016
Australian Commission on Safety and Quality in Health Care, Standard 23/11/2016

Australian Atlas of Healthcare Variation: Number of cervical loop excision or cervical loop ablation hospitalisations per 100,000 women, aged 15 years and over, 2012-13 to 2014-15Australian Commission on Safety and Quality in Health Care, Standard 07/06/2017

Australian Atlas of Healthcare Variation: Number of cervical loop excision or cervical loop ablation hospitalisations per 100,000 women, aged 15 years and over, 2012-13 to 2014-15Australian Commission on Safety and Quality in Health Care, Standard 07/06/2017

Australian Atlas of Healthcare Variation: Number of endometrial ablation hospitalisations per 100,000 women, aged 15 years and over, 2012-13 to 2014-15Australian Commission on Safety and Quality in Health Care, Standard 07/06/2017

Australian Atlas of Healthcare Variation: Number of lumbar spinal decompression (excluding lumbar spinal fusion) hospitalisations per 100,000 people aged 18 years and over, 2012-13 to 2014-15Australian Commission on Safety and Quality in Health Care, Standard 07/06/2017

Australian Atlas of Healthcare Variation: Number of lumbar spinal fusion (excluding lumbar spinal decompression) hospitalisations per 100,000 people, aged 18 years and over, 2012-13 to 2014-15Australian Commission on Safety and Quality in Health Care, Standard 07/06/2017

Australian Atlas of Healthcare Variation: Number of lumbar spinal fusion hospitalisations per 100,000 people, aged 18 years and over, 2012-13 to 2014-15Australian Commission on Safety and Quality in Health Care, Standard 07/06/2017

National Health Performance Authority, Healthy Communities: Number of selected potentially avoidable hospitalisations per 100,000 people, 2011–12 National Health Performance Authority (retired), Retired 01/07/2016

National Health Performance Authority, Hospital Performance: Median waiting time for surgery for malignant cancer, 2011-12 National Health Performance Authority (retired), Superseded 02/10/2014

National Health Performance Authority, Hospital Performance: Median waiting time for surgery for malignant cancer, 2012-13 National Health Performance Authority (retired), Retired 01/07/2016

National Health Performance Authority, Hospital Performance: Number of surgeries for malignant cancer, 2011-12 National Health Performance Authority (retired), Superseded 02/10/2014

National Health Performance Authority, Hospital Performance: Number of surgeries for malignant cancer, 2012-13 National Health Performance Authority (retired), Retired 01/07/2016

National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 30 days, 2011-12 National Health Performance Authority (retired), Superseded 02/10/2014

National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 30 days, 2012-13 National Health Performance Authority (retired), Retired 01/07/2016

National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 45 days, 2011-12 National Health Performance Authority (retired), Superseded 02/10/2014

National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 45 days, 2012-13 National Health Performance Authority (retired), Retired 01/07/2016

National Health Performance Authority, Hospital Performance: Percentage of people who waited longer than the clinical urgency category time for surgery for malignant cancer, 2011-12 National Health Performance Authority (retired), Retired 01/07/2016

National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2014Health, Superseded 14/01/2015

National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2015Health, Superseded 08/07/2016

Number of lumbar spinal decompression (excluding lumbar spinal fusion) hospitalisations per 100,000 people aged 18 years and over, 2012-13 to 2014-15 and 2015-16 to 2017-18Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021

Number of lumbar spinal fusion (excluding lumbar spinal decompression) hospitalisations per 100,000 people, aged 18 years and over, 2012-13 to 2014-15 and 2015-16 to 2017-18Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021

Number of lumbar spinal fusion (with or without lumbar spinal decompression) hospitalisations per 100,000 people, aged 18 years and over, 2012-13 to 2014-15 and 2015-16 to 2017-18Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021

Number of myringotomy hospitalisations per 100,000 people aged 17 years and under, 2012-13, 2015-16 and 2017-18Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021

Number of tonsillectomy hospitalisations per 100,000 people aged 17 years and under, 2012-13, 2015-16 and 2017-18Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021

Used as Denomirator

National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 30 days, 2011-12 National Health Performance Authority (retired), Superseded 02/10/2014

National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 30 days, 2012-13 National Health Performance Authority (retired), Retired 01/07/2016

National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 45 days, 2011-12 National Health Performance Authority (retired), Superseded 02/10/2014

National Health Performance Authority, Hospital Performance: Percentage of people who received surgery for malignant cancer within 45 days, 2012-13 National Health Performance Authority (retired), Retired 01/07/2016

National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2014Health, Superseded 14/01/2015

National Healthcare Agreement: PI 23-Unplanned hospital readmission rates, 2015Health, Superseded 08/07/2016

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