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Episode of admitted patient care—procedure, code (ACHI 9th edn) NNNNN-NN

Data Element Attributes

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termProcedure
METEOR identifier:Help on this term589101
Registration status:Help on this term
  • Health, Superseded 05/10/2016
  • Tasmanian Health, Superseded 10/07/2017
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:Help on this termEpisode of admitted patient care—procedure

Value domain attributes

Representational attributes

Classification scheme:Australian Classification of Health Interventions (ACHI) 9th edition
Representation class:Help on this termCode
Data type:Help on this termString
Format:Help on this termNNNNN-NN
Maximum character length:Help on this term8

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 (9th edition). Procedures are derived from and must be substantiated by clinical documentation.
Comments:Help on this termThe Independent Hospital Pricing Authority 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
Supersedes Episode of admitted patient care—procedure, code (ACHI 8th edn) NNNNN-NN
  • Health, Superseded 13/11/2014
  • Tasmanian Health, Superseded 02/09/2016
Has been superseded by Episode of admitted patient care—procedure, code (ACHI 10th edn) NNNNN-NN
  • Health, Superseded 12/12/2018
  • Independent Hospital Pricing Authority, Recorded 04/08/2016
  • Tasmanian Health, Superseded 08/04/2019
Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 8.0) ANNA
  • Tasmanian Health, Superseded 11/01/2018
Implementation in Data Set Specifications:Help on this term
All attributes +
Admitted patient care NMDS 2015-16
Health, Superseded 10/11/2015
DSS specific attributes +
Implementation start date: 01/07/2015
Implementation end date: 30/06/2016
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 (9th 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 2016-17
Health, Superseded 05/10/2016
DSS specific attributes +
Implementation start date: 01/07/2016
Implementation end date: 30/06/2017
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 (9th 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.

Tasmanian Admitted Patient Data Set - 2016
Tasmanian Health, Superseded 10/01/2018
DSS specific attributes +
Implementation start date: 01/07/2016
Implementation end date: 30/06/2017

Implementation in Indicators:Help on this term
Used as Numerator
Australian Atlas of Healthcare Variation 2018: Number of colonoscopy hospitalisations per 100,000 people, 2016-17
  • Australian Commission on Safety and Quality in Health Care, Standard 13/12/2018
Australian Atlas of Healthcare Variation 2018: Number of gastroscopy hospitalisations per 100,000 people, 2016-17
  • Australian Commission on Safety and Quality in Health Care, Standard 13/12/2018
Australian Atlas of Healthcare Variation 2018: Number of thyroidectomy hospitalisations per 100,000 people aged 18 years and over, 2014-15 to 2016-17
  • Australian Commission on Safety and Quality in Health Care, Qualified 13/12/2018
National Healthcare Agreement: PB f–By 2014–15, improve the provision of primary care and reduce the proportion of potentially preventable hospital admissions by 7.6 per cent over the 2006-07 baseline to 8.5 per cent of total hospital admissions, 2018
  • Health, Superseded 19/06/2019
National Healthcare Agreement: PB f–By 2014–15, improve the provision of primary care and reduce the proportion of potentially preventable hospital admissions by 7.6 per cent over the 2006-07 baseline to 8.5 per cent of total hospital admissions, 2019
  • Health, Superseded 13/03/2020
National Healthcare Agreement: PI 18–Selected potentially preventable hospitalisations, 2018
  • Health, Superseded 19/06/2019
National Healthcare Agreement: PI 18–Selected potentially preventable hospitalisations, 2019
  • Health, Superseded 13/03/2020
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 2017-18
  • Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021
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 2017-18
  • Australian 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 2017-18
  • Australian 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 2017-18
  • Australian 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 2017-18
  • Australian 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 2017-18
  • Australian 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 2017-18
  • Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021
Number of potentially preventable hospitalisations - cellulitis per 100,000 people of all ages, 2014-15 to 2017-18
  • Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021
Number of potentially preventable hospitalisations - cellulitis per 100,000 people of all ages, 2014-15 to 2017-18
  • Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021
Number of potentially preventable hospitalisations - heart failure per 100,000 people, of all ages, 2014-15 to 2017-18
  • Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021
Number of potentially preventable hospitalisations - heart failure per 100,000 people, of all ages, 2014-15 to 2017-18
  • Australian 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 2017-18
  • Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021
Used as Denominator
National Healthcare Agreement: PI 23–Unplanned hospital readmission rates, 2018
  • Health, Superseded 19/06/2019
National Healthcare Agreement: PI 23–Unplanned hospital readmission rates, 2019
  • Health, Superseded 13/03/2020
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