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Episode of admitted patient care—procedure, code (ACHI 10th 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 term641379
Registration status:Help on this term
  • Health, Superseded 12/12/2018
  • Independent Hospital Pricing Authority, Recorded 04/08/2016
  • Tasmanian Health, Superseded 08/04/2019
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.
Context:Help on this term

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.

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) 10th 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 term

Record and code all procedures undertaken during the episode of care in accordance with the ACHI (10th edition). Procedures are derived from and must be substantiated by clinical documentation.

Comments:Help on this term

The 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

Australian Consortium for Classification Development

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 9th edn) NNNNN-NN
  • Health, Superseded 05/10/2016
  • Tasmanian Health, Superseded 10/07/2017
Has been superseded by Episode of admitted patient care—procedure, code (ACHI 11th edn) NNNNN-NN
  • Health, Superseded 20/10/2021
  • Tasmanian Health, Standard 08/04/2019
Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 9.0) ANNA
  • Tasmanian Health, Superseded 19/06/2020
Implementation in Data Set Specifications:Help on this term
All attributes +
Admitted patient care NMDS 2017-18
Health, Superseded 25/01/2018
DSS specific attributes +
Implementation start date: 01/07/2017
Implementation end date: 30/06/2018
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 (10th 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 2018-19
Health, Superseded 12/12/2018
DSS specific attributes +
Implementation start date: 01/07/2018
Implementation end date: 30/06/2019
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 (10th 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 - 2017
Tasmanian Health, Superseded 10/01/2018
DSS specific attributes +
Implementation start date: 01/07/2017
Implementation end date: 30/06/2018

Tasmanian Admitted Patient Data Set - 2018
Tasmanian Health, Superseded 12/04/2019
DSS specific attributes +
Implementation start date: 01/07/2018
Implementation end date: 30/06/2019

Implementation in Indicators:Help on this term
Used as Numerator
Australian Health Performance Framework: PI 2.1.4–Selected potentially preventable hospitalisations, 2019
  • Health, Superseded 01/12/2020
Australian Health Performance Framework: PI 2.1.4–Selected potentially preventable hospitalisations, 2020
  • Health, Standard 01/12/2020
Heavy menstrual bleeding clinical care standard indicators: 8-Hospital rate of hysterectomy per 100 episodes
  • Health, Standard 17/10/2018
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, 2020
  • Health, Standard 13/03/2020
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, 2021
  • Health, Standard 16/09/2020
National Healthcare Agreement: PI 18–Selected potentially preventable hospitalisations, 2020
  • Health, Standard 13/03/2020
National Healthcare Agreement: PI 18–Selected potentially preventable hospitalisations, 2021
  • Health, Standard 16/09/2020
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 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 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 - 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
Third and Fourth Degree Perineal Tears Clinical Care Standard: 3a-Proportion of women who had an instrumental vaginal birth using vacuum
  • Australian Commission on Safety and Quality in Health Care, Standard 20/04/2021
Third and Fourth Degree Perineal Tears Clinical Care Standard: 3b-Proportion of women who had an instrumental vaginal birth using forceps
  • Australian Commission on Safety and Quality in Health Care, Standard 20/04/2021
Third and Fourth Degree Perineal Tears Clinical Care Standard: 3c-Proportion of women who had a vacuum-assisted birth with episiotomy
  • Australian Commission on Safety and Quality in Health Care, Standard 20/04/2021
Third and Fourth Degree Perineal Tears Clinical Care Standard: 3d-Proportion of women who had a forceps-assisted birth with episiotomy
  • Australian Commission on Safety and Quality in Health Care, Standard 20/04/2021
Used as Denominator
Australian Health Performance Framework: PI 2.4.1–Unplanned hospital readmission rates, 2019
  • Health, Superseded 13/10/2021
Australian Health Performance Framework: PI 2.4.1–Unplanned hospital readmission rates, 2020
  • Health, Standard 13/10/2021
National Healthcare Agreement: PI 23–Unplanned hospital readmission rates, 2020
  • Health, Standard 13/03/2020
National Healthcare Agreement: PI 23–Unplanned hospital readmission rates, 2021
  • Health, Standard 19/11/2020
Third and Fourth Degree Perineal Tears Clinical Care Standard: 3a-Proportion of women who had an instrumental vaginal birth using vacuum
  • Australian Commission on Safety and Quality in Health Care, Standard 20/04/2021
Third and Fourth Degree Perineal Tears Clinical Care Standard: 3b-Proportion of women who had an instrumental vaginal birth using forceps
  • Australian Commission on Safety and Quality in Health Care, Standard 20/04/2021
Third and Fourth Degree Perineal Tears Clinical Care Standard: 3d-Proportion of women who had a forceps-assisted birth with episiotomy
  • Australian Commission on Safety and Quality in Health Care, Standard 20/04/2021
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