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

Identifying and definitional attributes

Metadata item type:Data Element
Short name:Procedure
METeOR identifier:589101
Registration status:Health, Superseded 05/10/2016
Tasmanian Health, Archived 10/07/2017
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.

Data element concept attributes

Identifying and definitional attributes

Data element concept:Episode of admitted patient care—procedure
METeOR identifier:269450
Registration status:Health, Superseded 05/10/2016
Tasmanian Health, Archived 10/07/2017
National Health Performance Authority (retired), Retired 01/07/2016
Definition:

A clinical intervention 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: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.
Object class:Episode of admitted patient care
Property:Procedure

Value domain attributes

Identifying and definitional attributes

Value domain:Procedure code (ACHI 9th edn) NNNNN-NN
METeOR identifier:589099
Registration status:Health, Standard 13/11/2014
Tasmanian Health, Archived 10/07/2017
Definition:The Australian Classification of Health Intervention (9th edition) code set representing procedures.
Classification Scheme:Australian Classification of Health Interventions (ACHI) 9th edition

Representational attributes

Representation class:Code
Data type:String
Format:NNNNN-NN
Maximum character length:8

Data element attributes

Collection and usage attributes

Collection methods:Record 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: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:

National Centre for Classification in Health

National Health Information Standards and Statistics Committee

Relational attributes

Related metadata references:

Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 8.0) ANNA Tasmanian Health, Archived 11/01/2018

Has been superseded by Episode of admitted patient care—procedure, code (ACHI 10th edn) NNNNN-NN Health, Superseded 12/12/2018, Tasmanian Health, Archived 08/04/2019, Independent Hospital Pricing Authority, Recorded 04/08/2016, ACT Health, Final 09/08/2018

Supersedes Episode of admitted patient care—procedure, code (ACHI 8th edn) NNNNN-NN Health, Superseded 13/11/2014, Tasmanian Health, Archived 02/09/2016, National Health Performance Authority (retired), Not progressed 01/07/2016

Implementation in Data Set Specifications:
All attributes +

Admitted patient care NMDS 2015-16 Health, Superseded 10/11/2015

DSS specific attributes +

Admitted patient care NMDS 2016-17 Health, Superseded 05/10/2016

DSS specific attributes +

Tasmanian Admitted Patient Data Set - 2016 Tasmanian Health, Archived 10/01/2018

DSS specific attributes +
Implementation in Indicators: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, Standardisation pending 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 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
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