Episode of admitted patient care—procedure, code (ACHI 11th edn) NNNNN-NN

Identifying and definitional attributes

Metadata item type:Data Element
Short name:Procedure
METeOR identifier:699716
Registration status:Health, Standard 12/12/2018
Tasmanian Health, Endorsed 08/04/2019
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:

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:Episode of admitted patient care—procedure

Value domain attributes

Representational attributes

Classification scheme:Australian Classification of Health Interventions (ACHI) 11th edition
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 (11th edition). Procedures are derived from and must be substantiated by clinical documentation.

Comments:

The Independent Hospital Pricing Authority advises the National Health Data Information and Statistics Committee of relevant changes to the ACHI.

Source and reference attributes

Submitting organisation:

Independent Hospital Pricing Authority

Origin:

Australian Consortium for Classification Development

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 10.0) ANNA Tasmanian Health, Endorsed 19/06/2020

Has been superseded by Episode of admitted patient care—intervention, code (ACHI 12th edn) NNNNN-NN Health, Standardisation pending 20/09/2021

Supersedes Episode of admitted patient care—procedure, code (ACHI 10th edn) NNNNN-NN Health, Superseded 12/12/2018, Tasmanian Health, Archived 08/04/2019, Independent Hospital Pricing Authority, Recorded 04/08/2016, ACT Health, Final 09/08/2018

Implementation in Data Set Specifications:
All attributes +

Admitted patient care clinical related data elements (TDLU) cluster Tasmanian Health, Endorsed 18/05/2021

Admitted patient care NMDS 2019-20 Health, Superseded 18/12/2019

DSS specific attributes +

Admitted patient care NMDS 2020–21 Health, Superseded 05/02/2021

DSS specific attributes +

Admitted patient care NMDS 2021–22 Health, Standard 05/02/2021

DSS specific attributes +

Tasmanian Admitted Patient Data Set - 2019 Tasmanian Health, Archived 17/06/2020

DSS specific attributes +

Tasmanian Admitted Patient Data Set - 2020 Tasmanian Health, Endorsed 10/07/2020

DSS specific attributes +
Implementation in Indicators:Used as numerator
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, 2022 Health, Standard 24/09/2021
National Healthcare Agreement: PI 18–Selected potentially preventable hospitalisations, 2022 Health, Standard 24/09/2021
National Healthcare Agreement: PI 23–Unplanned hospital readmission rates, 2022 Health, Standard 24/09/2021
Used as denominator
National Healthcare Agreement: PI 23–Unplanned hospital readmission rates, 2022 Health, Standard 24/09/2021