||HA 22 - Inpatient Summary
||Operational Instruction OP 0025/91
|Date of issue:
||Wednesday, 29 May 1991
||NO LONGER APPLICABLE
||All hospitals' medical records sections
|Period of effect:
||from 1 June 1991
||Mr David Jacobs, Director, Health Services Planning, 29-May-1991
|| View print version
HA 22 - Inpatient Summary
The HA 22 - Inpatient Summary has undergone some minor changes to its format. Some of these changes are due to standardisation of information between states.
The changes are as follows:
- Do you have a Veteran's Entitlement
(This will be located after payment classification).
- Patient Category
(located after Religion).
- Same day
- Source of Referral
(This replaces Admitted from)
- Private Medical Practice
- Nursing Home
- Community Health Service
- Interhospital Transfer
- Outpatient Department
- Not known
- Admission Type:
(This replaces Booked/Unbooked)
The Coding section has been expanded to enable more diagnosis/procedures to be coded, 6 Diagnosis codes and six procedure codes. There is an additional field for External Causes, and Pathology Result to be recorded (where available). It is hoped that the addition of this field will reduce the number of queries being returned to your hospital.
The following definitions will assist you in completing the HA22.
- The PRINCIPAL DIAGNOSIS is that condition which best accounts for the stay in hospital. (This may change in the near future).
- OTHER CONDITIONS are defined as those associated with the current hospital admission and co-exist at the time of that admission. They may affect the treatment received, prolong the length of stay, require secondary operative procedures or medical treatment.
- COMPLICATIONS are those conditions which complicate the principal diagnosis or the major operation. The major complication is that which relates to the most severe condition that requires major treatment, or extends the length of stay, or may require further hospitalisation or contributes to the cause of death.
- The PRINCIPAL PROCEDURE is that procedure most related to the principal diagnosis. It is one which is performed for definitive treatment rather than for diagnostic or exploratory purposes. The principal procedure may be performed to treat a complication.
- All significant procedures should be coded. A SIGNIFICANT PROCEDURE is one that carries an operative or anaesthetic risk, that requires highly trained personnel, or that requires special facilities or equipment.
- EXTERNAL CAUSES are those environmental factors which cause injury, poisoning or adverse effects requiring hospital admission. Where possible the place of occurrence should be noted. It is possible that an external cause of injury may occur in hospital.
Any queries about the abstracting of information on the HA22, ring the Health Statistics Section of the Health Services Planning Branch on 222 4169.
Mr David Jacobs
HEALTH SERVICES PLANNING
This circular last updated: Tuesday, 10 May 2005 at 12:17pm