Episode of care—additional diagnosis, code (ICD-10-AM 4th edn) ANN{.N[N]}
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
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Short name: | Additional diagnosis |
METEOR identifier: | 333830 |
Registration status: | Health, Superseded 07/12/2005 |
Definition: | A condition or complaint either coexisting with the principal diagnosis or arising during the episode of admitted patient care, episode of residential care or attendance at a health care establishment, as represented by a code. |
Data element concept attributes | |
Identifying and definitional attributes | |
Data element concept: | Episode of care—additional diagnosis |
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METEOR identifier: | 269656 |
Registration status: | Health, Superseded 05/02/2008 |
Definition: | A condition or complaint either coexisting with the principal diagnosis or arising during the episode of admitted patient care, episode of residential care or attendance at a health care establishment. |
Context: | Additional diagnoses give information on factors which result in increased length of stay, more intensive treatment or the use of greater resources. They are used for casemix analyses relating to severity of illness and for correct classification of patients into Australian Refined Diagnosis Related Groups (AR-DRGs). |
Object class: | Episode of care |
Property: | Additional diagnosis |
Value domain attributes | |
Identifying and definitional attributes | |
Value domain: | Diagnosis code (ICD-10-AM 4th edn) ANN{.N[N]} |
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METEOR identifier: | 333622 |
Registration status: | Health, Superseded 07/12/2005 |
Definition: | The ICD-10-AM (4th edition) code set representing diagnoses. |
Representational attributes | ||
Classification scheme: | International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification 4th edition | |
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Representation class: | Code | |
Data type: | String | |
Format: | ANN{.N[N]} | |
Maximum character length: | 6 |
Data element attributes | |
Collection and usage attributes | |
Guide for use: | Record each additional diagnosis relevant to the episode of care in accordance with the ICD-10-AM Australian Coding Standards. Generally, external cause, place of occurrence and activity codes will be included in the string of additional diagnosis codes. In some data collections these codes may also be copied into specific fields. The diagnosis can include a disease, condition, injury, poisoning, sign, symptom, abnormal finding, complaint, or other factor influencing health status. |
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Collection methods: | An additional diagnosis should be recorded and coded where appropriate upon separation of an episode of admitted patient care or the end of an episode of residential care. The additional diagnosis is derived from and must be substantiated by clinical documentation. |
Comments: | Additional diagnoses are significant for the allocation of Australian Refined Diagnosis Related Groups. The allocation of patient to major problem or complication and co-morbidity Diagnosis Related Groups is made on the basis of the presence of certain specified additional diagnoses. Additional diagnoses should be recorded when relevant to the patient's episode of care and not restricted by the number of fields on the morbidity form or computer screen. External cause codes, although not diagnosis of condition codes, should be sequenced together with the additional diagnosis codes so that meaning is given to the data for use in injury surveillance and other monitoring activities. |
Source and reference attributes | |
Origin: | National Centre for Classification in Health |
Relational attributes | |
Related metadata references: | Supersedes Episode of care—additional diagnosis, code (ICD-10-AM 3rd edn) ANN{.N[N]} Health, Superseded 28/06/2004 Has been superseded by Episode of care—additional diagnosis, code (ICD-10-AM 5th edn) ANN{.N[N]} Health, Superseded 05/02/2008 |