Identifying and definitional attributes | |
Metadata item type: | Data Element |
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Short name: | Additional diagnosis |
METEOR identifier: | 391322 |
Registration status: | Health, Superseded 02/05/2013 National Health Performance Authority (retired), Retired 01/07/2016 |
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: | Episode of care—additional diagnosis |
Value Domain: | Diagnosis code (ICD-10-AM 7th edn) ANN{.N[N]} |
Value domain attributes | ||
Representational attributes | ||
Classification scheme: | International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification 7th 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. Additional diagnoses give information on the conditions that are significant in terms of treatment required, investigations needed and resources used during the episode of care. 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). |
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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 or attendance at a health care establishment. The additional diagnosis is derived from and must be substantiated by clinical documentation. |
Comments: | Additional diagnoses should be interpreted as conditions that affect patient management in terms of requiring any of the following:
In accordance with the Australian Coding Standards, certain conditions that do not meet the above criteria may also be recorded as additional diagnoses. 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 6th edn) ANN{.N[N]} Health, Superseded 22/12/2009 Has been superseded by Episode of care—additional diagnosis, code (ICD-10-AM 8th edn) ANN{.N[N]} Health, Superseded 13/11/2014 Tasmanian Health, Superseded 02/09/2016 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6.0x) ANNA Tasmanian Health, Superseded 06/09/2016 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 6) ANNA Health, Standard 30/06/2013 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 7.0) ANNA Tasmanian Health, Standard 06/09/2016 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 6) NN Health, Standard 30/06/2013 Tasmanian Health, Superseded 07/09/2016 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 8.0) NN Tasmanian Health, Superseded 12/01/2018 |
Implementation in Data Set Specifications: | Admitted patient care NMDS 2010-11 Health, Superseded 18/01/2011 Implementation start date: 01/07/2010 Implementation end date: 30/06/2011 DSS specific information: 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. Admitted patient care NMDS 2011-12 Health, Superseded 11/04/2012 Implementation start date: 01/07/2011 Implementation end date: 30/06/2012 DSS specific information: 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. Admitted patient care NMDS 2012-13 Health, Superseded 02/05/2013 Implementation start date: 01/07/2012 Implementation end date: 30/06/2013 DSS specific information: 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. Admitted patient mental health care NMDS 2010-11 Health, Superseded 18/01/2011 Implementation start date: 01/07/2010 Implementation end date: 30/06/2011 DSS specific information: 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. Admitted patient mental health care NMDS 2011-12 Health, Superseded 07/12/2011 Implementation start date: 01/07/2011 Implementation end date: 30/06/2012 DSS specific information: 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. Admitted patient mental health care NMDS 2012-13 Health, Superseded 02/05/2013 Implementation start date: 01/07/2012 Implementation end date: 30/06/2013 DSS specific information: 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. Admitted patient palliative care NMDS 2010-11 Health, Superseded 21/12/2010 Implementation start date: 01/07/2010 Implementation end date: 30/06/2011 DSS specific information: 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. Admitted patient palliative care NMDS 2011-12 Health, Superseded 07/03/2012 Implementation start date: 01/07/2011 Implementation end date: 30/06/2012 DSS specific information: 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. Admitted patient palliative care NMDS 2012-13 Health, Superseded 02/05/2013 Implementation start date: 01/07/2012 Implementation end date: 30/06/2013 DSS specific information: 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. Residential mental health care NMDS 2010-11 Health, Superseded 21/12/2010 Implementation start date: 01/07/2010 Implementation end date: 30/06/2011 Residential mental health care NMDS 2011-12 Health, Superseded 07/03/2012 Implementation start date: 01/07/2011 Implementation end date: 30/06/2012 Residential mental health care NMDS 2012-13 Health, Superseded 06/09/2013 Implementation start date: 01/07/2012 Implementation end date: 30/06/2013 |
Implementation in Indicators: |
Used as Numerator
3.5 Number of hysterectomy and endometrial ablation admissions to hospital per 100,000 women, 2012-13 Australian Commission on Safety and Quality in Health Care, Standard 23/11/2016 National Health Performance Authority (retired), Retired 01/07/2016 3.8 Number of hip fracture admissions to hospital per 100,000 people aged 65 years and over, 2012–13 Australian Commission on Safety and Quality in Health Care, Standard 23/11/2016 National Health Performance Authority (retired), Retired 01/07/2016 3.9 Average length of stay for hip fracture patients aged 65 years and over, major and large public hospitals, 2012–13 Australian Commission on Safety and Quality in Health Care, Standard 23/11/2016 National Health Performance Authority (retired), Retired 01/07/2016 6.6 Number of asthma and COPD admissions to hospital per 100,000 people aged 45 years and over, 2012–13 Australian Commission on Safety and Quality in Health Care, Standard 23/11/2016 National Health Performance Authority (retired), Retired 01/07/2016 6.8 Number of diabetes-related lower limb amputation admissions to hospital per 100,000 people aged 18 years and over, 2012–13 Australian Commission on Safety and Quality in Health Care, Standard 23/11/2016 National Health Performance Authority (retired), Retired 01/07/2016 6.9 Average length of stay for stroke patients aged 65 years and over, major and large public hospitals, 2012–13 Australian Commission on Safety and Quality in Health Care, Standard 23/11/2016 National Health Performance Authority (retired), Retired 01/07/2016 National Health Performance Authority, Healthy Communities: Number of selected potentially avoidable hospitalisations per 100,000 people, 2011–12 National Health Performance Authority (retired), Retired 01/07/2016 National Healthcare Agreement: P04-Incidence of selected cancers, 2010 Health, Superseded 08/06/2011 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, 2013 Health, Superseded 30/04/2014 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, 2014 Health, Superseded 14/01/2015 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, 2015 Health, Superseded 08/07/2016 National Healthcare Agreement: PB g-Better health: the rate of Staphylococcus aureus (including MRSA) bacteraemia is no more than 2.0 per 10,000 occupied bed days for acute care public hospitals by 2011–12 in each state and territory, 2014 Health, Superseded 14/01/2015 National Healthcare Agreement: PI 02-Incidence of selected cancers, 2014 Health, Superseded 14/01/2015 National Healthcare Agreement: PI 02–Incidence of selected cancers, 2016 Health, Superseded 31/01/2017 National Healthcare Agreement: PI 02–Incidence of selected cancers, 2017 Health, Superseded 30/01/2018 National Healthcare Agreement: PI 18-Selected potentially preventable hospitalisations, 2013 Health, Superseded 30/04/2014 National Healthcare Agreement: PI 18-Selected potentially preventable hospitalisations, 2014 Health, Superseded 14/01/2015 National Healthcare Agreement: PI 18-Selected potentially preventable hospitalisations, 2015 Health, Superseded 08/07/2016 National Healthcare Agreement: PI 27-Number of hospital patient days used by those eligible and waiting for residential aged care, 2013 Health, Superseded 30/04/2014 National Healthcare Agreement: PI 27-Number of hospital patient days used by those eligible and waiting for residential aged care, 2014 Health, Superseded 14/01/2015 National Healthcare Agreement: PI 27-Number of hospital patient days used by those eligible and waiting for residential aged care, 2015 Health, Superseded 08/07/2016
Used as Denominator
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