Episode of care—additional diagnosis, code (ICD-10-AM 10th edn) ANN{.N[N]}
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
|---|---|
| Short name: | Additional diagnosis |
| METEOR identifier: | 641014 |
| Registration status: | Health, Superseded 25/01/2018 Independent Hospital Pricing Authority, Recorded 04/08/2016 Tasmanian Health, Superseded 08/04/2019 |
| 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 10th edn) ANN{.N[N]} |
Value domain attributes | ||
Representational attributes | ||
| Classification scheme: | International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification 10th edition | |
|---|---|---|
| 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). |
|---|---|
| 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 AR-DRGs. The allocation of a 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: | Independent Hospital Pricing Authority Australian Consortium for Classification Development |
Relational attributes | |
| Related metadata references: | Supersedes Episode of care—additional diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]} Health, Superseded 05/10/2016 Independent Hospital Pricing Authority, Standard 16/03/2016 Tasmanian Health, Superseded 06/07/2017 Has been superseded by Episode of care—additional diagnosis, code (ICD-10-AM 10th edn) ANN{.N[N]} Health, Superseded 12/12/2018 Tasmanian Health, Superseded 08/04/2019 |
| Implementation in Data Set Specifications: | Activity based funding: Mental health care NBEDS 2017-18 Health, Superseded 25/01/2018 Tasmanian Admitted Patient Data Set - 2017 Tasmanian Health, Superseded 10/01/2018 Tasmanian Admitted Patient Data Set - 2018 Tasmanian Health, Superseded 12/04/2019 |
| Implementation in Indicators: |
Used as Numerator
Australian Health Performance Framework: PI 2.1.4–Selected potentially preventable hospitalisations, 2019 Health, Superseded 01/12/2020 Australian Health Performance Framework: PI 2.2.1–Adverse events treated in hospitals, 2019 Health, Superseded 13/10/2021 Australian Health Performance Framework: PI 2.2.1–Adverse events treated in hospitals, 2020 Health, Standard 13/10/2021 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, 2020 Health, Standard 13/03/2020 National Healthcare Agreement: PI 18–Selected potentially preventable hospitalisations, 2020 Health, Standard 13/03/2020 National Healthcare Agreement: PI 27–Number of hospital patient days used by those eligible and waiting for residential aged care, 2020 Health, Standard 13/03/2020 Number of potentially preventable hospitalisations - chronic obstructive pulmonary disease (COPD) 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
Used as Disaggregation
Australian Health Performance Framework: PI 2.2.1–Adverse events treated in hospitals, 2019 Health, Superseded 13/10/2021 Australian Health Performance Framework: PI 2.2.1–Adverse events treated in hospitals, 2020 Health, Standard 13/10/2021
Used as Denominator
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