Episode of care—additional diagnosis, code (ICD-10-AM Twelfth edition) ANN{.N[N]}
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
|---|---|
| Short name: | Additional diagnosis |
| Synonymous names: | Additional diagnoses |
| METEOR identifier: | 746667 |
| Registration status: | Health, Standard 20/10/2021 Tasmanian Health, Standard 10/11/2023 |
| 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 Twelfth edition) ANN{.N[N]} |
Value domain attributes | ||
Representational attributes | ||
| Classification scheme: | International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification Twelfth edition | |
|---|---|---|
| Representation class: | Code | |
| Data type: | String | |
| Format: | ANN{.N[N]} | |
| Maximum character length: | 6 | |
Source and reference attributes | |
| Submitting organisation: | Independent Health and Aged Care Pricing Authority |
|---|---|
| Origin: | Independent Hospital Pricing Authority |
Data element attributes | |
Collection and usage attributes | |
| Guide for use: | Record each additional diagnosis relevant to the episode of care in accordance with the Australian Coding Standards (IHPA, 2022). 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. An additional 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. |
|---|---|
| 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. An additional diagnosis is classified from, and must be substantiated by, clinical documentation. |
| Comments: | Additional diagnoses are conditions that significantly affect patient management in an episode of care in terms of requiring any of the following:
These criteria are not mutually exclusive. Conditions must meet at least one of these criteria and be evidenced by clinical documentation. Further information on conditions which meet these criteria can be found in the Australian Coding Standards (IHPA, 2022) under ACS 0002 Additional diagnoses. Certain chronic conditions that do not meet the above criteria may be recorded as an additional diagnosis if they meet criteria in the Australian Coding Standards. |
Source and reference attributes | |
| Submitting organisation: | Independent Health and Aged Care Pricing Authority |
| Origin: | Independent Hospital Pricing Authority |
| Reference documents: | IHPA (Independent Hospital Pricing Authority) 2022. Australian Coding Standards Twelfth Edition. Sydney: IHPA. |
Relational attributes | |
| Related metadata references: | Supersedes Episode of care—additional diagnosis, code (ICD-10-AM 11th edn) ANN{.N[N]} Health, Superseded 20/10/2021 Tasmanian Health, Superseded 17/10/2023 See also Episode of care—principal diagnosis, code (ICD-10-AM Twelfth edition) ANN{.N[N]} Health, Standard 20/10/2021 Tasmanian Health, Standard 17/10/2023 |
| Implementation in Data Set Specifications: | Activity based funding: Mental health care NBEDS 2022–23 Health, Superseded 20/12/2022 Activity based funding: Mental health care NBEDS 2023–24 Health, Standard 20/12/2022 Activity based funding: Mental health care NBEDS 2024–25 Health, Qualified 08/09/2023 Admitted patient care clinical related data elements (TDLU) cluster Tasmanian Health, Standard 10/11/2023 Admitted patient care clinical related data elements (TDLU) cluster (Private Hospitals) Tasmanian Health, Standard 21/11/2023 National Outcomes and Casemix Collection NMDS 2023-24 Health, Standard 09/12/2022 National Outcomes and Casemix Collection NMDS 2024-25 Health, Qualified 08/09/2023 Tasmanian Admitted Patient Data Set - 2022 Tasmanian Health, Superseded 22/11/2023 Tasmanian Admitted Patient Data Set - 2023 Tasmanian Health, Standard 22/11/2023 |