Episode of care—additional diagnosis, code (ICD-10-AM 12th edn) ANN{.N[N]}
Identifying and definitional attributes | |
Metadata item type: | Data Element |
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| Short name: | Additional diagnosis |
| Synonymous names: | Additional diagnoses |
| METEOR identifier: | 746667 |
| Registration status: |
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| 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 attributes | ||||||||||
Representational attributes | ||||||||||
| Classification scheme: | International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification 12th edition | |||||||||
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| Representation class: | Code | |||||||||
| Data type: | String | |||||||||
| Format: | ANN{.N[N]} | |||||||||
| Maximum character length: | 6 | |||||||||
Source and reference attributes | ||||||||||
| 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 | ||||||||||
| 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]}
See also Episode of care—principal diagnosis, code (ICD-10-AM 12th edn) ANN{.N[N]}
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| Implementation in Data Set Specifications: All attributes + |
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