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Episode of care—additional diagnosis, code (ICD-10-AM 5th edn) ANN{.N[N]}

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termAdditional diagnosis
METeOR identifier:Help on this term333832
Registration status:Help on this termHealth, Superseded 05/02/2008
Definition:Help on this termA 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 5th edition
Representation class:Help on this termCode
Data type:Help on this termString
Format:Help on this termANN{.N[N]}
Maximum character length:Help on this term6

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

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.

Collection methods:Help on this termAn 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:Help on this term

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:Help on this termNational Centre for Classification in Health

Relational attributes

Related metadata references:Help on this term

Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v5.1) NN Health, Superseded 22/12/2009

Supersedes Episode of care—additional diagnosis, code (ICD-10-AM 4th edn) ANN{.N[N]} Health, Superseded 07/12/2005

Has been superseded by Episode of care—additional diagnosis, code (ICD-10-AM 6th edn) ANN{.N[N]} Health, Superseded 22/12/2009

Implementation in Data Set Specifications:Help on this term
All attributes +

Admitted patient care NMDS 2006-07 Health, Superseded 23/10/2006

DSS specific attributes +

Admitted patient care NMDS 2007-08 Health, Superseded 05/02/2008

DSS specific attributes +

Admitted patient mental health care NMDS Health, Superseded 23/10/2006

DSS specific attributes +

Admitted patient mental health care NMDS 2007-08 Health, Superseded 05/02/2008

DSS specific attributes +

Admitted patient palliative care NMDS 2006-07 Health, Superseded 23/10/2006

DSS specific attributes +

Admitted patient palliative care NMDS 2007-08 Health, Superseded 05/02/2008

DSS specific attributes +

Residential mental health care NMDS 2006-07 Health, Superseded 23/10/2006

DSS specific attributes +

Residential mental health care NMDS 2007-08 Health, Superseded 05/02/2008

DSS specific attributes +
Implementation in Indicators:Help on this termUsed as numerator
National Healthcare Agreement: P22-Selected potentially preventable hospitalisations, 2010 Health, Superseded 08/06/2011
National Healthcare Agreement: P41-Falls resulting in patient harm in hospitals, 2010 Health, Superseded 08/06/2011
National Healthcare Agreement: P42-Intentional self-harm in hospitals, 2010 Health, Superseded 08/06/2011
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