Episode of care—additional diagnosis, code (ICD-10-AM 8th edn) ANN{.N[N]}
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
---|---|
Short name: | Additional diagnosis |
METEOR identifier: | 514271 |
Registration status: | Health, Superseded 13/11/2014 Tasmanian Health, Superseded 02/09/2016 |
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 8th edn) ANN{.N[N]} |
Value domain attributes | ||
Representational attributes | ||
Classification scheme: | International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification 8th 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 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 7th edn) ANN{.N[N]} Health, Superseded 02/05/2013 National Health Performance Authority (retired), Retired 01/07/2016 Has been superseded by 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 Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 7.0) 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 7) ANNA Health, Recorded 23/09/2014 Is used in the formation of Episode of admitted patient care—major diagnostic category, code (AR-DRG v 7) NN Health, Recorded 23/09/2014 |
Implementation in Data Set Specifications: | Admitted patient care NMDS 2013-14 Health, Superseded 11/04/2014 Implementation start date: 01/07/2013 Implementation end date: 30/06/2014 Conditional obligation: 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 2014-15 Health, Superseded 13/11/2014 Implementation start date: 01/07/2014 Implementation end date: 30/06/2015 Conditional obligation: This data element is only to be reported if the episode of care results in more than one diagnosis code being allocated. 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 2013-14 Health, Superseded 15/10/2014 Implementation start date: 01/07/2013 Implementation end date: 30/06/2014 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 2014-15 Health, Superseded 04/02/2015 Implementation start date: 01/07/2014 Implementation end date: 30/06/2015 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 2013-14 Health, Superseded 15/10/2014 Implementation start date: 01/07/2013 Implementation end date: 30/06/2014 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 2014-15 Health, Superseded 04/02/2015 Implementation start date: 01/07/2014 Implementation end date: 30/06/2015 Conditional obligation: This data element is only to be reported if the episode of care results in more than one diagnosis code being allocated. 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 2013-14 Health, Superseded 07/03/2014 Implementation start date: 01/07/2013 Implementation end date: 30/06/2014 Residential mental health care NMDS 2014-15 Health, Superseded 13/11/2014 Implementation start date: 01/07/2014 Implementation end date: 30/06/2015 Residential mental health care NMDS 2015-16 Health, Superseded 04/09/2015 Implementation start date: 01/07/2015 Implementation end date: 30/06/2016 |
Implementation in Indicators: |
Used as Numerator
Australian Atlas of Healthcare Variation: Number of acute myocardial infarction hospitalisations with percutaneous coronary interventions and/or coronary artery bypass graft per 100,000 people, 35-84 years, 2014-15 Australian Commission on Safety and Quality in Health Care, Standard 07/06/2017 Australian Atlas of Healthcare Variation: Number of atrial fibrillation (any diagnosis) hospitalisations per 100,000 people, 35 years and over, 2014-15 Australian Commission on Safety and Quality in Health Care, Standard 07/06/2017 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, 2016 Health, Superseded 31/01/2017 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, 2017 Health, Superseded 30/01/2018 National Healthcare Agreement: PI 18–Selected potentially preventable hospitalisations, 2016 Health, Superseded 31/01/2017 National Healthcare Agreement: PI 18–Selected potentially preventable hospitalisations, 2017 Health, Superseded 30/01/2018 National Healthcare Agreement: PI 27–Number of hospital patient days used by those eligible and waiting for residential aged care, 2016 Health, Superseded 31/01/2017 |