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Condition onset flag code N

Identifying and definitional attributes

Metadata item type:Help on this termValue Domain
METeOR identifier:Help on this term686105
Registration status:Help on this termHealth, Standard 25/01/2018
ACT Health, Final 09/08/2018
Definition:Help on this term

A code set representing the onset of a diagnosed condition relative to the beginning of the episode of care.

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
ValueMeaning
1Condition with onset during the episode of admitted patient care
2Condition not noted as arising during the episode of admitted patient care
Supplementary values:Help on this term
9Not reported

Collection and usage attributes

Guide for use:Help on this term

CODE 1   (COF 1) Condition with onset during the episode of admitted patient care

  • a condition which arises during the episode of admitted patient care and would not have been present or suspected on admission.

Includes:

  • A condition resulting from misadventure during surgical or medical care in the current episode of admitted patient care (e.g. accidental laceration during procedure, foreign body left in cavity, medication infusion error).
  • An abnormal reaction to, or later complication of, surgical or medical care arising during the current episode of admitted patient care (e.g. postprocedural shock, disruption of wound, catheter associated urinary tract infection (UTI)).
  • A condition newly arising during the episode of admitted patient care (e.g. pneumonia, rash, confusion, UTI, hypotension, electrolyte imbalance).
  • A condition impacting on obstetric care arising after admission, including complications or unsuccessful interventions of labour and delivery or prenatal/postpartum management (e.g. labour and delivery complicated by fetal heart rate anomalies, postpartum haemorrhage).
  • For neonates, this also includes the condition(s) in the birth episode arising during the birth event (i.e. the labour and delivery process) (e.g. respiratory distress, neonatal aspiration, conditions associated with birth trauma, newborn affected by delivery or intrauterine procedures).
  • Disease status or administrative codes arising during the episode of admitted patient care (e.g. cancelled procedure, multi-resistant Staphylococcus aureus (MRSA)).

CODE 2   (COF 2) Condition not noted as arising during the episode of admitted patient care

  • a condition previously existing or suspected on admission such as the presenting problem, a comorbidity or chronic disease.

Includes:

  • A condition that has not been documented at the time of admission, but clearly did not develop after admission (e.g. newly diagnosed diabetes mellitus, malignancy and morphology).
  • A previously existing condition that is exacerbated during the current episode of admitted patient care (e.g. atrial fibrillation, unstable angina).
  • A condition that is suspected at the time of admission and subsequently confirmed during the current episode of admitted patient care (e.g. pneumonia, acute myocardial infarction (AMI), stroke, unstable angina).
  • A condition impacting on obstetric care arising prior to admission (e.g. venous complications, maternal disproportion).
  • For neonates, this also includes the condition(s) in the birth episode arising before the labour and delivery process (e.g. prematurity, birth weight, talipes, clicking hip).
  • Disease status or administrative codes not arising during the episode of admitted patient care (e.g. history of tobacco use, duration of pregnancy, colostomy status).
  • Outcome of delivery (Z37) and place of birth (Z38) codes.

CODE 9 (COF 9)   Not reported

The condition onset flag could not be reported due to limitations of the data management system.

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Relational attributes

Related metadata references:Help on this term

Supersedes Condition onset flag code N Health, Superseded 25/01/2018

Data elements implementing this value domain:Help on this term

Episode of admitted patient care—condition onset flag, code N Health, Standard 25/01/2018
ACT Health, Final 09/08/2018

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