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Data Element Detail

Episode of care-additional diagnosis code (ICD-10-AM 4th edn)
Identifying and Definitional Attributes
QH 041646 v4
Data Element
Data Element
Current
01-Jul-2004		Superseded
30-Jun-2006
Standard
01-Jul-2004
30-Jun-2006
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.
Health services: used for epidemiological research, casemix studies and planning purposes.
Additional diagnosis (ICD-10-AM)
Other diagnosis
Representational Attributes
Character
Code
ANN{.N[N]}
3
6
Permissible Values

Permissible_values

A valid 4th edition code from the corporate reference data system (CRDS) ICD-10-AM data set maintained by Statistical Standards & Strategies, Health Statistics Unit.
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
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.
Must be a valid ICD-10-AM 4th edition code.
ICD-10-AM codes are validated against a number of national and state edits (e.g. age, sex, cannot be PD, rare, comb, CPoA, etc) to improve coding quality.
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.

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Punctuation is excluded in QHAPDC.
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.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 8
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementEpisode of care-additional diagnosis code (ICD-10-AM 3rd edn)QH 041646 Version 3Superseded
Has been superseded byData ElementData ElementEpisode of care-additional diagnosis code (ICD-10-AM 5th edn)QH 041646 Version 5Superseded
Is used in the derivation ofData ElementData ElementEpisode of admitted patient care-diagnosis related group (AR-DRG v5.1)QH 041587 Version 3Superseded
Is used in the derivation ofData ElementData ElementEpisode of admitted patient care-major diagnostic category (AR-DRG v5.1)QH 041588 Version 3Superseded
Relates toData ElementData ElementDiagnostic code (ICD-10-AM)QH 040100 Version 2Superseded
Relates toData ElementData ElementEpisode of care-morphology of neoplasm code (ICD-10-AM 4th edn)QH 041688 Version 4Superseded
Relates toData ElementData ElementEpisode of care-principal diagnosis code (ICD-10-AM 4th edn)QH 041644 Version 4Superseded
Relates toData ElementData Element ConceptEpisode of careQH 041640 Version 1Current
Implementation in Metadata Sets

Implemented

  • 1 - 1
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1ConditionalSuperseded01-Jul-200430-Jun-2006
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data element: Episode of care-additional diagnosis, code (ICD-10-AM 4th edn), indicator 333830, Health Standard 28/06/2004 https://meteor.aihw.gov.au/content/index.phtml/itemId/333830/meteorItemView/long
AD; Additional diagnosis; CRDI; CRDI QHAPDC; Diagnosis; ICD-10-AM codes; OD;