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Data Element Detail

Birth event-main reason for induction of labour code (ICD-10-AM 12th edn)
Identifying and Definitional Attributes
QH 040114 v5
Data Element
Data Element
Draft
07-Jun-2022		Current
18-Jul-2023
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2022
The main reason for an induction being performed to commence a birth event, as represented by a code.
Queensland Perinatal Data Collection (QPDC)
Main reason for induction of labour
Representational Attributes
Alphanumeric
Code
ANN{N[N]}
3
5
Permissible Values

Permissible_values

A valid International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) 12th edition code from the Corporate Reference Data System (CRDS) ICD-10-AM data set maintained by Statistical Standards and Strategies, Statistical Services Branch (SSB).
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Only one code may be recorded.
Queensland Perinatal Data Collection (QPDC):
Must be a valid ICD-10-AM 12th edition code.
Must not be null when Birth event-labour onset type is code 2 (Induced).
Must be null when Birth event-labour onset type is not code 2 (Induced).
The main reason for induction of labour should be the reason that the clinician attending the birth believes to be the main reason for the induction of labour being performed. It should be determined at the time of induction and not revised later or selected based on information that becomes available after delivery.

Indications for induction are conditional on an induction being performed. Indications for induction are completed after the Birth event-labour onset type has been coded as: 2 Induced.

For national reporting of the Birth event-main indication for induction of labour (NHDD) data element the following mapping occurs:

ICD-10-AM code O48 (Prolonged pregnancy) is mapped to code 1 Prolonged pregnancy.

An ICD-10-AM code in the range O420-O429 (Premature rupture of membranes) or O418 (Other specified disorders of amniotic fluid and membranes) is mapped to code 2 Prelabour rupture of membranes.

An ICD-10-AM code in the range O240-O2499 (Diabetes mellitus in pregnancy, childbirth and the puerperium) is mapped to code 3 Diabetes.

An ICD-10-AM code in the range O10-O11 or O13-O16 (Oedema. proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium) or I10-I159 (Hypertensive diseases) is mapped to code 4 Hypertensive disorders.
Note that codes in the range O120-O122 (Gestational [pregnancy-induced] oedema and proteinuria without hypertension) are excluded.

An ICD-10-AM code in the range O300-O309 (Multiple gestation) or O310-O318 (Complications specific to multiple gestation) is mapped to code 5 Multiple pregnancy.

ICD-10-AM code O411 (Infection of amniotic sac and membranes) is mapped to code 6 Chorioamnionitis (includes suspected).

ICD-10-AM code O266 (Liver disorders in pregnancy, childbirth and the puerperium) is mapped to Code 7 Cholestasis of pregnancy.

An ICD-10-AM code in the range O200-O209 (Haemorrhage in early pregnancy), O440-O441 (Placenta praevia), O450-O459 (Premature separation of placenta [abruptio placentae]), O460-O469 (Antepartum haemorrhage, not elsewhere classified) is mapped to code 8 Antepartum haemorrhage.

An ICD-10-AM code in the range Z3551-Z3552 (Supervision of pregnancy with advanced maternal age) or Z356 (Supervision of (very) young primigravida) is mapped to code 9 Maternal age.

An ICD-10-AM code in the range E660-E669 (Obesity and overweight) is mapped to code 10 Body Mass Index (BMI).

An ICD-10-AM code in the range F000-F99 (Mental and behavioural disorders) is mapped to code 11 Maternal mental health indication.

ICD-10-AM code Z352 (Supervision of pregnancy with other poor reproductive or obstetric history) is mapped to code 12 Previous adverse perinatal outcome.

An ICD-10-AM code in the range A000-E65, E670-E899, G000-I099, I200-N999, Q0381-Q0389, Q0500-Z33, Z350, Z354, Z357-Z750, Z7511-Z752, Z7540-Z755, Z759-Z765 or Z769-Z999 is mapped to Code 19 Other maternal obstetric or medical indication.

ICD-10-AM code O363 (Maternal care for signs of fetal hypoxia) or O368 (Maternal care for other specified fetal problems) is mapped to code 20 Fetal compromise (includes suspected).

ICD-10-AM code O365 (Maternal care for poor fetal growth) is mapped to code 21 Fetal growth restriction (includes suspected).

ICD-10-AM codes in the range U781-U882 (Supplementary codes for chronic conditions) are excluded from this data element.

ICD-10-AM code O366 (Maternal care for excessive fetal growth) is mapped to code 22 Fetal macrosomia (includes suspected).

ICD-10-AM code O364 (Maternal care for intrauterine death) is mapped to code 23 Fetal death.

An ICD-10-AM code in the range O350-O359 (Maternal care for known or suspected fetal abnormality and damage) is mapped to code 24 Fetal congenital anomaly.

ICD-10-AM code Z7510 (Person awaiting admission to acute hospital), Z753 (Unavailability and inaccessibility of health-care facilities), Z756 (Transfer for suspected condition), Z758 (Other problems related to medical facilities and other health care) or Z768 (Persons encountering health services in other specified circumstances) is mapped to code 80 Administrative or geographical indication.

ICD-10-AM code Z340 (Supervision of normal first pregnancy) or Z348 (Supervision of other normal pregnancy) is mapped to code 81 Maternal choice in the absence of any obstetric, medical, fetal, administrative or geographical indication.

An ICD-10-AM code except those listed in this mapping list, and excluding codes in the range U781-U882 (Supplementary codes for chronic conditions), is mapped to Code 89 Other indication not elsewhere classified.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 6
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementBirth event-main reason for induction of labour code (ICD-10-AM 11th edn)QH 040114 Version 4Superseded
Is a qualifier ofData ElementData ElementCaesarean section event (main indication)-type of poor reproductive or obstetric historyQH 041697 Version 5Current
Is qualified byData ElementData ElementBirth event-labour onset typeQH 040045 Version 3Current
Is used in conjunction withData ElementData ElementBirth event-induction/augmentation methodQH 040151 Version 2Current
Relates toData ElementData ElementBirth event-second additional reason for induction of labour code (ICD-10-AM 12th edn)QH 041970 Version 4Current
Relates toData ElementData Element ConceptBirth eventQH 041670 Version 2Draft
Implementation in Metadata Sets

Implemented

  • 1 - 1
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Perinatal Data Collection (QPDC)QH 020003 Version 2ConditionalCurrent01-Jul-2022
Source and Reference Attributes
Induction; Labour;