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Data Element Detail

Episode of care-principal diagnosis code (ICD-10-AM 8th edn)
Identifying and Definitional Attributes
QH 041644 v8
Data Element
Data Element
Draft
23-Apr-2013		Current
09-Jul-2013		Superseded
29-Jun-2015
Standard
01-Jul-2013
30-Jun-2015
The diagnosis established after study to be chiefly responsible for occasioning an episode of admitted patient care, an episode of residential care or an attendance at a health care establishment, as represented by a code.
Health services: used for epidemiological research, casemix studies and planning purposes.
Principal diagnosis (ICD-10-AM)
PD
Representational Attributes
Character
Code
ANN{.N[N]}
3
6
Permissible Values

Permissible_values

A valid 8th edition code from the corporate reference data system (CRDS) ICD-10-AM data set maintained by Statistical Standards and Strategies, Health Statistics Unit.
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
The principal diagnosis must be determined in accordance with the Australian Coding Standards. Each episode of admitted patient care must have a principal diagnosis and may have additional diagnoses. The diagnosis can include a disease, condition, injury, poisoning, sign, symptom, abnormal finding, complaint, or other factor influencing health status.

As a minimum requirement the Principal diagnosis code must be a valid code from the 8th edition of ICD-10-AM.

For episodes of admitted patient care, some diagnosis codes are too imprecise or inappropriate to be acceptable as a principal diagnosis and will group to an error DRG in the Australian Refined Diagnosis Related Groups.

Diagnosis codes starting with a U (only U50-U99), V, W, X or Y, describing the circumstances that cause an injury, rather than the nature of the injury, cannot be used as principal diagnosis. Diagnosis codes which are morphology codes cannot be used as principal diagnosis.
Must be a valid ICD-10-AM 8th 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.
A principal diagnosis should be recorded and coded upon separation, for each episode of admitted patient care or episode of residential care or attendance at a health care establishment. The principal diagnosis is derived from and must be substantiated by clinical documentation.

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
The principal diagnosis should be sequenced first in the string of codes.
Punctuation is excluded in QHAPDC.
A Principal diagnosis should be recorded for each episode of patient care. Where the principal diagnosis is recorded prior to discharge (as in annual census of public psychiatric hospital inpatients), it is the current provisional principal diagnosis. Only use the admission diagnosis when no other diagnostic information is available. The current provisional diagnosis may be the same as the admission diagnosis.
AR-DRG Version 7.0 was released by the National Casemix and Classification Centre in May 2013 for use with ICD-10-AM/ACHI 8th edition codes. ICD-10-AM/ACHI 8th edition is effective from 1 July 2013. Proposed AR-DRG Version 7.0 data elements have been withdrawn from National Minimum Data Sets (NMDS) for 2013-14. In Queensland ICD-10-AM data will be grouped to various AR-DRG versions, including Version 7.0. This will allow Queensland to meet NMDS and activity based funding specification requirements as needed.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 14
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementEpisode of care-principal diagnosis code (ICD-10-AM 7th edn)QH 041644 Version 7Superseded
Has been superseded byData ElementData ElementEpisode of care-principal diagnosis code (ICD-10-AM 9th edn)QH 041644 Version 9Superseded
Is qualified byData ElementData ElementEpisode of admitted patient care-clinical code type (ICD-10-AM/ACHI)QH 040099 Version 3Superseded
Is qualified byData ElementData ElementEpisode of admitted patient care-diagnosis code prefix (ICD-10-AM) (HBCIS)QH 041645 Version 1Superseded
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-diagnosis related group (AR-DRG v7.0)QH 041587 Version 8Superseded
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-diagnosis related group (AR-DRG v7.0)QH 041587 Version 7Superseded
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-major diagnostic category (AR-DRG v7.0)QH 041588 Version 8Superseded
Is used in the derivation ofData ElementDerived Data ElementEpisode of admitted patient care-major diagnostic category (AR-DRG v7.0)QH 041588 Version 7Superseded
Relates toData ElementData ElementEpisode of admitted patient care-clinical code (ICD-10-AM/ACHI)QH 040100 Version 3Superseded
Relates toData ElementData ElementEpisode of care-additional diagnosis code (ICD-10-AM 8th edn)QH 041646 Version 8Superseded
Relates toData ElementData ElementEpisode of care-morphology of neoplasm code (ICD-10-AM 8th edn)QH 041688 Version 8Superseded
Relates toData ElementData Element ConceptDiagnosisQH 040789 Version 2Current
Relates toData ElementData Element ConceptEpisode of careQH 041640 Version 1Current
Relates toData ElementData Element ConceptPrincipal diagnosis (ICD-10-AM)QH 040244 Version 2Current
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 1MandatorySuperseded01-Jul-201330-Jun-2015
Source and Reference Attributes
Australian Institute of Health and Welfare
METeOR data element: Episode of care-principal diagnosis, code (ICD-10-AM 8th edn) ANN{.N[N]}, identifier 514273, Health Standard 02/05/2013 https://meteor.aihw.gov.au/content/index.phtml/itemId/514273/meteorItemView/long
CRDI; CRDI QHAPDC; Diagnosis; ICD-10-AM codes; PD; Principal diagnosis;