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Data Element Detail

Emergency department stay-principal diagnosis (ICD-10-AM 8th edn)
Identifying and Definitional Attributes
QH 042643 v1
Data Element
Data Element
Current
01-Jul-2013		Superseded
30-Jun-2015
Documented
Executive Director, Healthcare Improvement Unit
01-Jul-2013
30-Jun-2015
The diagnosis established at the conclusion of the patient's stay in an emergency department/service to be mainly responsible for occasioning the stay following consideration of clinical assessment, as represented by a code.
Emergency department stay
Principal diagnosis (ICD-10-AM), emergency department
Representational Attributes
Character
Code
ANN{.N[N]}
3
6
Permissible Values

Permissible_values

-
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
An emergency department stay ends when either the patient is admitted, died or, if the patient is not to be admitted, when the patient is recorded as ready to leave the emergency department or when they are recorded as having left at their own risk.

The phrase 'at the conclusion' in the definition refers to evaluation of findings interpreted by the clinician available at the end of the emergency department stay. This may include information gained from the history of illness, any mental status evaluation, specialist consultations, physical examinations, diagnostic tests or procedures, surgical procedures and pathological or radiological examinations.
Emergency Data Collection (EDC):
Data element is a valid ICD-10-AM 8th edition code or blank.
Must be provided unless Non-admitted patient ED service episode-episode end status equals 4 (Did not wait), 5 (Left at own risk after treatment commenced), 7 (Dead on arrival) or 14 (Registered, triaged and referred elsewhere without receiving care).
If the Non-admitted patient ED service episode-episode end status is 4, 5, 7 or 14 this data element must be null.
This data element is used for the national reporting of the Emergency department stay-principal diagnosis, code X[X(8)] data element in the Non-Admitted Patient Emergency Department Care National Minimum Data Set (NMDS).

This data element is used in the derivation of:
- Emergency department stay-diagnosis classification type, code N.N[N]
- Emergency department stay-urgency related group major diagnostic block, code N[AA] national data elements in conjunction with Non-admitted patient ED service episode-triage category and Non-admitted patient ED service episode-episode end status using the IHPA emergency care URG group.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 4
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Has been superseded byData ElementData ElementEmergency department stay-principal diagnosis (ICD-10-AM 9th edn)QH 042643 Version 2Superseded
Relates toData ElementData ElementEmergency department stay-additional diagnosis 1 code (ICD-10-AM 8th edn)QH 042213 Version 1Superseded
Relates toData ElementData ElementEmergency department stay-additional diagnosis 2 code (ICD-10-AM 8th edn)QH 042214 Version 1Superseded
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 CollectionEmergency Data Collection (EDC)QH 020159 Version 1ConditionalSuperseded01-Jul-201330-Jun-2015
Source and Reference Attributes
Independent Hospital Pricing Authority
METeOR data element: Emergency department stay-principal diagnosis, code X[X(8)], Identifier 497490, Health standard 31/10/2012 https://meteor.aihw.gov.au/content/index.phtml/itemId/497490/meteorItemView/long
CRDI; CRDI EDC; Diagnosis; ICD-10-AM codes; PD; Principal diagnosis;