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Data Element Detail

Birth event-second additional reason for caesarean section code (ICD-10-AM 11th edn)
Identifying and Definitional Attributes
QH 041701 v4
Data Element
Data Element
Draft
01-Jul-2019		Current
17-Sep-2019
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2019
30-Jun-2022
The second additional reason for why a caesarean section is performed during a birth event, as represented by a code.
Queensland Perinatal Data Collection (QPDC)
Second additional reason for caesarean section
Representational Attributes
Alphanumeric
Code
ANNN[N]
4
5
Permissible Values

Permissible_values

A valid International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) 11th 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
Queensland Perinatal Data Collection (QPDC):
Must be a valid ICD-10-AM 11th edition code.
Must not be ICD-10-AM code O82 (Single delivery by caesarean section).
Must be null when Birth event-main reason for caesarean section code (ICD-10-AM 11th edn) is null.
Must be null when Birth event-first additional reason for caesarean section code (ICD-10-AM 11th edn) is null.
Additional indications for caesarean section are conditional on there being more than one reason for which a caesarean was performed. Additional indications for caesarean section are completed after the Birth event-main reason for caesarean section code (ICD-10-AM 11th edn) has been identified.

For national reporting of the Birth event-additional indication for caesarean section (NHDD) data element the following mapping occurs:

An ICD-10-AM code in the range O360-O365 or O367-O369 (Maternal care for other known or suspected fetal problems) is mapped to code 1 Fetal compromise.

ICD-10-AM code O366 (Maternal care for excessive fetal growth) or code O662 (Labour and delivery affected by unusually large fetus) is mapped to code 2 Suspected fetal macrosomia.

An ICD-10-AM code in the range O320-O329 (Maternal care for known or suspected malpresentation of fetus) or O640-O649 (Labour and delivery affected by malposition and malpresentation of fetus) is mapped to code 3 Malpresentation.

ICD-10-AM code O622 (Other uterine inertia) or code O629 (Abnormality of forces of labour, unspecified) together with Cervical dilatation prior to caesarean = code 1 (3cm or less) is mapped to code 10 Lack of progress; less than or equal to 3 cm cervical dilatation.

ICD-10-AM code O622 (Other uterine inertia) or code O629 (Abnormality of forces of labour, unspecified) together with Cervical dilatation prior to caesarean = code 2 (More than 3cm) is mapped to code 11 Lack of progress in the first stage; greater than 3 cm to less than 10 cm cervical dilatation.

ICD-10-AM code O622 (Other uterine inertia) or code O629 (Abnormality of forces of labour, unspecified) together with Labour and delivery complication code = O631 (Prolonged second stage (of labour)) is mapped to code 12 Lack of progress in the second stage.

An ICD-10-AM code in the range O440-O441 (Placenta praevia) is mapped to code 13 Placenta praevia.

An ICD-10-AM code in the range O450-O459 (Premature separation of placenta [abruptio placentae]) is mapped to code 14 Placental abruption.

ICD-10-AM code O694 (Labour and delivery complicated by vasa praevia) is mapped to code 15 Vasa praevia.

An ICD-10-AM code in the range O200-O209 (Haemorrhage in early pregnancy), O460-O469 (Antepartum haemorrhage, not elsewhere classified) or O670-O679 (Labour and delivery complicated by intrapartum haemorrhage, not elsewhere classified) is mapped to code 16 Antepartum/intrapartum haemorrhage.

An ICD-10-AM code in the range O300-O309 (Multiple gestation) is mapped to code 17 Multiple pregnancy.

ICD-10-AM code O665 (Failed application of vacuum extractor and forceps, unspecified) is mapped to code 18 Unsuccessful attempt at assisted delivery.

ICD-10-AM code O690 (Labour and delivery complicated by prolapse of cord) is mapped to code 19 Cord prolapse.

ICD-10-AM code Z352 (Supervision of pregnancy with other poor reproductive or obstetric history) with Caesarean section event (second additional indication)-type of poor obstetric history = 3 (Previous adverse fetal/neonatal outcome) is mapped to code 20 Previous adverse perinatal outcome.

ICD-10-AM code O342 (Maternal care due to uterine scar from previous surgery) with Number of previous caesarean sections => 1 is mapped to code 21 Previous caesarean section.

ICD-10-AM code Z352 (Supervision of pregnancy with other poor reproductive or obstetric history) with Caesarean section event (second additional indication)-type of poor obstetric history = 2 (Previous perineal trauma/4th degree tear) is mapped to code 22 Previous severe perineal trauma.

ICD-10-AM code Z352 (Supervision of pregnancy with other poor reproductive or obstetric history) with Caesarean section event (second additional indication)-type of poor obstetric history = 1 (Previous shoulder dystocia) is mapped to code 23 Previous shoulder dystocia.

ICD-10-AM code Z352 (Supervision of pregnancy with other poor reproductive or obstetric history) with Caesarean section event (second additional indication)-type of poor reproductive or obstetric history = 8 (Other) is mapped to code 29 Other obstetric, medical, surgical, psychological indications.

An ICD-10-AM code except those listed in this mapping list, and excluding code O82 (Single delivery by caesarean section) and codes in the range U781-U882 (Supplementary codes for chronic conditions), is mapped to code 29 Other obstetric, medical, surgical, psychological indications. ICD-10-AM code O82 (Single delivery by caesarean section) and codes in the range U781-U882 (Supplementary codes for chronic conditions) are excluded from this data element.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 9
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementBirth event-second additional reason for caesarean section code (ICD-10-AM 10th edn)QH 041701 Version 3Superseded
Is a qualifier ofData ElementData ElementCaesarean section event (second additional indication)-type of poor reproductive or obstetric historyQH 041702 Version 4Superseded
Relates toData ElementData ElementBirth event-first additional reason for caesarean section code (ICD-10-AM 11th edn)QH 041699 Version 4Current
Relates toData ElementData ElementBirth event-main reason for caesarean section code (ICD-10-AM 11th edn)QH 041696 Version 4Superseded
Relates toData ElementData ElementBirth event-method of birthQH 040071 Version 5Current
Relates toData ElementData ElementCaesarean section event-cervical dilation prior to caesareanQH 040803 Version 1Current
Relates toData ElementData ElementFemale-number of previous caesarean sectionsQH 040801 Version 1Current
Relates toData ElementData ElementLabour and delivery complication code (ICD-10-AM)QH 040112 Version 2Current
Relates toData ElementData Element ConceptBirth eventQH 041670 Version 2Draft
Implementation in Metadata Sets

Implemented

  • 1 - 3
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Perinatal Data Collection (QPDC)QH 020003 Version 2ConditionalCurrent01-Jul-201930-Jun-2022
Data Supply RequirementHHS Service AgreementQueensland Perinatal Data Collection (QPDC) Baby Data Supply Requirement (DSR) 2019-2020QH 020570 Version 1ConditionalSuperseded01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementQueensland Perinatal Data Collection (QPDC) Baby Data Supply Requirement (DSR) 2020-2021QH 020700 Version 1ConditionalSuperseded01-Jul-202030-Jun-2021
Source and Reference Attributes
C section; Caesarean section;