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Data Element Detail

Pregnancy (current)-complication code (ICD-10-AM 11th edn)
Identifying and Definitional Attributes
QH 040146 v6
Data Element
Data Element
Draft
01-Jul-2019		Current
17-Sep-2019		Superseded
17-Jul-2023
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Jul-2019
30-Jun-2022
Complications arising up to the period immediately preceding delivery that are directly attributable to the pregnancy and may have significantly affected care during the current pregnancy and/or pregnancy outcome, as represented by a code.
Queensland Perinatal Data Collection (QPDC)
Complications of pregnancy
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) 11th edition code within chapter 15 Pregnancy, Childbirth and the Puerperium (O00-O99), 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
Examples of these conditions include threatened abortion, antepartum haemorrhage, pregnancy-induced hypertension and gestational diabetes. There is no arbitrary limit on the number of complications specified.
Must be a valid ICD-10-AM 11th edition code in the range O000 to O998.
Such conditions are those regarded by the clinician to affect the management of the pregnancy.

For national reporting of the Female-diabetes mellitus during pregnancy indicator (NHDD) data element the following mapping occurs:
An ICD-10-AM code in the range O240-O249x (Diabetes mellitus and intermediate hyperglycaemia in pregnancy, childbirth and the puerperium), except code O245x (Pre-existing intermediate hyperglycaemia, in pregnancy), is mapped to code 1 Yes.
Absence of an ICD-10-AM code from the above list is mapped to code 2 No.

For national reporting of the Female-type of diabetes mellitus during pregnancy (NHDD) data element the following mapping occurs:
ICD-10-AM code O240 (Pre-existing diabetes mellitus Type 1, in pregnancy
, childbirth and the puerperium) is mapped to code 1 Pre-existing Type 1 diabetes.
ICD-10-AM code O241x (Pre-existing diabetes mellitus Type 2, in pregnancy, childbirth and the puerperium) is mapped to code 2 Pre-existing Type 2 diabetes.
ICD-10-AM code O244x (Diabetes mellitus arising during pregnancy) is mapped to code 3 Gestational diabetes mellitus (GDM).
ICD-10-AM code O242x (Pre-existing other specified diabetes mellitus, in pregnancy, childbirth and the puerperium) is mapped to code 8 Other type of diabetes mellitus.
ICD-10-AM code O243x (Pre-existing unspecified diabetes mellitus, in pregnancy, childbirth and the puerperium) or code O249x (Diabetes mellitus in pregnancy, childbirth and the puerperium, unspecified onset) is mapped to code 9 Not stated/inadequately described.

For national reporting of the Female-type of diabetes mellitus therapy during pregnancy (NHDD) data element the following mapping occurs:
An ICD-10-AM code in the range O241-O249, except code O245, with fifth character 2 insulin treated is mapped to code 1 Insulin.
An ICD-10-AM code in the range O241-O249, except code O245, with fifth character 3 oral hypoglycaemic therapy is mapped to code 2 Oral hypoglycaemic.
An ICD-10-AM code in the range O241-O249, except code O245, with fifth character 4 other (diet, exercise, lifestyle management) is mapped to code 3 Diet and exercise.
An ICD-10-AM code in the range O241-O249, except code O245, with fifth character 9 unspecified is mapped to code 9 Not stated/inadequately described.

For national reporting of the Female-hypertensive disorder during pregnancy indicator (NHDD) data element the following mapping occurs:
ICD-10-AM code O10 (Pre-existing hypertension complicating pregnancy, childbirth and the puerperium), code O11 (Pre-eclampsia superimposed on chronic hypertension), code O13 (Gestational [pregnancy-induced] hypertension), code in the range O140-O149 (Pre-eclampsia) or O150-O159 (Eclampsia) is mapped to code 1 Yes.
Absence of an ICD-10-AM code in the above list is mapped to code 2 No.

For national reporting of the Female-type of hypertensive disorder during pregnancy (NHDD) data element the following mapping occurs:
An ICD-10-AM code in the range O150-O159 (Eclampsia) is mapped to code 1 Eclampsia.
An ICD-10-AM code in the range O140-O149 (Pre-eclampsia) is mapped to code 2 Preeclampsia.
ICD-10-AM code O13 (Gestational [pregnancy-induced] hypertension) is mapped to code 3 Gestational hypertension.
ICD-10-AM code O10 (Pre-existing hypertension complicating pregnancy, childbirth and the puerperium) or code O11 (Pre-eclampsia superimposed on chronic hypertension) is mapped to code 4 Chronic hypertension.
ICD-10-AM code O16 (Unspecified maternal hypertension) is mapped to code 9 Not stated/inadequately described.
Complications often influence the course and outcome of pregnancy, possibly resulting in hospital admissions and/or adverse effects on the fetus and perinatal morbidity.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 6
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementPregnancy (current)-complication code (ICD-10-AM 10th edn)QH 040146 Version 5Superseded
Has been superseded byData ElementData ElementPregnancy (current)-complication code (ICD-10-AM 12th edn)QH 040146 Version 7Current
Is qualified byData ElementData ElementPregnancy (current)-complication indicatorQH 040039 Version 5Current
Is used in conjunction withData ElementData ElementQueensland Perinatal Data Collection (QPDC)-mother's code typeQH 042573 Version 1Draft
Relates toData ElementData Element ConceptPregnancyQH 041690 Version 1Current
Relates toData ElementDerived Data ElementQueensland Perinatal Data Collection (QPDC)-mother's codeQH 042062 Version 1Draft
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-201930-Jun-2022
Source and Reference Attributes
CRDI; CRDI QPDC; Complication; Pregnancy;