[WWW - 2021.12.16]
Identifying and Definitional Attributes
Identifier
QH 040114
Version
2
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
12-May-2015  
Current
08-Jul-2015  
Superseded
30-Jan-2018  
Approval Type
Standard
Approving Authority
-
Effective From
01-Jul-2015
Effective To
30-Jun-2017
Definition
The main reason for an induction being performed to commence a birth event, as represented by a code.
Context
Queensland Perinatal Data Collection (QPDC)
Short Name
Main reason for induction of labour
Name in Other Contexts
-
Representational Attributes
Datatype
Alphanumeric
Representation Class
Code
Format
ANN{N[N]}
Minimum Character Length
3
Maximum Character Length
5
Permissible Values
A valid International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) 9th 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
-
Collection and Usage Attributes
Guide for Use
Only one code may be recorded.
Verification Rules
Queensland Perinatal Data Collection (QPDC):
Must be a valid ICD-10-AM 9th 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 = 1, 3 or 9
Collection Methods
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) is mapped to code 3 Diabetes.

An ICD-10-AM code in the range O100-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) 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 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), 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. ICD-10-AM codes in the range U781-U882 (Supplementary codes for chronic conditions) are excluded from this data element.
Comment
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Relational Attributes
Related Metadata References
Has been superseded by Birth event-main reason for induction of labour code (ICD-10-AM 10th edn) QH 040114 Version 3
Is qualified by Birth event-labour onset type QH 040045 Version 3
Is used in conjunction with Induction/augmentation method QH 040151 Version 1
Relates to Birth event QH 041670 Version 1
Relates to Birth event-first additional reason for induction of labour code (ICD-10-AM 9th edn) QH 041969 Version 1
Relates to Birth event-second additional reason for induction of labour code (ICD-10-AM 9th edn) QH 041970 Version 1
Supersedes Primary reason for induction QH 040114 Version 1
Implementation in Metadata Sets

Otherrelational

  • 1 - 2
ViewMetadata Item TypeMetadata Set TypeNameAscendingIdentifier & VersionObligationEffective FromEffective To
Information AssetData CollectionQueensland Perinatal Data Collection (QPDC)QH 020003 Version 1Conditional01-Jul-201530-Jun-2017
Data Supply RequirementHHS Service AgreementQueensland Perinatal Data Collection (QPDC) Baby Data Supply Requirement (DSR) 2016-2017QH 020355 Version 1Conditional01-Jul-201630-Jun-2017
Data Quality Declaration
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Source and Reference Attributes
Source Organisation
-
Source Document
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