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Birth event-second additional reason for caesarean section code (ICD-10-AM 9th edn)
Identifying and Definitional Attributes
Identifier
QH 041701
Version
2
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
12-May-2015  
Current
08-Jul-2015  
Superseded
29-Jan-2018  
Approval Type
Standard
Approving Authority
-
Effective From
01-Jul-2015
Effective To
30-Jun-2017
Definition
The second additional reason for why a caesarean section is performed during a birth event, as represented by a code.
Context
Queensland Perinatal Data Collection (QPDC)
Short Name
Second additional reason for caesarean section
Name in Other Contexts
-
Representational Attributes
Datatype
Alphanumeric
Representation Class
Code
Format
ANNN[N]
Minimum Character Length
4
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
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Verification Rules
Queensland Perinatal Data Collection (QPDC):
Must be a valid ICD-10-AM 9th edition code.
Must not be ICD-10-AM code O82 (Single delivery by caesarean section).
Must be blank if Birth event-main reason for caesarean section code (ICD-10-AM 9th edn) is blank.
Must be blank if Birth event-first additional reason for caesarean section code (ICD-10-AM 9th edn) is blank.
Collection Methods
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 9th 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.
Comment
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Relational Attributes
Implementation in Metadata Sets

Otherrelational

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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
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Source Document
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