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Birth event-method of birth
Identifying and Definitional Attributes
Identifier
QH 040071
Version
5
Metadata Item Type
Data Element
Data Element Type
Data Element
Approval Status
Draft
12-Dec-2018  		Current
16-Mar-2021  
Approval Type
Standard
Approving Authority
Information Management Strategic Governance Committee (IMSGC), Queensland Health
Effective From
01-Jul-2019
Effective To
-
Definition 
The method of complete expulsion or extraction of a product of conception from the female in a birth event.
Context 
Queensland Perinatal Data Collection (QPDC)
Short Name
Method of birth
Name in Other Contexts
-
Representational Attributes
Datatype
Numeric character
Representation Class
Code
Format
N(2)
Minimum Character Length
2
Maximum Character Length
2
Permissible Values
CodeDescription
02Forceps
03Vacuum
04Lower Segment Caesarean Section (LSCS)
05Classical Caesarean section
10Vaginal (non-instrumental)
98Other methods
Supplementary Values
CodeDescription
99Not stated/unknown
Collection and Usage Attributes
Guide for Use 
Code 02 Forceps
This code includes a vaginal breech with forceps to the after coming head.

Code 04 Lower Segment Caesarean Section (LSCS) and code 05 Classical Caesarean section
Includes the use of forceps/vacuum extraction to assist the extraction of the product of conception in a caesarean section or where a hysterotomy is performed to extract the product of conception.

Code 10 Vaginal (non-instrumental)
This code includes a vaginal breech that has been manually rotated.

This data element should be recorded in conjunction with the Birth event-anaesthesia administered indicator data element when method of birth is code 02 Forceps, code 03 Vacuum, code 04 Lower Segment Caesarean Section (LSCS) or code 05 Classical Caesarean section.

This data element should be recorded in conjunction with the Birth event-type of pharmacological analgesia administered data element when method of birth is code 02 Forceps, code 03 Vacuum, code 04 Lower Segment Caesarean Section (LSCS) or code 05 Classical Caesarean section and Birth event-anaesthesia administered indicator is code 2 Yes.

This data element should be recorded in conjunction with the Birth event-main reason for caesarean section code (ICD-10-AM 11th edn) data element when method of birth is code 04 Lower Segment Caesarean Section (LSCS) or code 05 Classical Caesarean section.

This data element should be recorded in conjunction with the Birth event-additional indication for caesarean section data element when method of birth is code 04 Lower Segment Caesarean Section (LSCS) or code 05 Classical Caesarean section, Birth event-main reason for caesarean section code (ICD-10-AM 11th edn) is completed and there is more than one reason for which a caesarean was performed.
Verification Rules 
Queensland Perinatal Data Collection (QPDC):
Validated against list of method of birth codes.
Must not be blank.
Must be 04 (Lower Segment Caesarean Section (LSCS)) or 05 (Classical Caesarean section) if Birth event-labour onset type = 3 (No labour (Caesarean section)).
Collection Methods 
In the case of multiple births, method of birth should be recorded for each baby born.

For reporting of the national standard, Birth event-birth method (NHDD), the following mapping occurs:
Code 02 Forceps is mapped to code 2 Vaginal - forceps
Code 03 Vacuum extractor is mapped to code 5 Vaginal - vacuum extraction
Code 04 Lower Segment Caesarean Section and code 05 Classical Caesarean Section are mapped to code 4 Caesarean section
Code 10 Vaginal (non-instrumental) is mapped to code 1 Vaginal - non-instrumental
Code 98 Other methods and code 99 Not stated/unknown are mapped to code 9 Not stated/inadequately described.
Comment
-
Relational Attributes
Related Metadata References
Relates to Birth event QH 041670 Version 2
Supersedes Birth event-method of birth QH 040071 Version 4
 
Implementation in Metadata Sets

Otherrelational

  • 1 - 3
ViewMetadata Item TypeMetadata Set TypeNameAscendingIdentifier & VersionObligationEffective FromEffective To
Information AssetData CollectionQueensland Perinatal Data Collection (QPDC)QH 020003 Version 2Mandatory01-Jul-2019
Data Supply RequirementHHS Service AgreementQueensland Perinatal Data Collection (QPDC) Baby Data Supply Requirement (DSR) 2019-2020QH 020570 Version 1Mandatory01-Jul-201930-Jun-2020
Data Supply RequirementHHS Service AgreementQueensland Perinatal Data Collection (QPDC) Baby Data Supply Requirement (DSR) 2020-2021QH 020700 Version 1Mandatory01-Jul-202030-Jun-2021
Data Quality Declaration 
-
Source and Reference Attributes
Source Organisation 
Australian Institute of Health and Welfare
Source Document
METeOR data element: Birth event-birth method, code N, indicator 695372, Health standard, 12/12/2018 https://meteor.aihw.gov.au/content/index.phtml/itemId/695372/meteorItemView/long
Keywords

Delivery; Method