Episode of admitted patient care—condition onset flag, code N
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
---|---|
Short name: | Condition onset flag |
METEOR identifier: | 354816 |
Registration status: | Health!, Superseded 07/02/2013 |
Definition: | A qualifier for each coded diagnosis to indicate the onset of the condition relative to the beginning of the episode of care, as represented by a code. |
Data Element Concept: | Episode of admitted patient care—condition onset flag |
Value Domain: | Condition onset flag code N |
Data element attributes | |
Collection and usage attributes | |
Guide for use: | Assign the relevant condition onset flag to ICD-10-AM diagnosis codes assigned in the principal diagnosis and additional diagnosis fields for the National Hospital Morbidity Database collection. The sequencing of diagnosis codes must comply with the Australian Coding Standards and therefore diagnosis codes should not be re-sequenced in an attempt to list diagnosis codes with the same condition onset flag together. When it is difficult to decide if a condition was present at the beginning of the episode of care or if it arose during the episode, assign a value of 2 - Condition not noted as arising during this episode of care. The principal diagnosis should always have a condition onset flag value of 2. Explanatory notes: The flag on external cause, place of occurrence and activity codes should match that of the corresponding injury or disease code. The flag on morphology codes should match that on the corresponding neoplasm code When a single diagnosis code describes a condition and that code contains more than one concept (e.g. diabetes with renal complications) and each concept within that code has a different condition onset flag, then assign a value of 2. When a condition requires more than one diagnosis code to describe it, it is possible for each diagnosis code to have a different condition onset flag. The flag on Z codes related to the outcome of delivery on the mother’s record (Z37), should always be assigned a value of 2. The flag on Z codes related to the outcome of delivery on the baby’s record (Z38), should always be assigned a value of 2. |
---|---|
Collection methods: | A condition onset flag should be recorded and coded upon completion of an episode of admitted patient care. |
Comments: | The condition onset flag is a means of differentiating those conditions which arise during, or arose before, an admitted patient episode of care. Having this information will provide an insight into the kinds of conditions patients already have when entering hospital and what arises during the episode of care. A better understanding of those conditions arising during the episode of care may inform prevention strategies particularly in relation to complications of medical care. The flag only indicates when the condition had onset, and cannot be used to indicate whether a condition was considered to be preventable.
|
Source and reference attributes | |
Origin: | Australian Institute of Health and Welfare |
Relational attributes | |
Related metadata references: | Supersedes Episode of admitted patient care—diagnosis onset type, code N Health!, Superseded 05/02/2008 Has been superseded by Episode of admitted patient care—condition onset flag, code N Health!, Superseded 05/10/2016 |
Implementation in Data Set Specifications: | Admitted patient care NMDS 2008-09 Health!, Superseded 04/02/2009 Implementation start date: 01/07/2008 Implementation end date: 30/06/2009 Admitted patient care NMDS 2009-10 Health!, Superseded 22/12/2009 Implementation start date: 01/07/2009 Implementation end date: 30/06/2010 Admitted patient care NMDS 2010-11 Health!, Superseded 18/01/2011 Implementation start date: 01/07/2010 Implementation end date: 30/06/2011 Admitted patient care NMDS 2011-12 Health!, Superseded 11/04/2012 Implementation start date: 01/07/2011 Implementation end date: 30/06/2012 Admitted patient care NMDS 2012-13 Health!, Superseded 02/05/2013 Implementation start date: 01/07/2012 Implementation end date: 30/06/2013 |
Implementation in Indicators: |
Used as Numerator
Australian Health Performance Framework: PI 2.2.3–Sentinel events, 2020 Health!, Qualified 16/02/2022 National Healthcare Agreement: P22-Selected potentially preventable hospitalisations, 2010 Health!, Superseded 08/06/2011 National Healthcare Agreement: P41-Falls resulting in patient harm in hospitals, 2010 Health!, Superseded 08/06/2011 National Healthcare Agreement: P42-Intentional self-harm in hospitals, 2010 Health!, Superseded 08/06/2011 National Healthcare Agreement: PB 07-By 2014-15, improve the provision of primary care and reduce the proportion of potentially preventable hospital admissions by 7.6 per cent over the 2006-07 baseline to 8.5 per cent of total hospital admissions, 2011 Health!, Superseded 30/10/2011 National Healthcare Agreement: PB 07-By 2014-15, improve the provision of primary care and reduce the proportion of potentially preventable hospital admissions by 7.6 per cent over the 2006-07 baseline to 8.5 per cent of total hospital admissions, 2012 Health!, Superseded 25/06/2013 National Healthcare Agreement: PB f-By 2014-15, improve the provision of primary care and reduce the proportion of potentially preventable hospital admissions by 7.6 per cent over the 2006-07 baseline to 8.5 per cent of total hospital admissions, 2013 Health!, Superseded 30/04/2014 National Healthcare Agreement: PB f-By 2014-15, improve the provision of primary care and reduce the proportion of potentially preventable hospital admissions by 7.6 per cent over the 2006-07 baseline to 8.5 per cent of total hospital admissions, 2014 Health!, Superseded 14/01/2015 National Healthcare Agreement: PB f-By 2014-15, improve the provision of primary care and reduce the proportion of potentially preventable hospital admissions by 7.6 per cent over the 2006-07 baseline to 8.5 per cent of total hospital admissions, 2015 Health!, Superseded 08/07/2016 National Healthcare Agreement: PI 18-Selected potentially preventable hospitalisations, 2013 Health!, Superseded 30/04/2014 National Healthcare Agreement: PI 18-Selected potentially preventable hospitalisations, 2014 Health!, Superseded 14/01/2015 National Healthcare Agreement: PI 18-Selected potentially preventable hospitalisations, 2015 Health!, Superseded 08/07/2016 National Healthcare Agreement: PI 22-Selected potentially preventable hospitalisations, 2011 Health!, Superseded 31/10/2011 National Healthcare Agreement: PI 22-Selected potentially preventable hospitalisations, 2011 Health!, Superseded 31/10/2011 National Healthcare Agreement: PI 22-Selected potentially preventable hospitalisations, 2012 Health!, Superseded 25/06/2013 National Healthcare Agreement: PI 41-Falls resulting in patient harm in hospitals, 2011 Health!, Superseded 31/10/2011 National Healthcare Agreement: PI 41-Falls resulting in patient harm in hospitals, 2012 Health!, Retired 25/06/2013 National Healthcare Agreement: PI 42-Intentional self-harm in hospitals, 2011 Health!, Superseded 31/10/2011 |