Definition
Components
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Data Element ConceptPatient—additional body function or structure affected
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Object ClassPatient
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PropertyAdditional body function or structure affected
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Value DomainBody function or structure code N[N]
Representation
This representation is based on the value domain for this data element, more information is available at " Body function or structure code N[N] ".Data Type | Number |
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Format | N[N] |
Maximum character length | 2 |
Value | Meaning | Start Date | End Date | |
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Permissible Values | 1 | Mental functions or structures of the nervous system | ||
2 | Sensory functions and pain of the eye, ear and related structures | |||
3 | Voice and speech functions or structures involved in voice and speech | |||
4 | Functions or structures of the cardiovascular, haematological, immunological and respiratory systems | |||
5 | Functions or structures of the digestive, metabolic and endocrine systems | |||
6 | Genitourinary or reproductive functions and structures | |||
7 | Neuromusculoskeletal or movement-related functions and structures | |||
8 | Functions and structures of the skin and related structures | |||
9 | Death | |||
Supplementary Values | 97 | Not applicable | ||
99 | Not stated/inadequately described |
Comments
Guide for use:
This data element should be used in conjunction with the data element Patient—primary body function or structure affected, body function or structure code N[N] to provide a greater depth of information on the harm alleged to have resulted from the health-care incident.
Up to three codes may be selected for this data element.
CODE 1 Mental functions or structures of the nervous system
'Mental functions or structures of the nervous system' should be recorded where psychological harm was an additional rather than the primary effect on the patient.
CODE 2 Sensory functions and pain of the eye, ear and related structures
'Sensory functions and pain of the eye, ear and related structures' should be recorded where the pain experienced as a result of the incident was an additional rather than the primary effect on the patient. Where the pain experienced by the patient is deemed to be more disabling than the associated physical or mental damage to the patient, record the body structure or structures with which the pain is closely associated as an additional body function or structure affected.
CODE 4 Functions or structures of the cardiovascular, haematological, immunological and respiratory systems
'Functions or structures of the cardiovascular, haematological, immunological and respiratory systems' should be recorded where an additional effect on the patient is a cancer that has progressed and affects major body systems. In the case of cancer primarily affecting a single organ or body part, the appropriate code for that organ or body part should be recorded. This rule should also be followed for other conditions affecting major body systems.
CODE 9 Death
'Death' is an invalid code for this data element but is a valid response for the data element: Patient—primary body function or structure affected, body function or structure code N[N].
CODE 97 Not applicable
'Not applicable' is an invalid code for this data element but is a valid response for the data element: Patient—primary body function or structure affected, body function or structure code N[N].
CODE 99 Not stated/Inadequately described
'Not stated/Inadequately described' should be used only when the information is not currently available, but is expected to become available as the claim progresses.