National Health Survey
The National Health Survey (NHS) uses three factors to determine whether or not a person is counted as having a particular condition: whether the condition is current, whether it is long term and whether it was medically diagnosed. The combination of these factors required for a person to count as having the condition varies according to nature of the condition. For example, some conditions, such as diabetes and HSVD, once diagnosed, are seen to be lifelong. Even if a person no longer reports symptoms, they still count as having the condition. While other conditions, such as depression, asthma, cancer or back problems, can be lifelong, episodic or in complete remission.
Most conditions do not need the respondent to have been diagnosed by a doctor or nurse. The respondent is counted if they said they have the condition. However, in cases where the respondent said they had diabetes or HSVD and that the condition was not current, they need to have received a diagnosis to be counted.
Table 1: Definitions used for chronic conditions
| Condition |
Current |
Long term |
Has the condition been diagnosed by a doctor or nurse? |
|
Arthritis
|
current
|
long term
|
no diagnosis required
|
|
Asthma
|
current
|
long term
|
no diagnosis required
|
|
Back problems
|
current
|
long term
|
no diagnosis required
|
|
Cancer
|
current
|
long term
|
no diagnosis required
|
|
COPD
|
current
|
long term
|
no diagnosis required
|
|
Diabetes
(2 combinations)
|
current
|
long term
|
no diagnosis required
|
|
ever had
|
not long term
|
diagnosis required
|
|
Heart, stroke and vascular disease (HSVD)
(2 combinations)
|
current
|
long term
|
no diagnosis required
|
|
ever had
|
not long term
|
diagnosis required
|
|
Kidney disease
|
current
|
long term
|
no diagnosis required
|
|
Mental and behavioural conditions
|
current
|
long term
|
no diagnosis required
|
|
Osteoporosis
|
current
|
long term
|
no diagnosis required
|
Note: Please see the 2017-18 NHS User Guide for more information on the definitions of the conditions.
National Hospital Morbidity Database
Chronic conditions in the AIHW National Hospital Morbidity Database (NHMD) are identified based on codes from the ICD-10-AM. Procedures are identified based on ACHI codes. For this report, the codes used can be found in Table 2 to Table 4 below. For NHMD analysis, hospitalisations for which the care type was reported as Newborn (without qualified days), and records for Hospital boarders and Posthumous organ procurement have been excluded.
Table 2. ICD-10-AM codes used in identifying chronic conditions in the AIHW National Hospital Morbidity Database
| MSK condition |
ICD-10-AM 10th edition codes |
Definition/description |
|
Arthritis
|
M05–M06
|
Rheumatoid arthritis
|
|
|
M15–M19
|
Osteoarthritis
|
|
Back Pain
|
M40-43
|
Deforming Dorsopathies
|
|
|
M45-51
|
Spondylopathies/other dorsopathies
|
|
|
M53-54
|
Other dorsopathies
|
|
|
M99
|
Biomechanical lesions, not elsewhere classified
|
|
Gout
|
M10
|
Gout
|
|
Osteoarthritis
|
M15
|
Polyarthrosis
|
| |
M16
|
Coxarthrosis [arthrosis of hip]
|
|
|
M17
|
Gonarthrosis [arthrosis of knee]
|
|
|
M18
|
Arthrosis of first carpometacarpal joint
|
|
|
M19
|
Other arthrosis
|
|
Osteoporosis
|
M80
|
Osteoporosis with pathological fracture
|
|
|
M81
|
Osteoporosis without pathological fracture
|
|
|
M82
|
Osteoporosis in diseases classified elsewhere
|
Table 3. ICD-10-AM codes used in identifying minimal trauma fractures in the AIHW National Hospital Morbidity Database
| MSK condition |
ICD-10-AM 10th edition codes
|
Definition/description |
|
Minimal trauma fractures
|
|
Hip fracture
|
S72.0
|
Fracture of neck of femur
|
|
|
S72.1
|
Pertrochanteric fracture
|
|
|
S72.2
|
Subtrochanteric fracture
|
|
Shoulder and upper arm fracture
|
S42
|
Fracture of shoulder and upper arm
|
|
Lower leg including ankle fracture
|
S82
|
Fracture of lower leg, including ankle
|
|
Lumbar spine and pelvis fracture
|
S32
|
Fracture of lumbar spine and pelvis
|
|
Forearm fracture
|
S52
|
Fracture of forearm
|
|
Fractures (all)
|
S02
|
Fracture of skull and facial bones
|
|
|
S12
|
Fracture of neck
|
|
|
S22
|
Fracture of rib(s), sternum and thoracic spine
|
|
|
S32
|
Fracture of lumbar spine and pelvis
|
|
|
S42
|
Fracture of shoulder and upper arm
|
|
|
S52
|
Fracture of forearm
|
|
|
S62
|
Fracture at wrist and hand level
|
|
|
S72
|
Fracture of femur
|
|
|
S82
|
Fracture of lower leg, including ankle
|
|
|
S92
|
Fracture of foot, except ankle
|
|
|
T02
|
Fractures involving multiple body regions
|
|
|
T08
|
Fracture of spine, level unspecified
|
|
|
T10
|
Fracture of upper limb, level unspecified
|
| |
T12
|
Fracture of lower limb, level unspecified
|
|
With an external cause of:
|
|
Minimal trauma falls
|
W00
|
Fall on same level involving ice and snow
|
|
|
W01
|
Fall on same level from slipping, tripping and stumbling
|
|
|
W03
|
Other fall on same level due to collision with, or pushing by, another person
|
|
|
W04
|
Fall while being carried or supported by other persons
|
|
|
W05–W08
|
Fall involving wheelchair; bed; chair; other furniture
|
|
|
W18
|
Other fall on same level
|
|
|
W19
|
Unspecified fall
|
|
Other minimal trauma events
|
W22
|
Striking against or struck by other objects
|
|
|
W50
|
Hit, struck, kicked, twisted, bitten or scratched by another person
|
|
|
W51
|
Striking against or bumped into by another person
|
|
|
W54.8
|
Other contact with dog
|
Table 4. The Australian Classification of Health Interventions (ACHI) codes 10th edition codes used in identifying total knee and hip replacement in the AIHW National Hospital Morbidity Database
| MSK surgery |
ACHI 10th edition codes |
| Total knee replacement |
4951700, 4951800, 4951900, 4953401,
4952100, 4952101, 4952102, 4952103,
4952400 and 4952401
|
| Total hip replacement |
4931800 and 4931900 |