# 03 - Relationship distress and current or past mal

# Relationship distress and current or past maltreatment by spouse or partner

711
Relationship problems and maltreatment
Relationship problems and maltreatment | Personal history of maltreatment 
As an illustration, below is a postcoordinated example of a Chapter 23 maltreatment code: 
• 
QE82.1 Personal history of sexual abuse
• 
Time in life: XT7Q Early adolescence.
The postcoordinated code is: QE82.1&XT7Q. 
(See discussion of ICD-11 diagnostic coding, p. 30, in the introductory section on using the 
CDDR for ICD-11 mental, behavioural and neurodevelopmental disorders.)
CDDR for common forms of relationship problems 
and maltreatment
Because of their importance and prevalence, CDDR have been developed for two sets 
of phenomena:
• relationship distress and current or past maltreatment by spouse or partner;
• problems in relationship between child and current or former caregiver, and current or 
past child maltreatment.
These are among the most clinically important and impactful forms of relationship problems and 
maltreatment. The CDDR for these two groupings should be applied as appropriate in the context 
of the ICD-11 coding options for relationship problems and maltreatment. For example, physical 
abuse by an intimate partner could be classified as PJ20 Physical maltreatment from Chapter 23 
or QE51.1 History of spouse or partner violence from Chapter 24, depending on the purpose of 
the assessment and nature of the situation.
Relationship distress and current or past maltreatment by 
spouse or partner
This section provides CDDR for the following categories:
• to document the cause of an injury being treated or the cause of death:
PJ20 Physical maltreatment, spouse or partner
PJ21 Sexual maltreatment, spouse or partner
PJ22 Psychological maltreatment, spouse of partner
PF1B Assault by neglect
• to document a pattern of either a clinically significant relationship conflict with a spouse 
or intimate partner, or a history of intimate partner maltreatment – including ongoing or 
past episodes – as factors that are relevant to the individual’s health status and encounters 
with health services rather than in relationship to a specific injury or death: