Case #257

Task #11: Delivery of minor update proposals for NordDRG 2015

Pneumonia diagnoses without 05P10

Added by Anonymous almost 6 years ago. Updated almost 5 years ago.

Status:AcceptedStart date:2014-02-13
Priority:MinorSpent time:-
Assignee:Mats Fernström
Category:-
Target version:Expert Group 2014
Initiator:Sweden Target year:2015
Case type: Owner / responsible:Nordic Casemix Centre
MDC: Old forum status:
Target Grouper:COMMON, DEN, EST, FIN, ICE, LAT, NOR, SWE

Description

National ID: CPK ID 541
Initiated: 2013-11-13
Initiator: NPK, Sweden

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Problem

The Swedish National Board of Health and Welfare (SOS) makes own definition tables parallel to the process at the Nordic Casemix Centre (NCC) and the current problem was discovered during routine comparison between SWE2014CC-SOS-PR02 (SOS version) and SWE2014PR0F (NCC version) in the autumn 2013.

In the update process for NordDRG version 2014 Martti wanted introduce that the diagnosis code J188 (Other pneumonia caused by non-specific microorganisms) must have the property 05P10 (Circulatory and respiratory problems). We did not accept this in the Swedish SOS version because Martti's modification came too late in the process. However, it is entirely logical that J188 has 05P10 but it applies to all J18 codes. There are also other codes for pneumonia which has not 05P10, for example P23 (Congenital pneumonia), but in these cases the property is not needed because it is relevant only for the grouping of rehabilitation cases.

Analysis

The Swedish diagnosis codes with “pneumonia” or ”pneumonitis” in the code text, but without 05P10, are listed in the table below.

We think that the codes in the table beginning with B or J should have PDGPROP 05P10.

Suggestion

NPK, Sweden – 2014-02-06

PDGPROP 05P10 is added to the codes beginning with B or J in the table above. The changes are also specified in Suggestion CPK ID 541.xls.

Decided changes

National organizations may decide to introduce the change in their own version.
Otherwise the organization is NCC.

DRG change

Rehabilitation after pneumonia is not very frequent so just a small number of cases will be affected by the change and they will go to DRG 556A-B (W46N- W47N in the Swedish grouper) instead of DRG 091 (D47 in the Swedish grouper).

Technical change

Technical description in text format.
There must also be technical changes according to the NCC Excel template. This Excel file should be named “Decision” plus the ID of the case.

Introduction

NordDRG [year] [version]

2014-CPK-ID-541.jpg (65.3 KB) Anonymous, 2014-02-18 13:54

Suggestion CPK ID 541.xls (45.5 KB) Anonymous, 2014-02-18 13:56

History

#1 Updated by Martti Virtanen almost 6 years ago

Testing comments by e-mail

#2 Updated by Martti Virtanen over 5 years ago

2014-03-13 Martti Virtanen
I support this proposal. Although situations are mostly rare in rehabilitation, including the diagnosis in the list doesn't cause any problem

#3 Updated by Anonymous over 5 years ago

  • Parent task set to #11

#4 Updated by Martti Virtanen over 5 years ago

  • Description updated (diff)

#5 Updated by Anonymous over 5 years ago

Comment Expert Group 2014-03-24

Proposal accepted.

#6 Updated by Martti Virtanen over 5 years ago

2014-03-27 Martti Virtanen

Technical change

The listed dx (in ICD10+) and all linked codes will be given the property 05P10.

DRG change

Very few cases will change the rehabilitation DRG

#7 Updated by Anonymous over 5 years ago

  • Target Grouper COMMON, DEN, EST, FIN, ICE, LAT, NOR, SWE added

#8 Updated by Anonymous almost 5 years ago

  • Status changed from Active to Accepted

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