Case #291

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

Vincent infections

Added by Anonymous over 5 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 545
Initiated: 2013-11-13


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.

A. In NordDRG 2014 (NCC version) the new Swedish code A691A (Vincents angina) has got DGCAT 03M08 (Other ear, nose, mouth and throat diagnoses) according to mapping with ICD+. Vincents angina is most often a tonsillitis, however, and it should be linked to J038 (Akut tonsillit orsakad av andra specificerade organismer) and have DGCAT 03M05 (like in the SOS version).
B. In the update process before NordDRG 2014 we also noticed that the following diagnoses had got the COMPL value 18C90 (Other severe infection) in the NCC version.

A691B and A691W are new codes for 2014 but A691 has existed before. A691 did not have 18C90 in NordDRG version 2013 but A690 (Nekrotiserande ulcerös stomatit), which is quite similar to A691B, has had 18C90 since the CC version for 2012. We think that A691B should be linked to A690 and then it will have 18C90, which is OK, but there is no reason why A691 and A691W should have 18C90. Cases with A691 as the secondary diagnosis are very rare. In the Swedish cost databases for the years 2009-2012 there were only 3 such cases.

Suggestion

NPK, Sweden – 2014-02-06

A. The DGCAT value for A691A is changed from 03M08 to 03M05 in the NCC version.
B. The COMPL value 18C90 is deleted from A691 and A691W in the NCC version and added to A691B in the SOS version.

The changes are specified in Suggestion CPK ID 545.xls.

DRG change

A. Cases with A691A (Vincents angina) as the principal diagnosis will be grouped to DRG C35/70 (Infektioner i övre luftvägar och öron) instead of DRG C48/73 or C49/74 (Andra sjukdomar i öra, näsa, mun & hals).
B. Cases with A691 or A691W as a secondary diagnosis will not be grouped to a complicated DRG (unless there is another secondary diagnosis with CC).

2014-CPK-ID-545.jpg (5.95 KB) Anonymous, 2014-03-14 13:09

Suggestion CPK ID 545.xls (34.5 KB) Anonymous, 2014-03-14 13:13

History

#1 Updated by Martti Virtanen over 5 years ago

  • Description updated (diff)

2014-03-17 Martti Virtanen
This is the same problem as case #297 that has a more general form for the solution. The cases agree about the changes for SWE.

#2 Updated by Anonymous over 5 years ago

Comment Expert Group 2014-03-25

Decision for this issue is made in case #297.

#3 Updated by Anonymous over 5 years ago

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

#4 Updated by Anonymous almost 5 years ago

  • Status changed from Active to Accepted

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