Case #423

Definition of puerperal?

Added by Martti Virtanen almost 5 years ago. Updated almost 4 years ago.

Status:AcceptedStart date:2015-03-12
Priority:Error correctionSpent time:-
Assignee:-
Category:-
Target version:Expert Group 2015
Initiator:Nordic Casemix Centre Target year:2016
Case type: Owner / responsible:National organisations
MDC:MDC14 Old forum status:
Target Grouper:SWE

Description

Problem
This case is a result of the NDMS checkup by listing all rules that do not have any test cases in our test database. In this case there is an obvious error.

The error is in the rule ord= 200D18821, the 4th rule for DRG 376O/P15O ’ Läkarbesök vid sjukdomar i puerperiet utan operationer’. The rule lacks any defintion of ’puerperal’.
The DRG 875V/P99O ‘Other medical contact for obsterical problem, short therapy’ has two rules. The first rule (ord= 200D1890) has a broader definition and may catch some cases but most of the potential cases are assigned by the preious row to DRG 376O/P15O.

Analysis
No cconomic analysis is available and probably not needed.
Suggestion
The 4th rule for DRG 376O/P15O should probably be inactivated.
Technical change
4th rule for DRG 376O/P15O will be inactivated
DRG change
Very few cases.

875V.jpg (45.1 KB) Martti Virtanen, 2015-03-12 00:42

376O_rule.jpg (179 KB) Martti Virtanen, 2015-03-12 00:42

Case #423 - Technical changes.xlsx (17.8 KB) Martti Virtanen, 2015-03-17 10:59

History

#1 Updated by Martti Virtanen almost 5 years ago

  • Description updated (diff)

#2 Updated by Martti Virtanen almost 5 years ago

  • Description updated (diff)

#3 Updated by Martti Virtanen almost 5 years ago

  • File Case #423 - Technical changes.xlsx added
  • Description updated (diff)
  • Status changed from Active to Accepted
  • Priority changed from Minor to Error correction
  • Target version changed from Target version 2016 to Minor-Proposals-for-2016
  • Owner / responsible National organisations added
  • Target year 2016 added
  • Target Grouper SWE added
  • MDC MDC14 added

2015-03-17 Expert group/Martti Virtanen
Sweden will check the case before 08/2015.

#4 Updated by Martti Virtanen almost 5 years ago

  • Status changed from Accepted to Active

#5 Updated by Anonymous over 4 years ago

Mats Fernström, NPK, Sweden 2015-06-16:
Martti is right and we want the rule with ORD 200D18821 to be deleted in the production version for 2016. The file with technical changes is already added by Martti.

#6 Updated by Anonymous almost 4 years ago

  • Target version changed from Minor-Proposals-for-2016 to Expert Group 2015

#7 Updated by Martti Virtanen almost 4 years ago

2016-03-15 Expert group (MV)
The case was closed without further discussion.

#8 Updated by Martti Virtanen almost 4 years ago

  • Status changed from Active to Accepted

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