Case #451

Stereotactic intracranial radiotherapy only for neurological problems

Added by Martti Virtanen almost 4 years ago. Updated 12 months ago.

Status:AcceptedStart date:2016-02-25
Priority:MinorSpent time:-
Assignee:Kristin Dahlen
Category:-
Target version:Expert Group 2016
Initiator:Norway Target year:2016
Case type:Minor Owner / responsible:National organisations
MDC:MDC17 Old forum status:
Target Grouper:NOR

Description

2016-01-18 Norway/NordCase, Martti Virtanen
Norway is not happy with the rule 117D022998 that assigns intracranial radiotherapy to DRG 003N even without a neurological diagnosis.
Therefore Norway wants to change the MDC from 17 'Myeloproliferative diseases..' to MDC 01 'Neurological diseases'. In addition the rule has to be moved to MDC 01 outpatient area in the DRGlogic table.
The changes to the current rule 117D022998 are change of ord to 124D000060 and MDC to 01.
The cases with unspecific myeloproliferative disease principal diagnosis will be assigned to DRG 468O and cases with neurological principal diagnosis to DRG 003N
The change will not affect other NordDRG versions.

Technical changes #451.xlsx (14.2 KB) Martti Virtanen, 2016-04-12 16:44

Technical changes #451-2.xlsx (14.7 KB) Martti Virtanen, 2017-12-14 15:31


Subtasks

Case #473: Cases coded with the procedure AAG50 (Intracranial stereo...AcceptedKristin Dahlen

History

#1 Updated by Anonymous almost 4 years ago

  • Target version set to Expert Group 2016
  • Case type set to Minor

#2 Updated by Mats Fernström almost 4 years ago

Mats Fernström, NPK, Sweden 2016-02-03
In Sweden we have rules for both MDC 01 (ORD 401D070000) and MDC 17 (ORD 417D111003) and we have cases grouped to both of the rules so we would advise you to do so in Norway as well.

#3 Updated by Kristiina Kahur over 3 years ago

Finnish National DRG-Centre 2016-2-25

In Finnish grouper there are rules for grouping to both, MDC1 and MDC17, depending on main diagnosis.
We support/suggest to make the proposed change also in NOR grouper.

#4 Updated by Kristin Dahlen over 3 years ago

  • Assignee set to Kristin Dahlen

We agree to implement the rules for MDC 17. The main reason why we took it out in the 2016-version was that there seems like no cases in the Norwegian material was involved. It might be because of our coding rules? As we describe in a new case #473 we still have some problem with cases to the new DRG 3N.

#5 Updated by Martti Virtanen over 3 years ago

2016-03-15 Expert group (MV)
The proposal was accepted. The two logic rows should be added to all versions where they do not yet exist (possibly only NOR)

#6 Updated by Anonymous about 3 years ago

  • Status changed from Active to Accepted

#7 Updated by Martti Virtanen almost 2 years ago

2017-12-14 Martti Virtanen
Together with Liselotte we noticed that this case has resulted in some errors in the logic table.
There are now 2 DRG's 003P and 003N with the same name. 003P is obviously 'Stereotactic intracranial radiotherapy, short therapy' and 003N is 'Stereotactic intracranial radiotherapy'.
In addtion the rows discussed earlier were not correct. The correct rows are in the updated technical changes.
Furthermore there is an unnecessary rule for NordDRG-Est that is a copy of the previous line and must be removed.

#8 Updated by Martti Virtanen almost 2 years ago

  • Status changed from Accepted to Re-activated

#9 Updated by Martti Virtanen 12 months ago

  • Status changed from Re-activated to Accepted

2018-03-13 Expert group
The last changes were accepted by the Expert group and the case is closed.

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