Case #606

Dagger-asterisk pair and specific national subcode (example K2380*B3780)

Added by Martti Virtanen 5 months ago. Updated about 1 month ago.

Status:AcceptedStart date:2018-11-28
Priority:MinorSpent time:-
Assignee:-
Category:-
Target version:NordDRG 2020
Initiator:Nordic Casemix Centre Target year:2020
Case type:Minor Owner / responsible:
MDC: Old forum status:
Target Grouper:

Description

Problem
Dagger-asterisk-pair that has been substituted by a national (sub)code cannot be listed as a pair in national definition tables. The system will automatically select the added code instead of the pair.
Thus any property that is given to a pair (not either part of it but only to the pair) will appear in the definition tables with the added code and not the pair.
Properties that are given to either part of the pair will appear in the definition tables with the original codes and with the added code.
In the national patient registration one must use the added national code and not the pair to get the properties of the pair to the patient case.
Example:
K2380*B3780 ‘Candidiosis of oesophagus’
Swedish national code B378D ‘Candidiosis of oesophagus’
K2380*B3780 (and B378D) belong to complication category 18C04 ‘Candidiosis’. B3780 (nor K2380) does not belong to this category. In the Swedish version definition K238*B378 is replaced by B378D.
In the hypothetical situation that somebody would use Swedish codes K238*B378 (as a secondary dx) this would not be regarded as complicating factor to the patient case. However, B378D would qualify. The only way around this problem seems to be that B378D is maintained as separate code (only used by Sweden) in ICD+ that causes some maintenance problems if the properties of the codes change. It also creates unnecessary repeating in the classification (braking in principle the structure of the classification)
Suggestion
No suggestion, K2380*B3780 should be removed from the NordDRG Swe definition tables.

History

#1 Updated by Martti Virtanen 5 months ago

  • Target version changed from Target version 2019 to NordDRG 2020
  • Target year 2020 added

#2 Updated by Martti Virtanen about 1 month ago

2019-03-04 NCC (MV)
See also case #608

#3 Updated by Martti Virtanen about 1 month ago

  • Status changed from Active to Accepted

2019-03-11 Expert group
Sweden cannot deny the use of the code pair K3280*B3780.
Therefore we add a new code to ICD+ B378D 'Candidal esofagitis (SWE)'. It is marked 'SWE' to avoid it's use by mistake in any other version. The content and properties are the same ad K3280*B3780.

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