Updated primary classifications for 2021
|Assignee:||Kristiina Kahur||Spent time:||-|
|MDC:||GEN||Owner / responsible:|
|Target Grouper:||COMMON||Old forum status:|
According to the annual schedule for updating the NordDRG system, national organisation are expected to deliver the national ICD and NCSP versions to Nordic Casemix Centre by July 31.
Everyone is welcome to deliver the updates before the deadline.
Norway has delivered their updates already at ticket #715. The files are attached to this ticket. Finnish updates are attached to this ticket too.
Kindly use this ticket for delivery of the files with all other national updates.
#1 Updated by Ralph Dahlgren over 1 year ago
2020-07-17 Ralph D
Sweden add our updates here as requested.
In the enclosed file is the ICD-10- and procedure-codes updates for the Swedish 2021 PR version that we know of until today. We have received information that WHO are discussing to activate two more codes. These are due to the SARS-CoV-2 virus pandemi (Covid-19). We will probably include these when we know more, this last information to let the Nordic Casemix Centre know that we will probably add more codes this autumn.
#2 Updated by Kristiina Kahur about 1 year ago
- File proc_codes_new_inactivated_textchange_for_2021_grouper_fin_31072020.xlsx added
- File dg_codes_new_inactivated_textchange_for_2021_grouper_fin_31072020.xlsx added
Finnish National DRG-Centre/Kristiina Kahur 31-7-2020
The updates of Finnish codes are added.
#7 Updated by Kristīne Putniņa about 1 year ago
- Assignee changed from Kristiina Kahur to Kristīne Putniņa
Latvia has one more new code for ICD- 10: U07.0 Ar veiposanu (elektronisko smekesanas iericu lietosanas) saistiti traucejumi this year.
The code is already included in drglogic tables dg feat and dg, but under the nonspecific name.
No changes more for ICD-10. No changes in NCSP procedurecodes.
#10 Updated by Kristiina Kahur about 1 year ago
Nordic Casemix Centre/Kristiina Kahur 8-9-2020
As the tables with new codes and mapping to plus codes got ready just before the Expert Group meeting, the content of the tables was not discussed during the meeting on Sept 4th.
As agreed during the meeting, the tables are made available via this ticket (see attachment 'National updates (Sept 3 2020)').
The national organisations are asked to check the mapping and accuracy of new codes and provide the feedback to this ticket. Please provide the feedback also in case there is no need to change anything and codes are ok.
After that NCC will transfer the new codes to NDMS and check the features of the new codes.
New meeting will take place on Sept 16th, at noon (Iceland), 1pm (Sweden and Norway) and 2pm (rest of the countries) in Teams. The meeting link was sent by Maisa on Friday, Sept 4th.
#11 Updated by Arna Harðardóttir about 1 year ago
- File 2020-09-10_checking_codes_ICE.xlsx added
Iceland has checked the file updates for comments.... Attached is a excel with two sheets one for dg and another for proc. In each sheet are to columns (nat, plus) that answer yes/no if the code was found in the file "national updates". Some were found and some not.
#12 Updated by Ralph Dahlgren about 1 year ago
- File Changes compared to 2020-09-17 from Sweden.xlsx added
- Target Grouper SWE added
- MDC GEN added
2020-09-11 Ralph D
Sweden has unfortunately gotten some 'error correctiosn' to the initial updates that has been send in before, 2020-07-17.
This Changes is not something that the Swedish DRG-team have had any influence over.
I enclose a small Excell-file with these Changes.
On september 16 you will discuss the rest of the differences that we have found out doing the comparison beetween out tables and the ones from NDMS.
#13 Updated by Elina Hermiö about 1 year ago
Finland has checked the changes in primary classifications for 2021PR version.
Here is the feedback concerning the Finnish changes:
1) Procedure codes
a. Text change - updates have been made as expected.
b. Inactivated codes – code XG467 is invalid since 31.12.2019 and should be marked as inactivated code in NDMS. Currently it is marked as active code.
c. New codes - five new codes are missing and are not included in the file with updates. This should be corrected in NDMS. Missing codes are as follows:
i. GX1A5 PEF-seuranta ammattitaudin toteamiseksi
ii. NK5A3 Nivelnesteen irtosolututkimus
iii. PJ2D3 Imusolmukkeen histologinen tutkimus
iv. XX2F3 Elektronimikroskooppinen tutkimus kudoksesta
v. XX6F3 In situ -hybridisaatiotutkimus kudoksesta
2) Diagnosis codes
a. Text changes – updates have been made as expected.
b. Inactivated codes – updates have been made as expected.
c. New codes - one new code is missing and is not included in the file with updates. The missing code is C966 Unifokaalinen langerhansinsoluhistiosytoosi and this should be added to NDMS.
#14 Updated by Mats Fernström about 1 year ago
- File Control of mappings for new vascular surgery codes.xlsx added
- File Arbetsmaterial RD Jämförelse Våra ändringar, NCC, kortversion.xlsx added
Mats Fernström, the National Board of Health and Welfare, Sweden 2020-09-16
We have checked the file "2020-09-03_Updates_for_comments_checking_to_national_org.xlsx" and there are some codes to be discussed on the meeting later today. Our comments are in two files because I checked the new codes for vascular surgery and Ralph checked the rest.
#16 Updated by Martti Virtanen about 1 year ago
- File 2020-09-10_checking_codes_ICE-comments.xlsx added
- File ICD Changes compared to 2020-09-17 from Sweden - comments.xlsx added
- File NCSP Changes compared to 2020-09-17 from Sweden - comments.xlsx added
2020-09-16 Expert group
The 5 fin version codes missing in NCSP+ have been added to it:
GX1A5 PEF in occupational health - linked to GXF406 'Peak expiratory flow (PEF) follow-up with/without exercise'
NK5A3 Joint fluid cytology
PJ2D3 Lymphnode histology
XX2F3 Tissue electromicroscopy
XX6F3 Tissue in-situ hybfidisation
All these codes indicate laboratory interventions that normally do not affect DRG assignment. Therefore all have been linked to WZZ999 'Other minor procedure'
The Dx code C966 is linked to C9660 'Unifocal Langerhans-cell histiocytosis'
The ice version is updated with the missing codes. The questions are explained in the update attachment. The Covid-19 problems will be discussed in case #724.
The swe version is also updated with the missing codes. The changes are described in the linked atttachments.
#18 Updated by Martti Virtanen about 1 year ago
- File FIN_SUUTMPL_updates_2021 comments.xlsx added
2020-09-23 Martti Virtanen
The latest changes from Finland have now been introduced in the NCSP+ of MBC. Two codes were given a new combined version code, others were linked to existing codes. The mappings are indicated in the attached file
#19 Updated by Martti Virtanen about 1 year ago
- File 2020-09-23T12-16-42_mbc_com.xlsx added
2020-09-23 Nordcase (Martti Virtanen)
Attached you wil find the downloaded updated basic classifications as Excel(C) book from MBC (Maintenanc of Basic Classification) that is part of the NDMS (NordDRG Maintenance System).
The MBC system dowloads the files as a combined book with 4 sheets:
dg_nat contains all diagnostic codes for all national versions with link to ICD+.
dg_plus contains all ICD+ codes
proc_nat containes all intervention codes for all national version with link to NCSP+
proc_plus contains all NCSP+ codes
The original book has been modified by using smaller font (Arial 8), adjusting the cell sized, gixing the column heading, adding a filter and adding a counter to indicate the number of filtered rows on top of each table on an added row. All tables have been ordered by the plus code column.
One can filter each national version of codes from dg_nat and proc_nat by the variable country.
One can filter the plus codes used by each national version from plus tables by the variable counries. Note that each plus code can be used by several countries.
One can filter the national versions of each code in the nat versions by the the plus code. Note that each nat code is on its own row.
One can filter the active codes by filtering the inactivated_at column for empty values
One can filter the codes that have been changed by filtering the updated_at column with the year at issue (for example '2020')
One can filter the new codes that have been added by filtering the created_at column with the year at issue (for example '2020')
one can filter the codes inactivated in a given year by filtering inactivated_at column with the year at issue (for example
You can also use any combination of these (newprodedure codes in Finland in 2020 - filter country with 'fin' and created at with '2000')
This file is updated by all dg and proc code changes that have been deliver to Nordic Casemix Centre.
The module for maintenance of the basic classifications (MBC) is separate from the maintenance of definition tables for NordDRG (NDMS).
The content of the attached file has now been transported to the NDMS part of the system and the codes have bee updated.
We still plan to work with the ATC codes to base the ICD+ and CSP+ on true 7 character ATC codes. This will not automatically affect the codes used for nationa purposes but will allow the use of true 7 (or even 8) character ATC codoes of the national version in the defintion tables.
Note that the ATC codes are included both in ICD+ and NCSP+.
#22 Updated by Kristīne Putniņa about 1 year ago
- File 2020-07-30_LAT2021PL0a (2)_corr_added_LV.xlsx added
- Target Grouper LAT added
The full feedback from LV you will find attached to this case.
1) proposal to change the names of 54 drg's for different reasons (the comments added in the last column);
2) rtc names given without diacritical marks,
3) in dg table for U07.0 added the correct name, 5 dg_nat doesn't corresponds to common dg (the comments added in the last column), plus included 852 ATC codes in dg tbl (the reason for that is not very clear for us),
4) 850 ATC codes included in proc tbl (the reason for that is not very clear for us).
#23 Updated by Kristiina Kahur about 1 year ago
Nordic Casemix Centre/Kristiina Kahur 5-10-2020
Below are the comments/feedback to Latvian feedback:
1) DRG names (short and full) are corrected according to suggestions. It is recommended to double-check the names during testing of 2021PR0 version
2) If there is a need to change the rtc names in LAT version due to the national requirements, we will change them in NDMS. Other than that, NDMS accepts the diacritical marks and there is no need to change the text for that reason.
a) U070 code text is corrected,
b) for time being we continue to used old ICD codes in ICD+ since the properties of given dg codes have not been changed. This can be discussed in next EG meeting if there is need for changes,
c) ATC are included in all version automatically even though all countries do not used them. Once we will be able to add separate classification for ATC and ATC+ codes they can be removed from national versions if not needed for grouping purposes.
4) see 3)a).
#24 Updated by Ralph Dahlgren about 1 year ago
2020-10-18 Ralph Dahlgren
Here comes a Swedish updated file for SWE PR 2021 definitiontables. This file replace the previous file from Sweden dated 2020-07-17.
Sweden is very late with this file due to the fact that we have received updates for 2021 until now. This file does not iclude the WHO-codes in case #724 that was put on Forum just the other day.
It is mostly it is textchanges.
#25 Updated by Ralph Dahlgren 12 months ago
- File Nya hjärtsviktskoder I501.xlsx added
Now this Swedish update is later than usual but is due to late incoming changes.
Out of a clinical perspective the changes are very relevant and needed due to the fact that during the last years new treatmens have been developed concerning heartfailure.
Sweden received these very late updates 27 october updates om text concerning ICD-10SE diagnoses I500 and I501.
The new text should be as below:
Then we also got some new codes concerning left hearfailure, they are shown below and has to be added to the ICD-sheet:
I501A Vänsterhjärtsvikt med nedsatt ejektionsfraktion (HFrEF) (English - Left hearfailure with dicreased ejection fraction, HFrEF)
I501B Vänsterhjärtsvikt med lätt nedsatt ejektionsfraktion (HFmrEF) (English - Left hearfailure with dicreased ejection fraction, HFmEF)
I501C Vänsterhjärtsvikt med bevarad ejektionsfraktion (HFpEF) (English - Left hearfailure with dicreased ejection fraction, HFpEF)
I501X Vänsterhjärtsvikt, ospecificerad (English - Left hearfailure, unspecified)
These new codes should have the same grouping properties as I501. These properties should be included in the ’dg-table’, complex table. Se the Excel-file included called ’ Nya hjärtsviktskoder I501.xlsx’ (=New heartfailure codes) where everything is included mentioned above.
Sweden will introduce this for 2021, if it is to late to do in NDMS we fully understand, it can wait for the centre to intoduce until later.
#26 Updated by Kristiina Kahur 11 months ago
- File 2020-11-12T09-15-38_mbc_com.xlsx added
- Status changed from Active to Closed
- Target Grouper COMMON added
Nordic Casemix Center/Kristiina Kahur 12-11-2020
By now, all updates in primary classification should have been taken into account and introduced into national 2021PR versions in NDMS. The current version of primary classifications (incl mapping to + codes) is attached to the ticket (2020-11-12T09-15-38_mbc_com). If any errata appear they should be handled separately.