| From : | |
| To : | Maia maglakelidze-khomeriki <Mmaglakelidze-khomeriki@ssa.gov.ge>; Mmaglakelidze-khomeriki@ssa.gov.ge; Maia Khomeriki <maia.mariam@gmail.com>; srostiashvili@ssa.gov.gesrostiashvili">srostiashvili@ssa.gov.gesrostiashvili@ssa.gov.ge; srostiashvili@ssa.gov.ge; itabatadze@ssa.gov.ge'itabatadze@ssa.gov.ge <itabatadze@ssa.gov.ge'itabatadze@ssa.gov.ge'>; itabatadze@ssa.gov.ge |
| Subject : | FW: Unknown diagnose codes in Georgian test data set and RTC=7 error cases |
| Received On : | 23.01.2019 08:34 |
| Attachments : |
Ketevan Goginashvili, MPH
Head of Health Policy Division
Health Care Department
Ministry of Internally displaced Persons
from Occupied Territories,
Labor, Health and Social Affairs
144 Tsereteli Ave
Tbilisi 0119, Georgia
Tel: +995 32 251 00 38 ext 1108
Mob: 995 577717984
From: Järveläinen Jussi [mailto:Jussi.Jarvelainen@prodacapo.com]
Sent: 16 January, 2019 14:26
To: Martti Virtanen; Ketevan Goginashvili
Cc: kristiina.kahur@nordcase.org; Serpola Pekka
Subject: RE: Unknown diagnose codes in Georgian test data set and RTC=7 error cases
Hello!
Thank-you for new tables.
In our testing we found that there are the following technical errors, that prohibit creating groupers correctly and also fail most test cases.
Illegal codes (extra characters + and ?, and header level procedure) in tables:
Table: Codes
icd.dbf: G711+, M470+, M500?
csp.dbf: ZX
dg_1.dbf: G711+, M470+, M500?
complex.dbf: M500?
Table: Testrule.dbf
* Could you remove extra (different than in the other NordDRG 2018-2019 versions) column LOG_ID from this table (having this in the future also for NordDRG is another topic, we’ll change then…)
These are quire technical and should be simple fixes. We do not have dBase (ForPro etc.) tools and in principle we should not edit definition tables from NCC by ourselves.
Best regards,
Jussi
Jussi Järveläinen
Director, R&D
Prodacapo Finland
+358-50-5492236
From: Martti Virtanen <martti.virtanen@nordcase.org>
Sent: 15. tammikuuta 2019 14:29
To: Järveläinen Jussi <Jussi.Jarvelainen@prodacapo.com>; 'Ketevan Goginashvili' <kgoginashvili@moh.gov.ge>
Cc: kristiina.kahur@nordcase.org
Subject: VS: Unknown diagnose codes in Georgian test data set and RTC=7 error cases
Sorry, the tables are in this attachment.
Martti
Martti Virtanen
CEO
Nordic Casemix Centre
Paciuksenkatu 19
00270 Helsinki
Finland
martti.virtanen(at)nordcase.org
+3585066728
Lähettäjä: Martti Virtanen <martti.virtanen@nordcase.org>
Lähetetty: maanantai 5. marraskuuta 2018 16.19
Vastaanottaja: 'Järveläinen Jussi' <Jussi.Jarvelainen@prodacapo.com>; 'Ketevan Goginashvili' <kgoginashvili@moh.gov.ge>
Kopio: 'kristiina.kahur@nordcase.org' <kristiina.kahur@nordcase.org>
Aihe: VS: Unknown diagnose codes in Georgian test data set and RTC=7 error cases
Dear Jussi and Ketevan
Most of the codes where either not marked as active or not included in the table of ICD-10 codes sent from Georgia.
Some existing codes may have errors in the data – maternal codes (O-codes) are not accepted for neonates and neonatal codes are not accepted for mother (or other adults)
My comments are below in the table marked with red
There are a number of inactive codes that might be in use.
I attach a list of these codes. When you have checked these codes, please send me a list of eventual corrections so that I can make a corrected version of the definition tables.
Greetings
Martti
Martti Virtanen
CEO
Nordic Casemix Centre
Paciuksenkatu 19
00270 Helsinki
Finland
martti.virtanen(at)nordcase.org
+3585066728
Lähettäjä: Järveläinen Jussi <Jussi.Jarvelainen@prodacapo.com>
Lähetetty: tiistai 30. lokakuuta 2018 12.59
Vastaanottaja: Ketevan Goginashvili <kgoginashvili@moh.gov.ge>; 'Martti Virtanen (martti.virtanen@nordcase.org)' <martti.virtanen@nordcase.org>
Aihe: Unknown diagnose codes in Georgian test data set and RTC=7 error cases
Hello!
As agreed on yesterday, attached a listing of diagnosis codes that didn’t group correctly when tested in VisualDRG, and cases where dg+pr combination was considered wrong or rare.
Part of errors (below) are symptom codes w/o etiology and postfixed w. *. You chould put these in data file without * character and include etiology and symptom in DG1A and DG1D fields separately, w/o special characters. Technically grouper groups those codes w/o etiology if you remove just * character but returns diagnosis status error: “Symptom w/o etiology”.
Some few cases were too old or young O800 (delivery), that are not erroneous codes as such but data entry or other data errors.
I cannot say if these others are wrong in data or missing in grouping definitions.
Erroneus codes (causing RTC=1 were):
rtc1 code A099 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now.
rtc1 code C141 NOT in icdcodes Not included. Not WHO ICD-10 code. Inactivated code in some ICD-10 version ‘Malignant neoplasm of laryngopharynx’ . I add it to the Georgian version now.
rtc1 code C809 NOT in icdcodes Not included (in the table sent form Georgia). C80 is included and a WHO code.
rtc1 code C814 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now.
rtc1 code C823 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code C846 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code C847 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code C849 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code C884 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code C903 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code C918 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code C946 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code D180 exists in icdcodes Is there a problem??
rtc1 code D630* NOT in icdcodes * is not part of the code, the code without * is included.
rtc1 code D638* NOT in icdcodes * is not part of the code, the code without * is included.
rtc1 code F130.0 NOT in icdcodes .0 is not part of the code, the code without .0 is included.
rtc1 code G460* NOT in icdcodes * is not part of the code, the code without * is included.
rtc1 code G468* NOT in icdcodes * is not part of the code, the code without * is included.
rtc1 code G941* NOT in icdcodes * is not part of the code, the code without * is included.
rtc1 code G992* NOT in icdcodes * is not part of the code, the code without * is included.
rtc1 code H360* NOT in icdcodes * is not part of the code, the code without * is included.
rtc1 code I798* NOT in icdcodes * is not part of the code, the code without * is included.
rtc1 code J80 NOT in icdcodes Not included (in the table sent form Georgia). Not original ICD-10 code, added later. I add it to the Georgian version now.
rtc1 code J91* NOT in icdcodes * is not part of the code, the code without * is included.
rtc1 code K352 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code K353 NOT in icdcodes Wrong code and not primary code (in table sent from Georgia). Corrected code added and activated.
rtc1 code K433 NOT in icdcodes Not included (in the table sent form Georgia). Not original ICD-10 code. I add to the Georgian version now
rtc1 code K436 NOT in icdcodes Not included (in the table sent form Georgia). Not original ICD-10 code. I add to the Georgian version now
rtc1 code K437 NOT in icdcodes Not included (in the table sent form Georgia). Not original ICD-10 code. I add to the Georgian version now
rtc1 code K640 NOT in icdcodes Not included (in the table sent form Georgia). Not original ICD-10 code, original code I8420. I add to the Georgian version now
rtc1 code K642 NOT in icdcodes Not included (in the table sent form Georgia). Not original ICD-10 code, original code I8420. I add to the Georgian version now
rtc1 code K643 NOT in icdcodes Not included (in the table sent form Georgia). Not original ICD-10 code, original code I8420. I add to the Georgian version now
rtc1 code K648 NOT in icdcodes Not included (in the table sent form Georgia). Not original ICD-10 code, original code I840. I add to the Georgian version now
rtc1 code K851 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code K852 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code K858 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code K859 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code L00 NOT in icdcodes Not included (in the table sent form Georgia). I add it to the Georgian version now.
rtc1 code L893 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code M500ãë NOT in icdcodes ãë is not part of the code, the code without ãë is included.
rtc1 code M688* NOT in icdcodes * is not part of the code, the code without * is included
rtc1 code M738* NOT in icdcodes * is not part of the code, the code without * is included
rtc1 code M796 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code N185 NOT in icdcodes Not included (in the table sent form Georgia). Not original ICD-10 code. I add to the Georgian version now
rtc1 code N19 NOT in icdcodes Not included (in the table sent form Georgia). Not original ICD-10 code. I add to the Georgian version now
rtc1 code O031 exists in icdcodes Is there a problem??
rtc1 code O601 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code O603 NOT in icdcodes Not marked as primary code (in the table sent form Georgia), thus inactive. I activate it now
rtc1 code O800 exists in icdcodes Is there a problem??
rtc1 code P285 exists in icdcodes Is there a problem??
rtc1 code R500 exists in icdcodes Is there a problem??
rtc1 code Z381 exists in icdcodes Is there a problem??
Example:

Cases (in demo data sample) causing RTC 7 Rare or false combination of dg and pr
Encouter ID 1060784744
Diagnose 1. I500 გულის შეგუბებითი უკმარისობა
Diagnose 2. I500 გულის შეგუბებითი უკმარისობა
Diagnose 3. R33 შარდის შეკავება
Diagnose 4.
Diagnose 5.
Diagnose 6.
Diagnose 7.
Diagnose 8.
Diagnose 9.
Diagnose 10.
Procedure 1. WAA899 სხვა ინტენსიური თერაპიის მონიტორინგი
Procedure 2.
Procedure 3.
Procedure 4.
Procedure 5.
Procedure 6.
Procedure 7.
Procedure 8.
Procedure 9.
Procedure 10. WAA899 სხვა ინტენსიური თერაპიის მონიტორინგი
Sex: Male
Age: 31250
Discharge: End of treatment
Length of stay (in days): 4
DRG: 477 სხვა იშვიათი ან არასწორი კომბინაცია
MDC: 99 არასპეციფიკური და მცდარი ინფორმაცია
RTC: 7 Rare of false combination of diagnosis and procedu
DRG weight: 1,1654
LOS limits: 0 - 0
Cost limits: 0 - 0 GEL
Revenue: 630,56 GEL
Additional patient information
Encouter ID 1118897702
Diagnose 1. C504 სარძევე ჯირკვლის ზემო-გარეთა კვადრანტის ავთვისებიანი სიმსივნე
Diagnose 2. E042 არატოქსიური მრავალკვანძოვანი ჩიყვი
Diagnose 3.
Diagnose 4.
Diagnose 5.
Diagnose 6.
Diagnose 7.
Diagnose 8.
Diagnose 9.
Diagnose 10.
Procedure 1. BASA60 სრული თიროიდექტომია
Procedure 2. LCSD00 ჰისტერექტომია
Procedure 3.
Procedure 4.
Procedure 5.
Procedure 6.
Procedure 7.
Procedure 8.
Procedure 9.
Procedure 10. BASA60 სრული თიროიდექტომია
Sex: Female
Age: 20813
Discharge: End of treatment
Length of stay (in days): 7
DRG: 477 სხვა იშვიათი ან არასწორი კომბინაცია
MDC: 99 არასპეციფიკური და მცდარი ინფორმაცია
RTC: 7 Rare of false combination of diagnosis and procedu
DRG weight: 1,1654
LOS limits: 0 - 0
Cost limits: 0 - 0 GEL
Revenue: 630,56 GEL
Additional patient information
Encouter ID 114080009
Diagnose 1. Z420 შემდგომი დახმარება თავისა და კისრის არეში აღდგენითი ქირურგიული ჩარევის გამოყენებით
Diagnose 2.
Diagnose 3.
Diagnose 4.
Diagnose 5.
Diagnose 6.
Diagnose 7.
Diagnose 8.
Diagnose 9.
Diagnose 10.
Procedure 1. AASK00 კრანიოპლასტიკა
Procedure 2.
Procedure 3.
Procedure 4.
Procedure 5.
Procedure 6.
Procedure 7.
Procedure 8.
Procedure 9.
Procedure 10.
Sex: Female
Age: 19431
Discharge: End of treatment
Length of stay (in days): 9
DRG: 468 ძალიან იშვიათი ან არასწორი კომბინაციები
MDC: 99 არასპეციფიკური და მცდარი ინფორმაცია
RTC: 7 Rare of false combination of diagnosis and procedu
DRG weight: 1,9343
LOS limits: 0 - 0
Cost limits: 0 - 0 GEL
Revenue: 1 046,59 GEL
Additional patient information
Encouter ID 1127020545
Diagnose 1. K650 მწვავე პერიტონიტი
Diagnose 2.
Diagnose 3.
Diagnose 4.
Diagnose 5.
Diagnose 6.
Diagnose 7.
Diagnose 8.
Diagnose 9.
Diagnose 10.
Procedure 1. JKSA20 ქოლეცისტექტომია
Procedure 2.
Procedure 3.
Procedure 4.
Procedure 5.
Procedure 6.
Procedure 7.
Procedure 8.
Procedure 9.
Procedure 10.
Sex: Male
Age: 22855
Discharge: End of treatment
Length of stay (in days): 9
DRG: 477 სხვა იშვიათი ან არასწორი კომბინაცია
MDC: 99 არასპეციფიკური და მცდარი ინფორმაცია
RTC: 7 Rare of false combination of diagnosis and procedu
DRG weight: 1,1654
LOS limits: 0 - 0
Cost limits: 0 - 0 GEL
Revenue: 630,56 GEL
Additional patient information
Encouter ID 113591472
Diagnose 1. K922 გასტრო-ინტესტინური სისხლდენა, დაუზუსტებელი
Diagnose 2. K801 ნაღვლის ბუშტის ქვები სხვა სახის ქოლეცისტიტთან ერთად
Diagnose 3.
Diagnose 4.
Diagnose 5.
Diagnose 6.
Diagnose 7.
Diagnose 8.
Diagnose 9.
Diagnose 10.
Procedure 1. JKSD96 სხვა ბილიოდიგესტიური ანასტომოზი ამოკვეთის გარეშე
Procedure 2.
Procedure 3.
Procedure 4.
Procedure 5.
Procedure 6.
Procedure 7.
Procedure 8.
Procedure 9.
Procedure 10. JKSA20 ქოლეცისტექტომია
Sex: Female
Age: 28663
Discharge: End of treatment
Length of stay (in days): 16
DRG: 477 სხვა იშვიათი ან არასწორი კომბინაცია
MDC: 99 არასპეციფიკური და მცდარი ინფორმაცია
RTC: 7 Rare of false combination of diagnosis and procedu
DRG weight: 1,1654
LOS limits: 0 - 0
Cost limits: 0 - 0 GEL
Revenue: 630,56 GEL
Additional patient information
Best regards,
Jussi