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DTSTAMP:20260625T154133Z
UID:818@nordcaseforum.easyredmine.com
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CLASS:PUBLIC
CREATED:20220217T110606
DESCRIPTION:Mats Fernström\, the National Board of Health and Welfare\, Sw
 eden 2022-02-17 (SWE ID C926) It has been pointed out that I did not menti
 on inactive complication categories with the letter J in my documents “H
 ow to read NordDRG definition tables 2021-12-20” and “How to write tec
 hnical changes for NordDRG - 2021-12-21”.&nbsp\; The purpose of COMPL va
 lues with the letter J is that they shall be activated to a corresponding 
 COMPL value with the letter G (= MCC level) by certain DGPROP values (simi
 lar to activation of COMPL values with the letter I) and then potentially 
 leading to a DRG of the type “very complicated”\, i.e. with MCC. I int
 entionally omitted this\, because inactive complication categories with th
 e letter J are not used in any version of NordDRG and they will probably n
 ever be used in the future either. What diagnosis should have the potentia
 l to elevate a patient case from ‘not complicated’ all the way to ‘v
 ery complicated’ without already having a COMPL value with the letter G?
  I doubt that we will find such a diagnosis.  Then I believe more in devel
 oping NordDRG so that two or more diagnoses with CC property will generate
  MCC property. Something that speaks for this\, is that there is a strong 
 connection between the number of diagnoses and cost\, see the enclosed fil
 e Cost_number_dx.xlsx.&nbsp\; A function that generates a MCC property whe
 n two or more CC properties are present cannot just count the number of di
 agnoses\, however. It will be too blunt. We experts must be able to choose
  which categories that should generate MCC property. Technically\, it can 
 be done in a similar way as the present activation of inactive complicatio
 n categories.  The suggested development of NordDRG demands changes in the
  program code for the groupers so it could preferably be done in connectio
 n with transition to ICD-11\, when the groupers must be re-programmed anyh
 ow.&nbsp\; If there is an interest in such a development\, we can go on wi
 th the analysis and suggest some complication categories that together sho
 uld lead to "MCC". Otherwise\, we close the case (or continue on the sly).
LAST-MODIFIED:20250904T050519
ORGANIZER:mailto:mats.fernstrom@socialstyrelsen.se
PRIORITY:5
SEQUENCE:0
STATUS:CONFIRMED
SUMMARY:Multiple CC will lead to MCC
URL;VALUE=URI:https://nordcaseforum.easyredmine.com/issues/818
ATTENDEE;CN=Mats Fernström:mailto:mats.fernstrom@socialstyrelsen.se
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