Kristiina Kahur
- Priority changed from Minor to Major
Kristiina Kahur
Nordic Casemix Centre/Kristiina Kahur 4-9-2023
Copying here Martti's reflection on how potentially to deal with this issue:
The problem of gender specific DRG in NordDRG is already solved but the problem of dx’s that can be used for both male and female reproduction problems is still there.
I think that the simplest solution is to combine MDC 12 and 13 (f.ex. to MDC 98).
This means that all 12Mxx and 13Mxx dgcat’s have to be changed to 98Mxx dgcat’s . The 12M03 and 13M03 (for infections can be combined and result in one ant the same DRG undependent on gender.
Other Dgcat and DRG’s may stay indepndlent because they are based on different antantomial organs. The codes need to be selected.
There is one code with dgcat 98M01 that needs consideration. Maybe it should be combined with current DRG for female malignancies. This needs some cost analysis.
Other properties may stay as they are.
Kristiina Kahur
2023-09-04 Expert Group
The issue was discussed in the Autumn meeting. Countries are invited to analyse the proposed change from clinical and economical point of view. To start with, the approach (provided by Martti) how to change the DGCATs in MDC 12 and 13 into new ones in MDC98 can be followed.
If there are more than one country interested in this analysis, it makes sense to create a cross-country working group. The NCC is eager to coordinate the cooperation. Those interested, please let the NCC know.
This case remains further active.
Kristiina Kahur
2024-03-12 Expert Group
Finland is about to conduct an analysis in 2024. If any other country wants to join, a separate working group can be established to discuss and develop a solution.
This task will remain active.
Kristiina Kahur
2024-09-04 Expert Group
The work is in progress in Finland.
This task will remain active for further updates.
Kristiina Kahur
2025-09-02 Expert group
This case was briefly discussed during EG meeting
There have been no further updates from Finland due to the complexity of the issue and the prioritization of more urgent matters.
We keep this case further active and return when any updates.