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<div class="journal-details-container"> <h4> Task #928 has been updated by Lotta Sokka. </h4> <div class="details"> <span><strong>Attachment</strong> <a title="Download file" target="_blank" href="https://nordcaseforum.easyredmine.com/attachments/2671/COMB_terminology_updates_2025.xlsx?t=1726209593">COMB_terminology_updates_2025.xlsx</a> added</span><br/> <span><strong>Attachment</strong> <a title="Download file" target="_blank" href="https://nordcaseforum.easyredmine.com/attachments/2672/%23928.pdf?t=1726209600">#928.pdf</a> added</span><br/> </div> <div id="journal-4737-notes" class="note"><p><strong>2024-09-04 Expert Group</strong></p><p>This case was discussed in the Expert Group meeting and the following decisions were made. We kindly ask you to go through them, as well as the <i>technical changes file </i>(COMB_terminology_updates_2025.xlsx) attached. <strong>If you wish to comment on any of the changes, please do so by the 19th of September</strong>, after which the changes will be implemented.</p><p>Please remember that these changes concern only the Combined version and don’t affect the actual grouping.</p><p> </p><p>1. The use of the DRG <i>short name</i></p><p>None of the countries actively uses the short name. However, we will keep the short names as they are at the moment. In the future, as new DRGs are added to the grouper, the short name will primarily be named the same as the long name.</p><p> </p><p>2. The use of the words <i>disease</i> and <i>disorder</i></p><p>There is a difference in the meaning of these two words, so both are needed. The DRG comb names with <i>disease <strong>and</strong> disorder </i>(n=3) will be changed to <i>disease <strong>or</strong> disorder</i>. Otherwise, the use of these words will remain as it is.</p><p> </p><p>3. The use of words <i>procedure</i>, <i>operation</i> and <i>intervention</i></p><p>The meaning of these words differs, so they all are needed. No changes in the use of these.</p><p> </p><p>4. The use of singular or plural forms of words</p><p>In DRG comb names with the word <strong>other </strong>(procedures), a plural form of the word procedure will be used. Otherwise, the names will remain as they are.</p><p> </p><p>5. The use of the sign &</p><p>All the & -signs will be replaced with the word <strong>and</strong></p><p><strong> </strong></p><p>6. The use of the term of the vs. (just) of</p><p>As it’s difficult to define when the phrase ‘of the’ should be used, these names will be left as they are. We might get back to this question as new DRGs are created.</p><p> </p><p>7. The use of abbreviations</p><p>It was decided that all the abbreviations in DRG combined names will be replaced by complete words. At this stage the change concerns the following abbreviations / words:</p><p>GI (n = 7) -> gastrointestinal</p><p>D&C (n = 15) -> dilation and curettage</p><p>Uri (n = 5) -> upper respiratory infection</p><p> </p><p>8. The correct spelling of the words</p><ul> <li>'haemorrhage’ vs. 'hemorrhage’: we use the word <strong>haemorrhage</strong> as this kind of spelling is used in ICD-10.</li> <li>'leukaemia’ vs. 'leukemia’: we use the word <strong>leaukaemia</strong> as this kind of spelling is used in ICD-10.</li> <li>‘lymphoma’ vs. ‘lymfoma’: we use the word <strong>lymphoma</strong> as (again) used in ICD-10</li> <li>‘allogeneic’ vs. ‘allogenic’: we use the word <strong>allogeneic</strong>. Both words are correct, but allogeneic is used more widely in academic literature. This change also concerns the name of 11 proc plus codes.</li> </ul><p> </p><p>This ticket will stay open for further comments or suggestions on the subject.</p></div></div> <hr/> <p>While revising the <i>DRG</i> and <i>grouping property names</i> in the Combined version we discovered some irregularities, which we wish to discuss in the forthcoming Expert Group meeting. The aim is to agree on some common rules to be followed in the future.</p><p> </p><p>Things to be discussed:</p><p>1. The use of words <strong>disease </strong>and<strong> disorder </strong>(e.g. 207C <i><strong>Diseases </strong>of pancreas except malignancy, w CC</i> / 207C <i><strong>Disorders</strong> of biliary tract, w CC</i> / 907O <i><strong>Disease or disorder</strong> of the hepatobiliary system, short therapy w/o significant procedure</i>). In which cases should either one be used?</p><p>2. The use of words <strong>procedure</strong>, <strong>operation </strong>and<strong> intervention</strong> (e.g. 493X <i>Endoscopic or laparoscopic <strong>operation</strong> on gallbladder, w CC</i> / 471N <i>Bilateral or multiple major joint <strong>procedures</strong> of extremities</i> / 209O <i>Major joint <strong>procedures</strong> of lower extremity, not <strong>reoperation</strong>, short therapy / </i>470H<i> False combination of diagnosis and <strong>intervention</strong></i>). In which cases should each one be used?</p><p>3. The use of singular or plural forms of words (e.g. 088X <i>Chronic obstructive pulmonary <strong>disease</strong></i><strong> </strong>vs. 088M <i>Chronic obstructive pulmonary <strong>diseases</strong></i>, w MCC). In which cases should either one be used?</p><p>4. The use of the sign <strong>&</strong> (e.g. 248C <i>Tendonitis, myositis <strong>&</strong> bursitis</i>, w CC / 404X Lymphoma <strong>&</strong> non-acute leukemia, w/o CC). Should it be used, or should we always use the word <strong>and</strong> instead?</p><p>5. The use of the term <strong>of the </strong>vs. just <strong>of</strong> (e.g. 350X Inflammation <strong>of the</strong> male reproductive system / 911FB <i>Malignancy <strong>of </strong>kidney and urinary tract, cytostatic therapy, short therapy</i>)<i>. </i>Should the use of these be unified too?</p><p> </p><p>Should any of the countries want to raise other issues under discussion, they can be added to the comments of this case.</p>
