| Knowledge Based Mining of Medical Data using Internet Business Logic | | (Please see the IBL Frequently Asked Questions for a brief discussion of this kind of mining) | | We look for overlapping in-patient and out-patient treatements that may be medically inconsistent | | Version 20041209 patient some-number date some-start1 some-fin1 had in-patient treatment for some-condition1 patient that-number date some-start2 some-fin2 had out-patient treatment for some-condition2 the period that-start1 to that-fin1 overlaps with the period that-start2 to that-fin2 ------------------------------------------------------------------------------------------------------------------- patient that-number had in-patient treatment that-condition1 overlapping with out-patient treatment that-condition2 patient some-number date some-start some-fin some-in/out some-condition $ some-cost ----------------------------------------------------------------------------------------- patient that-number date that-start that-fin had that-in/out treatment for that-condition patient some-number date some-start some-fin some-in/out some-condition $ some-cost the category some-category includes the condition: that-condition ------------------------------------------------------------------------------------------------------------------- patient that-number date that-start that-fin had that-in/out treatment in the category that-category net $ that-cost some-start1 is less than or equal some-fin2 some-start2 is less than or equal some-fin1 ------------------------------------------------------------------------------------- the period that-start1 to that-fin1 overlaps with the period that-start2 to that-fin2 data part 1 eg-lno eg-adm-day eg-adm-dte eg-adm-m eg-adm-y eg-adm-type eg-age eg-surgcd eg-applind eg-capage eg-case-id ------------------------------------------------------------------------------------------------------------------------- line eg-lno in part 1 of the Case table has admission date eg-adm-dte line eg-lno in part 1 of the Case table has admission date eg-adm-dte eg-adm-dte can also be written as eg-start ---------------------------------------------------------------------------------------------- line eg-lno in part 1 of the Case table has an admission date corresponding to eg-start data part 2 eg-lno eg-ccprod eg-cohort eg-contract eg-branch eg-control eg-cvgcd eg-days eg-daylast eg-daynext ---------------------------------------------------------------------------------------------------------------- line eg-lno in part 2 of the Case table has number of days eg-days data part 3 eg-lno eg-drg eg-drgscl eg-dstatus eg-empid eg-emprel eg-ampstat eg-empzip eg-explos ---------------------------------------------------------------------------------------------------------------- line eg-lno in part 3 of the Case table has Diagnosis Related Group eg-drg data part 5 eg-lno eg-losscale eg-mdc eg-number eg-norsgrp eg-othchg eg-othnet eg-othpay eg-oop ---------------------------------------------------------------------------------------------------------------- line eg-lno in part 5 of the Case table has member number eg-number data part 7 eg-lno eg-prodln eg-qcdthcd eg-qctrace eg-qccd eg-rptby eg-salesrgo eg-sex eg-system eg-totchg eg-totcoins ---------------------------------------------------------------------------------------------------------------- line eg-lno in part 7 of the Case table has total charge $ eg-totchg data part 10 eg-lno eg-totded eg-trmlos eg-trmpdm eg-unichain eg-unihosp ---------------------------------------------------------------------------------------------------------------- line eg-lno in part 10 of the Case table has total deductible $ eg-totded line eg-lno in part 1 of the Case table has an admission date corresponding to eg-start line eg-lno in part 2 of the Case table has number of days eg-days eg-days day(s) after eg-start is eg-end line eg-lno in part 3 of the Case table has Diagnosis Related Group eg-drg the drg code eg-drg describes the Diagnosis Related Group eg-description line eg-lno in part 5 of the Case table has member number eg-number line eg-lno in part 7 of the Case table has total charge $ eg-totchg line eg-lno in part 10 of the Case table has total deductible $ eg-totded eg-totchg - eg-totded = eg-cost ---------------------------------------------------------------------------------------------------------------------- patient eg-number date eg-start eg-end in-patient eg-description $ eg-cost Course of Treatment 2 eg-lno eg-svc-date eg-geoloc eg-svc-to eg-number eg-num-claims eg-oop eg-svc-date can also be written as eg-start eg-svc-to can also be written as eg-end --------------------------------------------------------------------------------------------------------------- line eg-lno in part 2 of the Course of Treatment table is for member No. eg-number start: eg-start end: eg-end Course of Treatment 4 eg-lno eg-provspec eg-provtyp eg-sex eg-surgind eg-totchg eg-totnet eg-totsvcct eg-totpay eg-group ------------------------------------------------------------------------------------------------------------------------------ line eg-lno in part 4 of the Course of Treatment table has charge $ eg-totchg and net $ eg-totnet for treatment eg-group line eg-lno in part 2 of the Course of Treatment table is for member No. eg-number start: eg-start end: eg-end line eg-lno in part 4 of the Course of Treatment table has charge $ eg-totchg and net $ eg-totnet for treatment eg-group COT group eg-group has the description some-description (based upon Harrington's patterns of treatment) ---------------------------------------------------------------------------------------------------------------------- patient eg-number date eg-start eg-end out-patient eg-description $ eg-totnet data part 10 eg-lno eg-totded eg-trmlos eg-trmpdm eg-unichain eg-unihosp ==================================================================================== 1 92 0 0 1935 3245601 2 110 0 0 5585 2091001 3 0 0 0 5585 2091001 4 0 -1 -1 5585 2091001 5 115 0 0 0975 1390501 6 84 0 -1 - 1390301 7 115 0 -2 - 1390301 8 264 -1 0 - -DAPMCORP 9 327 0 0 - 681001 10 0 0 0 0975 1390501 11 76 1 -1 0975 1390501 12 84 1 -1 - 1390301 13 130 3 3 7555 9202501 14 0 0 0 - 3343201 15 124 0 0 3015 3370701 16 66 0 -1 - -400001 17 104 0 1 - 3006701 18 0 0 0 - -400019 19 84 0 0 - 1390301 20 211 0 0 - 6061701 21 112 1 0 9265 6811402 22 0 0 0 9265 6811402 23 108 0 -1 - 6278101 24 136 2 0 5185 6314102 25 0 1 -1 5185 6314102 26 250 0 0 2345 7610404 27 120 -1 0 1235 6621501 28 80 0 0 6525 7709001 29 0 0 0 6525 7709001 30 -41 1 0 - 6411101 31 0 -2 3 - 6411101 32 76 0 0 1935 3245601 33 100 0 0 - 3361401 34 115 0 0 - 650401 35 230 0 0 - 2771001 36 0 0 0 - 2771001 37 150 -1 0 - 2771001 38 0 0 -1 - 3723201 39 76 0 0 0975 1390501 40 0 -1 0 0675 1884001 41 76 -1 0 0975 1390501 42 115 0 0 - 1390301 43 117 0 -1 - 1390301 44 0 0 -1 - 1390301 45 0 1 -1 - 1390301 46 194 1 -1 - 1257201 47 0 0 1 - 1257201 48 229 0 0 - 2211001 49 96 0 0 - 2211001 50 101 0 0 - 2218601 51 0 0 0 - 1390301 52 84 0 -1 - 1390301 53 101 -1 0 - 3342801 54 0 0 0 - 3313604 55 0 0 0 - 3343201 data part 7 eg-lno eg-prodln eg-qcdthcd eg-qctrace eg-qccd eg-rptby eg-salesrgo eg-sex eg-system eg-totchg eg-totcoins ================================================================================================================================== 1 I 0 0 0 0 - 2 5 1835 0 2 I 0 0 0 0 X 2 5 5213 0 3 I 0 0 0 0 - 1 5 2005 0 4 I 0 0 0 0 - 1 5 246 0 5 I 0 0 0 0 - 1 5 1216 0 6 I 0 0 0 0 X 2 5 4011 0 7 I 0 0 0 0 - 2 5 3065 0 8 I 0 0 0 0 - 2 5 1512 0 9 I 0 0 0 0 X 2 5 6104 0 10 I 0 0 0 0 - 1 5 2186 0 11 I 0 2 0 0 - 1 5 3977 0 12 I 0 0 0 0 - 1 5 7261 0 13 I 0 0 0 0 - 1 5 4621 0 14 I 0 0 0 0 X 2 2 7574 3 15 I 0 0 0 0 X 2 2 20461 26 16 I 0 3 0 0 X 2 2 4721 4 17 I 0 0 0 0 X 2 2 4552 115 18 I 0 0 0 0 X 2 2 8762 382 19 I 0 0 0 0 X 2 2 2200 0 20 I 0 0 0 0 X 1 2 4914 36 21 I 0 0 0 0 X 2 2 4624 0 22 I 0 0 0 0 X 1 2 1101 14 23 I 0 0 0 0 X 1 2 6133 166 24 I 0 0 0 0 X 2 2 8252 113 25 I 0 0 0 0 X 2 2 3540 0 26 I 0 2 0 0 X 1 2 5028 98 27 I 0 1 0 0 X 2 2 7626 33 28 I 0 0 0 0 X 2 2 3405 0 29 I 0 0 0 0 X 1 2 1113 30 30 I 0 0 0 0 X 1 2 95014 671 31 I 0 0 0 0 X 1 2 11662 2 32 I 0 0 0 0 X 2 2 4489 130 33 I 0 0 0 0 X 2 2 2725 127 34 I 0 0 0 0 X 2 2 16045 118 35 I 0 0 0 0 X 1 2 28671 184 36 I 0 0 0 0 X 1 2 26192 82 37 I -1 0 0 0 X 1 2 2625 111 38 I 0 0 0 0 X 2 2 656 29 39 I 0 0 0 0 X 1 2 2142 20 40 I 0 0 0 0 X 1 2 1467 4 41 I 0 0 0 0 X 2 2 2083 1 42 I 0 0 0 0 X 2 2 9655 582 43 I 0 0 0 0 X 2 2 1545 24 44 I 0 3 0 0 X 2 2 6060 1 45 I 0 0 0 0 X 1 2 1057 24 46 I 0 0 0 0 X 2 2 3801 0 47 I 0 0 0 0 X 2 2 2335 25 48 I 0 0 0 0 X 2 2 2484 90 49 I 0 2 0 0 X 2 2 2829 90 50 I 0 0 0 0 X 2 2 4852 0 51 I 0 0 0 0 X 1 2 982 33 52 I 0 2 0 0 X 1 2 1672 37 53 I 0 0 0 0 X 2 2 1471 70 54 I 0 0 0 0 X 2 2 30455 10 55 I 0 0 0 0 X 2 2 7478 75 data part 5 eg-lno eg-losscale eg-mdc eg-number eg-norsgrp eg-othchg eg-othnet eg-othpay eg-oop ============================================================================================================ 1 0 6 302690301 0 0 0 0 92 2 0 14 521049571 0 450 450 450 110 3 0 18 301910621 0 0 0 0 0 4 0 15 301910622 0 0 0 0 0 5 0 11 735913740 0 0 0 0 115 6 0 13 283563951 0 115 115 115 84 7 0 13 283563951 0 0 0 0 115 8 0 19 283563951 0 0 0 0 264 9 0 14 521049571 0 0 0 0 327 10 0 17 735913740 0 0 0 0 0 11 0 11 735913740 0 0 0 0 76 12 0 5 735913740 0 0 0 0 84 13 0 11 735913740 0 0 0 0 130 14 0 6 521049571 0 415 411 415 3 15 0 8 283563951 0 1691 342 1691 150 16 0 14 521049571 0 762 758 762 70 17 0 6 521049571 0 581 536 581 219 18 0 1 521049571 0 692 595 647 382 19 0 14 283563951 0 0 0 0 84 20 0 3 301690414 0 8 7 8 247 21 0 14 283563951 0 576 576 576 112 22 0 15 301911218 0 95 95 95 14 23 0 18 739713743 0 674 135 674 274 24 0 14 283563951 0 43 35 43 249 25 0 14 283563951 0 0 0 0 0 26 0 4 735913740 0 586 414 586 348 27 0 8 302720601 0 394 361 394 153 28 0 14 521049571 0 42 42 42 80 29 0 15 301920406 0 35 35 35 30 30 0 4 739713743 0 2814 4555 2814 630 31 0 5 739713743 0 1037 1035 1037 2 32 0 8 283563951 0 600 487 600 206 33 0 6 283563951 0 460 398 460 227 34 0 11 283563951 0 75 69 75 233 35 0 5 735913740 0 437 428 437 414 36 0 5 735913740 0 126 100 126 82 37 0 4 301740328 0 23 18 23 261 38 0 15 302920713 0 12 0 12 29 39 0 11 735913740 0 149 149 149 96 40 0 3 735913740 0 20 16 20 4 41 0 9 521049571 0 4 3 4 77 42 0 13 521049571 0 0 0 0 697 43 0 14 283563951 0 33 0 33 141 44 0 14 283563951 0 6 5 6 1 45 0 15 301910225 0 0 0 0 24 46 0 14 283563951 0 0 0 0 194 47 0 15 302920611 0 0 0 0 25 48 0 14 283563951 0 135 17 135 319 49 0 11 283563951 0 165 51 165 186 50 0 14 283563951 0 0 0 0 101 51 0 15 301910418 0 0 0 0 33 52 0 4 301910418 0 185 37 185 121 53 0 14 521049571 0 29 23 29 171 54 0 13 521049571 0 3010 2860 3010 10 55 0 17 521049571 0 0 0 0 75 data part 3 eg-lno eg-drg eg-drgscl eg-dstatus eg-empid eg-emprel eg-ampstat eg-empzip eg-explos -------------------------------------------------------------------------------------------------------- eg-drg is a drg code in the data part 3 table data part 3 eg-lno eg-drg eg-drgscl eg-dstatus eg-empid eg-emprel eg-ampstat eg-empzip eg-explos ============================================================================================================= 49 321 0 1 240120048 2 0 22110 0 50 373 0 1 240770078 2 0 22115 0 51 391 0 1 240340058 3 0 13790 0 52 91 0 1 240340058 3 0 13790 0 53 383 0 1 240170048 1 4 33433 0 54 353 0 1 240170048 1 4 33433 0 55 410 0 1 240170048 1 4 33433 0 data part 2 eg-lno eg-ccprod eg-cohort eg-contract eg-branch eg-control eg-cvgcd eg-days eg-daylast eg-daynext ========================================================================================================================== 1 N 8 0 BCA 13660 3 2 0 0 2 N 8 0 BCA 13660 3 2 0 0 3 N 1 0 BCA 13660 3 3 0 0 4 N 1 0 BCA 13660 3 1 0 0 5 N 3 0 BCA 13660 3 1 349 0 6 N 10 0 BCA 13660 3 4 0 391 7 N 10 0 BCA 13660 3 4 391 0 8 N 8 0 BCA 13660 3 3 0 0 9 N 8 0 BCA 13660 3 2 0 0 10 N 5 0 BCR 13660 3 2 0 81 11 N 6 0 BCR 13660 3 9 0 187 12 N 6 0 BCR 13660 3 15 220 0 13 N 6 0 BCR 13660 3 1 0 0 14 N 9 0 SS1 13660 1 5 25 0 15 Y 12 0 SS2 13660 6 7 0 0 16 N 8 0 002 13660 1 4 0 136 17 N 8 0 002 13660 1 2 136 20 18 N 8 0 002 13660 1 11 20 0 19 N 8 0 002 13660 1 1 0 0 20 N 2 0 005 13660 1 3 0 0 21 N 9 0 005 13660 1 3 0 0 22 N 1 0 005 13660 1 3 0 0 23 N 5 0 005 13660 1 8 0 0 24 N 9 0 005 13660 1 13 0 36 25 N 9 0 005 13660 1 3 36 0 26 N 4 0 010 13660 1 3 0 0 27 N 8 0 010 13660 1 2 0 0 28 N 9 0 010 13660 1 2 0 0 29 N 1 0 010 13660 1 2 0 0 30 N 3 0 010 13660 1 29 0 28 31 N 3 0 010 13660 1 1 28 0 32 N 10 0 020 13660 1 6 0 99 33 N 10 0 020 13660 1 3 99 301 34 N 9 0 020 13660 1 5 0 0 35 N 4 0 020 13660 1 8 0 68 36 N 4 0 020 13660 1 5 68 0 37 N 1 0 020 13660 1 1 0 0 38 N 7 0 020 13660 1 3 0 0 39 N 3 0 040 13660 1 2 0 349 40 N 3 0 040 13660 1 1 0 0 41 N 9 0 040 13660 1 1 0 0 42 N 9 0 040 13660 1 4 0 0 43 N 8 0 040 13660 1 3 0 23 44 N 8 0 040 13660 1 5 23 0 45 N 1 0 040 13660 1 4 0 0 46 N 8 0 046 13660 1 4 0 0 47 N 7 0 046 13660 1 3 0 0 48 N 9 0 054 13660 1 4 0 0 49 N 8 0 054 13660 1 3 0 0 50 N 8 0 054 13660 1 2 0 0 51 N 1 0 055 13660 1 2 0 247 52 N 1 0 055 13660 1 4 247 0 53 N 9 0 061 13660 1 1 0 8 54 N 9 0 061 13660 1 8 8 17 55 N 9 0 061 13660 1 4 17 150 data part 1 eg-lno eg-adm-day eg-adm-dte eg-adm-m eg-adm-y eg-adm-type eg-age eg-surgcd eg-applind eg-capage eg-case-id ===================================================================================================================================== 1 4 09JAN91 1 1991 2 21 0 Y I 40006 2 6 21JUN91 6 1991 3 32 0 Y K 40023 3 3 23JUL91 7 1991 2 0 0 Y A 40024 4 7 22JUN91 6 1991 3 0 0 Y A 40025 5 1 28JUN92 6 1992 2 38 0 Y L 40047 6 6 18JAN91 1 1991 1 48 0 Y N 40065 7 2 17FEB92 2 1992 1 49 0 Y N 40066 8 1 14APR91 4 1991 4 27 0 Y J 40070 9 4 02JAN91 1 1991 3 30 0 Y K 40083 10 2 21JAN91 1 1991 2 59 0 Y P 40027 11 4 11SEP91 9 1991 2 70 0 D S 40030 12 2 23DEC91 12 1991 2 73 0 Y S 40034 13 4 23JAN91 1 1991 1 68 0 Y R 40035 14 4 05FEB92 2 1992 2 38 0 Y L 40059 15 6 15NOV91 11 1991 1 71 0 Y S 40054 16 3 11JUN91 6 1991 3 34 0 Y K 40060 17 3 29OCT91 10 1991 2 34 0 Y K 40061 18 4 20NOV91 11 1991 2 34 0 Y K 40062 19 2 18MAR91 3 1991 3 33 0 Y K 40068 20 3 05MAR91 3 1991 1 21 0 Y I 40039 21 4 18DEC91 12 1991 3 36 0 Y L 40044 22 4 18DEC91 12 1991 3 0 0 Y A 40045 23 6 11JAN91 1 1991 1 57 0 Y P 40080 24 3 04JUN91 6 1991 3 35 0 Y L 40099 25 3 23JUL91 7 1991 3 35 0 Y L 40100 26 3 15OCT91 10 1991 2 53 0 Y O 40050 27 3 07MAY91 5 1991 1 18 0 Y H 40063 28 2 06APR92 4 1992 3 39 0 Y L 40090 29 2 06APR92 4 1992 3 0 0 Y A 40091 30 2 20APR92 4 1992 2 38 0 Y L 40096 31 3 16JUN92 6 1992 1 38 0 Y L 40097 32 3 30JUL91 7 1991 2 45 0 D N 40003 33 3 12NOV91 11 1991 2 45 0 D N 40004 34 4 25MAR92 3 1992 1 42 0 Y M 40049 35 5 14FEB91 2 1991 1 47 0 Y N 40071 36 4 01MAY91 5 1991 1 47 0 Y N 40072 37 3 04JUN91 6 1991 2 17 0 Y H 40073 38 2 13JUL92 7 1992 3 0 0 Y A 40084 39 7 13JUL91 7 1991 2 37 0 Y L 40046 40 3 30JUL91 7 1991 2 41 2 Y M 40051 41 2 25FEB91 2 1991 1 39 0 Y L 40064 42 4 11MAR92 3 1992 1 44 0 Y M 40067 43 3 29JAN91 1 1991 3 31 0 Y K 40077 44 1 24FEB91 2 1991 3 31 0 Y K 40078 45 2 25FEB91 2 1991 3 0 0 Y A 40079 46 4 10JUN92 6 1992 3 31 0 Y K 40011 47 5 11JUN92 6 1992 3 0 0 Y A 40012 48 3 18FEB92 2 1992 3 39 0 Y L 40021 49 3 19NOV91 11 1991 2 34 0 Y K 40043 50 4 20NOV91 11 1991 3 30 0 D K 40098 51 5 18APR91 4 1991 3 0 0 Y A 40075 52 2 23DEC91 12 1991 2 0 0 Y A 40076 53 3 02JUL91 7 1991 3 37 0 Y L 40055 54 5 11JUL91 7 1991 1 37 0 Y L 40056 55 2 05AUG91 8 1991 2 37 0 Y L 40057 Course of Treatment 2 eg-lno eg-svc-date eg-geoloc eg-svc-to eg-number eg-num-claims eg-oop ======================================================================================== 1 25JUN91 36 11AUG91 735913740 3 27 2 08NOV91 36 09JAN92 283563951 9 376 3 24APR91 36 24APR91 283563951 3 24 4 25APR91 36 25APR91 283563951 1 19 5 04NOV92 36 04NOV92 283563951 1 42 6 24DEC92 36 24DEC92 283563951 1 49 7 19NOV91 9 19NOV91 521049571 1 5 8 30MAR93 9 30MAR93 521049571 1 7 9 23MAR93 9 23MAR93 521049571 1 11 10 16JAN91 49 16JAN91 301700518 1 43 11 26NOV92 18520 26NOV92 302880130 1 86 12 27FEB91 12 27FEB91 521049571 1 53 13 26FEB92 12 26FEB92 521049571 1 120 14 12JUN91 13 12JUN91 735913740 1 33 15 30SEP91 13 30SEP91 283563951 1 28 16 20JAN93 13 20JAN93 283563951 1 29 17 20JAN93 13 11FEB93 283563951 3 393 18 20NOV91 10960 20NOV91 521049571 1 0 19 21JUL92 36 21JUL92 283563951 1 0 20 12SEP90 9 28SEP91 521049571 60 1325 21 30MAY91 9 30MAY91 739713743 5 25 22 07JAN93 9 07JAN93 301920614 1 27 23 23MAR93 9 23MAR93 301920614 3 0 24 08AUG92 9 08AUG92 301920614 1 27 25 11NOV92 9 22FEB93 301920614 6 64 26 25FEB91 9 25FEB91 302000101 2 7 27 12OCT92 18520 12OCT92 735913740 1 38 28 01JAN93 18520 07JAN93 283563951 3 98 29 06AUG92 18520 06AUG92 283563951 1 45 30 30NOV92 18520 30NOV92 283563951 1 7 31 15JUL92 18520 15JUL92 301000101 1 27 32 31JAN91 18520 31JAN91 302880130 1 30 33 30NOV92 18520 30NOV92 302880130 1 12 34 12APR93 36 12APR93 735913740 1 45 35 08JAN91 36 14OCT92 735913740 15 145 36 03JUN92 36 03JUN92 735913740 2 56 37 23SEP92 36 23SEP92 735913740 1 9 38 30OCT92 36 30OCT92 735913740 1 6 39 08JAN91 36 30JAN91 283563951 4 181 40 19DEC92 36 19DEC92 735913740 3 4 41 12JAN93 36 12JAN93 735913740 1 45 42 01FEB93 36 01FEB93 735913740 1 7 43 29APR93 36 29APR93 735913740 1 0 44 02MAR93 36 29APR93 735913740 2 18 45 24FEB93 36 24FEB93 735913740 1 0 46 01MAY93 36 01MAY93 735913740 2 42 47 01MAY93 36 01MAY93 735913740 3 30 48 21JAN91 36 21JAN91 735913740 1 20 49 02APR91 36 02APR91 735913740 1 7 50 03APR91 36 10APR91 735913740 3 86 51 17MAY91 36 17MAY91 735913740 2 1 52 17MAY91 36 17MAY91 735913740 1 5 53 30MAY91 36 30MAY91 735913740 1 11 54 03JUN91 36 03JUN91 735913740 2 12 55 06AUG91 36 22AUG91 735913740 2 8 56 22AUG91 36 07FEB92 735913740 8 65 57 26AUG91 36 26AUG91 735913740 1 4 58 26AUG91 36 22NOV91 735913740 2 18 59 05SEP91 36 05SEP91 735913740 1 5 60 31OCT91 36 27JAN92 735913740 5 8 61 05NOV91 36 05NOV91 735913740 1 7 62 24MAR92 36 14APR92 735913740 2 16 63 22APR92 36 22APR92 735913740 2 3 64 18JUN92 36 28JUL92 735913740 2 4 65 30JUL92 36 11NOV92 735913740 4 79 66 15OCT92 36 15OCT92 735913740 1 0 67 11NOV92 36 12NOV92 735913740 3 89 68 09DEC92 36 09DEC92 283563951 1 4 69 24FEB93 36 24FEB93 283563951 1 0 70 29APR93 36 29APR93 283563951 1 0 71 25JAN91 36 04NOV91 283563951 6 13 72 25JAN91 36 25JAN91 283563951 1 5 73 17MAY91 36 17MAY91 283563951 1 0 74 17SEP91 36 17SEP91 283563951 4 26 75 29OCT91 36 29OCT91 283563951 1 10 76 04NOV91 36 04NOV91 283563951 1 7 77 04NOV91 36 04NOV91 283563951 1 4 78 08NOV91 36 08NOV91 283563951 2 45 79 21NOV91 36 10DEC91 283563951 4 34 80 05MAR92 36 05MAR92 283563951 1 6 81 30APR92 36 30APR92 283563951 1 6 82 15OCT92 36 15OCT92 283563951 1 0 83 18NOV92 36 18NOV92 283563951 2 21 84 09MAR93 36 17MAR93 735913740 4 156 85 05APR93 36 05APR93 735913740 1 10 86 13AUG91 36 13AUG91 283563951 1 0 87 21FEB91 36 21FEB91 302000101 2 45 88 06APR91 36 06APR91 302000101 3 55 89 07JAN93 36 07JAN93 302810511 2 11 90 26FEB93 36 26FEB93 302810511 1 8 91 11JUL91 36 11JUL91 302810511 1 7 92 16JUL91 36 16JUL91 302810511 1 5 93 18OCT91 36 18OCT91 302810511 3 12 94 23NOV92 36 09DEC92 302810511 2 71 95 07JUN93 36 07JUN93 302850902 3 13 96 04MAR93 36 04MAR93 302850902 3 13 97 20SEP91 36 29SEP91 302850902 7 30 98 16DEC91 36 16DEC91 302850902 2 12 99 21JAN92 36 21JAN92 302850902 1 35 100 25MAR93 36 25MAR93 302890310 1 8 101 21FEB92 49 21FEB92 521049571 2 54 102 29AUG92 49 29AUG92 521049571 2 19 103 25SEP92 49 25SEP92 521049571 1 8 104 28JAN93 49 28JAN93 521049571 3 127 105 08JUN93 49 08JUN93 521049571 2 23 106 08MAY91 13 11MAY91 735913740 2 40 107 03DEC92 13 03DEC92 283563951 1 6 108 20DEC91 13 16JUN92 283563951 10 146 109 06APR92 13 11MAY92 283563951 3 81 110 21APR92 13 14AUG92 283563951 4 67 111 21MAR91 10960 21MAR91 521049571 2 6 112 08APR91 10960 22JUL91 521049571 2 5 113 17JUN91 10960 17JUN91 521049571 1 0 Course of Treatment 4 eg-lno eg-provspec eg-provtyp eg-sex eg-surgind eg-tochg eg-totnet eg-totsvcct eg-totpay eg-group =========================================================================================================================== 20 0 51 2 Y 13313 5099 65 13243 65 65 0 51 1 N 394 315 4 394 45 111 0 51 2 N 65 0 2 65 24 112 0 50 2 Y 964 187 2 964 28 113 0 51 2 N 435 67 1 435 70 the drg code eg-code describes the Diagnosis Related Group eg-desc ------------------------------------------------------------------ there is an entry for drg code eg-code in the decode table the drg code eg-code describes the Diagnosis Related Group eg-desc ================================================================================== 1 Craniotomy, X Trauma AG 2 Craniotomy, Trauma AG 3 Craniotomy P 4 Spinal OP 5 Extracranial Vasc OP 6 Carpal Tunnel Release 7 Nervous Sys OP+ 8 Nervous Sys OP- 9 Spinal DX, Injury 10 Nervous Sys Neoplasm+ 11 Nervous Sys Neoplasm- 12 Degenerat Nervous Sys DX 13 MS and Cerebellar Ataxia 14 Cerebrovasc DX X TIA 15 TIA 16 Nonspec Cerebrovasc DX+ 17 Nonspec Cerebrovasc DX- 18 Cran, Periph Nerv DX+ 19 Cran, Periph Nerv DX- 20 Nerv Sys Inf X Viral Men 21 Viral Meningitis 22 Hyperten Encephalopathy 23 Nontraumatic Stupor,Coma 24 Seizure, Headache AG+ 25 Seizure, Headache AG- 26 Seizure, Headache P 27 Traumatic Coma 1 Hr 28 Traumatic Coma Hr AG+ 29 Traumatic Coma Hr AG- 30 Traumatic Coma Hr P 31 Concussion AG+ 32 Concussion AG- 33 Concussion P 34 Oth Nervous Sys DX+ 35 Oth Nervous Sys DX- 36 Retinal OP 37 Orbital OP 38 Primary Iris OP 39 Lens OP 40 Extraoc OP X Orbit AG 41 Extraoc OP X Orbit P 42 Intraoc OP X Ret,Ir,Lens 43 Hyphema 44 Acute Maj Eye Infections 45 Neurological Eye DX 46 Oth Eye DX AG+ 47 Oth Eye DX AG- 48 Oth Eye DX P 49 Maj Head, Neck OP 50 Sialoadenectomy 51 Salivary OP X Sialoadoenec 52 Cleft Lip, Palate Repair 53 Sinus, Mastoid OP AG 54 Sinus, Mastoid OP P 55 Misc ENMT OP 56 Rhinoplasty 57 Tonsil OP X T&A AG 58 Tonsil OP X T&A P%40RIGHT = 59 T&A AG 60 T&A P 61 Myringotomy AG 62 Myringotomy P 63 Oth ENMT O.R. OP 64 ENMT CA 65 Dysequilibrium 66 Epistaxis 67 Epiglottitis 68 Otitis Media, URI AG+ 69 Otitis Media, URI AG- 70 Otitis Media, URI P 71 Laryngotracheitis 72 Nasal Trauma, Deformity 73 Oth ENMT DX AG 74 Oth ENMT DX P 75 Maj Chest OP 76 Oth Resp Sys O.R. OP+ 77 Oth Resp Sys O.R. OP- 78 Pulmonary Embolism 79 Respir Infec, Inflam AG+ 80 Respir Infec, Inflam AG- 81 Respir Infec, Inflam P 82 Respiratory Neoplasms 83 Maj Chest Trauma+ 84 Maj Chest Trauma- 85 Pleural Effusion+ 86 Pleural Effusion- 87 Pulm Edema, Resp Failure 88 COPD 89 Pneumonia, Pleurisy AG+ 90 Pneumonia, Pleurisy AG- 91 Pneumonia, Pleurisy P 92 Interstitial Lung DX+ 93 Interstitial Lung DX- 94 Pneumothorax+ 95 Pneumothorax- 96 Bronchitis, Asthma AG+ 97 Bronchitis, Asthma AG- 98 Bronchitis, Asthma P 99 Respiratory Sign, SX+ 100 Respiratory Sign, SX- 101 Oth Respiratory DX+ 102 Oth Respiratory DX- 103 Heart Transplant 104 Card Valve OP, Cath 105 Card Valve OP, No Cath 106 Coronary Bypass, Cath 107 Coronary Bypass, No Cath 108 Oth Cardiothoracic OP 109 No Longer Valid 110 Maj Cardiovascular OP+ 111 Maj Cardiovascular OP- 112 Percut Cardiovascular OP 113 Amp, Circ DX X Arm, Toe 114 Arm, Toe Amput, Circ DX 115 Perm Pacemaker, AMI, HF 116 Perm Pacemaker, No AMI, HF 117 Pacemaker Rev X Replace 118 Pacemaker Replacement 119 Vein Ligation, Stripping 120 Oth Circulatory O.R. OP 121 AMI, CV Compl, Alive 122 AMI, No CV Compl, Alive 123 AMI, Expired 124 Maj Cir DX X AMI, Cath 125 Oth Circ DX X AMI, Cath 126 Acute, Subac Endocarditis 127 Heart Failure, Shock 128 Deep Vein Thrombophlebit 129 Cardiac Arrest 130 Periph Vascular DX+ 131 Periph Vascular DX- 132 Atherosclerosis+ 133 Atherosclerosis- 134 Hypertension 135 Cardiac Congen DX AG+ 136 Cardiac Congen DX AG- 137 Cardiac Congen DX P 138 Arrhythmia, Conduct DX+ 139 Arrhythmia, Conduct DX- 140 Angina Pectoris 141 Syncope, Collapse+ 142 Syncope, Collapse- 143 Chest Pain 144 Oth Circulatory DX+ 145 Oth Circulatory DX- 146 Rectal Resection+ 147 Rectal Resection- 148 Maj Intestinal OP+ 149 Maj Intestinal OP- 150 Peritoneal Adhesiolysis+ 151 Peritoneal Adhesiolysis- 152 Minor Intestinal OP+ 153 Minor Intestinal OP- 154 Upper GI OP AG+ 155 Upper GI OP AG- 156 Upper GI OP P 157 Anal, Stomal OP+ 158 Anal, Stomal OP- 159 Hernia OP X Ing, Fem AG+ 160 Hernia OP X Ing, Fem AG- 161 Ing, Fem Hernia OP AG+ 162 Ing, Fem Hernia OP AG- 163 Hernia OP P 164 Appendectomy, Complex DX+ 165 Appendectomy, Complex DX- 166 Appendectomy, Routine+ 167 Appendectomy, Routine- 168 Mouth OP+ 169 Mouth OP- 170 Oth GI OP+ 171 Oth GI OP- 172 Digestive CA+ 173 Digestive CA- 174 GI Hemorrhage+ 175 GI Hemorrhage- 176 Complicated Peptic Ulcer 177 Uncompl Peptic Ulcer+ 178 Uncompl Peptic Ulcer- 179 Inflam Bowel Disease 180 GI Obstruction+ 181 GI Obstruction- 182 Oth GI-itis, Func DX AG+ 183 Oth GI-itis, Func DX AG- 184 Oth GI-itis, Func DX P 185 Dent DX X Pull, Fix AG 186 Dent DX X Pull, Fix P 187 Dent Extrac, Restoration 188 Oth GI DX AG+ 189 Oth GI DX AG- 190 Oth GI DX P 191 Pancreas, Liver, Shnt OP+ 192 Pancreas, Liver, Shnt OP- 193 Bile OP X GB-ectomy+ 194 Bile OP X GB-ectomy- 195 Cholecystectomy, CDE+ 196 Cholecystectomy, CDE- 197 Cholecystectomy, No CDE+ 198 Cholecystectomy, No CDE - 199 Hepatobil DX OP, CA 200 Hepatobil DX OP, No CA 201 Oth Hepatobil, Panc O.R. 202 Cirr, Alcohol Hepatitis 203 Hepatobil, Pancreas CA 204 Pancreas DX X CA 205 Liver DX X CA, Cirr+ 206 Liver DX X CA, Cirr- 207 Biliary Tract DX+ 208 Biliary Tract DX- 209 Maj Joint, Limb Reatt OP 210 Up Leg OP X Maj Joint AG+ 211 Up Leg OP X Maj Joint AG- 212 Up Leg OP X Maj Joint P 213 Amp, Musculoskeletal DX 214 Back, Neck OP+ 215 Back, Neck OP- 216 Musculoskeletal Biopsy 217 Debrid, Grft, Muscskl DX 218 UpArm, Calf OP X Foot AG+ 219 UpArm, Calf OP X Foot AG- 220 UpArm, Calf OP X Foot P 221 Knee OP+ 222 Knee OP- 223 Arm, Maj Joint OP+ 224 Arm X Maj Joint OP- 225 Foot OP 226 Soft Tissue OP+ 227 Soft Tissue OP- 228 Hand, Maj Joint OP+ 229 Hand X Maj Joint OP- 230 Remove Int Fix, Up Leg 231 Remove Int Fix X Up Leg 232 Arthroscopy 233 Oth Muscskel O.R. OP+ 234 Oth Muscskel O.R. OP- 235 FX Femur 236 FX Hip, Pelvis 237 Sprn,Strn,Disloca Up Leg 238 Osteomyelitis 239 Path FX, Musculoskel CA 240 Connective Tissue DX+ 241 Connective Tissue DX- 242 Septic Arthritis 243 Medical Back Problems 244 Bone DX, Arthropathies+ 245 Bone DX, Arthropathies- 246 Nonspecific Arthropathy 247 Musculoskel Signs, SX 248 Tendon-, Myo-, Bursitis 249 Aftercare, Musculoskel 250 Mskl Inj Low Arm,Foot AG+ 251 Mskl Inj Low Arm,Foot AG- 252 Mskl Inj Low Arm,Foot P 253 Mskl Inj Up Arm, Calf AG+ 254 Mskl Inj Up Arm, Calf AG- 255 Mskl Inj Up Arm, Calf P 256 Oth Musculoskel Sys DX 257 Total Mastectomy, CA+ 258 Total Mastectomy, CA- 259 Sub Mastectomy, CA+ 260 Sub Mastectomy, CA- 261 Breast OP X BX, Loc Exc 262 Breast BX, Loc Exc, No CA 263 Skn Grft, Ulc,Cellul+ 264 Skn Grft, Ulc,Cellul- 265 Skn Grft X Ulc, Cellul+ 266 Skn Grft X Ulc, Cellul- 267 Perianal, Pilonidal OP 268 Skin, Breast Plastic OP 269 Oth Skin, Breast OP+ 270 Oth Skin, Breast OP- 271 Skin Ulcers 272 Maj Skin DX+ 273 Maj Skin DX- 274 Breast CA+ 275 Breast CA- 276 Nonmalignant Breast DX 277 Cellulitis AG+ 278 Cellulitis AG- 279 Cellulitis P 280 Trauma, Skin, Breast AG+ 281 Trauma, Skin, Breast AG- 282 Trauma, Skin, Breast P 283 Minor Skin DX+ 284 Minor Skin DX- 285 Leg Amp, End, Ntr, Mtb DX 286 Adrenal, Pituitary OP 287 Skn Grft, Debrid, ENM DX 288 O.R. OP for Obesity 289 Parathyroid OP 290 Thyroid OP 291 Thyroglossal OP 292 Oth Endc,Ntr,Mtbl O.R.+ 293 Oth Endc,Ntr,Mtbl O.R.- 294 Diabetes, Age 35 295 Diabetes, Age 0-35 296 Nutr, Misc Metabol DX AG+ 297 Nutr, Misc Metabol DX AG- 298 Nutr, Misc Metabol DX P 299 Inborn Errors of Metabol 300 Endocrine DX+ 301 Endocrine DX- 302 Kidney Transplant 303 KUB OP, Neoplasm 304 KUB OP, Non-Neoplasm+ 305 KUB OP, Non-Neoplasm- 306 Prostatectomy+ 307 Prostatectomy- 308 Minor Bladder OP+ 309 Minor Bladder OP- 310 Transurethral OP+ 311 Transurethral OP- 312 Urethral OP AG+ 313 Urethral OP AG- 314 Urethral OP P 315 Oth KUB O.R. OP 316 Renal Failure 317 Renal Dialysis 318 KUB Neoplasms+ 319 KUB Neoplasms- 320 KUB Infections AG+ 321 KUB Infections AG- 322 KUB Infections P 323 Urinary Stones+, ESW Lith 324 Urinary Stones- 325 KUB Signs, SX AG+ 326 KUB Signs, SX AG- 327 KUB Signs, SX P 328 Urethral Stricture AG+ 329 Urethral Stricture AG- 330 Urethral Stricture P 331 Oth KUB DX AG+ 332 Oth KUB DX AG- 333 Oth KUB DX P 334 Maj Male Pelvic OP+ 335 Maj Male Pelvic OP- 336 TUR+ 337 TUR- 338 Testes OP, CA 339 Testes OP, X CA AG 340 Testes OP, X CA P 341 Penis OP 342 Circumcision AG 343 Circumcision P 344 Oth Male O.R. OP, CA 345 Oth Male O.R. OP, X CA 346 Male Reprod CA+ 347 Male Reprod CA- 348 BPH+ 349 BPH- 350 Inflammation, Male 351 Sterilization, Male 352 Oth Male Reprod DX 353 Pelv Evis,Rad Hyst,Vulv 354 Non-Ovary/Adnex CA OP+ 355 Non-Ovary/Adnex CA OP- 356 Reconstruction, Female 357 Uter, Adnex OP, CA 358 Uter, Adnex OP, X CA+ 359 Uter, Adnex OP, X CA- 360 Vagina, Cervix, Vulva OP 361 Laparoscopy, Incis Steril 362 Endoscopic Sterilization 363 D&C, Cone, Radium, CA 364 D&C, Cone, X CA 365 Oth Female O.R. OP 366 Female Reprod CA+ 367 Female Reprod CA- 368 Infections, Female 369 Menstrual, Oth Female DX 370 Cesarean Section+ 371 Cesarean Section- 372 Vag Del, Med Complica 373 Vag Del, No Med Complica 374 Vag Del, Steriliza, D&C 375 Vag Del, O.R. X Ster, D&C 376 Postpartum DX, No O.R. OP 377 Postpartum DX, O.R. OP 378 Ectopic Pregnancy 379 Threatened Abortion 380 Abortion, No D&C 381 Abortion, D&C 382 False Labor 383 Antepartum, Med Complica 384 Antepartum, No Med Compl 385 Neonate, Died, Transfer 386 Neonate, Extreme Immatur 387 Prematurity, Maj Problems 388 Prematurity, No Maj Prob 389 Term Neonate, Maj Prob 390 Neonate, Oth Sig Prob 391 Normal Newborn 392 Splenectomy AG 393 Splenectomy P 394 Oth O.R. OP, Blood 395 Red Blood Cell DX AG 396 Red Blood Cell DX P 397 Coagulation DX 398 Reticulo, Immun DX+ 399 Reticulo, Immun DX- 400 Lymph, Leukemia,Maj O.R. 401 Lymph, Leukemia,Oth O.R.+ 402 Lymph, Leukemia,Oth O.R.- 403 Lymphoma, Leukemia+ 404 Lymphoma, Leukemia- 405 Ac Leukem, No Maj O.R. P 406 Myeloprolif DX, Maj O.R.+ 407 Myeloprolif DX, Maj O.R.- 408 Myeloprolif DX, Oth O.R. 409 Radiotherapy 410 Chemotherapy 411 HX CA, No Endoscopy 412 HX CA, Endoscopy 413 Oth Myeloprolif DX+ 414 Oth Myeloprolif DX- 415 O.R., Infec, Parasitic DX 416 Septicemia AG 417 Septicemia P 418 Postop,-Trauma Infection 419 FUO+ 420 FUO- 421 Viral DX AG 422 Viral DX, FUO P 423 Oth Infec, Parasitic DX 424 O.R., PDX Mental Illness 425 Ac Adjus React,Psychosoc 426 Depressive Neuroses 427 Neuroses X Depressive 428 Personality, Impulse DX 429 Organic DX, Retardation 430 Psychoses 431 Childhood Mental DX 432 Oth Mental DX 433 Alc/Drug Abuse, Left AMA 434 Alc/Drug Abuse, Detox+ 435 Alc/Drug Abuse, Detox- 436 Alc/Drug Dep, Rehab 437 Alc/Drug Dep, Rehab&Detox 438 No Longer Valid 439 Injury, Skin Graft 440 Injury, Debridement 441 Injury, Hand OP 442 Injury, Oth O.R. OP+ 443 Injury, Oth O.R. OP- 444 Traumatic Injury AG+ 445 Traumatic Injury AG- 446 Traumatic Injury P 447 Allergic Reaction AG 448 Allergic Reaction P 449 Toxic Effects, Drugs AG+ 450 Toxic Effects, Drugs AG- 451 Toxic Effects, Drugs P 452 Complications of RX+ 453 Complications of RX- 454 Oth Injury, Poisoning+ 455 Oth Injury, Poisoning- 456 Burn, Trans to Oth Hosp 457 Extensive Burn, No O.R. 458 Nonexten Burn, Skn Grft 459 Nonexten Burn, Oth O.R. 460 Nonexten Burn, No O.R. 461 O.R., DX Oth Hlth Svc Con 462 Rehabilitation 463 Signs, Symptoms+ 464 Signs, Symptoms- 465 Aftercare, 2-DX CA HX 466 Aftercare, No 2-DX CA HX 467 Oth Factor Affect Health 468 O.R. OP, Unrelated PDX 469 PDX Invalid as Dischg DX 470 Ungroupable 471 Mult Maj Joint OP, Leg 472 Extensive Burns, O.R. 473 Acut Leukemia, No O.R. AG 474 No Longer Valid 475 Respiratory DX, Ventilator 476 Prost O.R., Unrel PDX 477 Nonexten O.R., Unrel PDX 478 Oth Vascular OP+ 479 Oth Vascular OP- 480 Liver Transplant 481 Bone Marrow Transplant 482 Tracheostomy, MLP DX 483 Tracheostomy, X MLP DX 484 Craniotomy, Mult Sig Trau 485 Up Leg OP, Mult Sig Trau 486 Oth O.R., Mult Sig Trau 487 Oth Mult Sig Trauma 488 HIV, Extens O.R. OP 489 HIV, Maj Related Cond 490 HIV, No Maj Related Cond this-number is the number of the month this-month ================================================== 01 JAN 02 FEB 03 MAR 04 APR 05 MAY 06 JUN 07 JUL 08 AUG 09 SEP 10 OCT 11 NOV 12 DEC COT group this-group has the description this-description (based upon Harrington's patterns of treatment) =================================================================================================================== 1 Asthma (Chronic) 2 Tuberculosis (Acute) 3 Respiratory Cancer (Chronic) 4 Chronic inflammatory conditions of the lung (Chronic) 5 Acute upper respiratory infection (Acute) 6 Acute immflammatory diseases of the lung (Acute) 7 Endicrine conditions (Chronic) 8 Endocrine cancer (Chronic) 9 Disorders of the thyroid (Chronic) 10 Diabetes (Chronic) 11 Obesity (Chronic) 12 Metabolic and nutrition disorders (Chronic) 13 Anemia (Chronic) 14 Coagulation defects (Chronic) 15 Conditions of the lymphatic and blood system (Acute) 16 Lymphatic and blood cancer (Chronic) 17 Diseases of the brain (Acute) 18 Brain cancer (Chronic) 19 Diseases of the spinal cord (Chronic) 20 Spinal cord cancer (Chronic) 21 Multiple sclerosis (Chronic) 22 Myopathies (Chronic) 23 Neuropathies (Chronic) 24 Conditions of the eye and adnexa (Acute) 25 Eye cancer (Chronic) 26 Glaucome (Chronic) 27 Retinal disorders (Chronic) 28 Cataract (Chronic) 29 Visual disturbances (Acute) 30 Refractive errors (Chronic) 31 Inflammatory conditions of the ear (Acute) 32 Conditions of the hearing apparatus (Acute) 33 Vertigo (Acute) 34 Hearing loss (Chronic) 35 Ear, nose and throat conditions (Chronic) 36 Ear, nose and throat cancer (Chronic) 37 Allergy (Chronic) 38 Temporomandibular joint disorders (Chronic) 39 Carditis (Chronic) 40 Hypertension (Chronic) 41 Arrhythmias (Chronic) 42 Vascular disease (Chronic) 43 Valvular heart disease (Chronic) 44 Heart failure (Chronic) 45 Coronary artery disease (Chronic) 46 Diseases of the upper GI tract (Acute) 47 Upper GI cancer (Chronic) 48 Intra-abdominal conditions (Acute) 49 Intra-abdominal cancer (Chronic) 50 Hernias (Acute) 51 Alteration of bowel habits (Acute) 52 Colorectal cancer (Chronic) 53 Intestinal malabsorption (Chronic) 54 Gallbladder diseases (Acute) 55 Gallbladder cancer (Chronic) 56 Diseases of the liver and pancreas (Acute) 57 Liver and pancreatic cancer (Chronic) 58 Conditions affecting the urinary tract (Acute) 59 GU tract cancer (Chronic) 60 Kidney infections (Acute) 61 Other renal disease (Acute) 62 Renal failure (Chronic) 63 Gynecological conditions (Acute) 64 Cancer of the female organs (Chronic) 65 Female infertility (Acute) 66 Disorders of menstruation (Acute) 67 Obstetrics (Acute) 68 Complicated pregnancy (Acute) 69 Osteoporosis (Chronic) 70 Skin conditions (Acute) 71 Skin cancer (Chronic) 72 Disorders of the sweat glands (Chronic) 73 Breast conditions (Acute) 74 Breast cancer (Chronic) 75 Systemic infections (Acute) 76 Infections w/eye complications (Chronic) 77 Pneumocystosis (Acute) 78 Psychiatry (Chronic) 79 Infantile autism (Chronic) 80 Speech disorders (Acute) 81 Burns (Acute) 82 Immune deficiencies (Acute) 83 Arthritis and rheumatism (Chronic) 84 Rheumatoid arthritis (Chronic) 85 Other diseases of the bones and joints (Acute) 86 Bone and joint cancer (Chronic) 87 Osteomyelitis (Acute) 88 Fractures and dislocations (Acute) 89 Wounds and lacerations (Acute) 90 Unstable back syndrome (Acute) 91 Complications of care (Acute) 92 Preventive care (Acute) 93 Contraceptive management (Acute) 94 Chromosomal abnormalities (Chronic) 95 Child development problems (Acute) 96 Poisoning (Acute) 97 Cancer of unspecified site (Chronic) 98 Miscellaneous diagnoses (Acute) 99 Diagnoses requiring explanation (Acute) the item some-item in the description of an episode rules out the category this-category ================================================================================================ *Heart* Ear, nose and throat the item some-item in the description of an episode suggests the category this-category ========================================================================================= *Preventive* preventive *Viral* NOT YET CLASSIFIED *foot* NOT YET CLASSIFIED *Vertigo* NOT YET CLASSIFIED *Tuberculosis* NOT YET CLASSIFIED *Skin* NOT YET CLASSIFIED *KUB* NOT YET CLASSIFIED *Joint* NOT YET CLASSIFIED *Bone* NOT YET CLASSIFIED *Neonate* NOT YET CLASSIFIED *O.R.* NOT YET CLASSIFIED *Endicrine* internal medicine *throat* Ear, nose and throat *nose* Ear, nose and throat *ear* Ear, nose and throat *brain* brain *urinary* urinary *Chemotherapy* cancer *adnexa* eye *eye* eye *Retina* eye *Cataract* eye *rhythm* heart *Heart Failure* heart *Coronary* heart *Valvular* heart *Cardio* heart *heart* heart *Systemic* internal medicine *Metabolic* internal medicine *nutrition* internal medicine *Back* internal medicine *Anemia* internal medicine *Allergy* allergy *Ventilat* respiratory system *lung* respiratory system *respirat* respiratory system *bowel* digestive system *Diabetes* digestive system *GI tract* digestive system *GI*itis* digestive system *Intra-abdominal* digestive system *Cesarean* female reproduction *Breast* female *Neonat* female reproduction *Abortion* female reproduction *Antepartum* female reproduction *Gynecological* female reproduction *Newborn* female reproduction *Hyst* female reproduction *Vulv* female reproduction *Female* female reproduction *Gynec* female reproduction *Mastect* female reproduction *Uter* female reproduction *Vag* female reproduction *Hypertension* mental condition *Neuros* mental condition *Depressi* mental condition *Psychiat* mental condition *Fracture* injury *dislocat* injury *Wound* injury *lacerat* injury *Amput* injury at least one patient has experienced treatment for some-condition the item some-item in the description of an episode rules out the category some-category that-condition is similar to that-item ------------------------------------------------------------------------------------------ that-condition is ruled out of the category that-category at least one patient has experienced treatment for some-condition the item some-item in the description of an episode suggests the category some-category that-condition is similar to that-item ------------------------------------------------------------------------------------------ that-condition could belong in the category that-category some-condition could belong in the category some-category not : that-condition is ruled out of the category that-category ----------------------------------------------------------------- the category that-category includes the condition: that-condition at least one patient has experienced treatment for this-condition ========================================================== Abortion, D&C Acute immflammatory diseases of the lung (Acute) Acute upper respiratory infection (Acute) Allergy (Chronic) Alteration of bowel habits (Acute) Anemia (Chronic) Antepartum, Med Complica Arm, Toe Amput, Circ DX Arrhythmias (Chronic) Breast conditions (Acute) Cataract (Chronic) Cesarean Section+ Cesarean Section- Chemotherapy Chronic inflammatory conditions of the lung (Chronic) Conditions affecting the urinary tract (Acute) Conditions of the eye and adnexa (Acute) Coronary artery disease (Chronic) Depressive Neuroses Diabetes (Chronic) Diseases of the brain (Acute) Diseases of the upper GI tract (Acute) Ear, nose and throat conditions (Chronic) Endicrine conditions (Chronic) Female infertility (Acute) Fractures and dislocations (Acute) Gynecological conditions (Acute) Heart Failure, Shock Hypertension (Chronic) Inflammatory conditions of the ear (Acute) Intra-abdominal conditions (Acute) KUB Infections AG- KUB OP, Non-Neoplasm+ Medical Back Problems Metabolic and nutrition disorders (Chronic) Mult Maj Joint OP, Leg Neonate, Oth Sig Prob Nonexten O.R., Unrel PDX Normal Newborn O.R., Infec, Parasitic DX Oth Cardiothoracic OP Oth GI-itis, Func DX AG+ Oth GI-itis, Func DX AG- Other diseases of the bones and joints (Acute) Pelv Evis,Rad Hyst,Vulv Percut Cardiovascular OP Preventive care (Acute) Psychiatry (Chronic) Reconstruction, Female Respiratory DX, Ventilator Retinal disorders (Chronic) Skin conditions (Acute) Sub Mastectomy, CA- Systemic infections (Acute) Term Neonate, Maj Prob Threatened Abortion Tuberculosis (Acute) Unstable back syndrome (Acute) UpArm, Calf OP X Foot AG+ Urinary Stones+, ESW Lith Urinary Stones- Uter, Adnex OP, X CA- Vag Del, Med Complica Vag Del, No Med Complica Valvular heart disease (Chronic) Vertigo (Acute) Viral DX, FUO P Wounds and lacerations (Acute) in eg-year1 month eg-month1 has eg-days1 days eg-day1 + eg-num = eg-final eg-final is greater than eg-days1 eg-days1 - eg-day1 = eg-daysleft eg-num - eg-daysleft = eg-newnum eg-newnum - 1 = eg-newnum1 the year and month after eg-year1 eg-month1 is eg-year2 eg-month2 eg-newnum1 day(s) after eg-year2 eg-month2 1 is eg-year3 eg-month3 eg-day3 ------------------------------------------------------------------------ eg-num day(s) after eg-year1 eg-month1 eg-day1 is eg-year3 eg-month3 eg-day3 in eg-year1 month eg-month1 has eg-days1 days eg-day1 + eg-num = eg-final eg-final is less than or equal eg-days1 -------------------------------------------------------- eg-num day(s) after eg-year1 eg-month1 eg-day1 is eg-year1 eg-month1 eg-final the numeric date eg-yrmoda1 corresponds to eg-year1 eg-month1 eg-day1 eg-num day(s) after eg-year1 eg-month1 eg-day1 is eg-year2 eg-month2 eg-day2 eg-year2 eg-month2 eg-day2 corresponds to the single numeric date eg-yrmoda2 -------------------------------------------------------------- eg-num day(s) after eg-yrmoda1 is eg-yrmoda2 a year under consideration is eg-year1 eg-month1 is a month eg-month1 is less than 12 eg-month1 + 1 = eg-month2 ------------------------------------------------------------------ the year and month after eg-year1 eg-month1 is eg-year1 eg-month2 a year under consideration is eg-year1 eg-year1 + 1 = eg-year2 ------------------------------------------------------------------ the year and month after eg-year1 12 is eg-year2 1 a year under consideration is some-year month some-month normally has some-number days not : that-year is a leap year --------------------------------------------------------- in that-year month that-month has some-number days a year under consideration is some-year that-year is a leap year month some-month normally has some-number days not : that-month is equal 2 --------------------------------------------------------- in that-year month that-month has that-number days a year under consideration is some-year that-year is a leap year month some-month normally has some-number days that-month is equal 2 --------------------------------------------------------- in that-year month that-month has 29 days month some-month normally has some-number days ---------------------------------------------- that-month is a month month this-month normally has this-number days ============================================== 1 31 2 28 3 31 4 30 5 31 6 30 7 31 8 31 9 30 10 31 11 30 12 31 a year under consideration is this-year ===================== 90 91 92 93 94 95 96 a year under consideration is some-two-digit-year 1900 + that-two-digit-year = some-year that-year - 1992 = some-base that-base is a multiple of 4 ------------------------------ that-two-digit-year is a leap year some-number divided by 4 = some-new-number remainder 0 --------------------------------- that-number is a multiple of 4 eg-date divided by 10000 = eg-yr remainder eg-moda eg-moda divided by 100 = eg-mo remainder eg-da --------------------------------------------------------------- the numeric date eg-date corresponds to eg-yr eg-mo eg-da eg-mo is normally written eg-mo1 eg-da is normally written eg-da1 eg-yr followed by eg-mo1 = eg-yrmo eg-yrmo followed by eg-da1 = eg-yrmoda --------------------------------------------------------------- eg-yr eg-mo eg-da corresponds to the single numeric date eg-yrmoda eg-mo is less than 10 0 followed by eg-mo = eg-mo1 -------------------------------- eg-mo is normally written eg-mo1 eg-mo is greater than or equal 10 -------------------------------- eg-mo is normally written eg-mo the substring of eg-date at 1 of length 2 is eg-da the substring of eg-date at 3 of length 3 is eg-mo the substring of eg-date at 6 of length 2 is eg-yr this-number is the number of the month this-mo eg-yr followed by eg-number = eg-yrmo eg-yrmo followed by eg-da = eg-yrmoda --------------------------------------------------------------- eg-date can also be written as eg-yrmoda some-part1 followed by some-part2 = some-line some-start-position - 1 = some-prefix-length that-part1 consists of that-prefix-length symbols letters and digits that-part2 consists of some-length symbols letters and digits ------------------------------------------------------------------------------------- the substring of that-line at that-start-position of length that-length is that-part2 some-part1 followed by some-part2-part3 = some-line some-start-position - 1 = some-prefix-length that-part1 consists of that-prefix-length symbols letters and digits some-part2 followed by some-part3 = that-part2-part3 that-part2 consists of some-length symbols letters and digits ------------------------------------------------------------------------------------- the substring of that-line at that-start-position of length that-length is that-part2 some-part1 followed by some-part2 = some-line that-part1 consists of some-length symbols letters and digits ------------------------------------------------------------------- the substring of that-line at 1 of length that-length is that-part1