Diagnosis Processing for ICD-10 (Austria)

Use

Checks

The system performs the following checks when adding and changing ICD-10 diagnoses:

  • Local checks

    • All the key numbers that are not copied as key numbers for ICD-9 BMAGS 1998 have been defined as hash key numbers. These are for internal use only. The system issues a warning if you enter a diagnosis to which this applies.

    • If you use an ICD-10 diagnosis with diagnosis category (*, + , !) within a diagnosis, you can only specify the same diagnosis category for the reference diagnosis (diagnosis-category1 = * and diagnosis-category2 = *).

    • Exclamation point (!) and asterisk diagnoses (*) must not be key diagnoses (like the hospital or department main diagnosis).

  • Global checks

    • An asterisk/exclamation point diagnosis cannot exist without a dagger diagnosis (assigned in department stay).

    • A dagger diagnosis cannot exist without an asterisk/exclamation point diagnosis.

    • If you mark a diagnosis as the hospital main diagnosis, the system automatically selects the discharge diagnosis indicator for it.

      This is done by the Business Add-In (BAdI) IS-H: Diagnosis Checks for Country Versions (ISH_DIAGNOSIS_CVERS). Do not make any changes to this BAdI.

The system runs the following global checks for the ICD-10 diagnoses during deletion:

  • You can only delete a dagger diagnosis if it is not referenced by an asterisk/exclamation point diagnosis. If there are assignments to asterisk/exclamation point diagnoses, deletion is only possible in dialog processing. The system then automatically deletes all the assignments in the dependent asterisk/exclamation point diagnoses. In background processing (for example, for BAPIs), the system does not delete the dagger diagnosis and issues the error message Asterisk diagnoses still exist for diagnosis &1; cannot delete (message class N6, message 654).

  • It is always possible to delete an asterisk/exclamation point diagnosis in dialog processing, but this is only possible in background processing if one of the following conditions applies:

    • There is no assignment to a dagger diagnosis (this should not normally be the case)

    • After deletion, other asterisk/exclamation point diagnoses reference the dagger diagnosis that is assigned to the asterisk/exclamation point diagnosis that is to be deleted.

      This ensures that no inconsistencies arise; that is, that the assigned dagger diagnosis does not have any assignments after deletion.

Diagnosis Assignment

There are assignments between ICD-10 diagnoses. You can use this function to link dagger diagnoses to the corresponding asterisk diagnoses. Since it is not always possible to make a definitive assignment automatically, you must maintain the assignments between dagger and asterisk diagnoses explicitly.

Note Note

The system stores these assignments at database level in field DIA_LINK in table NDIA , in the record for the relevant diagnosis. The field is not visible on the Maintain Diagnoses for Case/Department screen (transaction NP61 ).

End of the note.

The assignments always refer from the asterisk/exclamation point diagnosis to the dagger diagnosis; that is, the system stores the sequence number of the dagger diagnosis in field DIA_LINK for the asterisk diagnosis. This is because dagger diagnoses can potentially have a 1:n relationship with asterisk diagnoses (there can be more than one asterisk/exclamation point diagnosis for a dagger diagnosis).

These changes affect the following functions: