URG Grouper User Guide
Contents
1. Activity Based Funding URG Grouper IHPA User Guide Independent Hospital Pricing Authority URGGrouper User Guide Introduction The URGGrouper application has been developed by Independent Hospital Pricing Authority IHPA to assist state and territory health departments and hospitals to group hospital emergency department data to the URG classification system This application provides the following facilities 1 The ability to map other version of diagnosis codes to major diagnosis blocks 2 The ability to group an Access data file interactively and view group results and summary results The ability to batch group Access data files interactively The ability to group text files interactively and view group results and summary results and 5 The ability to batch group text files interactively pus Please note URGGrouper has been developed according to the agreed URG classification system and tested with sample data However issues may be identified as states and territories and hospitals run real life data through the software If you think that URGGrouper is grouping records incorrectly we would appreciate your assistance by notifying us as soon as possible in order to confirm and correct faults immediately Contact us For more information contact ABF Data Acquisition Independent Hospital Pricing Authority Level 6 1 Oxford Street DARLINGHURST NSW 2010 Phone 02 8215 1130 Fax 02. ILa FX H i Save as type URG Grouper Format files urgfmt ME k 4 Hide Folders URG Grouper User Documentation 8 of 13 Next time by clicking the Load Fields Definition button user is able to load saved field definition into the application Fields Position Input Fields Episode Mo URG Start Position Sex Episode End Status URG Version Start Position Triage engin URGMDB Start Position Ed Visit amp h ICD 10 AM Start Position Diagnosis Code Diagnosis Type D Cee View Result View URG Summary View MDB Summary 4 Click the Group button then the application starts grouping data ee seii Fields Position Input Fields Qutput Fields Episode Ma Sex URG Episode End Status URG Version Triage gth URGMDB Ed Visit 6th ICD 10 AM Diagnosis Code Diagnosis Type Save Fields Definition View Result View URG Summary View MDB Summary URG Grouper User Documentation 9 of 13 When the grouping is completed a Complete message will be popped out and the running time will be displayed in the bottom of the page Bi URGGreuper E ES D Usersocaluser Desktop test 1 txt Select File Select Folder Fields Position Input Fields Output Fields Episode No Start Position 1 Length 20 URG Start Position 4a Length 2 Sex Start Position 71 Length URG Version Start Position 45 Length 4 Completed URGMDB Start Position 20
3. Completed Grouping D UsersMocaluser Desktop test 1 txt Time taken 42 s OT ven MDE Sunmay URG Grouper User Documentation 13 of 13
4. 6 Edition and setting its position and length n Fields Position Input Fields Output Fields Episode No Start Position 1 Length 20 URG Start Position 45 Length 3 Sex Start Position 21 Length 1 E NEN E E Start Positi 48 Length 4 Episode End Status Start Position 2 Length 1 oo eee CIE Start Postion 25 Length URGMDB Start Position 92 Length 9 Ed Visit Start Position 24 Length L Diagnosis Code Start Position FE Length 18 Diagnosis Type Start Position 43 i Length 2 Load Fields Definition Save Fields Definition Processing Sj px en Er BUD MED gt aereo m a Summary View MUG Summary A View Result B View URG Grouper User Documentation 7 of 13 3 After Step2 and 3 user can click the Save Fields Definition button to save fields definitions to an urgfmt file URG Sex Episode End Status ce URG Version Triage URGMDB Ed Visit amp h ICD 10 AM Diagnosis Code Diagnosis Type View URG Summary fe eile Organize New folder BE Desktop Name Date modified Type d Downloads uk Command Test 26 11 2012 5 21 PM File folder itio 44 Length 2 Recent Places di map 26 11 2012 5 22 PM File folder tion 48 Length 4 Libraries Documents EEE ocumen tion 50 Length 2 al Music Pictures BE Videos Ll Computer FreeAgent GoFle FR
5. Length amp h ICD 10 AM Start Position 55 Length 5 Save Fields Definition Processing Completed Grouping D AWUsersNocaluser Desktop test 1 txt Running Time Time taken 42 s A new file with the name being lt input file name gt Grouped will be created in the same folder as the input file In step 1 if user selected a folder instead the grouper would go through all files under such folder and process these files one by one in a batch mode URGGrouper c3 amp eS Working AY test Select File Select Folder Fields Position Input Fields Output Fields Episode No Start Position Length 20 URG Start Position 4 Length 2 Completed i 7 URG Version Start Position 46 Length 4 3 E Working AY test test2 tet has been created J URGMDB Stat Position 90 Length 5 JN i Working AY test test3 bt has been created I Working AY test testl txt has been created V amp h ICD 10 AM Start Position 55 Length 5 Save Fields Definition Processing Completed Grouping Working AY test test 1 tx Time taken 32s URG Grouper User Documentation 10 of 13 5 In order to view the group results click the View Results button If a folder is selected in step 1 the result for each file in the folder will be shown side by side me id URGGrouper ej NN ER DUsersMocaluserDesktop test 1 txt Select File Select Folder Fields Position Input Fields O
6. non admitted patient Dead on arrival not treated in emergency department 9 Not stated inadequately described The valid values for the Type of Visit field are 1 Emergency presentation 2 Returned visit planned 3 Prearangedadmissin 4 Patentintransit 5 Deadonamval 9 Notreported unknown The valid values for the Triage field are 3 Urgent Within 30 minutes 9 TrigeCategory notassigned The valid values for the Diagnosis Type field are 3 edition ICD 10 AM 4 edition ICD 10 AM 5 edition ICD 10 AM AR DRG MDC 900 No diagnosis classification provided URG Grouper User Documentation 4 of 13 The valid values for the Sex field are male Intersex or indeterminate 9 Not stated inadequately described A unique episode number for each episode is also required to link the URG with the complete ED episode URG Grouper User Documentation 5 of 13 How to group a text file 1 Open URGroupT then click the Select File or Select Folder button to select the text file or the folder running for all the files under such folder as a batch process to be erouped Select a Input fields Text File or positions fy URGGrouper Fields Position Input Fields Output Fields Episode No Start Position 1 Length 20 z Or select URG Start Position 45 Length 3 f l d Sex Start Position 21 Length 1 a t
7. 2 8215 1111 Copyright O Commonwealth of Australia URG Grouper User Documentation 2 of 13 Abbreviations The following abbreviations are used throughout this document Australian Modification AR DRG Australian Refined Diagnosis Related Group Clinical Modification Emergency Department International Classification of Diseases and related health problems ici MD MD ndependent Hospital Pricing Authority M B Major Diagnostic Block Major Diagnostic Category B C Urgency Disposition Groups Urgency Related Groups URG Grouper User Documentation 3 of 13 Input Fields A URG code is determined by five factors Episode End Status Type of Visit Triage Sex and Diagnosis Code In addition a Diagnosis Type field is required to identify the diagnosis code reported The valid values for the Episode End Status field are 1 Admitted to this hospital including to units or beds within the emergency department 2 Non admitted patient emergency department service episode completed departed without being admitted or referred to another hospital Non admitted patient emergency department service episode completed referred to another hospital for admission Did not wait to be attended by a health care professional 5 Left at own risk after being attended by a health care professional but before the non admitted patient emergency department services episode was completed Died in emergency department as a
8. art Position 48 Length 4 Episode End Status Start Position 22 Length URG Triage Start Position 23 Length 1 URGMDB Start Position 52 Length 5 GM Bh ICD 10 AM Start Position 57 Length 5 Diagnosis Code Start Position 25 Length 18 Diagnosis Type Stat Position 43 Lengh 2 Time taken 42 5 i URG Grouper User Documentation 12 of 13 7 User is also able to view the MDB summary results by clicking the View MDB Summary button If a folder is selected in step 1 MDB summary result for each file in the folder will be shown side by side Please note episodes grouped to an E5 error diagnosis code no MDB map were given an ERR value in the MDB output field in the previous version In this revised grouper these episodes are still grouped to an E5 error however the output field for MDB is left blank as no MDB can be allocated D Users localuser Desktop vest 1 bt Fields Position Input Fields Output Fields isode Na Start Position 1 m Episode No 20 ss Stat Postion G Length 3 Sex Start Position 21 Length 48 Length 4 Episode End Status Start Position 22 Length DERE ed Mac Start Postion 23 Length 7 URGMDB Start Position 52 Length 5 EdVisit Stat Position 44 Length FAA EM IEEE amp h ICD 10 AM Start Position 57 Length 5 Diagnosis Code Start Position 25 Length 18 Diagnosis Type Start Position 43 Length 2
9. older G Versi Stat Postion 48 Length 4 Episode End Status Start Position 22 Length 1 URG Version s denn CIE Start Position 23 Length W URGMDB Start Position 52 Length 5 Ed Visit Start Position 24 Length 1 v amp h ICD 10 AM Start Position af Length 5 Diagnosis Code Start Position 25 Length 18 Diagnosis Type Start Position 43 Length 2 Load Fields Definition Save Fields Definition c Processing URG Grouper User Documentation 6 of 13 2 Specify input fields and output fields position and length URG is the default field included in output table If a user also wishes to include MDB please tick the box URGMDB and specify its position and length SS St ae Fields Position Input Fields Episode Mo Output Fields Start Position URG Start Position 45 Lenath Start Position i E E R VM I ei 48 Lenath a 4 Episode End Status Start Position Length ae ee Triage Start Position Length 1 URGMDB Start Position 52 Length 5 Start Position 1 L S Fr amp h ICD 10 AM Start Position 57 Length 5 Start Position 25 ength 18 Diagnosis Type Start Position Processing iew MDB Summary T I T E n 0 n m n If the ICD version reported is not ICD 10 AM 6 Edition user can also include an X06DDX mapped ICD 10 AM 6 Edition codes from the reported diagnosis codes in the output file by ticking the box ICD 10 AM
10. utput Fields Episode Mo Start Position 1 Length 20 URG Start Position 45 Length 3 Sex Start Position 21 Length 1 asiti 48 Lenath 4 Episode End Status Start Position 22 Length 1 URG Version oe aue Start Position 2 Length URGMDB Start Position 92 Length EdVisit Start Position 4 Length 1 amp h ICD 10 AM Start Position 57 Length 5 Diagnosis Code Start Position 25 Length 18 Diagnosis Type Start Position 43 Length 2 Load Fields Definition Save Fields Definition Processing Completed Grouping D Usersocaluser Desktop test 1 txt Time taken 47 s View URG Summary View MDB Summary Diag 419502003 91175000 54150009 171431004 6142004 384709000 299709002 74732009 398665005 6456007 34014006 6142004 68566005 47874006 mlm mln mimimimimnminm rn 13645005 54150009 7520000 4009004 36857002 2997n9nn2 m igi ime wa3g 2988 2 89 T plelielwolelwleal alealal al olalealalalalwolala o wmim 2imi2iea mitn 5 URG Grouper User Documentation 11 of 13 6 For viewing the URG summary results click the View URG Summary button If a folder is selected in step 1 URG summary result for each file in the folder will be shown side by side cpi Na Start Position 1 nath 20 Episode Length URG Start Position 45 Length 3 Sex Start Position 21 Length i i AG Version St
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