HRG4 2008_09 Reference Costs Grouper User Manual
Contents
1.2. The Casemix Service Extract Field Example Example Entering an Extract instruction of informs the Grouper that all occurrences of should be ignored when processing that field This is a convenient way to remove decimal points from fields in the input batch file Note that when entering the Extract instruction the Grouper can be informed that more than one character should be stripped from the field For example by entering a value of in this field informs the Grouper that both the character and character are to be ignored by the Grouper when processing that field Note that it is not possible to extract the comma character using this facility HRG4 2009 10 Local Payment Grouper User Manual Page 23 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved Glossary The Casemix Service CC Complications and comorbidities CSV Comma Separated Value Diag Diagnosis HRGUSER INI The HRG program initialisation file FCE Finished Consultant Episode HRG Healthcare Resource Group ICD 10 10th revision of the International Classification of Diseases OPCS 4 4th revision of Office of Population Censuses and Surveys Classification of Procedures PAS Patient Administration System PBC Programme Budgeting Categories PDiag Primary diagnosis PProc Primary procedure Proc Procedure RDF Record Definition File SSC Spec
3. Casemix Service HRG4 es HRG4 2009 10 Local Payment Grouper User Manual Issue Date 15 April 2009 The Casemix Service HRG4 2009 10 Local Payment Grouper User Manual Changes and corrections are made to this manual from time to time Please check the Casemix website for the most up to date version at http Awww ic nhs uk hrg4groupermanual Table of Contents In Adobe Reader the Bookmarks tab can be used to show the table of contents in a separate panel Record Definition Files 3 Grouping Modes 3 Running the Grouper from the Command Line non interactive mode 3 Grouping in Interactive Mode 4 The Grouper Main Screen 7 Current Database 9 Record Definition File Wizard Step One 10 Record Definition File Wizard Step Two 11 Record Definition File Editor 13 Process File 13 Display File 15 Single Spell Grouping 17 Database Selection Screen 19 Reports 20 Subtraction of Days from Admitted Patient Care Duration 21 Picture Field Examples 22 Extract Field Example 23 Glossary 24 Contact Information 25 HRG4 2009 10 Local Payment Grouper User Manual Page 2 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Record Definition Files The grouper relies on a text file called a Record Definition File RDF to indicate the field position column number of each of the mandatory fields in the input file The entries in the RDF act as a pointer
4. Age Sex PatCla AdmSre A area The first row of the data file is displayed in the lower part of the dialog box the preview area above it temporary field names Field 1 etc are shown The preview area automatically assigns field positions based on the comma positions in the file For Admitted Patient Care the Number of diagnosis codes and Number of procedure codes values may be edited to allow the processing of files that contain a non standard number of clinical codes Other data types allow similar increases in the numbers of specific fields see Guide to File Preparation for details All entries in the Mandatory Fields list must be assigned to fields in the sample file Fields are assigned by dragging the name from the list to the appropriate field in the preview area Fields appear in the Assigned Fields list as they are used The screenshot below shows the process partially completed first three fields assigned HRG4 2009 10 Local Payment Grouper User Manual Page 11 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Record Definition File Wizard Drag items from the mandatory field list to the paksa dlls giras eit lle field below to assign them Unassign fields by STARTAGE PROCODET selecting them and pressing delete SEX PROVSPNO CLASSPAT EPIORDER Number of diagnosis codes 14 Arei 12 DISDEST DISMETH
5. GroupingMethodFlag DominantProcedure FCE PBC CalcEpidur ReportingEpidur FCETrimpoint FCEExcessBeddays SpellReportFlag The row number field mentioned in the sort file It is unique within this file The episode level Core HRG An indication of the grouping method used for the episode P procedure driven D diagnosis driven The dominant procedure used for procedure based grouping This field is populated in reference costs groupers only It contains the Programme Budgeting Category The calculated episode duration This is the input Episode duration minus the number of critical care days entered The episode duration used when generating reports The episode trimpoint for the HRG allocated to the episode The number of days that the episode exceeds the trimpoint Used when generating reports from grouped data 7 File filename spell rel csv This file contains the Spell level output in relational form There are a fixed number of columns One entry will be produced per spell RowNo SpellHRG The key into other files The spell level Core HRG The first of the spell level output Be careful to avoid double counting when using spell level fields SpellDominantProcedure DominantProcedure but at spell level SpellPDiag SpellSDiag SpellEpisodeCount SpellLoS ReportingSpellLoS SpellTrimpoint SpellExcessBeddays The primary diagnosis used when spell grouping The 1st secondary diagnosis us
6. csy OPER_0O1 OPER_02 OPER_O3 OPER_04 OPER_05 OPER_06 OPER_O OPER_ P068 M136 D202 L013 Y241 Y276 2335 2361 M291 T138 Y209 608 M629 F129 C601 Y276 H319 C403 Y912 T072 w809 WIA w502 Y268 5055 M053 115 lt gt Current Database 1000 episodes csv Double clicking on a record within the display opens it in the Single Spell Grouping screen HRG4 2009 10 Local Payment Grouper User Manual Page 16 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Single Spell Grouping This option allows the interactive grouping of input data The mandatory fields for the currently selected database are displayed within the upper area The user can insert data by typing into the Value column Pressing the Enter key displays the code s description where a valid code has been entered A valid record definition file must be selected in order to use single spell grouping The single spell grouping dialog box is shown below ic Single Spell Grouping FCE 1 Field Value Description Click to add episode PROCODET PROVSPNO EPIORDER STARTAGE MAINSPEF NEOCARE TRETSPEF Output Field Yalue Description Group UnbundleHRGs FCE Trimpoint FCEExcessB SpellHRG SpellDGVP SpellPDiag SpellSDiag SpellE pisode SpellLOS SpellT rimpoint SpellExcessB Unlike the file grouping facility the single spell grouping function
7. list of all the other files produced This file will normally be ignored 2 File filename acc csv Its structure is as follows lt input data gt All of the input data for the attendance including any non mandatory fields are reproduced in the output RowNo A unique row number field applied when grouping This serves as the key for other output files ACC HRG The unbundled HRG for the ACC period All ACC HRGs are unbundled Calc CC Days The number of CC days derived from the start and end dates entered This will be 1 if there are problems with the dates CC Warning Flag Set to F for Fail if Calc_CC_Days is 1 or any of the checks mentioned below have failed This is not a part of the cruel input validation A single data row can fail here but also have a valid non U group HRG Validation Checks Calc_CC_Days CC Discharge date CC Start Date 1 Set warning flag if Calc_CC_Days 1 or CCL2 Days CCL3 Days gt Calc_CC_Days or ARSD BRSD gt Calc_CC_Days or ARSD BRSD gt CCL2 Days CCL3 Days 3 File filename quality csv This file contains one row per ACC record that contains errors Its structure is as follows lt input data gt All of the input data for the record including any non mandatory fields are reproduced in the output RowNo The row number field mentioned in the acc file It is unique within the file HRG4 2009 10 Local Payment Grouper User Manual Page 34 of 35 Author Casemix Se
8. source data The Record Definition File Wizard allows the user to create a Record Definition File The mandatory fields required in the RDF are different for each database The Create fields manually option allows the user to use a grid to define field positions and attributes To jump straight to the RDF editor select this option and click the Next button The Create from a sample file option allows the user to create an RDF interactively using a sample data file Clicking Next will prompt the user to select the file on which the RDF is to be based HRG4 2009 10 Local Payment Grouper User Manual Page 10 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Record Definition File Wizard Step Two Where the user selects Create from a sample data file from the dialog box described in Step One the user is prompted to browse for the file after which the dialog box shown below is displayed Record Definition File Wizard Mandatory Fields Assigned Fields Drag items from the mandatory field list to the field below to assign them Unassign fields by PROCODET selecting them and pressing delete PROVSPNO EPIORDER Number of diagnosis codes STARTAGE a E Bs CLASSPAT ADMISORC ADMIMETH DISDEST DISMETH EPIDUR mance Number of procedure codes 12 Field 1 Field 2 Field 3 Field 4 Field 5 Field 6 Field 7 OrgCode SpellNunm EpNumn
9. Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service 4 File filename spell csv This file could be considered semi relational It contains one row per spell However it also contains all of the SSCs generated for the spell in a flat structure like unbundled HRGs in the FCE output The FCE input data is not reproduced The row number in the first column refers to the first row number in the sort or FCE output and will always be the first episode in the spell after sorting RowNo The key into other files Unless all spells in the input data each consist of a single episode RowNo in the spell file is not continuous i e some numbers are absent SpellHRG The spell level Core HRG The first of the spell level output Be careful to avoid double counting when using spell level fields SpellDominantProcedure DominantProcedure but at spell level SpellPDiag The primary diagnosis used when spell grouping SpellSDiag The 1st secondary diagnosis used when spell grouping SpellEpisodeCount The number of episodes in the spell SpellLoS The duration of the spell used for grouping ReportingSpellLoS The length of stay used when generating reports SpellTrimpoint The trimpoint for the HRG allocated to the spell SpellExcessBeddays The number of days the spell exceeds the trimpoint SpellCCDays The number of critical care days in the spell SpellSSC1 The first poss
10. EPIDUR MAINSPEF NEOCARE TRETSPEF LA nat Number of procedure codes PROCODET PROVSPNO EPIORDER Field 4 Field 6 Field 7 OrgCode SpellNun EpNun Age PatCla AdmSre lt ewe Cae Multiple fields can be selected using the SHIFT and CTRL keys in combination with mouse clicks The selected collection of fields can then be dragged to the preview area To remove an assigned field select it in the Assigned Fields list and press the Delete key The field will be returned to the bottom of the Mandatory Fields list not its original position When all fields have been assigned click OK to proceed The RDF will be opened in the RDF editor allowing checking and any required amendments HRG4 2009 10 Local Payment Grouper User Manual Page 12 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Record Definition File Editor Field Name Field Title Field No Picture Extract PROCODET PROCODET PROVSPNO PROVSPNO EPIORDER EPIORDER STARTAGE STARTAGE SEX SEX CLASSPAT CLASSPAT ADMISORC ADMISORC ADMIMETH ADMIMETH DISDEST DISDEST DISMETH DISMETH IDUR EPIDUR Curent Database C Program Files ICK HRG4 2008_09 RC Grouper HRG4_sample_APC rdf a CDZoouonon a w N The RDF Editor provides a manual method of assigning field positions and attributes Field Name Field abbreviation This is for internal use and canno
11. Service Display File The application provides a Display File facility accessed from the Tools menu this file viewer can be used to examine grouper output files The fields displayed using this facility are restricted to those defined in the Record Definition File The field positions pictures and extract values from the RDF are applied Note that the output files are comma separated text files so can be opened using other applications e g Microsoft Excel 1000 episodes csv x PROCODET PROVSPNO EPIORDER STARTAGE SEX CLASSPAT ADMISORC ADHA OrgCode SpellNum EpNum Age Sex PatCla AdmSre Adn Ic 000000001 1 34 Oo 2 99 23 Ic 000000001 2 34 D 2 99 23 IC 000000002 1 66 0 1 29 21 IC 000000002 2 66 D 1 29 21 IC 000000003 1 55 2 3 29 98 IC 000000003 2 55 2 3 29 98 IC 000000003 3 55 2 3 29 98 IC 000000003 4 55 2 3 29 98 4 uy gt Current Database 1000 episodes csv The space beneath each field name allow the user to enter filter criteria to limit the records displayed based on one or more starting characters Pressing the Enter key activates the filter HRG4 2009 10 Local Payment Grouper User Manual Page 15 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service In the example below Y2 has been entered under OPER_5 to limit the list to those records where the OPCS code starts with Y2 EME pisodes
12. any unbundled HRGs RowNo Iteration UnbundledHRG The key into other files In this case it will be the row number associated to the episode in the spell In conjunction with RowNo provides a unique key for the record The unbundled HRG 11 File filename summary csv A single row file containing details about the grouping run Grouper Version FCE Count Spell Count FCE Error Count Spell Error Count Run Start Date Time Run End Date Time The version of the grouper that produced the run The number of episodes submitted to the run The number of spells submitted to the run The number of episodes with errors The number of spells with errors The data time that the run started The data time that the run finished HRG4 2009 10 Local Payment Grouper User Manual Page 30 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Input Filename The path and filename of the input file Input Filename The path and filename of the first output file mentioned above RDF path and name The path and filename of the rdf file used in the run Non Admitted Care A single input file produces seven output files 1 File filename csv Contains a list of all the other files produced This file will normally be ignored 2 File filename attend csv This is sometimes known as the attendance flat output Its structure is as follows lt in
13. directory must be set to the directory of the Grouper executable HRGGrouper exe Use path names for the input file the output file and the record definition file where they are located in other directories A sample batch file is shown below C3 cd C Program Files IC HRG4 2009_10 LP Grouper HRGGrouper i C Grouper Testing HRG4 1000 episodes 1000 episodes CSV 0o C Grouper Testing HRG4 1000 episodes 1000 episodes out csv d C Program Files IC HRG4 2009_10 LP Grouper HRG4_sample_APC rdf 1 apc_v42lp h Grouping in Interactive Mode Interactive mode uses the grouper s graphical user interface Start the grouper using the shortcut on the Windows Start menu Steps to group a file 1 Export data e g from a Patient Administration System or other computer system in comma separated text format It is strongly recommended that field names are included as the first row of the data extract this makes it considerably easier to work with the file The Guide to File Preparation document available from the Casemix web site specifies the input file mandatory fields and their formats HRG4 2009 10 Local Payment Grouper User Manual Page 4 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service 2 On the grouper main screen Current Database tab select the Database that corresponds to the data type to be grouped ic HRG4 2009 10 Local Paym
14. does not attempt to validate input fields and will allocate an HRG provided there is sufficient information to do so i e at least a valid primary diagnosis HRG4 2009 10 Local Payment Grouper User Manual Page 17 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Clicking the Click To Add Episode header bar will open an adjacent set of columns allowing values for a second episode to be entered and grouped as part of the same spell Clicking the Group button will process the values entered and will display the HRG and other derived information in the output lower area HRG4 2009 10 Local Payment Grouper User Manual Page 18 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Database Selection Screen From the Tools menu select Select Database to open the dialog box shown below Database Selection Database Database Admitted Patient Care DS Description Tables Table Database Version Description Canta This dialog box provides both an alternative mechanism for selecting the current database and a way of exporting database tables The Table drop down box displays a list of data files that make up the currently chosen database Selecting one will show a brief description of it in the accompanying area Clicking Se
15. ed when spell grouping The number of episodes in the spell The duration of the spell used for grouping The length of stay used when generating reports The trimpoint for the HRG allocated to the spell The number of days the spell exceeds the trimpoint HRG4 2009 10 Local Payment Grouper User Manual Page 29 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved SpellCCDays The Casemix Service The number of critical care days in the spell 8 File filename quality rel csv All of the error messages in relational form There will be no entries for FCEs or Spells that have no errors produced RowNo Iteration Code Type Code Error Message The key into other files In conjunction with RowNo provides a unique key for the record The field type causing the problem Where populated the value of that code causing the problem Explanation of the problem 9 File filename ssc_rel csv The SSCs produced during the run There will be no entries for Spells that have no SSCs produced RowNo Iteration SSC The key into other files In this case it will be the row number associated to the spell first episode in the spell In conjunction with RowNo provides a unique key for the record The SSC derived for the parent spell 10 File filename ub rel csv The unbundled HRGs produced during the run There will be no entries for episodes that do not have
16. ent Grouper File Edit Tools Help amp p300 Current Database Database Admitted Patient Care HAG 4 to select F J database The l Information Centre for health and social care lt Log empty gt Description Record Definition File C Grouper Testing HRG4 HRG4_sample_APC rdf w 3 Select an appropriate Record Definition File RDF for the database to be used for grouping This is done by clicking the Browse button and navigating to the appropriate RDF Ensure that the RDF is intended for use with the same data type as the selected database e g if the selected database is Admitted Patient Care ensure that the RDF was designed for Admitted Patient Care data Failure to ensure that the data type of the RDF and the database match will lead to grouping errors If a suitable RDF does not already exist for the file being processed then the grouper can be used to edit an existing RDF or to create a new one See the section on the Record Definition File Wizard below 4 From the Tools menu select Process File this opens Process File dialog box 5 Select the input file the data to be grouped using the browse button folder icon next to the input file field Check the Input data has headings check box if the input data includes field names in the first row HRG4 2009 10 Local Payment Grouper User Manual Page 5 of 35 Author Casemix Service Copyright 2009 The Information Cent
17. file is for validation only and will normally be ignored by users 2 File filename sort csv This a copy of the input data after it has been sorted into Provider Code Spell Number Episode Number order prior to grouping It also contains a unique row number added as a final column assigned after the sorting process This row number is intended to be used as the key when using relational data HRG4 2009 10 Local Payment Grouper User Manual Page 26 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service 3 File filename FCE csv This file contains both FCE and spell output fields The spell fields are repeated for each episode in the spell beware of double counting when using spell fields The file structure is as follows lt input data gt All of the input data for the FCE including any non mandatory fields are reproduced in the output RowNo The row number field mentioned in the sort file It is unique within the file FCE HRG The episode level Core HRG GroupingMethodFlag An indication of the grouping method used for the episode P procedure driven D diagnosis driven DominantProcedure The dominant procedure used for procedure based grouping FCE PBC This field is populated in reference costs groupers only It contains the Programme Budgeting Category CalcEpidur The calculated episode duration This is the input Episode duration mi
18. ialised Services Code Record Definition File The file defining the format of the data to be processed by the Grouper with w o without HRG4 2009 10 Local Payment Grouper User Manual Author Casemix Service Page 24 of 35 Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Contact Information This software and associated materials are the Copyright of the NHS Information Centre for Health and Social Care Help is available for both technical and general queries from the NHS Information Centre for Health and Social Care contact centre Telephone 0845 300 6016 Monday Friday 9am 5pm Email enquiries ic nhs uk http www ic nhs uk casemix HRG4 2009 10 Local Payment Grouper User Manual Page 25 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Appendix Output Files The output files aim to meet the needs of those familiar with relational data as well as those who require non relational files Specific relational outputs include _rel as a part of the output filename Generally a single input file produces a number of output files User requirements determine which files are used some users may not require certain output files In most cases an output field appears in more than one file In the text below the filename supplied by the user duri
19. ible SSC produced for the spell The grouper does not check eligibility All SSCs possible are output for organisational SSC eligibility check DH guidance SpellSSC2 The second possible SSC produced for the spell SpellSSC10 The tenth possible SSC produced for the spell UnbundledHRGs An aggregate of all unbundled HRGs produced for episodes in the spell 5 File filename quality csv This file contains one row per episode for all episodes ina spell that have an error including episodes in that spell that do not have any errors those records do not have an error message This means that the user can see all of the input data and all error messages for a spell that has failed validation Its structure is as follows lt input data gt All of the input data for the FCE including any non mandatory fields are reproduced in the output RowNo The row number field mentioned in the sort file It is unique within the file HRG4 2009 10 Local Payment Grouper User Manual Page 28 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved Error Message The Casemix Service A variable number of fields containing the error message Each message is the three fields shown in the relational quality file separated by pipe symbols 6 File filename FCE rel csv This file contains the FCE level output in relational form There are a fixed number of columns RowNo FCE HRG
20. is being edited Insert Field Inserts a new line in an RDF for user defined fields only available when an RDF is being edited 8 Delete Field Deletes the currently selected user defined field in an RDF only available when an RDF is being edited gt Process File Opens the Process File window 3 Run Reports Opens the Run Reports box note that reports are not available in the Local Payment Grouper al Display File Opens a selected file within the tabbed display area a Single Spell Grouping Opens the Single Spell Grouping screen e Tabbed Display Area This area shows screens that can be viewed by selecting the tabs at the bottom of the window when more than one of the following are open Database Selection Record Definition File Editor File Display e Log Area This area displays progress and status messages during and after grouping HRG4 2009 10 Local Payment Grouper User Manual Page 8 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Current Database ic HRG4 2009 10 Local Payment Grouper File Edit Tools Help gt a DD Current Database Database Admitted Patient Care HRG4 The l Information Centre for health and social care f lt Log empty gt Description Record Definition File C Grouper Testing HRG4 HRG4_sample_APC rdf The current database is shown on the main
21. lect will set the Grouper to use the selected database Clicking the Export button will export the selected table the user being prompted for a filename and location HRG4 2009 10 Local Payment Grouper User Manual Page 19 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Reports Unlike the Reference Costs Grouper the Local Payment Grouper does not produce any reports The reference costs groupers and local payment grouper applications utilise the same code base this means that reporting buttons and screens are available in the local payment grouper application The report lists are not populated HRG4 2009 10 Local Payment Grouper User Manual Page 20 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Subtraction of Days from Admitted Patient Care Duration The Grouper facilitates the subtraction of days for Critical Care from finished Consultant Episode and Hospital Provider Spell durations Where the user populates the input data fields with numbers representing the appropriate days of activity these will be used by the grouper to calculate modified output fields Although the field is mandatory in the input data i e the column must exist in the file it may be left blank or populated with zeros This could be appropriate where either there are no da
22. mode The Grouper can process a file using the command line and parameters below mandatory parameters are enclosed within lt angle brackets gt optional parameters are enclosed within square brackets HRGGrouper i lt Input File gt o lt Output File gt d lt Record Definition File gt l lt Grouping Logic gt h An example command line to run the grouper is shown below HRGGrouper i C Grouper Testing HRG4 1000 episodes 1000 episodes CSV o C Grouper Testing HRG4 1000 episodes 1000 episodes out csv d C Program Files IC HRG4 2009 _10 LP Grouper HRG4_sample_APC rdf 1 apc_v42lp h The available Grouping Logic parameters are apc_v42lp Admitted Patient Care HRG4 2009 10 Local Payment Grouper User Manual Page 3 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service nap_v421p Non Admitted Patients em_v421lp Emergency and Urgent Care HRG4 ae_v32lp Accident and Emergency v3 2 HRG v3 5 acc_v42l1p Adult Critical Care Please note that the grouping logic parameter names above end in 1p as an abbreviation for Local Payment the penultimate character is the twelfth letter in the alphabet not a numerical digit representing one Any messages generated by the application while running in command line mode such as the number of records processed are written to the HRG LOG file Before running the command the working
23. ng processing is referred to as filename Use of RowNo and Iteration Fields The role of the RowNo field is to provide a method of uniquely identifying FCEs within output files The existence of a unique identifier for FCEs allows related records to be identified in different output files For example in the case of unbundled HRGs the file filename _ub_rel csv shows the unbundled HRGs for each output row The field RowNo contains the RowNo of the matching output record in the file filename _FCE csv If these files are imported to a relational database the RowNo fields can be used as the basis from which to derive keys to allow the relationship between these records to be represented Where there is more than one related record for example where there are more than one unbundled HRGs for an FCE the field Iteration is used to differentiate between the multiple related records Examples of where Iteration is used are e aninput row may generate more than one unbundled HRG e aninput row may result in more than one data quality message There is no significance to the numerical values of Iteration the numbers are assigned in order according to the order of the input data the sorted input data in the case of files that are sorted prior to grouping Admitted Patient Care A single input file produces eleven output files 1 File filenamel csv A list of other output files this
24. ntaining the error message Each message is the three fields shown in the relational quality file separated by pipe symbols 4 Eile filename quality rel csv All of the error messages in relational form There will be no entries for attendances that have no errors produced RowNo The key into other files Iteration In conjunction with RowNo provides a unique key for the record Code Type The field type causing the problem Code Where populated the value of that code causing the problem Error Message Explanation of the problem 5 File filename summary csv A single row file containing details about the grouping run Grouper Version The version of the grouper that produced the run Attendance Count The number of attendances submitted to the run Attendance Error Count The number of attendances with errors Run Start Date Time The date time that the run started Run End Date Time The date time that the run finished HRG4 2009 10 Local Payment Grouper User Manual Page 33 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Input Filename The path and filename of the input file Input Filename The path and filename of the first output file mentioned above RDF path and name The path and filename of the rdf file used in the run Adult Critical Care A single input file produces five output files 1 File filename csv Contains a
25. nus the number of critical care days entered ReportingEpidur The episode duration used when generating reports FCETrimpoint The episode trimpoint for the HRG allocated to the episode FCEExcessBeddays The number of days that the episode exceeds the trimpoint SpellReportFlag Used when generating reports from grouped data SpellHRG The spell level Core HRG SpellDominantProcedure DominantProcedure at spell level SpellPDiag The primary diagnosis used when spell grouping SpellSDiag The 1st secondary diagnosis used when spell grouping SpellEpisodeCount The number of episodes in the spell SpellLoS The duration of the spell used for grouping ReportingSpellLoS The length of stay used when generating reports SpellTrimpoint The trimpoint for the HRG allocated to the spell SpellExcessBeddays The number of days the spell exceeds the trimpoint SpellCCDays The number of critical care days in the spell UnbundledHRGs A variable number of fields containing unbundled HRGs at episode level Unbundled HRGs are appended to the end of each record there may be zero one or more unbundled HRGs per record For Specialist Palliative Care and Rehabilitation unbundled HRGs where there is more than one daily HRG the field consists of an HRG followed by an asterisk followed by the number of days rather than the HRG repeated for every day E g VC182Z 20 indicates VC18Z for 20 days HRG4 2009 10 Local Payment Grouper User Manual Page 27 of 35
26. put data gt All of the input data for the attendance including any non mandatory fields are reproduced in the output RowNo A unique row number field applied when grouping This serves as the key for other output files NAC HRG The Core HRG for the attendance GroupingMethodFlag An indication of the grouping method used for the attendance DominantProcedure The dominant procedure used for procedure based grouping UnbundledHRGs A variable number of fields containing unbundled HRGs Unbundled HRGs are appended to the end of each record there may be zero one or more unbundled HRGs per record 3 File filename quality csv This file contains one row per attendance that contain errors Its structure is as follows lt input data gt All of the input data for the attendance including any non mandatory fields are reproduced in the output RowNo The row number field mentioned in the attend file It is unique within the file Error Message A variable number of fields containing the error message Each message is the three fields shown in the relational quality file separated by pipe symbols 4 Eile filename attend rel csv This is sometimes known as the attendance relational output Its structure is as follows lt input data gt All of the input data for the attendance including any non mandatory fields are reproduced in the output HRG4 2009 10 Local Payment Grouper User Manual Page 31 of 35 Author Casemix Ser
27. re Casemix Service All rights reserved The Casemix Service 6 Select the name and location for the creation of the output file using the browse button folder icon next to the output file field The output file is the file that will contain the grouped data 7 When all selections have been made click the Process button to produce the grouped output file A progress bar is displayed When grouping Admitted Patient Care data grouping is preceded by a data sorting phase a separate progress bar is shown for sorting When grouping is complete the Process File dialog box will close and the application returns to the Main Screen It is very important that the user examines the entries in the log area after grouping If grouping fails this will be reported in the log area Note that the output file is a text file and may therefore be opened using a variety of applications To open the output file from within the application see the Display File section later in this document HRG4 2009 10 Local Payment Grouper User Manual Page 6 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service The Grouper Main Screen The Main Screen has a main menu a toolbar a tabbed display and a log area e Main Menu File Edit Tools Help File New RDF Opens the RDF Wizard Open RDF Opens a selected RDF for editing or review within the tabbed display area Sa
28. rvice Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Error Message A variable number of fields containing the error message Each message is the three fields shown in the relational quality file separated by pipe symbols 4 File filename quality rel csv All of the error messages in relational form There will be no entries for records that have no errors produced RowNo The key into other files Iteration In conjunction with RowNo provides a unique key for the record Code Type The field type causing the problem Code Where populated the value of that code causing the problem Error Message Explanation of the problem 5 File filename summary csv A one row file containing details about the grouping run Grouper Version The version of the grouper that produced the run ACC Record Count The number of attendances submitted to the run ACC Record Error Count The number of attendances with errors Run Start Date Time The date time that the run started Run End Date Time The date time that the run finished Input Filename The path and filename of the input file Input Filename The path and filename of the first output file mentioned above RDF path and name The path and filename of the rdf file used in the run HRG4 2009 10 Local Payment Grouper User Manual Page 35 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved
29. s so that the grouper knows the location of each field in the input file Each time the grouper is run the user must ensure that an appropriate RDF is selected For convenience the grouper installation includes sample RDFs one for each of the data types that the application can process These files can be found in the grouper installation folder The grouper provides methods for creating user defined RDFs see below but the user may find that the sample RDFs provided with the application are sufficient It is not necessary for the RDF to specify the positions of all the fields in the input file only the mandatory fields must be specified For a list of mandatory fields for each data type see the Guide to File Preparation document Where the input file contains fields that are not specified in the RDF the grouper simply ignores these fields during processing and passes them to the output file The only reason to specify non mandatory input fields in the RDF is where the grouper s internal file viewer is used to view output files The internal file viewer displays only those fields that are specified in the RDF Grouping Modes The grouper offers three modes of operation e Non interactive file grouping using the command line mode e Interactive file grouping using the graphical user interface Interactive record grouping using the graphical user interface single spell grouping Running the Grouper from the Command Line non interactive
30. ss File dialog box Select the input file data file using the browse button folder icon next to the input file field Note that with the default setting of Input files selected in the Files of type list the Open dialog box accessed via the browse button will list files with csv and txt extensions only Change this value to All Files if the input file has a different extension Check the Input data has headings check box if the input data includes field names in the first row Select the name and location of the output file using the browse button folder icon next to the output file field The output file is the file that will contain the grouped data Process File Input File Input File Input data has headings Browse buttons Output File Output File Reports Select all reports Deselect all reports Process Cancel When all selections have been made click the Process button to group the file A progress bar is displayed When grouping is complete the progress bar and the Process File dialog box will close the application returns to the Main Screen It is very important that the user examines the entries in the log area after grouping If grouping fails this will be reported in the log area HRG4 2009 10 Local Payment Grouper User Manual Page 14 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix
31. t be changed Field Title Field description can be edited by the user to show a meaningful name for the field Field No The field position in a comma separated input file with the first field being number one Picture Allows the user to provide filtering instructions to the Grouper by describing a Picture of the field During the processing the Grouper will apply this picture to the field and only use the specified characters Click here for examples Extract Allows the user to provide filtering instructions to the Grouper by describing an Extract instruction During processing the Grouper will apply this Extract instruction to the field and only the characters that the user has specified Click here for examples The Insert toolbar button inserts a new field in the RDF This feature is provided so that non mandatory fields can be shown using the Display File feature The Delete toolbar button removes a field from the RDF Mandatory fields cannot be deleted When the RDF is saved the user will be informed if any validation checks such as conflicting field positions have been failed These issues must be resolved before the file can be saved Process File HRG4 2009 10 Local Payment Grouper User Manual Page 13 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service From the Tools menu select Process File this opens Proce
32. un The number of attendances submitted to the run The number of attendances with errors The date time that the run started The date time that the run finished The path and filename of the input file The path and filename of the first output file mentioned above The path and filename of the rdf file used in the run A single input file produces five output files HRG4 2009 10 Local Payment Grouper User Manual Page 32 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved 2 The Casemix Service File _ filename csv Contains a list of all the other files produced This file will normally be ignored File filename attend csv This is sometimes known as the attendance flat output Its structure is as follows lt input data gt All of the input data for the attendance including any non mandatory fields are reproduced in the output RowNo A unique row number field applied when grouping This serves as the key for other output files EM _HRG The Core HRG for the attendance 3 File filename quality csv This file contains one row per attendance that have errors Its structure is as follows lt input data gt All of the input data for the attendance including any non mandatory fields are reproduced in the output RowNo The row number field mentioned in the attend file It is unique within the file Error Message A variable number of fields co
33. ve Saves a currently open RDF only available when an RDF is being edited Save As Saves a currently open RDF with the option to rename or change location only available when an RDF is being edited Exit Closes the application Edit Insert Field Inserts a new line in an RDF for user defined fields only available when an RDF is being edited Delete Field Deletes the currently selected user defined field in an RDF only available when an RDF is being edited Tools Process File Display File Single Spell Run Reports Select Database Help Index Latest User Manual Opens the Process File dialog box Opens a selected file within the tabbed display area Opens the Single Spell Grouping screen Opens the Run Reports dialog box note that reports are not available in the Local Payment Grouper Opens the Database Selection dialog box Opens the user manual Opens a web page where the latest user manual can be opened or downloaded About Opens the About screen to display application version and contact information HRG4 2009 10 Local Payment Grouper User Manual Page 7 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service e Toolbar eal S O talaa o New RDF Opens the RDF Wizard al Open RDF Opens a selected RDF for editing or review within the tabbed display area H Save Saves a currently open RDF only available when an RDF
34. vice Copyright 2009 The Information Centre Casemix Service All rights reserved RowNo NAC HRG GroupingMethodFlag DominantProcedure The Casemix Service A unique row number field applied when grouping This serves as the key for other output files The Core HRG for the attendance An indication of the grouping method used for the attendance The dominant procedure used for procedure based grouping 5 File filename quality rel csv All of the error messages in relational form There are no entries for attendances that do not contain errors RowNo Iteration Code Type Code Error Message The key into other files In conjunction with RowNo provides a unique key for the record The field type causing the problem Where populated the value of that code causing the problem Explanation of the problem 6 File filename ub _rel csv The unbundled HRGs produced during the run There are no entries for attendances that do not have unbundled HRGs RowNo Iteration UnbundledHRG The key into other files In conjunction with RowNo provides a unique key for the record The unbundled HRG 7 File filename summary csv A sinlge row file containing details about the grouping run Grouper Version Attendance Count Attendance Error Count Run Start Date Time Run End Date Time Input Filename Input Filename RDF path and name Emergency Medicine The version of the grouper that produced the r
35. window of the application see screenshot above The user must ensure that the Database selected matches the data type of the Record Definition File and the type of data to be grouped Failure to ensure that the data type of the RDF and the database match will lead to grouping errors The Record Definition File drop down box displays any Record Definition Files that have been used within the current session The Browse button allows the user to locate Record Definition Files HRG4 2009 10 Local Payment Grouper User Manual Author Casemix Service Page 9 of 35 Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Record Definition File Wizard Step One Note that sample Record Definition Files are provided as part of the grouper installation program these can be found within the grouper program folder User defined RDFs allow users the flexibility of using the grouper with locally defined input file layouts Record Definition File Wizard Database Admitted Patient Care HRG4 Description APC ICD10 0PCS4 Local Payment Grouper 09 10 Data Definition Method Create fields manually Enter field positions and characteristics directly using the Record Definition File editor Create from a sample file Visually define field positions from a sample input file A Record Definition File RDF is required by the Grouper to identify the locations of the fields in the
36. ys to be removed or the relevant days have been removed from the input data prior to grouping For further guidance on using this facility please see the document Guide to File Preparation which is available from the Casemix website HRG4 2009 10 Local Payment Grouper User Manual Page 21 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved The Casemix Service Picture Field Examples Example 1 Entering a Picture of AAA AA instructs the Grouper that the first three and last two characters of the field should be used The fourth character is ignored Example 2 Entering a Picture of A AAA instructs the Grouper that the second character and last three characters should be used and the first and third characters should be ignored Example 3 Entering a Picture of A indicates that the Grouper should use the second character only and ignore the first and last characters Note that when entering the Picture fields the characters which are entered should not be separated by spaces and the number of characters making up the Picture should equal the value entered in the Length field So in the examples above the user will have entered the values 6 6 and 3 respectively in the Length field HRG4 2009 10 Local Payment Grouper User Manual Page 22 of 35 Author Casemix Service Copyright 2009 The Information Centre Casemix Service All rights reserved
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