Entity Encounter DRG

DescriptionAn association between an encounter and a diagnosis related group (DRG). Indicates the DRG assigned to a given encounter based on the logic of a specific DRG grouper. An encounter can be assigned more than one DRG if different groupers are run for the encounter.

Attributes
Confidential IndConfidential Ind
Currency Code SkCurrency Code Sk
Diagnosis Related Group Code SkDiagnosis Related Group Code Sk
DRG Approval IndDRG Approval Ind
DRG Grouper Code SkDRG Grouper Code Sk
DRG Grouper Review Code SkDRG Grouper Review Code Sk
DRG Payor Code SkDRG Payor Code Sk
DRG Transfer Type Code SkDRG Transfer Type Code Sk
DRG Translation DtDRG Translation Dt
DRG Translation Rule Applied Code SkDRG Translation Rule Applied Code Sk
DRG Translation Rule DescrDRG Translation Rule Descr
Effective From DtEffective From Dt
Effective To DtEffective To Dt
Encounter SkEncounter Sk
Load Info SkLoad Info Sk
Outlier Cost AmtOutlier Cost Amt
Outlier Days CntOutlier Days Cnt
Outlier Reimbursement AmtOutlier Reimbursement Amt
Outlier Type Code SkOutlier Type Code Sk
Relationship Type Code SkRelationship Type Code Sk
Source Code SkSource Code Sk
Tenant SkTenant Sk
Translated DRG SkTranslated DRG Sk
Valid From TsValid From Ts
Valid To TsValid To Ts

Relationship
Encounter / DRG_Encounter_FKEncounter / DRG_Encounter_FK
Encounter DRG_Diagnosis Related Group_FKEncounter DRG_Diagnosis Related Group_FK
Encounter DRG_Translated Diagnosis Related Group_FKEncounter DRG_Translated Diagnosis Related Group_FK

Primary Key
Encounter DRG PKEncounter DRG PK

Dependencies
 

Reverse Dependencies
 

Attribute Details

 Confidential Ind
DescriptionIndicates whether or not the DRG contains a confidential diagnosis.
Data TypeStandards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Currency Code Sk
DescriptionIndicates the currency used as the basis for all monetary amounts.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Diagnosis Related Group Code Sk
DescriptionThe unique identifier of Diagnosis Related Group
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 DRG Approval Ind
DescriptionIndicates whether or not the DRG has been approved by a reviewing entity.
Data TypeStandards - Data Domains.ddm/Data Domains/Boolean Indicator [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 DRG Grouper Code Sk
DescriptionDiagnosis Related Group Grouper.
Identifies the Diagnosis Related Group Grouper used to assign this Diagnosis Related Group to this Encounter.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 DRG Grouper Review Code Sk
DescriptionIndicates that the grouper results have been reviewed and approved.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 DRG Payor Code Sk
DescriptionIndicates the associated DRG Payor.
For example:
Medicare
Champus
Managed Care Organization
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 DRG Transfer Type Code Sk
DescriptionIndicates the type of hospital receiving a transfer patient, for example, exempt or non-exempt. This affects how a facility is reimbursed under diagnosis related group (DRG).
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 DRG Translation Dt
DescriptionThe date on which the diagnosis related group (DRG) code translation was performed.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 DRG Translation Rule Applied Code Sk
DescriptionThe business rule used to perform the diagnosis related group (DRG) translation.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 DRG Translation Rule Descr
DescriptionA textual description of the business rule used to perform the diagnosis related group (DRG) translation.
Data TypeStandards - Data Domains.ddm/Data Domains/Description [VARCHAR(250)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Effective From Dt
DescriptionEstablishes a period where a set of attributes are true according to the business.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Effective To Dt
DescriptionEnds a period of effectivity.
Data TypeStandards - Data Domains.ddm/Data Domains/Date [DATE]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Encounter Sk
DescriptionAnchor surrogate key for the Encounter data.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Load Info Sk
DescriptionThe surrogate key of the load information entry describing the details regarding the loading of the row.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Outlier Cost Amt
DescriptionThe amount of money that has been approved for an outlier payment.
Data TypeStandards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Outlier Days Cnt
DescriptionThe number of days that have been approved as an outlier payment.
Data TypeStandards - Data Domains.ddm/Data Domains/Count [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Outlier Reimbursement Amt
DescriptionThe part of the total reimbursement designated for reimbursement of outlier conditions (day or cost).
Data TypeStandards - Data Domains.ddm/Data Domains/Currency Amount [DECIMAL(14,2)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Outlier Type Code Sk
DescriptionIndicates the type of outlier (i.e. period of care beyond DRG-standard stay in facility) that has been paid.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Relationship Type Code Sk
DescriptionIdentifies the type of the relationship as defined in the business data model.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Source Code Sk
DescriptionThe origin of the data identifying the actual load source, vendor, manual key entry, or context of the data in a specific row in the database.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Tenant Sk
DescriptionThe surrogate key of the entry identifying the legal owner of the data.
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Translated DRG Sk
DescriptionThe unique identifier of Diagnosis Related Group
Data TypeStandards - Data Domains.ddm/Data Domains/Surrogate Key [INTEGER]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 Valid From Ts
DescriptionEstablishes a period where a set of attributes are true in the source system. This would be populated with the transaction timestamp and would be used for the snapshot date.
Data TypeStandards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP]
Is Part Of PrimaryKeytrue
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse



 Valid To Ts
DescriptionEnds a period of validity.
Data TypeStandards - Data Domains.ddm/Data Domains/Timestamp [TIMESTAMP]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse

Relationship Details

 Encounter / DRG_Encounter_FK
Is Identifying Relationshiptrue
Child TableEncounter DRG
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableEncounter
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Encounter DRG_Diagnosis Related Group_FK
Is Identifying Relationshiptrue
Child TableEncounter DRG
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableDiagnosis Related Group
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Encounter DRG_Translated Diagnosis Related Group_FK
Is Identifying Relationshipfalse
Child TableEncounter DRG
Child Role Nametranslated DRG
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableDiagnosis Related Group
Parent MultiplicityZERO_TO_ONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE

Primary Key Details

 Encounter DRG PK
Key AttributeEncounter Sk
Key AttributeDiagnosis Related Group Code Sk
Key AttributeDRG Grouper Code Sk
Key AttributeRelationship Type Code Sk
Key AttributeValid From Ts