| Business Data Model Data Model |
| Description | An association between a diagnosis related group (DRG) and a claim based on the logic of a specific DRG grouper. A claim can be assigned more than one DRG if different groupers are run for the claim. |
| Attributes | |
DRG Grouper |
|
DRG Translation Date |
|
DRG Translation Rule Applied |
|
DRG Translation Rule Descr |
|
Relationship Type |
|
| Relationship | |
Claim / DRG_Claim_FK |
|
Claim / DRG_Diagnosis Related Group_FK |
|
Claim / DRG_Translated Diagnosis Related Group_FK |
|
| Dependencies | |
NONE |
|
| Reverse Dependencies | |
|
|
| Attribute Details |
DRG Grouper
| Description | Diagnosis Related Group Grouper. Identifies the grouper used to assign this diagnosis related group. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
DRG Translation Date
| Description | The date on which the diagnosis related group (DRG) code translation was performed. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Date [DATE] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
DRG Translation Rule Applied
| Description | The business rule used to perform the diagnosis related group (DRG) translation. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
DRG Translation Rule Descr
| Description | A textual description of the business rule used to perform the Diagnosis Related Group (DRG) translation. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Description [VARCHAR(250)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Relationship Type
| Description | Identifies the type of the relationship that exists between the claim and the diagnosis related group. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)] |
| Is Part Of PrimaryKey | false |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
| Relationship Details |
Claim / DRG_Claim_FK
| Is Identifying Relationship | true |
| Child Table | Claim / DRG |
| Child Multiplicity | ZERO_TO_MANY |
| Child Referential Integrity: On Delete | NONE |
| Child Referential Integrity: On Insert | NONE |
| Child Referential Integrity: On Update | NONE |
| Parent Table | Claim |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
Claim / DRG_Diagnosis Related Group_FK
| Is Identifying Relationship | true |
| Child Table | Claim / DRG |
| Child Multiplicity | ZERO_TO_MANY |
| Child Referential Integrity: On Delete | NONE |
| Child Referential Integrity: On Insert | NONE |
| Child Referential Integrity: On Update | NONE |
| Parent Table | Diagnosis Related Group |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
Claim / DRG_Translated Diagnosis Related Group_FK
| Is Identifying Relationship | false |
| Child Table | Claim / DRG |
| Child Role Name | translated DRG |
| Child Multiplicity | ZERO_TO_MANY |
| Child Referential Integrity: On Delete | NONE |
| Child Referential Integrity: On Insert | NONE |
| Child Referential Integrity: On Update | NONE |
| Parent Table | Diagnosis Related Group |
| Parent Multiplicity | ZERO_TO_ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
| Business Data Model Data Model |