Entity Claim / DRG

DescriptionAn 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 GrouperDRG Grouper
DRG Translation DateDRG Translation Date
DRG Translation Rule AppliedDRG Translation Rule Applied
DRG Translation Rule DescrDRG Translation Rule Descr
Relationship TypeRelationship Type

Relationship
Claim / DRG_Claim_FKClaim / DRG_Claim_FK
Claim / DRG_Diagnosis Related Group_FKClaim / DRG_Diagnosis Related Group_FK
Claim / DRG_Translated Diagnosis Related Group_FKClaim / DRG_Translated Diagnosis Related Group_FK

Dependencies
 NONE

Reverse Dependencies
 

Attribute Details

 DRG Grouper
DescriptionDiagnosis Related Group Grouper.
Identifies the grouper used to assign this diagnosis related group.
Data TypeStandards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKeyfalse
Is Requiredfalse
Is Derivedfalse
Is Surrogate Keyfalse



 DRG Translation Date
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
DescriptionThe business rule used to perform the diagnosis related group (DRG) translation.
Data TypeStandards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
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



 Relationship Type
DescriptionIdentifies the type of the relationship that exists between the claim and the diagnosis related group.
Data TypeStandards - Data Domains.ddm/Data Domains/Enumeration [VARCHAR(20)]
Is Part Of PrimaryKeyfalse
Is Requiredtrue
Is Derivedfalse
Is Surrogate Keyfalse

Relationship Details

 Claim / DRG_Claim_FK
Is Identifying Relationshiptrue
Child TableClaim / DRG
Child MultiplicityZERO_TO_MANY
Child Referential Integrity: On DeleteNONE
Child Referential Integrity: On InsertNONE
Child Referential Integrity: On UpdateNONE
Parent TableClaim
Parent MultiplicityONE
Parent Referential Integrity: On DeleteNONE
Parent Referential Integrity: On InsertNONE
Parent Referential Integrity: On UpdateNONE



 Claim / DRG_Diagnosis Related Group_FK
Is Identifying Relationshiptrue
Child TableClaim / 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



 Claim / DRG_Translated Diagnosis Related Group_FK
Is Identifying Relationshipfalse
Child TableClaim / 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