Update of the data interface for the reporting of inpatient healthcare according to the DRG system with effect from 1.1.2024 (DR 274d)

The CKS in its DRG Data and Hospital Costing Working Group has prepared and agreed on an update of the data interface for the reporting of inpatient healthcare services according to DRGs (hereafter DR274d).

For the first time, PHCUs will report inpatient healthcare under DR274d for the period 01/2024.

DR274d will be used for reporting inpatient healthcare for previous periods from and including 01/01/2024, while the following applies:

• Item 22. the major procedure code will be completed for medical service determination purposes at the end of an inpatient case or hospitalization with a discharge date of 01/01/2024. It will be used to report the operative procedure code when reporting prior periods;
• item 26. elective care proposal identifier, will be used in a similar way to the previous waiting list date to determine the migrated elective care proposal from the previous period, using the elective care proposal identifier instead of the waiting list date;
• the newly added items 55-57th medical service code, medical service level and program code will be mandatorily used for the termination of an inpatient case or hospitalization with a discharge date of 01/01/2024. The requirement to complete these items does not apply to prior period reporting.

CKS has issued the following document to date (30.07.2023) with an effective date of 01.01.2024:

• Data interface for reporting of DRG-based inpatient healthcare services
• Data interface for reporting inpatient healthcare according to DRG changes