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Info Desc Directly Accessed By Routines Accessed By FileMan Db Calls Pointer To FileMan Files Fields Found Entries Global Variables Directly Accessed Local Variables
This file contains data which is used in DRG Grouper calculations. These data specify combinations of procedure codes that, when found to occur together in one patient case, will lead to a specific DRG code. The DRG Grouper routines will check the contents of the "One Of" field and each "With One Of" field to make this determination.
DESCRIPTION: This multiple contains blocks of specific combinations of procedures (located in the "ONE OF" and the "WITH ONE OF n" multiples), which when found to occur together for a patient, confirm that the patient has the specific
patient case identified in the IDENTIFIER CODE (#.01) field. It also supplies the DRGs (located in the "MDC" multiple) associated with patient case.
Patient cases are divided in such a way that any one BLOCK has to be satisfied. For a BLOCK to be satisfied, at least one diagnosis code from each code set should have match with patient's diagnosis codes. Whichever BLOCK