Guten Tag Herr Schröter,
es werden alle Diagnosen (auf den Scheinen) aus den letzten 4 Quartalen ausgewertet. Ein Patient zählt genau dann als Chroniker, wenn er in den letzten 4 Quartalen (inklusive dem aktuellen) immer diesselbe Diagnose (ICD-Code) hatte und mindestens 3 Arzt-Patienten-Kontakte vorliegen (Stichwort 4-3-2-1 Regel).
Die ICDs lassen sich nicht selbst anpassen. Wir haben folgende Diagnosen hinterlegt (Regexp-Vergleich mit dem ICD-Code):
{"A1[56789]\\.\\d", "B18\\.\\d", "B2[0124]", "B23\\.\\d", "B9[04]\\.\\d", "B9[12]", "E0[013457]\\.\\d",
"E06\\.[123459]", "E1[01234]\\.\\d[\\d-]", "E16\\.[3489]", "E2[012346789]\\.\\d", "E25.0[\\d-]", "E25.[89]",
"E3[014]\\.\\d", "E32\\.[089]", "E34\\.5[019-]", "E4[35]", "E70\\.\\d", "E8[0345]\\.\\d", "E83\\.[35][\\d-]",
"E84\\.8[\\d-]", "E88\\.[01289]", "E89.1", "F0[012]\\.\\d", "F0[349]", "F05\\.1", "F06\\.[5678]", "F2[025]\\.\\d",
"F2[1489]", "F3[134]\\.\\d", "F38\\.[18]", "F39", "F41\\.2", "F44\\.6", "F45.40", "F7[0123489]\\.\\d",
"F80\\.3", "F84\\.\\d", "F90\\.\\d", "F92\\.0", "F98\\.0", "G1[04]", "G1[123]\\.\\d", "G20\\.\\d[\\d-]",
"G21\\.\\d", "G22", "G3[015]\\.\\d", "G31\\.8[\\d-]", "G32.8", "G35\\.[123][\\d-]", "G40\\.0[289-]",
"G40\\.[123489]", "G4[17]\\.\\d", "G47\\.3[\\d-]", "G5[034679]\\.\\d", "G6[023]\\.\\d", "G62\\.8[\\d-]",
"G7[013]\\.\\d", "G72\\.[34]", "G72\\.8[\\d-]", "G8[01]\\.\\d", "G82\\.[0123456][\\d-]", "H28\\.0", "H36\\.0",
"H40\\.[12345689]", "H42\\.\\d", "H54\\.\\d", "H81\\.0", "H82", "H83\\.3", "H90\\.[023568]", "H91\\.[01389]",
"H93\\.[012]", "I0[56789]\\.\\d", "I1[01235]\\.\\d\\d", "I25\\.[12]\\d", "I25\\.[0345689]", "I27\\.[0189]",
"I27\\.2\\d", "I28\\.\\d", "I3[14567]\\.\\d", "I34\\.8[\\d-]", "I4[12345789]\\.\\d", "I42\\.8[\\d-]",
"I50\\.[01][\\d-]", "I50\\.9", "I5[12]\\.\\d", "I6[356789]\\.\\d", "I64", "I67\\.[18][\\d-]", "I7[03]\\.\\d",
"I70\\.2[012345]", "I83\\.\\d", "I87\\.[02][\\d-]", "I88\\.1", "I89\\.\\d", "J4[135]\\.\\d", "J4[267]",
"J44\\.[0189][\\d-]", "J6[0145]", "J6[2367]\\.\\d", "J86\\.4", "J70\\.3", "J96\\.1[\\d-]", "K21\\.\\d",
"K2[5678]\\.[4567]", "K29\\.[456]", "K5[01]\\.\\d", "K50\\.9[\\d-]", "K57\\.\\d[\\d-]", "K70\\.3",
"K7[34]\\.\\d", "K80\\.\\d[\\d-]", "K81\\.1", "K86\\.\\d", "K9[01]\\.\\d", "K91\\.8[08-]", "L20\\.\\d",
"L40\\.5", "L89\\.\\d[\\d-]", "L97", "L98\\.4", "M02\\.0[\\d-]", "M0[56789]\\.\\d[\\d-]", "M08\\.3",
"M1[01239]\\.\\d[\\d-]", "M1[45678]\\.\\d", "M3[012345]\\.\\d", "M36\\.[08]", "M4[01236789]\\.\\d[\\d-]",
"M43\\.\\d", "M45\\.0[\\d-]", "M46\\.1", "M5[01]\\.\\d", "M5[34]\\.\\d", "M5[34]\\.\\d[\\d-]",
"M61\\.\\d[\\d-]", "M7[25]\\.\\d", "M7[29]\\.\\d[\\d-]", "M8[01278]\\.\\d[\\d-]", "M86\\.[3456][\\d-]",
"M88\\.0", "M89\\.[06][\\d-]", "M90\\.[01234567][\\d-]", "M90\\.7-", "M9[1234]\\.\\d", "M94\\.\\d[\\d-]",
"M96\\.[012345]", "N0[345678]\\.\\d", "N1[14]\\.\\d", "N16\\.[123458]", "N18\\.\\d", "N18\\.8[\\d-]",
"N19", "N25\\.\\d", "N26", "N30\\.[12]", "N31\\.\\d", "N31.8[\\d-]", "N32\\.[0123]", "N33\\.0",
"N35\\.\\d", "N36\\.[01]", "N39\\.3", "N39\\.4[\\d-]", "N40", "O10\\.\\d", "O11", "O24\\.[0123]", "O98\\.[07]",
"P27\\.\\d", "P28\\.[01]", "P35\\.0", "Q0[134567]\\.\\d", "Q02", "Q1[123456]\\.\\d", "Q18\\.[0124589]",
"Q2[01234567]\\.\\d", "Q21\\.8[\\d-]", "Q28\\.[01238][\\d-]", "Q28\\.9", "Q3[012346789]\\.\\d", "Q35\\.[1359]",
"Q4[01245]\\.\\d", "Q43\\.[12356789]", "Q43\\.4[\\d-]", "Q5[0123456]\\.\\d", "Q6[02]\\.\\d", "Q61\\.[1234589]",
"Q63\\.[2389]", "Q6[45678]\\.\\d", "Q7[1234789]\\.\\d", "Q75\\.[014589]", "Q76\\.[01346789]", "Q76\\.2[\\d-]",
"Q8[01245679]\\.\\d", "Q86\\.8[\\d-]", "Q9[01236789]\\.\\d", "Q95\\.[234589]", "R15", "R26\\.3", "R32",
"52\\.[12]", "T9[0123458]\\.\\d", "T9[67]", "U55\\.[123][\\d-]", "U60\\.\\d", "U61\\.[123]", "U85", "Z21",
"Z22\\.5", "Z49\\.[12]", "Z75\\.[67][\\d-]", "Z85\\.\\d", "Z86\\.[02345]", "Z89\\.[123456789]", "Z9[0345]\\.\\d",
"Z92\\.[12346]", "Z9[3456]\\.8[\\d-]", "Z96\\.[0349]", "Z97\\.[18]", "Z98\\.2", "Z99\\.[01234]"}
Wenn ein Patient so als Chroniker identifiziert wurde bestimmt die Chroniker-Statistik Leistungen (03220/1 bzw. 04220/1) die ggf. noch abgerechnet werden können.
Viele Grüsse,