Relations of Morbidity Related Groups (MRG), ICD-10 Codes and Age and Gender Structure in Outpatient Treatment

Reinhard Schuster, Thomas Ostermann, Marc Heidbreder, Timo Emcke

2018

Abstract

A patient’s (basic) Morbidity Related Group (MRG) is defined by the drug class (first four characters of the international Anatomic Therapeutic Chemical [ATC] Classification System) with the highest costs per quarter with respect to a physician. The morbidity of a patient is thereby represented by the drug most important economically. We consider the relation of those case groups with diagnoses (ICD-10-GM) on the individual and group level. In analogy to the DRG Systems (Diagnosis-related group) a degree of severity with respect to age, multimorbidity and treatment intensity is defined. We compare multimorbidity and age structures of MRGs and ICD-10 using a distance measure given by the fraction of patients with respect to their MRG and ICD-10. Main diagnoses like in hospital treatment are not given in outpatient care. MRG classification data can be used in order to algorithmically construct an outpatient care equivalent. Individual MRG components as points in a vector space can be used to determine the ”biological age“ of groups of individuals with respect to in- or decreased morbidity.

Paper Citation

in Harvard Style

Schuster R., Ostermann T., Heidbreder M. and Emcke T. (2018). Relations of Morbidity Related Groups (MRG), ICD-10 Codes and Age and Gender Structure in Outpatient Treatment. In Proceedings of the 11th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2018) - Volume 5: HEALTHINF; ISBN 978-989-758-281-3, SciTePress, pages 322-328. DOI: 10.5220/0006544303220328

in Bibtex Style

@conference{healthinf18,
author={Reinhard Schuster and Thomas Ostermann and Marc Heidbreder and Timo Emcke},
title={Relations of Morbidity Related Groups (MRG), ICD-10 Codes and Age and Gender Structure in Outpatient Treatment},
booktitle={Proceedings of the 11th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2018) - Volume 5: HEALTHINF},
year={2018},
pages={322-328},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0006544303220328},
isbn={978-989-758-281-3},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 11th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2018) - Volume 5: HEALTHINF
TI - Relations of Morbidity Related Groups (MRG), ICD-10 Codes and Age and Gender Structure in Outpatient Treatment
SN - 978-989-758-281-3
AU - Schuster R.
AU - Ostermann T.
AU - Heidbreder M.
AU - Emcke T.
PY - 2018
SP - 322
EP - 328
DO - 10.5220/0006544303220328
PB - SciTePress