Updated DR274d documents (version 1.1)

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).

Updated DR274d documents (version 1.1):

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

DR274d takes effect from 1.1.2024. Healthcare providers will report healthcare provided under this data interface for the first time for January 2024. Corrective and additive benefits for periods prior to DR274 taking effect, i.e. until 1.1.2024, will be reported by healthcare providers after 1.2.2024 under the DR274d data interface.

The following also apply to the reporting of inpatient healthcare services:

• Item 22. the major procedure code will be populated for medical service determination purposes at the end of an inpatient case or hospitalization with a discharge date of 01/01/2024. When reporting prior periods, it will be used to report the operative procedure code;
• 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.