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These tables represent the in- and exclusion criteria for avoidable hospitalizations based of on the criteria from the OECD Health Care Quality Indicator Project.




Asthma admission rate

Numerator: All non-maternal hospital discharges (age 15+) with a principal diagnosis code of asthma in a specified year.




Asthma diagnosis codes:

ICD-9-CM

ICD-10-WHO

49300 Ext Asthma W/O Stat Ash

J450 Predominantly allergic asthma

49301 Ext Asthma W Status Ash

J451 Nonallergic asthma

49302 Ext Asthma W Acute Exac Oct00-

J458 Mixed asthma

49310 Int Asthma W/O Stat Asth

J459 Asthma, unspecified

49311 Int Asthma W Status Asth

J46 Status asthmaticus

49312 Int Asthma W Acute Exac Oct00-

 

49320 Ch Ob Asth W/O Stat Asth

 

49321 Ch Ob Asthma W Stat Asth

 

49322 Ch Obs Asth W Acute Exac Oct00-

 

49381 Exercse Ind Bronchospasm Oct03-

 

49382 Cough Variant Asthma Oct03-

 

49390 Asthma W/O Status Asthm

 

49391 Asthma W Status Asthmat

 

49392 Asthma W Acute Exacerbtn Oct00-

 

Exclude cases:

- transferring from another institution

- pregnancy, childbirth, and puerperium

- newborn and other neonates

- with any diagnosis code of cystic fibrosis and anomalies of the respiratory system

- same day/day only admissions (admissions with a length of stay less than 24 hours. In those countries where a timestamp of admission or discharge is not available cases with a length of stay of 0 days shall be excluded.




Exclude diagnostic codes cystic fibrosis and anomalies of the respiratory system:







ICD-9-CM

ICD-10-WHO

27700 Cystic Fibros W/O Ileus

E840 Cystic fibrosis with pulmonary manifestations

27701 Cystic Fibros W Ileus

E841 Cystic fibrosis with intestinal manifestations

27702 Cystic Fibros W Pul Man

E848 Cystic fibrosis with other manifestations

27703 Cystic Fibrosis W Gi Man

E849 Cystic fibrosis, unspecified

27709 Cystic Fibrosis Nec

P27.0 Wilson-Mikity syndrome

74721 Anomalies Of Aortic Arch

P27.1 Bronchopulmonary dysplasia originating in the perinatal period

7483 Laryngotrach Anomaly Nec

P27.8 Other chronic respiratory diseases originating in the perinatal period

7484 Congenital Cystic Lung

P27.9 Unspecified chronic resp disease originating in the perinatal period

7485 Agenesis Of Lung

Q25.4 Other congenital malformations of aorta

74860 Lung Anomaly Nos

Q31.1 Congenital subglottic stenosis

74861 Congen Bronchiectasis

Q31.2 Laryngeal hypoplasia

74869 Lung Anomaly Nec

Q31.3 Laryngocele

7488 Respiratory Anomaly Nec

Q31.5 Congenital laryngomalacia

7489 Respiratory Anomaly Nos

Q31.8 Other congenital malformations of larynx

7503 Cong Esoph Fistula/Atres

Q31.9 Congenital malformation of larynx, unspecified

7593 Situs Inversus

Q32.0 Congenital tracheomalacia

7707 Perinatal Chr Resp Dis

Q32.1 Other congenital malformations of trachea

 

Q32.2 Congenital bronchomalacia

 

Q32.3 Congenital stenosis of bronchus

 

Q32.4 Other congenital malformations of bronchus

 

Q33.0 Congenital cystic lung

 

Q33.1 Accessory lobe of lung

 

Q33.2 Sequestration of lung

 

Q33.3 Agenesis of lung

 

Q33.4 Congenital bronchiectasis

 

Q33.5 Ectopic tissue in lung

 

Q33.6 Hypoplasia and dysplasia of lung

 

Q33.8 Other congenital malformations of lung

 

Q33.9 Congenital malformation of lung, unspecified

 

Q34.0 Anomaly of pleura

 

Q34.1 Congenital cyst of mediastinum

 

Q34.8 Other specified congenital malformations of respiratory system

 

Q34.9 Congenital malformation of respiratory system, unspecified

 

Q39.0 Atresia of oesophagus without fistula

 

Q39.1 Atresia of oesophagus with tracheo-oesophageal fistula

 

Q39.2 Congenital tracheo-oesophageal fistula without atresia

 

Q39.3 Congenital stenosis and stricture of oesophagus

 

Q39.4 Oesophageal web

 

Q39.8 Other congenital malformations of oesophagus

 

Q89.3 Situs inversus

 




Denominator: 100,000 Population (age 15+ years).



COPD admission rate


Numerator: All non-maternal hospital discharges (age 15+) with a principal diagnosis code for Chronic Obstructive Pulmonary Disease (COPD) in a specified year.




COPD diagnosis codes:

 

ICD-9-CM

ICD-10-WHO

490 BRONCHITIS NOS*

J40 Bronchitis*

4660 AC BRONCHITIS*

J410 Simple chronic bronchitis

4910 Simple Chr Bronchitis

J411 Mucopurulent chronic bronchitis

4911 Mucopurul Chr Bronchitis

J418 Mixed simple and mucopurulent chronic bronchitis

49120 Obs Chr Brnc W/O Act Exa

J42 Unspecified chronic bronchitis

49121 Obs Chr Brnc W Act Exa

J430 MacLeod's syndrome

4918 Chronic Bronchitis Nec

J431 Panlobular emphysema

4919 Chronic Bronchitis Nos

J432 Centrilobular emphysema

4920 Emphysematous Bleb

J438 Other emphysema

4928 Emphysema Nec

J439 Emphysema, unspecified

494 Bronchiectasis Oct00-

J440 COPD with acute lower respiratory infection

4940 Bronchiectas W/O Ac Exac Oct00-

J441 COPD with acute exacerbation, unspecified

4941 Bronchiectasis W Ac Exac Oct00-

J448 Other specified chronic obstructive pulmonary disease

496 Chr Airway Obstruct Nec

J449 Chronic obstructive pulmonary disease, unspecified

 

J47 Bronchiectasis

*Qualifies only if accompanied by secondary diagnosis of 491.xx, 492.x, 494.x or 496 (i.e., any other code on this list).

 *Qualifies only if accompanied by secondary diagnosis of J41, J43, J44, J47













Exclude cases:

- transferring from another institution

- pregnancy, childbirth, and puerperium

- newborn and other neonates)

- same day/day only admissions (admissions with a length of stay less than 24 hours. In those countries where a timestamp of admission or discharge is not available cases with a length of stay of 0 days shall be excluded.




Denominator: 100,000 Population (age 15+ years).



Diabetes lower extremity amputation rate


Numerator: All non-maternal discharges (age 15+) with procedure code for lower extremity amputation in any field and diagnosis code of diabetes in any field in a specified year.




Diabetes lower extremity amputation diagnostic codes:

ICD-9-CM

ICD-10-WHO

Procedure codes for lower-extremity amputation

Procedure codes for lower-extremity amputation

 

 

8410 Lower Limb Amputat Nos

Not specified

8411 Toe Amputation

 

8412 Amputation Through Foot

 

8413 Disarticulation Of Ankle

 

8414 Amputat Through Malleoli

 

8415 Below Knee Amputat Nec

 

8416 Disarticulation Of Knee

 

8417 Above Knee Amputation

 

8418 Disarticulation Of Hip

 

8419 Hindquarter Amputation

 

 

 

Diagnosis Codes For Diabetes:

Diagnosis codes for diabetes:

 

 

25000 Dmii Wo Cmp Nt St Uncntr

E10.0 Insulin-dependent diabetes mellitus with coma

25001 Dmi Wo Cmp Nt St Uncntrl

E10.1 Insulin-dependent diabetes mellitus with ketoacidosis

25002 Dmii Wo Cmp Uncntrld

E10.2 Insulin-dependent diabetes mellitus with renal complications

25003 Dmi Wo Cmp Uncntrld

E10.3 Insulin-dependent diabetes mellitus with ophthalmic complications

25010 Dmii Keto Nt St Uncntrld

E10.4 Insulin-dependent diabetes mellitus with neurological complications

25011 Dmi Keto Nt St Uncntrld

E10.5 Insulin-dependent DM with peripheral circulatory complications

25012 Dmii Ketoacd Uncontrold

E10.6 Insulin-dependent DM with other specified complications

25013 Dmi Ketoacd Uncontrold

E10.7 Insulin-dependent diabetes mellitus with multiple complications

25020 Dmii Hprsm Nt St Uncntrl

E10.8 Insulin-dependent diabetes mellitus with unspecified complications

25021 Dmi Hprsm Nt St Uncntrld

E10.9 Insulin-dependent diabetes mellitus without complications

25022 Dmii Hprosmlr Uncontrold

E11.0 Non-insulin-dependent diabetes mellitus with coma

25023 Dmi Hprosmlr Uncontrold

E11.1 Non-insulin-dependent diabetes mellitus with ketoacidosis

25030 Dmii O Cm Nt St Uncntrld

E11.2 Non-insulin-dependent diabetes mellitus with renal complications

25031 Dmi O Cm Nt St Uncntrl

E11.3 Non-insulin-dependent DMwith ophthalmic complications

25032 Dmii Oth Coma Uncontrold

E11.4 Non-insulin-dependent DM with neurological complications

25033 Dmi Oth Coma Uncontrold

E11.5 Non-insulin-dependent DM with peripheral circulatory complications

25040 Dmii Renl Nt St Uncntrld

E11.6 Non-insulin-dependent DM with other specified complications

25041 Dmi Renl Nt St Uncntrld

E11.7 Non-insulin-dependent diabetes mellitus with multiple complications

25042 Dmii Renal Uncntrld

E11.8 Non-insulin-dependent DM with unspecified complications

25043 Dmi Renal Uncntrld

E11.9 Non-insulin-dependent diabetes mellitus without complications

25050 Dmii Ophth Nt St Uncntrl

E13.0 Other specified diabetes mellitus with coma

25051 Dmi Ophth Nt St Uncntrld

E13.1 Other specified diabetes mellitus with ketoacidosis

25052 Dmii Ophth Uncntrld

E13.2 Other specified diabetes mellitus with renal complications

25053 Dmi Ophth Uncntrld

E13.3 Other specified diabetes mellitus with ophthalmic complications

25060 Dmii Neuro Nt St Uncntrl

E13.4 Other specified diabetes mellitus with neurological complications

25061 Dmi Neuro Nt St Uncntrld

E13.5 Other specified DM with peripheral circulatory complications

25062 Dmii Neuro Uncntrld

E13.6 Other specified diabetes mellitus with other specified complications

25063 Dmi Neuro Uncntrld

E13.7 Other specified diabetes mellitus with multiple complications

25070 Dmii Circ Nt St Uncntrld

E13.8 Other specified diabetes mellitus with unspecified complications

25071 Dmi Circ Nt St Uncntrld

E13.9 Other specified diabetes mellitus without complications

25072 Dmii Circ Uncntrld

 

25073 Dmi Circ Uncntrld

 

25080 Dmii Oth Nt St Uncntrld

 

25081 Dmi Oth Nt St Uncntrld

 

25082 Dmii Oth Uncntrld

 

25083 Dmi Oth Uncntrld

 

25090 Dmii Unspf Nt St Uncntrl

 

25091 Dmi Unspf Nt St Uncntrld

 

25092 Dmii Unspf Uncntrld

 

25093 Dmi Unspf Uncntrld

 

 

 

 

Diagnosis codes for diabetes (continued):

 

 

 

E14.0 Unspecified diabetes mellitus with coma

 

E14.1 Unspecified diabetes mellitus with ketoacidosis

 

E14.2 Unspecified diabetes mellitus with renal complications

 

E14.3 Unspecified diabetes mellitus with ophthalmic complications

 

E14.4 Unspecified diabetes mellitus with neurological complications

 

E14.5 Unspecified DM with peripheral circulatory complications

 

E14.6 Unspecified diabetes mellitus with other specified complications

 

E14.7 Unspecified diabetes mellitus with multiple complications

 

E14.8 Unspecified diabetes mellitus with unspecified complications

 

E14.9 Unspecified diabetes mellitus without complications

 

 




Exclude cases:

- transferring from another institution

- pregnancy, childbirth, and puerperium)

- newborn and other neonates)

- with trauma diagnosis code in any field

- same day/day only admissions (admissions with a length of stay less than 24 hours. In those countries where a timestamp of admission or discharge is not available cases with a length of stay of 0 days shall be excluded.




Exclude trauma diagnosis codes:

 

ICD-9-CM

ICD-10-WHO

8950 Amputation Toe

S78.0 Traumatic amputation at hip joint

8951 Amputation Toe-Complicat

S78.1 Traumatic amputation at level between hip and knee

8960 Amputation Foot, Unilat

S78.9 Traumatic amputation of hip and thigh, level unspecified

8961 Amput Foot, Unilat-Compl

S88.0 Traumatic amputation at knee level

8962 Amputation Foot, Bilat

S88.1 Traumatic amputation at level between knee and ankle

8963 Amputat Foot, Bilat-Comp

S88.9 Traumatic amputation of lower leg, level unspecified

8970 Amput Below Knee, Unilat

S98.0 Traumatic amputation of foot at ankle level

8971 Amputat Bk, Unilat-Compl

S98.1 Traumatic amputation of one toe

8972 Amput Above Knee, Unilat

S98.2 Traumatic amputation of two or more toes

8973 Amput Abv Kn, Unil-Compl

S98.3 Traumatic amputation of other parts of foot

8974 Amputat Leg, Unilat Nos

S98.4 Traumatic amputation of foot, level unspecified

8975 Amput Leg, Unil Nos-Comp

T05.3 Traumatic amputation of both feet

8976 Amputation Leg, Bilat

T05.4 Traumatic amputation of 1 foot and other leg [any level, except foot]

8977 Amputat Leg, Bilat-Compl

T05.5 Traumatic amputation of both legs [any level]

 

T13.6 Traumatic amputation of lower limb, level unspecified

 

Denominator: 100,000 Population (age 15+ years).



Diabetes Short-term Complications Admission Rate




Numerator: All non-maternal/non-neonatal hospital discharges (age 15+) with a principal diagnosis code for Diabetes short-term complications (i.e. ketoacidosis, hyperosmolarity, coma) in a specified year.




Diabetes short-term diagnostic codes:

ICD-9-CM

ICD-10-WHO

25010 Dm Keto T2, Dm Cont

E100 Insulin-dependent diabetes mellitus with coma

25011 Dm Keto T1, Dm Cont

E101 Insulin-dependent diabetes mellitus with ketoacidosis

25012 Dm Keto T2, Dm Uncont

E110 Non-insulin-dependent diabetes mellitus with coma

25013 Dm Keto T1, Dm Uncont

E111 Non-insulin-dependent diabetes mellitus with ketoacidosis

25020 Dm W/ Hyprosm T2, Dm Cont

E130 Other specified diabetes mellitus with coma

25021 Dm W/ Hyprosm T1, Dm Cont

E131 Other specified diabetes mellitus with ketoacidosis

25022 Dm W/ Hyprosm T2, Dm Uncnt

E140 Unspecified diabetes mellitus with coma

25023 Dm W/ Hyprosm T1, Dm Uncnt

E141 Unspecified diabetes mellitus with ketoacidosis

25030 Dm Coma Nec Typ Ii, Dm Cnt

 

25031 Dm Coma Nec T1, Dm Cont

 

25032 Dm Coma Nec T2, Dm Uncont

 

25033 Dm Coma Nec T1, Dm Uncont

 

 

 

 

Exclude cases:

- transferring from another institution

- pregnancy, childbirth, and puerperium)

- newborn and other neonates)

- with trauma diagnosis code in any field

- same day/day only admissions (admissions with a length of stay less than 24 hours. In those countries where a timestamp of admission or discharge is not available cases with a length of stay of 0 days shall be excluded.


Denominator: 100,000 Population (age 15+ years).



CHF admission rate


Numerator: All non-maternal/non-neonatal hospital discharges (age 15+) with principal diagnosis code for Congestive Heart Failure (CHF) in a specified year.

CHF diagnostic codes:

ICD-9-CM

ICD-10-WHO

39891 Rheumatic Heart Failure

I11.0 Hypertensive heart disease with (congestive) heart failure

40201 Mal Hypert Hrt Dis W Chf

I13.0 Hypertensive heart and renal disease with (congestive) heart failure

40211 Benign Hyp Hrt Dis W Chf

I13.2 Hypertensive heart and renal disease with both (congestive) heart failure and renal failure

40291 Hyperten Heart Dis W Chf

I50.0 Congestive heart failure

40401 Mal Hyper Hrt/Ren W Chf

I50.1 Left ventricular failure

40403 Mal Hyp Hrt/Ren W Chf/Rf

I50.9 Heart failure, unspecified

40411 Ben Hyper Hrt/Ren W Chf

 

40413 Ben Hyp Hrt/Ren W Chf/Rf

 

40491 Hyper Hrt/Ren Nos W Chf

 

40493 Hyp Ht/Ren Nos W Chf/Rf

 

4280 Congestive Heart Failure

 

4281 Left Heart Failure

 

42820 Systolic Hrt Failure Nos Oct02-

 

42821 Ac Systolic Hrt Failure Oct02-

 

42822 Chr Systolic Hrt Failure Oct02-

 

42823 Ac On Chr Syst Hrt Fail Oct02-

 

42830 Diastolc Hrt Failure Nos Oct02-

 

42831 Ac Diastolic Hrt Failure Oct02-

 

42832 Chr Diastolic Hrt Fail Oct02-

 

42833 Ac On Chr Diast Hrt Fail Oct02-

 

42840 Syst/Diast Hrt Fail Nos Oct02-

 

42841 Ac Syst/Diastol Hrt Fail Oct02-

 

42842 Chr Syst/Diastl Hrt Fail Oct02-

 

42843 Ac/Chr Syst/Dia Hrt Fail Oct02-

 

4289 Heart Failure Nos

 







Exclude cases:

- transferring from another institution

- pregnancy, childbirth, and puerperium)

- newborn and other neonates)

- with cardiac procedure codes in any field



- with trauma diagnosis code in any field

- same day/day only admissions (admissions with a length of stay less than 24 hours. In those countries where a timestamp of admission or discharge is not available cases with a length of stay of 0 days shall be excluded.






Denominator: 100,000 Population (age 15+ years).




Hypertension Admission Rate

Numerator: All non-maternal hospital discharges (age 15+) with principal diagnosis code for Hypertension in a specified year.




Hypertension diagnostic codes:

 

ICD-9-CM

ICD-10-WHO

4010 Malignant Hypertension

I10 Essential (primary) hypertension

4019 Hypertension Nos

I119 Hypertensive heart disease without (congestive) heart failure

40200 Mal Hyperten Hrt Dis Nos

I129 Hypertensive renal disease without renal failure

40210 Ben Hyperten Hrt Dis Nos

I139 Hypertensive heart and renal disease, unspecified

40290 Hypertensive Hrt Dis Nos

 

40300 Mal Hyp Ren W/O Ren Fail

 

40310 Ben Hyp Ren W/O Ren Fail

 

40390 Hyp Ren Nos W/O Ren Fail

 

40400 Mal Hy Ht/Ren W/O Chf/Rf

 

40410 Ben Hy Ht/Ren W/O Chf/Rf

 

40490 Hy Ht/Ren Nos W/O Chf/Rf

 

 

Exclude cases:

- transferring from another institution

- pregnancy, childbirth, and puerperium)

- newborn and other neonates)

- with cardiac procedure codes in any field



- with cardiac procedure codes in any field

- same day/day only admissions (admissions with a length of stay less than 24 hours. In those countries where a timestamp of admission or discharge is not available cases with a length of stay of 0 days shall be excluded.










Denominator: 100,000 Population (age 15+ years).














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