DRG segment

The DRG segment contains diagnoses-related grouping information of various types. The DRG segment is used to send the DRG information, for example, for billing and medical records encoding. Health Level Seven, Version 2.5.1 © 2007. All rights reserved. Page 6-29 Final Standard. April 2007.

The shape of one line

optional

Count the pipes to find a field, and count the empty ones too: an empty field still holds its place. Leave out the separator before DRG-2 and its value arrives as DRG-1, so the receiver stores DRG Assigned Date/Time as Diagnostic Related Group.

This page carries the DRG field table as published and nothing beyond it. The field notes, vendor behaviour, FHIR mapping and parsing guidance that thePID page has are still to be written for DRG.

Every field

SEQ LEN DT OPT RP/# TBL# ITEM# Element name Cardinality

DRG-1 250 CE O 0055 00382 Diagnostic Related Group 0..1

DRG-1 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

DRG-2 26 TS O 00769 DRG Assigned Date/Time 0..1

DRG-2 is a TS, which holds 2 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
TS.1	24	DTM	R		Time
TS.2	1	ID	B	0529	Degree of Precision

DRG-3 1 ID O 0136 00383 DRG Approval Indicator 0..1

DRG-4 2 IS O 0056 00384 DRG Grouper Review Code 0..1

DRG-5 250 CE O 0083 00385 Outlier Type 0..1

DRG-5 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

DRG-6 3 NM O 00386 Outlier Days 0..1

DRG-7 12 CP O 00387 Outlier Cost 0..1

DRG-7 is a CP, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CP.1	20	MO	R		Price
CP.2	2	ID	O	0205	Price Type
CP.3	16	NM	O		From Value
CP.4	16	NM	O		To Value
CP.5	483	CE	O		Range Units
CP.6	1	ID	O	0298	Range Type

DRG-8 1 IS O 0229 00770 DRG Payor 0..1

DRG-9 9 CP O 00771 Outlier Reimbursement 0..1

DRG-9 is a CP, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CP.1	20	MO	R		Price
CP.2	2	ID	O	0205	Price Type
CP.3	16	NM	O		From Value
CP.4	16	NM	O		To Value
CP.5	483	CE	O		Range Units
CP.6	1	ID	O	0298	Range Type

DRG-10 1 ID O 0136 00767 Confidential Indicator 0..1

DRG-11 21 IS O 0415 01500 DRG Transfer Type 0..1

Message types carrying DRG

DRG appears in 18 message structures, belonging to 10 message types.