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Covered Terminologies

ICD-10-GM

ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems, mainly used for diagnosis. It is maintained by the WHO and most prevalent classification worldwide.

ICD-10 allows for country-specific subcodes. GM stands for German Modification, that means that the leading three character of every code are harmonized world-wide, the sub-classification is specific to Germany. The IMT parses for this pattern.

OPS

OPS (Operationen- und Prozedurenschlüssel) is the German modification of the ICPM, responsible for classification of operational procedures.

LOINC

Logical Observation Identifiers Names and Codes (LOINC) was initially developed as a standard for laboratory observations. Today, it has a broader spectrum, for instance it contains document types in a hospital. LOINC is maintained by the Regenstrief Institute and has no special variant for Germany.

DRG

DRG (Diagnosis Related Groups) tries to find common groups for hospital cases depending on the primary diagnosis and procedures done. DRGs are also dependent on some demographic parameters, complications or comorbidities. Every DRG has a code, the code has a corresponding value in Euro that is paid by the health insurance indifferent of the expenses the hospital invested in the case (claims data).

P21

§ 21 KHEntgG is a paragraph of a German law that obligates hospitals to report all inpatient cases in a defined data structure to the health insurances. The advantage of this data set for clinical research is simply its existence in every hospital and its well-defined type and extent. P21 provides some additional information to the DRG.

ICD-O-3

ICD-O stands for International Classification of Diseases for Oncology an as the name suggests, it is an extension of ICD to better represent oncological diseases. It is often used in epidemiolgical cancer registries.

TNM

MedDRA

MedDRA (Medical Dictionary for Regulatory Activities) is a terminology mainly used to describe and classify Adverse Events in clinical trials. Its use is mandatory in the European Union.

MedDRA is not free to use but one has to buy a licence. Therefore, it can't be included in the IMT by default.

Using Terminologies with the IMT

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