Created by: Clinical Administrative Databases Team
Row
Data
Holding
Data Element Name and
ID or Category
1
DAD
Diagnosis Code
(DAD Group 10 Field 02)
Intervention Code
(DAD Group 11 Field 02)
DAD and NACRS Confirmed Changes for 2013–2014
Last updated: January 2013
Request Summary
Description of Change
For obstetrical cases, ensure
that there is consistency with
the degree of tear sustained
and the degree of
tear repaired.
Added new hard edit 11 02 56 in the DAD to ensure that
• If a first- or second-degree laceration is coded, then repair of a third- or fourth-degree laceration
should not be coded; and
• If a third- or fourth-degree laceration is coded, then repair of a first- or second-degree laceration
should not be coded.
Added new warning 11 02 66 in the DAD to check that
• If a third- or fourth-degree tear is coded, then a third- or fourth-degree repair should be coded.
This change will be considered for NACRS in the future, if birthing centres start submitting data
to NACRS.
2
DAD
Intervention Provider Number
(DAD Group 11 Field 06)
Intervention Provider Service
(Group 11 Field 07)
Anaesthetist
(Group 11 Field 11)
Relax the requirement to
capture Intervention Provider
Number, Intervention Provider
Service, Anaesthetist and
Anaesthetic Technique with
CANCELLED interventions.
Revised edits 11 11 16, 11 12 16, 11 12 05 and 11 06 54 to change reporting requirement from
mandatory to optional when Intervention Code (Group 11 Field 02) is CANCELLED for Intervention
Provider Number, Intervention Provider Service, Anaesthetist and Anaesthetic Technique.
This change applies to DAD acute care and DAD day surgery abstracts.
Note: NACRS does not require coding of Intervention Provider (NACRS 40), Intervention Provider
Service (NACRS 41) or Anaesthetic Technique (NACRS 53) when the intervention is CANCELLED.
Anaesthetic Technique
(Group 11 Field 12)
3
DAD
Diagnosis Codes
(DAD Group 10 Field 02)
Diagnosis Type
(DAD Group 10 Field 04)
Entry Code
(DAD Group 04 Field 06)
Gestational Age
(DAD Group 18 Field 06)
October 2012
Mandate the coding of P07.2 Added two new 10 02 16 hard edits to the DAD to support coding of P07.2 and P07.3:
(Extreme Immaturity) and
P07.3 (Other Preterm Infants) • P07.2 must be assigned and must be diagnosis type M, 1, W, X or Y if the admit category is
newborn (N) and the gestational age is 27 weeks or less.
when the gestational age
recorded in Gestational Age
• P07.3 must be assigned and must be diagnosis type M, 1, W, X or Y if the admit category is
for Newborn and Neonate
newborn (N) and gestational age is 28 to 36 weeks.
data field (DAD Group 18
Field 06) is less than 37
completed weeks.
1
Created by: Clinical Administrative Databases Team
Row
4
Data
Holding
Data Element Name and
ID or Category
DAD and
NACRS
Intervention Code
(DAD Group 11 Field 02)
Main/Other Intervention
(NACRS DE 46/47)
DAD and NACRS Confirmed Changes for 2013–2014
Last updated: January 2013
Request Summary
Description of Change
Allow other interventions (that
is, diagnostic imaging) to be
captured with intervention
code CANCELLED.
The Comprehensive Ambulatory Classification System (CACS) grouping methodology is being
modified to group on diagnosis code Z53 Procedure not carried out (rather than Principal Intervention
CANCELLED) to factor in Investigative Technologies when the Main/Principal Intervention is
CANCELLED and the Other Intervention is an investigative technology.
There are no changes to the DAD and NACRS data submission requirements.
The DAD and NARCS manuals will be updated.
5
DAD and
NACRS
Special Projects
(DAD Group 16 Fields 01–17)
(NACRS DE 79–96)
Create a special project to
allow pediatric surgical
wait time information to
be captured.
This special project was created as a solution to replace the original Canadian Paediatric Surgical Wait
Times (CPSWT) Project database for interested facilities that want to continue collecting data to
monitor how long children and youth wait for surgery. The information collected will support calculation
of wait times from consultation (decision to treat date) to surgery (CPSWT intervention episode date)
based on the Paediatric Canadian Access Targets for Surgery (P-CATS).
DAD and NACRS Special Project 050 will capture the following data elements for the
CPSWT initiative:
• Decision to treat date—The date the wait for the intervention began, in YYYYMMDD format.
• P-CATS code—A four-character code, assigned by the surgeon, that represents the diagnosis
assigned to the patient. The list of P-CATS categories and target times will be posted in conjunction
with the DAD/NACRS Manual listing on the CIHI Applications web page.
• CPSWT Intervention Episode Start Date (DAD only)—The date the intervention was actually
performed, in YYYYMMDD format.
2
October 2012
Created by: Clinical Administrative Databases Team
Row
Data
Holding
5
(cont’d)
Data Element Name and
ID or Category
DAD and NACRS Confirmed Changes for 2013–2014
Request Summary
Last updated: January 2013
Description of Change
DAD
Project Information (Group 16 Fields 01–18)
050
Y
Y
Y
Y
M
M
D
D
X
X
X
X
Y
YY
YM MDD
18
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
Decision to Treat Date
P-CATS Diagnosis
Code
16
17
CPSWT Intervention
Episode Start Date
NACRS
Modified DAD edit 16 18 50 and NACRS edit 79a–e07 to accommodate new valid project number.
October 2012
3
Created by: Clinical Administrative Databases Team
Row
6
Data
Holding
Data Element Name and
ID or Category
DAD and
NACRS
Provider Service
(DAD Group 09 Field 03)
(NACRS DE 41)
DAD and NACRS Confirmed Changes for 2013–2014
Request Summary
Description of Change
Improve alignment of the
DAD/NACRS physician
provider services with the
Royal College of Physicians
and Surgeons of Canada
(RCPSC) list.
Added eight physician provider services to the CIHI Provider Services Table:
Last updated: January 2013
00123—Forensic Pathology
00124—Forensic Psychiatry
00125—Geriatric Psychiatry
00126—Occupational Medicine
00127—Pediatric Emergency Medicine
00128—Transfusion Medicine
00129—General Internal Medicine*
00130—Pain Medicine*
* The RCPSC has not yet finalized the subspecialty documentation.
Modified the existing description of Pediatric Hematology (00067) to Pediatric Hematology/Oncology to
align with RCPSC.
Modified NACRS edits 2901, 3504, 41a04, 42a01–42h01, 13306, 13307 and 13502 to include new
range of valid values.
All Provider Types can be assigned except 7 (Allied Health Professional) (DAD only).
7
8
DAD and
NACRS
DAD and
NACRS
Anaesthetic Technique
(DAD Group 11 Field 12)
(NACRS DE 53)
Diagnosis Code
(DAD Group 10 Field 02)
Main/Other Problem
(NACRS DE 44/45)
Add a code value
for unknown
anaesthetic technique.
Added the value U (unknown—when type of anaesthetic given is not specified ).
Modified the field format from numeric to alphanumeric.
Modified NACRS edit 53a–e02 and DAD edits 11 11 16 and 11 12 05 to include new valid value.
Remove Female Only (F) and Within the ICD-10-CA and CCI validation tables
Male Only (M) categories from
• Removed the Female Only (F) validation and replaced it with the Female and Other Only (G)
the ICD-10-CA and CCI
validation; and
validation tables.
• Removed the Male Only (M) validation and replaced it with the Male and Other Only
(N) validation.
Deleted two edits from 10 02 52 in the DAD and 4445, 4447, 45a–i05 and 45a–i07 in NACRS, which
validated ICD-10-CA code with Female Only (F) or Male Only (M).
4
October 2012
Created by: Clinical Administrative Databases Team
Row
9
Data
Holding
Data Element Name and
ID or Category
DAD and
NACRS
Intervention Code
(DAD Group 11 Field 02)
Main/Other Intervention
(NACRS DE 46/47)
10
DAD and
NACRS
Diagnosis Code
(DAD Group 10 Field 02)
Main/Other Problem
(NACRS DE 44/45)
11
DAD and
NACRS
Diagnosis Code
(DAD Group 10 Field 02)
Intervention Code
(DAD Group 11 Field 02)
Status Attribute
(DAD Group 11 Fields 03–05)
(NACRS DE 48)
DAD and NACRS Confirmed Changes for 2013–2014
Last updated: January 2013
Request Summary
Description of Change
Flag the capture of coronary
angiogram (3.IP.10.VX) as an
additional code whenever
percutaneous coronary
intervention (PCI) (1.IJ.50.^^
or 1.IJ.57.GQ-FV or
1.IJ.57.GQ-GX) is performed.
Added new warning edits W4603 and W47a–i03 in NACRS and 11 02 04 in the DAD to enforce
expected coding of coronary angiogram (3.IP.10.VX) within the same intervention episode when PCI
has been coded.
Expand existing DAD and
NACRS edits that support
consistency with death or
mortality diagnosis codes and
non-death Discharge
Disposition (DAD Group 05
Field 05) or Visit Disposition
(NACRS 35).
Modified DAD warning 10 02 63 and NACRS hard edits 4414 and 45a–i14 to include obstetrical death
codes O95, O96 and O97.
Mandate the capture of
STEMI (R94.30) when the
Status Attribute associated
with PCI (code 1.IJ.50.^^)
indicates “Primary PCI for
STEMI” (N) or “Other PCI for
STEMI” (D).
Added a new hard edit 11 03 05 in the DAD as well as 4616 and 47a–i13 in NACRS to support the
coding of STEMI if there is a PCI intervention code with Status Attribute of N or D.
Edit applicability: DAD acute care, DAD day surgery, NACRS day surgery and NACRS other
ambulatory care.
Changed DAD warning 10 02 63 to hard edit to align editing across the DAD and NACRS (that is, hard
edits in both databases).
Edit applicability: DAD acute care, DAD day surgery and NACRS Level 3 records.
Main/Other Problem
(NACRS DE 44/45)
12
DAD and
NACRS
Provider Number
(DAD Group 09 Field 02)
(NACRS DE 42)
Change the Provider Number Changed the Provider Number field from numeric to alphanumeric.
data field to alphanumeric.
Modified NACRS edit 42a–h02 to include alpha characters and added new edit 42a–h06 to enforce
that all alpha characters submitted are uppercase A to Y.
Similarly modified the following DAD edits to include alpha characters A to Y: 09 02 05, 11 06 05 and
11 11 05.
October 2012
5
Created by: Clinical Administrative Databases Team
Row
Data
Holding
Data Element Name and
ID or Category
13
NACRS
Registration/Visit Time
(NACRS DE 28)
Disposition Date/Time
(NACRS DE 114/115)
DAD and NACRS Confirmed Changes for 2013–2014
Last updated: January 2013
Request Summary
Description of Change
Mandate the recording of the
following data elements for
cardiac catheterization
procedures:
Modified edits 2801 and 11401 and added new edit 10905 to ensure mandatory collection of
Registration/Visit Time, Disposition Date/Time and Main Intervention Start Date/Time for Cardiac
Catheterization MIS Functional Centres (AmCare Type Code 31).
• Registration/Visit Time;
Main Intervention Start Date/Time
• Disposition Date/Time; and
(NACRS DE 109/110)
Note: AmCare Type 31 = Cardiac Catheterization MIS Functional Centres. Refer to Appendix D in the
NACRS Manual for mapping table.
• Main Intervention Start
Date/Time.
14
NACRS
Special Projects
(NACRS DE 79–96)
For Ontario only, use Special
Project field 270 to capture
additional information on
patients who are referred
to the ED from drug court
or by law under the Mental
Health Act.
Created new Special Project 270—Other Referral Source to capture this information.
An additional value to capture drug court in Referral Source Prior to Ambulatory Care Visit has not
been added at this time.
Modified NACRS edit 79a07–79e07 to include new project number. Deleted edit 79a09–79e09
requiring project numbers to be greater than 499.
15
NACRS
Main/Other Problem
(NACRS DE 44/45)
Mandate the capture of acute Added new hard edits 4450 and 45a–i46 in NACRS to enforce the coding of R94.3– when myocardial
coronary syndrome (R94.3–) infarction (I21, I22 or I24.0) is coded.
when myocardial infarction
(I21, I22 or I24.0) is assigned.
16
NACRS
Main/Other Problem Cluster
(NACRS DE 127/127a–i)
Align the DAD Diagnosis
Cluster and NACRS
Problem Cluster edits.
Added new hard edit 127a–i08 in NACRS to prevent submission of a Problem Cluster value without a
corresponding problem code.
Addition of hard edit will align Problem Cluster edits in NACRS with Diagnosis Cluster edits in
the DAD. Edit applicability: NACRS Level 3 records.
17
NACRS
Triage Level
(NACRS DE 26)
Modify edit to enforce capture Modified edit 2601 to include mandatory recording of Triage Level for all non-scheduled visits that
of Triage Level for all ED
occur in an ED MIS Functional Centre, except when Visit Disposition is 02 (patient registered but left
Visits (AmCare Group = ED) prior to triage).
except when Visit Disposition
= 02 (patient registered but
left prior to triage).
18
NACRS
Provider Number
(NACRS DE 42)
Allow Provider Number (data Changed applicability of Provider Number from “not applicable” to “optional” for levels 1 and
element 42) to be collected at 2 records.
levels 1 and 2.
Modified error messages on 12804, 42a–h02, 42a–h03, 42a–h04 and 42a–h05.
6
October 2012