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Data Element Detail

Episode of care (diagnosis)-most resource intensive indicator
Identifying and Definitional Attributes
QH 041095 v2
Data Element
Data Element
Current
01-Jul-2008		Retired
30-Jun-2015
Standard
01-Jul-2008
30-Jun-2015
Whether a coded morbidity is the morbidity that has utilised the most amount of resources during an episode of care.
Admitted patient care
Most resource intensive condition indicator
Representational Attributes
Numeric
Code
N
1
1
Permissible Values

Permissible_values

CodeDescription
1Yes
2No
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
During clinical coding, at the end of the episode of care, the Most Resource Intensive Condition (MRIC) is identified by the clinical coder from the documentation in the medical record.

The MRIC is defined as the diagnosis that is held most responsible for the greatest use of resources i.e. was responsible for the greatest portion of the Length Of Stay (LOS) or the greatest portion of hospital resources during the episode of care.

If there is only a single code or code concept (inclusive of non-morbidity codes such as external cause codes and morphology codes) allocated in an episode of care, this code or code concept (inclusive of non-morbidity codes such as external cause codes and morphology codes) is both the Principal Diagnosis and the MRIC.

When there are two or more morbidities potentially meeting the definition of MRIC in an episode of care, the clinician should be asked to indicate which morbidity best meets the definition. If no further information is available, code as the MRIC, the first mentioned morbidity that fits the definition.

There will be only one code or code concept (inclusive of non-morbidity codes such as external cause codes and morphology codes) that will have the MRIC Indicator allocated in any single episode of care.
A coded morbidity that has been qualified with a Non Australian Coding Standard Compliant (NACSC) Indicator cannot be qualified as an MRIC.
Queensland Health Public Hospitals (only):
- Electronic submission - Hospital Based Corporate Information System (HBCIS) / International Statistical Classification of Diseases (ICD) Morbidity Coding and Homer Queensland Interface (HQI) Modules
- Paper submission - Public Hospital Identification and Diagnostic Sheet MR056
Currently, it is not necessarily the case that the condition that utilises the most resources is the Principal Diagnosis in an episode of admitted patient care.
Utilisation of the MRIC Indicator will allow for review of resource utilisation such as for occasions where a co-morbidity has caused an increased LOS or an increased cost of care and may aid in explaining where a Major Diagnostic Category (MDC) / Diagnosis Related Group (DRG) allocation does not appear to be logical from the Principal Diagnosis.
Utilisation of the MRIC will allow for international comparisons Utilisation of the MRIC will inform the further development of the Australian Coding Standard 0001 - Principal Diagnosis to allow for purity in the definition.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 4
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Relates toData ElementData ElementAdditional diagnosesQH 040245 Version 3Retired
Relates toData ElementData ElementCondition present on admission indicatorQH 040946 Version 1Superseded
Relates toData ElementData ElementEpisode of care (diagnosis)-non ACS compliant indicatorQH 041200 Version 1Retired
Relates toData ElementData Element ConceptPrincipal diagnosisQH 040244 Version 1Superseded
Implementation in Metadata Sets

Implemented

  • 1 - 1
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1Superseded01-Jul-200830-Jun-2015
Source and Reference Attributes
Australian Coding Standard; MRIC; Non Australian Coding Standard Compliant (NACSC) Indicator; Principal diagnosis;