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. 2021 Jan 5;31(1):1–11. doi: 10.2188/jea.JE20200288

Table 4. Data related to Diagnosis Procedure Combination (DPC).

File Description Item
Form 1 Patient clinical information Basic patient information (date of birth, sex), postal code of patient address area,
dates of admission and discharge, route of hospital admission, outcome at discharge,
diseases/injuries name, surgical procedure, various clinical scores, cancer stage
classification, etc
 
D-file Medical treatment information
(Reimbursement information for DPC/PDPS)
Medical charges, implementation date and number of times/quantity of medical
treatment (surgery, treatment, test, etc), pharmaceuticals, medical materials, etc
 
EF-file Medical treatment information
(Reimbursement information for
fee-for-service payment)
Medical charges, implementation date and number of times/quantity of medical
treatment (surgery, treatment, test, etc), pharmaceuticals, medical materials, etc
 
H-file Daily anonymization information from
medical records etc
Scores for each evaluation item on the evaluation sheet for severity of a patient’s
condition and extent of a patient’s need for medical/nursing care
 
Form 3 Facility information Number of beds, medical safety measures, infection prevention measures, etc
 
Form 4 Information on the patients who have received
medical treatment not covered by public health
insurance
Payment source information for hospitalization medical charge, etc
 
K-file Encrypted file able to conduct coupling analysis
of the other database
Primary common ID (generated based on date of birth, name spelled in kana, and sex),
date of admission, date of discharge, implementation date of medical treatment, medical
institution, etc

DPC/PDPS, DPC-based Per-Diem Payment System.