Table 1.
Operational definitions of outcomes of interest and performance measures of the outcome ascertainment algorithms
Outcome | ICD-9-CM code | Description | Diagnosis position and claim type | Performance of algorithm |
---|---|---|---|---|
Gastrointestinal bleeding | 530.21 | Esophageal ulcer, with hemorrhage | Any position of discharge diagnosis in inpatient claims | PPV ~81%28 |
531.0X, 531.2X, 531.4X, 531.6X | Gastric ulcer, with hemorrhage | |||
532.0X, 532.2X, 532.4X, 532.6X | Duodenal ulcer, with hemorrhage | |||
533.0X, 533.2X, 533.4X, 533.6X | Peptic ulcer, with hemorrhage | |||
534.0X, 534.2X, 534.4X, 534.6X | Gastrojejunal ulcer, with hemorrhage | |||
535.01, 535.11, 535.21, 535.31, 535.41, 535.51, 535.61, 535.71 | Gastritis and duodenitis, with hemorrhage | |||
537.83, 537.84 | Other specified disorder of stomach and duodenum, with hemorrhage | |||
562.02, 562.03, 562.12, 562.13 | Diverticula of intestine, with hemorrhage | |||
569.85, 569.86 | Other disorders of intestine, with hemorrhage | |||
578.X | Gastrointestinal hemorrhage | |||
Non-traumatic intracranial hemorrhage | 430 | Subarachnoid hemorrhage | Any position of discharge diagnosis in ED or inpatient claims, excluding cases with traumatic brain injury diagnosis (ICD-9-CM codes 800–804, 850–854) in any position on the same admission date | PPV ~98% (subarachnoid hemorrhage), ~97% (intracerebral hemorrhage)29 |
431 | Intracerebral hemorrhage |
ED: emergency department. ICD-9-CM: International Classification of Diseases, 9th Revision, Clinical Modification. PPV: positive predictive value.