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Sekundärdiagnose vs. Nebendiagnose

English translation: primary, secondary, additional diagnoses

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GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)

German term or phrase:	Sekundärdiagnose vs. Nebendiagnose
English translation:	primary, secondary, additional diagnoses
Entered by:	Stephen R Schoening

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17:47 Sep 11, 2011

German to English translations [PRO]
Medical - Medical: Health Care / Medical billing

German term or phrase: Sekundärdiagnose vs. Nebendiagnose

In a German medical bill, under "DRG-Daten", there are four columns:
DRG-Hauptdiagnose, Sekundärdiagnose, Nebendiagnose, and Sekundärdiagnose.

Up until now, I've been translating "Nebendiagnose" as "secondary diagnosis" in English, but apparently in German system there is a difference between "Nebendiagnose" and "Sekundärdiagnose".

Here is an example of one entry:

DRG-Hauptdiagnose S02.1
Nebendiagnosen: S00.1, S02.4, S02.2
Sekundärdiagnosen: S01.84!, S01.84!

I cannot represent the chart exactly in this question, but it is also quite confusing. I do notice the "Nebendiagnosen" only have one numeral after the decimal, the Sekundärdiagnosen have two and then an exclamation point.

Appreciate knowing the difference between these 2 terms and what the English equivalents are.

Sincerely,

Stephen

Stephen R Schoening KudoZ activity Questions: 357 (11 open) (9 without valid answers) (5 closed without grading) Answers: 4 United States
Local time: 03:46

primary, secondary, additional diagnoses

Explanation:
In the document "The Diagnosis Related Groups (DRGs) to Adust Payment-Mechanisms for Health System providers", I have observed three types of diagnoses:

- primary (Hauptdiagnose)
- secondary (Sekundärdiagnose)
- additional (Nebendiagnose)

Hope this helps.

Selected response from:

Attila Szabo
Local time: 10:46

Grading comment

Thanks, Attila.

Stephen
4 KudoZ points were awarded for this answer

Summary of answers provided

4 +1

primary, secondary, additional diagnoses

Attila Szabo

secondary diagnosis vs. concurrent diagnosis [or: comorbidity]

casper

Summary of reference entries provided

see pae 43

liz askew

Die Sekundärdiagnose zur Hauptdiagnose wird im DRG-System als Nebendiagnose behandelt

andres-larsen

SJLD

Discussion entries: 1

Answers

5 hrs confidence:

peer agreement (net): +1

primary, secondary, additional diagnoses

Reference: http://www.ciss.org.mx/pdf/en/studies/CISS-WP-05122.pdf

Attila Szabo
Local time: 10:46
Specializes in field
Native speaker of:

Hungarian,

Slovenian
PRO pts in category: 8

Grading comment

Thanks, Attila.

Stephen

15 hrs confidence:

secondary diagnosis vs. concurrent diagnosis [or: comorbidity]

Explanation:
The principal diagnosis for a claim is the condition that occasioned the admission.
...

A secondary diagnosis is a complication or comorbid condition that appears in addition to the principal diagnosis.
http://www.ahd.com/definitions/ip_diagnoses.php

A patient may have a primary diagnosis and a secondary diagnosis. A primary diagnosis is the reason that the patient sought healthcare. A secondary diagnosis is another condition the patient has that is diagnosed by the healthcare provider.
A secondary diagnosis falls into one of two categories. These are comorbidities and complications. Comorbidity is a concurrent condition that coexists with either the first-listed diagnosis or the principal diagnosis. A complication is a condition that has developed as a result of the first-listed diagnosis or the principal diagnosis.
Medical Billing & Coding Demystified By Marilyn Burgos, Donya Johnson, James Keogh
http://tinyurl.com/6f98wx5

Concurrent Diagnosis is any additional or concurrent diagnosis, e.g. the patient is admitted with abdominal pain, but has a history of diabetes. Diabetes would be a concurrent diagnosis.
http://physicians.fraserhealth.ca/media/patient-care-referen...

casper
Native speaker of:

English
PRO pts in category: 12

Reference comments

13 mins

Reference: see pae 43

Reference information:
http://docs.google.com/viewer?a=v&q=cache:qx779tVyWaYJ:www.h...

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Note added at 18 mins (2011-09-11 18:05:49 GMT)
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http://www.proz.com/kudoz/german_to_english/medical:_cardiol...

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Note added at 21 mins (2011-09-11 18:08:24 GMT)
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Universitätsklinikum Münster (UKM): Glossar
- [ Translate this page ]
klinikum.uni-muenster.de/index.php?id=3265 - Cached
Nebendiagnose. (engl.: Additional diagnosis; Secondary diagnosis; SDX) Nebendiagnosen (ND) sind Diagnosen die das Patientenmanagement durch ...

good luck!

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Note added at 25 mins (2011-09-11 18:13:00 GMT)
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and
this

subdisease > Nebenerkrankung / Nebendiagnose - ProZ.com
www.proz.com › ... › English to German › Medical (general) - Cached
15 Dec 2005 – (KudoZ) English to German translation of sub disease: Nebenerkrankung / Nebendiagnose [Medical (general) (Medical)].

liz askew
United Kingdom
Specializes in field
Native speaker of:

English

1 hr

Reference: Die Sekundärdiagnose zur Hauptdiagnose wird im DRG-System als Nebendiagnose behandelt

Reference information:
[PDF] 17c-Datensatz -
www.mdk.de/media/pdf/17c_anlage1_anhang_26_04_2005.pdf
PDF/Adobe Acrobat
26. Apr. 2005 – ***Die Sekundärdiagnose zur Hauptdiagnose wird im DRG-System als Nebendiagnose behandelt***. Werden zur Hauptdiagnose (oder zu einer ...

Zu Seitenanfang springen -
www.urz.uni-heidelberg.de/saphelp/helpdata/DE/c5/.../conten...
***DRG-Haupt- und DRG-Nebendiagnose (Primär- und Sekundärdiagnose)***. DRG-Haupt- und DRG-Nebenprozedur (Primär- und Sekundärprozedur) ...

andres-larsen
Venezuela
Native speaker of:

English
PRO pts in category: 7

12 hrs

Reference

Reference information:
http://students.fim.uni-passau.de/lehrstuehle/donner/medizin...

Definition Nebendiagnose:

Eine Krankheit oder Beschwerde, die entweder gleichzeitig
mit der Hauptdiagnose besteht oder sich während des
Krankenhausaufenthaltes entwickelt

SJLD
Specializes in field
Native speaker of:

English

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Sekundärdiagnose vs. Nebendiagnose

English translation: primary, secondary, additional diagnoses

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Sekundärdiagnose vs. Nebendiagnose

English translation: primary, secondary, additional diagnoses

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