PMSI, namely Programme de Médicalisation des Systèmes d'Information, corresponds to reimbursment data for french hospital.
PMSI, namely Programme de Médicalisation des Systèmes d'Information, corresponds to reimbursment data for French hospitals.
These standard data are produced for each **inpatient venue** to hospital any hospital in France. They aim at describing relevant medical information that have to be produced to determine the cost of an **inpatient venue**.
These standard data are produced for each **inpatient visit** to any hospital in France. They aim at describing relevant medical information to determine the cost and hospital reimbursement of an **inpatient visit**.
In Bordeaux University Hospital, these data are centrally produced by specialized technician within a specific unit. This work is done under the supervision of public health mds specialized in medical informatics.
In Bordeaux University Hospital, these data are centrally produced by specialized technician within a specific unit. This work is done under the supervision of public health medical doctors specialized in medical informatics.
The format and semantics of the data are defined as a national standard by a french agency (ATIH) in charge of centrally collect these data at the national scale.
The format and semantics of the data are defined as a national standard by a French agency (ATIH) in charge of centrally collecting these data at the national scale.
As a result these data are of high quality and produced in a standardized way for all french hospitals.
As a result these data are of high quality and produced in a standardized way for all French hospitals.
Within these data the I2N2 data warehouse integrates to important kinds of observations :
The I2B2 data warehouse integrates two important kinds of observations :
* ICD10 coded diagnosis
* ICD10 coded diagnosis
* Procedures coded usin as french procedure terminology (CCAM)
* Procedures coded using the French procedure terminology (CCAM)
### Diagnosis
### Diagnosis
Diagnosis include 3 different levels depending on the importance of the diagnosis regarding the patient venue:
Diagnosis include 3 different levels depending on the importance of the diagnosis regarding the patient visit:
* Main diagnosis (le diagnostic principal referenced as DP) : **Mandatory, unique**. Refers to the maim motivation for the patient venue there is only one DP per venue
* Main diagnosis (referenced as DP) : **Mandatory, unique**. Refers to the maim motivation for the patient visit there is only one DP per inpatient visit
* Secondary diagnosis (le diagnostic relié reference as DR) : **optional, unique**. This diagnosis is used when the DP do not refers to a disease (i.e. chemotherapy or radiotherapy). In this situation the DR correspond to the disease treated by the process coded in DP. For instance chemotherapy for a lung cancer will be coded DP: Z511 (chemotherapy) + DR: C34 (lung cancer)
* Secondary diagnosis (referenced as DR) : **optional, unique**. This diagnosis is used when the DP do not refer to a disease (i.e. chemotherapy or radiotherapy). In this situation the DR corresponds to the disease treated by the process coded in DP. For instance chemotherapy for a lung cancer will be coded DP: Z511 (chemotherapy) + DR: C34 (lung cancer)
* Related diagnosis (les diagnostics associés significatifs referenced as DAS): **optional, multiple**. Includes all relevant **active** comorbidities.
* Related diagnoses (referenced as DAS): **optional, multiple**. Includes all relevant **active** comorbidities.
* Other diagnosis (les diagnostics associés documentaires referenced as DAD): **optional, multiple**. Other comorbidities (irelevant to the venue) such as previous diseases etc...
* Other diagnosis (referenced as DAD): **optional, multiple**. Other comorbidities (irelevant to the visit) such as previous diseases etc...
This combination of diagnosis is produced for each venue in a specific unit within an hospital. Hence a single inpatient venue can have multiple movements in different units leading to multiple coded tuples.
This combination of diagnosis is produced for each inpatient visit (not outpatient visit) in a specific unit of the hospital. Hence a single inpatient visit can have multiple movements in different medical wards leading to multiple codes.
### Procedures
### Procedures
**Optionnal, multiple**. For each patient movement procedures that are done during the hospital stay within the unit are coded a french terminology (CCAM)
**Optionnal, multiple**. For each patient movement procedures that are done during the hospital stay within a medical ward are coded with the French procedure terminology (CCAM).
## Example
## Example
Patient with a breast cancer and an ongoing diabetes.
Patient with a breast cancer and an ongoing diabetes.
* First inpatient venue for surgery of the breast cancer (2 movements)
* First inpatient visit for surgery of the breast cancer (2 movements)
