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Change The Diagnostics - Performance Documentation Regulation And Statistics Regulations For Not Landesfondsfinanzierte And Land Fund Financed Hospitals

Original Language Title: Änderung der Diagnosen- und Leistungsdokumentationsverordnung sowie der Statistikverordnungen für landesfondsfinanzierte und nichtlandesfondsfinanzierte Krankenanstalten

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358. Regulation of the Federal Minister for Health, which amends the diagnostic and performance documentation regulations as well as the statistical regulations for national fund-funded and non-country health care institutions

Article 1

On the basis of § 4(2). 1 and 2 of the Federal Law on documentation in health care, BGBl. No 745/1996, last amended by the Federal Law BGBl. I No. 81/2013, is prescribed:

The diagnostic and performance documentation regulation, BGBl. II No 589/2003, last amended by Regulation BGBl. II No. 103/2012, as follows:

1. In § 1(2). 1, § 2(2). 1 and 3, § 3 3 and § 6. 1 will be the word "Pfleglinge" by the words "Patientents/patients" replaced.

2. § 4 is:

"§ 4. (1) All data transfers

1.

hospitals financed by the National Health Fund to the Landeshauptmann,

2.

public health fund-funded hospitals

3.

from the Landeshauptmann to the Federal Ministry of Health and

4.

from the National Health Fund to the Federal Ministry of Health

as well as the nature and structure of these data transfers, the statistical regulation for national fund-funded hospitals has to comply.

(2) All transfers of data from non-national health fund-funded hospitals to the Federal Ministry of Health and the nature and structure of these data transfers have to comply with the statistical regulation for non-national fund-funded hospitals. “

3. According to § 7, the following sections 7a to 7c and headings are inserted:

"The generation of pseudonyms and technical and organisational frameworks for pseudonymisations

§ 7a. (1) The pseudonym of the patient is to be formed by HMAC-Algorithmus from the field-specific identifier (bPK) for health documentation (GH-GD) within a hardware security module (HSM) and then to be broken down within the HSM.

(2) The first configuration of the HSM has been set up in the premises of the pseudonymisation body set up at the main association of Austrian social security providers (data protection service providers) with the presence of a representative/a representative of the Data Protection Authority (the Federal Ministry of Health) and under the supervision of a confirmatory body pursuant to § 19 of the Signature Law, BGBl. I No. 190/1999, last amended by BGBl. I No 75/2010. The whole process is to be protocold.

(3) After the first configuration referred to in paragraph 2, the guarantee copy of the cryptographic keys used shall be transferred to a confirmatory body pursuant to Article 19 of the signature law and must be kept safe and secret. The protective copy may be used exclusively for the following purposes and only with the consent of the Federal Ministry of Health:

1.

to restore the configuration of a HSM in the event of disturbance, and

2.

configurations of additional necessary HSM (enlargement case).

These configurations have to be carried out in the premises of the pseudonymisation body set up at the main association of Austrian social security providers, in the presence of a representative/representative of the Federal Ministry of Health and under the supervision of a confirmatory body pursuant to Article 19 of the Signature Law. The whole process is to be protocold.

(4) The Federal Ministry of Health has the protocols referred to in paragraph. 2 and 3 of the Data Protection Authority.

Audits

§ 7b. (1) Compliance with data protection in the context of pseudonymisation and related processes must be verified and confirmed by an independent/independent external/external expert/experts at regular audits.

(2) A first audit is carried out regularly during the first configuration of the HSM and other audits, but at least every two years.

(3) The pseudonymisation body set up at the main association of Austrian social security providers has supported the implementation of audits by their own staff and to ensure that the evaluator receives access to all necessary information to carry out the audits.

(4) The selection and order by the Federal Ministry of Health of the external evaluator.

(5) The external evaluator must not be aware of the cryptographic key used.

One-stop-use (Hash) of the data-ID

§ 7c. As an algorithm for a single-use switch (Hash discharge) of the non-returnable data-ID from the number of entries according to § 3. 1 of the Federal Law on documentation in health care is to apply the cryptoological Hash function SHA-256. “

4. The § 9 is the following paragraph. 5:

"(5) Articles 1, 2, 3, 4, 6 and 7a to 7c as amended by Regulation BGBl. II No 358/2014 will enter into force on 1 January 2015 and will be applied for the first time for the 2015 reporting period. “

Article 2

On the basis of § 7(1). 4 of the Federal Law on Documentation in Health, BGBl. No 745/1996, last amended by the Federal Law BGBl. I No. 81/2013, is prescribed:

The statistical regulation for national fund-funded health institutions, BGBl. II No 639/2003, last amended by Regulation BGBl. II No. 103/2012, as follows:

1. § 3(2). 1 is:

"(1) All data transfers have to be encrypted. In addition,

1.

the transfer of data from the National Health Fund to the Federal Ministry of Health and the transfer of data from the Landeshauptmann to the Federal Ministry of Health via an internet application operated by the Federal Ministry of Health and

2.

the transfer of data between the pseudonymisation body set up by the main association of Austrian social security providers and the Federal Ministry of Health via the SV data hub

to be done. Data transfers have to comply with the requirements of Annex 1. The Internet application under Z 1 is equipped with a encryption (transport layer security) and it is necessary to ensure that user access is technically possible only through appropriate safeguards (e.g. organisational-specific client-certification). The Internet application is not an information system within the meaning of Section 14 DSG 2000. After the full completion of the data processing for the period concerned, the Federal Ministry of Health has to empty all the lists used for the exchange of data by Internet application, so that the data previously contained can no longer be read. “

2. § 3(2). The first sentence is:

"The annual reporting according to Section 2(2). 2 consists of the set types defined in Annex 2 with the exception of the P02 and S12.

3. In § 3, 2 of the following paragraphs. 2a inserted:

"(2a) The transfer of data between the pseudonymisation body set up by the main association of Austrian social security providers and the Federal Ministry of Health consists of the types of P02 and S12. defined in Annex 2

4. Under Section 3, the following § 3a and the following § 3b and heading are inserted:

"§ 3a. In the absence of data transfer from national health fund-funded health care institutions and from the National Health Fund to the Federal Ministry of Health Data, it is necessary to correct or delete data as follows:

1.

In the case of missing data, these must be transmitted immediately.

2.

In the case of data to be corrected retrospectively, the corresponding data notification must be corrected and the correct data notification must be sent immediately to the full extent.

3.

In the case of data to be deleted retrospectively, the relevant data notification must be condensed and the adjusted data notification must be sent immediately to the full extent.

Data security measures

§ 3b. (1) All the institutions involved in the reporting system have to document all the security measures taken in accordance with § 14 DSG 2000 and the provisions of the Federal Law on documentation in the health care sector. This documentation must show that both access and transfer of data are done properly and data is not accessible.

(2) Confidentiality in the electronic transmission of health data is ensured by the electronic transfer of health data through networks that are protected against unauthorised access, in accordance with the state of technology, by at least

1.

security of traffic through cryptographic and, where appropriate, structural measures;

2.

access to the network exclusively for a closed user/user group; and

3.

authentication of users

See.

(3) Any institution involved in the reporting process has proven to ensure that any/perceived person has issued a statement of assurance before access to the data or before the use of the DIAG. “

5. The § 4 is the following paragraph. 7:

"(7) The sections 3, 3a and 3b and the installations 1 and 2 as amended by Regulation BGBl. II No 358/2014 will enter into force on 1 January 2015 and will be applied for the first time for the 2015 reporting period. “

6. Annex 1 is as follows:

"Annex 1

Data transfers

Frequency of data transfer

For data transfers between the countries (LandesHealth Fund) and the Federal Ministry of Health, as well as between the main association of Austrian social security authorities and the Federal Ministry of Health, all datasets relating to the respective reporting period are collected and collected.

Types of separation

Within the categories P02 and S12, the individual fields must be labelled. As a partition sign, a pipe symbol ("three") is to be used. Within all other types of sentence, each field must be transmitted with a fixed field length and without a partition sign.

Field catches in the species

Within the different types of P02 and S12, there are no leading zeros or leading or final empty signs in each area. The number of signs mentioned is to be understood as the maximum permitted number of signs in this field. Within all other types of sentence, the individual fields must be filled with leading zero or final empty signs to ensure the required fixed field length. “

7. In Annex 2 "Development of Annual Reports" in the table "1.Permanent species" replace the line with the S11 sentence by the following lines:

P02

pseudonym patient/in

Type S11

Test and sums

Type S12

Testing and Summaries Notification pseudonyms

8. In Annex 2 "Development of Annual Reports" in the table "Satzart M01 - Basic data (DLB)" in the fields "host number" and "Geburt date" in the last column of footnotes "5" added.

9. In Annex 2 "Development of Annual Reports" The table "Satzart M01 - Basic data (DLB)" the following lines:

Age group on redundancies

78

3

numerical

Dataset-ID

81

64

alphanumeric

5)

10. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart M01 - Basic data (DLB)" as follows:

"1)

These data fields are not to be filled.

2)

For datasets for patients/patients remaining at the end of the year, this data field is to be filled with the "V" label.

3)

For datasets for patients who remain at the end of the year, this data field is not to be filled.

4)

These data fields are to be filled only for transferred patients/patients.

5)

The data fields ‘host number’ and ‘burt date’ are to be filled exclusively in data transfers between the Fund-KA and the National Health Fund. The data field "Data Rate-ID" is to be filled exclusively in data transfers between the National Health Fund and the Federal Ministry of Health. “

11. In Annex 2 "Development of Annual Reports" in the table "Satzart M02 - Residence-related data according to the leading main costs (DLB)" in the field "host number" in the last column of footnotes "3" added.

12. In Annex 2 "Development of Annual Reports" The table "Satzart M02 - Residence-related data according to the leading main costs (DLB)" the following lines:

Technical functional code

77

8

numerical

4)

Management code

85

8

numerical

4)

Newborne

93

1

alphanumeric

Age group on access time

94

3

numerical

Dataset-ID

97

64

alphanumeric

3)

13. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart M02 - Residence-related data according to the leading main costs (DLB)" as follows:

"1)

These data fields are to be filled only for intensive treatment units and intensive monitoring units for which an intensive document (TISS-A/SAPS3) is transmitted. For datasets for patients who remain at the end of the year, these data fields are not to be filled.

2)

These data fields are not to be filled.

3)

The "host number" data field is to be filled only in the data transfers between the Fund-KA and the National Health Fund. The data field "Data Rate-ID" is to be filled exclusively in data transfers between the National Health Fund and the Federal Ministry of Health.

4)

This data field is to be filled if this is determined at the level of the national health fund. “

14. In Annex 2 "Development of Annual Reports" in the table "Satzart M03 - Diagnosis (DLB)" in the field "host number" in the last column of footnotes "2" added.

15. In Annex 2 "Development of Annual Reports" The table "Satzart M03 - Diagnosis (DLB)" the following line:

Dataset-ID

29

64

alphanumeric

2)

16. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart M03 - Diagnosis (DLB)" as follows:

"1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

The "host number" data field is to be filled only in the data transfers between the Fund-KA and the National Health Fund. The data field "Data Rate-ID" is to be filled exclusively in data transfers between the National Health Fund and the Federal Ministry of Health. “

17. In Annex 2 "Development of Annual Reports" The table is: “Satzart M04 – Medical Services (DLB)” as follows:

"Satzart M04 - Medical services (DLB)1)

Field

Pos.

Length in Byte

Data format

Species

1

3

alphanumeric

Hospital number

4

6

alphanumeric

Number of entries

10

10

alphanumeric

2)

Medical single power - Code

20

8

alphanumeric

Medical single power - site location

28

1

alphanumeric

Medical single power - billing

29

1

alphanumeric

Medical single power - Number

30

4

numerical

Medical single power - Date of delivery

34

8

numerical

Medical single power - Performance Function code

42

8

numerical

3)

Medical single power - Performance health care institution

50

6

alphanumeric

3)

Dataset-ID

56

64

alphanumeric

2)

1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

The "host number" data field is to be filled only in the data transfers between the Fund-KA and the National Health Fund. The data field "Data Rate-ID" is to be filled exclusively in data transfers between the National Health Fund and the Federal Ministry of Health.

3)

This data field is to be filled if this is determined at the level of the national health fund. “

18. In Annex 2 "Development of Annual Reports" in the table "Satzart M05 - Cost carriers (DLB)" in the field "host number" in the last column of footnotes "3" added.

19. In Annex 2 "Development of Annual Reports" The table "Satzart M05 - Cost carriers (DLB)" the following line:

Dataset-ID

24

64

alphanumeric

3)

20. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart M05 - Cost carriers (DLB)" as follows:

"1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

This data field is not to be filled

3)

The "host number" data field is to be filled only in the data transfers between the Fund-KA and the National Health Fund. The data field "Data Rate-ID" is to be filled exclusively in data transfers between the National Health Fund and the Federal Ministry of Health. “

21. In Annex 2 "Development of Annual Reports" in the table "Satzart M06 - LKF-Scoring data (DLB)" in the field "host number" in the last column of footnotes "2" added.

22. In Annex 2 "Development of Annual Reports" The table "Satzart M06 - LKF-Scoring data (DLB)" the following line:

Dataset-ID

103

64

alphanumeric

2)

23. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart M06 - LKF-Scoring data (DLB)" as follows:

"1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

The "host number" data field is to be filled only in the data transfers between the Fund-KA and the National Health Fund. The data field "Data Rate-ID" is to be filled exclusively in data transfers between the National Health Fund and the Federal Ministry of Health. “

24. In Annex 2 "Development of Annual Reports" in the table "Satzart M07 - Accepted Errors/Warnings (DLB)" in the field "host number" in the last column of footnotes "2" added.

25. In Annex 2 "Development of Annual Reports" The table "Satzart M07 - Accepted Errors/Warnings (DLB)" the following line:

Dataset-ID

234

64

alphanumeric

2)

26. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart M07 - Accepted Errors/Warnings (DLB)" as follows:

"1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

The "host number" data field is to be filled only in the data transfers between the Fund-KA and the National Health Fund. The data field "Data Rate-ID" is to be filled exclusively in data transfers between the National Health Fund and the Federal Ministry of Health. “

27. In Annex 2 "Development of Annual Reports" in the table "Satzart M08 - Comments (DLB)" in the field "host number" in the last column of footnotes "2" added.

28. In Annex 2 "Development of Annual Reports" The table "Satzart M08 - Comments (DLB)" the following line:

Dataset-ID

1220

64

alphanumeric

2)

29. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart M08 - Comments (DLB)" as follows:

"1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

The "host number" data field is to be filled only in the data transfers between the Fund-KA and the National Health Fund. The data field "Data Rate-ID" is to be filled exclusively in data transfers between the National Health Fund and the Federal Ministry of Health. “

30. In Annex 2 "Development of Annual Reports" in the table "Satzart I11 – SAPS3 data (DLB-Intensiv)" in the field "host number" in the last column of footnotes "2" added.

31. In Annex 2 "Development of Annual Reports" The table "Satzart I11 – SAPS3 data (DLB-Intensiv)" the following line:

Dataset-ID

117

64

alphanumeric

2)

32. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart I11 – SAPS3 data (DLB-Intensiv)" as follows:

"1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

The "host number" data field is to be filled only in the data transfers between the Fund-KA and the National Health Fund. The data field "Data Rate-ID" is to be filled exclusively in data transfers between the National Health Fund and the Federal Ministry of Health. “

33. In Annex 2 "Development of Annual Reports" in the table "Satzart I12 - TISS-A data (DLB-Intensiv)" in the field "host number" in the last column of footnotes "2" added.

34. In Annex 2 "Development of Annual Reports" The table "Satzart I12 - TISS-A data (DLB-Intensiv)" the following line:

Dataset-ID

60

64

alphanumeric

2)

35. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart I12 - TISS-A data (DLB-Intensiv)" as follows:

"1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

The "host number" data field is to be filled only in the data transfers between the Fund-KA and the National Health Fund. The data field "Data Rate-ID" is to be filled exclusively in data transfers between the National Health Fund and the Federal Ministry of Health. “

36. In Annex 2 "Development of Annual Reports" according to the table "Satzart G02 - Large power data" the following table and heading:

P02 - pseudonym patient/in

Field

Maximum length

Data format

Hospital number

6

alphanumeric

Dataset-ID

64

alphanumeric

pseudonym patient/in

88

alphanumeric

Date of entry

8

numerical

37. In Annex 2 "Development of Annual Reports" according to the table "Satzart S11 - Test and sum rate" the following table and heading:

Unitart S12 - Testing and Summaries Reporting pseudonyms

Field

Maximum length

Data format

Species

3

alphanumeric

Hospital number

6

alphanumeric

Number of rates submitted P02

10

numerical

Article 3

On the basis of § 8(2). 2 of the Federal Law on documentation in health care, BGBl. No 745/1996, last amended by the Federal Law BGBl. I No. 81/2013, is prescribed:

The statistical regulation for non-national fund-funded hospitals, BGBl. II No 637/2003, last amended by Regulation BGBl. II No. 103/2012, as follows:

1. The second paragraph is the following. 3 added:

"(3) The transfer of data between the pseudonymisation body set up by the main association of Austrian social security providers and the Federal Ministry of Health consists of the types of P02 and S12. defined in Annex 2

2. § 3(2). 1 is:

"(1) All data transfers have to be encrypted. In addition,

1.

the transfer of data between the providers of health care establishments that are not counted through national funds and the Federal Ministry of Health via an internet application operated by the Federal Ministry of Health

2.

the transfer of data between the pseudonymisation body set up by the main association of Austrian social security providers and the Federal Ministry of Health via the SV data hub

to be done. Data transfers have to comply with the requirements of Annex 1. The Internet application under Z 1 is equipped with a encryption (transport layer security) and it is necessary to ensure that user access is technically possible only through appropriate safeguards (e.g. organisational-specific client-certification). The Internet application is not an information system within the meaning of Section 14 DSG 2000. After the full completion of the data processing for the period concerned, the Federal Ministry of Health has to empty all the lists used for the exchange of data by Internet application, so that the data previously contained can no longer be read. “

3. Under Section 3, the following § 3a and the following § 3b and heading are inserted:

"§ 3a. In the absence of data transfer from non-national health fund-funded hospitals to the Federal Ministry of Health Data, it is necessary to correct or delete data as follows:

1.

In the case of missing data, these must be transmitted immediately.

2.

In the case of data to be corrected retrospectively, the corresponding data notification must be corrected and the correct data notification must be sent immediately to the full extent.

3.

In the case of data to be deleted retrospectively, the relevant data notification must be condensed and the adjusted data notification must be sent immediately to the full extent.

Data security measures

§ 3b. (1) All the institutions involved in the reporting system have to document all the security measures taken in accordance with § 14 DSG 2000 and the provisions of the Federal Law on documentation in the health care sector. This documentation must show that both access and transfer of data are done properly and data is not accessible.

(2) Confidentiality in the electronic transmission of health data is ensured by the electronic transfer of health data through networks that are protected against unauthorised access, in accordance with the state of technology, by at least

1.

security of traffic through cryptographic and, where appropriate, structural measures;

2.

access to the network exclusively for a closed user/user group; and

3.

authentication of users

See.

(3) Any institution involved in the reporting process has proven to ensure that any/perceived person has issued a statement of assurance before access to the data or before the use of the DIAG. “

4. The § 5 is the following paragraph. 4:

“(4) The Articles 2, 3a and 3b and the installations 1 and 2 as amended by Regulation BGBl. II No 358/2014 will enter into force on 1 January 2015 and will be applied for the first time for the 2015 reporting period. “

5. Annex 1 is as follows:

"Annex 1

Data transfers

Frequency of data transfer

For the transfer of data between the providers of health care establishments that are not counted through national funds, and the Federal Ministry of Health, as well as between the main association of Austrian social security providers and the Federal Ministry of Health, all records relating to the respective reporting period are to be collected and collected.

Types of separation

Within the categories P02 and S12, the individual fields must be labelled. As a partition sign, a pipe symbol ("three") is to be used. Within all other types of sentence, each field must be transmitted with a fixed field length and without a partition sign.

Field catches in the species

Within the different types of P02 and S12, there are no leading zeros or leading or final empty signs in each area. The number of signs mentioned is to be understood as the maximum permitted number of signs in this field. Within all other types of sentence, the individual fields must be filled with leading zero or final empty signs to ensure the required fixed field length. “

6. In Annex 2 "Development of Annual Reports" in the table "1.Permanent species" replace the line with the S11 sentence by the following lines:

P02

pseudonym patient/in

Type S11

Test and sums

Type S12

Testing and Summaries Notification pseudonyms

7. In Annex 2 "Development of Annual Reports" in the table "Satzart M01 - Basic data (DLB)" in the fields "host number" and "Geburt date" in the last column of footnotes "5" added.

8. In Annex 2 "Development of Annual Reports" The table "Satzart M01 - Basic data (DLB)" the following lines:

Age group on redundancies

78

3

numerical

Dataset-ID

81

64

alphanumeric

5)

9. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart M01 - Basic data (DLB) as follows:

"1)

These data fields are not to be filled.

2)

For datasets for patients/patients remaining at the end of the year, this data field is to be filled with the "V" label.

3)

For datasets for patients who remain at the end of the year, this data field is not to be filled.

4)

These data fields are to be filled only for transferred patients/patients.

5)

The data fields ‘host number’ and ‘Geburt date’ are exclusively in the data transfers according to § 4 of the Federal Law on the establishment of a fund for financing private hospitals (PRIKRAF-G), BGBl. I No. 165/2004 last amended by BGBl. I No. 81/2013 to fill the PRIKRAF. The data field "Data Rate-ID" is to be filled exclusively in data transfers between health institutions and the Federal Ministry of Health. “

10. In Annex 2 "Development of Annual Reports" in the table "Satzart M02 - residence-related data by organisational units (DLB)" in the field "host number" in the last column of footnotes "2" added.

11. In Annex 2 "Development of Annual Reports" The table "Satzart M02 - residence-related data by organisational units (DLB)" the following lines:

Technical functional code

55

8

numerical

3)

Management code

63

8

numerical

3)

Newborne

71

1

alphanumeric

Age group on access time

72

3

numerical

Dataset-ID

75

64

alphanumeric

2)

12. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart M02 - residence-related data by organisational units (DLB)" as follows:

"1)

These data fields are to be filled only for intensive treatment units and intensive monitoring units for which an intensive document (TISS-A/SAPS3) is transmitted. For datasets for patients who remain at the end of the year, these data fields are not to be filled.

2)

The data field ‘host number’ is to be filled exclusively in the data transfers according to § 4 of the Federal Law on the establishment of a fund for financing private hospitals (PRIKRAF-G) to the PRIKRAF. The data field "Data Rate-ID" is to be filled exclusively in data transfers between health institutions and the Federal Ministry of Health.

3)

This data field is not mandatory. “

13. In Annex 2 "Development of Annual Reports" in the table "Satzart M03 - Diagnosis (DLB)" in the field "host number" in the last column of footnotes "2" added.

14. In Annex 2 "Development of Annual Reports" The table "Satzart M03 - Diagnosis (DLB)" the following line:

Dataset-ID

29

64

alphanumeric

2)

15. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart M03 - Diagnosis (DLB)" as follows:

"1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

The data field ‘host number’ is to be filled exclusively in the data transfers according to § 4 of the Federal Law on the establishment of a fund for financing private hospitals (PRIKRAF-G) to the PRIKRAF. The data field "Data Rate-ID" is to be filled exclusively in data transfers between health institutions and the Federal Ministry of Health. “

16. In Annex 2 "Development of Annual Reports" The table is: “Satzart M04 – Medical Services (DLB)” as follows:

"Satzart M04 - Medical services (DLB)1)

Field

Pos.

Length in Byte

Data format

Species

1

3

alphanumeric

Hospital number

4

6

alphanumeric

Number of entries

10

10

alphanumeric

2)

Medical single power - Code

20

8

alphanumeric

Medical single power - site location

28

1

alphanumeric

Medical single power - billing

29

1

alphanumeric

Medical single power - Number

30

4

numerical

Medical single power - Date of delivery

34

8

numerical

Medical single power - Performance function code

42

8

numerical

3)

Medical single power - Performance health care institution

50

6

alphanumeric

3)

Dataset-ID

56

64

alphanumeric

2)

1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

The data field ‘host number’ is to be filled exclusively in the data transfers according to § 4 of the Federal Law on the establishment of a fund for financing private hospitals (PRIKRAF-G) to the PRIKRAF. The data field "Data Rate-ID" is to be filled exclusively in data transfers between health institutions and the Federal Ministry of Health.

3)

This data field is not mandatory. “

17. In Annex 2 "Development of Annual Reports" in the table "Satzart M05 - Cost carriers (DLB)" in the field "host number" in the last column of footnotes "3" added.

18. In Annex 2 "Development of Annual Reports" The table "Satzart M05 - Cost carriers (DLB)" the following line:

Dataset-ID

24

64

alphanumeric

3)

19. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart M05 - Cost carriers (DLB)" as follows:

"1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

This data field is not to be filled.

3)

The data field ‘host number’ is to be filled exclusively in the data transfers according to § 4 of the Federal Law on the establishment of a fund for financing private hospitals (PRIKRAF-G) to the PRIKRAF. The data field "Data Rate-ID" is to be filled exclusively in data transfers between health institutions and the Federal Ministry of Health. “

20. In Annex 2 "Development of Annual Reports" in the table "Satzart M07 - Accepted Errors/Warnings (DLB)" in the field "host number" in the last column of footnotes "2" added.

21. In Annex 2 "Development of Annual Reports" The table "Satzart M07 - Accepted Errors/Warnings (DLB)" the following line:

Dataset-ID

234

64

alphanumeric

2)

22. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart M07 - Accepted Errors/Warnings (DLB)" as follows:

"1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

The data field ‘host number’ is to be filled exclusively in the data transfers according to § 4 of the Federal Law on the establishment of a fund for financing private hospitals (PRIKRAF-G) to the PRIKRAF. The data field "Data Rate-ID" is to be filled exclusively in data transfers between health institutions and the Federal Ministry of Health. “

23. In Annex 2 "Development of Annual Reports" in the table "Satzart M08 - Comments (DLB)" in the field "host number" in the last column of footnotes "2" added.

24. In Annex 2 "Development of Annual Reports" The table "Satzart M08 - Comments (DLB)" the following line:

Dataset-ID

1220

64

alphanumeric

2)

25. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart M08 - Comments (DLB)" as follows:

"1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

The data field ‘host number’ is to be filled exclusively in the data transfers according to § 4 of the Federal Law on the establishment of a fund for financing private hospitals (PRIKRAF-G) to the PRIKRAF. The data field "Data Rate-ID" is to be filled exclusively in data transfers between health institutions and the Federal Ministry of Health. “

26. In Annex 2 "Development of Annual Reports" in the table "Satzart I11 – SAPS3 data (DLB-Intensiv)" in the field "host number" in the last column of footnotes "2" added.

27. In Annex 2 "Development of Annual Reports" The table "Satzart I11 – SAPS3 data (DLB-Intensiv)" the following line:

Dataset-ID

117

64

alphanumeric

2)

28. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart I11 – SAPS3 data (DLB-Intensiv)" as follows:

"1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

The data field ‘host number’ is to be filled exclusively in the data transfers according to § 4 of the Federal Law on the establishment of a fund for financing private hospitals (PRIKRAF-G) to the PRIKRAF. The data field "Data Rate-ID" is to be filled exclusively in data transfers between health institutions and the Federal Ministry of Health. “

29. In Annex 2 "Development of Annual Reports" in the table "Satzart I12 - TISS-A data (DLB-Intensiv)" in the field "host number" in the last column of footnotes "2" added.

30. In Annex 2 "Development of Annual Reports" The table "Satzart I12 - TISS-A data (DLB-Intensiv)" the following line:

Dataset-ID

60

64

alphanumeric

2)

31. In Annex 2 "Development of Annual Reports" are footnotes in the table "Satzart I12 - TISS-A data (DLB-Intensiv)" as follows:

"1)

For patients/patients remaining at the end of the year, this type of sentence is eliminated.

2)

The data field ‘host number’ is to be filled exclusively in the data transfers according to § 4 of the Federal Law on the establishment of a fund for financing private hospitals (PRIKRAF-G) to the PRIKRAF. The data field "Data Rate-ID" is to be filled exclusively in data transfers between health institutions and the Federal Ministry of Health. “

32. In Annex 2 "Development of Annual Reports" according to the table "Satzart G02 - Large power data" the following table and heading:

P02 - pseudonym patient/in

Field

Maximum length

Data format

Hospital number

6

alphanumeric

Dataset-ID

64

alphanumeric

pseudonym patient/in

88

alphanumeric

Date of entry

8

numerical

33. In Annex 2 "Development of Annual Reports" according to the table "Satzart S11 - Test and sum rate" the following table and heading:

Unitart S12 - Testing and Summaries Reporting pseudonyms

Field

Maximum length

Data format

Species

3

alphanumeric

Hospital number

6

alphanumeric

Number of rates submitted P02

10

numerical

Oberhauser