Table 2 Definitions of the health status measures, using administrative data available in the Repository housed at MCHP

Diabetes prevalence

One or more hospitalizations (1+H) or two or more physician visits (2+P) with a diagnosis of diabetes, ICD-9-CM diagnosis code 250, ICD-10-CA codes E10-E14 (ICD-10-CA used only in hospital abstract data, after April 1, 2004), or one or more prescriptions (1+Rx) to treat diabetes in 3 fiscal years.

Hypertension prevalence

1+H or 1+P with ICD-9-CM codes 401-405, ICD-10-CA codes I10-I13, I15, or 2+Rx in one fiscal year.

Arthritis prevalence

1+H or 2+P with ICD-9-CM codes 274, 446, 710-721, 725-729, 739, ICD-10-CA codes M00-M03, M05-M07, M10-M25, M30-M36, M65-M79, or, 1P and 2+Rx in two fiscal years.

Ischemic Heart Disease (IHD) rate

1+H or 2+P with ICD-9-CM codes 410-414, ICD-10-CA codes I20-I22, 124, I25, or 1P and 2+Rx in five fiscal years.

Osteoporosis prevalence

1+H or 1+P with a diagnosis of osteoporosis, ICD-9-CM code 733 (733.0 only in hospital data), ICD-10-CA code M81, or hip fracture, ICD-9-CM codes 820-821, ICD-10-CA code S72, or spine fracture, ICD-9-CM code 805, ICD-10-CA codes S12.0-S12.2, S12.7, S12.9, S22.0, S22.1, S32.0-S32.2, T08, or humerus fracture, ICD-9-CM code 812, ICD-10-CA codes S42.2-S42.4, or wrist fracture, ICD-9-CM codes 813-814, ICD-10-CA codes S52, S62.0, S62.1, or 1+Rx to treat osteoporosis in three fiscal years.

Total Respiratory Morbidity (TRM) prevalence

1+H or 1+P with ICD-9-CM codes 466, 490-493, 496, ICD-10-CA codes J20, J21, J40-J45.

Dialysis initiation rate

1+P with a physician tariff code for hemodialysis or peritoneal dialysis in five fiscal years

AMI rate

an inpatient hospitalization with a most responsible diagnosis of AMI (ICD-9-CM code 410 and ICD-10-CA code I21) and a length of stay of three or more days unless the patient died in hospital, or a death with AMI listed as the primary cause of death on the Vital Statistics death record.

Stroke rate

an inpatient hospitalization with a most responsible diagnosis of stroke (ICD-9-CM codes 431, 434, 436 and ICD-10-CA codes I61, I63, I64) and a length of stay of one or more days unless the patient died in hospital, or a death with stroke listed as the primary cause of death on the Vital Statistics death record.

Rate of lower limb amputations due to complications of diabetes

an inpatient hospitalization with ICD-9-CM procedure codes 84.10-84.17 or Canadian Classification of Health Interventions (CCI) codes 1.VC.93, 1.VG.93, 1.VQ.93, 1.WA.93, 1.WE.93, 1.WJ.93, 1.WL.93, 1.WM.93. Amputations due to accidental injury (defined by ICD-9-CM codes 895, 896, 897 and ICD-10-CA codes S78, S88, S98, T05.3, T05.4, T05.5, T13.6) were excluded.