ICD-Based Diagnosis Grouping System
(DGS) for child ED visits
Download the Grouping System (DGS) – SAS VERSION
(zip file for SAS)
Download the Grouping System (DGS) – EXCEL VERSION
(zip file for Excel)
A meaningful classification of pediatric diagnoses seen in emergency departments can provide a systematic method to describe, aggregate, and compare trends within and across institutions to facilitate clinical research and quality improvement.
The Diagnosis Grouping System (DGS) was created with twenty-one clinically relevant major diagnosis groups and seventy-seven subgroups that are largely based on body system or body region involved. The DGS was first developed to account for International Classification of Disease 9th revision, Clinical Modification (ICD-9) codes.i The DGS has been updated to account for ICD-10 codes.ii
The created ICD-based Diagnosis Grouping System is
- Clinically sensible with regard to how diagnoses are grouped;
- Comprehensive in accounting for nearly all diagnoses occurring in pediatric emergency medicine visits; and
- Parsimonious in that the number of groups developed is acceptable for descriptive and analytic purposes.
The DGS is available for SAS users and/or Excel users as two separate “zip” files located above.
iAlessandrini EA, Alpern ER, Chamberlain JM, Shea JA, Gorelick MH. A new diagnosis grouping system for child emergency department visits. Acad Emerg Med. 2010;17(2):204-213. doi:10.1111/j.1553-2712.2009.00635.x
iiUpdate with new manuscript when available.
Melissa Metheney
Technical Assistance
Miscellaneous
Definition of Terms
- DCC: Data Coordinating Center: the data coordinating center for PECARN
- EIIC: EMSC Innovation and Improvement and Improvement Center
- MCHB: Maternal and Child Health Bureau
- HRSA: Health Resources and Services Administration
- HEDA: Hospital Emergency Department Affiliate: a hospital participating in the PECARN research network
- NDDP: Network Development Demonstration Project: a previous name for the PECARN network
- PECARN: Pediatric Emergency Care Applied Research Network: the multi-institutional research network for pediatric emergency medicine
- PECARN GLACiER: Great Lakes Area Children’s Emergency Research: the RNC based out of the University of Michigan
- PECARN HOMERUN: Hospitals of the Midwest Emergency Research Node: the RNC based out of the Cincinnati Children’s Hospital Medical Center
- PECARN PEM-NEWS: Pediatric Emergency Medicine Northeast, West and South: the RNC based out of Columbia University – Morgan Stanley Children’s Hospital of New York – Presbyterian
- PECARN SPARC: San Francisco-Oakland, Providence, Atlanta Research Collaborative: the RNC based out of Hasbro Children’s Hospital.
- PECARN PRIME: Pediatric Research in Injuries and Medical Emergencies Node: the RNC based out of University of California, Davis
- PECARN WPEMR: West/SW Pediatric Emergency Medicine Research Node based out of Seattle Children’s Hospital
- RNC: Research Node Centers: the six organizational nodes that oversee the HEDAs
Helpful Links
- CDC National Center for Health Statistics (NCHS)
- Collaborative Pediatric Critical Care Research Network (CPCCRN)
- CPCCRN Public Use Data Sets
- Emergency Medical Services for Children Innovation and Improvement Center (EMSC IIC)
- EMSC IIC Toolboxes (EMSC IIC)
- Great Lakes Website
- Health Resources and Services Administration (HRSA)
- National EMS Information System (NEMSIS)
- National EMSC Data Analysis Resource Center (NEDARC)
- PECARN eRoom (members only)
- The Pediatric Trauma Society
- PECARN Policies
- PECARN Logic Model