MHRN diagnosis codes: Which file do you want?

• For a human-readable file, choose MHRN_DX_CODES_20230419.xlsx. It's in Diagnosis-Codes, accessible by the blue link above left.
• For a SAS dataset, use mhrn_dx_codes[year].zip.
• For other platforms, there is text (csv) file, mhrn_dx_codes[year].csv.

Important Notes: Select codes you want based on flags described below.

• You may want to remove dementia (DEM) and/or all injury/poisoning codes (except perhaps definite and possible self-harm DSH/PSH)
• You may want to remove remission(REM), subsequent(SUB) and sequelae(SEQ) codes
• If you are interested in self-harm/suicide attempt, please see https://github.com/MHResearchNetwork/Diagnosis-Codes/blob/master/README_selfharm.md
• If you are not in interested Attention Deficit Disorder or Autism Spectrum Disorder, a simple alternative solution is to include anything in the range F0-F48, excepting nicotine disorders (F17.x) and remission codes (F1x.21)

File Contents: **Variable: label on MHRN_DX_CODES_2023 Observations: 53021 **

• REV: ICD-?-CM Revision (9/10)
• CODE: ICD-9 or 10 Code (no dot)
• DESC: Description (ICD-10: Long, ICD-9: Short)
• MEN: 0/1 Mental disorder typically included in MHRN analyses
• DEM: Dementia
• ALC: Alcohol use disorder (not in remission)
• DRU: Drug use disorder (not in remission)
• PSY: Psychotic disorder or symptoms
• SCH: Schizophrenia spectrum disorder
• OPD: Other (non-schizophrenic) psychotic disorder
• AFF: Affective/mood disorder
• BIP: Bipolar/manic disorder
• DEP: Depressive disorder or symptoms
• ANX: Anxiety/adjustment disorder, stress reaction, or anxiety symptoms
• PTS: Post-traumatic stress disorder
• EAT: Eating disorder
• PER: Personality disorder
• GEN: Transgender/ gender dysphoria
• ASD: Autism spectrum disorder
• PED: Pediatric MH disorder
• ADD: Attention deficit disorder
• CON: Conduct disorder
• REM: MH disorder in remission
• SUI: Suicidal ideation
• NSH: Non-suicidal self-harm (NEW 2023)
• DSH: Definite self-harm (use in concert with INJ/POI event codes)
• PSH: Possible self-harm (use in concert with INJ/POI event codes)
• ACC: Accidental injury/poisoning (use in concert with INJ/POI event codes)
• INJ: Injury
• WOU: Wound-type injury
• TBI: Traumatic brain injury
• SMC: Injury complications of surgical and medical care NEC
• SUB: Subsequent encounter
• SEQ: Sequela or late effects of original event
• CMS[06-23]: Code+desc in 20XX CMS release

HISTORICAL INFORMATION

ICD9_10_QA, ICD_QA_CLASS, and HEDIS flags have been discontinued. HEDIS value sets are more readily available now: for KP employees, search sharepoint for "HEDIS value sets." They can also be downloaded for free at https://store.ncqa.org/my-2023-quality-rating-system-qrs-hedis-value-set-directory.html

Summary of inclusions:

1. The following "core" diagnosis classes were vetted collaboratively my MHRN Investigators in ICD-9 and translated and tested in ICD-10:

• Anxiety Disorder
• Attention Deficit Disorder
• Autism Spectrum Disorder
• Bipolar Spectrum Disorder
• Dementia
• Depressive Disorder
• Schizophrenia Spectrum Disorder
• Other Psychosis
• Substance Abuse Disorder

2. The following classes were added later on the advice of one or more investigators:

• Conduct/Disruptive Disorder
• Eating Disorder
• Transgender/Gender Dysphoria
• Personality Disorder

3. The following classes are related to our work on self-harm and suicide attempt. Please refer to README_selfharm before using

• Self-inflicted Injury/Poisoning
• Undetermined Injury/Poisoning
• Suicide Ideation
• Injury/Poisoning subset
• Accidental Injury/Poisoning (new 2020)