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The data element Other Disease Diagnoses makes use of International Statistical Classification of Diseases and Related ºìÁì½í¹Ï±¨ Problems, 10th Revision, Canada (ICD-10-CA) codes that may require special consideration during implementation. 

Any diseases or infections not listed in item I1 (i.e., in Diseases in interRAI Home Care [HC] or in Disease Diagnoses in interRAI Long-Term Care Facilities [LTCF]) that are relevant to the person’s current activity of daily living status, cognitive status, mood or behaviour status, medical treatments, nursing monitoring or risk of death should be captured in item I2 (Other Disease Diagnoses). Do not include conditions that have been resolved or that no longer affect the person’s functioning or care needs. Certain outputs may be affected by items I1 and I2.

ICD-10-CA for the Integrated interRAI Reporting System (IRRS) enables licensed customers or commercial vendors to build ICD-10-CA look-up tables and validations into their software, which will reduce rejections and improve user experience. 

The assessment items for List of All Medications in section items N1 (interRAI LTCF) and M1 (interRAI HC) are optional to complete. Check with your jurisdiction to determine whether this item is to be completed. 

Please note: 

• The text field for Medication Name is not submitted to IRRS 
• The Drug Code (or Drug Identification Number [DIN]) must be provided if any of the following are completed for any medication listed: Dose, Unit, Route of Administration, Frequency or PRN 

Some jurisdictions across Canada use interRAI HC to assess persons in a hospital setting to inform discharge-planning decisions, particularly for placement in a residential care facility. 

There are coding standards related to the use of interRAI HC in a hospital setting. For example, some assessment items are conditional and are not completed if the assessment is conducted in a hospital, residential care facility or other setting such as a hospice or correctional facility. 

Job aid

ºìÁì½í¹Ï±¨has created a job aid to help with coding in this scenario: 

• interRAI Home Care (IRRS): Coding Guidelines for Completing the Assessment in Hospital, Residential Care Facility or Other Setting (PDF)