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medicalcoder 0.8.0

License Change

medicalcoder <= 0.7.0 was under GPL-2 for no other reason that that was the default in the template DESCRIPTION file. With this release we have transitioned from GPL-2 to BSD-3-Clause to reduce almost all barriers to use of the package in other environments.

New Features

• If a tibble is passed to comorbidities() and the dplyr namespace is available, then dplyr methods will be used for data manipulation. This change will generally result in less computation time than base R data.frames (data.tables require even less time).

• Add the elixhauser_ahrq2026 method for comorbidities() (#32)

Bug Fixes

• summary.medicalcoder_comorbidites() no longer crashes when a zero row input is passed in. Consistently return NA instead of NaN when counts are zeros. (#26, #27)

• Improve the conditional and multiple comorbidities mapped by a code under AHRQ ICD-10 codes for fiscal years 2023 through 2026. The bug was found and fixed as part of the extension #32.

• Add ICD-9-PCS 35.7 to the PCCC codes. (#38) The v2 docs have 37.52, 37.53, 37.54, 37.55 as cvd (device) and 37.5, 37.51 as cvd (transplant). v3 docs have 3751 as cvd (transplant), all other four digit codes under 37.5 as cvd (device). One issue here is that 37.5 was an assignable code from CDC through 2003 and then was a header with the same four digit codes as CMS through 2012. CMS continued to use the four digit codes through 2015.

• Improve Elixhauser (Quan 2005) ICD-10 codes

  • omitting F42.2 for depression
  • adding G36.x for neuro
  • adding 333.4 for neuro

• Add checks for data structures (#41)

• Handle zero length patterns in regex (#42)

Other Changes

• Extend and improve the internal ICD-9 database to distinguish between CDC and CMS source.

• Fix documentation of the mdcr and mdcr_longitudinal datasets.

• Clarified internal data.frame/data.table helpers: documented that mdcr_select() deep-copies data.table subsets to avoid aliasing, noted the selfref fix in mdcr_set(), and added inline guidance in the longitudinal section of comorbidities() to explain the first-occurrence logic.

• Improve cumulative flagging to apply first-occurrence logic more efficiently.

• Extend documentation for the expected default behavior between the present-on-admission flags and flag.method argument in comorbidities() (re: #28)

• Add mdcr_unique() to the data.frame utilities. This reduced the computational time required to apply comorbidities() to tibbles and data.tables. (#31)

medicalcoder 0.7.0

Bug Fixes

• Elixhauser AHRQ 2022 - 2025

  • exclusions for less severe conditions when more severe conditions are flagged.
  • Improved POA, NPOA, and EXEMPTPOA. This came about from #20.

• Make internal data.frame tool mdcr_duplicated() data.table aware.

• Elixhauser (Quan 2005) - added missing ICD-10 codes to the mappings

New Features

• comorbidities() will return a tibble when the input data is a tbl_df (#9). Assuming the data.table and/or tibble namespaces are available, then the initial release (v0.6.0) would return a data.table if a data.table was passed to a comorbidities() due to the S3 method dispatches. If a tibble (tbl_df) or a data.frame was passed to comorbidities() then the return would be a data.frame. In this release we have added logic to determine if the input is a tibble and if the tibble namespace is available, then the return from comorbidities() will be a tibble (or list of tibbles when subconditions = TRUE).

  The tests were extended to consider the cases of passing in a data.table or tibble to comorbidities when the associated namespaces are not available.

• Added elixhauser_ahrq_icd10 to use all the ICD codes ever defined from 2022 to 2025. This will capture any future years as well.

Other Changes

• Improve formatting of vignettes/articles.

medicalcoder 0.6.0

• Initial CRAN submission, providing a dependency-free toolkit for ICD-9/10 code lookups
  • lookup_icd_codes(),
  • get_icd_codes(),
  • icd_compact_to_full(), and
  • is_icd().
• Introduces a unified comorbidities() interface covering Charlson (Deyo, Quan 2005/2011, Glasheen), Elixhauser (original, Quan 2005, AHRQ 2017-2025), and Pediatric Complex Chronic Conditions (v2.0/2.1/3.0/3.1).
• Adds support for present-on-admission indicators, longitudinal look-back, age scoring, and PCCC sub-condition flags within comorbidities().
• Bundles curated ICD dictionaries alongside example datasets (mdcr, mdcr_longitudinal) for reproducible testing and demonstrations.
• Includes vignettes and benchmarking summaries that document usage patterns and showcase performance without non-base dependencies.

These binaries (installable software) and packages are in development.
They may not be fully stable and should be used with caution. We make no claims about them.