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ICD-10-SGBV and ICD-10-diagnosenthesaurus--advantages and disadvantages as well as further development
1Zentralinstitut für die kassenärztliche Versorgung in der Bundesrepublik Deutschland (ZI) (Central Research Institute of Ambulatory Health Care in Germany), Höninger Weg 115, D-50969 Köln, Germany. Bernd.Graubner@mail.gwdg.de
Abstract:
In the year 2000 ICD-10-coding of diagnoses in ambulatory and hospital health care was legally introduced in Germany. Whereas the complete ICD-10 is used for coding of mortality, physicians got the special version "ICD-10-SGBV" for coding of diagnoses of treated patients. First experience with this version shows the necessity for its further improvement. In addition, the so-called ICD-10-Diagnosenthesaurus was developed and proved to be a very useful aid for easier and better encoding of diagnoses. It is not only widely used in Germany but also in Austria and Switzerland. National and international efforts are necessary to improve ICD-10 and its utilisation.