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The CR Alpha Diagnostic Coding System for ambulatory care

L R Martin, M N Werblun

    The Journal of Family Practice
    |March 1, 1977
    PubMed
    Summary
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    A new three-digit coding system for ambulatory care patient encounters offers integrity, retrievability, and flexibility. This innovative system expands to over 3,200 rubrics, incorporating both diagnostic and symptom data.

    Area of Science:

    • Medical Informatics
    • Health Services Research
    • Clinical Coding Systems

    Background:

    • Existing patient encounter coding systems may lack flexibility and expandability.
    • Ambulatory care settings require efficient and adaptable data management tools.

    Purpose of the Study:

    • To develop a novel three-digit coding system for patient encounters in ambulatory care.
    • To ensure the system meets criteria for integrity, retrievability, flexibility, and acceptability.

    Main Methods:

    • Construction of a three-digit code system utilizing an alphabetical letter as a category designator.
    • Incorporation of "open" areas within categories for new rubrics and "open" categories for research.
    • Adoption of diagnostic terms from International Classification of Diseases, Adapted, Eighth Revision (ICDA-8).

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  • Inclusion of symptom-oriented rubrics from the National Ambulatory Medical Care Survey Symptom Classification.

    • Main Results:

    • The system provides integrity, retrievability, flexibility, and acceptability.
    • Features include an alphabetical category designator and "open" areas for expansion.
    • The system can expand from 22 primary categories to 97 subheadings and 3,200 rubrics.

    Conclusions:

    • The developed coding system offers a flexible and expandable solution for ambulatory care data.
    • Its design facilitates research and accommodates future additions to medical knowledge and practice.
    • The system effectively integrates diagnostic and symptom data for comprehensive patient encounter coding.