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Automated coding of injuries from autopsy reports

L Riddick1, W B Long, W S Copes

  • 1Alabama Department of Forensic Sciences, Mobile, USA.

The American Journal of Forensic Medicine and Pathology
|October 6, 1998
PubMed
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Medical examiner data captures crucial information on trauma victims who die before reaching the hospital. An expert system successfully coded autopsy data, improving trauma registry completeness and accuracy for better public health evaluations.

Area of Science:

  • Forensic Pathology
  • Public Health
  • Medical Informatics

Background:

  • Trauma registries are vital for assessing community injuries and emergency medical systems.
  • Current registries are incomplete, excluding victims who die at the scene or in transit.
  • This exclusion omits data from approximately 50% of trauma fatalities, leading to inaccurate evaluations.

Purpose of the Study:

  • To develop and pilot an expert computer system for abstracting data from medical examiner reports.
  • To integrate previously inaccessible data from non-hospitalized trauma victims into trauma registries.
  • To demonstrate the feasibility of improving the accuracy and completeness of trauma data.

Main Methods:

  • An expert system was developed to code injury descriptions from autopsy reports.

Related Experiment Videos

  • Data were abstracted from 50 consecutive non-hospitalized fatal trauma cases in Mobile County, Alabama.
  • Injury descriptions were coded using International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) and Abbreviated Injury Scale (AIS-90).

    • Main Results:

    • The expert system successfully coded all injury descriptions from the autopsy reports.
    • The system was able to request and receive clarifying information when needed, all available in medical records.
    • This pilot study demonstrated the feasibility of accurately and consistently coding data from deceased trauma victims.

    Conclusions:

    • Medical examiner data can significantly enhance the completeness of trauma registries.
    • Utilizing an expert system provides a feasible method for accessing and coding this vital information.
    • Improved trauma data accuracy is essential for effective injury prevention and resource allocation.