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在没有临床修改的情况下,在美国使用ICD-11进行疾病编码的实用策略

Kin Wah Fung¹, Julia Xu¹, Shannon McConnell-Lamptey²

¹National Library of Medicine, National Institutes of Health, Bethesda, Maryland, USA.

Journal of the American Medical Informatics Association : JAMIA

|July 5, 2023

概括

一个新的策略可以用ICD-11替代国际疾病分类,第10版,临床修改 (ICD-10-CM) 代码,用于美国的发病率编码. 这种方法使用现有的ICD-11内容和后协调实现了89.4%的覆盖率,避免了新的临床修改.

科学领域:

医疗信息学医疗信息学
医疗编码系统医学编码系统

背景情况:

美国目前使用国际疾病分类,第10版,临床修改 (ICD-10-CM) 进行发病率编码.
过渡到国际疾病分类,第11版 (ICD-11) 在保持编码一致性和全面性方面提出了挑战.

研究的目的:

开发和评估一种切实可行的策略,用ICD-11取代ICD-10-CM代码,用于美国的发病率编码.
评估这种替代的可行性,而不需要创建新的临床修改 (CM) ICD-11版本.

主要方法:

采用了逐步重编码策略,从ICD-11干码开始,然后是基金会实体,最后利用后协调.
该策略在两个ICD-10-CM代码样本上进行了测试:经常使用的代码和来自消化系统疾病章节的所有代码.

主要成果:

开发的战略使用ICD-11干码,基金会实体和后协调实现了ICD-10-CM代码的累计覆盖率为89.4%.
35.2%的覆盖率仅仅通过干码实现,而基金会实体的覆盖率为46.5%.
5.5%的代码由于非一对一匹配而带来了挑战,7.1%和3.5%的代码分别需要新的扩展和干代码.

结论:

现有的ICD-11内容,与后协调的战略性使用,可以代表近90%的ICD-10-CM代码.
在ICD-10-CM和ICD-11之间协调编码准则和层次结构对于成功实施至关重要.
在进行完整的ICD-11-CM开发之前,建议仔细考虑各种重新编码选项.

关键词:

在ICD-10中,它被列为ICD-10.在ICD-10-CM中,在ICD-11中,它被列为ICD-11.疾病的国际分类.控制的医疗词汇.医疗术语的医学术语.

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