在ICD-10和ICD-11中对不确定和"排除"诊断的编码规则
Oluseun O Atolagbe1, Patrick S Romano2, Danielle A Southern3
1Health Information Management Department, University of California Davis Health, Sacramento, CA, USA.
BMC medical informatics and decision making
|September 28, 2024
概括
与ICD-10相比,国际疾病分类第11版 (ICD-11) 增强了不确定的诊断的编码. 在ICD-11中对"临时"和"差异"诊断需要进一步澄清.
科学领域:
- 医疗信息学 医疗信息学
- 健康信息管理 管理健康信息
- 临床文档 临床文档
背景情况:
- 国际疾病分类第10版 (ICD-10) 提出了编码挑战,特别是对于不确定或不确定的疾病.
- 已经被排除在外.
- 这些都是诊断,诊断.
- 在ICD-10中编码未经证实的诊断的现有国际实践显示出国家特定的显著差异.
研究的目的:
- 评估编码不确定性和不确定性方面的改进.
- 已经被排除在外.
- 国际疾病分类第11版 (ICD-11) 提供的诊断.
- 为特定的诊断概念在ICD-11中确定需要进一步澄清的领域.
主要方法:
- 对ICD-10和ICD-11的官方国际指南和编码规则的分析.
- 使用ICD-10在不同国家对未经证实的诊断进行编码实践的比较评估.
- 审查ICD-11的特点,包括后协调和扩大概念范围.
主要成果:
- ICD-11引入后协调并扩展可编码的概念,大大改善了不确定性和可编码的处理.
- 已经被排除在外.
- 与ICD-10相比,诊断的情况更好.
- 对于这些具有挑战性的概念,ICD-11已在编码规则上达成国际共识.
- 记录了ICD-10编码实践对未经证实的诊断的变化.
结论:
- ICD-11代表了在准确地捕捉不确定的和不确定性的实质性进展.
- 已经被排除在外.
- 这些都是诊断,诊断.
- 在ICD-11框架内,建议对"临时诊断"和"差异诊断"的概念进行进一步澄清.
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