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根据实际临床编码规则对ICD-11分类的韩国实地试验,以澄清不一致的原因

Hyunkyung Lee¹, Yeojin Lee²

¹Department of Health and Medical Administration, Jaeneung University, Incheon, Korea.

Health information management : journal of the Health Information Management Association of Australia

|February 25, 2025

概括

改善国际疾病分类 (ICD) - - 11临床编码准确性需要明确的规则. 编码方法的差异,特别是协调后的差异,会影响案例场景的一致性.

科学领域:

医疗信息学医疗信息学
医学编码标准医学编码标准

背景情况:

世界卫生组织于2019年发布了"国际疾病分类" (ICD-11).
韩国统计局先前对ICD-11临床编码的研究显示,病例情景的黄金标准存在很高的差异和缺乏一致性.

研究的目的:

为了提高ICD-11的临床编码准确性和一致性.
通过制定明确的编码规则,识别和澄清临床编码不一致的原因.

主要方法:

采用了实验前设计,包括使用ICD-11用于死亡率和发病率统计的两项临床编码现场试验 (FT).
第一个FT专注于从分析结果中推导出临床编码规则,而第二个FT则应用这些既定规则.

主要成果:

在两个实地试验中,诊断术语的准确率高于病例情景的准确率 (75.8%,71.8%),高于病例情景的准确率 (62.5%,71.9%).
在案例场景编码中,后协调被确定为较低准确度水平的主要原因.

结论:

在ICD-11病例场景编码中,准确度较低的原因是参与者的集群方法的差异.
实施明确的编码指南以减少聚类方法的变异,可以提高ICD-11编码的准确性.
制定对模两可的案件的机构指南,并提供干部代码中的协调后列表,可以进一步提高准确性.

关键词:

在ICD-11中,它被列为ICD-11.准确度准确度准确度准确度准确度临床编码临床编码管理健康信息管理健康信息疾病的国际分类.

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