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自动化软件方法与德尔菲过程对应的评估,以翻译紧急一般手术ICD诊断代码:在翻译中丢失
Van Christian Sanderfer1, Sullivan A Ayuso1, Mary M Jordan1
1From the Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Wake Forest University School of Medicine, Atrium Health, Charlotte, NC.
概括
一个新的Delphi过程创建了一个准确的国际疾病分类,第十次修订 (ICD-10) 代码集,用于紧急普通手术 (EGS) 诊断. 该框架改进了EGS患者研究的自动绘图软件.
科学领域:
- 医疗信息学 医疗信息学
- 手术研究的研究.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 过渡到国际疾病分类第十次修订 (ICD-10) 需要更新紧急普通手术 (EGS) 的诊断代码.
- 以前定义EGS诊断的Delphi过程是基于ICD第九版 (ICD-9) 编码集.
- 自动映射软件 (MapIT) 已被用于ICD-10代码翻译,但有效性有限.
研究的目的:
- 开发一种最新的诊断框架,用于紧急整体外科 (EGS) 患者使用ICD-10代码.
- 为了比较Delphi衍生的ICD-10代码集与自动化映射软件 (MapIT) 的准确性和稳定性.
主要方法:
- 利用以前定义的ICD-9 EGS代码通过MapIT识别潜在的ICD-10代码.
- 进行了修改后的Delphi过程,包括手动审查相邻的代码,以完成ICD-10 EGS代码集.
- 全国住院患者样本中的量化Delphi和MapIT代码,以比较患者遭遇率与ICD-9时代.
主要成果:
- MapIT最初从485个ICD-9代码中确定了935个ICD-10代码;手动审查增加了1907个相邻的代码.
- 最终的Delphi衍生代码集包括1579个代码 (55.6%的手动和MapIT识别的代码).
- 仅MapIT就无法自动映射55.7%的最终代码,而MapIT代码与Delphi代码相比,患者接触的次数显著减少.
结论:
- 与单独使用MapIT软件相比,Delphi创建的ICD-10 EGS代码集提供了更准确和更强大的翻译.
- 这种经过验证的代码集可以增强对紧急整体外科患者的研究,有助于研究和改善他们的护理.
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