The Challenge of Mapping between Two Medical Coding Systems
| Autor: | L. Harrison Hassell, Catherine R. Stein, Raymond B. Devore, Barbara E. Wojcik |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Warfare
MEDLINE Poison control Medical classification computer.software_genre Medical Records Field (computer science) International Classification of Diseases Humans Medicine Military Medicine Diagnosis-Related Groups Medical Record Administrators Statistic Reliability (statistics) Observer Variation business.industry Public Health Environmental and Occupational Health Reproducibility of Results General Medicine United States humanities Occupational Diseases Subject-matter expert Military Personnel Wounds and Injuries Forms and Records Control Diagnosis code Data mining Triage business computer |
| Zdroj: | Military Medicine. 171:1128-1136 |
| ISSN: | 1930-613X 0026-4075 |
| Popis: | Deployable medical systems patient conditions (PCs) designate groups of patients with similar medical conditions and, therefore, similar treatment requirements. PCs are used by the U.S. military to estimate field medical resources needed in combat operations. Information associated with each of the 389 PCs is based on subject matter expert opinion, instead of direct derivation from standard medical codes. Currently, no mechanisms exist to tie current or historical medical data to PCs. Our study objective was to determine whether reliable conversion between PC codes and International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) diagnosis codes is possible.Data were analyzed for three professional coders assigning all applicable ICD-9-CM diagnosis codes to each PC code. Inter-rater reliability was measured by using Cohen's K statistic and percent agreement. Methods were developed to calculate kappa statistics when multiple responses could be selected from many possible categories.Overall, we found moderate support for the possibility of reliable conversion between PCs and ICD-9-CM diagnoses (mean kappa = 0.61).Current PCs should be modified into a system that is verifiable with real data. |
| Databáze: | OpenAIRE |
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