国际疾病分类第九版（ICD9）在多大程度上代表了病历问题清单中使用的短语？
How well does ICD9 represent phrases used in the medical record problem list?
作者信息
Payne T H, Murphy G R, Salazar A A
机构信息
Group Health Cooperative of Puget Sound, Seattle, Washington.
出版信息
Proc Annu Symp Comput Appl Med Care. 1992:654-7.
We are considering using the International Classification of Diseases with Clinical Modifications, Ninth Revision (ICD9) as the basis for an automated problem list for a clinical information system. To determine physician satisfaction with an ICD9 representation of phrases used in the medical record problem list, we asked 6 physicians to evaluate ICD9 representations of 332 phrases taken from medical record problem lists, using a scale of 1(extremely dissatisfied) to 5 (extremely satisfied). The mean score was 3.0; intraclass correlation for 25 phrases given to all 6 evaluators was 0.47. In 45% of the phrases the physicians were dissatisfied with the ICD9 representation. In developing an automated problem list it is desirable to improve the level of satisfaction of clinician users above this level. This could be done by modifying ICD9, using a different vocabulary to represent the problem list, or improving the method of assigning ICD9 codes.
我们正在考虑将《国际疾病分类临床修订版第九版》（ICD9）用作临床信息系统中自动生成问题列表的基础。为了确定医生对病历问题列表中使用的短语的ICD9表示形式的满意度，我们请6位医生使用从1（极其不满意）到5（极其满意）的量表，对从病历问题列表中选取的332个短语的ICD9表示形式进行评估。平均分数为3.0；给所有6位评估者的25个短语的组内相关系数为0.47。在45%的短语中，医生对ICD9的表示形式不满意。在开发自动问题列表时，希望将临床用户的满意度提高到高于此水平。这可以通过修改ICD9、使用不同的词汇来表示问题列表或改进分配ICD9编码的方法来实现。
Zotero 插件