Yamada Emiko, Aramaki Eiji, Imai Takeshi, Ohe Kazuhiko
Department of Medical Informatics, Graduate School of Medicine, The University of Tokyo, Japan.
Stud Health Technol Inform. 2010;160(Pt 2):1010-4.
ICD-coding is a complex and difficult task. Coding results vary a great deal depending on each coder's ability. Although the Japanese Standard Disease-Code Master facilitates the coding tasks, it also engenders post-coordination problems derived from combinations of basic diseases (with ICD code) and modifiers. Post-coordination sometimes alters the original ICD code dramatically. To solve this problem, this paper presents a proposal for using internal structures of disease names to correct the ICD code. First, we built an internal structure analyzer, which achieved high (83.7%) accuracy. Results demonstrated that the analyzed output is helpful for precise ICD-coding tasks.
国际疾病分类编码(ICD编码)是一项复杂且困难的任务。编码结果因每个编码员的能力不同而有很大差异。尽管日本标准疾病编码主表有助于编码任务,但它也会引发因基本疾病(带有ICD编码)和修饰词组合而产生的后协调问题。后协调有时会极大地改变原始的ICD编码。为了解决这个问题,本文提出了一项利用疾病名称内部结构来校正ICD编码的建议。首先,我们构建了一个内部结构分析器,其准确率达到了很高的水平(83.7%)。结果表明,分析输出有助于精确的ICD编码任务。