Eckert Olaf
Referat H101 Gesundheitsstatistiken, Statistisches Bundesamt, Graurheindorfer Straße 198, 53117, Bonn, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Dec;62(12):1468-1475. doi: 10.1007/s00103-019-03045-2.
About half of all German death certificates are processed electronically by regional statistical offices to select the underlying cause of death in accordance with the instructions from the World Health Organization. This paper illustrates electronic coding and its importance for cause of death statistics.The electronic coding kernel MUSE was added a few years ago to the international coding system Iris, which is maintained by the Iris Core Group.A new module assigns, as far as possible, ICD-10 codes to medical terms documented in death certificates. It takes into account syntactical specifics of the German language. In addition, automatic text correction is implemented. Unrecognised text parts are highlighted and coded manually.Despite these efforts, improvement of data quality is the greatest challenge of German cause-of-death statistics. All involved stakeholders (physicians, local health authorities, and regional statistical offices) can cope with this task by a common effort.The process of electronic coding provides valuable hints for improving the quality of death certificates. In future, the coding system could generate feedback to local health authorities indicating medical documentation problems.
德国约一半的死亡证明由地区统计局进行电子处理，以便根据世界卫生组织的指示确定根本死因。本文阐述了电子编码及其对死因统计的重要性。电子编码内核MUSE于几年前添加到由鸢尾花核心小组维护的国际编码系统鸢尾花（Iris）中。一个新模块尽可能为死亡证明中记录的医学术语分配ICD - 10编码。它考虑了德语的句法特点。此外，还实施了自动文本校正。无法识别的文本部分会被突出显示并手动编码。尽管做出了这些努力，但提高数据质量仍是德国死因统计面临的最大挑战。所有相关利益方（医生、地方卫生当局和地区统计局）可以通过共同努力来应对这项任务。电子编码过程为提高死亡证明的质量提供了有价值的线索。未来，编码系统可以向地方卫生当局反馈表明医疗文件存在的问题。
