School of Public Health, University of Sydney, Sydney, New South Wales, Australia
Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.
Br J Sports Med. 2020 Apr;54(7):397-401. doi: 10.1136/bjsports-2019-101921. Epub 2020 Feb 29.
Coding in sports medicine generally uses sports-specific coding systems rather than the International Classification of Diseases (ICD), because of superior applicability to the profile of injury and illness presentations in sport. New categories for coding were agreed on in the 'International Olympic Committee (IOC) consensus statement: Methods for recording and reporting of epidemiological data on injury and illness in sports 2020.' We explain the process for determining the new categories and update both the Sport Medicine Diagnostic Coding System (SMDCS) and the Orchard Sports Injury and Illness Classification System (OSIICS) with new versions that operationalise the new consensus categories. The author group included members from an expert group attending the IOC consensus conference. The primary authors of the SMDCS (WM) and OSIICS (JO) produced new versions that were then agreed on by the remaining authors using expert consensus methodology. The SMDCS and OSIICS systems have been adjusted and confirmed through a consensus process to align with the IOC consensus statement to facilitate translation between the two systems. Problematic areas for defining body part categories included the groin and ankle regions. For illness codes, in contrast to the ICD, we elected to have a taxonomy of 'organ system/region' (eg, cardiovascular and respiratory), followed by an 'aetiology/pathology' (eg, environmental, infectious disease and allergy). Companion data files have been produced that provide translations between the coding systems. The similar structure of coding underpinning the OSIICS and SMDCS systems aligns the new versions of these systems with the IOC consensus statement and also facilitates easier translation between the two systems. These coding systems are freely available to the sport and exercise research community.
运动医学中的编码通常使用特定于运动的编码系统，而不是国际疾病分类（ICD），因为它更适用于运动中损伤和疾病表现的特征。在“国际奥委会（IOC）共识声明：运动损伤和疾病流行病学数据记录和报告方法 2020”中，已经商定了新的编码类别。我们解释了确定新类别的过程，并对运动医学诊断编码系统（SMDCS）和果园运动损伤和疾病分类系统（OSIICS）进行了更新，为新的共识类别制定了新版本。作者组包括参加 IOC 共识会议的专家组的成员。SMDCS 的主要作者（WM）和 OSIICS 的主要作者（JO）生成了新版本，然后由其余作者使用专家共识方法达成一致。SMDCS 和 OSIICS 系统经过调整和确认，以符合 IOC 共识声明，以促进两个系统之间的转换。定义身体部位类别的困难领域包括腹股沟和脚踝区域。与 ICD 不同，对于疾病代码，我们选择了“器官系统/区域”（例如心血管和呼吸系统）的分类法，然后是“病因/病理学”（例如环境、传染病和过敏）。生成了配套的数据文件，提供了编码系统之间的翻译。OSIICS 和 SMDCS 系统下相似的编码结构使这些系统的新版本与 IOC 共识声明保持一致，并且还便于两个系统之间更容易的翻译。这些编码系统可供运动和锻炼研究界免费使用。
