第十一版国际疾病分类：与 ICD-10 和 ICD-10-CM 的比较分析。
The new International Classification of Diseases 11th edition: a comparative analysis with ICD-10 and ICD-10-CM.
机构信息
Lister Hill National Center for Biomedical Communications, National Library of Medicine, National Institutes of Health, Bethesda, Maryland, USA.
出版信息
J Am Med Inform Assoc. 2020 May 1;27(5):738-746. doi: 10.1093/jamia/ocaa030.
OBJECTIVE
To study the newly adopted International Classification of Diseases 11th revision (ICD-11) and compare it to the International Classification of Diseases 10th revision (ICD-10) and International Classification of Diseases 10th revision-Clinical Modification (ICD-10-CM).
MATERIALS AND METHODS
: Data files and maps were downloaded from the World Health Organization (WHO) website and through the application programming interfaces. A round trip method based on the WHO maps was used to identify equivalent codes between ICD-10 and ICD-11, which were validated by limited manual review. ICD-11 terms were mapped to ICD-10-CM through normalized lexical mapping. ICD-10-CM codes in 6 disease areas were also manually recoded in ICD-11.
RESULTS
Excluding the chapters for traditional medicine, functioning assessment, and extension codes for postcoordination, ICD-11 has 14 622 leaf codes (codes that can be used in coding) compared to ICD-10 and ICD-10-CM, which has 10 607 and 71 932 leaf codes, respectively. We identified 4037 pairs of ICD-10 and ICD-11 codes that were equivalent (estimated accuracy of 96%) by our round trip method. Lexical matching between ICD-11 and ICD-10-CM identified 4059 pairs of possibly equivalent codes. Manual recoding showed that 60% of a sample of 388 ICD-10-CM codes could be fully represented in ICD-11 by precoordinated codes or postcoordination.
CONCLUSION
In ICD-11, there is a moderate increase in the number of codes over ICD-10. With postcoordination, it is possible to fully represent the meaning of a high proportion of ICD-10-CM codes, especially with the addition of a limited number of extension codes.
目的
研究新采用的国际疾病分类第 11 版（ICD-11），并将其与国际疾病分类第 10 版（ICD-10）和国际疾病分类第 10 版临床修订版（ICD-10-CM）进行比较。
材料和方法
从世界卫生组织（WHO）网站和应用程序编程接口下载数据文件和映射。采用基于 WHO 映射的往返方法，确定 ICD-10 与 ICD-11 之间等效的代码，并通过有限的手动审核进行验证。通过标准化词汇映射将 ICD-11 术语映射到 ICD-10-CM。还手动重新编码了 6 个疾病领域的 ICD-10-CM 代码到 ICD-11。
结果
不包括传统医学、功能评估和后置协调扩展代码的章节，ICD-11 有 14622 个叶码（可用于编码的代码），而 ICD-10 和 ICD-10-CM 分别有 10607 个和 71932 个叶码。我们通过往返方法确定了 4037 对等效的 ICD-10 和 ICD-11 代码（估计准确率为 96%）。ICD-11 与 ICD-10-CM 之间的词汇匹配确定了 4059 对可能等效的代码。手动重新编码显示，388 个 ICD-10-CM 代码样本的 60%可以通过前置协调或后置协调完全表示在 ICD-11 中。
结论
在 ICD-11 中，代码数量比 ICD-10 适度增加。通过后置协调，可以充分表示 ICD-10-CM 代码的很大一部分含义，尤其是在添加少量扩展代码的情况下。
Zotero 插件