Yasunaga Hideo
Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan.
Ann Clin Epidemiol. 2024 Sep 4;6(4):106-110. doi: 10.37737/ace.24015. eCollection 2024 Oct 1.
The Ministry of Health, Labor, and Welfare, Japan, launched the Diagnosis Procedure Combination system in 2002. Detailed information on the Diagnosis Procedure Combination data was reported in in 2019. In this report, I provide updated information on the Diagnosis Procedure Combination. The data included the discharge abstracts and administrative claims data for each inpatient. Several entities (including the Ministry, academic groups, and private companies) independently collected anonymized Diagnosis Procedure Combination data. The advantages of Diagnosis Procedure Combination data include detailed process and clinical data, which enable researchers to conduct clinical epidemiology and health services research. Diagnoses are recorded using the International Classification of Diseases-10th Revision codes, and several indices based on these codes can be used. Several clinical measures are available for specific diseases including stroke, respiratory failure, heart failure, pneumonia, liver cirrhosis, pancreatitis, burns, and multiple organ failure. Scores for consciousness, activities of daily living, functional independence, and dementia are also available. Studies that use Diagnosis Procedure Combination data are interdisciplinary and include clinical medicine, epidemiology, statistics, and medical informatics.
日本厚生劳动省于2002年推出了诊断程序组合系统。2019年报告了有关诊断程序组合数据的详细信息。在本报告中,我提供了有关诊断程序组合的最新信息。数据包括每位住院患者的出院摘要和行政索赔数据。几个实体(包括厚生劳动省、学术团体和私人公司)独立收集了匿名的诊断程序组合数据。诊断程序组合数据的优点包括详细的过程和临床数据,这使研究人员能够进行临床流行病学和卫生服务研究。诊断使用国际疾病分类第10版代码记录,并且可以使用基于这些代码的几个指标。针对特定疾病有几种临床测量方法,包括中风、呼吸衰竭、心力衰竭、肺炎、肝硬化、胰腺炎、烧伤和多器官衰竭。意识、日常生活活动、功能独立性和痴呆的评分也有。使用诊断程序组合数据的研究是跨学科的,包括临床医学、流行病学、统计学和医学信息学。