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Bridging classification for injury diagnoses that can be converted to both the International Classification of Diseases and the Abbreviated Injury Scale

机译:可以同时转换为 D 疾病的 I 国际 C 精简和 A 的伤害诊断的桥接分类缩写 I njury S cale

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Background The I nternational S tatistical C lassification of D iseases and R elated H ealth P roblems ( ICD ) is currently undergoing a revision process to develop the E leventh R evision ( ICD ‐11), but substantial modification of chapter 19 has not been proposed despite its known problems in describing injury severity and multiple injuries. Many facilities treating trauma patients perform duplicate coding for trauma diagnoses using two different classification systems, the ICD for administrative purposes and the A bbreviated I njury S cale ( AIS ) for trauma registry, because unambiguous conversion of codes between the ICD and AIS is not always possible due to structural differences. Aim We developed a new bridging classification system which can be unambiguously converted to both ICD and AIS . Methods and Results The bridging classification adopted multidimensional coding and addressed differences in granularity and classification boundaries by adopting the more detailed categorizations whenever the granularity and classification boundaries differed between the ICD and AIS . Then we showed that the bridging classification codes could unambiguously converted to both ICD and AIS . Conclusion Once injuries are coded using the bridging classification, the ICD and AIS codes are readily available. Integrating the new bridging classification into the ICD ‐11, possibly as a clinical modification, would eliminate the necessity of complicated procedures for code conversion and duplicate coding, and benefit users by building on the strengths of both the ICD and AIS .
机译:背景技术对疾病和相关健康问题的国际统计分类(ICD)目前正在进行修订过程,以开发第十七版(ICD-11),但尚未提议对第19章进行实质性修改尽管在描述伤害严重程度和多处伤害方面存在已知问题。许多治疗创伤患者的机构使用两种不同的分类系统(用于管理目的的ICD和用于创伤登记的缩写伤害标量(AIS))对创伤诊断执行重复编码,因为ICD和AIS之间的编码转换并不总是很明确可能由于结构上的差异。目的我们开发了一种新的桥接分类系统,该系统可以明确转换为ICD和AIS。方法和结果桥接分类采用多维编码,当ICD和AIS之间的粒度和分类边界不同时,通过采用更详细的分类来解决粒度和分类边界的差异。然后我们证明桥接分类代码可以明确转换为ICD和AIS。结论一旦使用桥接分类对伤害进行了编码,ICD和AIS编码就很容易获得。将新的桥接分类集成到ICD -11中(可能作为临床修改)将消除代码转换和重复编码的复杂过程的必要性,并通过利用ICD和AIS的优势来使用户受益。

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