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Development of the ICD-I0 simplified version and field test

机译：开发ICD-I0简化版本和现场测试

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Background: The International Statistical Classification of Diseases and Related Health Problems, I Oth Revision (ICD-10) has been used in various Asia-Pacific countries for more than 20 years. Although ICD-10 is a powerful tool, clinical coding processes are complex; therefore, many developing countries have not been able to implement ICD-10-based health statistics (WHO-FIC APN, 2007). Objective: This study aimed to simplify ICD-10 clinical coding processes, to modify index terms to facilitate computer searching and to provide a simplified version of ICD-10 for use in developing countries. Method: The World Health Organization Family of International Classifications Asia-Pacific Network (APN) developed a simplified version of the ICD-10 and conducted field testing in Cambodia during February and March 2016. Ten hospitals were selected to participate. Each hospital sent a team to join a training workshop before using the ICD-10 simplified version to code 100 cases. All hospitals subsequently sent their coded records to the researchers. Results: Overall, there were 1038 coded records with a total of 1099 ICD clinical codes assigned. The average accuracy rate was calculated as 80.71% (66.67-93.41%). Three types of clinical coding errors were found. These related to errors relating to the coder (14.56%), those resulting from the physician documentation (1.27%) and those considered system errors (3.46%). Discussion: The field trial results demonstrated that the APN ICD-10 simplified version is feasible for implementation as an effective tool to implement ICD-10 clinical coding for hospitals. Conclusion: Developing countries may consider adopting the APN ICD-10 simplified version for ICD-10 code assignment in hospitals and health care centres. The simplified version can be viewed as an introductory tool which leads to the implementation of the full ICD-10 and may support subsequent ICD-11 adoption.
机译：背景：国际疾病和相关健康问题的国际统计分类，我在各种亚太国家使用了20多年的亚太国家。虽然ICD-10是一种强大的工具，但临床编码过程很复杂;因此，许多发展中国家尚未能够实施基于ICD-10的健康统计（WHO-FIC APN，2007）。目的：本研究旨在简化ICD-10临床编码过程，修改指数术语，以方便计算机搜索，并提供用于发展中国家的ICD-10简化版本。方法：世界卫生组织国际分类系列亚太网络（APN）在2月至2016年3月期间开发了柬埔寨ICD-10的简化版本，并在柬埔寨进行了现场测试。录制了十家医院参加。每家医院都在使用ICD-10简化版本之前，每位医院都会在使用ICD-10简体版本之前加入培训车间。所有医院随后向研究人员发送了编码记录。结果：总体而言，分配了1038条编码记录，共分配了1099个ICD临床码。平均精度率计算为80.71％（66.67-93.41％）。发现了三种类型的临床编码误差。这些与与编码器有关的错误（14.56％），由医生文件（1.27％）和考虑系统错误（3.46％）产生的那些。讨论：现场试验结果表明，APN ICD-10简化版本是可行的，作为实施医院ICD-10临床编码的有效工具。结论：发展中国家可以考虑采用医院和医疗保健中心的ICD-10代码分配的APN ICD-10简体版本。简化版本可以被视为介绍性工具，其导致完整ICD-10的实现，并且可以支持随后的ICD-11采用。

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