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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Elucidating challenges and opportunities in the transition to ICD-10-CM
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Elucidating challenges and opportunities in the transition to ICD-10-CM

机译：阐明向ICD-10-CM过渡的挑战和机遇

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摘要

Throughout the history of medicine, clinicians have worked to classify disease. As early as 1662, John Graunt studied the London Bills of Mortality to report death rates by condition.1 Originally created for epidemi-ologic purposes, systems of disease terminology became useful for other purposes, including billing. Since 1979, the International Classification of Diseases, Ninth Revision with Clinical Modifications (ICD-9-CM) has been used for third-party payment in the United States. Worldwide, the 10th revision of the IGD (ICD-10) has been used with local modifications in numerous countries for a decade or more. Now, all US entities covered by the Health Insurance Portability Accountability Act will be required to use ICD-10-CM on or after October 1, 2015. ICD-10-GM has about 5 times as many codes as ICD-9-CM. It is hoped the new codes will be better aligned with current medical terminology, characterize health information that could not be described with ICD-9-CM (eg, Glasgow coma score, blood type), and provide greater detail about health conditions (eg, severity of disease, laterality of anatomic location). The transition to ICD-10-CM should also facilitate comparisons of health outcomes between the United States and other nations.
机译：在整个医学史上，临床医生一直致力于对疾病进行分类。早在1662年，约翰·格兰特就研究了《伦敦死亡率法案》，以按病情报告死亡率。1疾病术语系统最初是为流行病学目的而创建的，后来又用于其他目的，包括计费。自1979年以来，国际疾病分类，第九次临床修改修订版（ICD-9-CM）在美国已用于第三方付款。在全球范围内，IGD的第十版（ICD-10）已在许多国家或地区进行了局部修改，使用了十年或更长时间。现在，《健康保险可移植性责任法案》所涵盖的所有美国实体都必须在2015年10月1日或之后使用ICD-10-CM。ICD-10-GM的代码大约是ICD-9-CM的5倍。希望新规范将更好地与当前医学术语保持一致，表征ICD-9-CM无法描述的健康信息（例如，格拉斯哥昏迷评分，血型），并提供有关健康状况的更多详细信息（例如，疾病的严重程度，解剖位置的偏向）。向ICD-10-CM的过渡还应该促进美国与其他国家之间健康状况的比较。

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