• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国政府科技报告 >Tale of Two Disability Coding Systems: The Veterans Administration Schedule for Rating Disabilities (VASRD) vs. Diagnostic Coding Using the International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM)
【24h】

Tale of Two Disability Coding Systems: The Veterans Administration Schedule for Rating Disabilities (VASRD) vs. Diagnostic Coding Using the International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM)

机译：两个残疾编码系统的故事：退伍军人管理评级障碍表（VasRD）与使用国际疾病分类的诊断编码，第9版，临床修改（ICD-9-Cm）

获取原文
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Disability rates have increased by approximately 10% per year over the past 25 years. Little is known about the etiology, in part because Veterans Administration Schedule for Rating Disabilities (VASRD) codes are not clinical diagnoses. This report describes results from analyses linking VASRD disability codes to International Classification of Disease, 9th Rev., Clinical Modification (ICD-9-CM) clinical diagnoses captured in hospital administrative records during disability case processing. Results suggest that while the primary ICD-9-CM codes generally correspond logically to VASRD codes in the associated disability discharge records, some VASRD categories lack homogeneity, substantially reducing their value for research and surveillance purposes. 'Infectious disease, immune disorder, or nutritional deficiency;' 'hemic and lymphatic systems;' and 'gynecological conditions and disorders of the breast' are either extensively heterogeneous or lack specificity which may result in only partial capture of cases with the same etiology in that particular VASRD group (e.g., breast disorders may logically be placed in more than one VASRD category). Primary clinical conditions experienced by soldiers discharged with 'musculoskeletal' disabilities, the most common VASRD disability group, were pain in joint, lumbago, joint derangement, chondromalacia patellae, and osteoarthrosis--all diseases of the musculoskeletal system and connective tissue (ICD-9-CM 710-739). Overall concordance between ICD-9-CM clinical conditions and VASRD codes for 'musculoskeletal' disability suggest good face validity. All ICD-9-CM diagnoses associated with the two major VASRD subgroups within 'musculoskeletal' disability--'Injury' or 'Disease'--fall within the ICD- 9-CM 710-739 group suggesting there may be little clinical value in differentiating between 'Injury' vs. 'Disease.'.

著录项

相似文献

  • 外文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号