使用 ICD-10-CM 编码的住院和急诊科数据进行伤害监测,Injury Prevention

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使用 ICD-10-CM 编码的住院和急诊科数据进行伤害监测
Injury Prevention ( IF 2.5 ) Pub Date : 2021-03-01 , DOI: 10.1136/injuryprev-2019-043515
Renee L Johnson ₁ , Holly Hedegaard ₂ , Emilia S Pasalic ₃ , Pedro D Martinez ₃

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伤害监测是持续、系统地收集、分析、解释和传播伤害数据，为支持公共卫生努力减少与伤害相关的发病率、死亡率和残疾提供了关键信息。 1 2 在过去的几十年里，州和地方卫生部门美国和美国的国家机构依赖于使用国际疾病分类第 9 版临床修订版 (ICD-9-CM) 编码的出院和急诊科 (ED) 数据来进行伤害监测。 3 监测案例定义和分析是基于 ICD-9-CM 代码。然而，美国要求使用国际疾病分类第十次修订版进行编码，临床修改 (ICD-10-CM)4 5 导致需要更新基于 ICD-10-CM.6-9 的伤害监测案例定义和分析指南。从 2015 年 10 月开始，美国卫生与公共服务部要求《健康保险流通与责任法案》涵盖的所有医院和医疗保健提供者均使用 ICD-10-CM 报告电子医疗保健交易。4 5 ICD-10-CM 的编码结构基于已发布的 ICD-10 死亡率编码和分类然而，世界卫生组织已经大大扩展了分类方案，以获取医疗诊断所需的诊断细节。ICD-10-CM 包含的代码数量几乎是 ICD-9-CM 中的五倍（ICD-10-CM 中大约有 72 000 个代码，而 ICD-9-CM 中大约有 15 000 个代码）。由于 ICD-10-CM 比 ICD-9-CM 或 ICD-10 捕获更多细节，因此该分类系统有可能增强对非致命伤害的类型和原因的理解。正在从使用 ICD-9-CM 编码数据过渡到使用 ICD-10-CM 编码数据的流行病学家和研究人员应注意……

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Use of ICD-10-CM coded hospitalisation and emergency department data for injury surveillance

Injury surveillance, the ongoing, systematic collection, analysis, interpretation and dissemination of injury data, provides critical information to support public health efforts to reduce injury-related morbidity, mortality and disability.1 2 For the past several decades, state and local health departments and national agencies in the USA have relied on the use of hospital discharge and emergency department (ED) data coded using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) to conduct injury surveillance.3 Surveillance case definitions and analyses have been based on ICD-9-CM codes. However, a US mandate to code using the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)4 5 has resulted in a need to update injury surveillance case definitions and analysis guidance based on ICD-10-CM.6–9 Beginning in October 2015, the US Department of Health and Human Services required all hospitals and healthcare providers covered by the Health Insurance Portability and Accountability Act to use the ICD-10-CM to report electronic healthcare transactions.4 5 The coding structure of ICD-10-CM is based on ICD-10 mortality coding and classification published by the WHO, however, the classification scheme has been greatly expanded to capture the diagnostic detail needed for medical diagnoses. ICD-10-CM contains nearly five times the number of codes found in ICD-9-CM (approximately 72 000 codes in ICD-10-CM compared with 15 000 codes in ICD-9-CM). Because ICD-10-CM captures greater detail than either ICD-9-CM or ICD-10, this classification system has the potential to provide enhanced understanding of the types and causes of non-fatal injury. Epidemiologists and researchers who are transitioning from the use of ICD-9-CM coded data to ICD-10-CM coded data should note the …

更新日期：2021-03-05

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