BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also a...BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also achieved favorable results in clinical medical record management.However,research on their combined application is relatively lacking.Objective:it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding.Material and Method:a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.AIM To study the adoption of network and PDCA in the ICD-10.METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.RESULTS In the 3,6,12,18,and 24 months of PDCA cycle management mode,the coding accuracy and medical record completion rate were higher,and the coding time was lower in the observation group as against the controls(P<0.05).The satisfaction of coders(80.22%vs 53.45%)and patients(84.89%vs 51.72%)in the observation group was markedly higher as against the controls(P<0.05).CONCLUSION The combination of computer networks and PDCA can improve the accuracy,efficiency,completion rate,and satisfaction of ICD-10 coding.展开更多
The International Classification of Diseases(ICD)is an international standard and tool for epidemiological in-vestigation,health management,and clinical diagnosis with a fundamental role in intelligent medical care.Th...The International Classification of Diseases(ICD)is an international standard and tool for epidemiological in-vestigation,health management,and clinical diagnosis with a fundamental role in intelligent medical care.The assignment of ICD codes to health-related documents has become a focus of academic research,and numerous studies have developed the process of ICD coding from manual to automated work.In this survey,we review the developmental history of this task in recent decades in depth,from the rules-based stage,through the traditional machine learning stage,to the neural-network-based stage.Various methods have been introduced to solve this problem by using different techniques,and we report a performance comparison of different methods on the pub-licly available Medical Information Mart for Intensive Care dataset.Next,we summarize four major challenges of this task:(1)the large label space,(2)the unbalanced label distribution,(3)the long text of documents,and(4)the interpretability of coding.Various solutions that have been proposed to solve these problems are analyzed.Further,we discuss the applications of ICD coding,from mortality statistics to payments based on disease-related groups and hospital performance management.In addition,we discuss different ways of considering and evaluat-ing this task,and how it has been transformed into a learnable problem.We also provide details of the commonly used datasets.Overall,this survey aims to provide a reference and possible prospective directions for follow-up research work.展开更多
报道了分布在贵阳地区的药用植物1 792种。根据世界卫生组织1993年创建的ICD—10(《国际疾病分类系统》第10次修订本International C lassification D iseases)国际疾病分类系统,首次对中国的药用植物与国际疾病分类进行了接轨的分类应...报道了分布在贵阳地区的药用植物1 792种。根据世界卫生组织1993年创建的ICD—10(《国际疾病分类系统》第10次修订本International C lassification D iseases)国际疾病分类系统,首次对中国的药用植物与国际疾病分类进行了接轨的分类应用。并对药用植物所涉及到的476类2 113条疾病进行统计分析。结果表明,涉及最多的疾病是L02皮肤脓肿、痈和疖(Cutaneous abscess,furuncle and carbuncle)、A03.901痢疾(Shigellosis unspec ified bac-illary dysentery NOS)和J06.903感冒发热(Acute upper resp iratory infection,unspec ified),分别有592种、343种和226种植物与此相关,分别占药用植物总数的33.04%、19.14%和17.24%。展开更多
疾病编码工作是一项专业性、技术性很强的工作,编码员常常为其繁杂的查找方法、低质低效忙得焦头烂额,开发一款与人工检索方法相一致、容易上手、能提高编码效率的ICD-10编码检索系统变得非常的有必要和具有重大意义。本文研发的ICD-10...疾病编码工作是一项专业性、技术性很强的工作,编码员常常为其繁杂的查找方法、低质低效忙得焦头烂额,开发一款与人工检索方法相一致、容易上手、能提高编码效率的ICD-10编码检索系统变得非常的有必要和具有重大意义。本文研发的ICD-10编码检索系统采用Delphi 7编程技术和SQL Server 2000数据库技术,通过FoxitPDFSDK元件打开PDF版ICD-10进行疾病编码查找。该系统的应用为广大编码员、临床医师、老师、学生提供了一个方便、能提高编码效率的新途径。展开更多
文摘BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also achieved favorable results in clinical medical record management.However,research on their combined application is relatively lacking.Objective:it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding.Material and Method:a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.AIM To study the adoption of network and PDCA in the ICD-10.METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.RESULTS In the 3,6,12,18,and 24 months of PDCA cycle management mode,the coding accuracy and medical record completion rate were higher,and the coding time was lower in the observation group as against the controls(P<0.05).The satisfaction of coders(80.22%vs 53.45%)and patients(84.89%vs 51.72%)in the observation group was markedly higher as against the controls(P<0.05).CONCLUSION The combination of computer networks and PDCA can improve the accuracy,efficiency,completion rate,and satisfaction of ICD-10 coding.
基金Beijing Municipal Natural Science Foundation(Grant No.M22012)BUPT Excellent Ph.D.Students Foundation(Grant No.CX2021122).
文摘The International Classification of Diseases(ICD)is an international standard and tool for epidemiological in-vestigation,health management,and clinical diagnosis with a fundamental role in intelligent medical care.The assignment of ICD codes to health-related documents has become a focus of academic research,and numerous studies have developed the process of ICD coding from manual to automated work.In this survey,we review the developmental history of this task in recent decades in depth,from the rules-based stage,through the traditional machine learning stage,to the neural-network-based stage.Various methods have been introduced to solve this problem by using different techniques,and we report a performance comparison of different methods on the pub-licly available Medical Information Mart for Intensive Care dataset.Next,we summarize four major challenges of this task:(1)the large label space,(2)the unbalanced label distribution,(3)the long text of documents,and(4)the interpretability of coding.Various solutions that have been proposed to solve these problems are analyzed.Further,we discuss the applications of ICD coding,from mortality statistics to payments based on disease-related groups and hospital performance management.In addition,we discuss different ways of considering and evaluat-ing this task,and how it has been transformed into a learnable problem.We also provide details of the commonly used datasets.Overall,this survey aims to provide a reference and possible prospective directions for follow-up research work.
文摘疾病编码工作是一项专业性、技术性很强的工作,编码员常常为其繁杂的查找方法、低质低效忙得焦头烂额,开发一款与人工检索方法相一致、容易上手、能提高编码效率的ICD-10编码检索系统变得非常的有必要和具有重大意义。本文研发的ICD-10编码检索系统采用Delphi 7编程技术和SQL Server 2000数据库技术,通过FoxitPDFSDK元件打开PDF版ICD-10进行疾病编码查找。该系统的应用为广大编码员、临床医师、老师、学生提供了一个方便、能提高编码效率的新途径。
