Abstract:
BACKGROUND:ICD is used for coding medical diagnoses across the world, but there is no globally accepted coding system for health care procedures. The need for the introduction of a common international medical procedure classification has been addressed by the Australian NCCH, which proposed the International Classification of Health Interventions (ICHI) as the basis of an international procedure classification. In parallel, the French multiaxial Classification Commune des Actes Médicaux (CCAM) has been established. OBJECTIVES:The aim is to compare ICHI to the CCAM architecture and to assess their appropriateness for supporting international comparability of procedure data and give a recommendation for the further development of international procedure classifications. METHODS:The architecture of both ICHI and CCAM was thoroughly analyzed. ICHI classes were mapped to the classes of the multiaxial CCAM basic coding tables. This was done manually by domain experts, which analyzed the exact wording of each ICHI title. The result was assessed in terms of representability and granularity. RESULTS:78.4% of ICHI classes could be mapped directly to CCAM. The anatomical site could be represented in 99.3%. Numerous ICHI classes combined anatomical sites requiring more than one CCAM code. Problems arouse due to imprecise ICHI descriptions. CONCLUSIONS:CCAM appeared as the more elaborate and mature system whereas ICHI had some drawback regarding ambiguity and varying granularity. It is recommended to improve the structure of ICHI by the beneficial aspects of the CCAM and to avoid semantic ambiguities by applying ontological principles and logic-based representation languages.
journal_name
Methods Inf Medjournal_title
Methods of information in medicineauthors
Hanser S,Zaiss A,Schulz Sdoi
10.3414/ME09-01-0007subject
Has Abstractpub_date
2009-01-01 00:00:00pages
540-5issue
6eissn
0026-1270issn
2511-705Xpii
09-01-0007journal_volume
48pub_type
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journal_title:Methods of information in medicine
pub_type: 杂志文章
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journal_title:Methods of information in medicine
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journal_title:Methods of information in medicine
pub_type: 杂志文章
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journal_title:Methods of information in medicine
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journal_title:Methods of information in medicine
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doi:10.3414/ME9220
更新日期:2009-01-01 00:00:00
abstract::BRAINDEX (Brain-Death Expert System) is an interactive, knowledge-based expert system offering support to physicians in decision making concerning brain death. The physician is given the possibility of communicating in almost natural language and, therefore, in terms with which he is familiar. This updated version of ...
journal_title:Methods of information in medicine
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journal_title:Methods of information in medicine
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journal_title:Methods of information in medicine
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doi:10.3414/ME12-01-0037
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journal_title:Methods of information in medicine
pub_type: 杂志文章
doi:10.1055/s-0039-1694992
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pub_type: 杂志文章
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journal_title:Methods of information in medicine
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
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journal_title:Methods of information in medicine
pub_type: 杂志文章
doi:
更新日期:2001-07-01 00:00:00
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journal_title:Methods of information in medicine
pub_type: 杂志文章,评审
doi:
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journal_title:Methods of information in medicine
pub_type: 杂志文章
doi:10.3414/ME14-02-0024
更新日期:2015-01-01 00:00:00
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journal_title:Methods of information in medicine
pub_type: 杂志文章
doi:
更新日期:2000-06-01 00:00:00
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journal_title:Methods of information in medicine
pub_type: 杂志文章
doi:
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journal_title:Methods of information in medicine
pub_type: 杂志文章
doi:
更新日期:1992-02-01 00:00:00
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journal_title:Methods of information in medicine
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1999-09-01 00:00:00
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journal_title:Methods of information in medicine
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journal_title:Methods of information in medicine
pub_type: 杂志文章
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journal_title:Methods of information in medicine
pub_type: 杂志文章
doi:
更新日期:2000-08-01 00:00:00
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journal_title:Methods of information in medicine
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journal_title:Methods of information in medicine
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journal_title:Methods of information in medicine
pub_type: 杂志文章
doi:
更新日期:1998-09-01 00:00:00
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journal_title:Methods of information in medicine
pub_type: 杂志文章
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journal_title:Methods of information in medicine
pub_type: 杂志文章,评审
doi:
更新日期:2004-01-01 00:00:00
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doi:
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journal_title:Methods of information in medicine
pub_type: 杂志文章
doi:
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