Summary
The SESAME project, a part of the AIM programme, surveyed existing procedures and results of standardization on semantical aspects in the fields of primary health care, medical procedures and drugs. In Germany the ICD-9 is obligatory e. g. for the coding of causes of death, or in hospitals, for the coding of diagnoses. On the other hand in Germany and in the German speaking countries no single classification is used for the coding of medical procedures. On the basis of the preliminary work of SESAME, the Working Group on Surgery of the German Society of Medical Documentation, Informatics and Statistics (GMDS) proposed the translation and adaptation of the 1990 Dutch Extension (ICPM-DE) of the International Classification of Procedures in Medicine (ICPM), originally published by WHO in 1978, and using this for the German general classification of medical procedures. The Dutch authors consented to the German translation, the first version of which is now available. The Working Group expects this to be the first step in Germany towards a European Classification of Procedures in Medicine (ECPM). Its structure is one of the tasks in the draft workplan of the Technical Committee 251 on Medical Informatics (TC 251) of the European Committee for Standardization (CEN) and also a suggested proposal for an AIM main phase project (European Classification of Medical Procedures [Euclamep]). The paper discusses some of the international and German classifications of medical procedures and concentrates on the actual German development. In our opinion, the Dutch ICPM-DE is actually the best choice for Middle European purposes. To avoid further self-made developments in this field in Germany it would be useful, if the government or at least scientific bodies, would strongly recommend using in general for medical documentation a single classification of medical procedures.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
AIM project No. A1031: Standardization in Europe on Semantical Aspects of Medicine (SESAMD. 1989/90. All documents (“Deliverables”) are available by the proiectmanager Prof. Dr. Pieter de Vries Robb£, Dept. of Medical Informatics and Epidemiology, University of Nijmegen, P.O.Box 9101, NL-6500 HB Nijmegen (formerly: Groningen). The following deliverables are of special importance: 13 (Standardization framework in Europe, code of practice for standardization, vocabulary), 17 (Proposal for national standardization organizations on medical terminology and classifications [with an overlook about concerning institutions and persons within the 12 EC-coun- tries]), 22 (Outline for an AIM main phase program on semantical aspects of medicine), Executive summary. The deliverables 3, 6, lO and 15 relate to classifications of medical procedures: 3 (evaluation criteria and a list of classifications), 6 (evaluation), 10 (structure) and 15 (mapping).
Bad Godesberger Schlüsselsystem: R. Haunhorst: Entwicklung von Schlüsselsystemen fur Diagnosen, Komplikationen und Therapien. Medizinische Dissertation, Universität Bonn. 1990. 3 Volumes. - Dr. R. Schunck, Ev. Krankenhaus Siloah, yvilferdinger Str., D-7530 Pforzheim.
Basiswissen ICD-9 für Morbiditätsstatistiken: mit Übungen. Ed. by DIMDI. Prep, by Elisabeth Berg- Schorn. Köln etc.: Kohlhammer. 1989. 69 pp. (pages 54–66: survey about editions of ICD-9 and other classifications).
Bewertungsmaßstab für kassenärztliche Leistungen (BMA). Stand 1.7. 1990. Ed. by Kassenärztliche Bundesvereinigung. Köln: Deutscher Arzte-Verlag. 1990.284 pp. (loose-leaf ring binder).
CHI DOS Chirurgisches Dokumentationssystem. Maria Anna Puchner EDV-Organisation, Ehren- felsgasse 14, A-1120 Wien (more than 30 installations are reported; the classification of medical procedures in the “Schlüsselbuch” is an enlarged VESKA-Operationsschlüssel).
Ersatzkassen-Gebühreoordnung (E-GO). Stand 1.7. 1990. Ed. by Kassenärztliche Bundesvereinigung. Köln: Deutscher Ärzte-Verlag. 1990.286 pp. (loose-leaf ring binder).
Gebührenordnung für Arzte (GOA 88) mit Gebührenverzeichnis für ärztliche Leistungen. Stand: 1.7.1988. Köln: Deutscher Arzte-Verlag. 1988. 301 pp.
GMDS-Memorandum zum Aufbau und Betrieb eines medizinischen Klassifikationszentrums. Ed. by R. Klar. In co-operation with B. Graubner, J. Michaelis, R. Repges and H. E. Wichmann. Stuttgart, New York: Schattauer. 1991. (Schriftenreihe der Deutschen Gesellschaft für Medizinische Dokumentation, Informatik und Statistik e. V.) In press.
Graubner, B. and R. Klar: Standardisierung medizinischer Klassifikationen in Europa und Deutschland. In: Quantitative Methoden in der Epidemiologie. Proceedings of the 35th Annual Meeting of GMDSTBerlin, September 1990. Ed. by Irene Guggenmoos-Hoizmann et al. Berlin, Heidelberg, New York etc.: Springer. 1991. (Medizinische Informatik und Statistik.) In press.
International Classification of Diseases. 9th Revision. Clinical Modification (ICD-9-CM). Vol. 3: Procedures. Tabular List and Alphabetic Index. Ed. by Health Care Financing Administration, Department of Health and Human Services. 3rd ed. 1988, annual addenda. Washington, D.C. 20402–9371: Superintendent of Documents, U.S. Government Printing Office. XXIX, 519 DD. (loose-leaf ring binder). - Parallel edition by the American Medical Record Association (AMRA), P.O.Box 97349, Chicago, IL 60690–7349.
International Classification of Procedures in Medicine (ICPM). Published for trial purposes in accordance with resolution WHA29.35 of the Twenty-ninth World Health Assembly, May 1976. Geneva: World Health Organization. 1978. Vol 1:1. Procedures for medical diagnosis. 2. Laboratory procedures. 4. Preventive procedures. 5. Surgical procedures. 8. Other therapeutic procedures. 9. Ancillary procedures. IX, 310 pp. Vol. 2:3. Radiology and certain other applications of physics in medicine. 6. & 7. Drugs, medicaments, and biological agents. V, 147 pp.
Klar, R., B. Graubner and C.-Th. Ehlers: Leitfaden zur Erstellung der Diagnosenstatistik nach § 16 Bundespflegesatzverordnung (BPfM. In co-operation with R. Hartwig, Barbara Schmidt-Rettig, H.- J. Seelos and S. Eichhorn. Ea. by Der Bundesminister für Arbeit und Sozialordnung (BMA). 2nd, rev. ed. Bonn: BMA. 1988.105 pp. (Forschungsbericht Gesundheitsforschung. 135J. - Reprint In: Internationale Klassifikation der Krankheiten, Verletzungen und Todesursachen (ICD), 9. Revision. 2nd, rev. ed. Köln etc.: Kohlhammer. 1988. Vol. I partA, pages 651–762. - Actualized reprint in: Medizinische Dokumentation und Information. Handbuch für Klinik und Praxis. Ed. by C. O. Köh- ler. Landsberg/Lech: ecomed. 1983 ff. 9th suppl.: 1989. Chapter X-3.3. 3, pages 1–104.
Operationsscnlüssel 1986. Ed. by Vereinigung Schweizerischer Krankenhäuser (VESKA), Kommission für medizinische Statistik und Dokumentation. Prep, by Jana Stutz, M. Steck, H. Enrengruber and I. Balmer. Aarau: VESKA. 1986.72,34 pp. (loose-leaf ring bindert.
Operativer Therapieschlüssel. Zusammengestellt von O. Sen eibe. 2nd ed., rev. 1990. Ed. by Arbeitskreis Chirurgie der Deutschen Gesellschaft für Medizinische Dokumentation, Informatik und Statistik. Chairman: R. Thurmayr, München. 83 pp. (Available from Prof. Dr. Rudolf Thurmayr, Institutfür Medizinische Statistik und Epidemiologie der Technischen Universität München, Ismaninger Str. 22, D-8000 München 80, tel. +49.89/41404320.)
Proposal of Procedures. Presented by DES Unit of the World Health Organization at the Meeting of Heads of WHO Collaborating Centres for the classification of diseases, Paris, 28.2.-7.3.1989. 26 pp. (DES/ICD/C/89.23).
Remmel, E.: Ein topographisch-hierarchisches Schlüsselsystem zur Verschlüsselung chirurgischer Diagnosen, Therapien und Komplikationen. Special issue “EDV in der Orthopädie of the journal -Orth opäde” (Berlin) 1991 J(n press). - This “Nürnberger Schlüsselsystem” is implemented in the system “ratiodoc” of Grün-Data Gesellschaft für Datentechnik mbH, Gustavstr. 16, D-8510 Fürth.
Tarif der Deutschen Krankenhausgesellschaft für die Abrechnung erbrachter Leistungen und für die Kostenerstattung vom Arzt an das Krankenhaus (DKG-NT), zugleich vereinbarter Tarif für die Abrechnung mit den gesetzlichen Unfallversicherungsträgern (BG-T). Stand: 1.7.1990. Stuttgart: Kohlhammer. 1990.318 pp. (loose-leaf ring binder).
WCC-standaardclassificatie van medisch specialistische verrichtingen (ICPM-DE [see text above, paragraph 1]). Ed. by Nationale Raad voor de Volksgezondheid (NRV), Werkgroep Classificatie en Coderingen (WCC) [Postbus 7100, NL-2701 AC Zoetermeer, tel. +31.79/517644]. Version 2.0. 1990. 241 pp. (Tabular List only. An edition with Tabular List and Alphabetic Index was edited by Stichting Informatiecentrum voor de Gezondheidszorg [SIG], Postbus 14066, NL-3508 SC Utrecht, tel. +31.30/345611.) - English translation of the introduction to this classification in: Annual Report 1989 of WCC, Dutch classification and terminology committee for health. Zoetermeer, 1990, pages 28–32. Report on the further work in: Annual Report 1990 etc. (edited 1991), pages 12–14. - German translation of the classification: First draft, prepared by R. Thurmayr. 1990/91.173 pp. (address see [12]).
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Thurmayr, R., Graubner, B. (1991). Towards a European Classification of Procedures in Medicine (ECPM) — AIM-SESAME and the Dutch and German Approach —. In: Adlassnig, KP., Grabner, G., Bengtsson, S., Hansen, R. (eds) Medical Informatics Europe 1991. Lecture Notes in Medical Informatics, vol 45. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-93503-9_139
Download citation
DOI: https://doi.org/10.1007/978-3-642-93503-9_139
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-54392-3
Online ISBN: 978-3-642-93503-9
eBook Packages: Springer Book Archive