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Data Accuracy and Reliability of a System to Encode Semi-Automatically Clinical Diagnoses

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Medical Informatics Europe ’90

Part of the book series: Lecture Notes in Medical Informatics ((LNMED,volume 40))

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Abstract

The evaluation of the activities of hospitals in the FRG is based on patients diagnoses as encoded at transfer or discharge. Therefore the accuracy and reliability of the results of the semiautomatic encoding system for discharge diagnoses has to be verified. The system is integrated into the patient administration system of the Medical System Hannover (MSH) at the Medical School Hannover (MHH). It has been well accepted by the users. First results showed a 96.8 % of diagnoses which were encoded and that most of the non-encoded diagnoses can be processed with the involvement of the physician. The improvement of data quality has been validated by comparing manual and semi-automatical encoding. The validation of the data using blinded techniques showed an 84 % of correctness.

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References

  1. Adlassnig, K.P.; Grabner, H.: Verarbeitung natürlichsprachiger medizinischer Begriffe. In: Koller, Reichertz, Liberia (eds): WAMIS Wiener Allgemeines Medizinisches Informations-System. Medizinische Informatik und Statistik, Band 59, (Springer, Berlin, 1985) 162–189.

    Chapter  Google Scholar 

  2. Assimacopoulos, A.; Le Coultre, C; Griesser, V.; Scherrer, J.R.: Nomenclature or Classification? Eighteen Months of Interactive Coding of Diagnosis and Surgical Procedures within the Integrated Hospital Information System (HIS) DIOGENE. In: Salamon, Blum, Jörgensen (eds): MEDINFO 86. (North Holand, Amsterdam, 1986) 865–869.

    Google Scholar 

  3. Blois, M.S.: Information and Medicine. Univ. of California Press. (1984).

    Google Scholar 

  4. Bundespflegesatzverordnung (BPfIV) vom 21. August 1985. Bundesgesetzblatt, Band I (1985) 1666–1694.

    Google Scholar 

  5. Cote, R.A. (Chairman Scientific Program Commitee): General Recommendations. In: Cote, Protti and Scherrer (eds): Role of Informatics in Health Data Coding and Classification Systems. IFIP-IMIA. (North Holland, Amsterdam, 1984) 385.

    Google Scholar 

  6. Espinosa, A; Hoffmann, W.; Bernauer, J.: Semi-Automatical Encoding of Medical Diagnoses by non-Professionals. In: Rienhoff, Piccolo, Schneider (eds): Expert Systems and Decision Support in Medicine. Lecture Notes in Medical Informatics, Band 36. (Springer, Berlin, 1988) 490–494.

    Google Scholar 

  7. Espinosa, A.: A System for the Semi-Automatical Encoding of Medical Terms and its Application to the Discharge Diagnoses in the Medical System Hannover. Dissertation. Med. School Hannover. (1989).

    Google Scholar 

  8. Hsia, D.C.; Krushat, M. et al.: Accuracy of Diagnostic Coding for Medicare Patients under the Prospective-Payment System. N Eng J Med 318(6) (1988) 352–355.

    Article  Google Scholar 

  9. Pressman, Roger S.: Software Engineering: A Practicioner’s Approach (McGraw-Hill Int., Auckland, 1982).

    Google Scholar 

  10. Reichertz, P.L.: Datenbanken und Informations-Systeme. In: Koller, Wagner (eds): Handbuch der Medizinischen Dokumentation and Datenverarbeitung. (Schattauer, Stuttgart, 1975)914–937.

    Google Scholar 

  11. Sager, N.; Friedman, C; Layman, M.S.: The Analysis and Processing of Clinical Narrative. In: Salamon, Blum, Jörgensen (eds): MEDINFO 86. (North Holland, Amsterdam 1986) 11011105.

    Google Scholar 

  12. Wingert, F.: Automated Indexing of SNOMED Statements into ICD. Meth Inf Med 26 (1987) 93–98.

    Google Scholar 

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© 1990 Springer-Verlag Berlin Heidelberg

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Espinosa, A., Hoffmann, W.D. (1990). Data Accuracy and Reliability of a System to Encode Semi-Automatically Clinical Diagnoses. In: O’Moore, R., Bengtsson, S., Bryant, J.R., Bryden, J.S. (eds) Medical Informatics Europe ’90. Lecture Notes in Medical Informatics, vol 40. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-51659-7_122

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  • DOI: https://doi.org/10.1007/978-3-642-51659-7_122

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-52936-1

  • Online ISBN: 978-3-642-51659-7

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