Advertisement

Recent Problems and Longterm Activities in the Classification of Medical Concepts

Conference paper
Part of the Studies in Classification, Data Analysis, and Knowledge Organization book series (STUDIES CLASS)

Abstract

Since 1986 all of the 3000 West German hospitals have to encode the main diagnoses of their yearly 11 Mio inpatient cases according to the ICD-9, giving rise to severe problems concerning the standardization of the medical nomenclature and the correctness of the encoding. These recent problems and some fundamental tasks of standardization should be solved by implementing an official classification center for German medical concepts. This center should be responsible for the coordination of semantical classifications, updating classifications and thesauri, computer-assisted encoding and especially for converting systems from one medical classification to another. For other languages such centers already do exist and a worldwide cooperation of these centers is to be established. Modern methods of medical informatics such as knowledge engineering and computer linguistics are to be utilized in order to solve the problems of classification of medical concepts.

Keywords

Federal Republic Medical Informatics Unify Medical Language System Medical Classification Classification Center 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. [1]
    Internationale Klassifikation der Krankheiten, Verletzungen und Todesursachen (ICD) in der Fassung der vom Bundesminister für Jugend, Familie, Frauen und Gesundheit herausgegebenen 9. Revision. Kohlhammer, Köln, Stuttgart, Berlin, Mainz. Band I Teil A: Systematisches Verzeichnis der Dreistelligen Allgemeinen Systematik und der Vierstelligen Ausführlichen Systematik. 1986. IX, 605 S. 2. Aufl. 1988. BAND I Teil B: Zusätzliche Systematiken und Klassifizierungsregeln. 1987., IX, 296 S.; Band II: Alphabetisches Verzeichnis. 1986. VIII., 718 S. 2. Aufl. 1988.Google Scholar
  2. [2]
    Klar, R., Graubner, B., Ehlers, C. TH.: Leitfaden zur Erstellung der Diagnosenstatistik nach §16 Bundes-pflegesatzverordnung. 2., verbesserte Aufl. Hrsg: Bundesminister f. Arbeit und Sozialordnung. Forschungsbericht Gesundheitforschung Nr. 135, Bonn, 1988, oder [1] Bd. I Teil A, 651–762.Google Scholar
  3. [3]
    Empfehlungen zur Dokumentation und Auswertung von Diagnosen in Krankenhäusern. Hrsg. von E. Wilde. Stuttgart, New York: Schattauer. 1986. 17 S. (Schriftenreihe der Gesellschaft für Medizinische Dokumentation, Informatik und Statistik e.V. 8.).Google Scholar
  4. [4]
    The International Classification of Diseases. 9th Revision. Clinical Modification. ICD-9-CM. 2nd Edition. Washington: U.S. Department of Health and Human Services. 1980. (= DHHS Publication No. (PHS) 80-1260). (For sale by the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402) Vol 1: Diseases: Tabular List. XXVI, 1186 S. Vol 2: Diseases: Alphabetic Index. XI, m 910 S. Vol 3: Procedures: Tabular List and Alphabetic Index XXXI, 464 S.Google Scholar
  5. [5]
    The International Classification of Impairments, Disabilities and Handicaps (IC-IDH). A manual of classification relating to the consequences of diseases. Published for trial purposes. WHO, Geneva 1980, 207 S.Google Scholar
  6. [6]
    International Classification of Procedures in Medicine. 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 S. Vol 1: 3. Radiologiy and certain other applications of physics in medicine. 6 & 7. Drugs, medicaments, and biological agents. V, 147 S.Google Scholar
  7. [7]
    SNOMED. Systematisierte Nomenklatur der Medizin. Herausgeber der amerikanischen Ausgabe R. A. Côté. Deutsche Ausgabe bearbeitet und adaptiert von F. Wingert. Springer, Berlin, Heidelberg, New York, Tokyo, 1984. Band 1: Numerischer Index, 754 S., Band 2: Alphabetischer Index, 1225 S.Google Scholar
  8. [8]
    Operativer Therapieschlüssel. Zusammengestellt von O. Scheibe. 2. Aufl. Privatdruck. 1982. 155 S. (Prof. Dr. O. Scheibe, Chirurgische Klinik des Bürgerhospitals, Stuttgarter Str. 151, 7000 Stuttgart 30, Tel. 071/8994251).Google Scholar
  9. [9]
    Deliverables l-13ff. des AIM Projektes A 1031 “SESAME”, 1989/90. Erhältlich beim Projektleiter Dr. de Vries-Robbé, P.O.Box 30.001, NL-9700 RB Groningen.Google Scholar
  10. [10]
    Walker, D.: UMIS, Universal Medical Information Service — History and Progress. In: Proceedings MEDINFO 89, North Holland, Amsterdam, 1989, Vol.2, 790–94.Google Scholar
  11. [11]
    Tuttle, M. ET AL.: Implementing Meta-1, the First Version of the UMLS Metathesaurus. Proceedings SCAMC Washington 1989, IEEE Comp. Soc. Press. 483–87.Google Scholar
  12. [12]
    Mccray, A.: The UMLS Semantic Network, Proceedings SCAMC Washington 1989, IEEE Comp. Soc. Press, 1989, 503–505.Google Scholar
  13. [13]
    Linnarsson, R., Wigertz, O.: The Data Dictionary — a Controlled Vocabulary for Integrating Clinical Databases and Medical Knowledge Bases. Meth. Inform. Med. 28 (1989) 78–85.Google Scholar
  14. [14]
    Hospital Statistics in Europe. Proceedings of the Workshop on Hospital Statistics for Population-Based Health Care and Epidemiology: Role of the Minimum Basic Data Set. Brussels, Belgium, 9-11 September 1981. Ed.: M. Lambert, F.H. Roger. North-Holland, Amsterdam, 1982, 200 S.Google Scholar

Copyright information

© Springer-Verlag Berlin · Heidelberg 1991

Authors and Affiliations

  • R. Klar
    • 1
  1. 1.Department of Medical InformaticsUniversity Hospital FreiburgFreiburgGermany

Personalised recommendations