A pediatric cardiology diagnostic coding system and database

Abstract

The design and structure of a pediatric cardiology and cardiac surgery coding system is described. This system supports a practical diagnostic & intervention coding system as well as the recording of essential patient administrative and medical information. The aim of the program is to improve patient care and research, stimulate study projects between cooperating centers, and enhance the efficient management of departmental resources. The coding system contains over 1700 specific items covering virtually every anatomical, surgical, and cardiological related diagnosis and intervention in pediatric cardiology. Many of the diagnoses are based on the (Brompton) segmental analysis approach with direct access to each separate item by code number or key words, or by a stepwise approach through extensive diagnostic ‘trees’. The database system includes information on resource utilisation, an integrated growth chart program, follow-up diary and mailing system as well as several standard retrieval and reporting programs. The system is now operational in all the Pediatric Cardiac Centers in the Netherlands as well as a number of major hospitals in the European Community.