ICD-10-PCS extension with ICD-9 procedure codes to support integrated access to clinical legacy data

Hernández Ibarburu, Gema and Perez Del Rey, David and Alonso Oset, Enrique and Alonso Calvo, Raul and Voets, David and Mueller, C. and Claerhout, Brecht and Custodix, N. V. (2018). ICD-10-PCS extension with ICD-9 procedure codes to support integrated access to clinical legacy data. "International Journal of Medical Informatics", v. 122 ; pp. 70-79. ISSN 1386-5056. https://doi.org/10.1016/j.ijmedinf.2018.11.002.

Description

Title: ICD-10-PCS extension with ICD-9 procedure codes to support integrated access to clinical legacy data
Author/s:
  • Hernández Ibarburu, Gema
  • Perez Del Rey, David
  • Alonso Oset, Enrique
  • Alonso Calvo, Raul
  • Voets, David
  • Mueller, C.
  • Claerhout, Brecht
  • Custodix, N. V.
Item Type: Article
Título de Revista/Publicación: International Journal of Medical Informatics
Date: November 2018
ISSN: 1386-5056
Volume: 122
Subjects:
Freetext Keywords: Component; ICD-9; ICD-10; Clinical terminologies; Interoperability; Data integration
Faculty: E.T.S. de Ingenieros Informáticos (UPM)
Department: Inteligencia Artificial
Creative Commons Licenses: Recognition - No derivative works - Non commercial

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Abstract

Since the creation of The International Classification of Diseases (ICD), new versions have been released to keep updated with the current medical knowledge. Migrations of Electronic Health Records (EHR) from ICD-9 to ICD-10-PCS as clinical procedure codification system, has been a significant challenge and involved large resources. In addition, it created new barriers for integrated access to legacy medical procedure data (frequently ICD-9 coded) with current data (frequently ICD-10-PCS coded). This work proposes a solution based on extending ICD-10-PCS with a subgroup of ICD-9-CM concepts to facilitate such integrated access. The General Equivalence Mappings (GEMs) has been used as foundation to set the terminology relations of these inserted concepts in ICD-10-PCS hierarchy, but due to the existence of 1-to-many mappings, advanced rules are required to seamlessly integrate both terminologies. With the generation of rules based on GEMs relationships, 2014 ICD-9 concepts were included within the ICD-10-PCS hierarchy. For the rest of the concepts, a new method is also proposed to increase 1-to-1 mappings. As results, with the suggested approach, the percentage of ICD-9-CM procedure concepts that can be mapped accurately (avoiding mappings to a large number of concepts) rise from 11.56% to 69.01% of ICD-9-Proc, through the extended ICD-10-PCS hierarchy.

More information

Item ID: 55026
DC Identifier: http://oa.upm.es/55026/
OAI Identifier: oai:oa.upm.es:55026
DOI: 10.1016/j.ijmedinf.2018.11.002
Official URL: https://www.sciencedirect.com/science/article/pii/S1386505618302181?via%3Dihub
Deposited by: Memoria Investigacion
Deposited on: 16 May 2019 08:59
Last Modified: 16 May 2019 08:59
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