> Doctor's route > ICD10
- ICD stands for 'International
Classification of Disease', which is a coding system published and edited
by the World Health Organisation.
- ICD 10 is the tenth
edition of the system which was published in 1992. It is currently the
most recent and the most detailed version available.
- Why do we need coding?......Well,
because of the need to know about health trends in populations, there
is a government requirement that every NHS hospital episode is coded,
and the anonymised data is collected every month by the department of
health to enable health care planning. ICD 10 is the NHS approved standard
for this coding.
- Present System Normally
the episode is coded retrospectively by trained coders in the Clinical
Audit department, after discharge. However, it tends to be more accurate
if clinicians do it themselves.
- Future Applications Coding
has major advantages as more of our data handling and recording is done
electronically; using commonly accepted standards facilitates exchange
of data among systems. Coded diagnoses also constitute a standard vocabulary
which will be essential for many of the functions the Electronic Patient
Record . For example the issuing of reminders or warnings by a system
will depend on standard diagnoses being 'understood' by the system.
- Codes for Stroke are
a good opportunity for clinicians to familiarise themselves with coding;
there are a limited number of codes for these conditions, and the particular
syndromes identified by the codes have immediate clinical significance.
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Copyright ©Nikki Devitt
2002, on behalf of
the WAHT Stroke Pathway Group
Date of last review: 25th
Date of next review:25th