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  • 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

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Date of last review: 25th April 2002

Date of next review:25th October 2002