POPULATION HEALTH DATA II 5 OCTOBER 2005

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POPULATION HEALTH DATA II5 OCTOBER 2005
Pierre Tousignant
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History of ICD (HistoryOfICD.pdf)

• 1893 FIRST UNIFIED INTERNATIONAL CLASSIFICATION ,
• 1898 AMERICAN PUBLIC HEALTH ASSOCIATION SUPPORTS
  CLASSIFICATION AND PROPOSES DECENNIAL REVISIONS
• 1900 FIRST OFFICIAL REVISION IN PARIS
• 1948 SIXTH REVISION, FIRST COMPREHENSIVE LIST
  FOR MORTALITY AND MORBIDITY, AND ACCEPTANCE OF
  RULES FOR CODING
• 1975 NINTH REVISION
• 2000 TENTH REVISION

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The WHO-FIC is comprised of

• 1. Reference Classifications Main
  classifications on basic parameters of health.
  These classifications have been prepared by the
  World Health Organization and approved by the
  Organization's governing bodies for international
  use
• - International Classification of Diseases (ICD)
  - International Classification of Functioning,
  Disability and Health (ICF) - International
  Classification of Health Interventions (ICHI)
• 2. Derived classifications Derived
  classifications are based on the reference
  classifications( i.e. ICD and ICF) .

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(No Transcript)
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DOUBLE CODING

• (i) if the symbol (? or ) and the alternative
  code both appear in the title of the rubric, all
  terms classifiable to that rubric are subject to
  dual classification and all have the same
  alternative code, e.g.
• 049.0? Lymphocytic choriomeningitis (321.6)
• Lymphocytic
• meningitis (serous)
• meningoencephalitis (serous)
• 321.2 Meningitis due to ECHO virus (047.1?)
  Meningo-eruptive syndrome

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CLASSIFICATION OF INTERVENTIONS (cci.doc)

• I Certain Diagnostic and Therapeutic Procedures
  (01-13)
• I Operations on the Nervous System (14-18)
• II Operations on the Endocrine System (19-20)
• V Operations on the Eyes (21-29)
• V Operations on the Ears (30-32)
• VI Operations on the Nose, Mouth, and Pharynx
  (33-41)
• VII Operations on the Respiratory System (42-46)
  
• VIII Operations on the Cardiovascular System
  (47-5 1)
• IX Operations on the Hemic and Lymphatic Systems
  (52-53)
• X Operations on the Digestive System and
  Abdominal Region (54-66)
• XI Operations on the Urinary Tract (67-71)
• XII Operations on the Male Genital Organs
  (72-76)
• XIII Operations on the Female Genital Organs
  (77-83)
• XIV Obstetric Procedures (84-87)
• XV Operations on the Musculoskeletal System
  (88-96)
• XVI Operations on the Breast (97)
• XVII Operations on Skin and Subcutaneous Tissue
  (98)
• XVIII Procedures Not Elsewhere Classified (99)

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DEATH CERTIFICATE
Pulmonary embolism, right and left pulmonary
artery
Mild pulmonary edema
Concentric hypertrophy of left ventricle of heart
CertDeathQue.pdf
ICD9 vs IDC10 - US natl vital stat report.pdf
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Examples of death certificate

• CodingExamples.doc
• CodingExamples2.doc

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Validity of death certificate Autopsy
Autopsy NEJM 131 20.pdf
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ICD-9 to ICD-10Areas of greatest expected impact

• Large decreases are expected in
• Pneumonia and influenza
• Accidental falls
• Vital hepatitis
• Tuberculosis

Analysing cause of death trends.ppt
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Large decreases due to ICD-10 implementation
Analysing cause of death trends.ppt
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Pneumonia and influenza
Analysing cause of death trends.ppt
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Increases expected

• Large increases are expected in
• Alzheimers disease
• Septicaemia
• Non-malignant neoplasms
• Other and unspecified non-transport accidents and
  their sequelae

Analysing cause of death trends.ppt
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Increases graphically
Analysing cause of death trends.ppt
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Alzheimers disease
Analysing cause of death trends.ppt
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Validity of morbidity coding Medical records
registeries and .pdf
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Change in coding rules

• Causes of death table
• ?

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Validity of morbidity coding Medical records
ValidityMorbidity.pdf
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Canadian community health Survey

• Cross-sectional estimates of health determinants,
  health status and health system utilization for
  136 health regions across the country
• began collection in September 2000
• Each two-year collection cycle is comprised of
  two distinct surveys a health region-level
  survey in the first year with a total sample of
  130,000 and a provincial-level survey in the
  second year with a total sample of 30,000.
• Target population household residents in all
  provinces and territories with the principal
  exclusion of populations on Indian Reserves,
  Canadian Forces Bases, and some remote areas
• One randomly selected respondent per household,
  although planned oversampling of youths will
  result in a second member of certain households
  being interviewed.

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Canadian community health Survey common content
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Canadian community health Survey optional
content