Search Results - "coding"

Challenges to reliable ICD-10 coding of child maltreatment: A qualitative interview study of healthcare professionals in German and Swedish hospitals.

Walter T; Department of Child and Adolescent Psychiatry/Psychotherapy, University Hospital Ulm, Ulm, Germany. Electronic address: teresa.walter@uniklinik-ulm.de., Korhonen L; Barnafrid and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden; Department of Child and Adolescent Psychiatry and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden., Otterman G; Barnafrid and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden; Uppsala University Children's Hospital, Uppsala, Sweden., van Agthoven G; Barnafrid and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden; Region Västra Götaland, Skaraborgs Hospital, Department Research, Education, Development and Innovation/Department of Pediatrics, Skövde, Sweden; Region Västra Götaland, Regionhälsan, Child Protection Team Västra Götalandsregion, Gothenburg, Sweden., Jud A; Department of Child and Adolescent Psychiatry/Psychotherapy, University Hospital Ulm, Ulm, Germany; Competence Center Child Abuse and Neglect com.can, Ulm, Germany; School of Social Work, Zurich University of Applied Sciences, Zurich, Switzerland.

Journal Article , 2025

Systematic review of observational coding systems to assess patient-healthcare professional interactions.

Hillen MA; Department of Medical Psychology, Amsterdam Public Health, Amsterdam University Medical Centers, the Netherlands. Electronic address: M.A.Hillen@amsterdamumc.nl., Mitchell KR; Public Health Program, Austin College, Sherman, TX, USA., Schouten BC; University of Amsterdam, Department of Communication, Amsterdam School of Communication Research/ASCoR, Center for Urban Mental Health, the Netherlands., Cyrus JW; Research and Education Librarian, Health Sciences Library, Virginia Commonwealth University, 509 N. 12th Street, Richmond, VA 23298, USA., Brown RF; Department of Health Behavior and Policy, Virginia Commonwealth University School of Medicine, Richmond, VA, USA., Pieterse AH; Biomedical Data Sciences, Leiden University Medical Center, the Netherlands; Institute of Clinical Medicine, University of Oslo, Norway.

Journal Article; Systematic Review; Review , 2025

The application of quality control circle in improving the accuracy of ICD coding on medical records.

Ou W; Department of Medical Record Administration, Baotou Central Hospital, Baotou, Inner Mongolia, 014040, China., Chang P; Department of Nuclear Medicine, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, 010059, China., Zhou J; The Third Hospital Of BaoGang Group, Baotou, Inner Mongolia, 014010, China., Zhou Z; Department of Medical Administration, Baotou Central Hospital, Baotou, Inner Mongolia, 014040, China., Jiang M; Department of Neurology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, 010059, China. mingfang-j@163.com., Wu C; Department of Imaging Centre, Baotou Central Hospital, No. 61, Huan Cheng Road, Donghe District, Baotou, Inner Mongolia, 014040, China. 774684519@qq.com.

Journal Article , 2025

An automation framework for clinical codelist development validated with UK data from patients with multiple long-term conditions.

Aslam A; Information School, University of Sheffield, Sheffield, UK. a.aslam@sheffield.ac.uk.; Institute of Health Sciences, Faculty of Medicine & Health, University of Leeds, Leeds, UK. a.aslam@sheffield.ac.uk., Walker L; Wolfson Centre for Personalised Medicine, University of Liverpool, Liverpool, UK., Abaho M; Wolfson Centre for Personalised Medicine, University of Liverpool, Liverpool, UK., Cant H; Division of Informatics, Imaging & Data Science, University of Manchester, Manchester, UK., O'Connell M; Division of Informatics, Imaging & Data Science, University of Manchester, Manchester, UK., Abuzour AS; Institute of Health Sciences, Faculty of Medicine & Health, University of Leeds, Leeds, UK.; Academic Unit for Ageing & Stroke Research, University of Leeds, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK., Hama L; School of Computing, University of Leeds, Leeds, UK., Schofield P; Wolfson Centre for Personalised Medicine, University of Liverpool, Liverpool, UK., Mair FS; General Practice and Primary Care, School of Health and Wellbeing, University of Glasgow, Glasgow, UK., Ruddle RA; School of Computing, University of Leeds, Leeds, UK., Popoola O; Merseycare NHS Foundation Trust, Liverpool, UK., Sperrin M; Division of Informatics, Imaging & Data Science, University of Manchester, Manchester, UK., Tsang JY; Division of Population Health, University of Manchester, Manchester, UK., Shantsila E; Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK., Gabbay M; Institute of Population Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK., Clegg A; Institute of Health Sciences, Faculty of Medicine & Health, University of Leeds, Leeds, UK.; Academic Unit for Ageing & Stroke Research, University of Leeds, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK., Woodall AA; Wolfson Centre for Personalised Medicine, University of Liverpool, Liverpool, UK.; Powys Teaching Health Board, Bronllys, UK., Buchan I; Wolfson Centre for Personalised Medicine, University of Liverpool, Liverpool, UK.; Civic Health Innovation Labs, University of Liverpool, Liverpool, UK., Relton SD; Institute of Health Sciences, Faculty of Medicine & Health, University of Leeds, Leeds, UK.

Journal Article , 2025

From Admission to Discharge: Leveraging NLP for Upstream Primary Coding with SNOMED CT.

Asensio Blasco E; Clinical Informatics Service, Hospital Clínic de Barcelona, Barcelona, Spain., Borrat Frigola X; Clinical Informatics Service, Hospital Clínic de Barcelona, Barcelona, Spain.; Clinical Foundations Department, Universitat de Barcelona, Barcelona, Spain., Pastor Duran X; Clinical Informatics Service, Hospital Clínic de Barcelona, Barcelona, Spain.; Department of Surgery and Medical-Surgical Specialties, Universitat de Barcelona, Barcelona, Spain., Conesa González A; Clinical Informatics Service, Hospital Clínic de Barcelona, Barcelona, Spain., Macià N; Clinical Informatics Service, Hospital Clínic de Barcelona, Barcelona, Spain., Sánchez Barcenilla D; Clinical Informatics Service, Hospital Clínic de Barcelona, Barcelona, Spain., Garrido Bejar R; IT Department, Hospital Clínic de Barcelona, Barcelona, Spain., Frid S; Clinical Informatics Service, Hospital Clínic de Barcelona, Barcelona, Spain. frid@clinic.cat.; Clinical Foundations Department, Universitat de Barcelona, Barcelona, Spain. frid@clinic.cat.

Journal Article , 2025

How to leverage large language models for automatic ICD coding.

Yoo Y; KAIST, Yuseong-gu, Daejeon, Republic of Korea; NAVER Digital Healthcare Lab, Seongnam-si, Gyeonggi-do, Republic of Korea; NAVER Cloud, Seongnam-si, Gyeonggi-do, Republic of Korea. Electronic address: iwhite98@kaist.ac.kr., Kim S; NAVER Digital Healthcare Lab, Seongnam-si, Gyeonggi-do, Republic of Korea; NAVER Cloud, Seongnam-si, Gyeonggi-do, Republic of Korea. Electronic address: se1.kim@navercorp.com.

Journal Article , 2025

Imprecise Coding in Allergic Contact Dermatitis: A Register-Study From Northern Finland Between Years 1999 and 2022.

Kämäräinen J; Faculty of Medicine, University of Oulu, Oulu, Finland., Loukkola T; Faculty of Medicine, University of Oulu, Oulu, Finland., Mikkola J; Faculty of Medicine, University of Oulu, Oulu, Finland., Sivonen M; Faculty of Medicine, University of Oulu, Oulu, Finland., Jokelainen J; Northern Finland Birth Cohorts, Arctic Biobank, and Infrastructure for Population Studies, University of Oulu, Oulu, Finland., Kiviniemi E; Northern Finland Birth Cohorts, Arctic Biobank, and Infrastructure for Population Studies, University of Oulu, Oulu, Finland., Huilaja L; Department of Dermatology, Oulu University Hospital, Oulu, Finland.; Research Unit of Clinical Medicine, University of Oulu, Oulu, Finland., Sinikumpu SP; Department of Dermatology, Oulu University Hospital, Oulu, Finland.; Research Unit of Clinical Medicine, University of Oulu, Oulu, Finland.

Journal Article , 2025

Accuracy of Diagnostic Coding for Acute Kidney Injury in Japan-Analysis of a Japanese Hospital-Based Database.

Mitsuboshi S; Department of Pharmacy, Kaetsu Hospital, Niigata, Japan.; Division of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan., Imai S; Division of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan., Tsuchiya M; Division of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan., Kizaki H; Division of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan., Hori S; Division of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan.

Journal Article , 2025

Strategic Coding in the Assessment of Long-Term Care Needs: Evidence From France.

Roy D; Institut des Politiques Publiques (PSE-GENES), Paris School of Economics (PSE), Ecole des Hautes Etudes en Sciences Sociales (EHESS), Paris, France.

Journal Article , 2025

Beyond Phecodes: leveraging PheMAP to identify patients lacking diagnosis codes in electronic health records.

Yan C; Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, United States., Grabowska ME; Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, United States., Thakkar R; Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, United States., Dickson AL; Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, United States., Embí PJ; Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, United States.; Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, United States., Feng Q; Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, United States., Denny JC; All of United States Research Program, National Institute of Health, Bethesda, MD 20892, United States., Kerchberger VE; Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, United States.; Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, United States., Malin BA; Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, United States.; Department of Computer Science, Vanderbilt University, Nashville, TN 37203, United States.; Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN 37203, United States., Wei WQ; Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, United States.; Department of Computer Science, Vanderbilt University, Nashville, TN 37203, United States.

Journal Article , 2025

Assessing the validity of ICD-10 administrative data in coding comorbidities.

Pan J; Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada jie.pan@ucalgary.ca.; Centre for Health Informatics, University of Calgary, Calgary, Alberta, Canada., Lee S; Centre for Health Informatics, University of Calgary, Calgary, Alberta, Canada.; Provincial Research Data Services, Alberta Health Services, Edmonton, Alberta, Canada., Cheligeer C; Centre for Health Informatics, University of Calgary, Calgary, Alberta, Canada.; Provincial Research Data Services, Alberta Health Services, Edmonton, Alberta, Canada., Li B; Centre for Health Informatics, University of Calgary, Calgary, Alberta, Canada.; Provincial Research Data Services, Alberta Health Services, Edmonton, Alberta, Canada., Wu G; Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.; Centre for Health Informatics, University of Calgary, Calgary, Alberta, Canada., Eastwood CA; Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.; Centre for Health Informatics, University of Calgary, Calgary, Alberta, Canada., Xu Y; Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.; Centre for Health Informatics, University of Calgary, Calgary, Alberta, Canada., Quan H; Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.; Centre for Health Informatics, University of Calgary, Calgary, Alberta, Canada.

Journal Article , 2025

The Iowa Coding Scheme for Elderspeak: Development and Validation.

Shaw CA; Division of Acute and Critical Care, University of Iowa College of Nursing, Iowa City, Iowa, USA., Gordon JK; Department of Communicative Disorders, University of Rhode Island, Kingston, Rhode Island, USA., Ward C; Division of Biostatistics & Health Data Science, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA., Jackson L; Department of Nursing, University of Iowa Healthcare, Iowa City, Iowa, USA., Shaw N; Department of Family Medicine, University of Iowa Healthcare, Iowa City, Iowa, USA., Williams KN; School of Nursing, University of Kansas Medical Center, Kansas City, Kansas, USA.

Journal Article; Validation Study , 2025

The development of the Saudi Billing System supporting national health transformation: methods and justification.

Reka H; Council of Health Insurance, Riyadh, Saudi Arabia. hureka@gmail.com., Mazevska D; Health Policy Analysis, Sydney, Australia., Pearse J; Health Policy Analysis, Sydney, Australia., Al Maghrabi A; Council of Health Insurance, Riyadh, Saudi Arabia., Young SE; Council of Health Insurance, Riyadh, Saudi Arabia., Al Ghamdi S; Council of Health Insurance, Riyadh, Saudi Arabia.

Journal Article , 2025

Algorithm development for the automation of death certificate analysis and coding.

McCord K; Boston University Chobanian and Avedisian School of Medicine, 72 E Concord St, Boston, MA 02118, USA. Electronic address: klmccord@bu.edu., Gause EL; Boston University School of Public Health, 715 Albany St, Boston, MA 02118, USA; Firearm Injury & Policy Research Program, Department of Pediatrics, School of Medicine, University of Washington, 1959 NE Pacific St, Seattle, WA 98195, USA. Electronic address: eguase@bu.edu., McLone S; Boston University School of Public Health, 715 Albany St, Boston, MA 02118, USA. Electronic address: smclone@bu.edu., Bard H; Boston University Chobanian and Avedisian School of Medicine, 72 E Concord St, Boston, MA 02118, USA. Electronic address: hbard@bu.edu., Gilson T; Office of the Cuyahoga County Medical Examiner, 11001 Cedar Ave, Cleveland, OH 44106, USA. Electronic address: tgilson@cuyahogacounty.us., Jay J; Boston University School of Public Health, 715 Albany St, Boston, MA 02118, USA. Electronic address: jonjay@bu.edu.

Journal Article , 2025

An examination of ambulatory care code specificity utilization in ICD-10-CM compared to ICD-9-CM: implications for ICD-11 implementation.

Fenton SH; Department of Clinical & Health Informatics, McWilliams School of Biomedical Informatics, UTHealth Houston, Houston, TX 77030, United States., Ciminello C; University of Texas MD Anderson Cancer Center, Houston, TX 77030, United States., Mays VM; UCLA Fielding School of Public Health, University of California, Los Angeles, CA 90095-1563, United States., Stanfill MH; McWilliams School of Biomedical Informatics, UTHealth Houston, Houston, TX 77030, United States., Watzlaf V; Department of Health Information Management, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA 15260, United States.

Journal Article; Comparative Study , 2025

One Third of Alcohol Use Disorder Diagnoses are Missed by ICD Coding.

Mercurio L; Departments of Emergency Medicine & Pediatrics, Alpert Medical School of Brown University, Providence, RI, USA., Garcia A; Division of Rheumatology, University of California San Francisco, San Francisco, CA, USA., Ruest S; Departments of Emergency Medicine & Pediatrics, Alpert Medical School of Brown University, Providence, RI, USA.; Injury Prevention Center of Rhode Island Hospital-Hasbro Children's Hospital, Providence, RI, USA., Duffy SJ; Departments of Emergency Medicine & Pediatrics, Alpert Medical School of Brown University, Providence, RI, USA., Eickhoff C; Department of Computer Science, Brown University, Providence, RI, USA.; School of Medicine, University of Tubingen, Tubingen, Germany.

Journal Article , 2025

Application of Clinical Department-Specific AI-Assisted Coding Using Taiwan Diagnosis-Related Groups: Retrospective Validation Study.

Lu AT; Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Sanmin Dist, Kaohsiung, 807, Taiwan, 886 73121101 ext 2648.; Department of Medical Records, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan., Liou CS; Intelligent System Lab, College of Electrical Engineering and Computer Science, Department of Electrical Engineering, National Kaohsiung University of Science and Technology, Kaohsiung, Taiwan., Lai CH; Intelligent System Lab, College of Electrical Engineering and Computer Science, Department of Electrical Engineering, National Kaohsiung University of Science and Technology, Kaohsiung, Taiwan., Shian BT; Intelligent System Lab, College of Electrical Engineering and Computer Science, Department of Electrical Engineering, National Kaohsiung University of Science and Technology, Kaohsiung, Taiwan., Li MT; Department of Medical Records, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan., Sun CY; Department of Information Technology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan., Kao HY; Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Sanmin Dist, Kaohsiung, 807, Taiwan, 886 73121101 ext 2648., Dai HJ; Department of Electrical Engineering, National Kaohsiung University of Science and Technology, Kaohsiung, Taiwan.; School of Post-Baccalaureate Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.; National Institute of Cancer Research, National Health Research Institutes, Tainan, Taiwan.; Center for Big Data Research, Kaohsiung Medical University, Kaohsiung, Taiwan., Tsai MJ; Department of Medical Records, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.; Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.; Department of Internal Medicine, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.

Journal Article; Validation Study , 2025

Developing an ICD-10 Coding Assistant: Pilot Study Using RoBERTa and GPT-4 for Term Extraction and Description-Based Code Selection.

Puts S; Department of Radiation Oncology (Maastro), GROW Research Institute for Oncology and Reproduction, Maastricht University Medical Centre+, P.O. Box 616, Maastricht, 6200 MD, Netherlands, 31 43 38 81863., Zegers CML; Department of Radiation Oncology (Maastro), GROW Research Institute for Oncology and Reproduction, Maastricht University Medical Centre+, P.O. Box 616, Maastricht, 6200 MD, Netherlands, 31 43 38 81863., Dekker A; Department of Radiation Oncology (Maastro), GROW Research Institute for Oncology and Reproduction, Maastricht University Medical Centre+, P.O. Box 616, Maastricht, 6200 MD, Netherlands, 31 43 38 81863., Bermejo I; Department of Radiation Oncology (Maastro), GROW Research Institute for Oncology and Reproduction, Maastricht University Medical Centre+, P.O. Box 616, Maastricht, 6200 MD, Netherlands, 31 43 38 81863.; Data Science Institute (DSI), Hasselt University, Belgium.

Journal Article , 2025

Validation of an in-house Dutch Forensic Death Coding system (FDC).

Soerdjbalie-Maikoe V; Eurofins-The Maastricht Forensic Institute, Maastricht, the Netherlands., Hendriks EHW; Department of Neurology, Canisius Wilhelmina Ziekenhuis, the Netherlands., Nijs HGT; Netherlands Forensic Institute, Division of Medical Forensic Investigation, Section Forensic Medicine, The Hague, the Netherlands., Alberink I; Netherlands Forensic Institute, Division of Digital and Biometric Investigation, The Hague, the Netherlands., Duijst WLJM; Forensic Medicine, Maastricht University, Faculty of Law, the Netherlands. Electronic address: wilma.duijst@maastrichtuniversity.nl.

Journal Article; Validation Study , 2025

External cause coding of injury encounters in the Military Health System among active component U.S. service members, 2016-2019.

Canham-Chervak M; Injury Prevention Branch, Defense Health Agency Public Health-Aberdeen, MD., Schuh-Renner A; Injury Prevention Branch, Defense Health Agency Public Health-Aberdeen, MD., Stahlman SL; Epidemiology and Analysis Branch, Armed Forces Health Surveillance Division, Public Health Directorate, Defense Health Agency, Silver Spring, MD., Rappole C; Injury Prevention Branch, Defense Health Agency Public Health-Aberdeen, MD., Jones BH; Clinical Public Health and Epidemiology Directorate, Defense Centers for Public Health-Aberdeen.

Journal Article , 2025