Establishment of standard coding for Shanghai infectious disease report based on disease classification and code

ObjectiveIn order to standardize the reporting requirements of infectious diseases and improve the efficiency and quality of infectious disease reporting, based on the application of disease classification and code, the standard coding is set up for infectious disease reporting applicable to Shanghai medical institutions.

MethodsDisease tables of infectious diseases were sorted out, corresponding diagnosis names of infectious diseases collected, and selected disease classification and codes matched with infectious diseases.The standard library for infectious diseases based on disease classification and code was combed through the correspondence of one to many, many to one, and the increase of the relationship of prompting conditions.

ResultsThrough corresponding relationship between disease classification and disease entities in infectious disease report, based on the standard encoding of infectious disease report with disease classification code, a set of easy-to-use standard coding was formed for medical institutions, which could be used for sustainable improvement and applied to the pilot work of infectious disease report management information system of Shanghai city.

ConclusionThe standard coding in this study can be applied to the information construction of infectious diseases report in Shanghai.It is the basis of the report for diagnosis of infectious diseases, and the change of the coding for traditional infectious disease report is of great significance in promotion of the information management of infectious disease reports.