关键词: diagnosis epidemiology illness injury

Mesh : Athletic Injuries / classification diagnosis Clinical Coding Humans Sports Medicine / classification

来  源:   DOI:10.1136/bjsports-2019-101921   PDF(Sci-hub)

Abstract:
Coding in sports medicine generally uses sports-specific coding systems rather than the International Classification of Diseases (ICD), because of superior applicability to the profile of injury and illness presentations in sport. New categories for coding were agreed on in the \'International Olympic Committee (IOC) consensus statement: Methods for recording and reporting of epidemiological data on injury and illness in sports 2020.\' We explain the process for determining the new categories and update both the Sport Medicine Diagnostic Coding System (SMDCS) and the Orchard Sports Injury and Illness Classification System (OSIICS) with new versions that operationalise the new consensus categories. The author group included members from an expert group attending the IOC consensus conference. The primary authors of the SMDCS (WM) and OSIICS (JO) produced new versions that were then agreed on by the remaining authors using expert consensus methodology. The SMDCS and OSIICS systems have been adjusted and confirmed through a consensus process to align with the IOC consensus statement to facilitate translation between the two systems. Problematic areas for defining body part categories included the groin and ankle regions. For illness codes, in contrast to the ICD, we elected to have a taxonomy of \'organ system/region\' (eg, cardiovascular and respiratory), followed by an \'aetiology/pathology\' (eg, environmental, infectious disease and allergy). Companion data files have been produced that provide translations between the coding systems. The similar structure of coding underpinning the OSIICS and SMDCS systems aligns the new versions of these systems with the IOC consensus statement and also facilitates easier translation between the two systems. These coding systems are freely available to the sport and exercise research community.
摘要:
运动医学中的编码通常使用特定于运动的编码系统,而不是国际疾病分类(ICD)。因为对运动中损伤和疾病表现的特点具有优越的适用性。国际奥委会(IOC)共识声明中商定了新的编码类别:记录和报告2020年体育运动中受伤和疾病的流行病学数据的方法。我们解释了确定新类别的过程,并更新了运动医学诊断编码系统(SMDCS)和果园运动损伤和疾病分类系统(OSIICS),并使用新版本来操作新的共识类别。作者小组包括参加国际奥委会共识会议的专家组成员。SMDCS(WM)和OSIICS(JO)的主要作者制作了新版本,然后由其余作者使用专家共识方法达成一致。SMDC和OSIICS系统已通过共识程序进行了调整和确认,以与国际奥委会的共识声明保持一致,以促进两个系统之间的转换。用于定义身体部位类别的问题区域包括腹股沟和脚踝区域。对于疾病代码,与ICD相比,我们选择了“器官系统/区域”的分类法(例如,心血管和呼吸),其次是“病因学/病理学”(例如,环境,传染病和过敏)。配套数据文件已经产生,提供编码系统之间的翻译。支持OSIICS和SMDCS系统的类似编码结构使这些系统的新版本与IOC共识声明保持一致,并且还有助于两个系统之间更容易的转换。这些编码系统可免费提供给运动和运动研究社区。
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