Disease Classification, Clinical Coding, Indexing and Abstracting

At the end of the course, the students should be able to: 1. appreciate the history of diseases classification, basis and purpose of disease classification; 2. define data classification and explain its aims and objectives; 3. explain the general principles of international classification of diseases process structure of ICD, special coding pattern in the ICD and dual classification of certain diagnostic statements in the ICD; 4. extensively explain the numbering systems of the ICD, the 3-digit and optional 5-digit categories of ICD-9; 5. describe the classification of industrial accidents, the twenty-one chapters of ICD-10 and its arrangements; 6. explain coding, its purpose, tools and procedures as well as selection of conditions for both diagnostic and operational procedures; 7. describe the structure of classification system, indexing, types, methods and uses of index; and 8. discuss traditional and computerized approaches to indexing, abstracting, thesaurus construction and maintenance.

History of diseases classification. Basis and purpose of disease classification. Definition of data classification, aims and objectives of data classification. General principles of International Classification of Diseases (ICD) process. Structure of ICD and special coding pattern in the ICD, dual classification of certain diagnostic statements in the ICD. The numbering system of the ICD, the three digit categories –ICD-9, the operational fifth digits – ICD -9 and the Alphanumeric of the ICD-10, Seventeen chapters of the ICD-9, Supplementary classification of the ICD 9 (E- codes, V-codes, M- codes). Classification of industrial accidents and many others. the twenty-one chapters of ICD-10 and its arrangement. Measuring coding and coding procedure, procedures in surgical operations (major and minor). The structure of the surgical index method of the KD- 9CM Vol. 3 (procedure class) and ICD-10 Vol. 3. The procedure for coding surgical operations and other procedures, the similarities and differences between ICD 9CM Vol. 3 and |ICD 10pcs and ICD -10 Vol. 3, tools needed for coding surgical operations. Define index purpose for indexing uses of disease and operation index, information deeded for index cards. Indexing system: design index cards, storage. Maintenance and retention simple and cross indexing system, multiple card system, methods of monitoring discharged patients’ records. Code diseases and surgical procedures, abstract and index: diseases and surgical procedure, external causes of injuries (Encode), factors influencing health status and contract with health services (V code), morphology and neoplasm. Traditional and computerised approaches to indexing, abstracting, thesaurus construction and maintenance are explained. The nature and structure of indexes, indexing and editing procedures, types of indexes, index-evaluation and professionalism construction of abstract technique 300 Level courses