Journal article

Level of agreement between medical record and ICD-10-AM coding of mental health, alcohol and drug conditions in trauma patients

Tu Q Nguyen, Pamela M Simpson, Sandra C Braaf, Peter A Cameron, Rodney Judson, Belinda J Gabbe

HEALTH INFORMATION MANAGEMENT JOURNAL | SAGE PUBLICATIONS INC | Published : 2019

Abstract

BACKGROUND: Despite the reliance on administrative data in epidemiological studies, there is little information on the completeness of co-morbidities in administrative data coded from medical records. OBJECTIVE: The aim of this study was to quantify the agreement between the International Classification of Diseases, Tenth Revision, Australian Modification (ICD-10-AM) administrative coding of mental health, drug and alcohol co-morbidities and medical records in a severely injured patient population. METHOD: A random sample of patients (n = 500) captured by the Victorian State Trauma Registry and definitively managed at the state's adult major trauma services was selected for the study. Retros..

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Grants

Awarded by Australian Research Council Future Fellowship


Funding Acknowledgements

The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The Victorian State Trauma Registry (VSTR) is funded by the Department of Health and Human Services, State Government of Victoria and the Transport Accident Commission. TN was supported by an Australian Government Research Training Program Scholarship. BG was supported by an Australian Research Council Future Fellowship (FT170100048) during the preparation of this manuscript.