System Analysis of Disease Classification of Oriental Medicine Diagnosis and Study for Improvement Method

Lee, Hyun Ju; Park, Su Bock; Kim, Su Jin; Ko, Seung Yeon

Journal of Korean Society Quality Assurance Health Care 2006;12(2): 84.
Published online December 30, 2006.

한방진단명의 질병분류체계 분석과 개선방안 연구

이현주, 박수복, 김수진, 고승연

동국대학교 병원+한방병원 의무기록실

System Analysis of Disease Classification of Oriental Medicine Diagnosis and Study for Improvement Method

Hyun Ju Lee, Su Bock Park, Su Jin Kim, Seung Yeon Ko

Department of Medical Records, Dongguk University International Hospital

Abstract

Background
To examine the difference between ICD-10 and The Korean standard classification of disease(oriental medicine), and to aim at improve the practical use as statistical data. It is one of the reason of disease classification. On that account we convert the many to many correspondence presenting classification of oriental medicine into many to one correspondence. Method : The study tracked out 155 patients discharged from the university hospital which is located in Gyeonggi Province and managing hospital and oriental medicine hospital from July to October this year. The period of this study was from August 1 to November 18. We compared correspondence between the two services' diagnosis(hospital services and oriental medicine hospital services) at the same time and attempted many to one correspondence classification. That is for production of statistical data.
Result
We investigated the group which have had medical treatment experience of two kinds of services at the same time. The result of this investigation was that the same oriental medicine diagnosis used differently in western medicine diagnosis. 44.5% was accorded with western medicine diagnosis. Correspondence of the western medicine diagnose with the top of the Korean standard classification of disease(oriental medicine) list's western medicine diagnosis was 13.5%. For many to one correspondence classification for statistics, one western medicine diagnosis was selected for one oriental medicine diagnosis. In case of the main diagnosis(I sign) was not enough to explain oriental medicine diagnosis' characteristic, we chose multiple other diagnosis, so other diagnosis(II sign) about patient's cause of disease could be selected for supplement after we examined the patient's records. The statistics was possible with this many to one correspondence.
Conclusion
The result of this study about correspondence between western medicine diagnoses and those of oriental medicine confirms that The Korean standard classification of disease(oriental medicine) is hard to be standardized with western medicine diagnosis. Therefore, according to this study, we use new many to one correspondence classification, multiple oriental medicine diagnoses with one ICD-10, which can be used by statistical data.

Key words The Korean standard classification of disease(oriental medicine) many to one correspondence classification;many to many correspondence classification;