Klasifikasi, Kodifikasi Penyakit 9 Pertemuan 14

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SESI 14
FAMILI ICD
PENGENALAN:
ICD-JIWA
ICD-O
ICD-GIGI & MULUT
ICD-OKUPASI
ICECI versi 1.0
ICHI
ICD-10 in OCCUPATIONAL HEALTH
ICD-FISIOTERAPI
1
Family of disease and
health related classifications
Baca Buku ICD-10 Volume 2 halanan 4.
SPECIALTY-BASED ADAPTATIONS yang dikenalkan di
Indonesia:
• Oncology
• Dentistry and Stomatology
• Psychiatry.
OTHER HEALTH RELATED CLASSIFICATIONS:
• ICF (Functioning, Diasablity and Health)
• PROCEDURES
2
ICD-Jiwa (Bab V, F)
• Diterbitkan dalam bahasa Indonesia dengan judul:
•
•
•
•
PPDGJ III = Pedoman Penggolongan dan
Diagnosis Gangguan Jiwa di
Indonesia III
Berikut buku Suplemennya.
(Departemen Kesehatan R.I. Direktorat
Jenderal Pelayanan Medik, 1995)
DSM-IV – khusus untuk tenaga Pendidikan.
(DSM-IV-TR TM, American,Psychiatric Association)
DCR-10 dan CIDI untuk tenaga peneliti
3
ICD-ONCOLOGY
(ICD-O, 3rd Edition))
PENGENALAN
BERBEDAAN
ICD-O dan ICD-10 Bab II
4
Perbedaan Antara ICD-O dan ICD-10 Bab II
• ICD-10 Volume 3, dimulai pada halaman 369 s/d 401.
Lihat Tabel di bawah istilah medis “Neoplasm” (385)
-
_____________________________________________________
Malignant
In situ
Benign Uncertain &
---------------------unknown
Primary Secondary
behaviour
----------------------------------------------------------------------------------------lung
C34.9
C78.0
D02.2 D14.3
D38.1
lobe (lung) C34.0 C78.0
D02.2 D14.3
D38.1
middle C34.2 C78.0
D02.2
(brain)
frontal
C711
- liver
C22.9
- primary C22.9
-
C79.3
C78.7
D33.0
D01.5
D01.5
D13.4
D13.4
D43.0
D37.6
D37.6
5
Perbedaan …. (Lanjutan-1)
Kode Neoplasm Paru (lung) di ICD-O
--------------------------------------------------------------Malignant neoplasm of the lung (such
as carcinoma)
C34.9 M8010/3
Metastatic neoplasm of the lung (such
as metastatic seminoma from testis)
C34.9 M9061/6
In situ neoplasm of the lung (such as
squamous carcinoma in situ)
C34.9 M8070/2
Benign neoplasm of lung (such as
adenoma
C34.9 M8140/0
Uncertain behaviour of neoplasm of lung
(such as carcinoid of uncertain behavior) C34.0 M8240/1
6
Keterangan:
ICD-O hanya menggunakan satu kode 4digit untuk pendataan topografi tumor 
C34.9 berlaku untuk semua neoplasm
lung apapun sifatnya, hanya informasi
pada kode M----/- yang menjelaskan sifat
(behavior) dari tumor terkait (= hasil
pemeriksaaan laboratoris Patologisanatomik neoplasmnya.)
7
Perbedaan …. (Lanjutan-2)
Kode Neoplasm Hati (liver) di ICD-O
-----------------------------------------------------------------Malignant neoplasm of liver cell
(carcinoma)
C22.0 M8170/3
Metastase neoplasm of the liver (such as
metastatic oat cell carcinoma from lung) C22.0 M8042/6
In situ neoplasm of the liver (such as hepatocellular fibromellar carcinoma)
C22.0 M8180/2
Benign neoplasm of liver (such as liver
cell adenoma)
C22.0 M8170/0
Uncertain behavior of neoplasm of liver
such as carcinoid of uncertain behavior) C22.0 M8240/1
Jelas nampak bahwa apapun sifat neoplasm yang ada
di liver (hati) semua kodenya C22.0 walau M-nya lain 8
ICD-10 Categories Not Used in ICD-O, 3rd Ed.
ICD-10 Terms Omitted from ICD-O
ICD-10
Equivalent ICD-O 3rd Ed. Code
Category Term
Site
Histology
Behavior
C43
Melanoma of skin C44.M872- – M879-/3
C45
Mesothelioma
C--.M905/3
C46
Kaposi’s sarcoma C--.M9140
/3
C81-C96 Malignant neoplasm
of lymphoid, hematopoietic
and related tissue C00-C80 M959- M998- /3
C78
Secondary malignant neoplasms of respiratory
and digestive systems
C15-C39 M---/6
9
ICD-10 Categories Not Used in ICD-O, 3rd Ed. (Lanjutan-1)
ICD-10 Terms Omitted from ICD-O
ICD-10
Equivalent ICD-O 3rd Ed. Code
Category Term
Site
Histology
Behavior
C79
Seconadry malignant neoplasms
of other specified site
C00-C14
C40-C80
M---/6
D00-D09 In situ neoplasms C00-C80
M---/2
D10-D36 Benign neoplasms C00-C80
M---/0
D37-D48 Neoplasms of uncertain
and unknown behavior
C00-C48
M---/1
D97
Malignant neoplasms in independent
primary multipla site
Code each one
/3
10
ICD-10 Categories Not Used in ICD-O, 3rd Ed. (Lanjutan-2)
• C81-C96 di ICD-10 meliput malignant neoplasm untuk
lymphoid hematopoietic serta jaringan terkait.
• Di ICD-O mereka dilengkapi code kekhususan
morfologiknya disertai code behavior/3
Code morfologik dikombinasi dengan code topografik
yang tepat dalam batasan C00-C80 akan
menjelaskan diagnosis yang komplit
Contoh:
ICD-10: Lymphocytic lymphoma of the stomach  C83.0
ICD-O: Small cell (difusse) non Hodgkin lymphoma
dikode stomach  C16,9 dengan M9680/3 (large Bcell lymphoma)
11
ICD-10 Categories Not Used in ICD-O, 3rd Ed. (Lanjutan-3)
• C97 di ICD-10 tidak dimunculkan di ICD-O mengingat
bahwa setiap site primer (di ICD-0) umumnya dikode
secara terpisah.
• Pedoman pennetuan apa yang disebut multiple primary
berbeda-beda antar negara.
12
ICD-O Topography Codes Not in ICD-10
C42
Hematopoeitic and Reticulo-endothelial
systems
C42.0
Blood
C42.1
Bone marrow
C42.2
Spleen
C42.3
Reticuloendothelial system, NOS
C42.4
Hematopoietic system, NOS
Contoh: Chronic lymphocytic leukemia: C91.1 (ICD-10) 
menjadi C42.1 (ICD-O)(kode topografik ss.tulang)
M9823/3 (kode morfologik bagi B-cell chronic
lymphocytic leukemia/small lymphocytic lymphoma)
Perhatikan juga kode Malignant neoplasm of spleen
(ICD-10: C26.1, C78.8 -> ICD-O: C42.2) (C42 di ICD-10
13
tidak muncul).
Special Codes in ICD-O for Topography of Lymph
Nodes (C77) &
Hematopoietic & Reticuloendothelial Systems (C42)
• Pada ICD-10 kategori C77 untuk secondary dan
unspecified malignant neoplasms dari lymph nodes
• Pada ICD-O, C77 digunakan sebagai code topografik
lymp nodes. Dengan demikian, sebagian malignant
lymphoma (C81-85) pada ICD-10 di klasiifkasi ICD-O
akan dikode sesuai topografiknya yakni: C77
• C42 pada ICD-10 kosong
C42 digunakan pada ICD-O untuk kode site topografik di
dalam system hematopoeitic dan reticuloendothelial
Kategori ini meliputi utamanya site topografik sebagian
besar leukemia dan kondisi terkait yang terklasifikasi di
dalam C90-C95 pada ICD-10
14
Hydatidiform Mole & Neurofibromatosis
(Von Recklinghauzen disease except bone)
• Hydatidiform Mole, NOS (C58.9 M9100/0)
Pada ICD-O terklasifikasi bukan dalam Chapter II
Neoplasms ICD-10, namun terklasifikasi di Bab XV
“Pregnancy, Chilbirth and the Puerperium” O01.9.
Sedangkan neurofibromatosis including Von
Reklinghauzen disease kecuali tulang (M9540/1) di
ICD-O, pada ICD-10 ada di Chapter XVII “Congenital
Malformation, Deformation and Chromosomal
Abnormalities: sebagai kategori Q85.0
15
Neoplams & HIV disease, AIDS dan Fungsi Neoplasma
• HIV disease & AIDS
Hubungan neoplasm ganas dengan HIV disease sangat
menarik. Neoplasmanya dikode sesuai rules yang
berlaku pada ICD-10.
Kondisi lain yang terkait AIDS, hendaknya dikode untuk
bidang yang terpisah-pisah sesuai masing sistem yang
terlibat.
• Fungsi Neoplasma
ICD-O tidak menyediakan kode khusus untuk rincian
gangguan fungsi neoplasmanya. Apabila diperlukan
silahkan menggunakan kode yang ada di Bab IV ICD-10
16
ICD-GIGI & MULUT
• Departemen Kesehatan R.I. Direktorat Jenderal
Pelayanan Medik 1997 menerbitkan: (WHO)
APLIKASI KLASIFIKASI INTERNASIONAL
TENTANG PENYAKIT GIGI DAN MULUT.
Edisi Ke-pertama 1973
Edisi Ke-dua 1978
Edisi Ke-tiga 1994 terdiri dari:
1.
Klasifikasi Penyakit-Penyakit Mulut
2.
Klasifikasi Neoplasma Mulut
3.
Klasifikasi Penyakit-Penyakit Gigi
(diketik di India, dicetak di Inggris)
17
ICF
• Belum ada terjemahan dalam bahasa Indonesia
• International Classification of Functioning, Disability and
Health (ICF), WHO, Geneve, 2001.
• Sebagai satu anggota “Family” dari ICD, ICF diterbitkan
untuk diaplikasikan di berbagai aspek kesehatan.
• Familiy ICD menyediakan kerangkakerja kode dalam
rentang luas informasi terkait kesehatan (diagnosis,
functioning and disability, reasons for contact with health
services) dan menggunakan bahasa standard sebagai
alat komunikasi antar negara secara internasional.
• ICF dimanfaatkan juga di Bidang Pelayanan Fisioterapi.
18
Impairment Rating
and Disability Evaluation
• Rondinelli & Katz:
Systems of social justice exist to ensure equitable
compensation and societal care for the disabled
It is quite probable that caring and concern for the
disabled has been an integral part of human society
from its earliest inception.
Rules governing societal compensation for losses
suffered are common throughout antiquity and remain
with us to date.
19
Impairment Rating and Disability Evaluation (Cont.-)
• Disability systems in the United States have diverse
historical origins, and a considerable diversity remains
in respect to the definitions of disability, means of
entitlement, benefits, provisions for application, and
the role of and weight given to medical disability
examinations.
The historical overview is intended to acquaint physician
disability examiners with the fundamental requirements
and variations among the disability systems within which
they may choose to work.
20
ICD-OKUPASI
• WHO, Sustainable Development and Health
Environments:
INTERNATIONAL STATISTICAL CLASSIFICATION
of DISEASES and RELATED HEALTH PROBLEMS
(ICD-10) IN OCCUPATIONAL HEALTH.
• Protection of the Human Environment Occupational and
Environmental Health Series Geneva, 1999.
• Klasifikasi dikembangkan untuk dua kepentingan:
1. notification of labour safety and health surveillance
and
2. compensation.
21
ICECI versi 1.0
• Data Dictionary:
INTERNATIONAL CLASSIFICATION OF EXTERNAL
CAUSES OF INJURIES (ICECI) (WHO, Collaborating
Center on Injury Surveillance, March, 2001, Amsterdam)
Traditionally, injury data have been represented using
the external cause codes of the ICD. For more than two
decades, experts have argued that the ICD codes lack
the scope and specificity needed to effectively inform
injury prevention and control activities. As a result of
these debates, injury proffesionals around the world –
under the auspices of the WHO – have worked to
develop an improved tool for capturing injury data.
22
ICECI versi 1.0 (Cont.-)
• The tool is the ICECI. Based on the best practices of
injury surveillance and on international consencus about
how external causes may be described, ICECI helps
researchers and prevention practioners to:
define more precisely the domain of injuries they are
studying.
answere questions on the circumstances of the
injuries; and
provide more detailed information about specific
accident catagories, like home and leisure accidents
or traffic accidents.
23
Relationship between ICECI & ICD-10
• ICECI canoptionally be used as a companion to ICD-10,
allowing for more detailed data capture in emergency
departement, clinics and in-patient hospital settings; in
ad hoc studies and surveys; and possibly in mortality
registration systems.
• Making ICECI comparable with ICD-10 external codes
(Chapter XX) presented several challenges. However,
such comparability was highly desirable. Therefore, the
international experts who developed ICECI decided that
comparability between ICD-10 and ICECI would be
achieved at the level of the matrix developde by the
Centers of Disease Control and Prevention in the US.
24
Relationship between ICECI & ICD-10 (Cont.-)
• This matrix is a recommended framework for injury
mortality data and serves as a standard for the uniform
tabulatin and analysis of injury mortality data classified
by ICD.
• Mechanism (or cause) and intent of injury are the two
key elements of the matrix. The framework is based on
international agreement and is intended to report injury
events is such a way that the results valuable for injury
prevention.
• Data coded to either ICECI or ICD-10 Chapter XX can
be reported in accordance with the matrix. The current
matrix is based on ICD-9 (see Appendix 1), but will be
modified to reflect changes found in ICD-10.
25
ICHI
• International Classification of Health Intervention, ICHI.
disusun oleh National Centre for Classification in Health,
Australia, untuk WHO, sebagai anggota Familiy of ICD
(WHO-FIC).
• Klasifikasi ini didisain untuk digunakan bersama ICD-10
di daerah yang memerlukan klasifikasi yang ringkas dan
sederhana terkait prosedur dan intervensi. Klasifikasi
mengandung istilah intervensi pembedahan (operasi)
dan non-bedah.
• ICHI terindeks penuh untuk tindakan-tindakan khusus ,
mengandung kira-kira 1.400 kode dalam tabular listnya,
disertai istilah-istilah inclusion. Peraturan sesuai aturan
struktur dan konvensi pengindeksan ICD, WHO.
26
Cummulative Official Updates
to ICD-10
• The pages include the corrigenda (pages 747-750 of
Volume 3), and cummulative official changes to the
tabular list, instruction manual and alphabetical index of
ICD-10 from 1996 t0 2004. These changes are approved
at the heads of Centers meeting in October of each year.
The source and implementation date for each change
has been identified. Date of spproval has also been
indicated for all changes except the corrigenda.
• In 1999. the WHO ICD-10 Update Reference Committee
(URG) was established. Modifications to the
classification that have been recommended following
the URC’s inception are uniguely identified and further
defined as a major or minor change.
27
Cummulative Official Updates to ICD-10 (Cont.-)
• Relevant changes in other language versions of ICD-10
and in related tools will also be made and desseminated
by the appropriate authority.
• (Note: Every effort has been made in the following pages
to reproduce the content of the iCD-10 in the same
format as the published volumes. Page references have
not been used in all instances since these do not apply
to electronic versions of the classifictaion.
Additions/changes have been indicated through the use
of instructions, underline and strikeout.)
28
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