ICD-10-CM/AIS Mapping Software
Federal Information & News Dispatch, Inc. |
SUMMARY: This document announces the reopening of the comment period on a Request for Information (RFI) regarding the potential development of a mapping software to translate the International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Clinical Modification (ICD-10-CM) discharge diagnoses into Abbreviated Injury Scale (AIS) pre-dot codes, injury descriptors, and severity scores. The original
DATES: The comment period for the
ADDRESSES:
Comments: You may submit comments [identified by Docket Number NHTSA-2014-0062] by any of the following methods:
* Internet: To submit comments electronically, go to the
* Fax: Written comments may be faxed to 202-493-2251.
* Mail: Send comments to Docket Management Facility,
* Hand Delivery: If you plan to submit written comments by hand or courier, please do so at
* You may call Docket Management at 1-800-647-5527.
Instructions: For detailed instructions on submitting comments and additional information see the Comments heading of the Supplementary Information section of this document. Note that all comments received will be posted without change to http://www.regulations.gov, including any personal information provided. Please see the Privacy Act heading in the SUPPLEMENTARY INFORMATION.
FOR FURTHER INFORMATION CONTACT: For questions about the program discussed herein, contact
SUPPLEMENTARY INFORMATION: On
On
The "Moving Ahead for Progress in the 21st Century" Act (MAP-21), signed into law on
The DOT seeks comments and information from the public sector, private sector, and academic communities concerning the potential development of ICD-10-CM/AIS mapping software that would address the issues described in this
1. Is there a need for a mapping tool that translates ICD-10-CM codes to the AIS standard?
2. Is there a need for an updated mapping tool that translates ICD-9-CM codes to the AIS standard?
3. Are any steps currently being taken to develop a mapping tool?
4. What capabilities should such a mapping tool possess?
5. What platforms should the mapping tool run on?
6. Should the mapping tool be non-proprietary?
Injury data enables epidemiologists, researchers, and policymakers to better identify the severity of injuries in addition to where, when, and why they occur. This data is, however, frequently spread among discrete databases that are difficult to link to each other or to injury causation data. The ability to link these datasets together is thus critical to efforts to understand injury trends, set injury prevention priorities, identify high risk populations and geographic areas, and develop targeted injury prevention strategies. The DOT, however, is particularly interested in forging and maintaining links among vehicle crash and injury datasets as such links can provide more complete information and better understanding of crash outcomes.
State trauma registry and hospital discharge databases are two of the more significant sources of injury data. Trauma registries are designed to collect large amounts of information about the most seriously injured patients and are not typically used for injury surveillance purposes on their own. Hospital discharge datasets are designed primarily to monitor hospital census, utilization, and financial information but record enough information--like diagnosis codes and external cause/E-codes--to make them useful injury surveillance tools. In addition, the pre-hospital emergency medical services (EMS) patient care reports, compliant with the National EMS Information System (NEMSIS) Standard, may be helpful, as they can serve as good link between the crash data and hospital data. NEMSIS data is submitted to the state level by local EMS agencies, and the collective statewide data is submitted to the National EMS Database. The most effective linkage point at this time is at the State level.
These datasets are generally coded using different methodologies. Trauma registries use the Abbreviated Injury Scale while hospitals and emergency departments use the International Statistical Classification of Diseases and Related Health Problems for diagnosis, reporting, and billing.
The Abbreviated Injury Scale (AIS), developed by the
The maximum AIS (MAIS) severity level is a recognized person-level injury severity indicator. For example, the
Maintained by the
In the early 90's researchers at
While the ICDMAP-generated results are not as precise as those derived by clinicians in trauma registries, this approach has been validated and yields good sensitivity in estimating severity for studying the larger universe of injury hospitalizations. Translating ICD codes to AIS allows all crash-involved injuries to be compiled and analyzed in terms of AIS and MAIS severity. When linked to causal information--State crash databases, for example--ICD codes can be used to improve measurement of crash-related injury severity.
--This is a summary of a
Request for information; reopening of comment period.
Citation: "79 FR 49372"
Document Number: "Docket No. NHTSA-2014-0062"
Federal Register Page Number: "49372"
"Notices"
Copyright: | (c) 2014 Federal Information & News Dispatch, Inc. |
Wordcount: | 1445 |
Census Scientific Advisory Committee
Advisor News
Annuity News
Health/Employee Benefits News
Life Insurance News