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    Iceci - 1: Lily Kresnowati

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    Mona Meidya
    The document discusses ICECI (International Classification of External Causes of Injury), which provides a more detailed classification and coding system for external causes of injury than ICD-10. ICECI version 1.0 from 2001 includes data elements such as intent, mechanism of injury, place of occurrence, activity, object/substance, and modules for violence and transport. It structures information about injuries in a standardized way. The document provides examples of how real injury cases would be coded using both ICD-10 and ICECI for surveillance purposes. It concludes that ICECI is a supplement to ICD-10 that allows for more detailed coding of external causes of injuries.

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    Iceci - 1: Lily Kresnowati

    Uploaded by

    Mona Meidya
    153 views21 pages
    The document discusses ICECI (International Classification of External Causes of Injury), which provides a more detailed classification and coding system for external causes of injury than ICD-10. ICECI version 1.0 from 2001 includes data elements such as intent, mechanism of injury, place of occurrence, activity, object/substance, and modules for violence and transport. It structures information about injuries in a standardized way. The document provides examples of how real injury cases would be coded using both ICD-10 and ICECI for surveillance purposes. It concludes that ICECI is a supplement to ICD-10 that allows for more detailed coding of external causes of injuries.

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    koding rekam medis

    Original Title

    ICECI

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    The document discusses ICECI (International Classification of External Causes of Injury), which provides a more detailed classification and coding system for external causes of injury than ICD-10. ICECI version 1.0 from 2001 includes data elements such as intent, mechanism of injury, place of occurrence, activity, object/substance, and modules for violence and transport. It structures information about injuries in a standardized way. The document provides examples of how real injury cases would be coded using both ICD-10 and ICECI for surveillance purposes. It concludes that ICECI is a supplement to ICD-10 that allows for more detailed coding of external causes of injuries.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    153 views21 pages

    Iceci - 1: Lily Kresnowati

    Uploaded by

    Mona Meidya
    The document discusses ICECI (International Classification of External Causes of Injury), which provides a more detailed classification and coding system for external causes of injury than ICD-10. ICECI version 1.0 from 2001 includes data elements such as intent, mechanism of injury, place of occurrence, activity, object/substance, and modules for violence and transport. It structures information about injuries in a standardized way. The document provides examples of how real injury cases would be coded using both ICD-10 and ICECI for surveillance purposes. It concludes that ICECI is a supplement to ICD-10 that allows for more detailed coding of external causes of injuries.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 21

    ICECI - 1

    By
    Lily Kresnowati
    D III RMIK – FKes UDINUS
    PENDAHULUAN
    Data Rekam Medis tentang Cedera, Penyakit
    akibat Kerja (PAK) atau Kecelakaan akibat Kerja
    (KAK)
     ICD 10 : Cedera & Penyebab Luar (ext.
    causes)
    masih kurang
    memadai

    Kebutuhan pencegahan & penanggulangan


    kecelakaan
    WHO Working Group on Injury
    Surveillance

    International Classification of
    External Causes
    of Injury (ICECI)

    ICECI versi 1.0 (2001)


    Klasifikasi / kodifikasi
    external causes lebih terinci
    ICECI - 1
    Data Elements : Modules :
    Intent Violence
    Mechnsm of Injury Transport
    Place of occurnce Place
    Activ when injured Sport
    Object/Substance Occupational
    Alcohol Use
    Psychoact. Drug
    Use
    STRUKTUR ICECI
    INTENT MECHANISM PLACE ACTIVITY OBJECT ALCOHOL DRUG
    USE USE
    Data Level 1 Level 1 Level 1 Level 1 Level 1
    Elements Level 2 Level 2 Level 2 Level 2 Level 1 Level
    Level 2
    for all Level 3 1
    injuries Short
    Version

    Modules
    For V iolence Transport Place Sport Occupational
    specific
    injuries
    DEFINISI
    • Intent : faktor manusia dalam terjadinya
    cedera
    • Mechanism of injury : bagaimana
    terjadinya cedera  underlying, direct
    • Transport module : mode of transport, role
    of injured person, counterpart, type of
    transport injury event
    • Place of occurrence : tempat kejadian
    cedera  etiologi & pencegahan,
    biasanya disertai activity
    • Activity when injured : aktivitas yang
    mendahului cedera  data pendukung
    • Sports module : jenis sport, phase of
    activity
    • Occupational module : masih belum
    lengkap  ISCO 88*, penting utk ketahui
    PAK, KAK
    …………………………………………………..
    * ISCO : International Standard Classification of
    Occupation from ILO
    • Object / Substance : yang ikut dlm
    terjadinya cedera  underlying, direct,
    intermediate
    • Alcohol Use : dugaan pemakaian alkohol
    sebelum terjadinya kecelakaan
     penyebab kecelakaan
    • Psychoactive Drug Use : pemakaian obat-
    obat psikotropika  meningkatkan risiko
    kecelakaan
    INTENT
     Faktor manusia dalam terjadinya cedera
    Menentukan terapi atau dasar tindakan pencegahan
    Terbagi sbb :

    1. Unintentional
    2. Intentional self-harm
    3. Assault
    4. Other Violence
    5. Undetermined intent
    6. Complications of medical/surgical care
    8. Other specified intent
    9. Unspecified intent

    Intent  Modules Violence


    MECHANISM
    Bagaimana terjadinya cedera
    Cedera  akibat terpajan suatu, tjd kerusakan
    jar/org
     insufisiensi elemen vital
     bisa kompleks (bbrp mechanism)

    Kode Mechanism :
    1. Blunt force
    2. Piercing/penetrating force
    3. Other mechanical force
    4. Thermal mechanism
    5. Threat to breathing
    6. Poisoning by or exposure to chemical or other
    substance
    7. Physical
    8. Exposure to weather condition, natural
    disaster, or force of nature
    20.Complications of medical or surgical care
    98. Other specified mechanism of injury
    99. Unspecified mechanism of injury

    Tdr dr Level 1, 2, 3
    Pelengkap  Modul transport
    TRANSPORT MODULE
    • Mode of transport
    • Role of the injured person
    • Counterpart
    • Type of transport injury event
    PLACE OF OCCURENCE
    Tempat kejadian cedera  etiologi  preventif
    Dapat dilengkapi dengan data elemen aktivitas
    Kode :
    1. Home
    2. Residential institution
    3. Medical Service Area
    4. School, educational area,
    etc.
    Level 1, 2
    ACTIVITY WHEN INJURED
    Aktivitas yang mendahului terjadinya
    cedera
    Data pendukung untuk prevention
    Bisa overlap
    Kode :
    1. Paid work
    2. Unpaid work
    3. Education
    4. Sport and exercise during leisure time
    5. Leisure or play
    6. Vital activity
    7. Being taken care of
    8. Travelling not else where classified
    98. Other specified activity
    99. Unspecified activity

    • Level 1, 2
    • Pelengkap  Modul : sport, occupational
    OBJECT/SUBSTANCE
    • Object : mobil, heater, furniture, pisau
    • Substance : hot water, flames
     underlying, direct, intermediate object.

    Level 1, 2
    ALCOHOL/DRUGS
    Alcohol Use
     hetero-anamnese, bau
     Rapid test : saliva, darah

    Psychoactive drug or substance use


     Bekas jarum suntik
     Rapid test : urine, darah
    Contoh kasus
    Kasus 1
    Sewaktu naik sepeda dalam perjalanan ke tempat kerja Pak A ditabrak mobil sedan di jalan umum dan patah
    tulang terbuka pada kaki kanan bawah (tibia). Dibawa ke RS dengan ambulance.

    ICD-10
    Patah tulang tibia 1/3 tengah kanan terbuka : S82.21
    Penyebab luar : V13.4 (V13 Pedal cyclist injured in collision with car, pick-up or van)
    (.4 driver injured in traffic accident)
    Jadi tertulis : S82.21 , V13.4
    ICPM : 5 – 792 (Open reduction of fracture with internal fixation

    ICECI
    Intent 1 (Unintentional)
    Mechanisms 1.1 (Transport injury event) 1.13 (Pedal cyclist)
    Mode of transport 2 (Pedal cycle)
    Role of the injured person 2 (Driver, rider, or operator)
    Counterpart 6 (Light transport vehicle with four or more
    wheels)
    Type of transport injury
    event 1 (Land transport traffic injury event)
    Object 1.00401 (Passenger car)
    Place 6.1 (Roadway)
    Activity 1.2 (Traveling to/from paid work)
    Alcohol 1 (No information available)
    Drug 1 (No information available)
    2. Seorang anak 7 tahun jatuh/kepleset di tepi kolam renang umum dalam
    rangka latihan renang sekolah dan terjadi luka robek pada dahi kiri. Dia
    dibawa oleh pelatihnya ke Puskesmas dan dijahit.

    ICD-10 :
    S01.8 Open wound of other part of head
    W18.30 W18 Other fall on the same level
    .3 Sport and athletics area (Place of Occur.)
    0 While engaged in sport activity (Act. Code)
    5-890 Suture of the skin and subcutaneous tissue

    ICECI :
    • Intent : 1 (Unintentional)
    • Mechanism : 1.52 (Fall/Stumbl. )
    • Place : 10.5 (Swimming pool)
    • Place Modul : 2 (Outdoor)
    • Activity : 4.8 (Oth. Specif. Exerc)
    • Type of sport : 20.01 (School Physical Ed. Class)
    • Object/Substance : 15.01 (Ground surface/surf. conform)
    • Alcohol : 1 (No information)
    • Drug : 1 (No information)
    KESIMPULAN

    • ICECI versi 1.0 (2001) Sistem


    Klasifikasi / kodifikasi external causes
    lebih terinci

    • ICECI merupakan supplemen dari ICD-


    10 untuk kepentingan injury surveillance
    Terima Kasih

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