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Journal : Journal Of Medicine And Health Sciences (Medisci)

Review of ICD-10 Differences Chapter 5 Mental and Behavioral Disorders with DSM-5 Budiyanti, Nita; Dewi Rahmawati, Fitria; Sofiyah, Sofiyah
Jurnal Medisci Vol 1 No 1 (2023): Vol 1 No 1 August 2023
Publisher : Ann Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62885/medisci.v1i1.21

Abstract

ICD-10 Chapter 5 "Mental and Behavioral Disorders" is used to record the diagnoses of all patients seen in psychiatric treatment. The DSM-5 is the standard classification of mental disorders used by mental health professionals in the United States. The differences in determining the diagnosis code in ICD-10 Chapter 5 Mental and Behavioral Disorders and DSM-5 can be influenced by the basic structure coding rules that follow in both classification systems. The purpose of this study was to determine the differences in the basic structure of ICD-10 Chapter 5 Mental and Behavioral Disorders with DSM-5. This research design uses literature review. The results of this study show that there are differences, among others, in the definition of the terms include and exclude in ICD-10 and DSM-5. Koder must improve the ability to understand definitions in the process of determining the codification of the two classification systems.
How Consistent are Perinatal Case Disease Diagnosis Codes Based on ICD 10? A Case Study from Ciremai Hospital Budiyanti, Nita; Nur Afika, Siti; Ernawati, Nunung; Nurulramdhini, Citra
Jurnal Medisci Vol 1 No 2 (2023): Vol 1 No 2 October 2023
Publisher : Ann Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62885/medisci.v1i2.81

Abstract

The mortality rate of neonatal cases in Indonesia in 2021 reached 20,154 cases, the cause of death was dominated by diagnoses of Low Birth Weight, asphyxia, infections, and congenital abnormalities. In health care practice, the diagnosis of illness during treatment will be recorded in a medical record. The medical record will contain administrative and clinical data, one of which contains the diagnosis code and actions during treatment. The diagnosis code established in the medical record must be precise, accurate, and consistent in accordance with ICD-10. This study included a type of quantitative descriptive research with a sample of 222 infant medical records, the sample technique used was purposive sampling. The results showed that the coding process at Ciremai Hospital in Cirebon City was 100% electronic, where from 222 infant medical record documents there were 167 consistent diagnosis codes and 55 inconsistent diagnosis codes. This is caused by 2 things, namely improper diagnosis codes and improper code reselection. Thus, the determination of the diagnosis code for perinatal cases at Ciremai Hospital in Cirebon City in 2022 shows that the consistency of the diagnosis code of 75% or as many as 167 diagnosis codes is consistent.