ICD diagnoses

Hospital level table

diagnoses_icd

During routine hospital care, patients are billed by the hospital for diagnoses associated with their hospital stay. This table contains a record of all diagnoses a patient was billed for during their hospital stay using the ICD-9 and ICD-10 ontologies. Diagnoses are billed on hospital discharge, and are determined by trained persons who read signed clinical notes.

Table columns

Name Postgres data type
subject_id INTEGER
hadm_id INTEGER
seq_num INTEGER
icd_code CHAR(7)
icd_version INTEGER

Detailed Description

subject_id

subject_id is a unique identifier which specifies an individual patient. Any rows associated with a single subject_id pertain to the same individual.

hadm_id

hadm_id is an integer identifier which is unique for each patient hospitalization.

seq_num

The priority assigned to the diagnoses. The priority can be interpreted as a ranking of which diagnoses are “important”, but many caveats to this broad statement exist. For example, patients who are diagnosed with sepsis must have sepsis as their 2nd billed condition. The 1st billed condition must be the infectious agent. There’s also less importance placed on ranking low priority diagnoses “correctly” (as there may be no correct ordering of the priority of the 5th - 10th diagnosis codes, for example).

icd_code, icd_version

icd_code is the International Coding Definitions (ICD) code.

There are two versions for this coding system: version 9 (ICD-9) and version 10 (ICD-10). These can be differentiated using the icd_version column. In general, ICD-10 codes are more detailed, though code mappings (or “cross-walks”) exist which convert ICD-9 codes to ICD-10 codes.

Both ICD-9 and ICD-10 codes are often presented with a decimal. This decimal is not required for interpretation of an ICD code; i.e. the icd_code of ‘0010’ is equivalent to ‘001.0’.


Last modified August 14, 2020: update website to use docsy (adc506c)