Abstract
The constituent of diseases of the hospitalized patients in the National Minami-Fukuoka Chest Hospital from 1994 to 1998 was analyzed. The patients in the ward of children and serously handicapped persons excluded. The number of hospitalized patients were increased in recent two years. The number of patients with bronchial asthma and malignancies were increased. The proportion of tuberculosis were decreased. The average age was increased by 2.6 years old from 1994 to 1998. Among the patients of chronic respiratory failure, pulmonary emphysema was increased, pulmonary fibrosis was dereased, and the sequelae of pulmonary tuberculosis was unchanged.
Although the standard international classification such as ICD-10 is principle for the proper cording system, some additional coding system was required to obtain more information representing the characteristics of the particular hospital. As far as our hospital was concerned, chronic respiratory failure which constitute about 30% of all was to be separated and coded in more detail especially for sequelae of pulmonary tuberculosis. Besides the etiologic coding, multiple cording system to clarify functional and therapeutic differences is desirable.
