The Developments and Applications of Disease-based Statistics in TaiwanPi-Joen Lee Statistics OfficeDepartment of HealthStpjlee@doh.gov.tw

Oecd/Korea RCHSP-APNHan Meeting of Regional Health Accounts Experts. Seoul, Korea ( June 18-20,2007)

Department of Health

OutlineBackgroundData sourceTotal Expenditure on Personal Medical Expenditure (PME)by Age, Gender and Diseases 1.Infectious and Parasitic 2.NeoplasmsInternational comparisonAppendices(reference documents) 1. 18 disease classifications of ICD9CM in Taiwan 2. International comparisons (Japan vs. Taiwan)

Department of Health

Allocation of NHE by Purpose of Use

91%89%86%

Department of Health

Allocation of PMENT$624Billion = 91% NHE in Taiwan (NT$624Billion = 17,968 Billion Korea Won) --One Taiwanese shares 781,000 Korea Won personal medical expenditure annually.Around 60% of Personal Medical Expenditures are for Disease of the Respiratory(19%),Digestive(11%) , Circulatory(11%) ,Musculoskeleta(9%) Systems and Genitournary Organs(9%).

Department of Health

Allocation of PMEPersonal Medical Expenditure by Disease

Department of Health

Allocation of PMEPersonal Medical Expenditure by Disease and Gender

Department of Health

Data Source (1)Data warehouse: National Health Insurance(NHI) System.For ambulatory care , there are about 343Million claims annually. For inpatient care ,there are about 3 Million cases annually.No need to do sampling or surveys, vital statistical results can be derived from annual NHI data warehouse directly.

Department of Health

Data Source (2)Classifications of cares provided by NHI Data from NHI are further classified as (1)Ambulatory care : western medicine outpatient, dental care, and chinese medicine care; (2)Inpatient care.Number of Institutions All medical care institutions under contract.

Department of Health

Flow of Data ProcessingThe ambulatory care and inpatient databases of the National Health Insurance in Taiwan are processed as follows

Department of Health

Limitations1.Data are collected as medical claims, thus are hard to be verified. Diseases that cannot be classified are listed unknown.2.ID numbers that do not follow the principles of ID numbering are excluded in the statistics.3.Disease codes are debugged by gender and age. Criteria for debugging are as follows:(1) Gender & disease debug: for example, man pregnant, prostate disease for female.(2) Age & disease debug.

Department of Health

Personal Medical Care Service by Medical Institution Type

Department of Health

Total Expenditure on Personal Health Care by Age and GenderTotal ExpenditurePer Capita

Department of Health

Total Expenditure on Personal Health Care by Disease and Age

Department of Health

Total Expenditure on Personal Health Care by Disease and Age(table)

Department of Health

Disease plots

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesTotal population

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseaseInfectious and Parasitic Diseases ICD9CM : 001-139, 7713, 320-322

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseaseNeoplasms ICD9CM : 140-239

Department of Health

Death Map of Malignant Neoplasm by Locale(Census Register) in 2005Degree of Severity Orange : light Blue : severeYulin County had the highest Crude Death Rate 243/00000. TaoYuang County had the lowest Crude Death Rate 123/00000.

Department of Health

Medical Visits Map of Malignant Neoplasm by Locale (Census Register) in 2005Degree of Severity Orange : light Blue : severeThe Coast areas of Yulin , Chiayi, Tainan County & Northeastern area of Island had high rates. TaoYuang County had the lowest NHI visits

Department of Health

International ComparisonMalignant NeoplasmJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonInfectious and parasitic diseasesJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

Department of Health

Reference Part18 disease classifications of ICD9CM in Taiwan International Comparisons (Japan vs. Taiwan)

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesTotal population

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesInfectious and Parasitic Diseases ICD9CM : 001-139, 7713, 320-322

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesNeoplasms ICD9CM : 140-239

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesEndocrine, Nutritional and Metabolic Diseases and Immunity Disorders ICD9CM : 240-289

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesDiseases of Blood and Blood-Forming Organs ICD9CM : 280-289

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesMental Disorders ICD9CM : 290-319

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesDiseases of the Nervous System and Sense Organs ICD9CM : 323-359

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesDiseases of the Circulatory System ICD9CM : 390-459

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesDiseases of the Respiratory System ICD9CM : 460-466, 470-478, 480-519

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesDiseases of the Digestive System ICD9CM : 520-579

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesDiseases of the Genitourinary System ICD9CM : 580-629

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesDiseases of Skin and Subcutaneous Tissue ICD9CM : 680-709

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesDiseases of the Musculoskeletal System and Connective Tissue ICD9CM : 710-739

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesCongenital Anomalies ICD9CM : 740-759

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesSigns, Symptoms and Ill-Defined Conditions ICD9CM : 780-799

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesInjury and Poisoning ICD9CM : 800-999

Department of Health

Total Expenditure on Personal Health Care by Age, Gender and DiseasesOther Reasons for Contact with Health Services ICD9CM : V00-V82

Department of Health

International ComparisonMalignant NeoplasmJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonEndocrine, Nutritional and Metabolic Diseases and Immunity DisordersJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonDiseases of the Digestive SystemJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonComplications of Pregnancy, Childbirth and the PuerperiumJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonDiseases of Skin and Subcutaneous TissueJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonDiseases of the Musculoskeletal System and Connective TissueJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonCongenital AnomaliesJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonCertain Conditions Originating in the Perinatal PeriodJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonOther Reasons for Contact with Health ServicesJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonInfectious and Parasitic DiseasesJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonMental DisordersJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonDiseases of the Nervous SystemJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonDiseases of the Circulatory SystemJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonDiseases of the Respiratory SystemJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonSigns, Symptoms and Ill-Defined ConditionsJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

International ComparisonDiseases of Sense OrgansJapanTaiwanUnit: rates of patients per 100,000 populationageage

Department of Health

94

0~45~910~1415~1920~2425~2930-3435-3940-4445-4950-5455~5960-6465-6970-7475-7980-8485+

$47,197$23,145$13,778$14,009$15,919$16,141$16,883$16,887$17,205$17,435$18,035$18,696$19,592$20,863$22,866$25,190$25,725$25,736

$93$103$107$138$213$323$542$866$1,396$2,054$2,781$3,517$4,683$5,740$7,014$8,110$8,271$7,700

$852$923$1,349$2,278$3,638$4,512$5,531$6,464$8,019$8,662$7,626$6,503$6,091$5,991$5,798$5,814$5,277$4,228

$6,872$2,944$2,343$4,002$6,053$7,758$9,546$11,169$14,130$18,329$24,098$30,158$36,478$40,194$43,634$43,527$41,007$36,247

$2,732$3,423$2,146$3,322$5,373$6,155$7,375$8,672$10,079$11,254$13,169$14,702$16,662$18,782$21,092$22,679$23,894$23,653

$1,662$1,179$1,195$1,705$2,409$2,796$3,376$4,118$5,159$6,155$7,503$8,459$9,858$11,672$13,799$15,453$16,093$14,430

$45,496$55,613$43,737$26,804$24,361$23,861$23,965$24,124$25,614$26,686$30,519$35,573$42,672$48,750$53,273$53,506$49,480$40,330

$1,107$865$1,057$2,304$3,625$4,375$5,833$8,122$12,535$18,797$27,323$36,046$46,871$56,014$65,270$69,092$68,697$63,853

$111,689$92,501$82,950$75,353$69,999$66,129$67,664$66,108$63,789$62,003$63,090$64,479$69,658$71,530$73,214$72,089$69,419$65,251

$77,520$80,571$55,123$55,509$59,903$57,718$56,521$56,349$57,817$59,079$61,327$63,047$67,050$68,949$70,933$70,773$68,424$62,794

$8,019$4,531$6,143$14,177$24,012$27,477$28,144$26,126$26,268$27,112$24,922$18,293$21,521$25,221$29,984$34,070$35,658$35,501

0.00.00.0$2,442$8,342$14,207$12,510$5,425$1,719$525$2430.00.00.00.00.00.00.0

$50,855$29,195$27,833$34,942$36,771$32,729$30,050$28,496$28,542$28,780$29,273$29,547$31,222$33,529$36,367$38,426$38,411$36,519

$3,343$4,729$9,132$15,544$21,311$22,680$25,428$28,773$33,780$38,485$44,177$47,451$53,384$57,432$60,386$59,446$56,305$49,441

$4,438$1,583$1,062$684$640$528$465$400$416$506$696$898$1,174$1,401$1,508$1,493$1,420$1,068

$3,5710.00.00.00.00.00.00.00.00.00.0$0$0$0$0$00.00.0

$52,502$37,923$27,420$29,373$33,735$35,095$36,546$36,668$37,749$39,335$42,632$45,587$51,273$56,087$60,217$61,385$61,160$58,266

$24,039$21,106$23,988$31,243$34,021$30,016$28,481$28,973$30,836$31,801$33,390$34,170$35,520$37,060$38,282$38,068$37,225$35,824

$55,704$6,912$1,561$3,256$6,728$10,422$17,930$16,762$22,075$22,824$24,316$25,409$30,007$64,414$69,457$68,339$62,683$51,523

2005

2005

2005

2002

2005

(2)

2005

2005

2005

1993

2005

19961999

2005

1996-2002

2005

2005

2005

2005

2005

2005

2005

2005

2005

#REF!

2005

0~45~910~1415~1920~2425~2930-3435-3940-4445-4950-5455~5960-6465-6970-7475-7980-8485+

2671638671112118114131126140168215286387423405365288

1411881015294476123196264369525724785730663

179121326374865869886849711713714212097

3718293953791031241802613604996938681016990989791

303748921622343323864004935656056426636506848441,396

47525255607483106100110123153202276365498629706

36325013415716816212412112314920828643664295611271159888

1512172018294591153308583963140421523169413154577,431

3,04614866863172913534054133412742963414325577118359441,185

40178934839663771583583391298511241355146117241758169114421,372

3824194799143177166151173232257315378469528540556

00012681461546711210000000

374154102177188176162134134135143144175199236273265281

3426808693117153230303378551745113217802778329833152,487

1122215997565656679865

14400000000000000000

67383223303738384144546991114137179215270

2132342532362162142232292112212553073384015066158371,350

548122112101180283302219242247304390497606733742705464

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

#REF!

2002

()

1274356225265183

1168599569

14470724132293

59598330642919

1014624432003044

1519719436873507

2024801241023910

2529943147864645

3034949247944699

3539826241634099

4044779739213876

4549815140864064

50541060852875321

5559865742634394

6064810239304171

6569737434933881

7074621128283382

7579467319292744

808428569821873

858916595131145

90856211645

6523628995713671

701625464649790

751004336366408

14101

1410

657075

01 45 9101415192024252930343539404445495054555960646569707475798084858990

()

622265745568344820331858241729393329340335924147525666818574113951478016933185631976921122151871690818223

1973422481638671112118114131126140168215286387423405365310246387387364

30186113554228313026231713151415232133383835283035

102211034565591114172432454740283339

297884703117161816171313172525374645473732434444

413081314394441484645474964616259644633605956

8745403591022222736456281115168248271236171139105230221191

2724227202022365277110162222283347466642861927850795692793862863

203121411881015294476123196264369525724785730692606668733739

3200000002471423365583123143138141126118134140

3000000012481324406084112124123125130108119124

230000001124101727396697112936651859594

1181113118881324355687132161214292392407377361299356385381

6830149121326374865869886849711713714212010386125129124

26251371114142226233243241620283651638097455363

201051611122022212940191013182538527186354252

6148733333434556101112111011101112

3155314111825395777101148218336483673840980939926772576892916877

2211413461215162424323138444242453626424140

17321145610193360102172257365495581584614538365548572566

12139891115263544526492131195269301356313267196185302303270

415223237489216223433238640049356560564266365068484411681837763809907

203111528701111581972303143843824033662811961329449252199148

72112417345475858080779110011514315513110073129136132

4213141728334156634747414840565961504332555552

989292922182528414044516484981271662725319321683327419574

1604049525255607483106100110123153202276365498629686744432503587

2521129710899138145134958688101142202327503789945983851579750863909

85000000111251840103232417520545452309394467498

168112971089913814513394868696124162224270372425438398270357397411

832012791423519232829353548668410913916718217615385158168168

1458451676711810910111514201619201711181718

351362271182478788713232939415354564025485150

8035222362479915221826302018222225

1100000224668111518273941384118353938

1373322353879121523304143303513353836

9503111121720182945911533085839631404215231694131545768198616377245075335

4771001225114386192384628843124617192014230223332115175719902157

15718458869121829477712220032049970198712881856647795978

7941020122510234170115185281384474547583324388453

7912346856101319243752861352173175147431272323407525

27572223247132347951732954858221251201530374516123515752041

202201010125820418517132159095916152563396496312551667

7352212224916285488123165232291400474553272320375

416457781214161520283966100130166153160129132147158

62025393172148668631729135340541334127429634143255771183594411001349767861954

2211426136955028014514516919319414711010511112512812011793686611310698

2729391885576576813182855100169330510106140193

945196672509753465872725639414355617265677393677069

36116903213861211138101216294989141179194282112141173

12031872038916654465052555144536079113150165188175142147163172

121133287247123534457717471657698126177225247248261256221241250

1010148464789348396637715835833912985112413551461172417581691144214391242165516231541

2090301456214147179244225187195187203233202250140143896069161120108

2091613433150145150184188208232295340381417309274174182132304253218

2784862486014122821429828930332931940638742442129020418033339300225

67000151221233956738993115133175178189185179165180182

6933410162228304350465580107147199235220220179193214223

5582225891623304567821171431781461189585144145125

1221185837313143485966697496120151210336423447516564348411458

180579323154102177188176162134134135143144175199236273265279286240259272

7482636268086931171532303033785517451132178027783298331527801918260329773100

54024657914252743597596127162171179164130154166169

39023221395271981451902133034076089251422167216251303818131114861525

5200011102224102150101236323380385328243307350

254242919534131354058831171792413786269581130113292764289610191056

212463624194799143177166151173232257315378469528540570528471512539

91148111012121621274569112137172207238277291332293251271292

59422222661061261097570776354363726221622312823

62302712613202028303133435888135193225228222213188213224

330000126814615467112100000000000

3000026119920000000000000

100000134210000000000000

8000041937401310000000000000

210000542941014371100000000000

77230000000000000000000000

132767122159975656566798662787

697964383223303738384144546991114137179215225356162184212

000000000000000000000000

31411823623425323621621422322921122125530733840150661583712101621625727862

122424517863464645505164831121381752533465528941254364451573

193115212183174173170168176179159158170195200226253269285318367260276290

3491170394122112101180283302219242247304390497606733742705524349663689662

300000137314114457110000000000000

194032072039546877141171228305401468540540488305166481487455

125117039110210567679089859076768597138194201217219183182202207

ICD-9ICD-10ICD-9

001-139A00-B99001-139,7713,320-322

140-208C00-C97140-208

210-239D00-D48210-239

240-289D50-D89, E00-E90240-289

290-319F00-F99290-319

320-389G00-G99, H00-H95()320-359

399-459I00-I99360-389

460-519J00-J99399-459

520-579K00-K93460-466, 470-478, 480-519

580-629N00-N99520-579

630-676O00-O99580-629

680-709L00-L99630-676

710-739M00-M99680-709

740-759Q00-Q99710-739

760-779P00-P96740-759

780-799R00-R99()760-7712, 7714-779

800-999S00-T98780-799

V00-V82Z00-Z99800-999

E800-E999

V00-V82

1998200120042005

ICD-9

88,85390,92092,30692,433

001-139,7713,320-32215,12117,56019,13419,264

140-2081,3341,4611,6021,657

210-2394,1324,6385,0014,964

240-28910,47412,87515,03514,778

290-3197,2797,6998,5758,960

()320-35910,5484,8375,0674,906

360-38929,44630,49533,14833,367

399-45913,70213,79315,66115,925

460-466, 470-478, 480-51972,26673,50771,87172,385

520-57955,88059,51862,71061,962

580-62921,17721,68422,89721,491

630-6762,0332,0931,9793,740

680-70928,62429,11931,37932,261

710-73926,21127,04029,45028,844

740-759606943995972

()760-7712, 7714-779113271344344

780-79922,93633,84938,19539,799

800-99923,59927,82530,56330,436

E800-E9991,072564501347

V00-V822,10317,62321,61721,807

1993199619992002

ICD-9ICD-10

6,7357,0006,5666,222

001-139A00-B99748196194197

140-208C00-C97728208203203

210-239D00-D48386797568

240-289D50-D89, E00-E902,307341336341

290-319F00-F991,085383386415

320-389G00-G99, H00-H953,184544536495

399-459I00-I997,862587531477

460-519J00-J993,145554841

520-579K00-K937,1011,2711,0851,010

580-629N00-N991,042206197212

630-676O00-O99157353533

680-709L00-L991,147213227180

710-739M00-M992,742824759748

740-759Q00-Q99116171513

760-779P00-P9614677

780-799R00-R99474837369

800-999S00-T98983347350314

V00-V82Z00-Z991,746365335349

10

01 45 910141519202425-3435-4445-5455-6465-6970-7475-7980-8485-

748103072653730320840061664478912351367143611221172971

7361004797552332177204457634813133015121693147215241164

7591060650521272239605779654766114412451264897974885

88401259113705063746457102971249892143

864203101347147416751598911713111199120

9038520592695387817655115781198988154

72826343631263085334757153924862806305226392051

72421353432222637178524166430993814432339003234

732433339292934135493989142219612136223319261524

181453018172267101243378256303293244167108

102332612119373062115241325341345256205

25742332423389917442864027028226117911764

386

287

481

193102696599106115284234252154211248382302248

751347573806126345051104154189271282157

307686356119152208540422452202259288453313290

21141868210016719233256511462616523864326822576945963089

1914157879115810913132412402749515658156468651440013454

23082177811017827954181310542486531669607057600149332925

108516154122139241570101213581542175617131756157715381960

101412198167167228536111713921478158014891379118912221401

1154201067510925560690613231606192319042008182717182212

318410401732234515321070810861121519244578924213061146821420410825

2277104118682366159010557547251008147431516361957610705105779645

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c-2109Z46.3-Z46.4b-2104

c-2110Z40-Z46.2,Z46.5-Z54b-2105

c-2111Z99.2b-2106

c-2112Z55-Z99.1,Z99.3-Z99.9b-2106

c-22000099b-2200

c-221004b-2210

c-22200099b-2220

94

0~45~910~1415~1920~2425~2930-3435-3940-4445-4950-5455~5960-6465-6970-7475-7980-8485+

$47,197$23,145$13,778$14,009$15,919$16,141$16,883$16,887$17,205$17,435$18,035$18,696$19,592$20,863$22,866$25,190$25,725$25,736

$93$103$107$138$213$323$542$866$1,396$2,054$2,781$3,517$4,683$5,740$7,014$8,110$8,271$7,700

$852$923$1,349$2,278$3,638$4,512$5,531$6,464$8,019$8,662$7,626$6,503$6,091$5,991$5,798$5,814$5,277$4,228

$6,872$2,944$2,343$4,002$6,053$7,758$9,546$11,169$14,130$18,329$24,098$30,158$36,478$40,194$43,634$43,527$41,007$36,247

$2,732$3,423$2,146$3,322$5,373$6,155$7,375$8,672$10,079$11,254$13,169$14,702$16,662$18,782$21,092$22,679$23,894$23,653

$1,662$1,179$1,195$1,705$2,409$2,796$3,376$4,118$5,159$6,155$7,503$8,459$9,858$11,672$13,799$15,453$16,093$14,430

$45,496$55,613$43,737$26,804$24,361$23,861$23,965$24,124$25,614$26,686$30,519$35,573$42,672$48,750$53,273$53,506$49,480$40,330

$1,107$865$1,057$2,304$3,625$4,375$5,833$8,122$12,535$18,797$27,323$36,046$46,871$56,014$65,270$69,092$68,697$63,853

$111,689$92,501$82,950$75,353$69,999$66,129$67,664$66,108$63,789$62,003$63,090$64,479$69,658$71,530$73,214$72,089$69,419$65,251

$77,520$80,571$55,123$55,509$59,903$57,718$56,521$56,349$57,817$59,079$61,327$63,047$67,050$68,949$70,933$70,773$68,424$62,794

$8,019$4,531$6,143$14,177$24,012$27,477$28,144$26,126$26,268$27,112$24,922$18,293$21,521$25,221$29,984$34,070$35,658$35,501

0.00.00.0$2,442$8,342$14,207$12,510$5,425$1,719$525$2430.00.00.00.00.00.00.0

$50,855$29,195$27,833$34,942$36,771$32,729$30,050$28,496$28,542$28,780$29,273$29,547$31,222$33,529$36,367$38,426$38,411$36,519

$3,343$4,729$9,132$15,544$21,311$22,680$25,428$28,773$33,780$38,485$44,177$47,451$53,384$57,432$60,386$59,446$56,305$49,441

$4,438$1,583$1,062$684$640$528$465$400$416$506$696$898$1,174$1,401$1,508$1,493$1,420$1,068

$3,5710.00.00.00.00.00.00.00.00.00.0$0$0$0$0$00.00.0

$52,502$37,923$27,420$29,373$33,735$35,095$36,546$36,668$37,749$39,335$42,632$45,587$51,273$56,087$60,217$61,385$61,160$58,266

$24,039$21,106$23,988$31,243$34,021$30,016$28,481$28,973$30,836$31,801$33,390$34,170$35,520$37,060$38,282$38,068$37,225$35,824

$55,704$6,912$1,561$3,256$6,728$10,422$17,930$16,762$22,075$22,824$24,316$25,409$30,007$64,414$69,457$68,339$62,683$51,523

2005

2005

2005

2002

2005

(2)

2005

2005

2005

1993

2005

19961999

2005

1996-2002

2005

2005

2005

2005

2005

2005

2005

2005

2005

#REF!

2005

0~45~910~1415~1920~2425~2930-3435-3940-4445-4950-5455~5960-6465-6970-7475-7980-8485+

2671638671112118114131126140168215286387423405365288

1411881015294476123196264369525724785730663

179121326374865869886849711713714212097

3718293953791031241802613604996938681016990989791

303748921622343323864004935656056426636506848441,396

47525255607483106100110123153202276365498629706

36325013415716816212412112314920828643664295611271159888

1512172018294591153308583963140421523169413154577,431

3,04614866863172913534054133412742963414325577118359441,185

40178934839663771583583391298511241355146117241758169114421,372

3824194799143177166151173232257315378469528540556

00012681461546711210000000

374154102177188176162134134135143144175199236273265281

3426808693117153230303378551745113217802778329833152,487

1122215997565656679865

14400000000000000000

67383223303738384144546991114137179215270

2132342532362162142232292112212553073384015066158371,350

548122112101180283302219242247304390497606733742705464

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

2002

#REF!

2002

()

1274356225265183

1168599569

14470724132293

59598330642919

1014624432003044

1519719436873507

2024801241023910

2529943147864645

3034949247944699

3539826241634099

4044779739213876

4549815140864064

50541060852875321

5559865742634394

6064810239304171

6569737434933881

7074621128283382

7579467319292744

808428569821873

858916595131145

90856211645

6523628995713671

701625464649790

751004336366408

14101

1410

657075

01 45 9101415192024252930343539404445495054555960646569707475798084858990

()

622265745568344820331858241729393329340335924147525666818574113951478016933185631976921122151871690818223

1973422481638671112118114131126140168215286387423405365310246387387364

30186113554228313026231713151415232133383835283035

102211034565591114172432454740283339

297884703117161816171313172525374645473732434444

413081314394441484645474964616259644633605956

8745403591022222736456281115168248271236171139105230221191

2724227202022365277110162222283347466642861927850795692793862863

203121411881015294476123196264369525724785730692606668733739

3200000002471423365583123143138141126118134140

3000000012481324406084112124123125130108119124

230000001124101727396697112936651859594

1181113118881324355687132161214292392407377361299356385381

6830149121326374865869886849711713714212010386125129124

26251371114142226233243241620283651638097455363

201051611122022212940191013182538527186354252

6148733333434556101112111011101112

3155314111825395777101148218336483673840980939926772576892916877

2211413461215162424323138444242453626424140

17321145610193360102172257365495581584614538365548572566

12139891115263544526492131195269301356313267196185302303270

415223237489216223433238640049356560564266365068484411681837763809907

203111528701111581972303143843824033662811961329449252199148

72112417345475858080779110011514315513110073129136132

4213141728334156634747414840565961504332555552

989292922182528414044516484981271662725319321683327419574

1604049525255607483106100110123153202276365498629686744432503587

2521129710899138145134958688101142202327503789945983851579750863909

85000000111251840103232417520545452309394467498

168112971089913814513394868696124162224270372425438398270357397411

832012791423519232829353548668410913916718217615385158168168

1458451676711810910111514201619201711181718

351362271182478788713232939415354564025485150

8035222362479915221826302018222225

1100000224668111518273941384118353938

1373322353879121523304143303513353836

9503111121720182945911533085839631404215231694131545768198616377245075335

4771001225114386192384628843124617192014230223332115175719902157

15718458869121829477712220032049970198712881856647795978

7941020122510234170115185281384474547583324388453

7912346856101319243752861352173175147431272323407525

27572223247132347951732954858221251201530374516123515752041

202201010125820418517132159095916152563396496312551667

7352212224916285488123165232291400474553272320375

416457781214161520283966100130166153160129132147158

62025393172148668631729135340541334127429634143255771183594411001349767861954

2211426136955028014514516919319414711010511112512812011793686611310698

2729391885576576813182855100169330510106140193

945196672509753465872725639414355617265677393677069

36116903213861211138101216294989141179194282112141173

12031872038916654465052555144536079113150165188175142147163172

121133287247123534457717471657698126177225247248261256221241250

1010148464789348396637715835833912985112413551461172417581691144214391242165516231541

2090301456214147179244225187195187203233202250140143896069161120108

2091613433150145150184188208232295340381417309274174182132304253218

2784862486014122821429828930332931940638742442129020418033339300225

67000151221233956738993115133175178189185179165180182

6933410162228304350465580107147199235220220179193214223

5582225891623304567821171431781461189585144145125

1221185837313143485966697496120151210336423447516564348411458

180579323154102177188176162134134135143144175199236273265279286240259272

7482636268086931171532303033785517451132178027783298331527801918260329773100

54024657914252743597596127162171179164130154166169

39023221395271981451902133034076089251422167216251303818131114861525

5200011102224102150101236323380385328243307350

254242919534131354058831171792413786269581130113292764289610191056

212463624194799143177166151173232257315378469528540570528471512539

91148111012121621274569112137172207238277291332293251271292

59422222661061261097570776354363726221622312823

62302712613202028303133435888135193225228222213188213224

330000126814615467112100000000000

3000026119920000000000000

100000134210000000000000

8000041937401310000000000000

210000542941014371100000000000

77230000000000000000000000

132767122159975656566798662787

697964383223303738384144546991114137179215225356162184212

000000000000000000000000

31411823623425323621621422322921122125530733840150661583712101621625727862

122424517863464645505164831121381752533465528941254364451573

193115212183174173170168176179159158170195200226253269285318367260276290

3491170394122112101180283302219242247304390497606733742705524349663689662

300000137314114457110000000000000

194032072039546877141171228305401468540540488305166481487455

125117039110210567679089859076768597138194201217219183182202207

ICD-9ICD-10ICD-9

001-139A00-B99001-139,7713,320-322

140-208C00-C97140-208

210-239D00-D48210-239

240-289D50-D89, E00-E90240-289

290-319F00-F99290-319

320-389G00-G99, H00-H95()320-359

399-459I00-I99360-389

460-519J00-J99399-459

520-579K00-K93460-466, 470-478, 480-519

580-629N00-N99520-579

630-676O00-O99580-629

680-709L00-L99630-676

710-739M00-M99680-709

740-759Q00-Q99710-739

760-779P00-P96740-759

780-799R00-R99()760-7712, 7714-779

800-999S00-T98780-799

V00-V82Z00-Z99800-999

E800-E999

V00-V82

1998200120042005

ICD-9

88,85390,92092,30692,433

001-139,7713,320-32215,12117,56019,13419,264

140-2081,3341,4611,6021,657

210-2394,1324,6385,0014,964

240-28910,47412,87515,03514,778

290-3197,2797,6998,5758,960

()320-35910,5484,8375,0674,906

360-38929,44630,49533,14833,367

399-45913,70213,79315,66115,925

460-466, 470-478, 480-51972,26673,50771,87172,385

520-57955,88059,51862,71061,962

580-62921,17721,68422,89721,491

630-6762,0332,0931,9793,740

680-70928,62429,11931,37932,261

710-73926,21127,04029,45028,844

740-759606943995972

()760-7712, 7714-779113271344344

780-79922,93633,84938,19539,799

800-99923,59927,82530,56330,436

E800-E9991,072564501347

V00-V822,10317,62321,61721,807

1993199619992002

ICD-9ICD-10

6,7357,0006,5666,222

001-139A00-B99748196194197

140-208C00-C97728208203203

210-239D00-D48386797568

240-289D50-D89, E00-E902,307341336341

290-319F00-F991,085383386415

320-389G00-G99, H00-H953,184544536495

399-459I00-I997,862587531477

460-519J00-J993,145554841

520-579K00-K937,1011,2711,0851,010

580-629N00-N991,042206197212

630-676O00-O99157353533

680-709L00-L991,147213227180

710-739M00-M992,742824759748

740-759Q00-Q99116171513

760-779P00-P9614677

780-799R00-R99474837369

800-999S00-T98983347350314

V00-V82Z00-Z991,746365335349

10

01 45 910141519202425-3435-4445-5455-6465-6970-7475-7980-8485-

748103072653730320840061664478912351367143611221172971

7361004797552332177204457634813133015121693147215241164

7591060650521272239605779654766114412451264897974885

88401259113705063746457102971249892143

864203101347147416751598911713111199120

9038520592695387817655115781198988154

72826343631263085334757153924862806305226392051

72421353432222637178524166430993814432339003234

732433339292934135493989142219612136223319261524

181453018172267101243378256303293244167108

102332612119373062115241325341345256205

25742332423389917442864027028226117911764

386

287

481

193102696599106115284234252154211248382302248

751347573806126345051104154189271282157

307686356119152208540422452202259288453313290

21141868210016719233256511462616523864326822576945963089

1914157879115810913132412402749515658156468651440013454

23082177811017827954181310542486531669607057600149332925

108516154122139241570101213581542175617131756157715381960

101412198167167228536111713921478158014891379118912221401

1154201067510925560690613231606192319042008182717182212

318410401732234515321070810861121519244578924213061146821420410825

2277104118682366159010557547251008147431516361957610705105779645

40661040158723221471108287110041425237159431173915405172831628811389

7862137109679412716836816936782166392565634498384054172639719

6799168126808615217037719256572161142475832856361063909638382

8890103925310210016535914596996171412642335593398874321340362

51260822143412411255119120391695221796225482342219203

41101731223714712754710108551462118245184951931116730

610908035301019755529131721894524161251582574220334

113613105161112271144771677341054367681982011777

112320135198133313459221044219650585781041111532

114956612121020933631271271847247103948714900

31458378116078188367017391334190418001841283036684944438340563478

323588571231093374227188812481547156016052689399761465667855404638

305878851086369823084158314232270207422076296433874144355532152962

952508051012357808440476752611577702702832717521430

884503750102478737461337574538501566636767594550341

1019513651962229882418621936685653832758875797504466

7101494274452652567357647955903674392351111311717109771081985086773

6741523315350062531318637055234628186111137412888119241122491876961

7448487231255442604399059326588721798581086710716103461055581236699

104219215718717325954911479731233148919422296258322101851

830230195199142163187356526628133925703730443141793786

124515212017420636392719581426183716311404134013901101950

1570000373618251164000000

30900007773916712348000000

1147302416917937471063142211058571051114714131595174713731804

103532271735841725921830657698907117216922047241618903258

12572816164574177012142038157410181196112411751294131410801153

274249638023028138761512312512510584281179112691115978726

17767871922342803305209901732338157398265900981507237

3672215667226281446715147532856744107291414215061135529411

14

15

13

11613874301591027329414381155212204209137105

10413104321801067525404562118151157184107119

1291476427136977236414199190264236225153100

983340599684810873813689735981128215211749199019882252

1048404682811104111129678678021016133414721743176617261982

922272513551566621653506667947123415621753213521382377

299391152283212741901461582464075106758439361223

31441131279454406281221209280378449527588585740

28436981741821349568107213434563773100811351446

174628087147479755161458274712871625242427383204283725602155

125923908067847893405577488971190252125603542325131512463

2219325062373311707072426480316822057233028882979257022292016

474

416

531

101110

1 1761 1331 2185 8245 0806 5391 1701 1211 2175 3964 7406 024

I283423168166170I273222167164171

91365749125554

785586750564606853

II134145122153142164II134148120144133154

192613233016182313192513

151713192117151713171915

812561039125684

14208710414209795

III546271242III546221034

IV403545269222314IV393542270225314

343037155162148323034146156137

V259280238124112135V263279248123108138

291740741036225014720

172194151383837169189149373835

VI5349569582109VI5753618876100

VII11914272192349VII121014269189345

VIII32311096123VIII32410793121

IX2592143038927541 024IX250209290798681909

23123456443369117925514398625

534659146139153504357130125135

172140201138135141172143199116115118

X536145676686666X566349649658642

131313123135111121212120133108

XI7384621 1981 1111 282XI6676571 0199551 080

101835741925111727661789

161814209208210141512163160165

182314708753152012556843

XII656207188225XII777220202237

XIII614278763557960XIII604278699513878

XIV343732172136207XIV353633162139184

XV21411428XV20391528

XVI565111XVI555222

XVII665111111XVII666999

XVIII171618665478XVIII181619554565

XIX939592254281228XIX9590100255276235

XXI14820351276423XXI12718323263380

000202174229000176157193

8111481114

117611701139582453965083

282725168167172

444262426

997553

222292927

000363841

131212727375

134134131153144141

1071081091019594

191816231916

151514191716

141415778

596164525154

272621524947

555272221

333221817

222554

403933269270282

221222421

343227155146146

45592100116

259263258124123157

172169159383744

182021303051

665343137

636973212625

535766958894

111212272269240

788969777

444175171164

33311010780

000191914

110515035

00014138

111111010

111151512

259250246892798704

231711564514466

535047146130110

262319857560

272828615551

17217217813811697

1211231271009075

504951382622

121110433731

535657676649563

222274268219

171921756

122928892

776443630

13129123120111

131416135131105

73665911981019951

000250233209

000188182209

000397312278

12108947359

2211088268

181512705543

393837928285

677207220173

616055763699693

998585246

272724402373366

443654949

202021238226233

343537172162175

232327555764

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