XML、CSV或数据库格式的ICD-9代码列表

Question

我正在寻找一个完整的ICD-9代码(医疗代码)的疾病和程序的格式，可以导入到数据库中，并以编程引用的完整列表。我的问题基本上和Looking for resources for ICD-9 codes完全一样，但是最初的发帖者忽略了提到他是从哪里“获得”他的完整列表的。

谷歌绝对不是我在这里的朋友，因为我花了很多时间在谷歌上搜索这个问题，并发现了许多富文本类型的列表(如CDC)或网站，在那里我可以交互地深入到完整的列表，但我找不到哪里可以获得这些网站的列表，并可以解析到数据库中。我相信这里的文件，ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Publications/ICD9-CM/2009/有我要找的，但这些文件是富文本格式，并包含许多垃圾和格式，将很难准确删除。

我知道这一定是别人做的，我正在努力避免重复别人的工作，但我就是找不到xml/CSV/Excel列表。

Answer 1

删除RTF后，解析文件并将其转换为CSV并不是太难。我得到的包含所有2009ICD-9疾病和程序代码的解析文件在这里：http://www.jacotay.com/files/Disease_and_ProcedureCodes_Parsed.zip我写的解析器在这里：http://www.jacotay.com/files/RTFApp.zip基本上是一个两步的过程-从CDC FTP站点获取文件，并从中删除RTF，然后选择RTF-free文件并将它们解析成CSV文件。这里的代码非常粗糙，因为我只需要输出一次结果。

以下是解析应用程序的代码，以防外部链接关闭(后端到一个表单，该表单允许您选择一个文件名，然后单击按钮使其生效)

Public Class Form1

Private Sub btnBrowse_Click(ByVal sender As System.Object, ByVal e As System.EventArgs) Handles btnBrowse.Click
    Dim p As New OpenFileDialog With {.CheckFileExists = True, .Multiselect = False}
    Dim pResult = p.ShowDialog()
    If pResult = Windows.Forms.DialogResult.Cancel OrElse pResult = Windows.Forms.DialogResult.Abort Then
        Exit Sub
    End If
    txtFileName.Text = p.FileName
End Sub

Private Sub btnGo_Click(ByVal sender As System.Object, ByVal e As System.EventArgs) Handles btnGo.Click
    Dim pFile = New IO.FileInfo(txtFileName.Text)
    Dim FileText = IO.File.ReadAllText(pFile.FullName)
    FileText = RemoveRTF(FileText)
    IO.File.WriteAllText(Replace(pFile.FullName, pFile.Extension, "_fixed" & pFile.Extension), FileText)

End Sub


Function RemoveRTF(ByVal rtfText As String)
    Dim rtBox As System.Windows.Forms.RichTextBox = New System.Windows.Forms.RichTextBox

    '// Get the contents of the RTF file. Note that when it is
    '// stored in the string, it is encoded as UTF-16.
    rtBox.Rtf = rtfText
    Dim plainText = rtBox.Text

    Return plainText
End Function


Private Sub Button1_Click(ByVal sender As System.Object, ByVal e As System.EventArgs) Handles Button1.Click
    Dim pFile = New IO.FileInfo(txtFileName.Text)
    Dim FileText = IO.File.ReadAllText(pFile.FullName)
    Dim DestFileLine As String = ""
    Dim DestFileText As New System.Text.StringBuilder

    'Need to parse at lines with numbers, lines with all caps are thrown away until next number
    FileText = Strings.Replace(FileText, vbCr, "")
    Dim pFileLines = FileText.Split(vbLf)
    Dim CurCode As String = ""
    For Each pLine In pFileLines
        If pLine.Length = 0 Then
            Continue For
        End If
        pLine = pLine.Replace(ChrW(9), " ")
        pLine = pLine.Trim

        Dim NonCodeLine As Boolean = False
        If IsNumeric(pLine.Substring(0, 1)) OrElse (pLine.Length > 3 AndAlso (pLine.Substring(0, 1) = "E" OrElse pLine.Substring(0, 1) = "V") AndAlso IsNumeric(pLine.Substring(1, 1))) Then
            Dim SpacePos As Int32
            SpacePos = InStr(pLine, " ")
            Dim NewCode As String
            NewCode = ""
            If SpacePos >= 3 Then
                NewCode = Strings.Left(pLine, SpacePos - 1)
            End If

            If SpacePos < 3 OrElse Strings.Mid(pLine, SpacePos - 1, 1) = "." OrElse InStr(NewCode, "-") > 0 Then
                NonCodeLine = True
            Else
                If CurCode <> "" Then
                    DestFileLine = Strings.Replace(DestFileLine, ",", "&#44;")
                    DestFileLine = Strings.Replace(DestFileLine, """", "&quot;").Trim
                    DestFileText.AppendLine(CurCode & ",""" & DestFileLine & """")
                    CurCode = ""
                    DestFileLine = ""
                End If

                CurCode = NewCode
                DestFileLine = Strings.Mid(pLine, SpacePos + 1)
            End If
        Else
            NonCodeLine = True
        End If


        If NonCodeLine = True AndAlso CurCode <> "" Then 'If we are not on a code keep going, otherwise check it
            Dim pReg As New System.Text.RegularExpressions.Regex("[a-z]")
            Dim pRegCaps As New System.Text.RegularExpressions.Regex("[A-Z]")
            If pReg.IsMatch(pLine) OrElse pLine.Length <= 5 OrElse pRegCaps.IsMatch(pLine) = False OrElse (Strings.Left(pLine, 3) = "NOS" OrElse Strings.Left(pLine, 2) = "IQ") Then
                DestFileLine &= " " & pLine
            Else 'Is all caps word
                DestFileLine = Strings.Replace(DestFileLine, ",", "&#44;")
                DestFileLine = Strings.Replace(DestFileLine, """", "&quot;").Trim
                DestFileText.AppendLine(CurCode & ",""" & DestFileLine & """")
                CurCode = ""
                DestFileLine = ""
            End If
        End If
    Next

    If CurCode <> "" Then
        DestFileLine = Strings.Replace(DestFileLine, ",", "&#44;")
        DestFileLine = Strings.Replace(DestFileLine, """", "&quot;").Trim
        DestFileText.AppendLine(CurCode & ",""" & DestFileLine & """")
        CurCode = ""
        DestFileLine = ""
    End If

    IO.File.WriteAllText(Replace(pFile.FullName, pFile.Extension, "_parsed" & pFile.Extension), DestFileText.ToString)
End Sub

结束类

Answer 2

医疗补助和医疗保险服务中心提供了excel文件，其中只包含代码和诊断，可以直接导入到一些SQL数据库，sans转换。

Zipped Excel files, by version number

(更新:基于以下评论的新链接)

Answer 3

医疗保险服务中心(CMS)实际上收取ICD费用，所以我认为你们参考的CDC版本可能只是副本或重新处理的副本。这是(~难以找到)的联邦医疗保险页面，我认为它包含原始数据(“真相来源”)。

http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/codes.html

看起来在这篇文章中最新的版本是v32。您下载的zip将包含4个纯文本文件，它们将代码映射到描述( DIAG|PROC和SHORT|LONG的每种组合对应一个文件)。它还包含两个excel文件(每个文件用于DIAG_PROC)，这两个文件有三列，因此将代码映射到这两个描述(长描述和短描述)。