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Figure 2.2
Pigeonholing the classificationthe ICD family.
Source: Adapted from ICD-10, 1. |
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document has a complex history, tracing back to the development of modifications of the ICD for use in hospital information systems. It is now the classification of record in a wide variety of medical settings, and it is used for billing, insurance, and administration as well as in patient medical records. This institutional entrenchment of ICD-9-CM has made it very difficult for ICD-10 to be fully adopted in the United States: the clinical modification necessarily lags behind the production of the classification itself. |
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When we come to look at the ways in which culture and practice interweave in the text of the ICD, we are not unmasking a false pretender to the crown of science; we are drawing attention to an explicit, positive and practical feature of ICD design: "The ICD has developed as a practical, rather than a purely theoretical classification. |
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