{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T11:08:12Z","timestamp":1789211292345,"version":"build-2803163510"},"reference-count":14,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T00:00:00Z","timestamp":1757635200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T00:00:00Z","timestamp":1757635200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["2006755"],"award-info":[{"award-number":["2006755"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIM J"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The introduction by the World Health Organization of specific International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) clinical codes for coronavirus disease 2019 (COVID-19) in early 2020 was key to standardising disease reporting and supporting global public health efforts. However, the concordance between these clinical codes and laboratory-confirmed COVID-19 cases based on Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) polymerase chain reaction (PCR) results remains largely unexamined in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study evaluated the concordance between ICD-10 Australian Modification (ICD-10-AM) code U07.1 (COVID-19, virus identified) and SARS-CoV-2 PCR test results in admitted patient records, to improve case identification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>This retrospective study analysed routinely collected electronic medical record data from 13 public hospitals in New South Wales, Australia. Clinical coding of ICD-10-AM U07.1 was assessed using SARS-CoV-2 PCR results as the reference standard. Sensitivity, specificity, positive predictive value and negative predictive value were calculated. A mixed-effects logistic regression model was used to assess diagnostic concordance, adjusting for patient demographics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 25,724 admissions with a SARS-CoV-2 PCR test, 39.4% were confirmed COVID-19 cases based on positive SARS-CoV-2 PCR test results. The ICD-10-AM clinical coding of U07.1 demonstrated excellent accuracy, with a sensitivity of 91.5% (95% CI: 90.8\u201392.2%) and 94.1% (95% CI: 93.6\u201394.6%) compared to conventional and rapid PCR-confirmed cases, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The ICD-10-AM code U07.1 aligns well with SARS-CoV-2 PCR-confirmed cases, supporting its use as a reliable marker for COVID-19 in hospital data for surveillance and research purposes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for health information management practice:<\/jats:title>\n                    <jats:p>Ongoing improvements in clinical coding practices are necessary to minimise misclassification and enhance accuracy for public health planning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18333583251370486","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T13:21:49Z","timestamp":1757683309000},"page":"458-463","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Concordance between ICD-10-AM clinical coding and SARS-CoV-2 PCR testing for COVID-19 in Australian hospitals"],"prefix":"10.1177","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1374-5744","authenticated-orcid":false,"given":"Getiye","family":"Dejenu Kibret","sequence":"first","affiliation":[{"name":"Macquarie University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Thomas","sequence":"additional","affiliation":[{"name":"Macquarie University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey J","family":"Post","sequence":"additional","affiliation":[{"name":"Prince of Wales Hospital, Australia"},{"name":"UNSW Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Curtis","sequence":"additional","affiliation":[{"name":"University of Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Rawlinson","sequence":"additional","affiliation":[{"name":"NSW Health Pathology, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Georgiou","sequence":"additional","affiliation":[{"name":"Macquarie University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirela","family":"Prgomet","sequence":"additional","affiliation":[{"name":"Macquarie University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,12]]},"reference":[{"key":"e_1_3_3_2_1","volume-title":"Socio-Economic Indexes for Areas (SEIFA) 2016","author":"Australian Bureau of Statistics","year":"2018","unstructured":"Australian Bureau of Statistics (2018) Socio-Economic Indexes for Areas (SEIFA) 2016, Technical paper. Australian Bureau of Statistics, Canberra, Australia."},{"key":"e_1_3_3_3_1","unstructured":"Australian Institute of Health and Welfare (AIHW) (2022) Australian Burden of Disease Study: Definition and coding of COVID-19 deaths Canberra Australia."},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-06936-w"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202110-1147RL"},{"key":"e_1_3_3_6_1","unstructured":"College of American Pathologists (2025) How good are COVID-19 (SARS-CoV-2) diagnostic PCR tests? Available at: https:\/\/www.cap.org\/member-resources\/articles\/how-good-are-covid-19-sars-cov-2-diagnostic-pcr-tests (accessed 19 June 2025)."},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.20323"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0000000000001400"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.2147\/CLEP.S335621"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-49501-7"},{"issue":"5","key":"e_1_3_3_11_1","article-title":"Validity of hospital diagnostic codes to identify SARS-CoV-2 infections in reference to polymerase chain reaction results: a descriptive study","volume":"11","author":"Moura CS","year":"2023","unstructured":"Moura CS, Neville A, Liao F, et al. (2023) Validity of hospital diagnostic codes to identify SARS-CoV-2 infections in reference to polymerase chain reaction results: a descriptive study. 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