International Classification of Diseases, 9th Revision; Clinical 
Modification, 6th Revision  (ICD-9-CM) CD-ROM

Issued:             October 1998
SuDocs:             HE22.41/2:
Paper Equivalent:        HE22.41:Year/V.1-2
Internet Version:        http://cedr.lbl.gov/icda8.html (8th revision)
Issuing Agency:          U.S. Dept. of Health and Human Services ; Centers for Disease                   Control and Prevention, Health Care Financing Administration.
Item no.:           444-P-4

     This publication codes diseases, injuries, conditions, drugs and procedures into numerical
designations.  Such coding is used to provide access to information from medical records.  This
information can then be utilized as statistics for medical researchers, educators and
administrators.  Medical coding has also come to be utilized for the billing and payment of health
care services.  
     The World Health Organization is the parent organizer of this classification system.  The
ICD-9-CM is recommended for use in all clinical settings but is required for reporting diagnoses
and diseases to all  U.S. Public Health Service and Health Care Financing Administration
programs. Guidance in the use of this classification can be found in the "Guidance in the Use of
ICD-9-CM." section of the CD-ROM.
     I first experienced using the International Classification of Diseases after receiving a
telephone reference question at the Government Publications reference desk I was working at.
A lady called and said she had been diagnosed as a 296.80 at a recent doctor's visit and
demanded to know what that meant.  She was very agitated when I said it would take me a while
to find out what that meant.  She wouldn't give me her number to call her back, but said she
would call me back in 30 minutes.  Luckily, I found the International Classification of Diseases
and discovered that a 296.80 was "Manic-depressive psychosis, unspecified."   I was glad I could
help her and was also perhaps more understanding of her agitation
     
           Installing and Starting the ICD-9-CM CD-ROM

The instruction booklet says that this CD can be used on both 
Windows and Windows95 platforms.  The following installation (as 
described in the instruction booklet) will build a ICD9CM program 
group into your Program Manager.

Windows:   After placing the CD in the CD drive, Select File, then Run from the upper menu
bar.  Then type d:\setup in the dialogue box (where d is the CD drive of your computer).  Then
click on OK, and follow the on-screen instructions.
                                 
Windows95:     After placing the CD in the CD drive, choose Run from the Start menu at the
bottom of your screen and type d:\setup (where d is the CD drive of your computer).  Then
follow the instructions as they appear on the screen.
     To start the program, click on the "ICD9CM Oct 1997" icon
    
                     Using the ICD9CM CD-ROM

The opening page of the CD contains:

     Contents                        Appendixes
     Guidelines                    Morphology of Neoplasms
     Preface                            Glossary of Mental Disorders  
    Online User's Guide           Classification of Drugs             
                  Classification of Industrial Accidents   
     Tabular List of Diseases     List of Three-Digit Categories     
Index to Diseases and Injuries     Index to External Causes of Injury

     Tabular List of Procedures
     Index to Procedures

     Table of Drugs and Chemicals


Clicking on one of the above headings will take you to that section.

Additionally, Query is offered from the upper menu bar and allows 
you to search keywords. Boolean operators can be used. Phrases should 
be placed in quotes.  As you type in your words, you will receive a 
confirmation outline that shows the number of times your search words 
appear in the database.  To retrieve and display the records found 
from your search, click on the OK button and your first hit will be 
displayed. Next and Previous icons are available on the upper menu 
bar to move through your list of hits.

You can also use the Query Templates choice from the upper menu bar 
to do searches that are more focused.  First open one of the 
databases from the contents opening page.  Then choose Query 
Templates.  Depending on the database your are in, the appropriate 
template will be displayed.  One template (e.g. after choosing  
"Tabular List of Diseases from the contents) allows you to search 
code numbers. Another template allows "Query by Term" for those 
databases that are word based. 

You can printing by either blocking or tagging.  
Blocking is achieved by holding down your mouse button and dragging 
it through the text you wish to print.  Tagging can be done by 
placing your cursor anywhere in the record and clicking on the "Tag" 
icon form the upper menu bar.  A red vertical line will appear to 
show that a record had been tagged.  After blocking or tagging, then 
from the File menu, choose the Print option.

Besides the accompanying booklet that fits into the jewel case, 
help is also available on the CD by click on "Help" from the menu bar 
choices.

Chuck Malone, Government and Information Librarian
Western Illinois University
1/19/98