Not sure how much help it will be but there is a package on CRAN called icd9. Although clearly the codes are different in ICD 10 it may give you some hints. I suppose you could even email the maintainer to see whether there is an icd10 in the pipeline.

On 17/12/2014 20:14, Robert Strother wrote:
I have a large dataset (~50,000 rows, 96 columns), of hospital
administrative data.
many of the columns are clinical coding of inpatient event (using ICD-10).
A simplified example of the data is below

dput(dat_unmatched)
structure(list(ID = structure(c(4L, 3L, 2L, 1L), .Label = c("BCM3455",
"BZD2643", "GDR2343", "MCZ4325"), class = "factor"), X.1 = structure(c(2L,
3L, 1L, 1L), .Label = c("B83.2", "C23.2", "F56.23"), class = "factor"),
     X.2 = structure(c(2L, 1L, 2L, 2L), .Label = c("M20.64", "T43.2"
     ), class = "factor"), X.3 = structure(c(2L, 3L, 3L, 1L), .Label =
c("F56.23",
     "R23.1", "Y32.1"), class = "factor"), X.4 = structure(c(1L,
     2L, 2L, 3L), .Label = c("M23.5", "T44.2", "Y32.1"), class = "factor"),
     X.5 = structure(c(1L, 2L, 1L, 2L), .Label = c("", "Q23.6"
     ), class = "factor")), .Names = c("ID", "X.1", "X.2", "X.3",
"X.4", "X.5"), class = "data.frame", row.names = c(NA, -4L))

I am interested in a set of codes that start with a "T" or a "Y", and link
them to the preceding column that does not begin with a "T" or "Y".   I
suspect I will need to use regular expressions, and likely a loop, but I am
really out of my depth at this point.

I would like the final dataset to look like:

dput(dat_matched)
structure(list(ID = structure(c(4L, 3L, 2L, 1L), .Label = c("BCM3455",
"BZD2643", "GDR2343", "MCZ4325"), class = "factor"), X.1 = structure(c(2L,
3L, 1L, 1L), .Label = c("B83.2", "C23.2", "M20.64"), class = "factor"),
     X.2 = structure(c(1L, 2L, 1L, 1L), .Label = c("T43.2", "Y32.1"
     ), class = "factor"), X.3 = structure(c(1L, 4L, 2L, 3L), .Label = c("",
     "B83.2", "F56.23", "M20.64"), class = "factor"), X.4 = structure(c(1L,
     2L, 3L, 3L), .Label = c("", "T44.2", "Y32.1"), class = "factor"),
     X.5 = structure(c(1L, 1L, 2L, 1L), .Label = c("", "B83.2"
     ), class = "factor"), X = structure(c(1L, 1L, 2L, 1L), .Label = c("",
     "T44.2"), class = "factor")), .Names = c("ID", "X.1", "X.2",
"X.3", "X.4", "X.5", "X"), class = "data.frame", row.names = c(NA,
-4L))

Any help appreciated.

Matthew

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