Department of Psychiatry, Columbia University and Department of Clinical Phenomenology, New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA.
World Psychiatry. 2015 Feb;14(1):82-90. doi: 10.1002/wps.20189.
The World Health Organization is in the process of preparing the eleventh revision of the International Classification of Diseases (ICD-11), scheduled for presentation to the World Health Assembly for approval in 2017. The International Advisory Group for the Revision of the ICD-10 Mental and Behavioural Disorders made improvement in clinical utility an organizing priority for the revision. The uneven nature of the diagnostic information included in the ICD-10 Clinical Descriptions and Diagnostic Guidelines (CDDG), especially with respect to differential diagnosis, is a major shortcoming in terms of its usefulness to clinicians. Consequently, ICD-11 Working Groups were asked to collate diagnostic information about the disorders under their purview using a standardized template (referred to as a "Content Form"). Using the information provided in the Content Forms as source material, the ICD-11 CDDG are being developed with a uniform structure. The effectiveness of this format in producing more consistent clinical judgments in ICD-11 as compared to ICD-10 is currently being tested in a series of Internet-based field studies using standardized case material, and will also be tested in clinical settings.
世界卫生组织正在筹备国际疾病分类第十一次修订版（ICD-11），计划于 2017 年提交世界卫生大会批准。国际疾病分类第十版精神与行为障碍修订国际顾问组将提高临床实用性作为修订工作的重点。ICD-10 临床描述和诊断指南（CDDG）中包含的诊断信息参差不齐，特别是在鉴别诊断方面，这是其对临床医生有用性的一个主要缺陷。因此，要求 ICD-11 工作组使用标准化模板（称为“内容表单”）整理其职权范围内的疾病的诊断信息。ICD-11 CDDG 正在使用内容表单中提供的信息作为素材进行开发，具有统一的结构。目前，正在使用基于互联网的标准化病例材料进行一系列实地研究，以测试这种格式在 ICD-11 中产生更一致的临床判断方面的效果，并将在临床环境中进行测试。
