Côté R A, Rothwell D J
Département de Pathologie, Faculté de Médecine, Université de Sherbrooke, Québec, Canada.
Med Inform (Lond). 1989 Jan-Mar;14(1):25-41. doi: 10.3109/14639238909010877.
The subject is examined in accordance with recommendations made at two recent international conferences. The historical backgrounds of the International Classification of Diseases (ICD) and the Systematized Nomenclature of Medicine (SNOMED) are related to explain the current status and objectives of both as well as their structural differences. A Canadian alternative to the ICD is presented along with the reason for its non-acceptance. Finally, it is proposed that SNOMED and ICD be integrated in a practical way to obtain the benefits of a multiaxial nomenclature while retaining the equivalent ICD classes necessary for maintaining the continuity of statistical information. This approach would prepare the groundwork necessary for completely automated encoding in natural medical language for health care data banks, while providing ICD-based national and international statistics.
根据最近两次国际会议提出的建议对该主题进行了研究。阐述了国际疾病分类（ICD）和医学系统命名法（SNOMED）的历史背景，以解释两者的现状、目标及其结构差异。介绍了一种加拿大版的ICD替代方案及其未被采用的原因。最后，提议以切实可行的方式将SNOMED和ICD整合起来，以获得多轴命名法的优势，同时保留维持统计信息连续性所需的等效ICD类目。这种方法将为医疗保健数据库以自然医学语言进行完全自动化编码奠定必要的基础，同时提供基于ICD的国家和国际统计数据。
