Brämer G R
Development of Epidemiological and Health Statistical Services, World Health Organization, Geneva.
World Health Stat Q. 1988;41(1):32-6.
The International Classification of Diseases has, under various names, been for many decades the essential tool for national and international comparability in public health. This statistical tool has been customarily revised every 10 years in order to keep up with the advances of medicine. At first intended primarily for the classification of causes of death, its scope has been progressively widening to include coding and tabulation of causes of morbidity as well as medical record indexing and retrieval. The ability to exchange comparable data from region to region and from country to country, to allow comparison from one population to another and to permit study of diseases over long periods, is one of the strengths of the International Statistical Classification of Diseases, Injuries, and Causes of Death (ICD). WHO has been responsible for the organization, coordination and execution of activities related to ICD since 1948 (Sixth Revision of the ICD) and is now proceeding with the Tenth Revision. For the first time in its history the ICD will be based on an alphanumeric coding scheme and will have to function as a core classification from which a series of modules can be derived, each reaching a different degree of specificity and adapted to a particular specialty or type of user. It is proposed that the chapters on external causes of injury and poisoning, and factors influencing health status and contact with health services, which were supplementary classifications in ICD-9, should form an integral part of ICD-10. The title of ICD has been amended to "International Statistical Classification of Diseases and Related Health Problems"', but the abbreviation "ICD" will be retained.(ABSTRACT TRUNCATED AT 250 WORDS)
几十年来,《国际疾病分类》一直以各种名称成为公共卫生领域国家和国际可比性的重要工具。这种统计工具通常每10年修订一次,以跟上医学的进步。它最初主要用于死因分类,其范围已逐渐扩大到包括发病原因的编码和列表,以及医疗记录的索引和检索。能够在不同地区和国家之间交换可比数据,以便在不同人群之间进行比较,并能够对疾病进行长期研究,这是《国际疾病、损伤和死因统计分类》(ICD)的优势之一。自1948年(ICD第六次修订版)以来,世卫组织一直负责与ICD相关活动的组织、协调和实施,目前正在进行第十次修订。ICD历史上首次将基于字母数字编码方案,并且必须作为一个核心分类发挥作用,从中可以派生出一系列模块,每个模块具有不同程度的特异性,并适用于特定专业或用户类型。有人提议,在ICD-9中作为补充分类的损伤和中毒的外部原因以及影响健康状况和与卫生服务接触的因素章节,应成为ICD-10的一个组成部分。ICD的名称已改为“《国际疾病及相关健康问题统计分类》”,但缩写“ICD”将保留。(摘要截选至250字)