Orgogozo J M, van Drimmelen-Krabbe J, Bradley W G, L'Hours A, Sartorius N
Service Universitaire de Neurologie, CHU Pellegrin, Bordeaux, France.
Rev Neurol (Paris). 1994 Dec;150(12):813-22.
The 10th Revision of the International Disease Classification (ICD-10) was published in English in September 1992 and in French in January 1993. Chapter VI (main code G) deals with diseases of the nervous system. There are 11 chapters covering the main categories of aetiologies. The subdivisions designated by the three-character codes are used to define the main diagnostic categories as divided according to aetiology, localization or symptoms. The three-character codes so formed are the legal basis for codifying causes of death in all the member states of the WHO. Supplementary 4-digit codes can be used for more precise definitions of morbidity; ICD-10 NA, the Application to Neurology, is a detailed classification of diseases of neurological origin or expression, based on the original ICD-10. Thus it also contains a table of inclusion and exclusion terms and a detailed alphabetical index. The inclusion terms are names of diseases, affections or syndromes associated with each ICD code. The exclusion terms are listed so that the disease in question is classified elsewhere. Thus it is easy to find the correct category even for similar or related diseases which may be classified in different chapters of the ICD-10 NA. The coding system of the ICD-10 NA is exactly the same as for the ICD-10 since cross-referencing requires that specialization classifications such as the ICD-10 NA derived from the ICD must have the same 3 and 4 digit codes as those in the original ICD-10. Within these limits, the 5th, 6th and 7th digits of the subdivision codes, and the generalization of multiple coding used to describe both aetiologies and manifestations, have greatly increased the discriminating power and precision of neurological diseases classification based on the parent ICD.
《国际疾病分类第十次修订本》（ICD - 10）于1992年9月以英文出版，1993年1月以法文出版。第六章（主要编码G）涉及神经系统疾病。全书共有11章，涵盖主要病因类别。由三位数字编码指定的细分用于定义根据病因、部位或症状划分的主要诊断类别。如此形成的三位数字编码是世卫组织所有成员国对死因进行编码的法律依据。补充的四位数字编码可用于对发病率进行更精确的定义；ICD - 10 NA（神经病学应用版本）是基于原始ICD - 10对神经源性或神经性表现疾病的详细分类。因此，它还包含一个包含和排除术语表以及一个详细的字母索引。包含术语是与每个ICD编码相关的疾病、病症或综合征的名称。列出排除术语是为了将相关疾病分类到其他地方。这样，即使对于可能在ICD - 10 NA不同章节分类的相似或相关疾病，也很容易找到正确的类别。ICD - 10 NA的编码系统与ICD - 10完全相同，因为交叉引用要求从ICD派生的专业分类（如ICD - 10 NA）必须具有与原始ICD - 10相同的三位和四位数字编码。在此范围内，细分编码的第五、第六和第七位数字，以及用于描述病因和表现的多重编码的概括，大大提高了基于母本ICD的神经疾病分类的区分能力和精确性。
