血管炎ICD-10与ICD-11对比研究

Comparative Study of Vasculitis between ICD-10 with ICD-11

从章节变化、编码结构、疾病名和重点分类等多维度对比分析血管炎在ICD-10与ICD-11的差异,为血管炎编码提供思路。血管炎在ICD-10中主要分类于结缔组织章,在ICD-11中分类于免疫系统病章,且有单独类目。ICD-10使用星剑号表示病因和临床表现,ICD-11以后组配形式表达。ICD-11对贝赫切特、古德帕斯丘和韦栺纳等4种血管炎进行了更名,且新增了皮肤白细胞破碎性血管炎、原发性中枢神经系统血管炎和低补体血症荨麻疹性血管炎等7种血管炎。ICD-11对ANCA相关性血管炎和免疫复合物性小血管炎进行了系统分类。血管炎在ICD-11中分类更科学、编码更精确且扩展更弹性,更符合临床需求,因此加大ICD-11推广力度,对我国卫生事业发展和国际接轨具有重大意义。

In this study,we compared the differences in chapter,coding structure,disease name and key classification.Vasculitis was mainly classified in connective tissue chapter in ICD-10 and immune system diseases chapter in ICD-11,with separate categories.In ICD-10,star Sword was used to indicate the etiology and clinical manifestations,and ICD-11 was later expressed in combination form.ICD-11 renamed bechchett,Gudpaschu and Wegner vasculitis;Seven types of vasculitis,including dermal leukocyte breakdown vasculitis,primary central nervous system vasculitis and urticaria with low complement level,were added to ICD-11.ICD-11 systematically classifies ANCA-associated vasculitis and immune complex microvasculitis.Vasculitis in ICD-11 is classified more scientifically,coded more accurately and expanded more flexibly,which is more in line with clinical needs.It is of great significance to strengthen the nationwide implementation of ICD-11 for the development of China's health cause in line with international standards.