循环系统疾病ICD-11对比ICD-10的分类进展

Comparative Study of ICD-11 and ICD-10 in Circulatory System Diseases

对比分析ICD-11(202301版)第11章循环系统疾病与我国现行使用的ICD-10(2008版)第9章循环系统疾病的异同。在疾病覆盖范围方面ICD-11将急性风湿热、部分脑血管病、食管静脉曲张等不由心脏病专家诊疗的疾病转移到了其他章。在编码容量方面ICD-11的类目、亚目和有效码数量均大幅增加。此外ICD-11对高血压、冠状动脉粥样硬化、肺动脉高压等疾病的分类进行了更新,并根据医学发展改变了很多疾病的分类轴心,部分疾病使用后组配来体现其在ICD-10中的原分类轴心;ICD-11第11章涉及的后组配维度较多,如病因、侧性、严重程度等,其中病因为强制性后组配,部分疾病可能涉及多个维度后组配。ICD-11在循环系统该章的疾病表达更细致、更加符合临床需求。相较于ICD-10,ICD-11对循环系统疾病进行了较大调整,相关工作者应及时关注其变化,为我国顺利从ICD-10过渡到ICD-11奠定基础。

This study comparatively analyzed the similarities and differences between Chapter 11 Circulatory System Diseases of ICD-11(202301 Edition)and Chapter 9 Circulatory System Diseases of ICD-10(2008 Edition)currently used in China.In terms of disease coverage,ICD-11 has transferred diseases such as acute rheumatic fever,some cerebrovascular diseases,and esophageal varices that are not diagnosed and treated by cardiologists to other chapters.In terms of coding capacity,the number of categories,subcategories,and valid codes of ICD-11 has increased significantly.Moreover,ICD-11 has updated the classification of diseases such as hypertension,coronary atherosclerosis,and pulmonary hypertension.And according to the development of medicine,ICD-11 has changed the classification axis of many diseases.Some diseases have been combined to reflect their original classification axis in ICD-10.In addition,Chapter 11 of ICD-11 involves multiple dimensions of post-coordination,such as cause,laterality,severity,etc.Among them,the causing condition is mandatory post-coordination,and some diseases may involve post-coordination in multiple dimensions.The expression of diseases in this chapter of ICD-11 in the circulatory system is more detailed and more in line with clinical needs.Compared with ICD-10,ICD-11 has made major adjustments to circulatory system diseases.Relevant workers should pay attention to its changes promptly to lay the foundation for the smooth transition from ICD-10 to ICD-11 in China.