国际健康干预分类本土版模型构建研究

Study on the Construction of Local Version Model of International Classification of Healthcare Intervention

基于线分类的ICD-9-CM3难以满足当前国内应用需求。基于面分类的国际健康干预分类(ICHI)具备资源可得性好、扩展性强、容量大等优势,但在国内应用需要本土化。本研究通过明确手术操作分类本质属性、拓展统计轴心、细化轴心值域等方法,借鉴国际主流分类框架,构建了ICHI本土统计版、本土拓展统计版和本土临床版3层模型;选取心血管系统构建分类列表,初步验证了ICHI本土版模型能够兼容国际统计、专业术种统计和多用途统计需求,且较ICHI-WHO版和ICD-9-CM3具备更高的统计应用和临床信息表达能力,同时拥有良好的后向映射兼容性,具备推广应用的价值。

The ICD-9-CM3 based on linear classification is difficult to meet the current domestic application requirements.The International Classification of Health Interventions(ICHI)based on faceted classification has the advantages of good resource availability,strong expansibility and large capacity,but it needs localization in China.In this study,by defining the essential attributes of surgical operation classification,expanding the statistical axis and refining the axis range,and drawing lessons from the international mainstream classification framework,a three-layer model of ICHI local statistical version,local extended statistical version and local clinical version was constructed,and a classification list was constructed by selecting cardiovascular system.It was preliminarily verified that the ICHI local version can meet the requirements of international statistics,professional surgery statistics and multi-purpose statistics,and has higher statistical application and clinical information expression ability than ICHI-WHO version and ICD-9-CM3,and has good backward mapping compatibility,so it has the value of popularization and application.