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篇名
ICD-11-MMS簡介與網頁資料瀏覽
並列篇名
Introducing ICD-11-MMS and Browsing Relevant Web Messages
作者 温美芳李秋蓮
中文摘要
國際疾病分類第11 版(ICD-11) 於2019 年5 月提交於世界衛生大會,經會員國批准、公告,並將於2022 年1 月1 日正式生效。ICD-11 改版目標為符合時代潮流、具有電子化功能、可以和現行電子化系統的術語參照運用(例如 SNOMED-CT)、可支援電子病歷、可以滿足大量不同組織機構的統計需求,及不同用途工具的關聯性。於臨床運用上也補充ICD-10 的缺失,例如,與抗微生物藥物耐藥性相關的代碼,更加符合世界衛生組織抗微生物藥物耐藥性全球監測系统。新增、修正ICD-10 疾病代碼外,也增加了影響健康情況的代碼。新增免疫系統疾病、睡眠- 覺醒障礙、性健康相關情況、傳統醫學病證、功能評定補充部分、擴展碼等6 個章節,讓代碼的運用不但增加深度,更加寬廣度。分類架構上利用基礎組件的概念,任何一種疾病都有一個唯一的標識符(URI),建立多個層次結構的父代親屬觀念,因此可以在一個以上的位置進行分類並從多個位置進行檢索,且引入預組配、後組配及擴展碼的代碼組合方式,更能詳盡描述疾病及相關健康狀況。
英文摘要
The International Classification of Diseases 11th Revision (ICD-11) was initially submitted to the World Health Assembly in May 2019, approved and publicized by all member states afterwards, and scheduled to take effect on January 1, 2022. The goals of this ICD-11 revision are to conform to the current trend of taking advantage of electronic means, to be able to do cross reference with modern electronic system terminology (such as SNOMED-CT), that can more effectively support electronic medical records, and to meet the statistical needs of finding the relevance among a great deal of different organizations for different purposes. It also makes amend for the deficiency of ICD-10 in clinical application. For example, codes associated with anti-microbial drug resistance do better fit in with the antimicrobial drugs defined by World Health Organization's global drug resistance surveillance systems. In addition to adding or revising the disease codes of ICD-10, it also increases the influencing health status, diseases of the immune system, sleep-wake disorders, conditions related to sexual health, traditional medicine conditions and related issues, supplementary section for functioning assessment, extension codes and total six chapters, make the code not only increases the depth, but also broaden the coverage. The concept of using the foundational components on the classification frame, every disease has its own unique identifier (URI), grasping the concept of multiple levels as parent classification hierarchy, Therefore, it can be classified in more than one location and searched and indexed from multiple locations; furthermore, it can used to introduce precoordination, post-coordination and extension codes for methods of code combination, in order to gather more detailed description of the diseases and their related health conditions.
起訖頁 38-57
關鍵詞 ICD-11擴展碼預組配後組配簇編碼International Classification of Diseases 11th Revisionextension codespre-coordinationpost-coordinationclustering of codes
刊名 病歷資訊管理期刊  
期數 202208 (20:1期)
出版單位 臺灣病歷資訊管理學會
該期刊-上一篇 新冠肺炎疫情期間運用病例組合指標提升策略於醫院持續營運計畫──以南部某醫學中心為例
 

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