http://www.dis.h.u-tokyo.ac.jp/scripts/ICD10Categories/default2_ICD.asp?CategoryID=1 http://s2001.medic.mie-u.ac.jp/icd/A00-B99.html
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/12/13 22:34:26」(JST)
疾病及び関連保健問題の国際統計分類(しっぺいおよびかんれんほけんもんだいのこくさいとうけいぶんるい、英:International Statistical Classification of Diseases and Related Health Problems、略称:ICD)とは、死因や疾病の国際的な統計基準として、世界保健機関 (WHO) によって公表されている分類である。死因や疾病の統計などに関する情報の国際的な比較や、医療機関における診療記録の管理などに活用されている[1]。
ICDは当初、第1回国際死因分類として1900年に国際統計協会により制定され、以降、9版まではほぼ10年ごとに改訂がされている。10版までは採択まで15年かかっている。第7版からは死因だけでなく疾病の分類が加えられ、医療機関における医療記録の管理に使用されるようになった。「基本分類表」は3年ごとの「大改正」と、毎年行われる「小改正」に分けて改正され、基本分類表に影響を与えない「索引」は毎年改正される。これまで第6回、第8回、第10回に大きな内容の変更を伴う改訂が行われている。
現在の最新版は、1990年の第43回世界保健総会で採択された第10版であり、ICD-10 として知られている。ICD-10では、分類はアルファベットと数字により符号されており、最初のアルファベットが全21章から成る大分類(Uを除く)、続く数字が中分類を表している。また、ICD-10は後に2007年版として改定が行なわれている[2]。
精神医学の領域においては、ICD-10はアメリカ精神医学会(APA)の定めた『精神障害の診断と統計マニュアル』第4版(DSM-IV) と並び、代表的な診断基準のひとつとして使用される。厚生労働省は、統計法に基づく統計調査にICD-10を用いている[1]。
なお、新生物 (C00 - D48) については、組織型の分類である「国際疾病分類 腫瘍学 ICD-O」が併用される。
各章の一覧を示す。
1 | A00 - B99 | 感染症・寄生虫症 |
2 | C00 - D48 | 新生物 |
3 | D50 - D89 | 血液・造血器疾患および免疫機能障害 |
4 | E00 - E90 | 内分泌・栄養・代謝疾患 |
5 | F00 - F99 | 精神と行動の障害 |
6 | G00 - G99 | 神経系の疾患 |
7 | H00 - H59 | 眼および付属器の疾患 |
8 | H60 - H95 | 耳および乳様突起の疾患 |
9 | I00 - I99 | 循環器系疾患 |
10 | J00 - J99 | 呼吸器系疾患 |
11 | K00 - K93 | 消化器系疾患 |
12 | L00 - L99 | 皮膚・皮下組織疾患 |
13 | M00 - M99 | 筋骨格系・結合組織疾患 |
14 | N00 - N99 | 腎尿路生殖器系疾患 |
15 | O00 - O99 | 妊娠・分娩・産褥 |
16 | P00 - P96 | 周産期疾患 |
17 | Q00 - Q99 | 先天奇形、変形および染色体異常 |
18 | R00 - R99 | 症状・徴候・異常臨床所見・異常検査所見で他に分類されないもの |
19 | S00 - T98 | 損傷、中毒およびその他の外因の影響 |
20 | V01 - Y98 | 傷病および死亡の外因 |
21 | Z00 - Z99 | 健康状態に影響を及ぼす要因および保健サービスの利用 |
22 | U00 - U99 | 特殊目的用コード |
[ヘルプ] |
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ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.[1]
The code set allows more than 14,400 different codes[2] and permits the tracking of many new diagnoses. The codes can be expanded to over 16,000 codes by using optional sub-classifications.[3] The detail reported by ICD can be further increased, with a simplified multi-axial approach, by using codes meant to be reported in a separate data field[citation needed].
The WHO provides detailed information about ICD online, and makes available a set of materials online, such as an ICD-10 online browser,[4] ICD-10 Training, ICD-10 online training,[5] ICD-10 online training support,[6] and study guide materials for download.
The International version of ICD should not be confused with national Clinical Modifications (CM) of ICD that frequently include much more detail, and sometimes have separate sections for procedures. The US ICD-10 Clinical Modification (ICD-10-CM), for instance, has some 68,000 codes.[7] The US also has the ICD-10 Procedure Coding System (ICD-10-PCS), a coding system that contains 76,000 codes not used by other countries.[8]
Work on ICD-10 began in 1983 and was completed in 1992.[1]
The following is a List of ICD-10 codes.[9]
Chapter | Blocks | Title |
---|---|---|
I | A00–B99 | Certain infectious and parasitic diseases |
II | C00–D48 | Neoplasms |
III | D50–D89 | Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism |
IV | E00–E90 | Endocrine, nutritional and metabolic diseases |
V | F00–F99 | Mental and behavioural disorders |
VI | G00–G99 | Diseases of the nervous system |
VII | H00–H59 | Diseases of the eye and adnexa |
VIII | H60–H95 | Diseases of the ear and mastoid process |
IX | I00–I99 | Diseases of the circulatory system |
X | J00–J99 | Diseases of the respiratory system |
XI | K00–K93 | Diseases of the digestive system |
XII | L00–L99 | Diseases of the skin and subcutaneous tissue |
XIII | M00–M99 | Diseases of the musculoskeletal system and connective tissue |
XIV | N00–N99 | Diseases of the genitourinary system |
XV | O00–O99 | Pregnancy, childbirth and the puerperium |
XVI | P00–P96 | Certain conditions originating in the perinatal period |
XVII | Q00–Q99 | Congenital malformations, deformations and chromosomal abnormalities |
XVIII | R00–R99 | Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified |
XIX | S00–T98 | Injury, poisoning and certain other consequences of external causes |
XX | V01–Y98 | External causes of morbidity and mortality |
XXI | Z00–Z99 | Factors influencing health status and contact with health services |
XXII | U00–U99 | Codes for special purposes |
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Some 27[10][11] countries use ICD-10 for reimbursement and resource allocation in their health system. A few of them have made modifications to ICD to better accommodate this use of ICD-10. The article below makes reference to some of these modifications. The unchanged international version of ICD-10 is used in about 110 countries for performing cause of death reporting and statistics.
Canada introduced ICD-10-CA in 2000.[12] Canada implemented ICD-10 in a staggered fashion across nine of the 10 provinces between the years of 2001 and 2004. As data was returned, comparison was undertaken of information classified by ICD-9 and ICD-10, beginning with volumes and length of stay within major diagnostic groups.
The large scale realignment of individual diagnostic and procedural codes demanded close analysis of the impacts to existing indicators of healthcare delivery. Using data reported in 2001 and 2002, the Canadian Institute for Health Information, an independent organization that works with the federal government, tabulated the input. Rigorous statistical analysis was conducted to evaluate the comparability of ICD-9 codes to ICD-10 codes as they pertained to the Canadian version of diagnostic groups, Case Mix Groups (CMGs), which are used in the patient classification system to group together patients with similar characteristics.
China adopted ICD-10 in 2002.[13]
The Czech Republic adopted ICD-10 in 1994, one year after official release from WHO.[14] The Czech republic uses the international version without any local modifications. The Czech Republic adopted all updates to the international version (namely in 2004,2010,2011,2012).
France introduced a clinical addendum to ICD-10 in 2005.[citation needed] See also website of the ATIH.
Germany: ICD-10-GM (German Modification)[15]
A Korean modification has existed since 2008.[16]
The Dutch translation of ICD-10 is ICD10-nl, which was created by the WHO-FIC Network in 1994.[17] There is an online dictionary.
1 January 2005 Pretoria, Johannesburg, Cape town[citation needed]
The current Swedish translation of ICD-10 was created in 1997.[citation needed] A clinical modification has added more detail and omits codes of the international version in the context of clinical use of ICD:
The codes F64.1 (Dual-role transvestism), F64.2 (Gender identity disorder of childhood), F65.0 (Fetishism), F65.1 (Fetishistic transvestism), F65.5 (Sadomasochism), F65.6 (Multiple disorders of sexual preference) are not used in Sweden since 1 January 2009 according to a decision by the present Director General of The National Board of Health and Welfare, Sweden. The code O60.0 (Preterm labor without delivery) is not used in Sweden; instead, since 1 January 2009, the Swedish extension codes to O47 (False labor) are recommended for use.[citation needed]
A Thai modification has existed since 2007; the Ministry of Public Health has ICD 10 TM. and 1 of 3 first used ICD-10 Code with Czechoslovakia and Denmark in 1994[citation needed]
ICD-10 was first mandated for use in the UK in 1995.[18] The ICD-10 4th Edition was approved for NHS implementation on 1 April 2012 by the Information Standards Board for Health and Social Care.[19]
ICD-10 coding of death certificates and mortality data was mandated in the United States beginning in 1999.[20]
The deadline for the United States to begin using Clinical Modification ICD-10-CM for diagnosis coding and Procedure Coding System ICD-10-PCS for inpatient hospital procedure coding was set at October 1, 2015,[21][22] which is a year later than a previous 2014 deadline.[23] Before that 2014 deadline, the previous deadline has been a year before that on October 1, 2013.[24][25] All HIPAA "covered entities" must make the change; a pre-requisite to ICD-10-CM is the adoption of EDI Version 5010 by January 1, 2012.[26] Enforcement of 5010 transition by the Centers for Medicare & Medicaid Services (CMS), however, was postponed by CMS until March 31, 2012, with the federal agency citing numerous factors, including slow software upgrades.[27] The implementation of ICD-10-CM has been subject to previous delays. In January 2009, the date was pushed back by two years, to October 1, 2013 rather than an earlier proposal of October 1, 2011.[28]
The most recent pushback of the implementation date has inspired a mixed reaction from the healthcare community.[29] Even though the deadline for ICD-10 was pushed back repeatedly, CMS recommended that medical practices take several years to prepare for implementation of the new code set.[30] The basic structure of the ICD-10 code is the following: Characters 1-3 (the category of disease); 4 (etiology of disease); 5 (body part affected), 6 (severity of illness) and 7 (placeholder for extension of the code to increase specificity). Not only must new software be installed and tested, but medical practices must provide training for physicians, staff members, and administrators. They will also need to develop new practice policies and guidelines, and update paperwork and forms. For convenience, practices may also create "crosswalks" that will convert their most frequently used ICD-9-CM codes to the ICD-10-CM equivalents.[31]
Dubai Health Authority (DHA) introduced ICD-10 in 2012.[citation needed]
Language versions should not be confused with clinical versions. ICD has been translated into 42[citation needed] languages.
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国試過去問 | 「105G068」 |
リンク元 | 「毒作用」「神経症性障害」「Pica of infancy and childhood」「疾病および関連保健問題の国際統計分類第10回修正」 |
拡張検索 | 「ICD-10(精神と行動の障害)」 |
関連記事 | 「IC」「ICD」「I」 |
A
※国試ナビ4※ [105G067]←[国試_105]→[105G069]
T51 | アルコールの毒作用 |
T52 | 有機溶剤の毒作用 |
T53 | 脂肪族及び芳香族炭化水素のハロゲン誘導体の毒作用 |
T54 | 腐食性物質の毒作用 |
T55 | 石鹸及び洗浄剤の毒作用 |
T56 | 金属の毒作用 |
T57 | その他の無機物質の毒作用 |
T58 | 一酸化炭素の毒作用 |
T59 | その他の気体,フューム及び蒸気の毒作用 |
T60 | 農薬の毒作用 |
T61 | 海産食品として摂取された有害物質の毒作用 |
T62 | 食物として摂取されたその他の有害物質による毒作用 |
T63 | 有毒動物との接触による毒作用 |
T64 | アフラトキシン及びその他の真菌毒素<マイコトキシン>による食物汚染物質の毒作用 |
T65 | その他及び詳細不明の物質の毒作用 |
T63.0 | 有毒動物との接触による毒作用,ヘビ毒 | ヘビ毒、海ヘビ毒、ヘビ咬傷、ハブ咬傷、マムシ咬傷 |
T63.1 | 有毒動物との接触による毒作用,その他の爬虫類の毒 | トカゲ毒 |
T63.2 | 有毒動物との接触による毒作用,サソリ毒 | サソリ毒 |
T63.3 | 有毒動物との接触による毒作用,クモ毒 | クモ毒 |
T63.4 | 有毒動物との接触による毒作用,その他の節足動物の毒 | チャドクガ皮膚炎、ムカデ咬創、昆虫毒、刺虫アレルギー、刺虫症、四肢虫刺症、節足動物毒、体幹虫刺症、虫刺性皮膚炎、蜂刺症 |
T63.5 | 有毒動物との接触による毒作用,魚類との接触による毒作用 | |
T63.6 | 有毒動物との接触による毒作用,その他の海生動物との接触による毒作用 | イソギンチャク毒、クラゲ毒、ヒトデ毒、甲殻動物毒 |
T63.8 | 有毒動物との接触による毒作用,その他の有毒動物との接触による毒作用 | |
T63.9 | 有毒動物との接触による毒作用,詳細不明の有毒動物との接触による毒作用 | 顔面昆虫螫、胸部昆虫螫、頚部虫刺症、前額部虫刺症 |
[★] 乳幼児期および小児期の異食症
.