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国际疾病分类体系概述及其对战伤分类信息标识体系设计的启示
李健杰1,黄朝晖1,余漩1,陈光伟1,游海燕1,方海亮1,高钰琪2*
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(1. 陆军军医大学(第三军医大学)陆军卫勤训练基地卫勤教研室, 重庆 400038;
2. 陆军军医大学(第三军医大学)高原军事医学系高原特需药品与器材研究室, 重庆 400038
*通信作者)
摘要:
国际疾病分类(ICD)体系是由WHO依据疾病特征、按照特定分类规则、对疾病信息以字母和数字代码进行表达的体系。ICD建立了国际统一的疾病分类信息标准,构成了全球医疗健康数据的基础,推动了全球医疗信息共享和应用,并根据应用需求不断完善升级,在国际上得到了广泛使用。ICD在军事领域也得到了较为普遍的应用,如美军将ICD融入其卫勤保障体系中,在提升战伤救治质量、优化卫勤决策方面发挥了基础性的积极作用。ICD最新版本(ICD-11)具有先进、科学的基础模型系统和较为完善的内容体系,在军事领域中应用具有一定的优势。因此,我军应在整合现有成果的基础上,吸收借鉴ICD发展和外军应用实践的经验,针对战伤分类信息标识的实际应用需求,构建完善的战伤分类信息标识体系,提升战伤分类的先进性和科学性,为未来军事斗争卫勤准备提供有力支撑。
关键词:  国际疾病分类  分类模型  战伤分类  信息标识  战伤救治
DOI:10.16781/j.CN31-2187/R.20200737
投稿时间:2020-05-18修订日期:2020-12-18
基金项目:陆军军医大学军事后勤科研专项(2020HQZX02),陆军军医大学青年培育资助项目(2018XQN08),全军后勤科研计划(BWS15B017).
Overview of International Classification of Diseases and its enlightenment for information identification system design of combat injury classification
LI Jian-jie1,HUANG Zhao-hui1,YU Xuan1,CHEN Guang-wei1,YOU Hai-yan1,FANG Hai-liang1,GAO Yu-qi2*
(1. Department of Health Service, Army Health Service Training Base, Army Medical University (Third Military Medical University), Chongqing 400038, China;
2. Department of Medicine and Equipment for High Altitude Region, Faculty of High Altitude Military Medicine, Army Medical University (Third Military Medical University), Chongqing 400038, China
*Corresponding author)
Abstract:
International Classification of Diseases (ICD) is a system by which the World Health Organization (WHO) organizes disease information in alphabetical and numerical codes according to disease characteristics and specific classification rules. ICD has constructed an internationally unified standard for disease classification and constituted the basis of global medical health data, which promotes the sharing and application of global medical information. It has been continuously improved and upgraded according to application needs, and has been widely used in the world. ICD has also been widely used in the military field. For example, the U.S. military has integrated ICD into its health service support system, which has played a fundamental and active role in improving the treatment of combat injuries and optimizing health service decision-making. With an advanced basic model system and a relatively complete content system, ICD-11, the latest version of ICD, has certain advantages for military application. Therefore, to provide strong support for the future health service for warfare, we should learn from the experience of foreign military ICD application based on the existing achievements, construct advanced information classification system for combat injury classification, and improve its advancedness and scientificity.
Key words:  International Classification of Diseases  classification model  combat injury classification  information identification  treatment of combat injuries