Bảng phân loại thống kê quốc tế 
về bệnh tật
và các vấn đề sức khỏe liên quan

phiên bản 10

International Statistiscal Classsification of Diseases and Related Health Problems
 10th revision, (ICD 10)

Classification Statistique Internationale des Maladies 
et des Problèmes de Santé Connexes
10ème révision (CIM 10

***

Tổ chức Sức khỏe thế giới - WHO - OMS

1993

 

Các chương - Chapters - Chapitres

Chương
 Chapter
Chapitre

Nhóm
 Code Range
Etendue des codes


Tên nhóm



Chapter Title

Titre du chapitre

I

A00-B99

Bệnh nhiễm trùng và kư sinh trùng Certain infectious and parasitic diseases Certaines maladies infectieuses et parasitaires

II

C00-D48

Bướu tân sinh Neoplasms Tumeurs

III

D50-D89

Bệnh của máu, cơ quan tạo máu và các rối loạn liên quan đến cơ chế miễn dịch Diseases of the blood & blood forming organs and certain disorders involving the immune mechanism Maladies du sang et des organes hematopoietiques et certains troubles du systeme immunitaire

IV

E00-E90

Bệnh nội tiết, dinh dưỡng và chuyển hóa Endocrine, nutritional and metabolic diseases Maladies endocriniennes, nutritionnelles et metaboliques

V

F00-F99

Rối loạn tâm thần và hành vi Mental and behavioural disorders Troubles mentaux et du comportement

VI

G00-G99

Bệnh hệ thần kinh Diseases of the nervous system Maladies du systeme nerveux

VII

H00-H59

Bệnh mắt và phần phụ Diseases of the eye and adnexa Maladies de l'oeil et de ses annexes

VIII

H60-H95

Bệnh của tai và xương chũm Diseases of the ear and mastoid process Maladies de l'oreille et de l'apophyse mastoïde

IX

I00-I99

Bệnh hệ tuần hoàn Diseases of the circulatory system Maladies de l'appareil circulatoire

X

J00-J99

Bệnh hệ hô hấp Diseases of the respiratory system

 

Maladies de l'appareil respiratoire

XI

K00-K93

Bệnh hệ tiêu hóa

Diseases of the digestive system

Maladies de l'appareil digestif

XII

L00-L99

Các bệnh da và mô dưới da

Diseases of the skin and subcutaneous tissue

Maladies de la peau et du tissu cellulaire sous-cutané 

XIII

M00-M99

Bệnh của hệ cơ-xương-khớp 
và mô liên kết
Diseases of the musculoskeletal system and connective tissue Maladies du système ostéo-articulaire, des muscles et du tissu conjonctif

XIV

N00-N99

Bệnh hệ sinh dục-tiết niệu Diseases of the genitourinary system Maladies de l'appareil génito-urinaire

XV

O00-O99

Thai nghén, sinh đẻ và hậu sản Pregnancy, childbirth and pueperium Grossesse, accouchement et puerperalite

XVI

P00-P96

Một số bệnh lư xuất phát trong thời kỳ chu sinh Certain conditions originating in the perinatal period Certaines affections dont l'origine se situe dans la periode perinatale

XVII

Q00-Q99

Dị tật bẩm sinh, biến dạng 
và bất thường về nhiễm sắc thể
Congenital malformations, deformations & chromosomal deformities Malformations congenitales et anomalies chromosomiques

XVIII

R00-R99

Các triệu chứng, dấu hiệu và những biểu hiện lâm sàng, cận lâm sàng bất thường, không phân loại ở phần khác Symptoms, signs and abnormal clinical & laboratory findings  Symptomes, signes et resultats anormaux d'examens cliniques et de laboratoire, non classes ailleurs

XIX

S00-T98

Vết thương ngộ độc 
và hậu quả của một số nguyên nhân bên ngoài 
Injury, poisoning and certain other consequences of external causes Lésions traumatiques, empoisonnements et certaines autres consequences de causes externes

XX

V01-Y98

Các nguyên nhân ngoại sinh của bệnh và tử vong External causes of morbidity and mortality Causes externes de morbidite et de mortalite

XXI

Z00-Z99

Các yếu tố ảnh hưởng đến t́nh trạng sức khỏe và tiếp xúc dịch vụ y tế Factors affecting health status and contact with health services. Facteurs influant sur l'état de santé et motifs de recours aux services de santé
 

ICD-10 
(http://www.doh.gov.ph/NEC_wpage/icd-10.htm)

What is International Classification of Disease, Tenth Revision (ICD-10)?

Use to translate diagnoses and other health problems from words into an

alphanumeric code, which permits easy storage,retrieval and analysis of data.

What is a Disease Classification?

                 It is a system that permits the assignment of codes to diseases and to causes of death according to established criteria, providing coherent grouping of condition.

What is Coding?

Coding by ICD-10 is the assignment of an alphanumeric code for a diagnostic statement, related health condition, or cause of death as identified by the health care provider.

 Why Code?

                 Converting diagnostic and cause of death statements to a set of alphanumeric codes provides a means for producing statistical tabulation which:

  • Demonstrate measurements of the health status of a country’s population;

  • Provide data for monitoring and evaluating health care provided at individual health care facilities, locally and nationally;

  • Allow for identification of problem areas that may require expansion of health care as well as areas in health status that require new treatment modalities.

GENERAL ORGANIZATION

OF ICD-10

1.  There are three (3) volumes

  •  Volume 1 (Tabular List)

                 It is an alphanumeric listing of diseases and disease groups along with inclusion and 

                exclusion notes.

  •   Volume 2

Provides:

- an introduction to and instructions on how to use Volumes 1 and 3;

- guidelines for certification and rules in mortality coding;

- guidelines for recording and coding morbidity cases.

  •  Volume 3 (Alphabetical Index)

                 It is a comprehensive Alphabetical Index of  diseases and conditions found in the Tabular List.

2.  There are 21 chapters:

   Most of the chapters are associated with particular body systems, special diseases or external factors.  There is, however, one exception which is Chapter XVII “Symptoms, Signs and Abnormal Clinical and Laboratory Findings, not elsewhere classified”.  The number of categories assigned to a Chapter is influenced by the number of diseases and conditions that fall within the scope of the Chapter.

3.       The structure of the ICD-10 code is alphanumeric:

The first character of the code is an alpha character followed by 2, 3 or 4 numeric characters.

The structure of the 3 character category is:

 

Most 3 character categories are further subdivided into sub-categories to enable coding of a disease or condition as specifically as possible.

 

 

Conventions of the ICD-10

The ICD-10 follows certain conventions in order to provide information in a consistent manner.  ICD-10 Conventions fall into several categories namely:

  • Instructional Notes:

- General

- Glossary descriptions

- Inclusion

- Exclusion

- Use of additional code

  • Punctuation Marks

  • Abbreviations

  • Relational Terms

- With/without

- Due to/resulting to

- And

Basic Coding Steps:

1.  Review diagnostic statements and case notes to identify main condition and the diagnosis that meet the criteria for reporting;

2.  Locate the lead term and related sub-terms in Volume 3.

3.  Follow all cross reference terms such as:

“see”

- requires the coder to refer to another suggested term

“see condition”

- indicates that another lead term must be used

“see also”

- directs the coder to consider another main term within the index which may provide the specificity required.

4.  Refer to the Tabular List to verify the code;

5.  Finally, ASSIGN THE CODE.

Training Offered by SRE-NEC, DOH:

1.   Training for Non-Coders (3 days)

2.   Training for Coders (5 days)

3.   Orientation on ICD-10(1 day)

 

 

For more information, please contact:

Surveys, Risk Assessment and Evaluation (SRE) Division

National Epidemiology Center

Department of Health

Tel. Nos. 743-8301 loc. 1900-1907

 

 

Development of classification systems
(http://www.mja.com.au/> © 1998 Medical Journal of Australia)

Linnaeus (1707-1778) created classification systems to name animals by genus and species and introduced a plant classification of 24 classes.1 He also created a medical classification Genera morborum.

François Bossier de Lacroix (Sauvages) (1706-1777) founded medical classification. His systematic work Nosologia methodica superseded Linnaeus' medical classification.

William Farr (1807-1883) proposed a classification of causes of death which was modified and adopted by the International Statistical Congress in 1855.

Jacques Bertillon (1851-1922) chaired a committee which developed the Bertillon classification of causes of death using Farr's principle of classifying diseases by site. It was adopted in 1893 and further revised in 1900, 1910 and 1920 as the International list of causes of death.2 From 1900, classifications of diseases for morbidity reporting purposes were integrated into the causes of death classification.

World Health Organization (WHO) The manual of the international classification of diseases (ICD), injuries and causes of death was adopted internationally in 1948 by the First World Health Assembly. This was the sixth revision of the original classification. The 10th revision, the International statistical classification of diseases and related health problems (ICD-10), was adopted in 1993.

 

Historical background

One of the methods of relaying health information is through a standard and uniform collection of data on morbidity, mortality, and other conditions using the accepted set of classified lists (1). Through such lists, the varied disease phenomena could be clustered into a well-defined set of categories. The need to use is international classification to report diseases materialised only a century or so ago (2).

Careful description of clinical phenomena that lies at the heart of clinical medicine helped to delineate the distinct syndromes in the earliest developments of medical sciences. Those recognised symptoms and syndromes were the basis for the first classification systems until they were more or less replaced by anatomical and then by etiological classification. Although etiological classification is the best way to classify diseases for well-recognised reasons, syndrome and anatomical disease classifications are still in use due to the incomplete comprehension of causes of diseases.

The initial driving force behind the development of a classification system was the need for collecting statistical information on causes of death. If we go back to the 17th century where we find the inception of more practical and uniform grouping of disease phenomena, John Graunt was the first to start the statistical study of disease in under-six children with the intention of tabulating the causes of death (2). A subsequent attempt to classify diseases was made by Francois Bossier de Lacroix and William Farr (2). The facilitation of nosological uniformity began receiving international backing, as it would naturally deserve, in the 19th century. Of much interest would be the introduction of the ICD system and especially the 6th revision that was produced by the WHO in 1948 (2) extending its list to include non-fatal conditions which evidently implied the inclusion of other categories like mental illnesses. The 7th revision of the ICD was made in 1955, while the 8th and 9th revisions took place in 1965 and 1975, respectively. The latest revision, i.e., ICD-10, was released in 1992 (3). It is composed of 10 alphanumeric groups (4), one or more alphabets representing every chapter. Each alphabet stands for a similar group of diseases, disorders or conditions while two digits follow the alphabet. The next two digits after the dot designate subdivisions. For instance, the ICD-10 designates the letter ‘F’ for mental and behavioural disorders. ‘F20’ would represent the severe mental illness, schizophrenia. To add a specifier would require additional codes. Thus a

paranoid type of schizophrenia with continuous course would be coded as ‘F20.00’(3). It should also be noted that the ICD has varying details for different users.

There are other methods of classification for local use. Among these the American Psychiatric association has a well developed one called Diagnostic and Statistical Manual of Mental Disorders (DSM). This manual first appeared in 1952, shortly after WHO’s ICD-6. The last edition, DSM-IV (7), came into use in 1994. It is multi-axial and has been adopted by many countries.

References

1. Kendell RE. Diagnosis and classification. In: RE Kendell, AK Zealley eds. Companion to psychiatric Studies 5th ed. Edinburgh, Churchill Livingstone, 1993:277-294

2. WHO. Manual for international Classification of diseases, 8th revision, Geneva, 1965.

3. WHO. Manual for International Classification of diseases and health related Problems, 10th revision, Geneva, 1992.

4. Sartorius N, et al, Progress toward achieving a common Language in Psychiatry, results from the field trial of the clinical guidelines Accompanying the WHO classification of mental and Behavioural disorders in ICD-10. Arch Gen Psychiartry 1993;50:115-124.

5. Ministry of Health. Summary report on Outpatient Visits 1983, Planning and Programming Department, May 1993.

6. Alem A, Desta M and Araya M. Mental health in Ethiopia. Ethiop J Health Dev. 1995;9:47-62.

7. American Psychiatric Association: Diagnostic and statistical manual of mental disorders, 4th ed. Washington, DC, American psychiatric association, 1994.

8. Amanuel Psychiatric Hospital Records, 1948-1998.

9. Ministry of Health Manpower Study in Ethiopia, Addis Ababa, United Printers, 1980;36-42.

10. Jansson B, Johansson LA, Rosen M, Svanstrom L. National adaptation of ICD rules for classification- a Problem in the evaluation of Cause-of death Trends. J Clin Epidemilo 1997;50(4):367-375.
(From: Conforming to the international classification of diseases: A critique on health information reporting system in Ethiopia
Daniel Fekadu, Abebaw Fekadu, Atalay Alem
http://www.cih.uib.no/journals/EJHD/ejhd-v13-n3/ejhd13-3-page14.htm)