标准化流程的病残儿ICD-10疾病名称自动归类研究  

Standardized process of automatic classification for ICD-10 nomenclature of sick and disabled children

作　　者：赵君[1,2] 李霞[3,4] 田爱平[5,6] 张宏光[2] 代巧云[1,2] 彭左旗[2] 王媛媛[2] 马旭[1,2] 

机构地区：[1]北京协和医学院研究生院,100730 [2]国家人口计生委科学技术研究所 [3]四川大学华西第二医院 [4]四川大学华西妇产儿童医院 [5]成都中医药大学 [6]四川省人口和计划生育科学研究所

出　　处：《中国计划生育学杂志》2013年第7期436-440,448,共6页Chinese Journal of Family Planning

基　　金："十一五"国家科技支撑计划重点项目"现代人口和生殖健康公共服务体系与区域综合示范"(2008BAH24B00)

摘　　要：目的:引入国际通用的疾病分类编码ICD-10作为病残儿疾病分类标准,探索实现病残儿ICD-10疾病名称自动归类流程。方法:以"病残儿医学鉴定信息管理与决策分析系统"采集的四川省2004～2011年参加地市级医学鉴定的53632例病残儿对应的62225个疾病鉴定诊断为研究资料,通过构建ICD-10匹配编码库,将病残儿疾病编码匹配原则转化为具体规则,建立标准化的病残儿ICD-10疾病名称自动归类流程。结果:总结了病残儿鉴定诊断存在的书写和命名不规范问题,在已有的ICD和FAD编码库基础上,建立了可扩展的匹配编码库,经标准化的病残儿ICD-10疾病名称自动归类流程,病残儿疾病名称ICD-10总体匹配率达到96.58%。结论:借助标准化的病残儿ICD-10疾病名称自动归类流程,可节省病残儿疾病手工分类统计的工作量,实现疾病的智能化统计分析,为病残儿鉴定资料的合理利用及资源共享奠定了基础。Objective：To implement automatic classification for ICD - 10 nomenclature by introducing ICD - 10 as classifica- tion criteria for diseases of sick and disabled children. Methods ： A total of 62 225 diagnoses for 53 632 children who took part in the medical identification between 2004 and 2011 in Sichuan Province were collected by the medical verification manage- ment system for sick and disable children. A standardized process of automatic classification for ICD - 10 nomenclature of sick and disabled children were implemented by building an ICD - 10 matching code library as well as regularizing code matching principles. Results ： Barbarism of writing and naming was found and a matching code extension library based on existed ICD and FAD code libraries was established. The overall matching rate reached 96.58% with the standardized process. Conclu- sion： With the help of standardized process of automatic classification for ICD - 10 nomenclature of sick and disabled chil- dren, the workload of manual classification could be reduced and the intelligent statistical analysis could be performed, laying the foundation for fully sharing and utilizing identification documents of sick and disabled children.

关 键 词：ICD-10 病残儿 疾病分类统计 标准化流程 匹配编码库 

分 类 号：R174[医药卫生—妇幼卫生保健]