《国际疾病分类第十一次修订本(ICD-11)》传统医学章节与新版中医国家标准的比较研究  

A comparative study on International Classification of Traditional Medicine included in ICD-11 and new editions of TCM National Standards

作　　者：周强 李明 董全伟 程磐基 包来发 娄月丽 蒋小贝 鲍颖洁 杨丽娜 朱邦贤 严世芸 ZHOU Qiang;LI Ming;DONG Quanwei;CHEN Panji;BAO Laifa;LOU Yueli;JIANG Xiaobei;BAO Yingjie;YANG Lina;ZHU Bangxian;YAN Shiyun(Institute of Interdisciplinary Integrative Medicine Research,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Formula and Pattern Information Research Center of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Shanghai Qihuang Information Technology Co.,Ltd.,Shanghai 201203,China;Institute of Science,Technology and Humanities 9 Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学交叉科学研究院,上海201203 [2]上海中医药大学中医方证信息研究中心,上海201203 [3]上海岐黄信息技术有限公司,上海201203 [4]上海中医药大学科技人文研究院,上海201203

出　　处：《上海中医药杂志》2021年第5期1-6,23,共7页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家社会科学基金重大项目(19ZDA301);国家中医药管理局中医药标准化专项(G2YFJS201728);国家重点研发计划项目(2019YFC1709203);上海市科委软科学重点项目(20692116700);上海市科委研发平台专项(18DZ2293900)。

摘　　要：目的比较《国际疾病分类第十一次修订本(ICD-11)》传统医学章节(简称"ICTM")与新版中医国家标准(简称"新版国标")的差异,推动ICTM和新版国标的应用。方法编制ICTM与新版国标的映射关系表,通过数理统计、文本比对、文献分析等方法,从收录范围、编码规则、分类体系方面分析和比较ICTM和新版国标的差异。结果收录范围方面:ICTM与新版国标共有的疾病名术语为169个,排除无效码后,实际共有141个;两者共有的证候名术语为196个,排除无效码后,实际共有175个。编码规则方面:ICTM中采用Y、Z标示"其他特指"术语和"未特指"术语,并有单独一列标示有效码、无效码等规则;新版国标以"."表示术语分类层级,通过代码末尾的"."标示术语的类目属性。分类体系方面:新版国标比ICTM的疾病及证候分类体系更丰富,且基本涵盖了ICTM的证候分类体系。结论 ICTM和新版国标收录的术语量有显著差异,且ICTM没有收录治法部分的内容。在术语编制、术语分类、术语定义等方面,新版国标与ICTM是基本涵盖或相互映射的关系。Objective To compare the differences between the International Classification of Traditional Medicine(ICTM) in the Eleventh Revision of International Classification of Diseases(ICD-11) and the new editions of Traditional Chinese Medicine(TCM) National Standards, and promote the application of ICTM and the new editions of TCM National Standards. Methods Relational mappings were created for identifying differences between ICTM and the new editions of TCM National Standards from the aspects of inclusion scope, coding rules, and classification system through mathematical statistics, text comparison, and literature analysis. Results In respect of inclusion scope: ICTM and the new editions of TCM National standards have 169 common terms of diseases and 196 common terms of syndromes,but they actually share the remaining 141 terms of diseases and 175 terms of syndromes in common after excluding invalid codes. In respect of coding rules: In ICTM,Y and Z are used separately to mark"other specific"terms and"unspecified"terms,and a single column is used to mark valid codes,invalid codes and other rules;The new editions of TCM National Standards use a dot"."to indicate the classification hierarchy of terms,and the category attribute of each term is identified by the dot"."at the end of the code. In respect of classification system: Compared with ICTM,the new editions of TCM National Standards are more comprehensive in disease and syndrome classification system,which basically cover the syndrome classification system of ICTM. Conclusions There is significant difference in the number of terms included in ICTM and the new editions of TCM National Standards,and ICTM does not include terms of treatment. In respect of term compilation,classification and definition,the new editions of TCM National Standards either basically cover ICTM terms,or create relational mappings with ICTM terms.

关 键 词：《国际疾病分类第十一次修订本》 传统医学章节 《中医病证分类与代码》 《中医临床诊疗术语》 中医标准化 中医国际化 中医证候名术语 中医疾病名术语 

分 类 号：R2-04[医药卫生—中医学]