中文临床术语环境下国际健康干预分类系统效能评价  

Effectiveness Evaluation of International Classification of Health Interventions(ICHI)System in the Context of Chinese Clinical Terminology

作　　者：刘立煌 张耀光 张霞[1] 黄锋[1] LIU Lihuang;ZHANG Yaoguang;ZHANG Xia;HUANG Feng(Peking University People’s Hospital,Beijing 100044,China;Statistical Information Center of National Health Commission of the People’s Republic of China,Beijing 100044,China)

机构地区：[1]北京大学人民医院,北京100044 [2]国家卫生健康委统计信息中心,北京100044

出　　处：《医学信息学杂志》2025年第3期42-48,共7页Journal of Medical Informatics

基　　金：北京大学人民医院研究与发展基金(项目编号:RDM2023-14);国家卫生健康委医院管理研究所2024年医疗质量(循证)管理研究立项项目(项目编号:YLZLXZ24G089);国家卫生健康委卫生健康统计工作高质量发展揭榜攻关课题(项目编号:国卫办规划函[2022]336号(5))。

摘　　要：目的/意义系统评价国际健康干预分类系统(international classification of health interventions, ICHI)在中文临床术语环境下的效能。方法/过程采用5维度信息表达评价法,针对心血管循环系统临床术语,比较评价ICHI-WHO统计版、ICHI-WHO拓展版、ICHI本土统计版、ICHI本土拓展版与ICD-9-CM-3在术语信息表达和损失方面的表现。结果/结论在不同语种术语环境下,ICHI的信息表达效能存在差异。在中文临床术语环境中,ICHI-WHO统计版(47.0%)和拓展版(59.2%)的完全表达比例均高于ICD-9-CM-3(34.9%);经本土化改进后,ICHI的信息表达能力进一步提升,其中ICHI本土拓展版表现最优(90.1%)。在中文临床术语环境下,ICHI本土版相较于ICHI-WHO版和ICD-9-CM-3具有更优的信息表达效能,可以在国内推广。Purpose/Significance To systematically evaluate the efficacy of the international classification of health interventions(ICHI)in the context of Chinese clinical terminology.Method/Process Based on the clinical terms of the cardiovascular circulatory system,the 5 dimensional information expression evaluation method is used to compare the performance of ICHI-WHO statistical version,ICHI-WHO extended version,ICHI local statistical version,ICHI local extended version and ICD-9-CM-3 in terms of terminology expression and loss.Result/Conclusion There are differences in the information expression performance of ICHI in different language terminology environments.In the Chinese clinical terminology environment,the terminology complete expression ratio of ICHI-WHO statistical version(47.0%)and extended version(59.2%)is higher than that of ICD-9-CM-3(34.9%).After localization,ICHI’s information expression ability has been further improved,and ICHI local extended version performs the best(90.1%).Compared with ICHI-WHO and ICD-9-CM-3,the local version of ICHI in the context of Chinese clinical terminology has better information expression efficacy and can be promoted in China.

关 键 词：中文临床术语 国际健康干预分类 ICD-9-CM-3 效能评价 信息表达能力 

分 类 号：R-058[医药卫生]