协调ICF身体结构和ICD-11解剖细节:多种分类的一个基础
Vincenzo Della Mea1,2, Ann-Helene Almborg3,4, Michela Martinuzzi5
1Dept. of Mathematics, Computer Science and Physics, University of Udine, Udine, Italy.
PloS one
|July 27, 2023
概括
在国际功能,残疾和健康分类 (ICF) 和国际疾病分类第11版 (ICD-11) 中对解剖学表示进行比较,发现了细节和建模方面的差异. 需要和解才能建立一个一致的WHO-FIC基金会.
科学领域:
- 医疗信息学 医疗信息学
- 医学分类系统 医学分类系统
- 本体学 工程学 工程学
背景情况:
- 世界卫生组织的国际分类家族 (WHO-FIC) 将ICD,ICF和ICI统一为一个基础.
- 常见的概念,特别是人体解剖学,需要在各个分类中进行协调,以获得逻辑一致性.
- 在ICF和ICD-11中的解剖学表示显示出细节和建模方法的变化.
研究的目的:
- 为了比较ICF身体结构和ICD-11解剖细节之间的解剖实体表示.
- 确定ICF和ICD-11之间解剖学建模的共同点,差距和差异.
- 在WHO-FIC基金会内为解剖学概念的协调提供信息.
主要方法:
- 三位专家将ICF身体结构映射到相应的ICD-11解剖细节实体 (相同,更宽,更窄).
- 一个定制的Web应用程序促进了专家的映射和自动识别等价值.
- 专家识别的地图和软件生成的等价值被整合起来,以建立关系.
主要成果:
- 在ICF和ICD-11解剖学概念之间,共建立了434个关系.
- 在专家绘图方面,观察者之间达成了很高的共识 (93.5%).
- ICD-11通常提供比ICF更大的解剖细节,它倾向于分组结构.
结论:
- 在ICF和ICD-11之间的解剖学建模中存在显著差异,ICF的细粒度较小.
- 解剖学表示的差异需要与世卫组织分类原则一致的解决方案.
- 这种比较分析对于协调WHO-FIC基金会内的解剖学数据至关重要.
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