국제질병분류 11판의 전통의학 병증명에 대한 검토

Abstract

Objectives In Chapter 26 of the International Statistical Classification of Diseases and Related Health Problems (ICD-11), Traditional Medicine conditions (Module 1) was newly added as a separate chapter. However, in Traditional medicine patterns(BlockL1) of the ICD-11, some patterns are included in inappropriate classifications, BlockL3 and related detailed patterns are lacking for each category. Improvements adding new classifications and moving some patterns to the appropriate BlockL3 are needed. The purpose of this study is to review the structure and content in Traditional medicine patterns of the ICD-11. Methods In this study, improvements in Traditional medicine patterns in ICD-11 are presented based on Diagnostics of Korean Medicine, Korean Standard Classification of Diseases (KCD), Classification and Codes of Diseases and ZHENG of Traditional Chinese Medicine and Kampo Medicine Pattern Code. And the annual average of National Health Insurance claims and percentage of Traditional medicine patterns in KCD-7 are calculated by using statistical data from the Healthcare Bigdata Hub of Korea. Results and conclusions It is necessary to create Disease Cause Patterns(Block2), Miscellaneous patterns(BlockL3), Six stage patterns(BlockL3), Combined Patterns(BlockL3) in Eight Principle, Environmental factor, Body constituents, Visceral and Four phase. and rearranging some existing pattterns and adding new patterns in ICD-11 are needed. Four constitution medicine patterns(Block2) requires agreement between ICD-11 and KCD-7. And for consistent with the ICD-11, it is necessary to improve the structure and contents of Traditional Medicine patterns in Korea through sufficient research When revising KCD-9 referring to 2021 revision case in China.