ICD10 Guide
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Διεθνής Στατιστική Ταξινόμηση Νόσων και Συναφών Προβλημάτων Υγείας Δέκατη Αναθεώρηση Έκδοση 2008 Τόμος 2: Εγχειρίδιο Οδηγιών Παγκόσμιος Οργανισμός Υγείας Γενεύη Υπουργείο Υγείας & Κοινωνικής Αλληλεγγύης Αθήνα Εθνική Σχολή Δημόσιας Υγείας Αθήνα
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ICD10 Guide
Transcript of ICD10 Guide
2008 2:
&
2008 2:
&
ICD-10: , 2008 ISBN: 978-960-334-115-4
2: ISBN: 978-960-334-118-5
:
2009 ICD-10: International Statistical Classification of Diseases and Related Health Problems World Health Organization 2009 , . : 20010
................................................................................................................................... v .................................................................................. vii
1. ............................................................................................................................... 1 2. ............................................................................................................. 32.1 2.2 .................................................................................................. 3
"" ...................................................................................................... 3 2.2.1 ............................................................ 6 2.2.2 ............................................................................... 8 2.2.3 ........................ 10 2.2.4 ............................................................................... 11 2.2.5 .................................................................................................. 12
2.3 ....................................................................... 12 2.4 ICD .......................................................... 13 2.4.1 ....................................................................................................................... 14 2.4.2 ................................................................................................................ 15 2.4.3 .............................................................................................. 15 2.4.4 ............................................................................... 15 2.4.5 ................................................................. 16 2.4.6 ............................................................................................................. 16 2.4.7 "U" ................................................................ 16
3. ICD .......................................................................................... 173.1 1.................................................................................. 17 3.1.1 ................................................................................................................ 17 3.1.2 ............................................................... 17 3.1.3 ...................................... 19 3.1.4 ................................. 21 3.1.5 ................................................................... 23 3.2 3.................................................................................. 25 3.2.1 .................................................................. 25 3.2.2 ........................................................................................................................ 25 3.2.3 ...................................................................................................... 25 3.2.4 ............................................................................................................... 26
3.3 ....................................................... 26
4.
..................................................................................................... 284.1 : ............................................................................................................... 28 4.1.1 ...................................................................................................... 28 4.1.2 .................................................................................... 28 4.1.3 ................................ 29 4.1.4 ......................................................................................................... 30 4.1.5 .......................................... 31 4.1.6 ............................................... 32 4.1.7 ............................. 33 4.1.8 .................................................................... 40 4.1.9 ................................................................................... 40 4.1.10 ....................................................... 42 4.1.11 ........... ......................................................................................................... 48 4.1.12 ........................................................ 61 4.2 ............... 65 4.2.1 ............................................................................ 66 4.2.2 ..................................................................... 66 4.2.3 ............................................................ 68 4.2.4 ............................................................................................ 69 4.2.5 .......................................... 70 4.2.6 ............................................................................................................ 70 4.2.7 ......................................................................................... 71 4.2.8 ................................................... 83 4.2.9 , ....................... 83 4.2.10 .................................................................................... 84 4.2.11 , .................... 85 4.2.12 .................................................................................................. 86 4.2.13 .............................................. 87 4.2.14 (HIV) .......................................... 87 4.3 : ................................................................................. 87 4.3.1 ................................................................... 87 4.3.2 ................................................................................... 88 4.3.3 ............... 91 4.3.4 ........................................................................ 92 4.3.5 .......................................................................................... 92
4.4 .................................................................................................................. 94 4.4.1 ............................ 95 ii
.................................................................................. 97 4.4.3 ................................................................................................. 103 4.4.4 ........................................................................ 108
4.4.2
5. ............................................................................................. 1195.1 ................................................................................................................... 119
5.2 ......................................................................................................... 119 5.3 .................. 119
5.4 ......................... 120 5.4.1 ..................................................................................... 120 5.4.2 ..................................................................................... 120 5.4.3 .......... 121 5.4.4 .......................................................................... 121 5.5 ........................................................... 121 5.5.1 ............................................................................................................ 121 5.5.2 .............................................................................................. 122 5.6 ........... 122 5.6.1 .............................................................................................. 122 5.6.2 ..................................................................... 123 5.7 , , ........................................................................ 123 5.7.1 ............................................................................................................... 124 5.7.2 ......................................................................................... 125 5.7.3 ......................................................................... 126 5.7.4 ...................................... 128 5.8 .. 129 5.8.1 ................................................................................................................ 129 5.8.2 ................................................................................................. 130 5.8.3 ................................................ 130 5.8.4 ....................................................... 130 5.9 ................. 131
5.10 .............................................................................................................. 131 5.11 ................................................................................................................. 131 5.12 ........................................................................... 132
iii
5.13 .................................................... 132 5.14 .................................................................................................................. 132
6. ICD ....................................................... 1356.1 6.2 6.3 6.4 .................................................................................................. 135 .......................................... 136 ............................................. 138 ....................... 139
6.5 ........................ 140 6.6 ......................................................... 141 6.7 ..................................................................... 143 6.8 .............................................................................................. 143 6.9 ......................................................... 144
7.
................................................................................................................ 1477.1 ....... 147
......................................................................................................................... 155
iv
ICD-10 () 2 ICD-10 2008 Edition. (ICD-10) / ICD-10 2007 update, , 2008 , . 10 ICD . , . ICD-10, , , , , . , ICD-10 , , . , , , . 1 ICD-10, . ICD-10 . , , . . . , , . . , . , :
v
1. , ICD-10 : . ., ., . (.), , 1997. 2. , MeSH HELLAS, , , 1991. 3. , MeSH HELLAS, , , 1997. 4. , ICD-O , . (.), , , 1995. 5. & , , 1980. 6. , ICD-10 , .., ., . (), , 2003. . . . , . . , . . , , .
.
vi
ICD-10 : PGDip(York) MPH PhD(Gla), , : , o, , , . , , ,
, , / , . , . , , , .. . , . , & , , , ,
vii
, / , , , . , , , . , , . , , . & . . , , - . , , , , , , , , , . ,
viii
1. O (ICD-10) , . ( 1) . 3. ICD, , . ICD. . ICD , ( 1).
1
2
ICD
2.
2.1
. ICD , . ICD , . , ICD . , . H ICD . ICD , . ICD . . , . , ICD , . , ICD , , , ( 1, XVIII ). , "", " ", " " " ", .
2.2 "" ICD , . , . , ICD
3
ICD
, . ICD-10 1989 ( 1, , 6). , ICD , . , . , ICD . , , (ICF). , . . WHO-FIC , , . (WHO-FIC) . 1 WHO-FIC.
4
ICD
(ICPC)
(ICD)
, (ICD-O-3)
ICD-10
(ICECI)
, , (ATC) (DDD)
, (ICF)
, (ICD-DA) (ICD-10-NA)
(ICHI)
ISO 9999
, (ICF -CY)
1: WHO-FIC
, , , , , . . . , . . WHO-FIC: ICD ICF . ( ) (ICHI). , .
5
ICD
. , . . WHO-FIC ICF ICD , (ICD-O-3), , 3 (ICD-DA), ICD-10 (ICD-10-NA) ( ). , . , , . WHO-FIC : (ICPC-2), (ICECI), : (ISO9999) , , (ATC/DDD).
2.2.1
, , . 1. , ( , 5.4 5.5.)
, ICD . ICD , , . .
6
ICD
, . .
(ICD-), 2000, (1). ICD- . , , ICD-10 ( C00-C80). ICD- ICD-10. (SNOMED) (2), 1968 (MOTNAC) (3) (SNOP) (4). (, in situ, , ...). ICD- 1 ICD-10 3, . ICD- ICD-10.
1978, ICD. ICD-10 , .
(ICD-DA), ICD-10, 1995. ICD , . ICD-10 , ICD-DA ICD ICD-DA ICD.
1997 ICD-10 (CD-NA), ICD-10, .
7
ICD
(ICD-R&), (ICMSD), ICD-10. ICD-R& , ICD-10. ICMSD , .
, () ICD-10 , . ICD-8 ICD-9.
ICD-10: . , 1992, V ICD-10 ( ) , (5). , . V, , 1993. , , .
2.2.2
(ICPM) 1978 (6). , , , , , . H , . ICPM . ICPM ICD.
8
ICD
1987, ( 5) ICPM . , . 1989, . . , ICD-10. , . , (, , , ), , .
, , (ICF) 2001, 22 2001. 25 . ICF . 1 . 2 . , , : (1) , (2) . , ICF . ICF , (ICIDH). , ICIDH ICF: , , . ( ) ( ). - , . ( ) ( ). ( ). , . . .
9
ICD
. . . , . ICF b, s, d e , , , . ( ), ( ), ( ). ICF . . . ICF , (.. ). , ( ). . , . , , , . ICF . . . , ICF . , . , ICF . , , ICF . ICF . , ICF . ICD ICF . , .
2.2.3
2000 (PHC).
10
ICD
, ICD. 1970, . " ". , , (, , ) . , " " , . , . . ( 1) : , . . , , , , .
, .
2.2.4 1970, (CIOMS) (IND), , 1972-1974 . , , , CIOMS. 1975, IND CIOMS , . IND , . ( ), , -, , ( ) . , , , , . - , (.. Hodgkin, Parkinson Addison), .
11
ICD
, . . , , . IND ICD. 2.3. , ICD , IND. IND 1992 (8) : ( (1985), (1982), (1983), (1987)) (1979) (1990) (1989) , (1991) , (1992) (1992).
2.2.5 , , , ICD ICF . ICD ICF . , , , . ICD-10 ICF . , .
2.3 William Farr 1856 (9): . , , , , , , .
, . . . , . . ,
12
ICD
. . , . , . . , . , ICD. ICD , , , , , . ICD, , , .
2.4 ICD ICD . William Farr . Farr, , : ()
ICD-10. , , . , , . , , ICD . , . , ,
13
ICD
. , . ICD , . , , . , . , 00.0 99.9. U ( 2.4.7).
2.4.1 ICD-10 : 1 2 ICD 3 . 1 , , . - ( 1) . . , , 21 . 1 : . , , () , , (). ICD (ICD-) (1). . ICD, , , . ICD. 1 2 3 4 ( 0 - 4 ). . 1. 5 . . 1 . . - , , . 1.
14
ICD
2.4.2 21 . ICD , , D , , VII, VIII . ( , , ) . , . XVII , , . . XVIII , , . , , , , , . , , , , .
2.4.3 (blocks) . , . , , , (.. , , , , Kaposi). .
2.4.4 , , , , . , , , .
15
ICD
2.4.5 , . , , , . , , , , . .8 , .9 o , . , . . , 03-06, , ( 1).
2.4.6 . : - - , , - .
2.4.7
"U"
U00 U49 . U50 - U99 , .. .
16
ICD
3. ICD
. ICD , . ICD .
3.1 1
3.1.1 1 . , . , , . 1, . 3 . 1. ICD . 4 . 2.4.
3.1.2
1 , . , , .
1 ICD, .
17
ICD
. . . . , . , . . , (.. ..., ..., ...). , , , , .
. , , . 46, "", . , , . , , .
V, , . , , . . ICD, , , .
18
ICD
3.1.3
" " ICD-9 ICD-10, . () (*). , ( ) . , ICD, o . . , . . . . , G20 G21 , G22* . , G22*, o 52.1. . , , ( ) ( ), . 83 , . : (i) () , , .. 17.0 (G01*) () ()
19
ICD
(ii)
, ( ), .. 18.1 : (33.0*) (74.0*) (29.1*) (51.-*) (29.1-*) (74.1*)
(iii)
, , , , .. 54.8 : ... (67.1*) (J17.0*)
, , ICD . , , ..., . . : (i) , , , . , 95 - 97 . . IV . , () 1, ICD, . F00-F09 (, ,) V,
(ii)
(iii)
(iv)
20
ICD
, .. , . ( ) (vi) , . , : , , , . . ( , 1).
3.1.4 , ICD , , , , , () . ICD.
( ) 1 . ( ) , . , 10 () () () () () () 10 o , . . , 01.0 : (10.5). ( ) () , . . .
()
21
ICD
[ ] : ( ) , , 30 [ Hansen] () , C00.8 [ 5 ] ( ) , 27 , [ 25 ].
: . , . , 36, , , .
} . . : 71.6 } } () }
, . . , , . , . .
22
ICD
. , ICD, . , ICD . , , .
, , . : J16 ,
J16.0 J16.8 . ( , J09-J15) ( , 23.- ) . J18, , .
/. , 18.0, , , .
. , , .. G03 : (G04.-)
. .
3.1.5
. , .
23
ICD
: D63*, D77*, 35*, 90*, F00*, F02*, GO1*, G02*, G05*, G07*, G13*, G22*, G26*, G32*, G46*, G53*, G55*, G59*, G63*, G73*, G94*, G99*, 03*, 06*, 13*, 19*, 22*, 28*, 32*, 36*, 42*, 45*, 48*, 58*, 62*, 67*, 75*, 82*, 94*, 32*, I39*, 41*, 43*, 52*, 68*, 79*, 98*, J17*, J91*, J99*, 23*, 67*, 77*, 87*, 93*, L14*, L45*, L54*, L62*, L86*, L99*, 01*, 03*, 07*, 09*, 14*, 36*, 49*, 63*, 68*, 73*, 82*, 90*, 08*, 16*, 22*, 29*, 33*, 37*, 51*, 74*, 77*, 75*
: 26.0, C60-C63, D07.4-D07.6, D17.6, D29.-, D40.-, 29.-, 89.5, F52.4, 86.1, L29.1, 40-51, Q53Q55, R86, S31.2-S31.3, 12.5 : 34, 37.3, C51-C58, C79.6, D06.-, D07.0-D07.3, D25-D28, D39.-, 28.-, 89.4, F52.5, F53.-, 86.3, L29.2, L70.5, 80.0-80.1, 81.0-81.1, 83.0, 70-98, 99.2-99.3, 00-99, 54.6, Q50Q52, R87, S31.4, S37.4-S37.6, 19.2-19.3, 83.3, 76.-, 01.4, 12.4, 30.1, 30.3, 30.5, 31.1, 31.2, 32-36, 39.-, 43.7, 87.5, 97.5. 4.2.5.
: 90-94, 64.-, 68, G09, 69.-, 97, 90-98, 85-89. 4.2.4 4.4.2.
. 4.4.2. 89.-, G97.-, 59.-, 95.-, 97.-, J95.-, 91.-, 96.-, 99.-
24
ICD
3.2 3 3, ICD-10, . . .
3.2.1 3 : - , . , . , , , , (), , .
3.2.2 , ( ) . , , , , . .
3.2.3 . . , o . H (.. 03.-) . , .
25
ICD
3.2.4
1, .. .
To ( ) , , , .
. ICD ICD .
3.3 1, . , ICD . ICD. 1. () . ( () - , . () , ). 2. . . , . 3. . 4. ( ), ( ), . 5. ( ) .
26
ICD
6. . 1. , , 1. 7. , . 8. . , , 4.
27
4.
. .
4.1 : .
4.1.1 1967, , () . . , . , . , 4.1.5. .
4.1.2 . , . . , () , () .
28
4.1.3 , . ,. . , .
* , , , , . . .
()............................................. ( ) ()............................................. ( ) ()............................................. ( ) ().............................................
,
............................................ .
* .. , . , .
/ . . 1990, , , (), . , ,
29
, , . . , 4.1.4 - 4.1.5 . , ( ) , . , (). , () , () () (). : () () () () , . ( ), , , , , . (, , , , ) , , ICD . 1990, .
4.1.4 , . , , 1, 2 3.
30
ICD . , , . , F ( 4.1.9), . . , V0189. .
4.1.5
O , . 1: ( ) () ( ) () B
, . , : 2: () () ()
: ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )
, .
31
1. , . , . 2. , . 3. 1 2 , , .
4.1.6 , , , , , . 3: ( ) () ( ) ()
4:
() ()
, , . , , , . 5: () () () 5 3 11
, . , , .
32
, , . , , . 1 , . , 2 . , , .. . , 3 . , , .
4.1.7 , . 6: () () (J18.1). 7: () () () (C25.0). 8: ( ) () ( ) ()
(40). 9: () (shock) () () ( ) (V04.1).
33
10:
() . 26. 3
1 , . , . 11: () () (63.9). , . . 12: () () (74.6). H . 13: () () () . . C 45. 14: () () . : . . C 60.
34
15:
() () () . : . . C 46.
2 , . 16: () () (D51.0). . 17: () (09.9). . 18 : () () (84.9). . 19: () () () . - - . 33. 20: () . . 41. 21: () , . . . 3 28.
35
3 1 2 , , . Kaposi, Burkitt , , C46.- C81-C96, HIV, . . 00-19, 25-49, 58-64, 99 J12-J18 HIV. ( ( ), , , , , , , (), , ) , . (I50.-) (I51.9) . (J81) ( ) , , , , , , . , (J18.1) (F10.2). J12-J18 . J15.0-15.6, J15.8-J15.9, J16.8, J18.0 J18.2- J18.9 ( ) ( ), , , . J15.0-15.6, J15.8-J15.9, J16.8, J18.0, J18.2- J18.9, J69.0, J69.8 . J18.- ( ) J18.2. ( , ) ( ) ( ) . , . . ()
36
. () I26.0-I26.9 I74.2-I74.4 I80.1-I80.3 I80.9 I82.9 K55.0 K56.4 K59.0 L89 N10-N12
55.0
N28.0
N28.0
N30.0-N30.2
,
N30.9
,
N31 N34.0-N34.2
,
N35.1-N35.9
( )
N39.0
,
37
o , , , . , . , . (.. ), , . , ( ) . , . . , . , . , . , , , . . , , , , , . . (, , ). , . . ( ) . . , . 22: () Kaposi AIDS HIV, Kaposi (21.0)
38
23:
() HIV (C56)
24:
() HIV HIV (20.0)
25:
() () Burkitt, HIV HIV , (22.7). , 2, HIV.
26:
() (C91.1). , ( 10), , .
27:
() () () (40). , 1, .
28:
() , (38). 2 ( 21), .
29:
() (C64). .
30:
( ) () ( ) ()
(74.6). H , , .
39
31:
() , () (61.9). H , 2, .
32:
() 3 (C34.9).
4.1.8 . , , . , , . . . , ICD, , , , . , 3.
4.1.9
. , , . : 46.9 ( , ) 95.9 (, ) 99 ( ) J96.0 ( ) J96.9 ( , ) 28.5 ( ) R00-R94 R96-R99 (, , ). R95 ( ) .
40
. ( ), . , . , , B .
C. , , . , . , . .
D. , . , .
. , . .
F. ..., o , .... ... : 90-94, 64.-, 68, G09, 69, 97 85-89.
41
4.1.10 . , , . : 46.9 ( , ) 95.9 (, ) 99 ( ) J96.0 ( ) J96.9 ( , ) 28.5 ( ) R00R94 R96-R99 (, , ). R95 ( ) . 33: () () (06.9). , 2 ( 19) . 34: () () (D64.8). , , . 35: () () () (51.5). , , o 2. 36: () (92.0). , 2, . 37: () () () (63.9). , 1, . . (A) ( ), .
42
38:
() (E14.9). H , , .
39:
() (17.9). , 2, .
() , . 40: () () () (60.0). , . () , , B . 41: () () (L01.0). . 42: () () (J06.9). . C. , , . , . , . .
43
43:
() () (41.3).
44:
() (Hiss) Chagas Chagas (57.2). , 2, Chagas.
45:
() () () (21.9). , 1 ( 13), .
46:
() () () (63.9). , 1 ( 15), , .
47:
() () (13.9). .
48:
() () () (11.9). , 1, .
49:
() () () (64). , , 2 .
44
50:
() () () (J44.8). , , .
51:
() () (13.9). .
52:
( ) () ( )
()
(16.2). , , . 53: () () (G40.9). , 1, . 54: () () Chagas Chagas (57.2). , , Chagas. 55: () Pneumocystis carinii [jirovecii] () HIV B20.6. HIV, , Pneumocystis carinii [jirovecii] () () HIV B24. B20-B23. D. , . , .
56:
45
57:
() () (63.9).
58:
( )
,
(05.0). 59: ( ) ()
(17.0). . 60: () . (15.0). 61: ( ) ()
(52.0). . 62: () () (18.8). , 1 ( 14), . . , . . 63: () () (52.9). 64: () () - (15.0). 65: () () (40.9).
46
66:
() () , (03.9), .
F. ... o , .... ... : 90-94, 64.-, 68, G09, 69, 97 85-89. 67: () () (90.9). 68: () () () (64.3). 69: () () (90.0). 70: () () () (10 ) (69.4). 71: () () (94.8). .
47
4.1.11 o , , , (bold). : . 00-99 [HIV] (20-24), , C00-C97. 15.16. , , : J60-J64 (), J65 17.18. : 15 16 ( ), 15, 16, 15.- 16.-. 39.2 39.3 39.4 , : 39.0 ( ), 39.0 39.1 ( Waterhouse-Friederichsen), 39.1 40.41.46 ( S00, S10, S20, S30, S40, S50, S60, S70, S80, S90, 00, 09.0, 11.0), , .
48
16.B17.-
: K72.1 ( ) B18.K74.0-K74.2, K74.4-K74.6 ( ), B18.-
20-24
[HIV] , HIV B20-B23, 3. .7 (20 21). , 20-24 .
22.7
V 20-22. , 20-24 .
95-97
, .
D50-D89
: 20-24 [HIV] HIV , 20-24
86
: 00-09 ( ), 00-09
89.-
, . , 4.2.6.
49
F03-F09
, .
F10-F19
: X40-X49 ( ), X40X49 X60-X69 ( ), X60-X69 X85-X90 ( ), X85-X90 Y10-Y19 ( , ), Y10-Y19 .0 ( ), X40-X49, X60-X69, X85X90 Y10-Y19 .5 ( ) (.2), F10-F19 .2
F10.-
: E24.4 ( Cushing ), E24.4 G31.2 ( ), G31.2 G62.1 ( ), G62.1 G72.1 ( ), G72.1 I42.6 ( ), I42.6 K29.2 ( ), K29.2 70.( ), 70.K72.( , ), K70.4 K73.( , ), K70.1 K74.0 ( ), K70.2 K74.1 ( ,) K70.2 K74.2 ( ), K70.2 K74.6 ( ), K70.3 K75.9 ( , ), K70.1 K76.0 ( , ), K70.0 K76.9 (, ), K70.9 K85.2 ( ), K85.2 K86.0 ( ), K86.0 O35.4 ( () ), O35.4
F10.2
: F10.4, F10.6, F10.7 delirium, , , F10.4, F10.6, F10.7
50
F17.-
F70-F79
G25.5
: 00-02 ( ), 02.05-09 ( ), 02.-
G81.G82.G83.-
G97.-
. , 4.2.6.
54.-
.
59.-
o , . , 4.2.6.
90.91.-
.
95.-
o , . , 4.2.6.
05.8
51
05.9
, : 34.( ), 34.-
I08.-
. , 1, 2 3 .
09.1 09.9
, , : 05-08 ( ), 05-08
10
() : 11.( ), 11.12.( ), 12.13.( ), 13.20-25 ( ), 20-25 60-69 ( ), 60-69 00.( ), 00.01.( ), 01.03.( ), 03.04.( ), 04.05.( ), 05.18.( ), 12.19.( ), 12.26.( ), 12. : 35.0 ( ), 35.0 05-09 ( 05-09 ), 34-38 34-38 ( ), 34-38 50.( ), 11.0 51.4- ( 51.9 ), 11.-
11.-
: 12.( ), 13.13.( ), 13.20-25 ( ), 20-25 18.( ), 13.19 ( ), 13.26 ( ), 13.-
52
12.-
: 11.( ), 13.13.( ), 13.20-25 ( ), 20-25 : 50.( ), 13.0 51.4- ( 51.9 ), 13.-
13.-
: 20-125 ( ), 20-25
I15.0
3. , I15.0.
I15.1
3. , N28.9.
I15.2
3. , E34.9.
I15.8
3. , I15.8.
I15.9
, 3. , I15.9.
20. 24.25.-
: 21.( ), 21.22.( ), 22.-
53
21.-
: 22.( ), 22.-
23.-
. 21.- 22.- .
24.0
. , 21.- 22.- .
I25.2
. , (I25.8)
27.9
, : 41.- (), 27.1
44.45.46.47.48 49.50.51.451.9
: 57.( Chagas), 57.20-25 ( ), 20-25
50.51.9
, : 41.- (), 27.1
50.9 51.9
, , : J81 ( ), 50.1
54
I60-I69
: F01-F03 (), F01
65.66.-
, . , 63.-
67. 2
: 60-66 ( , , ), 6064 : F03 ( ), F01.G20 ( Parkinson), G20
70.
: 10-13 ( ), 10-13 20-25 ( ), 20-25 I50.( ), I50.51.4 (, ), 51.4 51.5 ( ), 51.5 51.6 ( , ), 51.6 51.8 ( ), 51.8 60-69 ( ), 60-69 : 05-09 ( 05-09, ), 34-38 34-38 ( ), 34-38 I51.9 (, ), I25.1 71-78 ( , ), 7178 55.( ), 55.N03.( ), I12.26 ( ), 12.-
55
I70.9
: R02 (, ), 70.2 : F01.( ), F01.F03 ( ), F01.G20 ( Parkinson), G20
97.-
, . , 4.2.6.
J00 J06.-
[ ] : G03.8 (), G03.8 G06.0 ( ), G06.0 65-66 ( ), 65-66 70.( ), 70.J09-J18 ( ), J09-J18 J20-J21 ( ), J20-J21 J40-J42 ( ), J40-J42 J44.( ), J44.00.( ), 00.-
J20. -
: J41.( ), J41.J42 ( ), J42 J44 ( ), J44
J40 J41.J42
, : J43.(), J44.J44.( ), J44. : J45.(), J44.- ( J45.-, J46, )
56
J43.-
: J40 ( ), J44.J41.( ), J44.J42 , J44.-
J45.J46
[Status asthmaticus] () () , 1, 2 3 . .
J60-J64
: 15-16 ( ), J65
J81
: 50.9 ( ), 50.1 51.9 ( ), 50.1
J95.-
, . , 4.2.6. , : F10.- ( ), K70.4
K72.-
K73.-
, : F10.- ( ), K70.1
K74.0 K74.1 K74.2
: F10.- ( ), K70.2
57
K74.6
: F10.- ( ), K70.3
K75.9
, : F10.- ( ), K70.1
K76.0
, : F10.- ( ), K70.0
K76.9
, : F10.- ( ), K70.9
K85.9
, : F10.- ( ), K85.2
91.-
, . , 4.2.6.
41.-
: 27.9 ( ), 27.1 50.( ), 27.1 51.9 ( ), 27.1
96.-
, . , 4.2.6.
58
00.-
: 03.( ), 03.-
18.19 26
: 10 ( () ), 12.11.( ), 13.12.( ), 12.-
46 97.-
.
99.-
, . , 4.2.6.
08.-
. 00-07.
30.-
.
32.-
: 33.( ), 33.-
33. 9
: 33.0-33.3 ( ), 33.0-33.3
64.-
: 65.( ), 65.-
59
80-84
. , , (75.9)
07.08.-
, . (P28.5).
P70.3-P72.0 P72.2-P74
. , , (P96.9).
R69.-
. R95-R99 .
S00-98
, V01-89. , , M80.-
S02.-
, , S02.7
S06.-
, . : S02.( ), S02.-
79.-
, .
60
V01- 59
: 35 (), 35 : G40-G41 (), G40-G41
90-98
.
00-99
4.1.12 1, , . , .
61
1. A00-B19 } B25-B99 } A15.-, A16.A17.-, A18.A39.2-A39.4 A40.-, A41.-, A46 B16.- } B17.- } B20-B24 D50-D59 E86 F10-F19} } } } F10-F19 (F1x.5) F10 : :
C00-C97 J60-J64 A15.-, A16.A39.0, A39.1 K72.1 K74.0-2, K74.4-6 B20-B24 A00-A09 X40-X49 X60-X69 X85-X90 Y10-Y19 F10-F19 (F1x.2) E24.4 G31.2 G62.1 G72.1 I42.K29.2 K70.K72.K73.K74.0-2 K74.6 K75.9 K76.0 K76.9 K85.2 K86.0 O35.4 F10.4, F10.6, F10.7 I00-I02 I05-I09
C00-C97 J65 A15.-, A16.A39.0, A39.1 4.1.11 B18.B18. 4.1.11 B20-B24 A00-A09 X40-X49 X60-X69 X85-X90 Y10-Y19 F10-F19 (F1x.2) E24.4 G31.2 G62.1 G72.1 I42.6 K29.2 K70.K70.4 K70.1 K70.2 K70.3 K70.1 K70.0 K70.9 K85.2 K86.0 O35.4 F10.4, F10.6, F10.7 I02.I02.-
F10.2 G25.5 I05.8 } I05.9 } } } I08.I09.1 } I09.9 }
I34.I05-I08
I34. 4.1.11 I05-I08
62
I10
: I11.I12.I13.I20-I25 I60-I69 N00.N01.N03-N05 N18.N19 N26
:
H35.0 I05-I09 ( ) I34-I38 I50.I51.4-I51.9 I11.I12.I13.I20-I25 N18.N19 N26 I11.I13.I20-I25 I50.I51.4 -I51.9 I13.I20.- } I24.- } I25.- } I21.I27.9 I44-I50 } I51.4-I51.9 } I50.} I51.9 } I50.9 } I51.9 } I60-I69 I67.2 I70.I20-I25 I21.I22.I22.M41.B57.I20-I25 M41.J81 F01-F03 I60-I64 F03 G20 I10-I13 I20-I25 I50.I51.4 I51.5 I51.6 I51.8 I60-I69 I05-I09 ( ) I34-I38 I51.9
I11.I12.I13.I20-I25 I60-I69 N00.N01.N03-N05 I12.I12.I12.H35.0 I34-I38 I34-I38 I11.0 I11.I13.I13.I20-I25 I13.I13.I13.I13.I13.I20-I25 I13.0 I13.I20-I25 I21.I22.I22.I27.1 B57.I20-I25 I27.1 I50.1 F01.I60-I64 F01.G20 I10-I13 I20-I25 I50.I51.4 I51.5 I51.6 I51.8 I60-I69 I34-I38 I34-I38 I25.1
I12.-
63
I70.-
:
: I71-I78 K55.N03.N26 F01.F03 G20
I70.9
R02
I71-I78 K55.I12.I12.I70.2 F01.F01.G20 G03.8 G06.0 H65-H66 H70.J09-J18 J20-J21 J40-J42 J44.N00.J41.J42 J44.J44.J44.J44.J44.J44.J44.J65 J65 I50.1 I50.1 K70.4 K70.1 K70.2 K70.3 K70.1 K70.0 K70.9 K85.2 I27.1 I27.1 I27.1 N03.I12.I13.I12.O33.O33.0-O33.3 O65.S02.A35
J00 } J06.- }
G03.8 G06.0 H65-H66 H70.J09-J18 J20-J21 J40-J42 J44.N00.J41.J42 J44.J43.J44.J45.J40 J41.J42 A15.A16.I50.9 I51.9 F10.-
J20.J40 } J41.- } J42 } J43.J60-J64 J81 K72.- } K73.- } K74.0-2 } K74.6 } K75.9 } K76.0 } K76.9 } K85.9 } M41.N00.N18.- } N19 } N26 } O32.O33.9 O64.S06.V01-X59
I27.9 I50.I51.9 N03.I10 I11.I12.O33.O33.0-O33.3 O65.S02.A35
64
2. ( , R99) B95-B97 F01-F09 E89.F70-F79 F10.0 ( X45, X65, X85, Y15) G81.F11.0 ( X42, X62, X85, Y12) G82.F12.0 ( X42, X62, X85, Y12) G83.F13.0 ( X41, X61, X85, Y11) H54.F14.0 ( X42, X62, X85, Y12) H90-H91 F15.0 ( X41, X61, X85, Y11) I15.0 F16.0 ( X42, X62, X85, Y12) I15.8 F17.0 ( X49, X69, X89, Y19) I15.9 F18.0 ( X46, X66, X89, Y16) N46 F19.0 ( X40-X49, X60-X69, N97.X85-X90, Y10-Y19) G97.O30.H59.P07.H95.P08 I15.1 ( N28,9 ) T79.I15.2 ( E34,9 ) I23.( I21 I22) 24.0 ( I21 I22) I25.2 ( I25.8 I65.( I63) I66.( I63) I97.J95.K91.M96.N99.O08.O80-O84 ( O75.9) P70.3-P72.0 ( P96.9) P72.2-P74 ( P96.9) R69.( R95-R99) S00-T98 ( V01-Y89) Y90-Y98 Z00-Z99 ( 3.1.3)
4.2
. , . .
65
4.2.1 , , . , , , . , . 1: () () (03.9). , . 2: () () (02.1). , , .
4.2.2 ICD . , : ( ) () [HIV] AIDS (00-99) , (): ) (09) ) (40-41) ) (46) ) (48.0) ) Vincent (69.1) ) (35-49) ) () o 00-19 25-64 (01-02) ,
66
( ) () ( )
() ( )
( ) ( )
, [HIV] (D66, D67, D68,0-D68.2) (10-14) : (83.1), (85-86), (C25.-, D13.6, D13.7, D37.7), (40-46) (00-02) (05-09) (38), (40), (J02.0) (J03.-) : , , (20, 25) (1) (60-69) (00-92), (I61.-) (K70-K76) (2) (I63.0) (I63.2) (I63.3) (I63.5) , (I63.6) (I63.8) , (I63.9) , (I64) (I67) , (I69.4) (I69.8) (I05-I08, I09.1, I33-I38), (3) , (I65), , (I66), (I69.3), (I05-I08, I09.1, I33-I38)
() () ()
[] (J09-J11) (Q00-Q99) , :
67
() ()
()
, ( 5 4.1.6) (V01-59) : (1) (V01-59) (G40G41), (2) (W00-W19) (M80M85), (3) (W00-W19) () , (4) , (W80) (W78) , (5) ( ) (W79) (60-84) .
, , . , . : 21-22 24.26.30.33.40.44.45.46.47.48 49.50.51.8 60-68 67.0-67.5 67.9
4.2.3
, . ( ) F ( ).
68
95 ( ), 96 ( 42 , ) 97 ( ) . 95 , , , . , . 96 42 , . 97 . , (Q00-Q99), , . . , ( ).
4.2.4
(90-94, 64.-, 68, G09, 69.-, 97 85-89) o () . F. , . , , . /... .
90.- , , , , , , .
94.0 , , , .
69
94.1 , , .
94.8 , , , , , . , , 00-89.
64.3 , .
G09
G00.-, G03-G04, G06.- G08. (G01*-G02*, G05.-* G07*) (.. 90.0 ). , .
4.2.5 ( 3.1.5). , , , o (R99). 4.2.6 , , (.. 28.9). , .. , (R99), 6084 . , Y60-Y69.
70
, , Y83-Y84. 4.2.7 , . . , , . . . , , . , . 1 . . (), , . 1: () () n situ (C50.9). . , , , , , . , , : C40, C41 ( ), C43 ( ), C44 ( ), C45 (), C47 ( ), C49 ( ), C70 (), C71 () C72 ( ), C76 ( ). 2: () (C49.2).
71
. , , . , .. . 3: () () (C80). . , , . , . H : ( ) I . 4: () (C64). () , , . 5: () () (C50.9), o 2. ( ) . , , . 6: () () (C56), . , , .
72
. , (.. C80, C49.9, C41.9), ( ) . 7: () () () ; ; (C80). 8: () () () (C43.9). . () (C97) (.. ), , . , , (C81-C96), (.. -Hodgkin). I , . , () (C97), C81-C96, ( ). 9: () () () (C97), . 10: () Hodgkin () () (C97), .
73
11:
() () -Hodgkin -Hodgkin (C85.9), C81-C96 .
12:
() () -Hodgkin () () (C97), , C81-C96, .
13:
() (C95.9) . , I ( ).
. . , o , .. . . , , . , ( ). , , .
74
( C76) . . , . , . .
14:
() (C71.9).
15:
() () (C34.9), .
- , . , : () . 16: () (C56). () . 17: ()
(C78.5). .
75
18: ()
(C41.9), . () (). : (i) , ( ). 19: () , (C53.9). (ii) , . 20: () (C34.9). (iii) , ( ), , . 21: () (C43.6), , C76. (iv) , , C80 ( ). . 22: () , (C41.9), . (v) , , , (C77 -C79).
76
23: () (C79.3). 24: () (C34.9). () . (i) , , , . 25: () () (C80), , (). 26: () () () (C80), . (ii) , () (C97) ( ). 27: () () () () (C97). (iii) , (C80).
77
28: () (C80). (iv) , , . , , (C80). 29: ( ) () ( )
(C23). 30: ( ) () ( )
(C80). 31: ( ) ()
(C18.9), , . (v) , , , (C34.). 32: ( ) ()
(C80), . ( C76.-.)
78
33:
( ) ()
(C34.9), o , , , . (vi) , . 34: ( ) ()
(C50.9), , . (vii) ( ) , () (C97) ( ). 35: ( ) () ( )
() (C97), . (viii) , ( ). . , . , ( , ). ) , , , , . , , , , .
79
36:
( ) ()
(C16.9). , . 37: ()
(C50.9), . () , , . , . . 38: ()
, (C18.9). 39: ()
, (C41.9). ( ) , (C81-C96), , C81-C96. . 40: () () -Hodgkin
-Hodgkin (C85.9). 41: ()
(C91.1). , .8, 1. . .8 .
80
, . ( ) , .8 . 42: () (C18.8). () , .9 . 43: () () , (C25.9). ( ) , .8 ( 5 1). 44: () (C57.8). () , .9 , : C26.9 C39.9 C41.9 C49.9 C57.9 C63.9 C68.9 C72.9 45: , () () () (C26.9). ( ) .8 .9, () (C97).
81
46:
() () () (C97), .8.
. ( ) , . , 00-19 25-64 . 47: () () (C91.1). () [HIV], . 48: () () B (C22.0). 49: () Burkitt () Epstein-Barr Burkitt (C83.7). 50: () () (C22.1). . : 21-22 24.26.30.33.40.44.45.46.47.48 49.
82
50. 51.8 60-69 , 67.0-67.5, 67.9, 69. : 00-09 10-15 ( , ) 20. 25. 70.
4.2.8 A , ( ) , , . , , , , , 15 , . .
4.2.9 , , . 1 : , , , , , , , , , , , . 4 : , , . , , , , (P28.0) Q33.6.
83
4.2.10
(V01-89) , . (S00-98) . . S00S99, 08-35, 66-79 , . 1: ( ) () ( ) ()
(S36.1), . 2: ( ) () ( ) ()
(S72.9), . . 3: () () () (S36.3), ( 1). 4: () () (S05.4) 2 ( 3). , (00-06). .
84
4.2.11 , , : A) i) , . 5: () II (X41). I II, . 6: () II (X45). I II, . 7: () II (X42). I II, . ii) , . iii) , , . , . B) , ( , . 83-84). , . , . , , .
85
, .. (T42.5), . , : 1. (T40.0-T40.2) T40.0-T40.2: T40.2 2. (T40.5)\ 3. (T43.6) : 4. (T40.3-T40.4, T40.6) T40.3-T40.4: T40.4 T40.3-T40.4 T40.6: T40.6 5. (T43.0-T43.2) T43.0-T43.2: T43.2 6. (T39.-) T39.0-T39.4: T39.8 7. , .
4.2.12 (V01-89) , , (, ). -XVIII, ' , , . , , . : ( ) () ( ) , , , 3
(V48.5)
86
4.2.13 , , , , , .
4.2.14 (HIV) (.. ) HIV, HIV . 1: ( ) () ( ) () Kaposi HIV 1 3 5
HIV. 2: ( ) () ( ) () Pneumocystis carinii [jirovecii] HIV - 6 5 7 7
HIV.
4.3
:
4.3.1 , , : ) ) ) ) )
, , . , , , , :
87
: / / : / / : ( , ) - : v// : / () : // / / / , : / /. , : / / ( )/ (). . , . , ( , ) . , , .
4.3.2
, () (). () () , () , , (). , , . , .. , , () . . () () , , . , () , , (). () , .. .
88
. 1. , 12 18 , 24 , . 700 g . . : () () () , () ( )
89
168 (1 ) |_|_|_|_|_|_| 1 : , , () |_|_| |_|_|_|_|_|_| : , : |_|_| |_|_| ( ) |_|_| |_|_| , : : : () |_|_|_|_|_|_| . () () . . . . . .
....................................................................
90
2.
26 , 10 . 30-32 , , 34 . , . 1600g. 300g . . . () . : () () () ()
3.
, , 32 . 38 . 3200 g. . H . : ( ) () ( ) () ( ) --
4.
30 . 36 . . 1500 g. : ( ) () ( ) () ( ) - ---
4.3.3 , . ,
91
( () ) ( ()) . ( , ), ( () ).
4.3.4
(), (), () () . , () (), 00-04 () (). , (), 00-04 05-96 ( ) Q00-Q99 ( ). () (), () () . () . , , (), , .
4.3.5 . , , . , , , . 1. (). , ( 20.-, P21.-) ( 07.-) () () (), () () (). 1: 4 ( ) () ( ) () Q05.9 07.3 02.2
() ().
92
2:
50 ( ) () ( ) ()
Q03.9 21.0 03.1 00.0
() (). 2. () (). () (), () () () (). 3: ( ) () ( ) () P05.0 20.9 P00.0 02.0
() () () o (). 4: 2 ( ) () P10.0 24.0 20.9 70.4 08.2 03.2 00.0
( ) ()
() () (). 3. () (). () (), () () (), 95 ( ) 96.9 ( , ) ().
93
, () (), () () () , .. xxx.x () . 5: 15 ( ) () ( ) () 10.4 22.0 xxx.x
() xxx.x (). 6: 2 . ( ) () ( ) () ( ) 95 00.0
() (). 4. . (. 00-04) () (), () (), . (), () () . 7: () () () ( ) () () P20.9 P03.1 P03.2
() ().
4.4 ICD, 1948, , , . , ICD
94
, , . , , , , , ( - ). . , , . , . , , . , , , . . . , . , , . , . , .
4.4.1
, , . . .
ICD. : ,
95
, . , , , , .
. . : , , ..
( ) (00-99) .
(.. , [HIV]), , . , , HIV . , , .
96
, , . : , - - .
() , , . : - , " vo - , v . , .
4.4.2
, , . , . , 1 5 ( 4.4.3) . . , , ICD .
, , . .
97
, , . 1: : :
(05.2) (J17.1*). 2: : :
(18.8) (32.0*). 3: : : Lyme
Lyme (69.2) Lyme (01.2*). ,
, XVIII . , , ( 3 5, 4.4.3). . , , , , ., , . 03.- ( ) . 4: : :
(81.0) .
5:
:
- .
(03.1) .
98
6:
: :
.
(03.4) . 7: : : . . (R04.0). . ... , ... . HIV, . () ICD . . , , . . 8: : :
(12.0) . 9: : :
(40.4) . 10: : :
, , (40.3).
99
11:
: : :
.
(10.3) (28.0*) . 12: : : :
(11.9) . . , . . , , . . 13: : : .
(S72.0) . , (W01, 4) . 14: : : - . .
(68) . (31 0) . 15: : :
(53.2) . (43.0) .
100
16:
: :
( )
(D59.6) . (50, 3) . ICD ... (90-94, 64.-, 68, G09, 69.-, 97, 90-98,85-89) , . , , , o ... . , ... . , , ... .... . 17: : :
(R47.0) . (69.3) . 18: :
19:
(16.5) . (93.1) (85.0) . : : (91) , .
101
( ) , ICD , , . 20: : :
(81.0) . (81.1) . 21: : :
(J44.1) ICD . (80-88) , .. , , (), . , .. , . (.. , ) , , , 83-84 . , . 22: : : : . 23: 1 (89.0)
: : :
(81.0) .
102
24:
: : :
(F09) 83.8 ( [ ]) .
4.4.3
, 4.4.4. , . , .
1. ,
, , / , , . 2. , , . . 3. , ( XVIII), , , , . 4. , , .
103
5. , . , .
1. ,
, , / , . 1: : : : : . . .
C53.0. 2: : : .
: :
41.3. 3: : : :
36.9 62.2*.
104
4:
: :
: :
1 , .
S72.0. 5: : : : :
02.9. o 1. , . 2. , , . . : 4.4.2, . 6: : : :
G00.3. 7 :
L40.0.
105
8:
: : , 05.0.
:
9:
:
: :
C50.9. 10: : : :
, , 42.9. 3. , ( XVIII), , , , . 11: : : : : .
D41.4.
106
12:
: : : :
,
10.0. . 13: : : :
35.9. 14: : : R56.0. 3 , , . 4. , , . 15: : :
61.9. 16: : :
Q21.0. 17: : : Crohn
Crohn 50.0.
107
18:
: : :
66.3. 5. , . , . 19: : :
R51. 20: : :
81.0. 21: :
09.
4.4.4
. .
: 20-24 [IV] HIV, , . HIV . .
108
HIV , .7 20-22. .7 (.. 20 21). 22.7 20-22. 20-24 , , . HIV, . 1: : : HIV Kaposi
HIV Kaposi (21.0). 2: : : HIV
HIV (20.7). , , 20.8 ( HIV ) 20.5 ( HIV ). 3: : : HIV Pneumocystis carinii, Burkitt ()
HIV (22.7). , , 20.6 ( HIV Pneumocystis carinii), 21.1 ( HIV Burkitt) 20.4 ( HIV ). 20-23 ICD-10. , , . 1, 21 ( HIV ). C46.9 ( Kaposi) . 2, 20 ( HIV ). 58.9 (, ) 45.9 (, ) . 20-23 , ICD-10.
109
90-94 . , 90-94 ( 4.4.2, ). 95-B97 , . . . 4: : : . coli
(30.0) . 96.2 (. coli ) . 5: : :
, (49.9), , 95-97.
: , 1 ( 3) . , , , . , ( ), , , ( 4.4.1, ) . . 6: : : : .
(C61) .
110
7:
: : :
,
(C78.0) . 85.3 ( ) . 8: : : : - (follow-up)
(follow-up) (08.0) . 85.5 ( ) . C80 C97 () C80 . C97 , . . 9: : :
(C80). 10: :
() (C97). O C90.0 ( ) C61 ( ) .
: . .
111
11:
: :
(D52.1) . 41.2 ( ) .
IV: , . . 10-14 , . .7 . . 12: :
(14.2 08.3*). 13: : : ,
(10.7). 10.2 08.3* ( ), 10.5 ( ) 10.3 28.0* ( ) . 34.0 , ' . , 34.0 .
112
64.- 68 . , 64.- 68 .
V: . , . .
VI: . .
G09
. , G09 . G01*, G02*, G05* G07* G09, , .. 90-94. , . 14: : :
, (91.9) . 90.0 ( ) . 15: : :
, (G40.9) . G09 ( ) .
113
16:
: :
(F70.9) . G09 ( ) . G81-G83 , . , G81-G83 . 17: : : :
, (64) . G81.9 ( ) . 18: : : . (G83.1) . 69.3 ( ) .
VII: 54. ( )
, . , 54.- .
VI: 90-91 , . , 90.- 91.- .
114
: 15.- , . , 15.- . 69.- . , 69.- .
XV: , 08.- , vo , .. . 00-02 03-07 . 08, 03-07. 19: : :
(00.1) . 08.3 ( ) . 20: : :
(06.3) . 08.6 ( ) . 21: : :
(08.1). . 80-84
115
. 80-84 . 22: : : :
(81.0) , . 23: : : :
, (66.4) . , (82.9), . 24: : : :
(30.0) . 84.0 ( , ), . 25: : : : 2800g
(36.4) . 98-99 , XV , , . , . 26: : : :
, (98.6) . 58.9 (, ) .
116
XVIII:
, ,
, . 3 (4.4.3) XV 1 .
: , , :
( .7 S00-S99)
( .7 , . S09, S19, S29 ) (00 -05).
:
/ , , , , , .
, . , , . 27: : :
(S37.7) . S37.2 ( ) S37.3 ( ) .
117
28:
: :
(S06.8) . , , S01.9 ( , ) 1 ( ) S06.8 (S06.8.1). 90-98 ,
. , 90-98 .
: . , .
118
5.
5.1
, . ( ), , .
5.2 . ( 4.1.3). . , .
5.3
ICD, ( 5.6). , ICD . ICD . , , , . . , ,
119
ICD . ICD , . , ( ) , . 2000 , . 1 o , .
5.4
1.
5.4.1
, 1 3, ICD , , () " ...", . ICD .
5.4.2
, 2 4, ICD, , . , .
120
5.4.3
. ( ICD ). , .
5.4.4
. , , , . . , . , . ICD . , , , . , , , , . , ( ) .
5.5 5.5.1
298 . 121
ICD . . , . , - XVIII (, ) ( ) - , . , ( ) . o , . , , .
5.5.2
, ICD, , ICD . , . , .
5.65.6.1
, , , . , , . (.. ), .
122
( )
( )
()
, , : (i) , (ii) (iii) . : (i) , 4 , 5 84 85 (ii) 1 , 1-4 , 5-14 , 15-24 , 25-34 , 35-44 , 45-54 , 55-64 65-74 , 75 . (iii) 1 , 1-14 , 15-44 , 45-64 , 65 . , , : (i) (ii) 1.000.000 , 100.000 (iii) 100.000 (iv) 100.000 (v) .
1. () . 2. , .
5.6.2
()(i), , , ()(ii). , ()(i). () ()(ii), , ()(iii). , ()(ii).
5.7 , ,
123
. 1, , .
5.7.1
, , , , , , , , . [ ] [] , , , . . , . 500g, . . , . , (.. , ). 2.500 gr (, 2.499 gr). 1.500 gr (, 1.499 gr). 1.000 gr (, 999 gr). .
124
(.. 280 286 40 ). , . , 1 0-6 , 7-13 1 40 39 . , . , . 37 ( 259 ) . 37 42 (259 293 ) . 42 (294 ) . 22 (154 ) ( 500g), . 28 . ( 28 ) , , , 28 . ( ) . ( 1), ( 2) 27 , .
5.7.2
, . , 500 g , ,
125
. , (22 ) (25 . -). : (1) , (2) , (3) -. , 500g 1000g, 1000g .
5.7.3
, . . (. 1000g) , . , -, . o 1000g ( ) (28 ) (35 . ). , , 500-999g 1000g . . . , . ( ). , .
126
x 1000 x 1000 , 1000g x 1000 1000g x 1000 , 1000g x 1000 1000g x 1000 x 1000 500g (, , 22 - 25 . ), , 1000 . , . , 1000g , 1000g x 1000 1000g x 1000 , 1000g x 1000 1000g
127
1 x 1000 , 1000g x 1000 1000g
5.7.4
( 4.3.1), . , ( ()) ( ()) . ( , ), ( ()). (i) ( 24 , 1, 2, 3, 4, 5, 6 ), 7-13 , 14-20 , 21-27 , 28 2 ( 2 ), 2 , 2 1 (2, 3, 4...11 ). 24 , 1-6 , 7-27 , 28 3 ( 3 ), 3-5 , 6 ; . 7 , 7-27 , 28 .
(ii) (iii)
(i) (ii) 1 , 1-11 , 12-23 , 24-47 , 48-71 , 72-167 1 , 1-23 , 24-167 .
500g, .. 1000-1499g, .
128
28 ( 196 ), 28-31 (196-223 ), 32-36 (224-258 ), 37-41 (259-293 ), 42 (294 ).
5.85.8.1
42 , , , . 42 , . 42 , . : : (, ) , , , . : , . , 42 , 1990 .
129
5.8.2
, 42 , .
5.8.3
( ), :
, ( ).
HIV (20-24) (34) . .
5.8.4
o ( ). , . , k ( k 1.000, 10.000 100.000, ). : 2 ( ) x k x k
2
, .
130
x k 5.9
XVIII (, , ) .
5.10 . , , , . , . . "". . , , . , , .
5.11 () , , ICD -10, , . , .
131
5.12 . , , . . :
ICD, .. , .. " " 5.6.1 5.7.4.
. . , .
5.13 , . , . , , , . , , . .
5.14 1. ( 5.2)
. 132
, . 2. ( 5.2, 4.1.3 4.3.1)
( 4.1.3). 4.3.1. 3. ( 5.2)
. 4. ( 4.1.1)
, , . , . , ICD. 5. ( 2.1, 2.2 3.3)
ICD , , . ICD-10 , . , , ICD, . . , , ICD. . 6. ( 5.7.2 5.7.3)
500g , , . , (22 ) (25 . -). : (1)
133
, (2) , (3) -. , 500g 1000g, 1000g . , . o 1000g ( ) , (28 ) (35 . ). 7. ( 5.8.2 5.8.3)
, : , ( ). , 42 , . 8. ( 5.6.1 5.7.4)
, , . 5.6.1 5.7.4 . 9. ( 5.6.2 5.6.4)
5.6.1. 5.6.1. , . , , () . , .
134
ICD
6. ICD3
6.1
Sir George Knibbs, , Francois Bossier de Lacroix (1706-1777), Sauvages, (10). Sauvages Nosologia Methodica. Sauvages Linnaeus (1707-1778), Genera Morborum. 19 , William Cullen (1710-1790), , 1785 Synopsis nosologiae methodicae. , , John Graunt . 6 , , Graunt. , , , , , , , , , . , 36% . , , . , Major Greenwood: , , (11). , 1837, William Farr (1807-1883)- -, , . Farr Cullen . , . (12), , , :
3
6.1-6.3 ICD, .
135
ICD
, , . , , : , . , .
Farr . , 1853, William Farr Marc d' Espine, , . , 1855, Farr o d' Espine . Farr : , () , , . d' Espine (, , , ). 139 . 1864, Farr , 1874, 1880 1886. , Farr, , .
6.2
, , 1891, , Jaques Bertillon (1851-1922), , . Bertillon Achille Guillard, , Farr d'Espine 1853. Bertillon 1893 . Bertillon 1885, , . H , Farr, . L. Guillaume , Bertillon : , 44 , 99 , 161 .
136
ICD
Bertillon, , , . . Jesus . njaras San Luis de Potosi, (13). 1898, , , Bertillon , . . 1899, Bertillon , . (14): , : , . , 1893 , , (1898): , , .
' , 1900, Bertillon . 26 . 179 35 , 21 1900. , 1910. 1909, 1920, 1929 1938. Bertillon , 1900, 1910 1920 . , 1920 500 , . 1922 . , 1923, Michel Huber, Bertillon , 1893 , , . , 137
ICD
. . Roesle, , 1920 . H 1928 (15). , , , . (1929) (1938) .
6.3
, , 1938. : 200 , 87 44 . , , , , , . , . , , , , , , . , (16):2. . : , 1929, , . , , , ( , ).
(16):
138
ICD
3. ( ) , , 1929, , , , , , , , , (1) (2) , , (3) , , .
6.4
, . Farr, , o , , , , , , , , , , (9). , Farr , , . , 1860, Florence Nightingale Farr . Bertillon 1900, . 1909. , . , 1910, . 139
ICD
. 12 . , , , . , . 1936. 1929, 380 . 1938, . , . 1944, , . , , , . , 1942. (17). , , . , 1940, , (18). . , , , , 1944. , , . 6.5 , o 1945
140
ICD
Lowell J. Reed, Johns Hopkins. . , , , , . , , , , . . , . H , , , , . , . , . , . . , , . , . 6.6
1946 (19) : , : (i) " " ( 1934, )
(ii)
141
ICD
, . , , . , , . . . , . , . 26 30 1948 1938. , 1946 (19). (20). , . , . , 21() .. . 1948, . 1, . H ,
142
ICD
, , , , , (21). , 2 . . , , . , , . , .
6.7 1955 (22). , (23). , 6 12 1965 (24). H , , . ICD , ICD ICD.
6.8 , , 30 6 1975 (25). , , , . . ICD 143
ICD
, . ICD . , , . , , ICD . ICD, , . , . , , , . . , . , , , , , , , . : , .
6.9 , . ICD
144
ICD
, . ( 1) ICD-10. . ICD , . , - 1989 , 1985 1989. ICD, ICD-9, . ICD , 1.
145
ICD
146
7.
7.1
[] , ,
31.1 42.8 60.0 71.0-71.9 74.0 00.2 00.5 00.8 07 08.1 08.8 30.0-30.9 35.0-35.9 36.0-36.9 85.0-85.4 F45.3-F45.9 F50.1, F50.3-F50.9 F51.0-F51.9 F52.0-F52.9 F60.0-F60.9 F61 F62.0-F62.9 F63.0-F63.9 F64.0-F64.9 F65.0-F65.9 F66.0-F66.9
F68.0-F68.9 F69
147
F95.0-F95.9 F98.0-F98.9
() , , (G43.3) (2)
G43.0-G43.2, G43.8- G43.9 G44.0-G44.2 G45.0-G45.9 G50.0-G50.9 G51.0-G51.9 G54.0-G54.9 G56.0-G56.9 G57.0-G57.9 G58.7 H00.0-H00.1 H01.0-H01.9 H02.0-H02.9 H04.0-H04.9 H10.0-H10.9 H11.0-H11.9 H15.0-H15.9 H16.0-H16.9 H17.0-H17.9 H18.0-H18.9 H20.0-H20.9 H21.0-H21.9 H25.0-H25.9 H26.0-H26.9 H27.0-H27.9 H30.0-H30.9 H31.0-H31.9 H33.0-H33.5 H34.0-H34.9 H35.0-H35.9 H40.0-H40.9 H43.0-43.9 46 H47.0-H47.7 H49.0-H49.9 H50.0-H50.9
148
H51.0-H51.9 H52.0-H52.7 53.0-53.9 54.0-54.7 55 57.0-57.9 60.0-60.9 61.0-61.9 80.0-80.9 83.3-83.9 90.0-90.8 91.0-91.9 92.0-92.2 93.0-93.9 J00 J06.0-J06.9 J30.0-J30.4 J33.0-J33.9 J34.2 J35.0-J35.9 K00.0-K00.9 K01.0-K01.1 K02.0-K02.9 K03.0-K03.9 K04.0-K04.9 K05.0-K05.6 K06.0-K06.9 K07.0-K07.9 K08.0-K08.9 K09.0-K09.9 K10.0-K10.9 K11.0-K11.9 K14.0-K14.9 L01.0-L01.1
, ( ) ( ) , ( )
149
L03.0 L04.0-L04.9 L05.0-L05.9 L08.0-L08.8 L20.0-L20.9 L21.0-L21.9 L22 L23.0-L23.9 L24.0-L24.9 L25.0-L25.9 L28.0-L28.2 L29.0-L29.9 L30.0-L30.9 L41.0-L41.9 L42 L43.0-L43.9 L44.0-L44.9 L55.0-L55.1, L55.8-L55.9 L56.0-L56.9 L57.0-L57.9 L58.0-L58.9 L59.0-L59.9 L60.0-L60.9 L63.0-L63.9 L64.0-L64.9 L65.0-L65.9 L66.0-L66.9 L67.0-L67.9 L68.0-L68.9 L70.0-L70.9 L72.0-L72.9 L73.0-L73.9 L74.0-L74.9 L75.0-L75.9 L80 L81.0-L81.9
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