질병에 따라서 다양한 증상이 따르게 되고 병변이 발생한 부위가 여러 곳에서 발생할 수 있습니다. 이와 같은 질병이나 부상을 분류한 통계를 이용하여 병원, 지역별, 국가별 비교분석하여 효율적으로 의료자원을 사용할 수 있는 밑거름이 되므로 질병분류의 중요성이 높아질 것입니다.
질병분류하는 규칙에 대하여 WHO(World Health Organization)에서 ICD(International Classification of Disease)을 기반으로 사용하도록 권고하고 있습니다.
ICD(International Classification of Disease)를 한국의 실정에 맞게 반영한 것이 KCD(Korean Classification of Disease) 제1권, 2권, 3권으로 구성되어 있습니다. KCD 제3권은 한국어 색인이며 KCD 1권은 영문색인 또한 KCD 2권은 한국표준질병사인분류에 대한 지침을 기술하고 있습니다.
본 지침서는 최신 개정판 KCD 제1권, 제2권, 제3권을 기반으로 하여 질병분류하는 지침을 만들었습니다.
쉬운 용어를 선정하여 이 책을 읽고 현실에서 반영하도록 하였으며 차후 미흡한 부분이 발생시 지속적으로 보충할 것입니다.
자료를 정리하고 검토하는데 도움을 주신 김영기 원장님에게 감사드립니다.
끝으로 이 책을 발간하기까지 많은 노력과 지원을 해주신 군자출판사 사장님과 임직원 및 모든 직원 여러분께 감사드립니다.
2014년 4월
김정임
제1과 KCD(Korean Classification Disease) ······································ 01
1. ICD와 KCD 소개································································ 03
2. ICD와 KCD 기본구조··························································· 05
3. KCD 사용방법 및 참고사항···················································· 07
제2과 용어에 대한 정의 및 질병분류 일반원칙································ 13
1. 용어정의 ········································································· 15
2. 질병분류 일반원칙······························································ 18
제3과 수술 검사 및 기타 처치분류 ················································ 27
1. ICD-9에 대하여 ································································· 29
2. 약어 ·············································································· 30
3. 기호 ·············································································· 31
4. 지시어············································································ 34
5. 분류준칙 ········································································· 35
연습문제············································································· 41
제4과 21대 각장의 분류준칙 ························································ 43
I. 감염성 및 기생충질환(A00~B99)············································ 45
연습문제············································································· 52
II. 신생물·········································································· 53
연습문제············································································· 67
III. 혈액 및 조혈기관질환 ························································ 69
연습문제············································································· 71
IV. 내분비 질환 ··································································· 73
연습문제············································································· 77
V. 정신 및 행동장애 ····························································· 79
연습문제············································································· 84
VI. 신경계통 질환 ································································· 86
연습문제············································································· 91
VII. 눈질환·········································································· 93
연습문제············································································· 97
VIII. 귀질환·········································································· 99
연습문제 ··········································································· 101
IX. 순환기계통의 질환 ·························································· 103
연습문제 ··········································································· 111
X. 호흡기계통의 질환 ·························································· 113
연습문제 ··········································································· 117
XI. 소화기계통의 질환 ·························································· 119
연습문제 ··········································································· 125
XII. 피부질환 ····································································· 127
연습문제 ··········································································· 131
XIII. 근골격계 질환 ······························································· 133
연습문제 ··········································································· 137
XIV. 비뇨생식기 질환····························································· 139
연습문제 ··········································································· 143
XV. 임신, 출산 및 산후기························································ 145
연습문제 ··········································································· 157
XVI. 출산전후기에 기원한 특정 병태 ··········································· 159
연습문제 ··········································································· 164
XVII. 선천성 질환·································································· 166
연습문제 ··········································································· 170
XVIII. 달리 분류되지 않은 검사 이상소견········································ 172
연습문제 ··········································································· 176
XIX. 손상, 중독, 외인 ····························································· 178
연습문제 ··········································································· 192
XX. 질병 이환 및 사망의 외인 ·················································· 194
연습문제 ··········································································· 200
XXI. 보건서비스에 영향을 주는 요인 ··········································· 202
연습문제 ··········································································· 208
부록
연습문제 해답 ································································· 213
참고문헌········································································· 217
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