scholarly journals Identification and Classification of Diseases: Fundamental Problems in Medical Ontology and Epistemology

2013 ◽  
pp. 6-21 ◽  
Author(s):  
Lennart Nordenfelt

During the last three centuries there has been remarkable development in the area of the identification and classification of diseases. The taxonomic systems adopted in the 18th century by, for instance, Sauvages and Linnaeus bare no resemblance to the modern nomenclatures for pathological phenomena. The aim of this paper is to give a brief historical presentation, but also a critical analysis, of a number of crucial ideas and theories behind the construction of certain major disease classifications. My focus in the second half of the paper is on the most influential modern systems of classification, the International Statistical Classification of Diseases and Related Health Problems (ICD) and the International Systematized Nomenclature of Human and Veterinary Medicine (SNOMED). The former is the official classification adopted by the World Health Organization and is used mainly for clinical and administrative purposes. The latter is a highly complex system of classification which has recently been developed for a variety of purposes (including medical research) and is meant to be read and handled by computers. ICD, although widely used all over the world, has salient and well-known logical deficiencies. SNOMED has been introduced partly to remedy these deficiencies. I conclude, however, that SNOMED, in spite of its sophisticated resources, cannot completely replace ICD. For many clinical and administrative purposes there is need of a relatively simple system that can be handled by the ordinary doctor and the ordinary health-care administrator.

Sexual Health ◽  
2017 ◽  
Vol 14 (5) ◽  
pp. 423 ◽  
Author(s):  
Sam Winter

The World Health Organization (WHO) is revising its diagnostic manual, the International Statistical Classification of Diseases and Related Health Problems (ICD). At the time of writing, and based on recommendations from its ICD Working Group on Sexual Disorders and Sexual Health, WHO is proposing a new ICD chapter titled Conditions Related to Sexual Health, and that the gender incongruence diagnoses (replacements for the gender identity disorder diagnoses used in ICD-10) should be placed in that chapter. WHO is proposing that there should be a Gender incongruence of childhood (GIC) diagnosis for children below the age of puberty. This last proposal has come under fire. Trans community groups, as well as many healthcare professionals and others working for transgender health and wellbeing, have criticised the proposal on the grounds that the pathologisation of gender diversity at such a young age is inappropriate, unnecessary, harmful and inconsistent with WHO’s approach in regard to other aspects of development in childhood and youth. Counter proposals have been offered that do not pathologise gender diversity and instead make use of Z codes to frame and document any contacts that young gender diverse children may have with health services. The author draws on his involvement in the ICD revision process, both as a member of the aforementioned WHO Working Group and as one of its critics, to put the case against the GIC proposal, and to recommend an alternative approach for ICD in addressing the needs of gender diverse children.


2013 ◽  
Vol 51 (2) ◽  
pp. 113-116 ◽  
Author(s):  
Marc J. Tassé

Abstract The World Health Organization (WHO) is in the process of developing the 11th edition of the International Classification of Diseases (ICD–11). Part of this process includes replacing mental retardation with a more acceptable term to identify the condition. The current international consensus appears to be replacing mental retardation with intellectual disability. This article briefly presents some of the issues involved in changing terminology and the constraints and conventions that are specific to the ICD.


1988 ◽  
Vol 152 (S1) ◽  
pp. 29-32 ◽  
Author(s):  
G. R. Brämer

Classification is fundamental to science and a standard classification of diseases and injury is essential for the systematic statistical study of illness and death. This was recognised as early as the seventeenth century when such studies started and in 1853 Dr William Farr of London and Marc d'Espine of Geneva were entrusted with the task of preparing ‘a uniform nomenclature of causes of death applicable to all countries’. This led eventually to the International Statistical Classification of Diseases, Injuries and Causes of Death (ICD). In 1948, when the World Health Organization (WHO) was created, the newborn agency was asked to review and revise the classification regularly. The ICD is now undergoing its tenth revision.


1981 ◽  
Vol 26 (4) ◽  
pp. 240-243 ◽  
Author(s):  
J. Hoenig

There is a fundamental difference between nosology and a statistical classification, and the two should not be confused. The discipline of nosology uses scientific methods to arrive at a classification of psychiatric disorders and is concerned with the validity of its entities. A statistical classification aims to attain the widest compliance in spite of differences in the theoretical orientation of its users. It must therefore be atheoretical, and must represent a widely negotiated agreement between its future users. The most important statistical classification is the “International Classification of Diseases, Injuries and Causes of Death” (ICD-9) endorsed by the member states of the World Health Organization. The DSM III (Diagnostic and Statistical Manual), a newly accepted classification of the American Psychiatric Association, departs in many ways from the ICD-9, and Canada will have to decide whether adherence to ICD-9 should continue, or be replaced by the adoption of DSM III. Advantages and disadvantages of the DSM III are briefly discussed.


2017 ◽  
Vol 27 (10) ◽  
pp. 1872-1938 ◽  
Author(s):  
Rodney C. G. Franklin ◽  
Marie J. Béland ◽  
Steven D. Colan ◽  
Henry L. Walters ◽  
Vera D. Aiello ◽  
...  

AbstractAn internationally approved and globally used classification scheme for the diagnosis of CHD has long been sought. The International Paediatric and Congenital Cardiac Code (IPCCC), which was produced and has been maintained by the International Society for Nomenclature of Paediatric and Congenital Heart Disease (the International Nomenclature Society), is used widely, but has spawned many “short list” versions that differ in content depending on the user. Thus, efforts to have a uniform identification of patients with CHD using a single up-to-date and coordinated nomenclature system continue to be thwarted, even if a common nomenclature has been used as a basis for composing various “short lists”. In an attempt to solve this problem, the International Nomenclature Society has linked its efforts with those of the World Health Organization to obtain a globally accepted nomenclature tree for CHD within the 11th iteration of the International Classification of Diseases (ICD-11). The International Nomenclature Society has submitted a hierarchical nomenclature tree for CHD to the World Health Organization that is expected to serve increasingly as the “short list” for all communities interested in coding for congenital cardiology. This article reviews the history of the International Classification of Diseases and of the IPCCC, and outlines the process used in developing the ICD-11 congenital cardiac disease diagnostic list and the definitions for each term on the list. An overview of the content of the congenital heart anomaly section of the Foundation Component of ICD-11, published herein in its entirety, is also included. Future plans for the International Nomenclature Society include linking again with the World Health Organization to tackle procedural nomenclature as it relates to cardiac malformations. By doing so, the Society will continue its role in standardising nomenclature for CHD across the globe, thereby promoting research and better outcomes for fetuses, children, and adults with congenital heart anomalies.


2019 ◽  
pp. 32-32
Author(s):  
Alessandra Diehl ◽  
Jair de Jesus Mari ◽  
Elias Abdalla Filho

The World Health Organization (WHO) has made substantial changes to the classification of paraphilic disorders (F65) for the Eleventh Revision of the International Classification of Diseases and Related Health Problems (ICD-11). Its expected that by January 2022 the ICD-11 may already be used by clinicians and stakeholders in many countries around the world.


2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Altaf Ahmad Malla ◽  
Nasir Mohammad Bhat

Dhat syndrome is described as a culture bound syndrome (CBS). There is an ongoing debate on the nosological status of CBS. Dhat syndrome has been found to be prevalent in different geographical regions of the world. It has been described in literature from China, Europe, Americas, and Russia at different points of time in history. Mention of semen as a “soul substance” could be found in the works of Galen and Aristotle who have explained the physical and psychological features associated with its loss. However, the current classification systems such as International Statistical Classification of Diseases and Related Health Conditions‑10 (ICD‑10) (World Health Organization (WHO)) and Diagnostic and Statistical Manual (DSM)‑IV‑TR (American Psychiatric Association) do not give guidelines to diagnose these culture‑bound conditions in the main text. The revisions of these two most commonly used nosological systems (the ICD and DSM) are due in near future. The status of this condition in these upcoming revisions is likely to have important implications. The article reviews the existing literature on dhat syndrome.


Sign in / Sign up

Export Citation Format

Share Document