Real standards

Standards for diagnosis and treatment based on the presence of a sufficiently well developed and accepted in one way or another standard classifications: diagnoses (nosological forms), medical procedures or methods of medical exposure; complications illnesses, medical procedures and actions; stages of the disease; phases of chronic diseases (exacerbation remission, relapse, etc.), outcomes (results) of treatment.

One of the most important principles of standardization of classification is to provide not only regional, national, and international comparability of DATA. No country can develop normally in isolation from the international community. The introduction of standardization in isolation from the lessons of the past decade of international experience can only lead to isolation and wasting, and so is extremely limited resources.

According to the requirements of the WHO standard classification must meet the following requirements.

They should be open for expansion - both in terms of detail, and for use in compressed form.

They should include all types of procedures recorded for statistical, administrative, clinical or research purposes.

They should be applicable for both stationary and for outpatients.

The next important principle of standardization is to match the standards of the modern level of medical science and practice that ensures the organization of the harmonization process of proposed projects with scientific medical societies and associations, testing, alternative models, the organization of the review process for proposals involving the main experts for finalization and approval.

We can not allow haste with the adoption of the revised document is not enough. An example of such an approach can brand viagra serve as a refusal to take the next revision of the WHO classification of medical procedures simultaneously with the adoption of ICD-10: advice, which should have been preceded by the statement were deemed insufficient and did not complete the process of developing proposals and comments to them.

However, at the request of the Expert Committee and a number of countries has been prepared by an experimental version of the class "surgical procedure" and agreed that it would serve as a guide for national presentations and publications on statistics about the surgical procedures, and to facilitate comparability of national classifications.

In the development of medical standards need to be considered extremely high rate of development of medical science. It is known that the amount of knowledge in medicine is growing roughly twice as fast as any other science. Therefore, another important principle of standardization is the regular revision of classifications and standards in accordance with the achievements of medical science, as is customary in international practice.

International Classification of nosological forms (ICD-10) has a hierarchical structure with subdivisions and therefore subject to varying levels of detail. Thus, it admits the possibility of how to identify a single disease, and provide statistical data on broad groups of different levels of hierarchy. IBC is not purely theoretical classification, and it made some compromises between classifications based on etiology, anatomical location, etc. The classification is divided into 21 classes, each of which corresponds to the letter. Class structure of IBC presented as "special" groups, which unite the disease, which for epidemiologic studies would be inconvenient to throw on the anatomical localization (epidemic diseases - for example, infections), constitutional or general diseases, illnesses, developmental (congenital abnormalities, trauma), and "local diseases, grouped by anatomical location, which include the ICD classes for each major body systems. In this case highlighted the following body systems.

metabolism
inhibitory effects
many years
quantitative and qualitative
stable remission