症状、体征或临床所见,不可归类在他处者
Symptoms, signs or clinical findings, not elsewhere classified
- 层级
- 1 级
定义
!markdown 临床所见包括体检、实验室和影像技术发现的结果。 疾病可以以多种方式和在不同的身体系统中表现出来。这些具体表现可能是治疗的原因,无论是否明确或解决根本情况。 本章中的分类包括一些较为不明确的情况和症状,在未对病例做必要诊察并建立最后诊断时,这些情况和症状可以被标明为 "其他方面未特指"、"病因不明 "或 "短暂的"。 本章中包括的情况、体征或症状有: - 即使在对病例中的所有有关事实调查之后,仍无法作出更明确诊断的病例。 - 初诊时存在的、被证明是暂时的、且无法确定病因的体征或症状。 - 对未返回接受进一步诊察或治疗的病人的临时性诊断。 - 在作出诊断前转诊到他处进行诊察或治疗的病例。 - 因任何其他原因无法获得更准确诊断的病例。 - 提供补充信息的某些症状本身就代表了医疗中的重要问题。 这些分类应与另一章中标明根本情况的编码联合使用。
!markdown Clinical findings include those found using physical, laboratory and imaging techniques. Diseases can manifest in many ways and in different body systems. Such specific manifestations may be a reason for treatment or encounter, with or without identifying or addressing the underlying condition. Categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, could be designated 'not otherwise specified', 'unknown aetiology' or 'transient'. The conditions and signs or symptoms included in this chapter consist of: - cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated - signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined; - provisional diagnoses in a patient who failed to return for further investigation or care; - cases referred elsewhere for investigation or treatment before the diagnosis was made; - cases in which a more precise diagnosis was not available for any other reason; - certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right. These categories should be used in conjunction with a code from another chapter that identifies the underlying condition.
除外词 明确排除、需编到其他条目的情况
子条目 共 16 条
- —神经系统的症状、体征或临床所见3
- —累及皮肤的症状、体征或临床所见1
- —原因不明或原因未知的死亡6
- —消化系统或腹部的症状、体征或临床所见3
- —耳或乳突的症状、体征或临床所见2
- —精神或行为的症状、体征或临床所见12
- —肌肉骨骼系统的症状、体征或临床所见3
- —言语、语言或语音的症状、体征或临床所见2
- —泌尿生殖系统症状、体征或临床所见11
- —血液、造血器官或免疫系统的症状、体征或临床所见2
- —视觉系统的症状、体征或临床所见4
- —呼吸系统的症状、体征或临床所见3
- —全身症状、体征或临床所见4
- —循环系统症状、体征或临床所见4
- —内分泌、营养或代谢疾病的症状、体征或临床所见3
- MH2Y其他特指的症状、体征或临床所见,不可归类在他处者
后组配轴 Postcoordination
该条目未定义后组配轴,直接使用上面的编码即可。后组配是在主干编码之后追加侧别、具体解剖部位、严重程度、病因等细节的可选组合方式,不是必填项。