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ﻥﺍﺮﻳﺍ ﻱﺍﺮﺑ ﻲﻳﻮﮕﻟﺍ ﻱ ﻪﺋﺍﺭﺍ ﻭ ﺐﺨﺘﻨﻣ ﻱﺎﻫﺭﻮﺸﻛ ﺭﺩ

3ﻲﻨﻴﺴﺣ ﻪﻤﻃﺎﻓ ،²ﻱﺪﻤﺣﺍ ﻢﻳﺮﻣ ،¹ﻲﻳﺎﺿﺭ ﺝﺍﺮﺳ ﺍﺮﻫﺯ

ﻩﺪﻴﻜﭼ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻱﺎﻫﺪﻛ .ﺪﻨﺘﺴﻫ ﻱﺮﻴﮕﺸﻴﭘ ﻞﺑﺎﻗ ﺕﺎﻣﺪﺻ ﺯﺍ ﻱﺭﺎﻴــﺴﺑ .ﺖــﺳﺍ ﻲﻧﺍﻮﺗﺎﻧ ﻭ گﺮﻣ ﻞﻠﻋ ﻦﻳﺮﺘﻤﻬﻣ ﺯﺍ ﻲﻜﻳ ﺕﺎﻣﺪﺻ :ﻪﻣﺪﻘﻣ ﻲﺻﺎﺧ ﻉﺍﻮﻧﺍ ﻱﺍﺮﺑ ﻪﺛﺩﺎﺣ ﻥﺎﻜــﻣ ﺖﺧﺎﻨــﺷ ﺭﺩ ،ﺹﺎﺧ ﺕﺎﺣﺍﺮﺟ ﺮﻄﺧ ﺽﺮﻌﻣ ﺭﺩ ﻲﺘﻴﻌﻤﺟ ﻱﺎﻫ ﻩﻭﺮﮔﺮﻳﺯ ﻲﻳﺎــﺳﺎﻨﺷ ﺭﺩ ﺕﺎﻣﺪﺻ ﻞﻠﻋ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱ ﻪﺴﻳﺎﻘﻣ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﻑﺪﻫ .ﺪﻨﻛ ﻲﻣ ﻚﻤﻛ ﺎﻣ ﻪﺑ ﺕﺎﻣﺪﺻ ﺯﺍ ﻱﺮﻴﮕــﺸﻴﭘ ﻱﺎﻫ ﻪﻣﺎﻧﺮﺑ ﻪﻌــﺳﻮﺗﺭﺩ ﻭ ﺕﺎﻣﺪﺻ ﺯﺍ .ﺩﻮﺑ ﻥﺍﺮﻳﺍ ﻱﺍﺮﺑ ﻲﻳﻮﮕﻟﺍ ﻱ ﻪﺋﺍﺭﺍ ﻭ ﺐﺨﺘﻨﻣ ﻱﺎﻫﺭﻮﺸﻛ ﺭﺩ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﺎﺑ ﻪﺒﺗﺎﻜﻣ ،ﺖﻧﺮﺘﻨﻳﺍ ﺎﻫ ﻩﺩﺍﺩ ﻱﺭﻭﺁﺩﺮﮔ ﺭﺍﺰﺑﺍ .ﺪﺷ ﻡﺎﺠﻧﺍ 1385-86ﻱﺎﻫ ﻝﺎﺳ ﺭﺩ ﻱﺍ ﻪــﺴﻳﺎﻘﻣﻭ ﻲﻌﻄﻘﻣ ﺶﻫﻭﮋﭘ ﻦﻳﺍ :ﻲـﺳﺭﺮﺑ ﺵﻭﺭ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺭﺎﺘﺧﺎﺳ ﻭ ﻩﺪﻨﻨﻛﺩﺎﺠﻳﺍ ﻥﺎﻣﺯﺎﺳ ﻱ ﻪﻌﻟﺎﻄﻣ ﺎﺑ .ﺩﻮﺑ ﺎﻫ ﺏﺎﺘﻛ ﻭ ﺕﻼﺠﻣ ،ﺭﻮﺸﻛ ﺯﺍ ﺝﺭﺎﺧ ﻥﺎﺼﺼﺨﺘﻣ ﺯﺍ ﺲﭘ ﻭ ،ﻥﻮﻣﺯﺁ ﻲﻔﻟﺩ ﺵﻭﺭ ﺎﺑ ﻮﮕﻟﺍ ﻦﻳﺍ .ﺪﺷ ﺩﺎﻬﻨﺸﻴﭘ ﻥﺎﻣﺭﻮﺸﻛ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﻮﮕﻟﺍ ﺐﺨﺘﻨﻣ ﻱﺎﻫﺭﻮﺸﻛ ﺭﺩ .ﺪﺷ ﻪﺋﺍﺭﺍ ﻲﻳﺎﻬﻧ ﻱﻮﮕﻟﺍ ،ﻥﻮﻣﺯﺁ ﺞﻳﺎﺘﻧ ﻞﻴﻠﺤﺗ ،ﻲﻧﺎﻬﺟ ﺖﺷﺍﺪﻬﺑ ﺢﻄﺳ ﺭﺩ ﻭ ﺐﺨﺘﻨﻣ ﻱﺎﻫﺭﻮﺸﻛﺭﺩ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲﻘﻴﺒﻄﺗ ﻱ ﻪﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ﻱ ﻪــﺴﻳﺎﻘﻣ :ﺎﻫ ﻪﺘﻓﺎﻳ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ،ﻝﻮﺌﺴﻣ ﻥﺎﻣﺯﺎﺳ : ﻲﻠﺻﺍ ﺭﻮﺤﻣ ﺭﺎﻬﭼ ﺭﺩ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻲﻠﻣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺍﺮﺑ ﻲﻳﺎﻬﻧ ﻱﻮﮕﻟﺍ .ﺖﺳﺍ ﻩﺪﺷ ﻩﺩﺭﻭﺁ .ﺪﺷ ﻪﺋﺍﺭﺍ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﻭ ﻱﺍ ﻩﺭﺎﻤﺷ ﺖﺳﺮﻬﻓ ﺹﺎﺧ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ،ﻲﻳﺎﺒﻔﻟﺍ ﺖﺳﺮﻬﻓ ﻭ ﻱﺍ ﻩﺭﺎﻤﺷ ﺖﺳﺮﻬﻓ ﻙﺮﺘﺸﻣ ﺱﺎﺳﺍ ،ﻪﻤﻴﻤﺿ ﺶﺨﺑ ﻭ ﻲﻠﺻﺍ ﺶﺨﺑ ﺕﺭﻮﺻ ﻪﺑ ﻱﺍ ﻩﺭﺎﻤﺷ ﺖﺳﺮﻬﻓ ﻲﻠﻛ ﻱﺪﻨﺑ ﻢﻴــﺴﻘﺗ ﺮﻈﻧ ﺯﺍ ؛ ﻩﺪــﺷ ﻪﺋﺍﺭﺍ ﻱﻮﮕﻟﺍ :ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ .ﺪﺷﺎﺑ ﻲﻣ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻲﻠﻠﻤﻟﺍ ﻦﻴﺑ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺮﺑ ﻖﺒﻄﻨﻣ ﺮﺘﺸﻴﺑ -ﺎﻫﺪﻛ ﺭﺩ ﻩﺩﺎﻔﺘﺳﺍ ﺩﺭﻮﻣ ﻑﻭﺮﺣ ﻭ ﺎﻫ ﺶﺨﺑ ﻢﻴﻈﻨﺗ :ﺎﻫ ﻩژﺍﻭ ﺪﻴﻠﻛ 88/12/18 :ﻲﻳﺎﻬﻧ ﺵﺮﻳﺬﭘ • 88/10/12 :ﻲﻳﺎﻬﻧ ﺡﻼﺻﺍ • 86/10/30 :ﻪﻟﺎﻘﻣ ﻝﻮﺻﻭ •

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ﻪﻣﺪﻘﻣ ﻭ ﺖــﺳﺍ ﻲﻧﺍﻮﺗﺎﻧ ﻭ گﺮــﻣ ﻢﻬﻣ ﻞﻠﻋ ﺯﺍ ﻲــﻜﻳ ﺕﺎــﻣﺪﺻ ﺮﺿﺎﺣ ﻥﺮﻗ ﺮﻴﮔﺍﻭﺮﻴﻏ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ ﻱﺮــﻴﮔ ﻪﻤﻫ ﻦﻳﺮﺗ ﻩﺪﻤﻋ ﻪﻠﻤﺟ ﺯﺍ ﻒﻠﺘﺨﻣ ﻱﺎﻫ ﺶﻨﺗ ﺩﻮﺟﻭ [1] .ﺪﻫﺩ ﻲﻣ ﻞﻴﻜﺸﺗ ﺍﺭ ﻱﺎﻫ ﻪﺒﻨﺟ ﺮﺑ ﺪﻧﺍﻮﺗ ﻲﻣ ﻲﻠﻐﺷ ﺙﺩﺍﻮﺣ ،ﺕﺎﻋﺯﺎﻨﻣ ،ﺕﺎﻓﺩﺎﺼﺗ ﺶﻳﺎﺳﺁ ،ﻲﻋﺎﻤﺘﺟﺍ ،ﻱﺩﺎﺼﺘﻗﺍ ﻞﺋﺎــﺴﻣ ﻪﻠﻤﺟ ﺯﺍ ﻥﻮﮔﺎﻧﻮﮔ .ﺪــﺷﺎﺑ ﺭﺍﺬﮔﺮﻴﺛﺄﺗ ﺎﻫ ﺖﻴﻟﻮﻠﻌﻣ ﻭ ﻲﻣﻮﻤﻋ ﻩﺎــﻓﺭ ،ﺖــﻴﻨﻣﺍ ﻭ ﻱﺎﻫﻭﺮﻴﻧ ﻥﺍﻮﺗ ﻙﻼﻬﺘــﺳﺍ ﺐﺟﻮﻣ ﺕﺎﻣﺪﺻ ﺯﻭﺮﺑ ﻦﻴﻨﭽﻤﻫ ﺰﻛﺍﺮﻣ ،ﻲﺋﺎﻀﻗ ﻊﺟﺍﺮﻣ ،ﻲﻣﺎﻈﺘﻧﺍ ﻱﺎﻫﻭﺮﻴﻧ ﻪﻠﻤﺟﺯﺍ ﻒﻠﺘﺨﻣ ﺭﺩ ،ﻩﺯﻭﺮﻣﺍ [2] .ﺩﻮﺷ ﻲﻣ ... ﻭ ﻲﻧﻮﻧﺎﻗ ﻲﻜــﺷﺰﭘ ﻭ ﻲﻧﺎﻣﺭﺩ ﺮﺠﻨﻣ ﻪﻛ ﺎﻫ ﻱﺭﺎﻤﻴﺑ ﺯﺍ ﻲﻤﻴﻈﻋ ﺖﻤــﺴﻗ ﻱﺮﻴﮕــﺸﻴﭘ ﺩﺭﻮﻣ ﺍﺭ ﻲﻓﺎﻛ ﻭ ﻡﺯﻻ ﺕﺎــﻋﻼﻃﺍ ،ﺩﻮــﺷ ﻲﻣ ﻲﻧﺍﻮﺗﺎﻧ ﺎﻳ گﺮﻣ ﻪــﺑ ﻪﻛ ﺖــﺴﻴﻧ ﻊﻣﺎﺟ ﺪﺣ ﻥﺁ ﺎﺗ ﺎﻣ ﻲﻫﺎﮔﺁ ﻭ ﻢﻠﻋ ﻲﻟﻭ ﻢــﻳﺭﺍﺩ ﺮﺛﺆﻣ ﺭﻮﻃ ﻪﺑ ﺕﺎﻣﺪﺻ ﻭ ﺎﻫ ﺐﻴــﺳﺁ ﻝﺮﺘﻨﻛ ﻢﻴﺑﺎﻳ ﻥﺎــﻨﻴﻤﻃﺍ ﻞﺋﺎــﺴﻣ ﺯﺍ ﻲﻜﻳ ﺕﺎﻣﺪﺻ ﻦــﻴﻨﭽﻤﻫ .ﺩﺮــﻴﮔ ﻲﻣ ﺕﺭﻮﺻ ﻲﻜﻳ [3].ﺪﺷﺎﺑ ﻲﻣ ﺖﻣﻼﺳ ﻭ ﺖــﺷﺍﺪﻬﺑ ﺶﺨﺑﺭﺩ ﻪﻨﻳﺰﻫﺮﭘ ،ﺕﺎﻣﺪﺻ ﻪﻨﻴﻣﺯ ﺭﺩ ﻪﻌﻟﺎﻄﻣ ﻪﺑ ﻲﻬﺟﻮﺗ ﻲﺑ ﻲﻠﺻﺍ ﻞــﻳﻻﺩ ﺯﺍ ﻭ ﻥﺎﻘﻘﺤﻣ ،ﺎﻣﻭﺮﺗ ﺖﺒﻗﺍﺮﻣ ﻥﺎﮔﺪﻨﻫﺩ ﻪﺋﺍﺭﺍ ﻲــﺳﺮﺘﺳﺩ ﻡﺪﻋ ﺕﺎﻣﺪﺻ ﻲﻠﻣ ﺭﺎﻣﺁ ﻪﺑ ،ﺕﺎﻣﺪﺻ ﺯﺍ ﻱﺮﻴﮕﺸﻴﭘ ﻱﺎﻫ ﻥﺎﻣﺯﺎﺳ ﻞﺑﺎﻗ ﺭﻮﻃ ﻪﺑ ﻪﻨﻴﻣﺯ ﻦﻳﺍ ﺭﺩ ﻱﺍ ﻪﻳﺎﭘ ﺕﺎﻋﻼﻃﺍ ﺩﻮﺒﻤﻛ .ﺖﺳﺍ ﻱﺮﻴﮕﺸﻴﭘ ﻱﺎﻫ ﺖﻴﻟﺎﻌﻓ ﻲﺑﺎﻳﺯﺭﺍ ﻭ ﺍﺮﺟﺍ ﺯﺍ ﻊﻧﺎﻣ ﻱﺍ ﻪﻈﺣﻼﻣ [4].ﺩﻮﺷ ﻲﻣ ﺕﺎﻣﺪﺻ ﺯﺍ ﺖﻟﻮﻬﺳ ﺖﻬﺟ (WHO) ﻲﻧﺎﻬﺟ ﺖــﺷﺍﺪﻬﺑ ﻥﺎﻣﺯﺎــﺳ ،ﻪﺴﻳﺎﻘﻣ ﻞﺑﺎﻗ ﺕﺎﺷﺭﺍﺰﮔ ﻢﻴﻈﻨﺗ ﻭ ﻞﻴﻠﺤﺗ ﻪﻳﺰﺠﺗ ،ﻱﺭﻭﺁﺩﺮﮔ ﻲﻠﻠﻤﻟﺍ ﻦﻴﺑ ﻱﺪــﻨﺑ ﻪﻘﺒﻃ ﻢﺘــﺴﻴﺳ ﻥﺍﻮﻨﻋ ﺎﺑ ﺍﺭ ﻱﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﻱﺭﺎﻤﻴﺑ ﺮﻴﻣﻭ گﺮــﻣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺍﺮﺑ (ICD) ﺎــﻫ ﻱﺭﺎﻤﻴﺑ ﻲﻓﺎﻛﺎﻧ ﺩﺭﻮﻣ ﺭﺩ 1980 ﻝﺎــﺳ ﺯﺍ [12].ﺖــﺳﺍ ﻩﺩﺮﻛ ﺩﺎﺠﻳﺍ ﺕﺎﻣﺪﺻ ﺖﻴﻫﺎﻣ ﻱﺎﻫﺪﻛ ﻥﺩﻮﺑ ﺮﺼﺘﺨﻣ ﺮﻈﻧ ﺯﺍ ،ICD ﻥﺩﻮﺑ ﻱﺭﺍﺬﮔﺪﻛ ﻢﺘــﺴﻴﺳ ﻱﺮﻳﺬﭘ ﻑﺎــﻄﻌﻧﺍ ﻭ ﻖﻄﻨﻣ ﻥﺍﺪــﻘﻓ ﻭ .ﺖﺳﺍ ﻩﺪﺷ ﻱﺩﺎﻳﺯ ﺕﺍﺩﺎﻘﺘﻧﺍ ،ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻱﺎﻫ ﺖﻠﻋ ،ﻲﺸﻳﺎﻣﺯﺁ ﺭﻮﻃ ﻪﺑ ﺍﺭ ﻲﻤﺘﺴﻴﺳ ،1998 ﻞﻳﺭﻭﺁ ﺭﺩ WHO [3]

ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻱﺎﻫ ﺖﻠﻋ ﻲﻠﻠﻤﻟﺍ ﻦﻴﺑ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻥﺍﻮﻨﻋ ﺎﺑ ﺩﺎﺠﻳﺍ ﻝﻭﺍﺪﺟ ﺖﺳﺮﻬﻓ ﺯﺍ ﻲﺴﻳﻮﻧ ﺶﻴﭘ ﺕﺭﻮﺻ ﻪﺑ (ICECI) ﺭﺩ ،ICECI ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲــﻜﻴﻧﻭﺮﺘﻟﺍ ﻪﺨــﺴﻧ ﻦﻳﺮﺧﺁ .ﺩﻮﻤﻧ ﻦﻳﺍ ﻲﻠﻛ ﺭﺎﺘﺧﺎﺳ .ﺪﻳﺩﺮﮔ ﺮﺸﺘﻨﻣ (1.2 ﻪﺨﺴﻧ) 2004 ﻱﻻﻭژ ﻭ ﺶﺨﺑ ﺶﺨﺑ ،ﻱﺭﻮﺤﻣﺪﻨﭼ ﺕﺭﻮﺻ ﻪﺑ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻢﺘﺴﻴﺳ

ﻉﻮﻗﻭ ﻲﮕﻧﻮﮕﭼ ﺖﺳﺍ ﺭﺩﺎﻗ ICECI .ﺖﺳﺍ ﻲﺒﺗﺍﺮﻣ ﻪﻠﺴﻠﺳ ﻑﺍﺪﻫﺍ ﻱﺍﺮﺑ ﻭ ﺪﻨﻛ ﻒــﻴﺻﻮﺗ ﻢﻈﻨﻣ ﺭﻮﻃ ﻪﺑ ﺍﺭ ﺕﺎــﻣﺪﺻ [5،6] .ﺩﻭﺭ ﺭﺎﻛ ﻪــﺑ ﺕﺎﻘﻴﻘﺤﺗ ﻭ ﺕﺎــﻣﺪﺻ ﺯﺍ ﻱﺮﻴﮕــﺸﻴﭘ ﻪﺠﻴﺘﻧ ﻦﻳﺍ ﻪﺑ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫﺭﺎﻣﺁ ﻲﻠﻣ ﺰﻛﺮﻣ ،ﺎﻜﻳﺮﻣﺁ ﺭﺩ ﺪﻨﻤﻧﺍﻮﺗ ﻢﺘﺴﻴﺳ ﻚﻳ ICD-10 ﻪﻜﻨﻳﺍ ﺩﻮﺟﻭ ﺎﺑ ﻪﻛ ﺖﺳﺍ ﻩﺪﻴﺳﺭ ﻱﺭﺍﺬﮔﺪﻛ ﻱﺎﻫﺯﺎﻴﻧ ﻡﺎﻤﺗ ﻪــﻜﻨﻳﺍ ﻱﺍﺮﺑ ﺎﻣﺍ ،ﺖــﺳﺍ ﻲﻠﻣﺎﻛ ﻭ ﺭﺩ ﺖﺳﺍ ﻡﺯﻻ ،ﺪﻫﺩ ﺶﺷﻮﭘ ﺍﺭ ﻩﺪﺤﺘﻣ ﺕﻻﺎﻳﺍ ﺭﺩ ﺎﻫ ﻱﺭﺎﻤﻴﺑ ﻝﺎﺳ ﺭﺩ ﻦﻳﺍﺮﺑﺎﻨﺑ .ﺩﺮﻴﮕﺑ ﺕﺭﻮﺻ ﻲﺗﺎﺣﻼﺻﺍ ﻭ ﺕﺍﺮﻴﻴﻐﺗ ﻥﺁ ﻲﻤﺘﺴﻴﺳ ﺭﻮﺸﻛ ﻦﻳﺍ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫﺭﺎﻣﺁ ﻲﻠﻣ ﺰﻛﺮﻣ ،1995

ICD-10-CM (International Classification ﻥﺍﻮﻨﻋ ﺎﺑ ﺍﺭ

of Disease, Tenth Revision, Clinical Modification)

ﻞﺼﻓ .ﺩﻮﻤﻧ ﺩﺎﺠﻳﺍ ﻲﻧﺎﻬﺟ ﺖﺷﺍﺪﻬﺑ ﻥﺎﻣﺯﺎﺳ ﺕﺭﺎﻈﻧ ﺖﺤﺗ ﻞﻣﺍﻮﻋ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻪﺑ ﻁﻮﺑﺮﻣ ICD-10-CM ﻢﺘﺴﻴﺳ ﺯﺍ ﻢﺘﺴﻴﺑ ﻭ ﺖﺣﺍﺮﺟ ﺩﺎﺠﻳﺍ ﺚﻋﺎﺑ ﻪﻛ ،ﺪــﺷﺎﺑ ﻲﻣ ﻲﻄﻴﺤﻣ ﻂﻳﺍﺮــﺷ ﻭ

ICD- .[7-9] ﺩﻮﺷ ﻲﻣ ﺏﻮﻠﻄﻣﺎﻧ ﻱﺎﻫﺪﻣﺎﻴﭘ ﺮﻳﺎﺳﻭ ﺐﻴﺳﺁ

10-AM ( International Statistical Classification of Disease and Related Health Problem,10th Revision,

ﺰﻛﺮﻣ ﻂﺳﻮﺗ ،1998 ﻝﺎﺳ ﺭﺩ Australian Modification)

ﻱﺍﺮﺑ ﺰﻛﺮﻣ ﻦﻳﺍ .ﺪﻣﺁ ﺩﻮﺟﻭ ﻪﺑ ﺖﺷﺍﺪﻬﺑ ﺭﺩ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲﻠﻣ ﻚﻳ ﺯﺍ ،ICD-10-AM ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻭ ﺕﺎﺣﻼﺻﺍ ﻪﻌــﺳﻮﺗ ﻢﺘﺴﻴﺑ ﻞﺼﻓ .ﺩﺮﻴﮔ ﻲﻣ ﻚﻤﻛ ﻲﺘﻟﻭﺩ ﻱﺎﻫ ﻥﺎﻣﺯﺎــﺳ ﻱﺮــﺳ ﻱﺭﺍﺬﮔﺪﻛ ﻭ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺍﺮﺑ ،ICD-10-AM ﻢﺘــﺴﻴﺳ ﺯﺍ ﺭﺩ ﺎﻫ ﻲــﺷﻮﺧﺎﻧ ﻩﺩﺍﺩ ﻩﺎﮕــﻳﺎﭘ ﻥﺍﻮﻨﻋ ﻪــﺑ ،ﻲﺟﺭﺎﺧ ﻞــﻠﻋ [8،10].ﺩﺮﻴﮔ ﻲﻣ ﺭﺍﺮﻗ ﻩﺩﺎﻔﺘﺳﺍ ﺩﺭﻮﻣ ﻲﻠﻣ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ،2001 ﻝﺎﺳ ﺭﺩ ﺰﻴﻧ ﺍﺩﺎﻧﺎﻛ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻋﻼﻃﺍ ﻪﺴﺳﺆﻣ

ICD-10-CA (International ﻥﺍﻮــﻨﻋ ﺎــﺑ ﺍﺭ ﻲﻤﺘــﺴﻴﺳ

Statistical Classification of Disease and Related Health Problem, Tenth Revision with Canadian ICD- ﻢﺘــﺴﻴﺑ ﻞﺼﻓ ﺯﺍ .ﺩﻮــﻤﻧ ﺩﺎــﺠﻳﺍ Enhancements)

ﻭ ﺎﻫ ﺐﻴــﺳﺁ ﻲﺟﺭﺎﺧ ﻱﺎﻫ ﺖﻠﻋ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺍﺮﺑ 10-CA

[8،11].ﺩﻮﺷ ﻲﻣ ﻩﺩﺎﻔﺘﺳﺍ ﺕﺎﻣﺪﺻ ﻱﺎﻀﻋﺍ ﻭ ﻲﻟﺎﻤﺷ ﻱﺎﭘﺭﻭﺍ ﻱﺎﻫﺭﻮﺸﻛ ﻂﺳﻮﺗ ،NCECI

.ﺖﺳﺍ ﻩﺪــﺷ ﺩﺎﺠﻳﺍ ﻲﻟﺎﻤــﺷ ﻱﺎﭘﻭﺭﺍ ﻲﻜــﺷﺰﭘ ﺭﺎﻣﺁ ﻪﺘﻴﻤﻛ ﻝﺮﺘﻨﻛ ﺭﺩ ﻲﻌﺳ ﻪﻛ ﻪﻌﻣﺎﺟ ﻱﺎﻫ ﺶﺨﺑ ﻲﻣﺎﻤﺗ ﻱﺍﺮﺑ NCECI

(3)

ﻑﺪﻫ .ﺩﻮــﺷ ﻊﻗﺍﻭ ﺪﻴﻔﻣ ﺪﻧﺍﻮﺗ ﻲﻣ ﺪﻧﺭﺍﺩ ﺙﺩﺍﻮﺣ ﺶﻫﺎﻛ ﻭ ﺭﻮﻃ ﻪﺑ ﻲﻣﻮﻤﻋ ﻭ ﻲﻠﻛ ﻪﻠﻴﺳﻭ ﻚﻳ ﺩﺎﺠﻳﺍ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲﻠﺻﺍ ﻉﺍﻮﻧﺍ ﻡﺎﻤﺗ ﻞﻠﻋ ﻱﺍﺮﺑ ،ﻦﻴﺗﻭﺭ ﺖﺒﺛ ﻱﺎﻫ ﺶﺨﺑ ﺭﺩ ﮓﻨﻫﺎﻤﻫ ،ﺖﻏﺍﺮﻓ ﺕﺎﻗﻭﺍ ﻭ ﻪــﻧﺎﺧ ،ﻲﻠﻐــﺷ ،ﻞﻘﻧﻭ ﻞﻤﺣ) ﺕﺎﻣﺪﺻ [12].ﺖﺳﺍ ﻲﺘﺷﺍﺪﻬﺑ ﺰﻛﺍﺮﻣ ﺭﺩ (ﻱﺭﺍﺯﺁ ﺩﻮﺧﻭ ﺖﻧﻮﺸﺧ ﻲﺟﺭﺎﺧ ﻞــﻠﻋ ﻱﺭﺍﺬﮔﺪﻛ ﺖــﻬﺟ ﻥﺍﺮــﻳﺍ ﺭﻮــﺸﻛ ﺭﺩ ﻪﻠﺌــﺴﻣ ﺎﻣﺍ .ﺩﻮــﺷ ﻲﻣ ﻩﺩﺎﻔﺘــﺳﺍ ICD ﺏﺎﺘﻛ ﺯﺍ ﺕﺎــﻣﺪﺻ ﻱﺎﻫ ﺖﻠﻋ ﻱﺪــﻨﺑ ﻪﻘﺒﻃ ﻩﺩﺎﻔﺘــﺳﺍ ﺩﺭﻮــﻣ ﺭﺩ ﻪــﻛ ﻲــﺳﺎﺳﺍ ﺎﺑ ﻪﻛ ﺖــﺳﺍ ﻦﻳﺍ ﺩﻮــﺷ ﻲﻣ ﺱﺎــﺴﺣﺍ ﻥﺍﺮﻳﺍ ﺭﺩ ﻲــﺟﺭﺎﺧ ،ﻱﺩﺎﺼﺘﻗﺍ ،ﻲﻋﺎﻤﺘﺟﺍ ﻭ ﻲــﮕﻨﻫﺮﻓ ﻱﺎﻫ ﺖﻴﻌﻗﻮﻣ ﻪﺑ ﻪــﺟﻮﺗ ﺭﻮﺸﻛ ﺮﻫ ﺹﺎﺧ ﻲﻤﻴﻠﻗﺍ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﻭ ﻲﺒﻫﺬﻣ ،ﻲــﺳﺎﻴﺳ ﻭ ﺵﺯﻮﻣﺁﺮﻣﺍ ﺭﺩ ﺕﺎﻋﻼﻃﺍ ﺪﻴﻔﻣ ﻲــﺑﺎﻳﺯﺎﺑ ،ﻥﺍﺮﻳﺍ ﻪﻠﻤﺟ ﺯﺍ ﻪﺠﻴﺘﻧ ﻭ ﻪﺘﻓﺎﻳ ﺶﻫﺎﻛ ﻱﺰﻳﺭ ﻪﻣﺎﻧﺮﺑ ﻭ ﻱﺮﻴﮕــﺸﻴﭘ ،ﺶﻫﻭﮋﭘ ﺕﺎﻣﺍﺪﻗﺍ ﺮﺿﺎﺣ ﻝﺎﺣ ﺭﺩ .ﺖﺷﺍﺩ ﺪﻫﺍﻮﺨﻧ ﺮﺑﺭﺩ ﺍﺭ ﺏﻮﻠﻄﻣ ﻩﺪﻨﻛﺍﺮﭘ ﺭﻮﻃ ﻪﺑ ﻪﻌﻣﺎﺟ ﺭﺩ ﺙﺩﺍﻮﺣ ﺶﻫﺎﻛ ﻱﺍﺮﺑ ﻪﻧﺍﺮﻴﮕﺸﻴﭘ ﻲﺳﺎﺳﺍ ﻡﺍﺪﻗﺍ ﻲﻟﻭ ،ﺩﺮﻴﮔ ﻲﻣ ﻡﺎﺠﻧﺍ ﻲــﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻪﻣﺎﻧﺮﺑ ﺎﺑ ﻡﺎﺠﻧﺍ ﻭ ﻱﺰﻳﺭ ﻪﻣﺎﻧﺮﺑ ﺮــﻫ ﺯﺍ ﻞﺒﻗ ﺍﺮﻳﺯ .ﺩﻮــﺷ ﻲﻤﻧ ﺩﺍﺪﻤﻠﻗ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﻭ ﻥﺍﺰﻴﻣ ﺯﺍ ﻲــﻫﺎﮔﺁ ﺐــﺴﻛ ،ﻪﻠﺧﺍﺪﻣ ﻪﻧﻮﮔﺮﻫ ﺰﻛﺍﺮﻣ ﻭ ﺲﻧﺍژﺭﻭﺍ ﻪﺑ ﻪﻌﺟﺍﺮﻣ ﻞﻴﻟﺩ ﻭ ﺢﻧﺍﻮــﺳ ﻪﺑ ﻥﺎﻳﻼﺘﺒﻣ ﻪﻨﻴﻣﺯ ﺭﺩ ﻖﻴﻘﺤﺗ ﻦﻳﺍﺮﺑﺎﻨﺑ [13].ﺖﺳﺍ ﺖﻴﻤﻫﺍ ﺰﺋﺎﺣ ﻲﻧﺎﻣﺭﺩ ﺭﺩ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺩﺎﺠﻳﺍ ﻩﻮﺤﻧ ﻭ ﻡﻭﺰــﻟ .ﺩﻮﺑ ﺪﻫﺍﻮﺧ ﺖﻴﻤﻫﺍ ﺮﭘ ﺭﺎﻴﺴﺑ ﻲﻠﻣ ﺢﻄﺳ ﻲﺳﺭﺮﺑ ﺵﻭﺭ ﻱﺍ ﻪــﺴﻳﺎﻘﻣ ﻲﻌﻄﻘﻣ ﻪﻌﻟﺎﻄﻣ ﻚﻳ ﺕﺭﻮﺻ ﻪﺑ ﺶﻫﻭﮋﭘ ﻦــﻳﺍ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﺭﺩ .ﺖــﻓﺮﮔ ﻡﺎﺠﻧﺍ 1385-86 ﻱﺎﻫ ﻝﺎــﺳ ﺭﺩ ﻥﺎﻣﺯﺎــﺳ ﺪﻌﺑ ﺯﺍ ﺕﺎــﻣﺪﺻ ﻲــﺟﺭﺎﺧ ﻞــﻠﻋ ﻱﺪــﻨﺑ ﻪﻘﺒﻃ ،ﺎﻜﻳﺮﻣﺁ ﻱﺎﻫﺭﻮﺸﻛ ﺭﺩ ،ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺭﺎﺘﺧﺎــﺳ ﻭ ﻩﺪﻨﻨﻛﺩﺎﺠﻳﺍ ﻒﻴﺻﻮﺗ ﻲﻟﺎﻤــﺷ ﻱﺎﭘﻭﺭﺍ ﻱﺎﻫﺭﻮــﺸﻛ ﻭ ﺍﺩﺎﻧﺎﻛ ،ﺎﻴﻟﺍﺮﺘــﺳﺍ ،ﻩﺪﻣﺁ ﺖﺳﺩ ﻪﺑ ﺞﻳﺎﺘﻧ ﺱﺎــﺳﺍﺮﺑ .ﺪــﺷ ﻪــﺴﻳﺎﻘﻣ ﺲﭙــﺳ ﻭ (ﻥﺍﺮﻳﺍ ﻱﺍﺮــﺑ) ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞــﻠﻋ ﻲﻠﻣ ﻱﺪــﻨﺑ ﻪﻘﺒﻃ ﺯﺍ ﺲﭘ .ﺪــﺷ ﻥﻮﻣﺯﺁ (Delphi) ﻲﻔﻟﺩ ﺵﻭﺭ ﺎﺑ ﻭ ﻲــﺣﺍﺮﻃ ﻱﺎﻫﺭﻮــﺸﻛ ﺭﺩ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺏﺎﺨﺘﻧﺍ ﻱﺭﺍﺮﻗﺮﺑ ﻭ ﺖﻧﺮﺘﻨﻳﺍ ﺕﺎﻧﺎﻜﻣﺍ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﺎﺑ ،ﻪﻌﻟﺎﻄﻣ ﺖﺤﺗ ﺎﺑ ﺭﻮــﺸﻛ ﺯﺍ ﺝﺭﺎﺧ ﻥﺎــﺳﺎﻨﺷﺭﺎﻛ ﻭ ﻥﺍﺭﻭﺎــﺸﻣ ﺎﺑ ﻁﺎــﺒﺗﺭﺍ ﺐﺘﻛ ﻞﻣﺎﺷ ﻲﭘﺎﭼ ﻊﺑﺎﻨﻣ ﻭ ﻲﻜﻴﻧﻭﺮﺘﻜﻟﺍ ﺖــﺴﭘ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ

ﺎﻫ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻪﺑ ﻁﻮــﺑﺮﻣ ﻱﺎﻫ ﻩﺩﺍﺩ ،(ﺩﻭﺪﺤﻣ) ﺕﻼــﺠﻣ ﻭ ﻱﺭﻭﺁﺩﺮﮔ ﻱﺎﻫ ﻩﺩﺍﺩ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ .ﺪﺷ ﻱﺭﻭﺁﺩﺮﮔ ﻭ ﻮﺠﺘﺴﺟ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲــﻠﺻﺍ ﻱﺎﻫﺭﻮﺤﻣ ،ﺶﻫﻭﮋﭘ ﻑﺍﺪــﻫﺍ ﻭ ﻩﺪــﺷ ﻝﻭﺪﺟ ﻚﻳ ﺎﻫﺭﻮﺤﻣ ﻦﻳﺍ ﺱﺎــﺳﺍﺮﺑ ﻭ ﻦﻴﻴﻌﺗ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻞﻠﻋ ﻲﻠﻣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲﻳﺍﺪﺘﺑﺍ ﻱﻮﮕﻟﺍ .ﺪﺷ ﻢﻴﻈﻨﺗ ﻱﺍ ﻪﺴﻳﺎﻘﻣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺎﻫﺭﻮﺤﻣ ﻪﺴﻳﺎﻘﻣ ﺱﺎﺳﺍ ﺮﺑ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﺩﺎﻬﻨــﺸﻴﭘ ،ﺐﺨﺘﻨﻣ ﻱﺎﻫﺭﻮــﺸﻛ ﺭﺩ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻩﺪﻜــﺸﻧﺍﺩ ﺵﺯﻮﻣﺁ ﻚﻤﻛ ﻪﺑ ،ﻮﮕﻟﺍ ﻥﻮﻣﺯﺁ ﻱﺍﺮــﺑ .ﺪﻳﺩﺮﮔ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﻲﻜﺷﺰﭘ ﻲﻧﺎــﺳﺭ ﻉﻼﻃﺍ ﻭ ﺖﻳﺮﻳﺪﻣ ﻊﻄﻘﻣ ﻥﻼﻴﺼﺤﺘﻟﺍ ﻍﺭﺎﻓ ﻭ ﻥﺎﻳﻮﺠــﺸﻧﺍﺩ ﺯﺍ ﻲﺘــﺴﻴﻟ ،ﻥﺍﺮﻳﺍ ﻪﻴﻬﺗ ﻥﺍﺮﻳﺍ ﻞﺧﺍﺩ ﺭﺩ ﻲﺘــﺷﺍﺪﻬﺑ ﺕﺎﻋﻼﻃﺍ ﺖﻳﺮﻳﺪﻣ ﻱﺮﺘﻛﺩ ﻲﺳﺎﻨﺷﺭﺎﻛ ﻥﺎﻳﻮﺠﺸﻧﺍﺩ ﺯﺍ ﻲﺘــﺴﻴﻟ ﻦﻴﻨﭽﻤﻫ .(n=20) ﺪﺷ ،ﻥﺍﺮﻳﺍ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻱﺎﻫ ﻩﺎﮕﺸﻧﺍﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺪــﺷﺭﺍ ﻖﻳﺮﻃ ﺯﺍ ﻭ ﺪﻳﺩﺮﮔ ﻪــﻴﻬﺗ ﻥﺎﻬﻔﺻﺍ ﻭ ﻲﺘــﺸﻬﺑﺪﻴﻬﺷ ،ﻥﺍﺮﻬﺗ ﻦﻳﺍ ﻦﻴﺑ ﺯﺍ ،ﻱﺭﻮﻀﺣ ﺕﺭﻮــﺻ ﻪﺑ ﺎﻳ ﻲــﻜﻴﻧﻭﺮﺘﻜﻟﺍ ﺱﺭﺩﺁ ،ﺪﻧﺩﻮﺑ ﻱﺭﺍﺬــﮔﺪﻛ ﻪﻘﺑﺎــﺳ ﻱﺍﺭﺍﺩ ﻪﻛ ﺍﺭ ﻲــﻳﺎﻫ ﻥﺁ ،ﺩﺍﺮــﻓﺍ .(n=16) ﺪﻧﺪﺷ ﺺﺨﺸﻣ ﻭ ﻱﺩﺎﻬﻨــﺸﻴﭘ ﻱﻮﮕﻟﺍ ﻱﺎﻫﺭﻮﺤﻣ ﻪــﺑ ﻪﺟﻮﺗ ﺎﺑ ﺲﭙــﺳ .ﺪﻳﺩﺮﮔ ﻦﻳﻭﺪﺗ 1 ﻩﺭﺎﻤــﺷ ﻪﻣﺎﻨــﺸﺳﺮﭘ ،ﺶﻫﻭﮋﭘ ﻑﺍﺪــﻫﺍ ﺖﺑﻮﻧ ﺪﻨﭼ ﺭﺩ ﻱﻮﺘﺤﻣ ﺭﺎﺒﺘﻋﺍ ﻖﻳﺮﻃ ﺯﺍ ﻪﻣﺎﻨــﺸﺳﺮﭘ ﻲﻳﺍﻭﺭ ﻪﺑ ﻭ ﺪﺷ ﻲﺑﺎﻳﺯﺭﺍ ،ﺶﻫﻭﮋﭘ ﻪﻨﻴﻣﺯ ﺭﺩ ﻥﺍﺮﻈﻨﺒﺣﺎﺻ ﻂــﺳﻮﺗ ﻥﻮﻣﺯﺁ ﻖﻳﺮﻃ ﺯﺍ ﺰﻴﻧ ﻪﻣﺎﻨــﺸﺳﺮﭘ ﻲﻳﺎﻳﺎﭘ .ﺪﻴــﺳﺭ ﺮﻈﻧ ﺪﻴﻳﺄﺗ ﻪﺑ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻦﻳﺍ .ﺪــﺷ ﻲﺑﺎﻳﺯﺭﺍ (Test-Retest) ﻥﻮﻣﺯﺁ ﺯﺎﺑ ﻲﺠﻨﺳﺮﻈﻧ ﺖﻬﺟ ﻲﻜﻴﻧﻭﺮﺘﻜﻟﺍ ﺖﺴﭘ ﺎﻳ ﻱﺭﻮﻀﺣ ﺕﺭﻮﺻ ﻱﺮﺘﻛﺩ ﻊﻄﻘﻣ ﻥﻼﻴﺼﺤﺘﻟﺍ ﻍﺭﺎﻓ ﻭ ﻥﺎﻳﻮﺠــﺸﻧﺍﺩ ﺭﺎــﻴﺘﺧﺍ ﺭﺩ ﻲﺳﺎﻨﺷﺭﺎﻛ ﻥﺎﻳﻮﺠــﺸﻧﺍﺩ ﻭ ﻲﺘــﺷﺍﺪﻬﺑ ﺕﺎﻋﻼﻃﺍ ﺖﻳﺮﻳﺪﻣ ،ﺪﻧﺩﻮﺑ ﻱﺭﺍﺬﮔﺪﻛ ﻪﻘﺑﺎﺳ ﻱﺍﺭﺍﺩ ﻪﻛ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺪــﺷﺭﺍ ﺪﻌﺑ ،ﻩﺪﺷ ﻊﻳﺯﻮﺗ ﻪﻣﺎﻨــﺸﺳﺮﭘ 36 ﻉﻮﻤﺠﻣ ﺯﺍ .ﺖﻓﺮﮔ ﺭﺍﺮﻗ 26 ،ﻱﺭﻭﺁﺩﺎﻳ ﻪــﻠﺣﺮﻣ ﻚﻳ ﻝﺎــﺳﺭﺍ ﺯﺍ ﺲــﭘ ﻭ ﺯﻭﺭ 20 ﺯﺍ ﺱﺎﺳﺍﺮﺑ .ﺪﺷ ﻩﺩﺍﺩ ﺖــﺸﮔﺯﺎﺑ (ﺪﺻﺭﺩ 72.2) ﻪﻣﺎﻨــﺸﺳﺮﭘ ﻱﺩﺎﻬﻨــﺸﻴﭘ ﻱﻮﮕﻟﺍ ﻱﺎﻫﺭﻮﺤﻣ ﻱﺎﺘــﺳﺍﺭ ﺭﺩ ﻪﻛ ﻲﺗﻻﺍﺆــﺳ ﺮﻈﻧ ﺯﺍ ﺪﺻﺭﺩ 50 ﺯﺍ ﺶﻴﺑ ﻚــﻳﺮﻫ ﻪﻛ ﺍﺭ ﻱﺩﺭﺍﻮﻣ ،ﺪــﻧﺩﻮﺑ ﻩﺩﺭﻭﺁ ﺖــﺳﺩ ﻪﺑ ﻲﻔﻟﺩ ﻥﻮﻣﺯﺁ ﺭﺩ ﺍﺭ ﻥﺎــﺳﺎﻨﺷﺭﺎﻛ ﻖــﻓﺍﻮﻣ ﻪﺑ .ﺪﻨﺘﻓﺮﮔ ﺭﺍﺮﻗ ﺪﻴﻳﺄﺗ ﺩﺭﻮﻣ ﻲﻳﺎﻬﻧ ﻱﻮﮕﻟﺍ ﻥﺍﻮﻨﻋ ﻪﺑ ،ﺪﻧﺩﻮﺑ

(4)

ﻪﻣﺎﻨﺸﺳﺮﭘ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﻪﻴﻟﻭﺍ ﻱﺩﺎﻬﻨﺸﻴﭘ ﻱﻮﮕﻟﺍ ﺐﻴﺗﺮﺗ ﻦﻳﺍ ﻥﺁ ﻦﻤﺿ ،ﻪﻣﺎﻨﺸﺳﺮﭘ ﺞﻳﺎﺘﻧ ﻞﻴﻠﺤﺗ ﺎﺑ .ﺪﺷ ﻥﻮﻣﺯﺁ 1 ﻩﺭﺎﻤﺷ ﻱﻮﮕﻟﺍ ،ﺪﺷ ﻩﺩﺍﺩ ﻪﻴﻟﻭﺍ ﻱﺩﺎﻬﻨــﺸﺒﭘ ﻱﻮﮕﻟﺍ ﺭﺩ ﻲﺗﺍﺮﻴﻴﻐﺗ ﻪﻛ ﺭﻮﺸﻛ ﻱﺍﺮﺑ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻲﻠﻣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲﻳﺎﻬﻧ .ﺪﻳﺩﺮﮔ ﻪﺋﺍﺭﺍ ﻥﺍﺮﻳﺍ ﺎﻫ ﻪﺘﻓﺎﻳ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻪــﺴﻳﺎﻘﻣ ﺭﺩ ﺖﻟﻮﻬــﺳ ﺭﻮﻈﻨﻣ ﻪﺑ ﺎﻫ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ،ﺐﺨﺘﻨﻣ ﻱﺎﻫﺭﻮﺸﻛ ﻦﻴﺑ ﺕﺎﻣﺪﺻ ﻦﻳﺍ .ﺪﻧﺍ ﻪﺘﻓﺮﮔ ﺭﺍﺮﻗ ﻲﺳﺭﺮﺑ ﻭ ﺪﻘﻧ ﺩﺭﻮﻣ ﻲﻠﺻﺍ ﺭﻮﺤﻣ 4 ﺭﺩ ﻙﺮﺘﺸﻣ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ،ﻝﻮﺌﺴﻣ ﻥﺎﻣﺯﺎﺳ :ﺯﺍ ﺪﻨﺗﺭﺎﺒﻋ ﺎﻫﺭﻮﺤﻣ ﺹﺎﺧ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ،ﻱﺍ ﻩﺭﺎﻤﺷ ﺖﺳﺮﻬﻓ ﻭ ﻲﻳﺎﺒﻔﻟﺍ ﺖﺳﺮﻬﻓ 4 ﺯﺍ ﻚﻳ ﺮﻫ .ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﻭ ﻱﺍ ﻩﺭﺎﻤــﺷ ﺖﺳﺮﻬﻓ ﺭﺍﺩﻮﻤﻧ ﺭﺩ ﺎﻫ ﻥﺁ ﻲﻋﺮﻓ ﻱﺎﻫ ﺭﻮﺤﻣ ﻭ ﺭﻮﻛﺬﻣ ﻲﻠﺻﺍ ﺭﻮــﺤﻣ .ﺪﻧﺍ ﻩﺪﺷ ﻢﻴﻈﻨﺗ 1 ﻪﺑ ﻪﻴﻟﻭﺍ ﻱﺩﺎﻬﻨــﺸﻴﭘ ﻱﻮﮕﻟﺍ ﻥﻮﻣﺯﺁ ﺯﺍ ﻞــﺻﺎﺣ ﺞــﻳﺎﺘﻧ ﻞﻠﻋ ﻲﻠﻣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲــﻳﺎﻬﻧ ﻱﻮﮕﻟﺍ ﻪﺋﺍﺭﺍ ﻭ ﻲــﻔﻟﺩ ﺵﻭﺭ ﻩﺪــﺷ ﻥﺎﻴﺑ 1 ﻝﻭﺪﺟ ﺭﺩ ﻥﺍﺮــﻳﺍ ﻱﺍﺮﺑ ﺕﺎﻣﺪﺻ ﻲــﺟﺭﺎﺧ ﺭﻮﺤﻣ ﺭﺎﻬﭼ ﺭﺩ ﻱﺩﺎﻬﻨــﺸﻴﭘ ﻡﺎﻈﻧ ﻝﻭﺪــﺟ ﻦﻳﺍ ﺭﺩ .ﺖــﺳﺍ

ﺩﻮﺷ ﻲﻣ ﻩﺪﻫﺎﺸﻣ ﻪﻛ ﺭﻮﻃ ﻥﺎﻤﻫ .ﺖﺳﺍ ﻩﺪﺷ ﻲﺣﺍﺮﻃ ﻲﻠﺻﺍ ﻲﻋﺮﻓ ﺭﻮﺤﻣ ﻱﺩﺍﺪﻌﺗ ﺯﺍ ﺩﻮﺧ ﻲﻠﺻﺍ ﻱﺎﻫﺭﻮﺤﻣ ﺯﺍ ﻱﺩﺍﺪﻌﺗ .ﺪﻧﺍ ﻩﺪﺷ ﻞﻴﻜﺸﺗ ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ ﻭ ﺚﺤﺑ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻲــﻠﻣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺍﺮــﺑ ﻩﺪــﺷ ﻪﺋﺍﺭﺍ ﻱﻮﮕﻟﺍ ﺖﺤﺗ ﻱﺎﻫ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺎﺑ ﻪــﺴﻳﺎﻘﻣ ﺭﺩ ﻥﺍﺮﻳﺍ ﻱﺍﺮﺑ ﺕﺎﻣﺪﺻ ﺮﺘﺸﻴﺑ ﻮﮕﻟﺍ ﻦﻳﺍ ﻪﻛ ﺖﺳﺍ ﻥﺁ ﺮﮕﻧﺎﻴﺑ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺭﺩ ﻪﻌﻟﺎﻄﻣ ﻱﺪﻨﺑ ﻢﻴﺴﻘﺗ ﺮﻈﻧ ﺯﺍ ﻩﮋﻳﻭ ﻪﺑ .ﺪــﺷﺎﺑ ﻲﻣ ICECI ﺮﺑ ﻖﺒﻄﻨﻣ ﺶﺨﺑ ﻭ ﻲﻠﺻﺍ ﺶﺨﺑ ﺕﺭﻮﺻ ﻪﺑ ﻱﺍ ﻩﺭﺎﻤﺷ ﺖﺳﺮﻬﻓ ﻲﻠﻛ ﻩﺩﺎﻔﺘﺳﺍ ﺩﺭﻮﻣ ﻑﻭﺮﺣ ﻭ ﺎﻫ ﺶﺨﺑ ﻢﻴﻈﻨﺗ ﺱﺎــﺳﺍ ،ﻪﻤﻴﻤﺿ ﺎﻫﺭﻮﺤﻣ ﺯﺍ ﻲﺧﺮﺑ ﺭﺩ ﻩﺪــﺷ ﻪﺋﺍﺭﺍ ﻱﻮﮕﻟﺍ ﻪﺘﺒﻟﺍ .ﺎــﻫﺪﻛ ﺭﺩ ﻒﻳﺮﻌﺗ ﻪﺋﺍﺭﺍ ﻩﻮﺤﻧ ﻭ ﺎــﻫﺪﻛ ﺮﺘﻛﺍﺭﺎﻛ ﺩﺍﺪﻌﺗ ﻪﻠﻤﺟ ﺯﺍ ،ﺰــﻴﻧ ﺱﺎﺳﺍ .ﺩﺭﺍﺩ ﺕﻭﺎﻔﺗ ICECI ﺎﺑ ؛ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺭﺩ ﺕﺎﺣﻼﻄﺻﺍ

ICD-10، ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻞﺼﻓ ﺭﺩ ﻲﻠﺻﺍ ﻱﺎﻫ ﻙﻮﻠﺑ ﻢﻴﻈﻨﺗ ﺱﺎــﺳﺍ ﺮﺑ ICD-10-CA ﻭ ICD-10-CM، ICD-10-AM

ﻱﺍﺮﺑ ﻲﻳﺎﻬﻧ ﻱﻮــﮕﻟﺍ ﺭﺩ .ﺖــﺳﺍ ﻩﺩﻮﺑ ﻲﺟﺭﺎﺧ ﻞﻣﺎﻋ ﻉﻮﻧ

ﺐﺨﺘﻨﻣ ﻱﺎﻫﺭﻮﺸﻛ ﺭﺩ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲﻋﺮﻓ ﻭ ﻲﻠﺻﺍ ﻱﺎﻫﺭﻮﺤﻣ : 1 ﺭﺍﺩﻮﻤﻧ

(5)

ﻲﻳﺎﻬﻧ ﻱﻮﮕﻟﺍ ﻭ ﻪﻴﻟﻭﺍ ﻱﺩﺎﻬﻨﺸﻴﭘ ﻱﻮﮕﻟﺍ ﺭﺩ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻲﻠﻣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻒﻠﺘﺨﻣ ﻱﺎﻫﺭﻮﺤﻣ ﻪﺴﻳﺎﻘﻣ :1 ﻝﻭﺪﺟ (ﻲﻔﻟﺩ ﻥﻮﻣﺯﺁ ﺞﻳﺎﺘﻧ ﺱﺎﺳﺍﺮﺑ)

ﺎﻫ ﻱﺪﻨﺑ ﻪﻘﺒﻃ

ﺎﻫﺭﻮﺤﻣ ﻱﺩﺎﻬﻨﺸﻴﭘ ﻱﻮﮕﻟﺍ

ﻲﻳﺎﻬﻧ ﻱﻮﮕﻟﺍ

ﻝﻮﺌﺴﻣ ﻥﺎﻣﺯﺎﺳ ﺩﺎﺠﻳﺍ ﻝﻮﺌﺴﻣ ﻥﺎﻣﺯﺎﺳ

ﻢﺘﺴﻴﺳ ﻱﺭﻭﺁﺯﻭﺭ ﻭ ﻥﺍﺮﻳﺍ ﻲﻧﺎﻣﺭﺩ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻋﻼﻃﺍ ﻪﺘﻴﻤﻛ ﻞﻴﻜﺸﺗ

ﺎﻣﻭﺮﺗ ﻲﻠﻣ ﺖﺒﺛ ﻪﺘﻴﻤﻛ ﻭ ﻭ ﻥﺍﺮﻳﺍ ﻲﻧﺎﻣﺭﺩ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻋﻼﻃﺍ ﻪﺘﻴﻤﻛ ﻞﻴﻜﺸﺗ

ﺭﺩ ﺯﺎﻴﻧ ﺩﺭﻮﻣ ﻱﺎﻫ ﺺﺼﺨﺗ .ﺎﻣﻭﺮﺗ ﻲﻠﻣ ﺖﺒﺛ ﻪﺘﻴﻤﻛ ﺖﻳﺮﻳﺪﻣ :ﺖﻳﻮﻟﻭﺍ ﺐﻴﺗﺮﺗ ﻪﺑ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻋﻼﻃﺍ ﻪﺘﻴﻤﻛ ﻱﺎﻫﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﻦﻳﻭﺪﺗ ﻩﻭﺮﮔ ،ﻲﻜﺷﺰﭘ ،ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻋﻼﻃﺍ ،ﻱﺭﺍﺬﮔﺪﻛ ﻲﮕﻨﻫﺎﻤﻫﻭ ﺵﺯﻮﻣﺁ ﻩﻭﺮﮔ ،ﺭﺎﻣﺁ ،ﻱﺭﺍﺬﮔﺪﻛ .ﻱﺭﻭ ﻩﺮﻬﺑ ﻥﺍﺮﻳﺪﻣ ﻭ ﺖﺷﺍﺪﻬﺑ ﺩﺎﺼﺘﻗﺍ ،ﺮﺗﻮﻴﭙﻣﺎﻛ ﻪﺑ ﺎﻣﺭﻮﺗ ﻲﻠﻣ ﺖﺒﺛ ﻪﺘﻴﻤﻛ ﺭﺩﺯﺎﻴﻧ ﺩﺭﻮﻣ ﻱﺎﻫ ﺺﺼﺨﺗ ﻥﺍﺮﻳﺪﻣ ،ﻱژﻮﻟﻮﻴﻣﺪﻴﭘﺍ ،ﻱژﻮﻟﻮﺗﺎﻣﻭﺮﺗ :ﺖﻳﻮﻟﻭﺍ ﺐﻴﺗﺮﺗ ﺯﺍ ﻱﺮﻴﮕﺸﻴﭘ ﻱﺎﻫ ﻪﻣﺎﻧﺮﺑ ﻱﺮﻴﮔﺭﺎﻜﺑ ﻭ ﻱﺰﻳﺭ ﻪﻣﺎﻧﺮﺑ .ﺮﺗﻮﻴﭙﻣﺎﻛ ﻭ ﺕﺎﻋﻼﻃﺍ ﻱﺭﻭﺎﻨﻓ ،ﻲﻜﺷﺰﭘ ،ﺭﺎﻣﺁ ،ﺕﺎﻣﺪﺻ ﻲﻜﺷﺰﭘ :ﺖﻳﻮﻟﻭﺍ ﺐﻴﺗﺮﺗ ﻪﺑ ﻲﺘﻛﺭﺎﺸﻣ ﻱﺎﻫ ﻥﺎﮔﺭﺍ ،ﻲﻣﺎﻈﺘﻧﺍ ﻱﻭﺮﻴﻧ ،ﻥﺎﻣﺭﺩﻭ ﺖﺷﺍﺪﻬﺑ ﺕﺭﺍﺯﻭ ،ﻲﻧﻮﻧﺎﻗ ،ﻲﮔﺪﻨﻧﺍﺭ ﻭ ﻲﻳﺎﻤﻨﻫﺍﺭ ﻩﺭﺍﺩﺍ ،ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻱﺎﻫ ﻩﺎﮕﺸﻧﺍﺩ ﻭ ﻥﺍﺮﻳﺍ ﺭﺎﻣﺁ ﺰﻛﺮﻣ ،ﻪﻤﻴﺑ ﻱﺎﻫ ﻥﺎﻣﺯﺎﺳ ،ﻲﻧﺎﺸﻨﺸﺗﺁ ﺰﻛﺍﺮﻣ ﺩﻮﺑ ﺕﺎﻘﻴﻘﺤﺗ ﻞﻘﺘﺴﻣ ﺰﻛﺮﻣ

ﻲﻧﺎﺒﻴﺘﺸﭘ ﺕﺎﻣﺪﺧ ﺰﻛﺮﻣ ﺱﺭﺩﺁ ﻭ ﻥﺎﻣﺯﺎﺳ ﺖﻳﺎﺳ ﺏﻭ ﻖﻳﺮﻃ ﺯﺍ ﻝﻮﺌﺴﻣ ﻥﺎﻣﺯﺎﺳ

ﺪﻨﺷﺎﺑ ﻥﺍﺮﺑﺭﺎﻛ ﺕﻻﺍﺆﺳ ﻱﻮﮕﺨﺳﺎﭘ ءﺎﻀﻋﺍ ﻲﻜﻴﻧﻭﺮﺘﻜﻟﺍ ﺖﻳﺎﺳ ﺏﻭ ﻖﻳﺮﻃ ﺯﺍ ﻝﻮﺌﺴﻣ ﻥﺎﻣﺯﺎﺳ ﺩﻮﺷ ﻲﻣ ﺩﺎﻬﻨﺸﻴﭘ

ﺪﻨﺷﺎﺑ ﻥﺍﺮﺑﺭﺎﻛ ﺕﻻﺍﺆﺳ ﻱﻮﮕﺨﺳﺎﭘ ﻥﺎﻣﺯﺎﺳ

ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﺖﺳﺮﻬﻓ ﻙﺮﺘﺸﻣ ﺖﺳﺮﻬﻓ ﻭ ﻲﻳﺎﺒﻔﻟﺍ 5ﻱﺍ ﻩﺭﺎﻤﺷ ﺕﺍﺭﺎﺼﺘﺧﺍ

ﺖﺳﺮﻬﻓ ﺭﺩ NEC ﻭ ﻱﺍ ﻩﺭﺎﻤﺷ ﺖﺴﻴﻟ ﺭﺩ NOS ﺯﺍ NOS ﺩﺩﺮﮔ ﻩﺩﺎﻔﺘﺳﺍ ﻲﻳﺎﺒﻔﻟﺍ

ﺖﺳﺮﻬﻓ ﺭﺩ NEC ﻭ ﻱﺍ ﻩﺭﺎﻤﺷ ﺖﺴﻴﻟ ﺭﺩ NOS ﺯﺍ ﺩﺩﺮﮔ ﻩﺩﺎﻔﺘﺳﺍ ﻲﻳﺎﺒﻔﻟﺍ

NEC

ﺎﺠﻫ ﺖﺳﺮﻬﻓ

ﻲﻳﺎﺒﻔﻟﺍ ﺩﺩﺮﮔ ﻲﻣ ﺩﺎﻬﻨﺸﻴﭘ ﻲﻳﺎﻜﻳﺮﻣﺁ ﻱﺎﺠﻫ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ

ﺪﻳﺩﺮﮔ ﺩﺎﻬﻨﺸﻴﭘ ﻲﻳﺎﻜﻳﺮﻣﺁ ﻱﺎﺠﻫ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ

ﺖﺳﺮﻬﻓ ﻱﺍ ﻩﺭﺎﻤﺷ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺭﺩ ﻪﺘﻓﺭ ﺭﺎﻜﺑ ﺕﺎﺣﻼﻄﺻﺍ ﻪﻛ ﻲﻳﺎﺠﻧﺁ ﺯﺍ

ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ،ﺪﻨﺘﺴﻴﻧ ﻲﻜﺷﺰﭘ ﺕﺎﺣﻼﻄﺻﺍ ،ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﺩﻮﺷ ﻲﻣ ﺩﺎﻬﻨﺸﻴﭘ ﻲﻳﺎﻜﻳﺮﻣﺁ ﻱﺎﺠﻫ ﺪﻳﺩﺮﮔ ﺩﺎﻬﻨﺸﻴﭘ ﻲﻳﺎﻜﻳﺮﻣﺁ ﻱﺎﺠﻫ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ

ﺕﺎﻋﺎﺟﺭﺍ ﺭﻮﻈﻨﻣ ﻪﺑ See also ﻭ See ﻉﺎﺟﺭﺍ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ See

ﻡﺎﻤﺗ ﻪﺑ ﻲﺳﺮﺘﺳﺩ ﻥﺎﻜﻣﺍ ﻭ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻢﺠﺣ ﺶﻫﺎﻛ ﺩﻮﺷ ﻲﻣ ﺩﺎﻬﻨﺸﻴﭘ ﻂﺒﺗﺮﻣ ﻱﺎﻫﺪﻛ ﻭ ﺕﺎﺣﻼﻄﺻﺍ ﺖﺳﺮﻬﻓ ﺭﺩ See also ﻭ See ﻉﺎﺟﺭﺍ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ

ﻥﺎﻜﻣﺍ ﻭ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻢﺠﺣ ﺶﻫﺎﻛ ﺭﻮﻈﻨﻣ ﻪﺑ ﻲﻳﺎﺒﻔﻟﺍ

ﺪﻳﺩﺮﮔ ﺩﺎﻬﻨﺸﻴﭘ ﻂﺒﺗﺮﻣ ﻱﺎﻫﺪﻛ ﻡﺎﻤﺗ ﻪﺑ ﻲﺳﺮﺘﺳﺩ See also

ﺹﺎﺧ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﻱﺍ ﻩﺭﺎﻤﺷ ﺖﺳﺮﻬﻓ ﻝﻮﻤﺸﻣ ﺩﺭﺍﻮﻣ) ﺎﻤﻨﻫﺍﺭ ﺕﺎﻜﻧ

(ءﺎﻨﺜﺘﺳﺍ ﻭ ﺖﺤﺻ ﻭ ﺖﻗﺩ ﺭﻮﻈﻨﻣ ﻪﺑ ﺎﻤﻨﻫﺍﺭ ﺕﺎﻜﻧ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ

ﺩﻮﺷ ﻲﻣ ﺩﺎﻬﻨﺸﻴﭘ ﻱﺍ ﺭﺎﻤﺷ ﺖﺴﻴﻟ ﺭﺩ ﺎﻫﺪﻛ ﺮﺘﺸﻴﺑ ﺩﺎﻬﻨﺸﻴﭘ ﻱﺍ ﺭﺎﻤﺷ ﺖﺴﻴﻟ ﺭﺩ ﻪﺑ ﺎﻤﻨﻫﺍﺭ ﺕﺎﻜﻧ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ

ﺪﺷ

ﺎﻫﺪﻛ ﺭﺩ ﺮﺘﻛﺍﺭﺎﻛ ﺩﺍﺪﻌﺗ 1 ﺯﺍ ﺎﻫﺪﻛ ﻩﺭﺎﻤﺷ ﺢﻄﺳ ﺮﻫ ﺭﺩ ﻭ ،ﺢﻄﺳ 3 ﺎﺗ ﻚﻳ ﺯﺍ

ﺪﺷﺎﺑ ﻲﻣ 99 ﺎﺗ ﻱﺮﺘﻛﺭﺎﻛ 5 ﺎﺗ 3 ﺕﺭﻮﺻ ﻪﺑ ،ﺎﻫﺪﻣﺮﺘﻛﺍﺭﺎﻛ ﺩﺍﺪﻌﺗ

ﺪﻳﺩﺮﮔ ﺩﺎﻬﻨﺸﻴﭘ

ﺎﻫﺪﻛ ﺭﺩ ﻩﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ﻑﻭﺮﺣ ﻥﺁ ﻪﻛ ﺩﻮﺷ ﻩﺩﺎﻔﺘﺳﺍ ﻑﺮﺣ ﻚﻳ ﺯﺍ ﺪﻛ ﺮﻫ ﻱﺍﺪﺘﺑﺍ ﺭﺩ

ﻱﺍﺮﺑ p ﻑﺮﺣ ﺯﺍ ﻼﺜﻣ .ﺪﺷﺎﺑ ﻪﻃﻮﺑﺮﻣ ﺶﺨﺑ ﻑﺮﻌﻣ ﻑﺮﺣ ﻭ ﺩﺩﺮﮔ ﻩﺩﺎﻔﺘﺳﺍ ﻪﻤﻴﻤﺿ ﺶﺨﺑ ﺭﺩ ﻪﺛﺩﺎﺣ ﻥﺎﻜﻣ ﻱﺎﻫﺪﻛ .ﺩﺩﺮﮔ ﻩﺩﺎﻔﺘﺳﺍ ﻲﻠﺻﺍ ﺶﺨﺑ ﻱﺎﻫﺪﻛ ﻱﺍﺮﺑ c ﻑﺮﺣ ﺯﺍ ﻲﻠﺻﺍ ﺶﺨﺑ ﻱﺎﻫﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ "C" ﻑﺮﺣ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ

؛ﺪﻛ ﻩﺭﺎﻤﺷ ﻱﺍﺪﺘﺑﺍ ﺭﺩ ﺶﺨﺑ ﺮﻫ ﻥﺍﻮﻨﻋ ﻝﻭﺍ ﻑﺮﺣ ﻭ .ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﺪﻴﻳﺄﺗ ﺩﺭﻮﻣ ﻪﻤﻴﻤﺿ ﺶﺨﺑ ﺭﺩ

(6)

1 ﻝﻭﺪﺟ ﻪﻣﺍﺩﺍ

ﺹﺎﺧ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﻱﺍ ﻩﺭﺎﻤﺷ ﺖﺳﺮﻬﻓ ﻙﻮﻠﺑ /ﺶﺨﺑ ﻢﻴﻈﻨﺗ ﺱﺎﺳﺍ

،ﻢﺴﻴﻧﺎﻜﻣ ؛ﺩﺮﻓ ﺖﻴﻟﺎﻌﻓ ،ﻥﺎﻜﻣ ﺱﺎﺳﺍﺮﺑ ﻲﻠﺻﺍ ﺶﺨﺑ ،ﻪﻣﺪﺻ ﻩﺪﻨﻨﻛﺩﺎﺠﻳﺍ ءﻲﺷ ،ﻪﺛﺩﺎﺣ ﺩﺎﺠﻳﺍ ﺯﺍ ﺪﺼﻗ .ﻥﺍﺩﺮﮔ ﻥﺍﻭﺭ ﻱﺎﻫﻭﺭﺍﺩ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ،ﻞﻜﻟﺍ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺙﺩﺍﻮﺣ ،ﻞﻘﻧﻭ ﻞﻤﺣ ﺙﺩﺍﻮﺣ ﺱﺎﺳﺍﺮﺑ ﻪﻤﻴﻤﺿ ﺶﺨﺑ

ﻪﺛﺩﺎﺣ ﻥﺎﻜﻣ ،ﺖﻧﻮﺸﺧ ،ﻲﺷﺯﺭﻭ ﺙﺩﺍﻮﺣ ،ﻲﻠﻐﺷ ﺩﻮﺷ ﻲﻣ ﺩﺎﻬﻨﺸﻴﭘ (ﺮﺘﺸﻴﺑ ﺕﺎﻴﺋﺰﺟ) ﺖﻴﻟﺎﻌﻓ ،ﻢﺴﻴﻧﺎﻜﻣ ﻪﺑ ﺖﻳﻮﻟﻭﺍ ﺐﻴﺗﺮﺗ ﻪﺑ ﻲﻠﺻﺍ ﺶﺨﺑ

،ﻪﺛﺩﺎﺣ ﻥﺎﻜﻣ ،ﻪﺛﺩﺎﺣﺩﺎﺠﻳﺍ ﺯﺍ ﻑﺪﻫ ﺎﻳ ﺪﺼﻓ ،ﺩﺮﻓ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ،ﻞﻜﻟﺍ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ،ﻪﻣﺪﺻ ﻩﺪﻨﻨﻛﺩﺎﺠﻳﺍ ءﻲﺷ ﺐﻴﺗﺮﺗ ﻪﺑ ﺰﻴﻧ ﻪﻤﻴﻤﺿ ﺶﺨﺑ ﻭ ﻥﺍﺩﺮﮔ ﻥﺍﻭﺭ ﻱﺎﻫﻭﺭﺍﺩ ﺙﺩﺍﻮﺣ ،ﻲﻠﻐﺷ ﺙﺩﺍﻮﺣ ،ﻞﻘﻧﻭ ﻞﻤﺣ ﺙﺩﺍﻮﺣ ﺖﻳﻮﻟﻭﺍ ﺕﺎﻴﺋﺰﺟ)ﻪﺛﺩﺎﺣ ﻥﺎﻜﻣ ،ﻱﺭﺍﺯﺁﺩﻮﺧ ،ﺖﻧﻮﺸﺧ ،ﻲﺷﺯﺭﻭ

.ﺪﻳﺩﺮﮔ ﻪﻴﺻﻮﺗ (ﺮﺘﺸﻴﺑ

ﻙﻮﻠﺑ /ﺶﺨﺑ ﺩﺍﺪﻌﺗ ﻩﺍﺮﻤﻫ ﻪﺑ (ﺶﺨﺑ7) ﻲﻠﺻﺍ ﻱﺎﻫ ﻩﻭﺮﮔ ﺩﺍﺪﻌﺗ ﺱﺎﺳﺍﺮﺑ

ﻱﺍ ﻪﻤﻴﻤﺿ ﻱﺎﻫ ﺶﺨﺑ ﻞﻣﺎﺷ ﺮﮕﻳﺩ ﺶﺨﺑ ﻚﻳ ﺩﺩﺮﮔ ﻢﻴﻈﻨﺗ (ﺶﺨﺑ5) ﺪﻴﻳﺄﺗ ﺩﺭﻮﻣ ﻱﺎﻫ ﺶﺨﺑ ﺯﺍ ﻩﺪﻣﺁ ﺖﺳﺩ ﻪﺑ ﺞﻳﺎﺘﻧ ﺱﺎﺳﺍﺮﺑ

ﺶﺨﺑ7 ﺕﺭﻮﺻ ﻪﺑ ﻱﺎﻫ ﺶﺨﺑ ﺩﺍﺪﻌﺗ ،ﻕﻮﻓ ﺭﻮﺤﻣ ﺭﺩ ﻪﻤﻴﻤﺿ ﺖﻤﺴﻗ ﺭﺩ ﺶﺨﺑ6 ﻭ ﻲﻠﺻﺍ ﺖﻤﺴﻗ ﺭﺩ

.ﺩﻮﺑﺪﻫﺍﻮﺧ

ﻪﺛﺩﺎﺣ ﺩﺎﺠﻳﺍ ﻢﺴﻴﻧﺎﻜﻣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲﻠﺻﺍ ﻱﺎﻫ ﺶﺨﺑﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ

ﺩﻮﺷ ﻩﺩﺎﻔﺘﺳﺍ ﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ C2 ﻑﺮﺣ ﺯﺍ .ﺩﺮﻴﮔﺭﺍﺮﻗ ﺮﻈﻧ ﺪﻣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲﻠﺻﺍ ﻱﺎﻫ ﺶﺨﺑﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ

ﻪﻃﻮﺑﺮﻣ ﻱﺎﻫﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ "C" ﻑﺮﺣ ﻭ ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﺖﻓﺮﮔﺭﺍﺮﻗ

ﻪﺛﺩﺎﺣ ﻥﺎﻜﻣ ﺩﺮﻴﮔﺭﺍﺮﻗ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲﻠﺻﺍ ﻱﺎﻫ ﺶﺨﺑﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ

ﻩﺩﺎﻔﺘﺳﺍ ﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ C4 ﻑﺮﺣ ﺯﺍ ﺖﻤﺴﻗ ﻦﻳﺍ ﺭﺩ ﺭﺩ ﻱﺮﮕﻳﺩ ﺶﺨﺑ ﺮﺗ ﻲﺋﺰﺟ ﺕﺎﻋﻼﻃﺍ ﻱﺍﺮﺑ .ﺩﻮﺷ ﺯﺍ ﻭ .ﺪﺑﺎﻳ ﺹﺎﺼﺘﺧﺍ ﻪﺛﺩﺎﺣ ﻥﺎﻜﻣ ﻪﺑ ﻪﻤﻴﻤﺿ ﺖﻤﺴﻗ

.ﺩﺩﺮﮔ ﻩﺩﺎﻔﺘﺳﺍ ﺪﻛ ﻩﺭﺎﻤﺷ ﻱﺍﺪﺘﺑﺍ ﺭﺩ P ﻑﺮﺣ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ ﻩﺪﻣﺁ ﺖﺳﺩ ﻪﺑ ﺞﻳﺎﺘﻧ ﺱﺎﺳﺍ ﺮﺑ

ﻦﻳﺍ ﺭﺩ ،ﺖﻓﺮﮔﺭﺍﺮﻗ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲﻠﺻﺍ ﻱﺎﻫ ﺶﺨﺑﺯﺍ ﻱﺍﺮﺑ .ﺩﻮﺷ ﻲﻣ ﻩﺩﺎﻔﺘﺳﺍ ﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ C ﻑﺮﺣ ﺖﻤﺴﻗ

ﻪﻤﻴﻤﺿ ﺖﻤﺴﻗ ﺭﺩ ﻱﺮﮕﻳﺩ ﺶﺨﺑ ﺮﺗ ﻲﺋﺰﺟ ﺕﺎﻋﻼﻃﺍ ﺭﺩ P ﻑﺮﺣ ﺯﺍ ﻭ .ﺖﻓﺎﻳ ﺹﺎﺼﺘﺧﺍ ﻪﺛﺩﺎﺣ ﻥﺎﻜﻣ ﻪﺑ

(Place) .ﺪﻳﺩﺮﮔ ﻩﺩﺎﻔﺘﺳﺍ ﺪﻛ ﻩﺭﺎﻤﺷ ﻱﺍﺪﺘﺑﺍ

ﻪﺛﺩﺎﺣ ﻉﻮﻗﻭ ﻡﺎﮕﻨﻫ ﺩﺮﻓ ﺖﻴﻟﺎﻌﻓ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲﻠﺻﺍ ﻱﺎﻫ ﺶﺨﺑﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ

.ﺩﻮﺷ ﻩﺩﺎﻔﺘﺳﺍ ﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ C5 ﻑﺮﺣ ﺯﺍ .ﺩﺮﻴﮔﺭﺍﺮﻗ ﺩﺎﻬﻨﺸﻴﭘ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲﻠﺻﺍ ﻱﺎﻫ ﺶﺨﺑﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ

ﺭﺍﺮﻗ ﻪﻃﻮﺑﺮﻣ ﻱﺎﻫﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ "C " ﻑﺮﺣ .ﺪﺷ .ﺖﻓﺮﮔ ﺪﻫﺍﻮﺧ

ﻞﻘﻧ ﻭ ﻞﻤﺣ ﺙﺩﺍﻮﺣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺍ ﻪﻤﻴﻤﺿ ﻱﺎﻫ ﺶﺨﺑ ﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ

ﻪﻃﻮﺑﺮﻣ ﻱﺎﻫﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ T ﻑﺮﺣ ﻭ ﺩﺮﻴﮕﺑ ﺭﺍﺮﻗ ﺩﺮﻴﮕﺑ ﺭﺍﺮﻗ

ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺍ ﻪﻤﻴﻤﺿ ﻱﺎﻫ ﺶﺨﺑ ﺯﺍ ﻲﻜﻳ .ﺪﺷ ﻪﺋﺍﺭﺍ ﻪﻃﻮﺑﺮﻣ ﻱﺎﻫﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ T ﻑﺮﺣ ﻭ

(Transport)

ﻲﻠﻐﺷ ﺙﺩﺍﻮﺣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺍ ﻪﻤﻴﻤﺿ ﻱﺎﻫ ﺶﺨﺑ ﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ

ﺭﺍﺮﻗ ﻪﻃﻮﺑﺮﻣ ﻱﺎﻫﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ O ﻑﺮﺣ .ﺩﺮﻴﮕﺑ ﺭﺍﺮﻗ .ﺩﺮﻴﮕﺑ

ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺍ ﻪﻤﻴﻤﺿ ﻱﺎﻫ ﺶﺨﺑ ﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ ﻱﺎﻫﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ O ﻑﺮﺣ .ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﺪﻴﻳﺄﺗ ﺩﺭﻮﻣ

(Occupation) ﺪﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧ ﺭﺩ ﻪﻃﻮﺑﺮﻣ

ﻲﺷﺯﺭﻭ ﺙﺩﺍﻮﺣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺍ ﻪﻤﻴﻤﺿ ﻱﺎﻫ ﺶﺨﺑ ﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ

ﻪﻃﻮﺑﺮﻣ ﻱﺎﻫﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ S ﻑﺮﺣ ﺯﺍ ﻭ ﺩﺮﻴﮕﺑ ﺭﺍﺮﻗ .ﺩﺩﺮﮔ ﻩﺩﺎﻔﺘﺳﺍ

ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺍ ﻪﻤﻴﻤﺿ ﻱﺎﻫ ﺶﺨﺑ ﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ ﻱﺎﻫﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ S ﻑﺮﺣ .ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﺪﻴﻳﺄﺗ ﺩﺭﻮﻣ

(Sport) ﺪﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧ ﺭﺩ ﻪﻃﻮﺑﺮﻣ

ﻱﺭﺍﺯﺁﺩﻮﺧ ﻦﻳﺍ ﺭﺩ ﺩﺮﻴﮕﺑ ﺭﺍﺮﻗ ﻪﺛﺩﺎﺣ ﺩﺎﺠﻳﺍ ﺯﺍ ﺪﺼﻗ ﺶﺨﺑ ﺭﺩ

.ﺩﺩﺮﮔ ﻩﺩﺎﻔﺘﺳﺍ ﺎﻫﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ C1 ﻑﺮﺣ ﺯﺍ ﺖﻤﺴﻗ ﻪﺑ ﻲﻠﺒﻗ ﺵﺮﻳﺬﭘ ﺩﻮﺟﻭ ﻞﻴﺒﻗ ﺯﺍ ﺮﺘﺸﻴﺑ ﺕﺎﻴﺋﺰﺟ ﻱﺍﺮﺑ .ﻭ ﺩﺮﻓ ﻲﻣﺍﺪﺨﺘﺳﺍ ﻭ ﻲﻠﻐﺷ ﺖﺒﻌﺿﻭ ،ﻱﺭﺍﺯﺁﺩﻮﺧ ﻞﻴﻟﺩ

ﺖﻤﺴﻗﺭﺩ) ﺖﻧﻮﺸﺧ ﺶﺨﺑ ﺭﺩ ﺰﻴﻧ ﻱﺮﮕﻳﺩ ﺶﺨﺑ . . ﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ .ﺪﺑﺎﻳ ﻖﻠﻌﺗ "ﻱﺭﺍﺯﺁﺩﻮﺧ" ﻪﺑ (ﻪﻤﻴﻤﺿ

ﺩﺮﻴﮕﺑ ﺭﺍﺮﻗ V ﻑﺮﺣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺍ ﻪﻤﻴﻤﺿ ﻱﺎﻫ ﺶﺨﺑ ﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ

ﻱﺎﻫﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ S ﻑﺮﺣ .ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﺪﻴﻳﺄﺗ ﺩﺭﻮﻣ (Suicide) ﺪﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧ ﺭﺩ ﻪﻃﻮﺑﺮﻣ

(7)

ﺶﺨﺑ ﻥﺍﺮﻳﺍ ﺭﺩ ﺕﺎــﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻲﻠﻣ ﻱﺪــﻨﺑ ﻪﻘﺒﻃ ﺖﻴﻟﺎﻌﻓ ،ﻢــﺴﻴﻧﺎﻜﻣ ﺱﺎــﺳﺍﺮﺑ ﺖﻳﻮﻟﻭﺍ ﺐﻴﺗﺮﺗ ﻪــﺑ ﻲﻠﺻﺍ ،ﻪﺛﺩﺎﺣﺩﺎﺠﻳﺍ ﺯﺍ ﻑﺪــﻫ ﺎﻳ ﺪﺼﻗ ،ﻪﺛﺩﺎﺣ ﻉﻮﻗﻭ ﻡﺎﮕﻨﻫ ﺩﺮــﻓ ،ﻞﻜﻟﺍ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ،ﻪﻣﺪﺻ ﻩﺪﻨﻨﻛﺩﺎﺠﻳﺍ ءﻲــﺷ ،ﻪﺛﺩﺎﺣ ﻥﺎﻜﻣ ﻪﺑ ﺰﻴﻧ ﻪﻤﻴﻤﺿ ﺶﺨﺑ ﻭ ﻥﺍﺩﺮﮔ ﻥﺍﻭﺭ ﻱﺎﻫﻭﺭﺍﺩ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﺙﺩﺍﻮﺣ ،ﻞﻘﻧﻭ ﻞﻤﺣ ﺙﺩﺍﻮــﺣ ﺱﺎــﺳﺍﺮﺑ ﺖﻳﻮﻟﻭﺍ ﺐﻴﺗﺮﺗ ﻥﺎﻜﻣ ،ﻱﺭﺍﺯﺁﺩﻮﺧ ،ﺖﻧﻮــﺸﺧ ،ﻲﺷﺯﺭﻭ ﺙﺩﺍﻮﺣ ،ﻲﻠﻐــﺷ .ﺪﺷ ﺪﻫﺍﻮﺧ ﻢﻴﻈﻨﺗ (ﺮﺘﺸﻴﺑ ﺕﺎﻴﺋﺰﺟ)ﻪﺛﺩﺎﺣ ﻱﺯﺎﺳﺪﻣﺁﺯﻭﺭ ﻭ ﺩﺎﺠﻳﺍ ﻥﺎﻣﺯﺎــﺳ ﺭﻮﺤﻣ ﺹﻮﺼﺧ ﺭﺩ ﺩﺮﻛ ﻥﺎﺸﻧ ﺮﻃﺎﺧ ﺪﻳﺎﺑ ﺰﻴﻧ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺏﻮﺴﺤﻣ ﺶﻫﻭﮋﭘ ﻢﻬﻣ ﻭ ﻩﺯﺎﺗ ﻱﺎﻫﺭﻮﺤﻣ ﺯﺍ ﺭﻮﺤﻣ ﻦﻳﺍ ﻪﻛ ﻲﺘــﺷﺍﺪﻬﺑ ﺕﺎﻋﻼﻃﺍ ﻪﺘﻴﻤﻛ ﺩﺎﺠﻳﺍ ﺕﺭﻮــﺻ ﺭﺩ .ﺩﻮــﺷ ﻲﻣ ﻱﺎﻫ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺩﺎــﺠﻳﺍ ﻪﻨﻴﻣﺯ ﺭﺩ ﺖــﻴﻟﺎﻌﻓ ،ﻥﺍﺮﻳﺍ ﻲــﻧﺎﻣﺭﺩ ﺕﺭﻮﺻ ﻪﺑ ﺎــﻫ ﻥﺁ ﻪﺑ ﻁﻮــﺑﺮﻣ ﻱﺎــﻫﺭﺍﺰﻓﺍ ﻡﺮﻧ ﻭ ﻒــﻠﺘﺨﻣ ﻦﻳﺍ ﻖﻳﺮﻃ ﺯﺍ ﺎﻨﻤﺿ .ﺪﺷ ﺪﻫﺍﻮﺧ ﻡﺎﺠﻧﺍ ﻢﺠﺴﻨﻣ ﻭ ﻪﭼﺭﺎﭙﻜﻳ ﺭﺍﺮﻗﺮﺑ ﻁﺎﺒﺗﺭﺍ ﻲﻧﺎﻬﺟ ﺖﺷﺍﺪﻬﺑ ﻥﺎﻣﺯﺎــﺳ ﺎﺑ ﻥﺍﻮﺗ ﻲﻣ ﻪﺘﻴﻤﻛ ﻱﺎﻫﺭﻮﺸﻛ ﺭﺩ ﺎﻫ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺮﻳﺎﺳ ﺎﺑ ﺍﺭ ﺎﻫ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻭ ﺩﻮﻤﻧ ﻪﺑ ﺰﻴﻧ ﺎﻣﻭﺮﺗ ﻲﻠﻣ ﺖﺒﺛ ﻪﺘﻴﻤﻛ [14].ﺩﺮﻛ ﮓﻨﻫﺎﻤﻫ ﻒﻠﺘﺨﻣ ﻩﺭﻭﺎﺸﻣ ،ﺎﻫ ﻪﻳﻭﺭ ،ﺎﻫ ﺖﺳﺎﻴﺳ ﻦﻳﻭﺪﺗ ﺭﺩ ﻲﻠﻣ ﻪﺘﻴﻤﻛ ﻥﺍﻮﻨﻋ [15].ﺖﺷﺍﺩ ﺪﻫﺍﻮﺧ ﺶﻘﻧ ،ﺎﻫﺩﺮﻜﻠﻤﻋﺮﺑ ﺕﺭﺎﻈﻧ ﻭ

ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻱﺍﺮﺑ ﻩﺪــﺷ ﻪﺋﺍﺭﺍ ﻱﻮﮕﻟﺍ ﻱﺎﻳﺍﺰﻣ ﻪــﻠﻤﺟ ﺯﺍ ﺩﺭﺍﻮﻣ ﻪﺑ ﻥﺍﻮﺗ ﻲﻣ ﻥﺍﺮﻳﺍ ﻱﺍﺮﺑ ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻲــﻠﻣ

:ﺩﻮﻤﻧ ﻩﺭﺎﺷﺍ ﺮﻳﺯ ،ﺕﺎﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﻲﻠﻣ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ - ﺪﻫﺍﻮﺧ ﺩﻮﺟﻭ ﻞﻘﺘــﺴﻣ ﻭ ﺩﺪﻌﺘﻣ ﻲﺟﺭﺎﺧ ﻞﻠﻋ ﺖﺒﺛ ﻥﺎﻜﻣﺍ ﻉﻮﻗﻭ ﻡﺎﮕﻨﻫ ﺩﺮﻓ ﺖﻴﻟﺎﻌﻓ ﻪﺑ ﻲﻫﺩﺪﻛ ﻝﺎﺜﻣ ﻥﺍﻮﻨﻋ ﻪﺑ .ﺖﺷﺍﺩ ﺯﺍ ﺪﺼﻗ ﺮﻴﻈﻧ ﻞﻣﺍﻮﻋ ﺮﻳﺎــﺳ ﻪﺑ ﻲﻫﺩﺪﻛ ﺯﺍ ﺮﻈﻨﻓﺮﺻ ﻪﺛﺩﺎﺣ .ﺩﻮﺑ ﺪﻫﺍﻮﺧ ﻪﺛﺩﺎﺣ ﺩﺎﺠﻳﺍ ﻪﻛ ﺖــﺳﺍ ﻪﺘﻓﺮﮔﺮﺑ ﺭﺩ ﺍﺭ ﻲــﻨﻳﻭﺎﻨﻋ ﻲﻠﺻﺍ ﺶــﺨﺑ - ﺩﺭﻮﻣ ﺭﺩ ﻲﻣﻮﻤﻋ ﺕﺎــﻋﻼﻃﺍ ﻥﺩﺭﻭﺁ ﻢﻫﺍﺮﻓ ﻱﺍﺮﺑ ًﻻﻮــﻤﻌﻣ

.ﺖﺳﺍ ﺪﻴﻔﻣ ﺕﺎﻣﺪﺻ ﺶﻳﺎﭘ ﻭ ﻲﺳﺭﺮﺑ ﻭ ﺕﺎﻣﺪﺻ ﻞﻠﻋ ﻥﺍﻮﺗ ﺕﺎــﻣﺪﺻ ﻲﺟﺭﺎﺧ ﻞــﻠﻋ ﻲــﻠﻣ ﻱﺪــﻨﺑ ﻪﻘﺒﻃ - ﺰﻛﺍﺮﻣ ،ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﺮﺗ ﺹﺎﺧ ﻱﺎﻫ ﻩﺩﺍﺩ ﻱﺭﻭﺁﺩﺮــﮔ ﺍﺭ ﻲﺼﺼﺨﺗ ﺕﺎﻌﻟﺎﻄﻣ ﻭ ﻱﺮﺘﺴﺑ ﺰﻛﺍﺮﻣ ،ﺎﻫ ﻩﺎﮕﻧﺎﻣﺭﺩ ،ﺎﻣﻭﺮﺗ ﻝﺮﺘﻨﻛ ﻭ ﺕﺭﺎﻈﻧ ﻭ ﺕﺎﻘﻴﻘﺤﺗ ،ﻲﺳﺭﺮﺑ ﺮﻣﺍﺭﺩ ﻦﻳﺍﺮﺑﺎﻨﺑ .ﺩﺭﺍﺩ .ﺩﻮﺑ ﺪﻫﺍﻮﺧ ﺮﺛﺆﻣ ﺕﺎﻣﺪﺻ

1 ﻝﻭﺪﺟ ﻪﻣﺍﺩﺍ

ﺹﺎﺧ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﻱﺍ ﻩﺭﺎﻤﺷ ﺖﺳﺮﻬﻓ ﺖﻧﻮﺸﺧ ﻪﺑ ﻁﻮﺑﺮﻣ ﺙﺩﺍﻮﺣ

ﻡﻮﺠﻫ ﺎﻳ ﺩﺎﻬﻨﺸﻴﭘ ﻱﺍ ﻪﻤﻴﻤﺿ ﻱﺎﻫ ﺶﺨﺑ ﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ

ﺩﺩﺮﮔ ﻩﺩﺎﻔﺘﺳﺍ V ﻑﺮﺣ ﺯﺍ ﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ ﻭ ﺩﺩﺮﮔ ﻲﻣ ﺪﺷ ﺩﺎﻬﻨﺸﻴﭘ ﻱﺍ ﻪﻤﻴﻤﺿ ﻱﺎﻫ ﺶﺨﺑ ﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ

ﺭﺍﺮﻗ ﺮﻈﻧ ﺪﻣ V ﻑﺮﺣ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ ﻭ .ﺖﻓﺮﮔ

ﻪﺛﺩﺎﺣ ﺭﺩ ﻞﻴﺧﺩ ﻡﺎﺴﺟﺍ ﻲﻠﺻﺍ ﻱﺎﻫ ﺶﺨﺑ ﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ ﺩﻮﺷ ﻲﻣ ﺩﺎﻬﻨﺸﻴﭘ

ﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ C3 ﻑﺮﺣ ﺯﺍ ﻭ .ﺩﺮﻴﮕﺑ ﺭﺍﺮﻗ ﻱﺪﻨﺑ ﻪﻘﺒﻃ .ﺩﺩﺮﮔ ﻩﺩﺎﻔﺘﺳﺍ

ﺭﺍﺮﻗ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻲﻠﺻﺍ ﻱﺎﻫ ﺶﺨﺑ ﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ ﺭﺍﺮﻗ ﻪﻄﺑﺮﻣ ﻲﻫﺪﻛ ﻱﺍﺪﺘﺑﺍ ﺭﺩ C ﻑﺮﺣ ﻭ .ﺖﻓﺮﮔ

.ﺖﻓﺮﮔ ﺪﻫﺍﻮﺧ

ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﻲﻣﻮﻤﻋ ﻢﺋﻼﻋ

"ﻲﻠﻣ ﺪﻛ ﺮﮕﻧﺎﺸﻧ" ﻥﺍﻮﻨﻋ ﻪﺑ ﺖﻣﻼﻋ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺪﻨﺘﺴﻫ ﻥﺍﺮﻳﺍ ﺭﺩ ﻩﺩﺎﻔﺘﺳﺍ ﻱﺍﺮﺑ ﻪﻛ ﻲﻳﺎﻫﺪﻛ ﺭﺎﻨﻛ ﺭﺩ

.ﺩﻮﺷ ﻲﻣ ﺩﺎﻬﻨﺸﻴﭘ "ﻲﻠﻣ ﺪﻛ ﺮﮕﻧﺎﺸﻧ" ﻥﺍﻮﻨﻋ ﻪﺑ ﺖﻣﻼﻋ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ

ﺪﻨﺘﺴﻫ ﻥﺍﺮﻳﺍ ﺭﺩ ﻩﺩﺎﻔﺘﺳﺍ ﻱﺍﺮﺑ ﻪﻛ ﻲﻳﺎﻫﺪﻛ ﺭﺎﻨﻛ ﺭﺩ ﺪﺷ ﺩﺎﻬﻨﺸﻴﭘ

ﻲﻜﻴﻧﻭﺮﺘﻜﻟﺍ ﻪﺨﺴﻧ ﺐﻟﺎﻗ ﺭﺩ ﻭ ﻲﻜﻴﻧﻭﺮﺘﻜﻟﺍ ﺕﺭﻮﺻ ﻪﺑ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻪﺋﺍﺭﺍ

ﺩﺩﺮﮔ ﻲﻣ ﺩﺎﻬﻨﺸﻴﭘ ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﺐﻟﺎﻗ ﺭﺩ ﻭ ﻲﻜﻴﻧﻭﺮﺘﻜﻟﺍ ﺕﺭﻮﺻ ﻪﺑ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﻪﺋﺍﺭﺍ

ﺪﻳﺩﺮﮔ ﺩﺎﻬﻨﺸﻴﭘ ﺭﺍﺰﻓﺍ ﻡﺮﻧ

ﻪﺘﻓﺭ ﺭﺎﻜﺑ ﺕﺎﺣﻼﻄﺻﺍ ﻒﻳﺮﻌﺗ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺭﺩ ﻱﺎﻫ ﺶﺨﺑ ﺭﺩ ﺩﻮﺟﻮﻣ ﺕﺎﺣﻼﻄﺻﺍﺯﺍ ﻲﻔﻳﺮﻌﺗ

ﻱﺍ ﻪﺻﻼﺧ" ﻥﺍﻮﻨﻋ ﺖﺤﺗ ﺖﻤﺴﻗ ﻚﻳ ﺭﺩ ،ﻱﺪﻨﺑ ﻪﻘﺒﻃ .ﺪﻧﺩﺮﮔ ﻪﺋﺍﺭﺍ "ﺕﺎﺣﻼﻄﺻﺍ ﺯﺍ ﺶﺨﺑ ﻱﺍﺪﺘﺑﺍ ﺭﺩ ﺶﺨﺑ ﺮﻫ ﺕﺎﺣﻼﻄﺻﺍ ﻒﻳﺮﻌﺗ

.ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﺪﻴﻳﺄﺗ ﺭﻮﻣ ﻪﻃﻮﺑﺮﻣ

(8)

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[persian]

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classification system of external causes of injuries. 2005.

Available from: URL: http://www.cdc.gov/nchs/data/ice/

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10 (1): 1-10

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URL: http://www.rivm.nl/who-fic/ICECI/ICECI_1- 2_2004June30_doc.doc

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for Iran

Seraj Rezaei Z.¹ / Ahmadi M.² / Hosseini F.³

Introduction: Injuries are among the most important causes of deaths and disabilities. External causes of injury codes help us to identify high risk population subgroups for a particular cause of injury, to identify the place of occurrence for specific types of injuries and to develop prevention strategies of injury. This study was aimed to classification of external causes of injuries in selected countries, and provides a model for Iran.

Methods: This cross-sectional comparative study was conducted in 2006-7. Data collecting tools were internet, E-mail communication with foreign experts, periodicals, and texts. In this research responsible organization and the structure of classification of external causes of injuries in selected countries were studied in order to recommend a national classification of external causes of injuries. This model evaluated by Delphi techniques. Finally after the analyses of test results, the model presented.

Results: The results obtained from comparative study of classification of external causes of injury in selected countries and World Health Organization, are presented. Also the final model for national classification has been completely described in 4 major axes; including: responsible organization, common characteristics of tabular list and alphabetic index, special characteristics of tabular list, and general characteristics.

Conclusion: It seems that recommended model has some similarities to the international classification of external causes of injuries rather than other classifications.

Keywords: Classiﬁcation, External Causes of injuries, Delphi Evaluation

M.Sc.of Medical Records and Health Information Technology Social Security of Organization. Tehran, Iran; Corresponding Author 1.

([email protected])

Abstract