現行の発達障害者支援法の対象の障害とICD-11の分類の対応表

Transcription

1 現行の発達障害者支援法の対象の障害とICD-11の分類の対応表 WHOの国際疾病分類 (ICD) が2018 年に10 版から11 版へ改定されます ICDの分類は国際機関の分類であるため 日本の国内法にも大きな影響を与えることが予想されます 今回の改定は 分類の構造も変わる大きな改定ですので 当然 国内の法律も改定されるものと思われます 特に 発達障害者支援法の対象は 現行ではICD-10のF80-98という分類が対象となっています ICD-11(11 版 ) では F80 番代の多くは 神経発達障害 という新たに設けられた中分類に入り F90 番代は 一部 神経発達障害 に入りましたが その他はいろいろなところへ分類されました このような変化は一覧表にしないと把握しにくいものです そこで Web 上のICD-11Beta ( ) をもとに 現行の障害がどこに配置されたかを追跡しました Web 上の説明にICD- 10のコードが書いてある場合と無い場合があり 分かりにくい所もあります 完全なものではありませんが 3 月 2 日の段階でまとめたものを表にしました 是非 誤りや足りない点をご指摘ください 順次 改定できましたら 適宜修正して参ります 群馬医療福祉大学久田信行 2018/3/2 Ver /3/3 Ver.1.2 注 は主にICD-11の説明文中にICD-10のコードが記載されていた場合に用いています ( ) は久田の注釈で 説明文の内容から ICD-10のコードが該当すると推察された場合や 若干の説明や疑問を記した部分です 色や網で示した部分は中分類などで一群になる所です 空色の部分は 神経発達障害 の範疇を示します 薄緑等はICD-10のF90 番代の分類が配置されている中分類等に付しています クリーム色の部分は 現行の発達障害者支援法の対象の障害に関連すると推定される部分です なお 英語のつづりは英国流です 06 Mental, behavioural or neurodevelopmental disorders Neurodevelopmental disorders F A00 Disorders of intellectual development 6A00.0 Disorder of intellectual development, mild 6A00.1 Disorder of intellectual development, moderate 6A00.2 Disorder of intellectual development, severe 6A00.3 Disorder of intellectual development, profound 6A00.4 Disorder of intellectual development, provisional 6A00.Z Disorders of intellectual development, unspecified 6A01 Developmental speech or language disorders 6A01.0 Developmental speech sound disorder F80.0 特異的会話構音障害 6A01.1 Developmental speech fluency disorder F98.5 吃音 [ 症 ] 6A01.2 Developmental language disorder 6A01.20 Developmental language disorder with impairment of receptive and expressive language F80.2 受容性言語障害 1

2 6A01.21 Developmental language disorder with impairment of mainly expressive language F80.1 表出性言語障害 6A01.22 Developmental language disorder with impairment of mainly pragmatic language ( 語用論的障害 ) 6A01.23 Developmental language disorder, with other specified language impairment ( その他 :F80.3 てんかんにともなう獲得性 [ 後天性 ] 失語 [ 症 ]( ランドウ-クレフナー症候群 ) やF80.0 特異的会話構音障害も含まれるだろうか ) 6A01.Y Other specified developmental speech or language disorders 6A01.Z Developmental speech or language disorders, unspecified 6A02 Autism spectrum disorder F84.0 小児自閉症 [ 自閉症 ] 6A02.0 Autism spectrum disorder without disorder of intellectual development and with mild or no impairment of functional language F84.1 小児自閉症 [ 自閉症 ] ( アスペルガー症候群である ) 6A02.1 Autism spectrum disorder with disorder of intellectual development and with mild or no impairment of functional language ( 言葉の問題が少ない知的障害を伴う自閉症スペクトラム障害 ) 6A02.2 Autism spectrum disorder without disorder of intellectual development and with impaired functional language ( 言葉の問題がある高機能自閉症?) 6A02.3 Autism spectrum disorder with disorder of intellectual development and with impaired functional language F84.3 他の小児期崩壊性障害が含まれる 6A02.4 Autism spectrum disorder without disorder of intellectual development and with absence of functional language ( 言葉の無い知的障害の無い自閉症スペクトラム障害 ) 6A02.5 Autism spectrum disorder with disorder of intellectual development and with absence of functional language ( 言葉の無い知的障害を伴う自閉症スペクトラム障害 ) 6A02.Y Other specified autism spectrum disorder 6A02.Z Autism spectrum disorder, unspecified 6A03 Developmental learning disorder F81.9 学力 [ 学習能力 ] の発達障害, 特定不能のもの 6A03.0 Developmental learning disorder with impairment in reading F81.0 特異的読字障害 6A03.1 Developmental learning disorder with impairment in written expression F81.1 特異的綴字 [ 書字 ] 障害 2

3 6A03.2 Developmental learning disorder with impairment in mathematics F81.2 特異的算数能力障害 [ 算数能力の特異的障害 ] 6A03.3 Developmental learning disorder with other specified impairment of learning ( コードは書かれてないが F81.8 他の学力 [ 学習能力 ] の発達障害 ) 6A03.Z Developmental learning disorder, unspecified F81.9 学力 [ 学習能力 ] の発達障害, 特定不能のもの 6A04 Developmental motor coordination disorder F82 運動機能の特異的発達障害 6A05 Primary tics or tic disorders 6A05.0 Tourette syndrome F95.2 音声性および多発運動性の合併したチック障害 ( ド ラ トゥーレット症候群 ) 6A05.1 Chronic motor tic disorder F95.1 慢性運動性あるいは音声チック障害 6A05.2 Chronic phonic tic disorder F95.1 慢性運動性あるいは音声チック障害 6A05.Y Other specified primary tics or tic disorders 6A05.Z Primary tics or tic disorders, unspecified 6A06 Attention deficit hyperactivity disorder 6A06.0 Attention deficit hyperactivity disorder, predominantly inattentive presentation F90.0 活動性および注意の障害 6A06.1 Attention deficit hyperactivity disorder, predominantly hyperactiveimpulsive presentation F90.0 活動性および注意の障害 6A06.2 Attention deficit hyperactivity disorder, combined presentation F90.0 活動性および注意の障害 6A06.Y Attention deficit hyperactivity disorder, other specified presentation 6A06.Z Attention deficit hyperactivity disorder, presentation unspecified 6A07 Stereotyped movement disorder 6A07.0 Stereotyped movement disorder without self-injury 6A07.1 Stereotyped movement disorder with self-injury 6A07.Z Stereotyped movement disorder, unspecified F98.4 常同性運動障害 6E60 Secondary neurodevelopmental syndrome 6E60.0 Secondary speech or language syndrome 6E60.Y Other specified secondary neurodevelopmental syndrome 6E60.Z Secondary neurodevelopmental syndrome, unspecified 6A0Y Other specified neurodevelopmental disorders 3

4 6A0Z Neurodevelopmental disorders, unspecified Schizophrenia or other primary psychotic disorders Catatonia Mood disorders Anxiety or fear-related disorders 6B00 Generalised anxiety disorder 6B01 Panic disorder 6B02 Agoraphobia 6B03 Specific phobia (F93.1 小児期の恐怖症性不安障害が入るか否か ) 6B04 Social anxiety disorder (F93.2 小児期の社会性 [ 社交 ] 不安障害が入るか否か ) 6B05 Separation anxiety disorder F93.0 小児期の分離不安障害 6B06 Selective mutism F94.0 選択性緘黙 Substance-induced anxiety disorders 6B23 Hypochondriasis 6E63 Secondary anxiety syndrome 6B0Y Other specified anxiety or fear-related disorders 6B0Z Anxiety or fear-related disorders, unspecified Obsessive-compulsive or related disorders 6B20 Obsessive-compulsive disorder 6B20.0 Obsessive-compulsive disorder with fair to good insight 6B20.1 Obsessive-compulsive disorder with poor to absent insight 6B20.Z Obsessive-compulsive disorder, unspecified 6B21 Body dysmorphic disorder 6B22 Olfactory reference disorder 6B23 Hypochondriasis 6B24 Hoarding disorder 6B25 Body-focused repetitive behaviour disorders Substance-induced obsessive-compulsive or related disorders 6E64 Secondary obsessive-compulsive or related syndrome 6B2Y Other specified obsessive-compulsive or related disorders 6B2Z Obsessive-compulsive or related disorders, unspecified Disorders specifically associated with stress 6B40 Post traumatic stress disorder 6B41 Complex post traumatic stress disorder 6B42 Prolonged grief disorder 6B43 Adjustment disorder 6B44 Reactive attachment disorder F94.1 小児期の反応性愛着障害 4

5 6B45 Disinhibited social engagement disorder F94.2 小児期の脱抑制性愛着障害 6B4Y Other specified disorders specifically associated with stress 6B4Z Disorders specifically associated with stress, unspecified Dissociative disorders Feeding or eating disorders 6B80 Anorexia Nervosa 6B81 Bulimia Nervosa 6B82 Binge eating disorder 6B83 Avoidant-restrictive food intake disorder 6B84 Pica F98.3 乳幼児期及び小児期の異食症 6B85 Rumination-regurgitation disorder 6B8Y Other specified feeding or eating disorders 6B8Z Feeding or eating disorders, unspecified Elimination disorders 6C00 Enuresis F98.0 非器質性遺尿症 6C01 Encopresis (F98.1 非器質性遺糞症 )Webの説明で抜けていた 6C0Z Elimination disorders, unspecified Disorders of bodily distress or bodily experience 6C20 Bodily distress disorder 6C21 Body integrity dysphoria 6C2Y Other specified disorders of bodily distress or bodily experience 6C2Z Disorders of bodily distress or bodily experience, unspecified Disorders due to substance use or addictive behaviours Disorders due to substance use Disorders due to addictive behaviours Impulse control disorders 6C70 Pyromania 6C71 Kleptomania 6C72 Compulsive sexual behaviour disorder 6C73 Intermittent explosive disorder Substance-induced impulse control disorders 6C50 Gambling disorder 6C51 Gaming disorder 6E66 Secondary impulse control syndrome 6B25 Body-focused repetitive behaviour disorders 6C7Y Other specified impulse control disorders 6C7Z Impulse control disorders, unspecified Disruptive behaviour or dissocial disorders 6C90 Oppositional defiant disorder F91.3 反抗挑戦性障害 5

6 6C91 Conduct-dissocial disorder (F91 行為障害 ( 素行障害?)webに記載なし ) 6C9Y Other specified disruptive behaviour or dissocial disorders F92.9 行為および情緒の混合性障害, 特定不能のもの 6C9Z Disruptive behaviour or dissocial disorders, unspecified F92.9 行為および情緒の混合性障害, 特定不能のもの Personality disorders and related traits Paraphilic disorders Factitious disorders Neurocognitive disorders Mental or behavioural disorders associated with pregnancy, childbirth and the puerperium 6E20 Mental or behavioural disorders associated with pregnancy, childbirth and the puerperium, without psychotic symptoms 6E21 Mental or behavioural disorders associated with pregnancy, childbirth or the puerperium, with psychotic symptoms 6E2Z Mental or behavioural disorders associated with pregnancy, childbirth and the puerperium, unspecified 6E40 Psychological or behavioural factors affecting disorders or diseases classified elsewhere Secondary mental or behavioural syndromes associated with disorders or diseases classified elsewhere 07 Sleep-wake disorders Sexual dysfunctions Gender incongruence 6E8Y Other specified mental, behavioural or neurodevelopmental disorders 6E8Z Mental, behavioural or neurodevelopmental disorders, unspecified 6