Brief Introduction of CCMD-3: Present and Future (Toward Integration In International Classification) Beijing Huilon

1. Brief Introduction of CCMD-3: Present and Future (Toward Integration In International Classification) Beijing Huilongguang HospitalChen Yanfang

2. Since 1995, a national multiple-centers field trial, organized by CCMD-3 task force, had been conducted. The task force completed its field trial in 2000 and published " CCMD-3" in 2001

3. I. The edition principles of CCMD-3

4. 1. To improve the service for the patients, and to meet the needs of our society.2. To maintain the superiority of CCMD previous versions.3. To match ICD system. 4. To be concise and manipulative.

6. In CCMD-3, Chinese psychiatrists seek either to be accordance with ICD-10, or to sustain a nosology with Chinese culturalcharacteristics. Therefore broad similarities between the ICD-10 and CCMD-3 are obvious.

7. However, based on the prospective field trials, in CCMD-3, there are the particular additions (e.g.,hysterical psychosis,mental disorders related to culture, traveling psychosis,etc)deletions (e.g.,mixed anxiety and depressive disorder, acute polymorphic psychotic disorder without symptoms of schizophrenia,etc).

8. II. The use of CCMD-3 in China.

9. In China, we use CCMD-3 in daily work and research, domestically. If we participate an international collaborative research we use ICD-10, and if a research with American colleagues, we use DSM-IV.

10. A survey of CCMD-3 or ICD-10 use in China was conducted during the Annual Meeting of the CSP in 2006. The result indicated that 94.8% (192 psychiatrists from all over China) used CCMD-3 or ICD-10, and 5.2% used DSM-IV.[Yizhaung Zou 2006]

11. Fig. 1 Frequency of using deferent diagnostic criteria in clinical researches (In 3 major Chinese Journals of Psychiatry* ;2004~2007) *Chinese Journals of Psychiatry Shanghai Journal of Psychiatry Journal of Clinical Psychiatry

12. Fig. 2 Frequency of using deferent diagnostic criteria in clinical researches (Chinese Journal of Psychiatry ;2004~2007)

13. Frequency of using deferent diagnostic criteria in clinical researches (Shanghai Journal of Psychiatry ;2004~2007)

14. Frequency of using deferent diagnostic criteria in clinical researches (Journal of Clinical Psychiatry-Nangjing;2004~2007)

15. I hope that we have ICD-11 Chinese version after ICD-11 published in 2011. In ICD-11 Chinese version over 80 percent of context is the same as ICD-11, and one of appendix to sustain a nosology with Chinese culturalcharacteristics.

16. III. CCMD-3 Matched Diagnostic Instrument--Rating Test for Health and Diseases (RTHD)

17. ICD-10 has SCAN and CIDI , DSM-IV has SCID as their diagnostic instruments.

18. On the basis of previous work, and after over 5000 times of rating for 2000 patients with different mental disorders, CCMD-3 developed its own diagnostic instrument (RTHD), and its software, and formally published this year (2007).

20. RTHD can be used not only for CCMD-3, but also for ICD-10, and DSM-4.

21. RTHD has 2 components Descriptive component: a Clinical Patient Record (RTHD-CPR) Rating scale component: quantification of the CPR (RTHD-RS)

22. The RTHD includes RTHD-R (Research version), RTHD-C (Clinical version), and RTHD-P (People self rating version). Therefore RTHD satisfy requirements of people from different classes. The general public can make self-assessment through RTHD-P. Psychiatric professionals can not only make their own assessment and clinical diagnosis, but also get the computer logical diagnosis. There is a data sharing system of RTHD software between the three RTHD versions for saving time and saving energy.

23. HIS Registration、 WWW.CMA-MH.ORG EHR (RTHD-P) Data Sharing Warning S. Family(CBR)

24. Beijing Huilonggaung Hospital北京回龙观医院

25. HIS Registration、 EHR(RTHD-P、-C) LIS, PACS Prescription Data Sharing Warning S. Out Patient Clinic

26. HIS EHR (RTHD-LVS) EMO、Prescription LIS、PACS Warning System Internet Doctor & Nurse S. Admit. D.

28. RTHD contains a glossary of differential diagnoses and a computerized logical decision tree ( RTHD-Logical Verdict System ;LVS) that provides diagnoses on seven axes.

31. HIS Doctor & Nurse S. Admit. D. Patient Admit.、 Discharge、Transfer 、Carry out EMO T 、P 、R 、BP, etc 4

32. HIS Carry out EMO Chick Prescription Warning System Auto Charge S. Medication Administ. Doctor & Nurse S. Admit. D. Pharmacy

33. HIS Carry out EMO Chick Application Form Warning System Auto Charge S. E Image Inform. Doctor & Nurse S. Admit. D. Pharmacy LIS & PACS

34. RTHD-LVS Auto coding、 Storage、 Auto Index System HIS EHR Center Doctor & Nurse S. Admit. D. Pharmacy ECT LIS & PACS

35. Data Analysis, WWW.CMA-MH.ORG Inter hospitals (CBR), CDC, WHO HIS EHR Center Statistics Doctor & Nurse S. Admit. D. Pharmacy ECT LIS & PACS

36. Quality Control HIS Administrat. D. EHR Center Statistics Doctor & Nurse S. Admit. D. Pharmacy ECT LIS & PACS

37. Fig. Two dimension, Five phases M.H.C. Places:Family,Central Hosp.Primary Clinics Five phases : Prodromal; Acute; Continuous; Maintenance; Interval Remission Almost R. Significant P. Relapse/ Recurrence Relapse/ Recurrence Progress Relapse Symptoms Prodromal Phase Acute 4-6Ws Continuous 3-6Ms Maintenance 1-2Ys (Kupfer 1991, modified by Chen Y)

38. Thank You for Your attention!