The International Classification of Diseases (ICD) is used to categorize diseases, injuries, and external causes of injury, and it is a key epidemiologic tool enabling storage and retrieval of data from health and vital records to produce core international mortality and morbidity statistics. The ICD is updated periodically to ensure the classification system remains current, and work is now under way to develop the next revision, ICD-11. It has been almost 20 years since the last ICD edition was published and over 60 years since the last substantial structural revision of the external causes chapter. Revision of such a critical tool requires transparency and documentation to ensure that changes made to the classification system are recorded comprehensively for future reference. In this paper, the authors provide a history of the development of external causes classification and outline the external cause structure. They discuss approaches to manage ICD-10 deficiencies and outline the ICD-11 revision approach regarding the development of, rationale for, and implications of proposed changes to the chapter. Through improved capture of external cause concepts in ICD-11, a stronger evidence base will be available to inform injury prevention, treatment, rehabilitation, and policy initiatives to ultimately contribute to a reduction in injury morbidity and mortality.

中文翻译：

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分类造成伤害的外部原因：历史，当前方法和未来方向。

国际疾病分类（ICD）用于对疾病，伤害和外部伤害原因进行分类，它是一种关键的流行病学工具，可以存储和检索来自健康和重要记录的数据，以生成核心的国际死亡率和发病率统计数据。ICD会定期更新，以确保分类系统保持最新状态，并且正在进行开发下一个版本ICD-11的工作。自上一版ICD发布以来已经过去了将近20年，而自外部原因章节的上一次实质性结构修订以来已经有60多年。修订这种关键工具需要透明性和文件记录，以确保对分类系统所做的更改被全面记录下来，以备将来参考。在本文中，作者提供了外部原因分类的发展历史，并概述了外部原因结构。他们讨论了解决ICD-10缺陷的方法，并概述了有关本章提议的更改的发展，理由和含义的ICD-11修订方法。通过更好地把握ICD-11中的外部原因概念，将有更强大的证据基础可用于伤害预防，治疗，康复和政策计划，从而最终有助于降低伤害发病率和死亡率。