Diagnosis and nosology in primary care

摘要: Diagnosis in contemporary medicine is made using an underlying classification system or nosology, the basis of which was first laid down at end 18th century. The International Classification Disease (ICD) constructed to formalise this nosology and successive revisions have attempted capture technical developments new discoveries across diagnostic landscape. ICD has proved particularly applicable hospital practice where a selected patient population access comprehensive aids enables pathology-based diagnosis. When it came be applied primary care middle 20th century, however, encountered major problems as general struggled marry disease rawness undifferentiated human illness distress. Eventually based on reason consulted emerged replace that pathology defined disease. Analysis frontier zone dominant struggles maintain order reveals ways medical nosologies, through their application process diagnosis, attempt promote certain reality.