NLM® Classification Fundamentals

Finding the Appropriate Class Number


Subject Classification Preference


Works are generally classified in an order of preference:

  1. Disease
  2. Organ or region chiefly affected
  3. Special form of therapy, diagnostic procedure, or environmental condition as a cause of disease, etc., if disease is mentioned peripherally

Disease

Some organ disease headings have separate class numbers. In addition, some may have additional class numbers for subtopics such as diagnosis or therapy.

Example

Notice that "Breast Diseases" show four class number subtopics.


Screenshot of Breast Diseases from NLM Classification Index
Screenshot of "Breast Diseases" from NLM Classification Index

Class general diseases of an organ in the class number for the organ if no separate number is available, unless otherwise instructed. When works are about multiple diseases (up to three), go with the disease given most emphasis or the one discussed first.


Organ/Region

A work dealing with a particular region of the body or an organ is classified with the region or organ system, depending on the emphasis of the work.

Example

General works on the head and neck are classed with the "Musculoskeletal System" in the WE schedule.


Example of NLM Classification of a region of the body
Class Number Caption
WE
Musculoskeletal System
Head and Neck
WE 700 Head and Neck
WE 705      Head. Face
WE 705.5         Rhytidoplasty
WE 706 Head and neck injuries
WE 707 Head and neck neoplasms
WE 708 Neck
Specific Cases
  • Dental problems and procedures - When the emphasis concerns dental problems and procedures related to the mouth, teeth, and jaws, the work is classed in WU with "Dentistry."
  • Otolaryngological problems and procedures - If the emphasis concerns the otolaryngological problems and procedures, related to the ear, nose, and throat, the work is classified in the WV schedule with "Otolaryngology."
  • Brain and associated organs - If the emphasis is on the Brain and associated organs, the work is classified in WL with the "Nervous System."

Procedures

If the work is about a special form of therapy, diagnostic procedure, or environmental condition as a cause of disease, etc., and the disease is only mentioned in the context of the primary subject (the therapy, etc.), classify as always for the primary subject.

Example

A work on proton therapy physics written by a radiologist is classed with the therapy at WN 250.5.P7 rather than QZ 269 with radiotherapy of neoplasms.


Generally, class the reversal of a medical procedure in the same number as the procedure itself, if no separate number exists.