精神疾患疑难编码探讨  

A Discussion on the Difficult Codes of the Mental Illness

作　　者：李东敏[1] 梁耀[1] 

机构地区：[1]广东医学院附属医院,湛江市524001

出　　处：《中国病案》2008年第2期32-33,共2页Chinese Medical Record

基　　金：湛江市科技攻关项目[2005-19]

摘　　要：目的了解精神疾病ICD-10分类疑难编码及错码成因,找出标准化、规范化的解决方法,提高分类质量。方法对996例精神疾病的ICD-10编码进行回顾性调查、统计,比较疑码率及错码率。结果:发现疑难编码233例,疑码率23.39%,错码183例,错码率为18.37%,远远高出<10%的技术标准。结果提高ICD技术水平,熟练掌握精神疾病的概念、病因、病理、临床表现及症状学名词是解决疑难编码的根本保证。Objective To Realize the causes of the error codes of the mentat illness in ICD - 10 and to find out the standard solution, to improve the quality Of coding. Methods We did retrospective examinations and statistics on the codes of 996 medical records of the patients with mental illness in ICD - 10, and then compared the rate of the difficult codes and that of the error codes. Results We found 233 difficult （23.39%）, and 183 error codes （18.37%）, which go beyond the technical criterion - being less than 10%. Conclusion To improve the coding skill in ICD and master the concepts, the causes, pathology, the clinical symptoms and symptom terms of the mental illness is the guarantee to ensure the quality of the coding.

关 键 词：精神疾病 分类 编码 ICD-10 

分 类 号：R749[医药卫生—神经病学与精神病学]