产科常见疾病临床分型与疾病分类的对比及其思考  

COMPARISONS BETWEEN THE CLINICAL CLASSIFICATION AND ICD OF COMMON OBSTETRIC DISEASES

作　　者：冯虹[1] 方敏[1] 

机构地区：[1]绵阳市人民医院,四川绵阳621000

出　　处：《现代医院》2014年第9期145-146,共2页Modern Hospitals

摘　　要：结合某医院病案编码工作实践,以产科常见疾病为研究对象,总结归纳同一疾病诊断的临床分型和ICD分类,给出主导词和查询过程,以助编码员理清思路,提高编码准确度;同时抛砖引玉,为广大同行提供参考,以期共同探讨和继续研究。思考发现:在许多情况下,疾病的临床分型与疾病分类所参照的特征不一致,区分二者的不同有助于编码检索、提高疾病编码的正确性和准确性,这也要求编码员需要"三心"(工作要细心、学习要恒心、沟通要耐心),不断学习和提高专业技能,保证编码准确性。This study is to summarize the clinical diagnosis type and the ICD classification of obstetric com- mon diseases combined with practical work in a hospital medical record coding, helping coding workers clarify ideas and improve the coding level. ICD - 10 pivotal words and the query process were given in this paper simultaneously. It was found that in many cases, the clinical diagnosis type and the ICD classification of the same disease were char- acterized by different reference. It is helpful for improving the correctness and accuracy of coding works to distinguish those two. Code workers need to be careful to work consistent to study be patient to communication and keep learning and imoroving the professional skills, ensuring the accuracy of the disease coding.

关 键 词：国际疾病分类 ICD-10 编码 

分 类 号：R197.323[医药卫生—卫生事业管理]