基于文献检索的多部位恶性肿瘤ICD-10编码规则分析研究  

Analysis on ICD-10 Encoding Rules for Multiple Site Malignant Tumors Based on Literature Retrieval

作　　者：梁景星[1] 周冬梅 刘松钊 伦演荭[1] 黄勇[1] 刘浩 余白桦 雷秋展 周婷婷[1] 吴晓敏[1] 杨红娟[1] 谢丽玲[1] Liang Jingxing;Zhou Dongmei;Liu Songzhao;Lun Yanhong;Huang Yong;Liu Hao;Yu Baihua;Lei Qiuzhan;Zhou Tingting;Wu Xiaomin;Yang Hongjuan;Xie Liling(不详;Department of Medical Records and Statistics,Guangdong General Hospital's Nanhai Hospital,The Second People's Hospital of Nanhai District of Foshan City,Foshan 528251,Guangdong Province,China)

机构地区：[1]广东省人民医院南海医院佛山市南海区第二人民医院病案统计科,广东省佛山市528251 [2]佛山市妇幼保健院病案室,广东省佛山市5280000 [3]佛山市南海区妇幼保健院病案室,广东省佛山市528299

出　　处：《中国病案》2024年第8期21-24,共4页Chinese Medical Record

基　　金：佛山市自筹经费类科技创新项目(2220001005005)。

摘　　要：目的通过对文献系统梳理,总结归纳分析多部位恶性肿瘤ICD-10编码规则,为编码员准确分类提供参考依据。方法检索2004年1月-2023年6月在中国知网(CNKI)、中文科技期刊全文数据库维普(VIP)及《疾病和有关健康问题的国际统计分类》、《病案信息学》等编码指导手册上发表的关于多部位恶性肿瘤编码规则的文献并进行归纳分析。结果最终筛选符合条件的文献共7篇,通过文献归纳,多部位恶性肿瘤可分为原发恶性肿瘤伴侵袭或转移、交搭跨越恶性肿瘤、多原发恶性肿瘤及其他的多部位恶性肿瘤四大类,其类型不同,编码规则不同。结论编码员要理解多部位恶性肿瘤各类型的内涵及编码规则,必要时与病理及临床科室沟通联系,提高多部位恶性肿瘤编码质量。Objectives Through summarizing and analyzing the ICD-10 coding rules for multiple site malignant tumors by systematically reviewing the literature,this provided a reference basis for medical record coders in accurate classification.Methods To retrieve literature about coding guidelines for multiple site malignant tumors published on CNKI,VIP,International Statistical Classification of Diseases and Related Health Issues,and Medical Record Informatics from January,2004 to June,2023,and making induction and analysis.Results A total of 7 eligible literature were ultimately screened,multiple site malignant tumors could be divided into four categories:primary malignant tumors with invasion or metastasis,malignant neoplasms overlapping,multiple primary malignant tumors,and other multiple site malignant tumors by summarizing the literature,different types multiple site malignant tumors have different coding rules.Conclusions Coders needed to understand the connotation and coding rules of various types of multiple site malignant tumors.If necessary,it was necessary to communicate and contact the pathology and clinical departments,then improving the coding quality of multiple site malignant tumors.

关 键 词：多部位恶性肿瘤 文献检索 编码 交搭跨越恶性肿瘤 多原发恶性肿瘤 

分 类 号：R197.323[医药卫生—卫生事业管理]