摘要
目的:规范临床诊断名称,提高ICD-10编码准确率,满足医院管理、医疗保险付费等多方面需求。方法:以ICD-10为基础,建立临床诊断字典库。结果:通过建立临床诊断字典库,进一步规范临床诊断名称,提高ICD-10编码准确率,优化编码人员的工作流程,保证了卫生统计信息的准确性,为中山市其他医疗机构提供一种切实可行的解决方案。
Objective： To standardize the denomination in clinical diagnosis and to improve the accuracy when encoding ICD-10 so that the multiple aspects of such requirements as the statistics of the medical insurance fee in hospital administration are accordingly met. Methods： To set up a dictinary bank of the clinical diagnosis based on ICD-10. Results： By this means, the denomination in clinical diagnosis is further standardized, the accuracy when encoding ICD-10 is improved, the workflow of the encoding workers is optimized, and thus the accuracy of the heaUth statistical informatin is accordingly guaranteed.provide a practical solution for other medical institutions of Zhongshan City.
出处
《中国数字医学》
2012年第4期102-103,108,共3页
China Digital Medicine
关键词
疾病分类
国际疾病分类
临床诊断
字典库
classification of diseases, ICD-10, clinical diagnosis, a dictionay bank
