摘要
自2010年以来,我院实施了在临床医师填写诊断等内容后直接显示ICD码的病案统计系统,针对病案统计人员在核对编码过程中发现的问题,提出相应的解决措施,以保证电子病案信息的客观、完整与准确。
Since 2010, People′s Hospital of Wuxi has employed medical records statistic system which ICD can display itself after clinician completed the diagnosis and so on. And only the staff find problems and propose appropriate measures in the process of checking encode can they make sure the objectivity,integrity and accuracy of the electronic medical records.
出处
《海南医学》
CAS
2012年第22期116-117,共2页
Hainan Medical Journal
