摘要
变应性血管炎和ANCA相关性血管炎时常作为出院主要诊断。变应性血管炎是常见的血管炎,以血管炎为主导词查询编码,得到血管炎-变应性D69.0和血管炎-过敏性M31.0,出现疾病诊断名称意思相近但编码不同的情况。ANCA相关性血管炎包括韦格纳肉芽肿M31.3、变应性肉芽肿血管炎M30.1、显微镜下多血管炎M31.7,临床上经常将主要诊断直接书写成ANCA相关性血管炎,并不进行区分。编码员对这两组疾病编码时容易出错,这不仅影响临床科研和疾病谱分析,甚至影响按疾病诊断相关分组付费方式。本文通过查阅相关文献,根据疾病病理和诊断,结合个案分析,探讨和分析错误编码的原因,并提出提高两组疾病的编码准确性的对策。
Allergic vasculitis and ANCA associated vasculitis are often the main diagnosis at discharge.Allergic vasculitis is a common vasculitis,if vasculitis is used as the main leading word to query the codes,vasculitis allergic D69.0 and vasculitis anaphylactic M31.0 were obtained,when the meaning of disease diagnosis names is similar but the codes are different.ANCA associated vasculitis includes Wegener’s granuloma M31.3,Churg-Strauss syndrome M30.1 and microscopic polyangitis M31.7,the main diagnosis is often written as ANCA related vasculitis in clinical practice,without distinction.Coders are prone to make mistakes in coding these two groups of diseases,which not only affects clinical research and disease spectrum analysis,but also affects the payment method according to the relevant groups of disease diagnosis.In this paper,through consulting the relevant literature,according to the pathology and diagnosis of the disease,combined with case analysis,to explore and analyze the causes of error coding,and put forward countermeasures to improve the coding accuracy of the two groups of diseases.
作者
濮雅娟
段沁江
张明华
Pu Yajuan;Duan Qinjiang;Zhang Minghua(The Second Affiliated Hospital of Soochow University,Suzhou 215004,Jiangsu Province,China;不详)
出处
《中国病案》
2021年第2期51-54,共4页
Chinese Medical Record
