产科常见疾病临床分型与疾病分类的对比及其思考.pdfVIP

现代医院 2014 年 9 月第 14 卷第 9 期医院管理.. Modem H田ipital Sept 2014 Voll4 No 9 145 产科常见疾病临床分型与疾病分类的对比及真思苦 冯虹方敏 COMPARISONS BElWEEN THE CLl NICAL CLASSIFICATION AND ICD OF COMMON OB? STETRIC DISEASES FENG Hong , FANG Min [擒 要 1 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，给出主导询和查询过程，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???和准确性，这也要求编码员需要三心(工作要细心、学习要怪心、沟通 妾耐心) ，不断学习和提高专业技能，保证编码准确性。 I 关键词 1 国际疾病分类 ICD -10 编码 [ Abstract] This study is to summarize the clinical di 昭losis type 叫 the ICD cl幽凶 cation of obstetric com? mon diseases combined with practical work in a h困pital medical record coding , helping coding workers clar询 id回s and improve 出e coding level. ICD - 10 pivotal words and 由e que巧 process were given in 由is paper simultaneously. It w.筒 found that in many c皑白， the clinical dia伊OSIS 句pe and the ICD classification of the same di回部e were char? acterized by different reference. It is helpful for improving the correctn臼 s and acc旧llcy of coding works to disti吨山sh those two. Code worker百 need to be careful to work consistent to study be patient ωcommunication and keep learning and improvir皂白 e professional skills , ensuring the accuracy of the disease coding. [Key words Intemational Classification of Diseases , ICD - 10 , Coding [Authors address] Peoples Hospital of Jinyang City , Jinyang 但 1 侧， Sichuan Province , China doi: 10. 3969/j. issn. 1671 - 332X. 2014. 09. 仪灿 1 前言 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。 国际疾病分类与编码( ICD)