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建立以ICD-10为基础的临床诊断字典库,提高编码准确率

杨星 李启平

医学信息Issue(18):2-2,1.
医学信息Issue(18):2-2,1.

建立以ICD-10为基础的临床诊断字典库,提高编码准确率

Establish Clinical Diagnosis Dictionary Based on ICD-10, Improve Coding Accuracy Rate

杨星 1李启平1

作者信息

  • 1. 长沙市中心医院,湖南 长沙 410004
  • 折叠

摘要

Abstract

According to the ICD-10 dictionary in our hospital used at present can't meet the demand of clinicians writing diagnosis's request, exploring the establishment of clinical diagnosis dictionary database based on ICD-10, by col ecting each clinical department's common diagnosis names, matching each diagnosis and ICD-10 code, and by adding "left remarks", "right remarks" to ensure the clinical diagnosis of rigor, to achieve the basic clinical diagnosis is accurate, the disease coding only purpose. To ensure the diagnosis has the only cor ect code. To ensure the accuracy of date , and lay the foundation for the implementation of the DRGs.

关键词

ICD-10/临床诊断/字典库/按病种付费

Key words

ICD-10/Clinical diagnosis/Dictionary/DRGs

引用本文复制引用

杨星,李启平..建立以ICD-10为基础的临床诊断字典库,提高编码准确率[J].医学信息,2015,(18):2-2,1.

医学信息

1006-1959

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