基于电子病历平台,建立以ICD-10为基础的临床诊断字典库的应用研究

【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。更多还原

【Abstract】 Objective To standardize the denomination in clinical diagnosis and to improve theaccuracy when encoding ICD-10 so that the multiple aspects of such requirements as the statisticsof the medical insurance fee in hospital administration are accordingly met. Methods To set up adictinary bank of the clinical diagnosis based on ICD-10. Results By this means, the denominationin clinical diagnosis is further standardized, the accuracy when encoding ICD-10 is improved, theworkflow of the encoding workers is optimized, and thus the accuracy of the heallth statisticalinformatin is accordingly guaranteed.更多还原