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ICD-10的编码分类是多轴心分类,虽然疾病相同,但发展程度不同在编码上不仅有区别,而且在治疗手段上和卫生资源的消耗上也有明显的区别,如果只依赖ICD-10编码手册和病案首页上给的诊断进行疾病分类编码,难于保证疾病分类编码的准确性。方法通过对我院3年来失血性贫血的疾病分类资料进行分析从一个侧面反映出,要保证疾病分类编码的正确,提高疾病编码人员之业务素质和认真核对ICD-10卷一中的注释是关键,各相关部门的积极协调和各级相关领导的重视是保障。结论只有科学、规范、准确运用ICD-10的分类方法才能为医疗、教学、科研、医院管理提供优质高效的服务,为DRGs收费打好基础。
The coding classification of ICD-10 is a multiaxial classification. Although the disease is the same, the difference in the degree of development is not only a difference in the coding, but also in the treatment means and the consumption of health resources, if there is only a dependence on the ICD-10 code. Diagnostic coding of the diagnosis given on the handbook and on the first page of the medical record makes it difficult to ensure the accuracy of the disease classification code. Methods By analyzing the classification data of blood-loss anemia in our hospital over the past three years, we have reflected from one aspect that it is necessary to ensure the correct classification of diseases, improve the quality of disease coders, and carefully check the notes in ICD-10 volume one. The active coordination of various relevant departments and the attention of relevant leaders at all levels are the guarantees. Conclusion Only scientific, standardized and accurate use of the ICD-10 classification method can provide quality and efficient services for medical, teaching, scientific research and hospital management, and lay a solid foundation for DRGs charges.