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目的建立作为现行ICD-10编码补充的《广东省医院国际疾病分类扩展码规范字典库》,满足省内医疗机构对疾病分类一病一码及疾病分类编码规范化的需求;方法收集广东省多间协作医院疾病编码手册和/或编码字典库,了解省内主要医院扩展码编目情况并在此基础上建立《广东省医院国际疾病分类扩展码规范字典库》;结果通过《广东省医院国际疾病分类扩展码规范字典库》,统一广东省医疗单位所使用的疾病名称及其分类代码;结论规范化《广东省医院国际疾病分类扩展码规范字典库》的建立,既满足了现代医学对疾病分类一病一码的需求,又提高了广东省各级医疗机构的疾病分类编码水平。本研究成果已经在省内所有二级以上医院推广,对广东省医学信息管理规范化起到良好作用。
Objective To establish the “Guangdong Provincial International Classification Code for Disease Extension Codes Dictionary” supplemented by the current ICD-10 coding to meet the needs of medical institutions in the province for standardizing disease classification and disease codes, and to collect multiple cases in Guangdong Province. Collaborative hospital’s disease coding manual and/or code dictionary database to learn about the spread code cataloging of major hospitals in the province and to establish the “Guangdong Provincial Hospital International Classification Diffusion Code Specification Dictionary Library” on the basis of this; the results passed the “Guangdong Provincial Hospital International Classification of Diseases” “Dictionary code specification dictionary database” to unify the names of diseases used by medical units in Guangdong Province and their classification codes; Conclusion The establishment of a standardized “Guided Dictionary of International Disease Classification Diffusion Codes for Guangdong Provincial Hospitals” not only satisfies the modern medical classification of disease. One yard of demand has also increased the level of disease classification and coding at medical institutions in Guangdong Province. The research results have been promoted in all secondary hospitals in the province and play a good role in the standardization of medical information management in Guangdong Province.