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医院的首例手术对于临床医教研以及一个科室和医院的发展都具有跨时代的意义。通过阐述两例院内首例手术的疾病分类与手术操作分类编码过程中遇到和发现的问题,探讨编码员在院内首例手术编码过程中应发挥的作用。编码员应具备高度的信息意识,时刻关注临床科室最新学术动态,保证临床新技术、新疗法相关的病案首页手术操作信息不错编、不漏编,同时培养自身高效的信息处理能力以及将编码工作中的先进理念和经验总结和凝练成科研论文的良好科研素养。
The hospital’s first surgery has implications for clinical teaching and research as well as the development of a department and a hospital. By discussing the problems encountered in the classification and classification of the first surgical procedure in the two cases, and discussing the role that coders should play in the first surgical coding of the hospital. Coder should have a high degree of awareness of information, always pay attention to the latest academic developments in clinical departments, to ensure that clinical new technologies, new therapies related to medical records Home surgical operation information is good, missed, while cultivating their own efficient information processing capabilities and coding In the advanced concepts and experiences summed up and concise research papers into a good scientific literacy.