军队医院诊断和手术编码对照系统设计与实现
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摘要
目的:解决军队医院编码对照问题,满足医院临床业务需求与多方管理需求。方法:基于医院实际业务需求,兼顾军队要求与驻地所在的上海市要求,建立上海长海医院疾病诊断和手术名称字典。结果:满足了军队与上海市地方的数据传报需求,同时优化医院医疗业务管理基础。结论:建立适应上海长海医院需求的诊断与手术名称字典,对医院医疗业务管理起到了重要作用。
Objective: To solve the code control problem of military hospital and to meet the needs of hospital clinical business andmilitary. Methods: Based on the actual needs of the hospital, considering the requirements of the General Logistics Department andthe requirements of Shanghai, the dictionary of disease diagnosis and operation name was established. Results: It meets the demandof the data of the General Logistics Department and Shanghai City, and optimizes the base of hospital medical service management.Conclusion: Establishing a dictionary of diagnosis and operation name adapted to the needs of the hospital has played an important rolein the management of hospital medical service.
Objective: To solve the code control problem of military hospital and to meet the needs of hospital clinical business andmilitary. Methods: Based on the actual needs of the hospital, considering the requirements of the General Logistics Department andthe requirements of Shanghai, the dictionary of disease diagnosis and operation name was established. Results: It meets the demandof the data of the General Logistics Department and Shanghai City, and optimizes the base of hospital medical service management.Conclusion: Establishing a dictionary of diagnosis and operation name adapted to the needs of the hospital has played an important rolein the management of hospital medical service.
引文
[1]李海瑛,徐旭,季芳.病案管理持续改进的策略[J].解放军医院管理杂志,2015,22(5):417-418.
[2]杨晓丹,李恬.建立临床资料综合编码数据库的探讨[J].中国病案,2013,14(4):23-25.
[3]赵可晓.临床诊断手术操作病案编码关联数据库探讨[C]//中国医院协会病案管理专业委员会学术会议,2015.
[4]李伟荣,刘力戈,王慧英,等.主要诊断与手术操作不相符合编码问题案例分析[J].中国病案,2015,16(7):36-38.
[5]褚丹奇,宋磊,李莹.基于ICD标准的临床诊断、手术与操作编码系统的设计与应用[J].中国卫生信息管理杂志,2013,10(5):444-447.
[6]但秀娟,王晓京,张立佳,等.DRGs付费方式下军队医院病案首页改进[J].解放军医院管理杂志,2016,23(4):323-324.[收稿日期:2018-03-20]
[2]杨晓丹,李恬.建立临床资料综合编码数据库的探讨[J].中国病案,2013,14(4):23-25.
[3]赵可晓.临床诊断手术操作病案编码关联数据库探讨[C]//中国医院协会病案管理专业委员会学术会议,2015.
[4]李伟荣,刘力戈,王慧英,等.主要诊断与手术操作不相符合编码问题案例分析[J].中国病案,2015,16(7):36-38.
[5]褚丹奇,宋磊,李莹.基于ICD标准的临床诊断、手术与操作编码系统的设计与应用[J].中国卫生信息管理杂志,2013,10(5):444-447.
[6]但秀娟,王晓京,张立佳,等.DRGs付费方式下军队医院病案首页改进[J].解放军医院管理杂志,2016,23(4):323-324.[收稿日期:2018-03-20]