Objective To provide a reference for the selection of the principal diagnosis in the home page of medical records of pediatric malignant tumors.Methods Combined with the general principles of the selection of major diag-nosis and the selection principles of major diagnosis of malignant tumors,the main hospitalization purposes and treat-ment methods of children with malignant tumors were classified,and the selection of major diagnosis and ICD-10 cod-ing of the home page of medical records under different hospitalization purposes and different treatment methods were discussed.Results For the first admission,the primary malignant tumor or secondary malignant tumor was mainly treated,and the primary or secondary malignant tumor was selected as the primary diagnosis.Children with non-first admission and mainly for chemotherapy,the chemotherapy diagnosis was selected corresponding to different treatment stages as the primary diagnosis.For the admission purpose of hematopoietic stem cell transplantation,and primary ma-lignant tumor was selected as the primary diagnosis.For admission for bone puncture or lumbar puncture evaluation,the follow-up examination after corresponding chemotherapy or immunotherapy was selected as the primary diagnosis.For children with platelet,red blood cell or leukocyte transfusion,myelosuppression after chemotherapy was chosen as the primary diagnosis.The admission for infusion of monoclonal antibody,malignant tumor immunotherapy was selected as the primary diagnosis.The admission for NK cells or mesenchymal stem cells injection,the cell therapy was selected as the primary diagnosis.The admission for the treatment of complications,the corresponding treatment of complications were selected as the primary diagnosis.If the patient died during treatment,the primary malignancy was chosen as the primary diagnosis.Conclusion When selecting the primary diagnosis,it is important to consider both the purpose of hospitalization and consistency with the primary treatment approach in order to achieve more accurate DRG grouping.
ChildrenMalignant TumorHome Page of Medical RecordsPrincipal DiagnosisICD-10 Code
NETL
NSTL
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