首页|基于信息化的手术分级目录库的构建与应用

基于信息化的手术分级目录库的构建与应用

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医院将《江苏省手术分级目录(2017版)》和ICD-9-CM-3编码(国家医保1.0版)加以对照,构建了契合该院实际情况的手术分级目录库.该目录库成为唯一的标准库,被运用于"手术授权管理系统""手术申请审批系统"、电子病历、"病案首页填写与质控系统""财务绩效考核系统"以及数据上传平台等.该手术分级目录库不仅有利于临床的实际应用,还能够满足医务科、医保办、绩效办、财务科等职能部门在手术授权、数据统计、月度考核以及绩效奖励等方面的多样化需求.
Construction and application of a surgical classification catalog database in information technology
The Jiangsu Province Surgery Classification Catalog(2017 Edition)was compared with the ICD-9-CM-3(National Health Insurance Version 1.0)to establish a surgery classification catalog database for our hospital.This surgical grading catalog is a unique standard library that has been applied in many systems,such as operation authorization manage-ment systems,operation application approval systems,electronic medical records,medical record first page filling and quality control systems,financial performance appraisal systems,and data upload platforms.This catalogue is not only useful for clin-ical practice but also can meet the different needs of medical departments,medical insurance offices,performance offices,and finance departments in operation authorization,data statistics,monthly assessment,and performance rewards.

Surgery grading catalogueClinical codingHospital information systems

杨淼、付昱、吴铁、朱建栋

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无锡市第九人民医院(苏州大学附属无锡九院)医务科,江苏无锡 214062

手术分级目录 临床编码 医院信息系统

2024

中国校医
江苏省预防医学会 中华预防医学会

中国校医

影响因子:0.378
ISSN:1001-7062
年,卷(期):2024.38(10)